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Paper · arXiv

MedVR: Annotation-Free Medical Visual Reasoning via Agentic Reinforcement Learning

Medical Vision-Language Models (VLMs) hold immense promise for complex clinical tasks, but their reasoning capabilities are often constrained by text-only paradigms that fail to ground inferences in visual evidence. This limitation not only curtails performance on tasks requiring fine-grained visual analysis but also introduces risks of visual hallucination in safety-critical applications. Thus, we introduce MedVR, a novel reinforcement learning framework that enables annotation-free visual reasoning for medical VLMs. Its core innovation lies in two synergistic mechanisms: Entropy-guided Visual Regrounding (EVR) uses model uncertainty to direct exploration, while Consensus-based Credit As...

AuthorsZheng Jiang, Heng Guo, Chengyu Fang et al.
Primary categorycs.CV
Published9 April 2026
Last updated at source9 April 2026
cs.CVcs.AI
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