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Feb 6

MIRAGE: Assessing Hallucination in Multimodal Reasoning Chains of MLLM

Multimodal hallucination in multimodal large language models (MLLMs) restricts the correctness of MLLMs. However, multimodal hallucinations are multi-sourced and arise from diverse causes. Existing benchmarks fail to adequately distinguish between perception-induced hallucinations and reasoning-induced hallucinations. This failure constitutes a significant issue and hinders the diagnosis of multimodal reasoning failures within MLLMs. To address this, we propose the {\dataset} benchmark, which isolates reasoning hallucinations by constructing questions where input images are correctly perceived by MLLMs yet reasoning errors persist. {\dataset} introduces multi-granular evaluation metrics: accuracy, factuality, and LLMs hallucination score for hallucination quantification. Our analysis reveals that (1) the model scale, data scale, and training stages significantly affect the degree of logical, fabrication, and factual hallucinations; (2) current MLLMs show no effective improvement on spatial hallucinations caused by misinterpreted spatial relationships, indicating their limited visual reasoning capabilities; and (3) question types correlate with distinct hallucination patterns, highlighting targeted challenges and potential mitigation strategies. To address these challenges, we propose {\method}, a method that combines curriculum reinforcement fine-tuning to encourage models to generate logic-consistent reasoning chains by stepwise reducing learning difficulty, and collaborative hint inference to reduce reasoning complexity. {\method} establishes a baseline on {\dataset}, and reduces the logical hallucinations in original base models.

  • 6 authors
·
May 30, 2025

Mitigating Modality Prior-Induced Hallucinations in Multimodal Large Language Models via Deciphering Attention Causality

Multimodal Large Language Models (MLLMs) have emerged as a central focus in both industry and academia, but often suffer from biases introduced by visual and language priors, which can lead to multimodal hallucination. These biases arise from the visual encoder and the Large Language Model (LLM) backbone, affecting the attention mechanism responsible for aligning multimodal inputs. Existing decoding-based mitigation methods focus on statistical correlations and overlook the causal relationships between attention mechanisms and model output, limiting their effectiveness in addressing these biases. To tackle this issue, we propose a causal inference framework termed CausalMM that applies structural causal modeling to MLLMs, treating modality priors as a confounder between attention mechanisms and output. Specifically, by employing backdoor adjustment and counterfactual reasoning at both the visual and language attention levels, our method mitigates the negative effects of modality priors and enhances the alignment of MLLM's inputs and outputs, with a maximum score improvement of 65.3% on 6 VLind-Bench indicators and 164 points on MME Benchmark compared to conventional methods. Extensive experiments validate the effectiveness of our approach while being a plug-and-play solution. Our code is available at: https://github.com/The-Martyr/CausalMM

  • 6 authors
·
Oct 7, 2024

HaloQuest: A Visual Hallucination Dataset for Advancing Multimodal Reasoning

Hallucination has been a major problem for large language models and remains a critical challenge when it comes to multimodality in which vision-language models (VLMs) have to deal with not just textual but also visual inputs. Despite rapid progress in VLMs, resources for evaluating and addressing multimodal hallucination are limited and mostly focused on evaluation. This work introduces HaloQuest, a novel visual question answering dataset that captures various aspects of multimodal hallucination such as false premises, insufficient contexts, and visual challenges. A novel idea from HaloQuest is to leverage synthetic images, apart from real ones, to enable dataset creation at scale. With over 7.7K examples spanning across a wide variety of categories, HaloQuest was designed to be both a challenging benchmark for VLMs and a fine-tuning dataset for advancing multimodal reasoning. Our experiments reveal that current models struggle with HaloQuest, with all open-source VLMs achieving below 36% accuracy. On the other hand, fine-tuning on HaloQuest significantly reduces hallucination rates while preserving performance on standard reasoning tasks. Our results discover that benchmarking with generated images is highly correlated (r=0.97) with real images. Last but not least, we propose a novel Auto-Eval mechanism that is highly correlated with human raters (r=0.99) for evaluating VLMs. In sum, this work makes concrete strides towards understanding, evaluating, and mitigating hallucination in VLMs, serving as an important step towards more reliable multimodal AI systems in the future.

  • 6 authors
·
Jul 22, 2024

OmniDPO: A Preference Optimization Framework to Address Omni-Modal Hallucination

Recently, Omni-modal large language models (OLLMs) have sparked a new wave of research, achieving impressive results in tasks such as audio-video understanding and real-time environment perception. However, hallucination issues still persist. Similar to the bimodal setting, the priors from the text modality tend to dominate, leading OLLMs to rely more heavily on textual cues while neglecting visual and audio information. In addition, fully multimodal scenarios introduce new challenges. Most existing models align visual or auditory modalities with text independently during training, while ignoring the intrinsic correlations between video and its corresponding audio. This oversight results in hallucinations when reasoning requires interpreting hidden audio cues embedded in video content. To address these challenges, we propose OmniDPO, a preference-alignment framework designed to mitigate hallucinations in OLLMs. Specifically, OmniDPO incorporates two strategies: (1) constructing text-preference sample pairs to enhance the model's understanding of audio-video interactions; and (2) constructing multimodal-preference sample pairs to strengthen the model's attention to visual and auditory information. By tackling both challenges, OmniDPO effectively improves multimodal grounding and reduces hallucination. Experiments conducted on two OLLMs demonstrate that OmniDPO not only effectively mitigates multimodal hallucinations but also significantly enhances the models' reasoning capabilities across modalities. All code and datasets will be released upon paper acceptance.

  • 9 authors
·
Aug 31, 2025

Omni-R1: Reinforcement Learning for Omnimodal Reasoning via Two-System Collaboration

Long-horizon video-audio reasoning and fine-grained pixel understanding impose conflicting requirements on omnimodal models: dense temporal coverage demands many low-resolution frames, whereas precise grounding calls for high-resolution inputs. We tackle this trade-off with a two-system architecture: a Global Reasoning System selects informative keyframes and rewrites the task at low spatial cost, while a Detail Understanding System performs pixel-level grounding on the selected high-resolution snippets. Because ``optimal'' keyframe selection and reformulation are ambiguous and hard to supervise, we formulate them as a reinforcement learning (RL) problem and present Omni-R1, an end-to-end RL framework built on Group Relative Policy Optimization. Omni-R1 trains the Global Reasoning System through hierarchical rewards obtained via online collaboration with the Detail Understanding System, requiring only one epoch of RL on small task splits. Experiments on two challenging benchmarks, namely Referring Audio-Visual Segmentation (RefAVS) and Reasoning Video Object Segmentation (REVOS), show that Omni-R1 not only surpasses strong supervised baselines but also outperforms specialized state-of-the-art models, while substantially improving out-of-domain generalization and mitigating multimodal hallucination. Our results demonstrate the first successful application of RL to large-scale omnimodal reasoning and highlight a scalable path toward universally foundation models.

  • 9 authors
·
May 26, 2025 1

When Semantics Mislead Vision: Mitigating Large Multimodal Models Hallucinations in Scene Text Spotting and Understanding

Large Multimodal Models (LMMs) have achieved impressive progress in visual perception and reasoning. However, when confronted with visually ambiguous or non-semantic scene text, they often struggle to accurately spot and understand the content, frequently generating semantically plausible yet visually incorrect answers, which we refer to as semantic hallucination. In this work, we investigate the underlying causes of semantic hallucination and identify a key finding: Transformer layers in LLM with stronger attention focus on scene text regions are less prone to producing semantic hallucinations. Thus, we propose a training-free semantic hallucination mitigation framework comprising two key components: (1) ZoomText, a coarse-to-fine strategy that identifies potential text regions without external detectors; and (2) Grounded Layer Correction, which adaptively leverages the internal representations from layers less prone to hallucination to guide decoding, correcting hallucinated outputs for non-semantic samples while preserving the semantics of meaningful ones. To enable rigorous evaluation, we introduce TextHalu-Bench, a benchmark of over 1,730 samples spanning both semantic and non-semantic cases, with manually curated question-answer pairs designed to probe model hallucinations. Extensive experiments demonstrate that our method not only effectively mitigates semantic hallucination but also achieves strong performance on public benchmarks for scene text spotting and understanding.

