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Jan 27

Advancing Multimodal Reasoning Capabilities of Multimodal Large Language Models via Visual Perception Reward

Enhancing the multimodal reasoning capabilities of Multimodal Large Language Models (MLLMs) is a challenging task that has attracted increasing attention in the community. Recently, several studies have applied Reinforcement Learning with Verifiable Rewards (RLVR) to the multimodal domain in order to enhance the reasoning abilities of MLLMs. However, these works largely overlook the enhancement of multimodal perception capabilities in MLLMs, which serve as a core prerequisite and foundational component of complex multimodal reasoning. Through McNemar's test, we find that existing RLVR method fails to effectively enhance the multimodal perception capabilities of MLLMs, thereby limiting their further improvement in multimodal reasoning. To address this limitation, we propose Perception-R1, which introduces a novel visual perception reward that explicitly encourages MLLMs to perceive the visual content accurately, thereby can effectively incentivizing both their multimodal perception and reasoning capabilities. Specifically, we first collect textual visual annotations from the CoT trajectories of multimodal problems, which will serve as visual references for reward assignment. During RLVR training, we employ a judging LLM to assess the consistency between the visual annotations and the responses generated by MLLM, and assign the visual perception reward based on these consistency judgments. Extensive experiments on several multimodal reasoning benchmarks demonstrate the effectiveness of our Perception-R1, which achieves state-of-the-art performance on most benchmarks using only 1,442 training data.

  • 7 authors
·
Jun 8, 2025

Does Inference Scaling Improve Reasoning Faithfulness? A Multi-Model Analysis of Self-Consistency Tradeoffs

Self-consistency has emerged as a popular technique for improving large language model accuracy on reasoning tasks. The approach is straightforward: generate multiple reasoning paths and select the most common answer through majority voting. While this reliably boosts accuracy, it remains unclear whether these gains reflect genuine improvements in reasoning quality. We investigate a fundamental question that has not been studied before: does inference scaling improve reasoning faithfulness? We conduct a comprehensive empirical study across four frontier models (GPT-5.2, Claude Opus 4.5, Gemini-3-flash-preview, and DeepSeek-v3.2) on 100 GSM8K mathematical reasoning problems. Our analysis employs bootstrap confidence intervals, McNemar's tests for paired comparisons, and Cohen's d effect sizes to quantify the effects rigorously. The results reveal striking differences across models that challenge common assumptions about self-consistency. GPT-5.2 shows the expected pattern: accuracy improves from 78% to 90% at N=5, with faithfulness remaining relatively stable (0.540 to 0.510). Claude Opus 4.5 tells a completely different story. Its accuracy actually drops from 78% to 74.3% while faithfulness jumps dramatically from 0.270 to 0.891 at N=5. DeepSeek-v3.2, already at 98% accuracy, shows ceiling effects with modest faithfulness gains (0.440 to 0.541). Gemini-3-flash improves from 81% to 86% accuracy with a slight faithfulness decrease (0.260 to 0.212). Problem difficulty analysis reveals that GPT-5.2 solves 82% of hard problems while breaking only 13% of easy ones. Claude, in contrast, breaks 23% of easy problems, explaining its accuracy decrease. These findings matter for practitioners: self-consistency is not universally beneficial, and teams should test their specific models before deployment. We release our code and provide practical recommendations for navigating these tradeoffs.

Towards Accurate Differential Diagnosis with Large Language Models

An accurate differential diagnosis (DDx) is a cornerstone of medical care, often reached through an iterative process of interpretation that combines clinical history, physical examination, investigations and procedures. Interactive interfaces powered by Large Language Models (LLMs) present new opportunities to both assist and automate aspects of this process. In this study, we introduce an LLM optimized for diagnostic reasoning, and evaluate its ability to generate a DDx alone or as an aid to clinicians. 20 clinicians evaluated 302 challenging, real-world medical cases sourced from the New England Journal of Medicine (NEJM) case reports. Each case report was read by two clinicians, who were randomized to one of two assistive conditions: either assistance from search engines and standard medical resources, or LLM assistance in addition to these tools. All clinicians provided a baseline, unassisted DDx prior to using the respective assistive tools. Our LLM for DDx exhibited standalone performance that exceeded that of unassisted clinicians (top-10 accuracy 59.1% vs 33.6%, [p = 0.04]). Comparing the two assisted study arms, the DDx quality score was higher for clinicians assisted by our LLM (top-10 accuracy 51.7%) compared to clinicians without its assistance (36.1%) (McNemar's Test: 45.7, p < 0.01) and clinicians with search (44.4%) (4.75, p = 0.03). Further, clinicians assisted by our LLM arrived at more comprehensive differential lists than those without its assistance. Our study suggests that our LLM for DDx has potential to improve clinicians' diagnostic reasoning and accuracy in challenging cases, meriting further real-world evaluation for its ability to empower physicians and widen patients' access to specialist-level expertise.

  • 28 authors
·
Nov 30, 2023 1