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版本更新 · v2arXiv:2608.07525

Unified Hallucination Fuzzing for Multimodal Large Language Models

Pengfei Zhou, Jiajun Song, Zhiwei Tang, Yixing Ma, Donghui Si, Yuhang Xu, Huiqi Song, Yiyuan Miao 等 14 位作者

原文摘要

Hallucination remains a persistent challenge for Multimodal Large Language Models (MLLMs), severely limiting their reliability in high-stakes applications. Existing evaluations, predominantly based on static benchmarks, suffer from narrow taxonomical coverage and rapid performance saturation, failing to reflect model robustness in evolving real-world scenarios. To bridge this gap, we present a systematic evaluation framework integrating a comprehensive benchmark with self-evolving stress testing. First, we introduce UniHall, a fine-grained dataset grounded in a unified taxonomy spanning Object, Instruction, and Knowledge dimensions. Second, to address benchmark saturation, we propose Self-Adaptive Multimodal Fuzzing (SAMF), a self-adaptive framework that employs evolutionary mutation strategies to explore the boundaries of model hallucinations. Crucially, to ensure reliable assessment of dynamic inputs, SAMF incorporates a structured metric suite driven by an ensemble of multi-modal oracles. Our extensive experiments reveal that state-of-the-art MLLMs exhibit significant performance degradation under fuzzing compared to conventional settings, exposing a dissociation between reasoning capabilities and factual grounding. Furthermore, we identify a helpfulness-hallucination trade-off, where reinforcement learning alignment inadvertently exacerbates sycophancy in instruction-following tasks. The framework, code and benchmark are available at https://github.com/LanceZPF/EvalHall.

cs.CL · cs.AI

版本更新 · v3arXiv:2607.24743

ClinFusion: A Vision-Centric Multimodal LLM System for Holistic Medical Understanding

Hangjie Yuan, Yichen Qian, Zhiwei Tang, Xianzhe Xu, Sicheng Yang, Lirong Wu, Jinwang Wang, Pengju Wang 等 24 位作者

原文摘要

Multimodal large language models (MLLMs) hold immense potential to revolutionize clinical practice, yet deploying them in the medical domain is fundamentally a vision-centric challenge: models must absorb knowledge from heterogeneous 2D and 3D medical images, and evaluation protocols must align with radiologists' clinical practice and provide an accurate, fine-grained and factualness-driven assessment. In this paper, we introduce ClinFusion, a vision-centric MLLM designed for holistic medical understanding that systematically addresses these limitations. We propose a compositional and cascaded vision encoder architecture featuring a Cascade Spatial-Aware Locality Fusion operator that unifies diverse 2D and native 3D medical image understanding within a fused encoder. We further introduce a vision-grounded evaluation framework, including MedIF-Bench for instruction-following assessment and a region-of-interest-grounded method for clinically aligned and factualness-driven report generation evaluation. We show that ClinFusion sets a new state-of-the-art across a comprehensive suite of 2D and 3D multimodal medical benchmarks---spanning visual question answering, report generation, and instruction following---as well as textual medical tasks, outperforming leading open-source medical MLLMs (\textit{e.g.}, Hulu-Med, Lingshu) on 20 out of 24 benchmarks and demonstrating multimodal capabilities better than powerful proprietary models such as GPT-5.2 and Gemini-3-Flash on 13 out of 16 benchmarks, and can be further augmented with agentic tool use for retrieval-augmented and tool-assisted clinical workflows. A blinded evaluation by board-certified radiologists confirms that ClinFusion produces the highest-ranked reports, and validates our RoI-grounded metric as achieving the strongest correlation with expert judgment among all automatic evaluation metrics examined.

cs.CV · cs.AI · cs.CL