  • 10 authors
·
Jun 5, 2025 2

Hallucination of Multimodal Large Language Models: A Survey

This survey presents a comprehensive analysis of the phenomenon of hallucination in multimodal large language models (MLLMs), also known as Large Vision-Language Models (LVLMs), which have demonstrated significant advancements and remarkable abilities in multimodal tasks. Despite these promising developments, MLLMs often generate outputs that are inconsistent with the visual content, a challenge known as hallucination, which poses substantial obstacles to their practical deployment and raises concerns regarding their reliability in real-world applications. This problem has attracted increasing attention, prompting efforts to detect and mitigate such inaccuracies. We review recent advances in identifying, evaluating, and mitigating these hallucinations, offering a detailed overview of the underlying causes, evaluation benchmarks, metrics, and strategies developed to address this issue. Additionally, we analyze the current challenges and limitations, formulating open questions that delineate potential pathways for future research. By drawing the granular classification and landscapes of hallucination causes, evaluation benchmarks, and mitigation methods, this survey aims to deepen the understanding of hallucinations in MLLMs and inspire further advancements in the field. Through our thorough and in-depth review, we contribute to the ongoing dialogue on enhancing the robustness and reliability of MLLMs, providing valuable insights and resources for researchers and practitioners alike. Resources are available at: https://github.com/showlab/Awesome-MLLM-Hallucination.

  • 7 authors
·
Apr 29, 2024

Decoupling Contrastive Decoding: Robust Hallucination Mitigation in Multimodal Large Language Models

Although multimodal large language models (MLLMs) exhibit remarkable reasoning capabilities on complex multimodal understanding tasks, they still suffer from the notorious hallucination issue: generating outputs misaligned with obvious visual or factual evidence. Currently, training-based solutions, like direct preference optimization (DPO), leverage paired preference data to suppress hallucinations. However, they risk sacrificing general reasoning capabilities due to the likelihood displacement. Meanwhile, training-free solutions, like contrastive decoding, achieve this goal by subtracting the estimated hallucination pattern from a distorted input. Yet, these handcrafted perturbations (e.g., add noise to images) may poorly capture authentic hallucination patterns. To avoid these weaknesses of existing methods, and realize robust hallucination mitigation (i.e., maintaining general reasoning performance), we propose a novel framework: Decoupling Contrastive Decoding (DCD). Specifically, DCD decouples the learning of positive and negative samples in preference datasets, and trains separate positive and negative image projections within the MLLM. The negative projection implicitly models real hallucination patterns, which enables vision-aware negative images in the contrastive decoding inference stage. Our DCD alleviates likelihood displacement by avoiding pairwise optimization and generalizes robustly without handcrafted degradation. Extensive ablations across hallucination benchmarks and general reasoning tasks demonstrate the effectiveness of DCD, i.e., it matches DPO's hallucination suppression while preserving general capabilities and outperforms the handcrafted contrastive decoding methods.

  • 7 authors
·
Apr 8, 2025

Seeing is Believing? Mitigating OCR Hallucinations in Multimodal Large Language Models

Recent advancements in multimodal large language models have enhanced document understanding by integrating textual and visual information. However, existing models exhibit incompleteness within their paradigm in real-world scenarios, particularly under visual degradation. In such conditions, the current response paradigm often fails to adequately perceive visual degradation and ambiguity, leading to overreliance on linguistic priors or misaligned visual-textual reasoning. This difficulty in recognizing uncertainty frequently results in the generation of hallucinatory content, especially when a precise answer is not feasible. To better demonstrate and analyze this phenomenon and problem, we propose KIE-HVQA, the first benchmark dedicated to evaluating OCR hallucination in degraded document understanding. This dataset includes test samples spanning identity cards and invoices, with simulated real-world degradations for OCR reliability. This setup allows for evaluating models' capacity, under degraded input, to distinguish reliable visual information and answer accordingly, thereby highlighting the challenge of avoiding hallucination on uncertain data. To achieve vision-faithful reasoning and thereby avoid the aforementioned issues, we further introduce a GRPO-based framework featuring a novel reward mechanism. By incorporating a self-awareness of visual uncertainty and an analysis method that initiates refusal to answer to increase task difficulty within our supervised fine-tuning and reinforcement learning framework, we successfully mitigated hallucinations in ambiguous regions. Experiments on Qwen2.5-VL demonstrate that our 7B-parameter model achieves a 22\% absolute improvement in hallucination-free accuracy over GPT-4o on KIE-HVQA and there is no significant performance drop in standard tasks, highlighting both effectiveness and robustness.

  • 9 authors
·
Jun 25, 2025

Mitigating Object Hallucinations via Sentence-Level Early Intervention

Multimodal large language models (MLLMs) have revolutionized cross-modal understanding but continue to struggle with hallucinations - fabricated content contradicting visual inputs. Existing hallucination mitigation methods either incur prohibitive computational costs or introduce distribution mismatches between training data and model outputs. We identify a critical insight: hallucinations predominantly emerge at the early stages of text generation and propagate through subsequent outputs. To address this, we propose **SENTINEL** (**S**entence-level **E**arly i**N**tervention **T**hrough **IN**-domain pr**E**ference **L**earning), a framework that eliminates dependency on human annotations. Specifically, we first bootstrap high-quality in-domain preference pairs by iteratively sampling model outputs, validating object existence through cross-checking with two open-vocabulary detectors, and classifying sentences into hallucinated/non-hallucinated categories. Subsequently, we use context-coherent positive samples and hallucinated negative samples to build context-aware preference data iteratively. Finally, we train models using a context-aware preference loss (C-DPO) that emphasizes discriminative learning at the sentence level where hallucinations initially manifest. Experimental results show that SENTINEL can reduce hallucinations by over 90\% compared to the original model and outperforms the previous state-of-the-art method on both hallucination benchmarks and general capabilities benchmarks, demonstrating its superiority and generalization ability. The models, datasets, and code are available at https://github.com/pspdada/SENTINEL.

  • 4 authors
·
Jul 16, 2025 2

Measuring Epistemic Humility in Multimodal Large Language Models

Hallucinations in multimodal large language models (MLLMs) -- where the model generates content inconsistent with the input image -- pose significant risks in real-world applications, from misinformation in visual question answering to unsafe errors in decision-making. Existing benchmarks primarily test recognition accuracy, i.e., evaluating whether models can select the correct answer among distractors. This overlooks an equally critical capability for trustworthy AI: recognizing when none of the provided options are correct, a behavior reflecting epistemic humility. We present HumbleBench, a new hallucination benchmark designed to evaluate MLLMs' ability to reject plausible but incorrect answers across three hallucination types: object, relation, and attribute. Built from a panoptic scene graph dataset, we leverage fine-grained scene graph annotations to extract ground-truth entities and relations, and prompt GPT-4-Turbo to generate multiple-choice questions, followed by a rigorous manual filtering process. Each question includes a "None of the above" option, requiring models not only to recognize correct visual information but also to identify when no provided answer is valid. We evaluate a variety of state-of-the-art MLLMs -- including both general-purpose and specialized reasoning models -- on HumbleBench and share valuable findings and insights with the community. By incorporating explicit false-option rejection, HumbleBench fills a key gap in current evaluation suites, providing a more realistic measure of MLLM reliability in safety-critical settings. Our code and dataset are released publicly and can be accessed at https://github.com/maifoundations/HumbleBench.

  • 4 authors
·
Sep 11, 2025 3

Exposing Hallucinations To Suppress Them: VLMs Representation Editing With Generative Anchors

Multimodal large language models (MLLMs) have achieved remarkable success across diverse vision-language tasks, yet they remain highly susceptible to hallucinations, producing content that is fluent but inconsistent with visual evidence. Such hallucinations, spanning objects, attributes, and relations, persist even in larger models, while existing mitigation approaches often require additional finetuning, handcrafted priors, or trade-offs that compromise informativeness and scalability. To address this limitation, we propose a training-free, self-supervised method for hallucination mitigation. Our approach introduces a novel hallucination amplification mechanism: a caption is projected into the visual space via a text-to-image model to reveal implicit hallucination signals, serving as a negative anchor, while the original image provides a positive anchor. Leveraging these dual anchors, we edit decoder hidden states by pulling representations toward faithful semantics and pushing them away from hallucination directions. This correction requires no human priors or additional training costs, ensuring both effectiveness and efficiency. Extensive experiments across multiple benchmarks show that our method significantly reduces hallucinations at the object, attribute, and relation levels while largely preserving recall and caption richness, e.g., achieving a hallucination reduction by over 5% using LLaVA-v1.5-7B on CHAIR. Furthermore, results on diverse architectures, including LLaVA-NEXT-7B, Cambrian-8B, and InstructBLIP-7B, validate strong cross-architecture generalization. More importantly, when applied to hallucination-free captions, our method introduces almost no side effects, underscoring its robustness and practical plug-and-play applicability. The implementation will be publicly available.

