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Paper · arXiv

Just how sure are you? Improving Verbalized Uncertainty Calibration in Medical VQA

Multimodal large language models (MLLMs) applied to Medical Visual Question Answering (VQA) tend to produce overconfident outputs regardless of actual correctness, and existing verbalized confidence calibration methods, developed primarily for text only LLMs, do not account for the multimodal nature of medical image understanding. This work proposes a training based framework that finetunes MLLMs to improve their calibration using a composite loss function combining a Brier style calibration term, an anchor regularizer that prevents confidence collapse toward extreme values, a contrastive image text alignment term, and a KL based model stabilization term. The alignment signal is derived f...

AuthorsEren Senoglu, Federico Toschi, Nicolo Brunello et al.
Primary categorycs.LG
Published25 June 2026
Last updated at source25 June 2026
cs.LGcs.CLcs.CV
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