Zixuan Huang, Zhihong Zhu Tencent, Xiaolong Liu, Yanchao Hao Tencent PCG, Manman Zhang Tencent PCG, Zheng Wei Tencent Technology (Beijing) Company Limited, Bowen Xing University of Science and Technology Beijing, Xian Wu Tencent 等 11 位作者
Medical large Vision-Language Models (Med-LVLMs) have shown strong potential in multimodal clinical applications such as medical visual question answering and report generation. However, Med-LVLMs remain challenged by hallucinations caused by modality misalignment, where models prioritize textual knowledge over visual evidence and generate outputs that conflict with medical images. To mitigate this issue, recent studies have explored preference optimization to improve image–text alignment, achieving promising results. Despite these advances, existing preference-based methods still face two limitations in medical settings: (1) overfitting to superficial cues, and (2) pseudo convergence of the preference signal. In this paper, we propose Dynamic Evidence-Guided Preference Optimization (DEPO), a new framework that enables evidence-aware and adaptive preference learning for Med-LVLMs. DEPO introduces Multi-Modal Evidence Perturbation (MEP) to suppress non-causal textual and visual shortcuts, and Dispreferred Evidence Resampling (DER) to continuously update dispreferred responses as hallucination patterns evolve. Experiments on multiple medical VQA and report generation benchmarks demonstrate consistent improvements over existing methods, with strong robustness across datasets and architectures. All Codes and data will be released after review.
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cs.CL · cs.CV
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表
Zengbin Wang Alibaba Group, Feng Xiong Harbin Institute of Technology, Liang Lin, Xuecai Hu AMAP, Alibaba Group, Yong Wang, Yanlin Wang Sun Yat-Sen University, Man Zhang Beijing University of Posts and Telecommunications, Xiangxiang Chu Alibaba Group
Reinforcement learning with verifiable rewards (RLVR) has significantly advanced the reasoning ability of vision-language models (VLMs). However, the inherent text-dominated nature of VLMs often leads to insufficient visual faithfulness, characterized by sparse attention activation to visual tokens. More importantly, our empirical analysis reveals that temporal visual forgetting along reasoning steps exacerbates this deficiency. To bridge this gap, we propose Visually-Guided Policy Optimization (VGPO), a novel framework to reinforce visual focus during policy optimization. Specifically, VGPO initially introduces a Visual Attention Compensation mechanism that leverages visual similarity to localize and amplify visual cues, while progressively elevating visual expectations in later steps to counteract visual forgetting. Building on this mechanism, we implement a dual-grained advantage re-weighting strategy: the intra-trajectory level highlights tokens exhibiting relatively high visual activation, while the inter-trajectory level prioritizes trajectories demonstrating superior visual accumulation. Extensive experiments demonstrate that VGPO achieves better visual activation and superior performance in mathematical multimodal reasoning and visual-dependent tasks. The code has been released at https://github.com/wzb-bupt/VGPO.
尚无 AI 解读，展示原文摘要
cs.CL · cs.CV
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (Volume 1: Long Papers) · 2026 · 正式发表