  • 3 authors
·
Sep 26, 2025

TARS: MinMax Token-Adaptive Preference Strategy for Hallucination Reduction in MLLMs

Multimodal large language models (MLLMs) enable vision-language reasoning, yet often generate plausible outputs that are factually incorrect or visually ungrounded, thereby compromising their reliability. Direct preference optimization (DPO) is a common strategy for correcting hallucinations by aligning model outputs with human preferences. Existing DPO strategies typically treat hallucination-related preferences as fixed targets, relying on static supervision signals during training. This approach tends to overfit to superficial linguistic cues in preference data, leading to distributional rigidity and spurious correlations that impair grounding in causally relevant visual information. To overcome this limitation, we propose TARS, a token-adaptive preference strategy that reformulates DPO as a min-max optimization problem. TARS maximizes token-level distributional shifts under semantic constraints to simulate alignment uncertainty, and simultaneously minimizes the expected preference loss under these controlled perturbations. This joint objective preserves causal grounding while mitigating overfitting to preference patterns, thereby reducing hallucinations in multimodal reasoning. We evaluate TARS on multiple hallucination benchmarks and find consistently strong performance. Using only 4.8k preference samples and no expert feedback, TARS reduces hallucination rates from 26.4% to 13.2% and decreases cognition value from 2.5 to 0.4. It outperforms standard DPO and matches GPT-4o on several key metrics.

  • 6 authors
·
Jul 29, 2025 2

DA-DPO: Cost-efficient Difficulty-aware Preference Optimization for Reducing MLLM Hallucinations

Direct Preference Optimization (DPO) has shown strong potential for mitigating hallucinations in Multimodal Large Language Models (MLLMs). However, existing multimodal DPO approaches often suffer from overfitting due to the difficulty imbalance in preference data. Our analysis shows that MLLMs tend to overemphasize easily distinguishable preference pairs, which hinders fine-grained hallucination suppression and degrades overall performance. To address this issue, we propose Difficulty-Aware Direct Preference Optimization (DA-DPO), a cost-effective framework designed to balance the learning process. DA-DPO consists of two main components: (1) Difficulty Estimation leverages pre-trained vision--language models with complementary generative and contrastive objectives, whose outputs are integrated via a distribution-aware voting strategy to produce robust difficulty scores without additional training; and (2) Difficulty-Aware Training reweights preference pairs based on their estimated difficulty, down-weighting easy samples while emphasizing harder ones to alleviate overfitting. This framework enables more effective preference optimization by prioritizing challenging examples, without requiring new data or extra fine-tuning stages. Extensive experiments demonstrate that DA-DPO consistently improves multimodal preference optimization, yielding stronger robustness to hallucinations and better generalization across standard benchmarks, while remaining computationally efficient. The project page is available at https://artanic30.github.io/project_pages/DA-DPO/.

  • 5 authors
·
Jan 2

Learning to Route Queries Across Knowledge Bases for Step-wise Retrieval-Augmented Reasoning

Multimodal Retrieval-Augmented Generation (MRAG) has shown promise in mitigating hallucinations in Multimodal Large Language Models (MLLMs) by incorporating external knowledge during generation. Existing MRAG methods typically adopt a static retrieval pipeline that fetches relevant information from multiple Knowledge Bases (KBs), followed by a refinement step. However, these approaches overlook the reasoning and planning capabilities of MLLMs to dynamically determine how to interact with different KBs during the reasoning process. To address this limitation, we propose R1-Router, a novel MRAG framework that learns to decide when and where to retrieve knowledge based on the evolving reasoning state. Specifically, R1-Router can generate follow-up queries according to the current reasoning step, routing these intermediate queries to the most suitable KB, and integrating external knowledge into a coherent reasoning trajectory to answer the original query. Furthermore, we introduce Step-wise Group Relative Policy Optimization (Step-GRPO), a tailored reinforcement learning algorithm that assigns step-specific rewards to optimize the reasoning behavior of MLLMs. Experimental results on various open-domain QA benchmarks across multiple modalities demonstrate that R1-Router outperforms baseline models by over 7%. Further analysis shows that R1-Router can adaptively and effectively leverage diverse KBs, reducing unnecessary retrievals and improving both efficiency and accuracy.

  • 11 authors
·
May 28, 2025

RLAIF-V: Aligning MLLMs through Open-Source AI Feedback for Super GPT-4V Trustworthiness

Learning from feedback reduces the hallucination of multimodal large language models (MLLMs) by aligning them with human preferences. While traditional methods rely on labor-intensive and time-consuming manual labeling, recent approaches employing models as automatic labelers have shown promising results without human intervention. However, these methods heavily rely on costly proprietary models like GPT-4V, resulting in scalability issues. Moreover, this paradigm essentially distills the proprietary models to provide a temporary solution to quickly bridge the performance gap. As this gap continues to shrink, the community is soon facing the essential challenge of aligning MLLMs using labeler models of comparable capability. In this work, we introduce RLAIF-V, a novel framework that aligns MLLMs in a fully open-source paradigm for super GPT-4V trustworthiness. RLAIF-V maximally exploits the open-source feedback from two perspectives, including high-quality feedback data and online feedback learning algorithm. Extensive experiments on seven benchmarks in both automatic and human evaluation show that RLAIF-V substantially enhances the trustworthiness of models without sacrificing performance on other tasks. Using a 34B model as labeler, RLAIF-V 7B model reduces object hallucination by 82.9\% and overall hallucination by 42.1\%, outperforming the labeler model. Remarkably, RLAIF-V also reveals the self-alignment potential of open-source MLLMs, where a 12B model can learn from the feedback of itself to achieve less than 29.5\% overall hallucination rate, surpassing GPT-4V (45.9\%) by a large margin. The results shed light on a promising route to enhance the efficacy of leading-edge MLLMs.

  • 11 authors
·
May 27, 2024

Hallucination at a Glance: Controlled Visual Edits and Fine-Grained Multimodal Learning

Multimodal large language models (MLLMs) have achieved strong performance on vision-language tasks but still struggle with fine-grained visual differences, leading to hallucinations or missed semantic shifts. We attribute this to limitations in both training data and learning objectives. To address these issues, we propose a controlled data generation pipeline that produces minimally edited image pairs with semantically aligned captions. Using this pipeline, we construct the Micro Edit Dataset (MED), containing over 50K image-text pairs spanning 11 fine-grained edit categories, including attribute, count, position, and object presence changes. Building on MED, we introduce a supervised fine-tuning (SFT) framework with a feature-level consistency loss that promotes stable visual embeddings under small edits. We evaluate our approach on the Micro Edit Detection benchmark, which includes carefully balanced evaluation pairs designed to test sensitivity to subtle visual variations across the same edit categories. Our method improves difference detection accuracy and reduces hallucinations compared to strong baselines, including GPT-4o. Moreover, it yields consistent gains on standard vision-language tasks such as image captioning and visual question answering. These results demonstrate the effectiveness of combining targeted data and alignment objectives for enhancing fine-grained visual reasoning in MLLMs.

  • 10 authors
·
Jun 8, 2025

CrossCheckGPT: Universal Hallucination Ranking for Multimodal Foundation Models

Multimodal foundation models are prone to hallucination, generating outputs that either contradict the input or are not grounded by factual information. Given the diversity in architectures, training data and instruction tuning techniques, there can be large variations in systems' susceptibility to hallucinations. To assess system hallucination robustness, hallucination ranking approaches have been developed for specific tasks such as image captioning, question answering, summarization, or biography generation. However, these approaches typically compare model outputs to gold-standard references or labels, limiting hallucination benchmarking for new domains. This work proposes "CrossCheckGPT", a reference-free universal hallucination ranking for multimodal foundation models. The core idea of CrossCheckGPT is that the same hallucinated content is unlikely to be generated by different independent systems, hence cross-system consistency can provide meaningful and accurate hallucination assessment scores. CrossCheckGPT can be applied to any model or task, provided that the information consistency between outputs can be measured through an appropriate distance metric. Focusing on multimodal large language models that generate text, we explore two information consistency measures: CrossCheck-explicit and CrossCheck-implicit. We showcase the applicability of our method for hallucination ranking across various modalities, namely the text, image, and audio-visual domains. Further, we propose the first audio-visual hallucination benchmark, "AVHalluBench", and illustrate the effectiveness of CrossCheckGPT, achieving correlations of 98% and 89% with human judgements on MHaluBench and AVHalluBench, respectively.

  • 7 authors
·
May 22, 2024

Exploring Hallucination of Large Multimodal Models in Video Understanding: Benchmark, Analysis and Mitigation

The hallucination of large multimodal models (LMMs), providing responses that appear correct but are actually incorrect, limits their reliability and applicability. This paper aims to study the hallucination problem of LMMs in video modality, which is dynamic and more challenging compared to static modalities like images and text. From this motivation, we first present a comprehensive benchmark termed HAVEN for evaluating hallucinations of LMMs in video understanding tasks. It is built upon three dimensions, i.e., hallucination causes, hallucination aspects, and question formats, resulting in 6K questions. Then, we quantitatively study 7 influential factors on hallucinations, e.g., duration time of videos, model sizes, and model reasoning, via experiments of 16 LMMs on the presented benchmark. In addition, inspired by recent thinking models like OpenAI o1, we propose a video-thinking model to mitigate the hallucinations of LMMs via supervised reasoning fine-tuning (SRFT) and direct preference optimization (TDPO)-- where SRFT enhances reasoning capabilities while TDPO reduces hallucinations in the thinking process. Extensive experiments and analyses demonstrate the effectiveness. Remarkably, it improves the baseline by 7.65% in accuracy on hallucination evaluation and reduces the bias score by 4.5%. The code and data are public at https://github.com/Hongcheng-Gao/HAVEN.

  • 9 authors
·
Mar 25, 2025 4

A Multitask, Multilingual, Multimodal Evaluation of ChatGPT on Reasoning, Hallucination, and Interactivity

This paper proposes a framework for quantitatively evaluating interactive LLMs such as ChatGPT using publicly available data sets. We carry out an extensive technical evaluation of ChatGPT using 23 data sets covering 8 different common NLP application tasks. We evaluate the multitask, multilingual and multi-modal aspects of ChatGPT based on these data sets and a newly designed multimodal dataset. We find that ChatGPT outperforms LLMs with zero-shot learning on most tasks and even outperforms fine-tuned models on some tasks. We find that it is better at understanding non-Latin script languages than generating them. It is able to generate multimodal content from textual prompts, via an intermediate code generation step. Moreover, we find that ChatGPT is 63.41% accurate on average in 10 different reasoning categories under logical reasoning, non-textual reasoning, and commonsense reasoning, hence making it an unreliable reasoner. It is, for example, better at deductive than inductive reasoning. ChatGPT suffers from hallucination problems like other LLMs and it generates more extrinsic hallucinations from its parametric memory as it does not have access to an external knowledge base. Finally, the interactive feature of ChatGPT enables human collaboration with the underlying LLM to improve its performance, i.e, 8% ROUGE-1 on summarization and 2% ChrF++ on machine translation, in a multi-turn "prompt engineering" fashion. We also release codebase for evaluation set extraction.

  • 13 authors
·
Feb 8, 2023

Taming Hallucinations: Boosting MLLMs' Video Understanding via Counterfactual Video Generation

Multimodal Large Language Models (MLLMs) have made remarkable progress in video understanding. However, they suffer from a critical vulnerability: an over-reliance on language priors, which can lead to visual ungrounded hallucinations, especially when processing counterfactual videos that defy common sense. This limitation, stemming from the intrinsic data imbalance between text and video, is challenging to address due to the substantial cost of collecting and annotating counterfactual data. To address this, we introduce DualityForge, a novel counterfactual data synthesis framework that employs controllable, diffusion-based video editing to transform real-world videos into counterfactual scenarios. By embedding structured contextual information into the video editing and QA generation processes, the framework automatically produces high-quality QA pairs together with original-edited video pairs for contrastive training. Based on this, we build DualityVidQA, a large-scale video dataset designed to reduce MLLM hallucinations. In addition, to fully exploit the contrastive nature of our paired data, we propose Duality-Normalized Advantage Training (DNA-Train), a two-stage SFT-RL training regime where the RL phase applies pair-wise ell_1 advantage normalization, thereby enabling a more stable and efficient policy optimization. Experiments on DualityVidQA-Test demonstrate that our method substantially reduces model hallucinations on counterfactual videos, yielding a relative improvement of 24.0% over the Qwen2.5-VL-7B baseline. Moreover, our approach achieves significant gains across both hallucination and general-purpose benchmarks, indicating strong generalization capability. We will open-source our dataset and code.

GD-ML AMAP-ML
·
Dec 30, 2025 6

Hallucination Score: Towards Mitigating Hallucinations in Generative Image Super-Resolution

Generative super-resolution (GSR) currently sets the state-of-the-art in terms of perceptual image quality, overcoming the "regression-to-the-mean" blur of prior non-generative models. However, from a human perspective, such models do not fully conform to the optimal balance between quality and fidelity. Instead, a different class of artifacts, in which generated details fail to perceptually match the low resolution image (LRI) or ground-truth image (GTI), is a critical but under studied issue in GSR, limiting its practical deployments. In this work, we focus on measuring, analyzing, and mitigating these artifacts (i.e., "hallucinations"). We observe that hallucinations are not well-characterized with existing image metrics or quality models, as they are orthogonal to both exact fidelity and no-reference quality. Instead, we take advantage of a multimodal large language model (MLLM) by constructing a prompt that assesses hallucinatory visual elements and generates a "Hallucination Score" (HS). We find that our HS is closely aligned with human evaluations, and also provides complementary insights to prior image metrics used for super-resolution (SR) models. In addition, we find certain deep feature distances have strong correlations with HS. We therefore propose to align the GSR models by using such features as differentiable reward functions to mitigate hallucinations.

  • 6 authors
·
Jul 18, 2025

Leveraging Hallucinations to Reduce Manual Prompt Dependency in Promptable Segmentation

Promptable segmentation typically requires instance-specific manual prompts to guide the segmentation of each desired object. To minimize such a need, task-generic promptable segmentation has been introduced, which employs a single task-generic prompt to segment various images of different objects in the same task. Current methods use Multimodal Large Language Models (MLLMs) to reason detailed instance-specific prompts from a task-generic prompt for improving segmentation accuracy. The effectiveness of this segmentation heavily depends on the precision of these derived prompts. However, MLLMs often suffer hallucinations during reasoning, resulting in inaccurate prompting. While existing methods focus on eliminating hallucinations to improve a model, we argue that MLLM hallucinations can reveal valuable contextual insights when leveraged correctly, as they represent pre-trained large-scale knowledge beyond individual images. In this paper, we utilize hallucinations to mine task-related information from images and verify its accuracy for enhancing precision of the generated prompts. Specifically, we introduce an iterative Prompt-Mask Cycle generation framework (ProMaC) with a prompt generator and a mask generator.The prompt generator uses a multi-scale chain of thought prompting, initially exploring hallucinations for extracting extended contextual knowledge on a test image.These hallucinations are then reduced to formulate precise instance-specific prompts, directing the mask generator to produce masks that are consistent with task semantics by mask semantic alignment. The generated masks iteratively induce the prompt generator to focus more on task-relevant image areas and reduce irrelevant hallucinations, resulting jointly in better prompts and masks. Experiments on 5 benchmarks demonstrate the effectiveness of ProMaC. Code given in https://lwpyh.github.io/ProMaC/.

  • 4 authors
·
Aug 27, 2024

Grounded Chain-of-Thought for Multimodal Large Language Models

Despite great progress, existing multimodal large language models (MLLMs) are prone to visual hallucination, greatly impeding their trustworthy applications. In this paper, we study this problem from the perspective of visual-spatial reasoning, and propose a new learning task for MLLMs, termed Grounded Chain-of-Thought (GCoT). Different from recent visual CoT studies, which focus more on visual knowledge reasoning, GCoT is keen to helping MLLMs to recognize and ground the relevant visual cues step by step, thereby predicting the correct answer with grounding coordinates as the intuitive basis. To facilitate this task, we also carefully design and construct a dataset called multimodal grounded chain-of-thought (MM-GCoT) consisting of 24,022 GCoT examples for 5,033 images. Besides, a comprehensive consistency evaluation system is also introduced, including the metrics of answer accuracy, grounding accuracy and answer-grounding consistency. We further design and conduct a bunch of experiments on 12 advanced MLLMs, and reveal some notable findings: i. most MLLMs performs poorly on the consistency evaluation, indicating obvious visual hallucination; ii. visual hallucination is not directly related to the parameter size and general multimodal performance, i.e., a larger and stronger MLLM is not less affected by this issue. Lastly, we also demonstrate that the proposed dataset can help existing MLLMs to well cultivate their GCoT capability and reduce the inconsistent answering significantly. Moreover, their GCoT can be also generalized to exiting multimodal tasks, such as open-world QA and REC.

  • 7 authors
·
Mar 17, 2025

ELV-Halluc: Benchmarking Semantic Aggregation Hallucinations in Long Video Understanding

Video multimodal large language models (Video-MLLMs) have achieved remarkable progress in video understanding. However, they remain vulnerable to hallucination-producing content inconsistent with or unrelated to video inputs. Previous video hallucination benchmarks primarily focus on short-videos. They attribute hallucinations to factors such as strong language priors, missing frames, or vision-language biases introduced by the visual encoder. While these causes indeed account for most hallucinations in short videos, they still oversimplify the cause of hallucinations. Sometimes, models generate incorrect outputs but with correct frame-level semantics. We refer to this type of hallucination as Semantic Aggregation Hallucination (SAH), which arises during the process of aggregating frame-level semantics into event-level semantic groups. Given that SAH becomes particularly critical in long videos due to increased semantic complexity across multiple events, it is essential to separate and thoroughly investigate the causes of this type of hallucination. To address the above issues, we introduce ELV-Halluc, the first benchmark dedicated to long-video hallucination, enabling a systematic investigation of SAH. Our experiments confirm the existence of SAH and show that it increases with semantic complexity. Additionally, we find that models are more prone to SAH on rapidly changing semantics. Moreover, we discuss potential approaches to mitigate SAH. We demonstrate that positional encoding strategy contributes to alleviating SAH, and further adopt DPO strategy to enhance the model's ability to distinguish semantics within and across events. To support this, we curate a dataset of 8K adversarial data pairs and achieve improvements on both ELV-Halluc and Video-MME, including a substantial 27.7% reduction in SAH ratio.

  • 8 authors
·
Aug 29, 2025 1

Benchmarking Multimodal Retrieval Augmented Generation with Dynamic VQA Dataset and Self-adaptive Planning Agent

Multimodal Retrieval Augmented Generation (mRAG) plays an important role in mitigating the "hallucination" issue inherent in multimodal large language models (MLLMs). Although promising, existing heuristic mRAGs typically predefined fixed retrieval processes, which causes two issues: (1) Non-adaptive Retrieval Queries. (2) Overloaded Retrieval Queries. However, these flaws cannot be adequately reflected by current knowledge-seeking visual question answering (VQA) datasets, since the most required knowledge can be readily obtained with a standard two-step retrieval. To bridge the dataset gap, we first construct Dyn-VQA dataset, consisting of three types of "dynamic" questions, which require complex knowledge retrieval strategies variable in query, tool, and time: (1) Questions with rapidly changing answers. (2) Questions requiring multi-modal knowledge. (3) Multi-hop questions. Experiments on Dyn-VQA reveal that existing heuristic mRAGs struggle to provide sufficient and precisely relevant knowledge for dynamic questions due to their rigid retrieval processes. Hence, we further propose the first self-adaptive planning agent for multimodal retrieval, OmniSearch. The underlying idea is to emulate the human behavior in question solution which dynamically decomposes complex multimodal questions into sub-question chains with retrieval action. Extensive experiments prove the effectiveness of our OmniSearch, also provide direction for advancing mRAG. The code and dataset will be open-sourced at https://github.com/Alibaba-NLP/OmniSearch.

  • 12 authors
·
Nov 5, 2024

Aligning Vision to Language: Text-Free Multimodal Knowledge Graph Construction for Enhanced LLMs Reasoning

Multimodal reasoning in Large Language Models (LLMs) struggles with incomplete knowledge and hallucination artifacts, challenges that textual Knowledge Graphs (KGs) only partially mitigate due to their modality isolation. While Multimodal Knowledge Graphs (MMKGs) promise enhanced cross-modal understanding, their practical construction is impeded by semantic narrowness of manual text annotations and inherent noise in visual-semantic entity linkages. In this paper, we propose Vision-align-to-Language integrated Knowledge Graph (VaLiK), a novel approach for constructing MMKGs that enhances LLMs reasoning through cross-modal information supplementation. Specifically, we cascade pre-trained Vision-Language Models (VLMs) to align image features with text, transforming them into descriptions that encapsulate image-specific information. Furthermore, we developed a cross-modal similarity verification mechanism to quantify semantic consistency, effectively filtering out noise introduced during feature alignment. Even without manually annotated image captions, the refined descriptions alone suffice to construct the MMKG. Compared to conventional MMKGs construction paradigms, our approach achieves substantial storage efficiency gains while maintaining direct entity-to-image linkage capability. Experimental results on multimodal reasoning tasks demonstrate that LLMs augmented with VaLiK outperform previous state-of-the-art models. Our code is published at https://github.com/Wings-Of-Disaster/VaLiK.

  • 10 authors
·
Mar 17, 2025

VideoHallucer: Evaluating Intrinsic and Extrinsic Hallucinations in Large Video-Language Models

Recent advancements in Multimodal Large Language Models (MLLMs) have extended their capabilities to video understanding. Yet, these models are often plagued by "hallucinations", where irrelevant or nonsensical content is generated, deviating from the actual video context. This work introduces VideoHallucer, the first comprehensive benchmark for hallucination detection in large video-language models (LVLMs). VideoHallucer categorizes hallucinations into two main types: intrinsic and extrinsic, offering further subcategories for detailed analysis, including object-relation, temporal, semantic detail, extrinsic factual, and extrinsic non-factual hallucinations. We adopt an adversarial binary VideoQA method for comprehensive evaluation, where pairs of basic and hallucinated questions are crafted strategically. By evaluating eleven LVLMs on VideoHallucer, we reveal that i) the majority of current models exhibit significant issues with hallucinations; ii) while scaling datasets and parameters improves models' ability to detect basic visual cues and counterfactuals, it provides limited benefit for detecting extrinsic factual hallucinations; iii) existing models are more adept at detecting facts than identifying hallucinations. As a byproduct, these analyses further instruct the development of our self-PEP framework, achieving an average of 5.38% improvement in hallucination resistance across all model architectures.

  • 5 authors
·
Jun 24, 2024 2

Bridging the Visual Gap: Fine-Tuning Multimodal Models with Knowledge-Adapted Captions

Recent research increasingly focuses on training vision-language models (VLMs) with long, detailed image captions. However, small-scale VLMs often struggle to balance the richness of these captions with the risk of hallucinating content during fine-tuning. In this paper, we explore how well VLMs adapt to such captions. To quantify caption quality, we propose Decomposed NLI (DNLI), an evaluation framework that breaks down generated captions into individual propositions, assessing each in isolation. This fine-grained analysis reveals a critical balance between capturing descriptive details and preventing hallucinations. Our findings show that simply reducing caption complexity or employing standard data curation techniques does not effectively resolve this issue. To tackle this challenge, we introduce Knowledge Adapted (KnowAda) fine-tuning, a data-centric approach that automatically adapts training data with the model's existing knowledge and visual understanding. KnowAda minimizes hallucinations while preserving high descriptiveness. We validate this approach across several small-scale VLMs (up to 7B parameters) and dense caption datasets, demonstrating that KnowAda effectively balances hallucination reduction and descriptiveness. Our results show that KnowAda outperforms various baselines in both automatic metrics and human evaluations. We will release our code and models.

  • 5 authors
·
Nov 13, 2024

Implicit Multimodal Alignment: On the Generalization of Frozen LLMs to Multimodal Inputs

Large Language Models (LLMs) have demonstrated impressive performance on multimodal tasks, without any multimodal finetuning. They are the building block for Large Multimodal Models, yet, we still lack a proper understanding of their success. In this work, we expose frozen LLMs to image, video, audio and text inputs and analyse their internal representation aiming to understand their generalization beyond textual inputs. Findings. Perceptual tokens (1) are easily distinguishable from textual ones inside LLMs, with significantly different representations, and complete translation to textual tokens does not exist. Yet, (2) both perceptual and textual tokens activate similar LLM weights. Despite being different, (3) perceptual and textual tokens are implicitly aligned inside LLMs, we call this the implicit multimodal alignment (IMA), and argue that this is linked to architectural design, helping LLMs to generalize. This provide more evidence to believe that the generalization of LLMs to multimodal inputs is mainly due to their architecture. Implications. (1) We find a positive correlation between the implicit alignment score and the task performance, suggesting that this could act as a proxy metric for model evaluation and selection. (2) A negative correlation exists regarding hallucinations, revealing that this problem is mainly due to misalignment between the internal perceptual and textual representations. (3) Perceptual tokens change slightly throughout the model, thus, we propose different approaches to skip computations (e.g. in FFN layers), and significantly reduce the inference cost. (4) Due to the slowly changing embeddings across layers, and the high overlap between textual and multimodal activated weights, we compress LLMs by keeping only 1 subnetwork that works well across a wide range of multimodal tasks. Paper code: https://github.com/mshukor/ima-lmms.

  • 2 authors
·
May 26, 2024

Perceptual-Evidence Anchored Reinforced Learning for Multimodal Reasoning

Reinforcement Learning with Verifiable Rewards (RLVR) has significantly advanced the reasoning capabilities of Large Language Models (LLMs) and is now being applied to Vision-Language Models (VLMs). However, vanilla RLVR for VLMs verifies only the final textual output, critically neglecting the foundational step of visual perception. This oversight leads to visual hallucinations and reward hacking, as reasoning built upon flawed perception is inherently unreliable. To address this, we propose PEARL (Perceptual-Evidence Anchored Reinforced Learning), a dual-branch, perception-reasoning synergistic that strengthens multimodal reasoning by explicitly anchoring it to verified visual evidence. For each reasoning-oriented QA instance, PEARL first derive a perception checklist -- a set of perception-oriented sub-questions with verifiable answers that probe the model's understanding of key visual evidence. During training, auxiliary rollouts on this checklist yield a perceptual reward that both directly reinforces the model's perception ability and acts as a fidelity gate for reasoning. If the model passes the perception check, its policy update is biased towards evidence-anchored reasoning. Otherwise, the process is halted to prevent reasoning from flawed premises. PEARL can be seamlessly integrated with popular RL methods like GRPO and DAPO. Comprehensive experiments show PEARL achieves substantial gains on multimodal reasoning benchmarks, e.g., a +9.7% improvement over the baseline and +6.6% over GRPO on MathVerse.

  • 9 authors
·
Nov 23, 2025

AGLA: Mitigating Object Hallucinations in Large Vision-Language Models with Assembly of Global and Local Attention

Despite their great success across various multimodal tasks, Large Vision-Language Models (LVLMs) are facing a prevalent problem with object hallucinations, where the generated textual responses are inconsistent with ground-truth objects in the given image. This paper investigates various LVLMs and pinpoints attention deficiency toward discriminative local image features as one root cause of object hallucinations. Specifically, LVLMs predominantly attend to prompt-independent global image features, while failing to capture prompt-relevant local features, consequently undermining the visual grounding capacity of LVLMs and leading to hallucinations. To this end, we propose Assembly of Global and Local Attention (AGLA), a training-free and plug-and-play approach that mitigates object hallucinations by exploring an ensemble of global features for response generation and local features for visual discrimination simultaneously. Our approach exhibits an image-prompt matching scheme that captures prompt-relevant local features from images, leading to an augmented view of the input image where prompt-relevant content is reserved while irrelevant distractions are masked. With the augmented view, a calibrated decoding distribution can be derived by integrating generative global features from the original image and discriminative local features from the augmented image. Extensive experiments show that AGLA consistently mitigates object hallucinations and enhances general perception capability for LVLMs across various discriminative and generative benchmarks. Our code will be released at https://github.com/Lackel/AGLA.

  • 9 authors
·
Jun 18, 2024

Patho-AgenticRAG: Towards Multimodal Agentic Retrieval-Augmented Generation for Pathology VLMs via Reinforcement Learning

Although Vision Language Models (VLMs) have shown strong generalization in medical imaging, pathology presents unique challenges due to ultra-high resolution, complex tissue structures, and nuanced clinical semantics. These factors make pathology VLMs prone to hallucinations, i.e., generating outputs inconsistent with visual evidence, which undermines clinical trust. Existing RAG approaches in this domain largely depend on text-based knowledge bases, limiting their ability to leverage diagnostic visual cues. To address this, we propose Patho-AgenticRAG, a multimodal RAG framework with a database built on page-level embeddings from authoritative pathology textbooks. Unlike traditional text-only retrieval systems, it supports joint text-image search, enabling direct retrieval of textbook pages that contain both the queried text and relevant visual cues, thus avoiding the loss of critical image-based information. Patho-AgenticRAG also supports reasoning, task decomposition, and multi-turn search interactions, improving accuracy in complex diagnostic scenarios. Experiments show that Patho-AgenticRAG significantly outperforms existing multimodal models in complex pathology tasks like multiple-choice diagnosis and visual question answering. Our project is available at the Patho-AgenticRAG repository: https://github.com/Wenchuan-Zhang/Patho-AgenticRAG.

  • 9 authors
·
Aug 4, 2025

Understanding Alignment in Multimodal LLMs: A Comprehensive Study

Preference alignment has become a crucial component in enhancing the performance of Large Language Models (LLMs), yet its impact in Multimodal Large Language Models (MLLMs) remains comparatively underexplored. Similar to language models, MLLMs for image understanding tasks encounter challenges like hallucination. In MLLMs, hallucination can occur not only by stating incorrect facts but also by producing responses that are inconsistent with the image content. A primary objective of alignment for MLLMs is to encourage these models to align responses more closely with image information. Recently, multiple works have introduced preference datasets for MLLMs and examined different alignment methods, including Direct Preference Optimization (DPO) and Proximal Policy Optimization (PPO). However, due to variations in datasets, base model types, and alignment methods, it remains unclear which specific elements contribute most significantly to the reported improvements in these works. In this paper, we independently analyze each aspect of preference alignment in MLLMs. We start by categorizing the alignment algorithms into two groups, offline (such as DPO), and online (such as online-DPO), and show that combining offline and online methods can improve the performance of the model in certain scenarios. We review a variety of published multimodal preference datasets and discuss how the details of their construction impact model performance. Based on these insights, we introduce a novel way of creating multimodal preference data called Bias-Driven Hallucination Sampling (BDHS) that needs neither additional annotation nor external models, and show that it can achieve competitive performance to previously published alignment work for multimodal models across a range of benchmarks.

  • 11 authors
·
Jul 2, 2024 2

Mitigating Object Hallucination via Concentric Causal Attention

Recent Large Vision Language Models (LVLMs) present remarkable zero-shot conversational and reasoning capabilities given multimodal queries. Nevertheless, they suffer from object hallucination, a phenomenon where LVLMs are prone to generate textual responses not factually aligned with image inputs. Our pilot study reveals that object hallucination is closely tied with Rotary Position Encoding (RoPE), a widely adopted positional dependency modeling design in existing LVLMs. Due to the long-term decay in RoPE, LVLMs tend to hallucinate more when relevant visual cues are distant from instruction tokens in the multimodal input sequence. Additionally, we observe a similar effect when reversing the sequential order of visual tokens during multimodal alignment. Our tests indicate that long-term decay in RoPE poses challenges to LVLMs while capturing visual-instruction interactions across long distances. We propose Concentric Causal Attention (CCA), a simple yet effective positional alignment strategy that mitigates the impact of RoPE long-term decay in LVLMs by naturally reducing relative distance between visual and instruction tokens. With CCA, visual tokens can better interact with instruction tokens, thereby enhancing model's perception capability and alleviating object hallucination. Without bells and whistles, our positional alignment method surpasses existing hallucination mitigation strategies by large margins on multiple object hallucination benchmarks.

  • 4 authors
·
Oct 21, 2024 2

MM-PoisonRAG: Disrupting Multimodal RAG with Local and Global Poisoning Attacks

Multimodal large language models with Retrieval Augmented Generation (RAG) have significantly advanced tasks such as multimodal question answering by grounding responses in external text and images. This grounding improves factuality, reduces hallucination, and extends reasoning beyond parametric knowledge. However, this reliance on external knowledge poses a critical yet underexplored safety risk: knowledge poisoning attacks, where adversaries deliberately inject adversarial multimodal content into external knowledge bases to steer model toward generating incorrect or even harmful responses. To expose such vulnerabilities, we propose MM-PoisonRAG, the first framework to systematically design knowledge poisoning in multimodal RAG. We introduce two complementary attack strategies: Localized Poisoning Attack (LPA), which implants targeted multimodal misinformation to manipulate specific queries, and Globalized Poisoning Attack (GPA), which inserts a single adversarial knowledge to broadly disrupt reasoning and induce nonsensical responses across all queries. Comprehensive experiments across tasks, models, and access settings show that LPA achieves targeted manipulation with attack success rates of up to 56%, while GPA completely disrupts model generation to 0% accuracy with just a single adversarial knowledge injection. Our results reveal the fragility of multimodal RAG and highlight the urgent need for defenses against knowledge poisoning.

  • 9 authors
·
Feb 24, 2025

MedMMV: A Controllable Multimodal Multi-Agent Framework for Reliable and Verifiable Clinical Reasoning

Recent progress in multimodal large language models (MLLMs) has demonstrated promising performance on medical benchmarks and in preliminary trials as clinical assistants. Yet, our pilot audit of diagnostic cases uncovers a critical failure mode: instability in early evidence interpretation precedes hallucination, creating branching reasoning trajectories that cascade into globally inconsistent conclusions. This highlights the need for clinical reasoning agents that constrain stochasticity and hallucination while producing auditable decision flows. We introduce MedMMV, a controllable multimodal multi-agent framework for reliable and verifiable clinical reasoning. MedMMV stabilizes reasoning through diversified short rollouts, grounds intermediate steps in a structured evidence graph under the supervision of a Hallucination Detector, and aggregates candidate paths with a Combined Uncertainty scorer. On six medical benchmarks, MedMMV improves accuracy by up to 12.7% and, more critically, demonstrates superior reliability. Blind physician evaluations confirm that MedMMV substantially increases reasoning truthfulness without sacrificing informational content. By controlling instability through a verifiable, multi-agent process, our framework provides a robust path toward deploying trustworthy AI systems in high-stakes domains like clinical decision support.

  • 7 authors
·
Sep 29, 2025

On the Importance of Text Preprocessing for Multimodal Representation Learning and Pathology Report Generation

Vision-language models in pathology enable multimodal case retrieval and automated report generation. Many of the models developed so far, however, have been trained on pathology reports that include information which cannot be inferred from paired whole slide images (e.g., patient history), potentially leading to hallucinated sentences in generated reports. To this end, we investigate how the selection of information from pathology reports for vision-language modeling affects the quality of the multimodal representations and generated reports. More concretely, we compare a model trained on full reports against a model trained on preprocessed reports that only include sentences describing the cell and tissue appearances based on the H&E-stained slides. For the experiments, we built upon the BLIP-2 framework and used a cutaneous melanocytic lesion dataset of 42,433 H&E-stained whole slide images and 19,636 corresponding pathology reports. Model performance was assessed using image-to-text and text-to-image retrieval, as well as qualitative evaluation of the generated reports by an expert pathologist. Our results demonstrate that text preprocessing prevents hallucination in report generation. Despite the improvement in the quality of the generated reports, training the vision-language model on full reports showed better cross-modal retrieval performance.

  • 6 authors
·
Feb 26, 2025

FlexAC: Towards Flexible Control of Associative Reasoning in Multimodal Large Language Models

Multimodal large language models (MLLMs) face an inherent trade-off between faithfulness and creativity, as different tasks require varying degrees of associative reasoning. However, existing methods lack the flexibility to modulate this reasoning strength, limiting MLLMs' adaptability across factual and creative scenarios. To bridge this gap, we propose equipping MLLMs with mechanisms that enable flexible control over associative reasoning. We begin by investigating the internal mechanisms underlying associative behavior in MLLMs and find that: (1) middle layers play a pivotal role in shaping model's associative tendencies, (2) modifying representations in these layers effectively regulates associative reasoning strength, and (3) hallucinations can be exploited to derive steering vectors that guide this modulation. Building on these findings, we introduce Flexible Association Control (FlexAC), a lightweight and training-free framework for modulating associative behavior in MLLMs. FlexAC first induces hallucination-guided intermediate representations to encode associative directions. Then, it selects high-association instances to construct effective associative steering vectors, whose strengths are adaptively calibrated to balance creative guidance with output stability. Finally, recognizing the multi-dimensional nature of associative reasoning, FlexAC incorporates task-specific associative vectors derived from a forward pass on a few target-domain samples, enabling models to follow diverse associative directions and better adapt to creative tasks. Notably, our method achieves up to a 5.8x improvement in creativity on Creation-MMBench and a 29% reduction in hallucination rate on CHAIR, surpassing existing baselines and demonstrating its effectiveness in enabling flexible control over associative reasoning in MLLMs. Our code is available at https://github.com/ylhz/FlexAC.

  • 6 authors
·
Oct 13, 2025

Analyzing and Mitigating Object Hallucination: A Training Bias Perspective

As scaling up training data has significantly improved the general multimodal capabilities of Large Vision-Language Models (LVLMs), they still suffer from the hallucination issue, generating text that is inconsistent with the visual input. This phenomenon motivates us to systematically investigate the role of training data in hallucination. We introduce a new benchmark, POPEv2, which consists of counterfactual images collected from the training data of LVLMs with certain objects masked. Through comprehensive evaluation on POPEv2, we find that current LVLMs suffer from training bias: they fail to fully leverage their training data and hallucinate more frequently on images seen during training. Specifically, they perform poorly on counterfactual images, often incorrectly answering ``Yes'' to questions about masked objects. To understand this issue, we conduct probing experiments on the models' internal components, revealing that this training bias is primarily located in the language modeling (LM) head. Based on these findings, we propose Obliviate, an efficient and lightweight unlearning method designed to mitigate object hallucination via training bias unlearning. Obliviate identifies the discrepancy between ground-truth labels and model outputs on the training data as a proxy for bias and adopts a parameter- and data-efficient fine-tuning strategy that only updates the LM head. Extensive experiments demonstrate the effectiveness of our approach. While only reusing the training data and updating approximately 2\% of the parameters, Obliviate significantly reduces hallucination across both discriminative and generative tasks. Furthermore, it demonstrates strong scalability with respect to both model size (2B to 72B) and training data volume, and exhibits promising generalization to hallucination types beyond object-level hallucination. Our code and data will be publicly released.

  • 5 authors
·
Aug 6, 2025

INTER: Mitigating Hallucination in Large Vision-Language Models by Interaction Guidance Sampling

Hallucinations in large vision-language models (LVLMs) pose significant challenges for real-world applications, as LVLMs may generate responses that appear plausible yet remain inconsistent with the associated visual content. This issue rarely occurs in human cognition. We argue that this discrepancy arises from humans' ability to effectively leverage multimodal interaction information in data samples. Specifically, humans typically first gather multimodal information, analyze the interactions across modalities for understanding, and then express their understanding through language. Motivated by this observation, we conduct extensive experiments on popular LVLMs and obtained insights that surprisingly reveal human-like, though less pronounced, cognitive behavior of LVLMs on multimodal samples. Building on these findings, we further propose INTER: Interaction Guidance Sampling, a novel training-free algorithm that mitigate hallucinations without requiring additional data. Specifically, INTER explicitly guides LVLMs to effectively reapply their understanding of multimodal interaction information when generating responses, thereby reducing potential hallucinations. On six benchmarks including VQA and image captioning tasks, INTER achieves an average improvement of up to 3.4\% on five LVLMs compared to the state-of-the-art decoding strategy. The code will be released when the paper is accepted.

  • 10 authors
·
Jul 7, 2025

ProVision: Programmatically Scaling Vision-centric Instruction Data for Multimodal Language Models

With the rise of multimodal applications, instruction data has become critical for training multimodal language models capable of understanding complex image-based queries. Existing practices rely on powerful but costly large language models (LLMs) or multimodal language models (MLMs) to produce instruction data. These are often prone to hallucinations, licensing issues and the generation process is often hard to scale and interpret. In this work, we present a programmatic approach that employs scene graphs as symbolic representations of images and human-written programs to systematically synthesize vision-centric instruction data. Our approach ensures the interpretability and controllability of the data generation process and scales efficiently while maintaining factual accuracy. By implementing a suite of 24 single-image, 14 multi-image instruction generators, and a scene graph generation pipeline, we build a scalable, cost-effective system: ProVision which produces diverse question-answer pairs concerning objects, attributes, relations, depth, etc., for any given image. Applied to Visual Genome and DataComp datasets, we generate over 10 million instruction data points, ProVision-10M, and leverage them in both pretraining and instruction tuning stages of MLMs. When adopted in the instruction tuning stage, our single-image instruction data yields up to a 7% improvement on the 2D split and 8% on the 3D split of CVBench, along with a 3% increase in performance on QBench2, RealWorldQA, and MMMU. Our multi-image instruction data leads to an 8% improvement on Mantis-Eval. Incorporation of our data in both pre-training and fine-tuning stages of xGen-MM-4B leads to an averaged improvement of 1.6% across 11 benchmarks.

  • 14 authors
·
Dec 9, 2024

PaMi-VDPO: Mitigating Video Hallucinations by Prompt-Aware Multi-Instance Video Preference Learning

Direct Preference Optimization (DPO) helps reduce hallucinations in Video Multimodal Large Language Models (VLLMs), but its reliance on offline preference data limits adaptability and fails to capture true video-response misalignment. We propose Video Direct Preference Optimization (VDPO), an online preference learning framework that eliminates the need for preference annotation by leveraging video augmentations to generate rejected samples while keeping responses fixed. However, selecting effective augmentations is non-trivial, as some clips may be semantically identical to the original under specific prompts, leading to false rejections and disrupting alignment. To address this, we introduce Prompt-aware Multi-instance Learning VDPO (PaMi-VDPO), which selects augmentations based on prompt context. Instead of a single rejection, we construct a candidate set of augmented clips and apply a close-to-far selection strategy, initially ensuring all clips are semantically relevant while then prioritizing the most prompt-aware distinct clip. This allows the model to better capture meaningful visual differences, mitigating hallucinations, while avoiding false rejections, and improving alignment. PaMi-VDPOseamlessly integrates into existing VLLMs without additional parameters, GPT-4/human supervision. With only 10k SFT data, it improves the base model by 5.3% on VideoHallucer, surpassing GPT-4o, while maintaining stable performance on general video benchmarks.

  • 6 authors
·
Apr 8, 2025

Multimodal Needle in a Haystack: Benchmarking Long-Context Capability of Multimodal Large Language Models

Multimodal Large Language Models (MLLMs) have shown significant promise in various applications, leading to broad interest from researchers and practitioners alike. However, a comprehensive evaluation of their long-context capabilities remains underexplored. To address these gaps, we introduce the MultiModal Needle-in-a-haystack (MMNeedle) benchmark, specifically designed to assess the long-context capabilities of MLLMs. Besides multi-image input, we employ image stitching to further increase the input context length, and develop a protocol to automatically generate labels for sub-image level retrieval. Essentially, MMNeedle evaluates MLLMs by stress-testing their capability to locate a target sub-image (needle) within a set of images (haystack) based on textual instructions and descriptions of image contents. This setup necessitates an advanced understanding of extensive visual contexts and effective information retrieval within long-context image inputs. With this benchmark, we evaluate state-of-the-art MLLMs, encompassing both API-based and open-source models. The findings reveal that GPT-4o consistently surpasses other models in long-context scenarios, but suffers from hallucination problems in negative samples, i.e., when needles are not in the haystacks. Our comprehensive long-context evaluation of MLLMs also sheds lights on the considerable performance gap between API-based and open-source models. All the code, data, and instructions required to reproduce the main results are available at https://github.com/Wang-ML-Lab/multimodal-needle-in-a-haystack.

  • 9 authors
·
Jun 17, 2024 1

Aligning Large Multimodal Models with Factually Augmented RLHF

Large Multimodal Models (LMM) are built across modalities and the misalignment between two modalities can result in "hallucination", generating textual outputs that are not grounded by the multimodal information in context. To address the multimodal misalignment issue, we adapt the Reinforcement Learning from Human Feedback (RLHF) from the text domain to the task of vision-language alignment, where human annotators are asked to compare two responses and pinpoint the more hallucinated one, and the vision-language model is trained to maximize the simulated human rewards. We propose a new alignment algorithm called Factually Augmented RLHF that augments the reward model with additional factual information such as image captions and ground-truth multi-choice options, which alleviates the reward hacking phenomenon in RLHF and further improves the performance. We also enhance the GPT-4-generated training data (for vision instruction tuning) with previously available human-written image-text pairs to improve the general capabilities of our model. To evaluate the proposed approach in real-world scenarios, we develop a new evaluation benchmark MMHAL-BENCH with a special focus on penalizing hallucinations. As the first LMM trained with RLHF, our approach achieves remarkable improvement on the LLaVA-Bench dataset with the 94% performance level of the text-only GPT-4 (while previous best methods can only achieve the 87% level), and an improvement by 60% on MMHAL-BENCH over other baselines. We opensource our code, model, data at https://llava-rlhf.github.io.

  • 12 authors
·
Sep 25, 2023 2

MMed-RAG: Versatile Multimodal RAG System for Medical Vision Language Models

Artificial Intelligence (AI) has demonstrated significant potential in healthcare, particularly in disease diagnosis and treatment planning. Recent progress in Medical Large Vision-Language Models (Med-LVLMs) has opened up new possibilities for interactive diagnostic tools. However, these models often suffer from factual hallucination, which can lead to incorrect diagnoses. Fine-tuning and retrieval-augmented generation (RAG) have emerged as methods to address these issues. However, the amount of high-quality data and distribution shifts between training data and deployment data limit the application of fine-tuning methods. Although RAG is lightweight and effective, existing RAG-based approaches are not sufficiently general to different medical domains and can potentially cause misalignment issues, both between modalities and between the model and the ground truth. In this paper, we propose a versatile multimodal RAG system, MMed-RAG, designed to enhance the factuality of Med-LVLMs. Our approach introduces a domain-aware retrieval mechanism, an adaptive retrieved contexts selection method, and a provable RAG-based preference fine-tuning strategy. These innovations make the RAG process sufficiently general and reliable, significantly improving alignment when introducing retrieved contexts. Experimental results across five medical datasets (involving radiology, ophthalmology, pathology) on medical VQA and report generation demonstrate that MMed-RAG can achieve an average improvement of 43.8% in the factual accuracy of Med-LVLMs. Our data and code are available in https://github.com/richard-peng-xia/MMed-RAG.

  • 9 authors
·
Oct 16, 2024 3

Agentic Learner with Grow-and-Refine Multimodal Semantic Memory

MLLMs exhibit strong reasoning on isolated queries, yet they operate de novo -- solving each problem independently and often repeating the same mistakes. Existing memory-augmented agents mainly store past trajectories for reuse. However, trajectory-based memory suffers from brevity bias, gradually losing essential domain knowledge. More critically, even in truly multimodal problem-solving settings, it records only a single-modality trace of past behavior, failing to preserve how visual attention and logical reasoning jointly contributed to the solution. This is fundamentally misaligned with human cognition: semantic memory is both multimodal and integrated, preserving visual and abstract knowledge through coordinated but distinct representational streams. We thus introduce ViLoMem, a dual-stream memory framework that constructs compact, schema-based memory. It separately encodes visual distraction patterns and logical reasoning errors, enabling MLLMs to learn from their successful and failed experiences. Following a grow-and-refine principle, the system incrementally accumulates and updates multimodal semantic knowledge -- preserving stable, generalizable strategies while avoiding catastrophic forgetting. Across six multimodal benchmarks, ViLoMem consistently improves pass@1 accuracy and substantially reduces repeated visual and logical errors. Ablations confirm the necessity of dual-stream memory with explicit distraction--hallucination separation, demonstrating the value of error-aware multimodal memory for lifelong and cross-domain agentic learning. Our project page will be available at https://weihao-bo.github.io/ViLoMeo-page.

  • 12 authors
·
Nov 26, 2025 2

What's in Common? Multimodal Models Hallucinate When Reasoning Across Scenes

Multimodal language models possess a remarkable ability to handle an open-vocabulary's worth of objects. Yet the best models still suffer from hallucinations when reasoning about scenes in the real world, revealing a gap between their seemingly strong performance on existing perception benchmarks that are saturating and their reasoning in the real world. To address this gap, we build a novel benchmark of in-the-wild scenes that we call Common-O. With more than 10.5k examples using exclusively new images not found in web training data to avoid contamination, Common-O goes beyond just perception, inspired by cognitive tests for humans, to probe reasoning across scenes by asking "what's in common?". We evaluate leading multimodal language models, including models specifically trained to perform chain-of-thought reasoning. We find that perceiving objects in single images is tractable for most models, yet reasoning across scenes is very challenging even for the best models, including reasoning models. Despite saturating many leaderboards focusing on perception, the best performing model only achieves 35% on Common-O -- and on Common-O Complex, consisting of more complex scenes, the best model achieves only 1%. Curiously, we find models are more prone to hallucinate when similar objects are present in the scene, suggesting models may be relying on object co-occurrence seen during training. Among the models we evaluated, we found scale can provide modest improvements while models explicitly trained with multi-image inputs show bigger improvements, suggesting scaled multi-image training may offer promise. We make our benchmark publicly available to spur research into the challenge of hallucination when reasoning across scenes.

  • 5 authors
·
Nov 5, 2025

MMedPO: Aligning Medical Vision-Language Models with Clinical-Aware Multimodal Preference Optimization

The advancement of Large Vision-Language Models (LVLMs) has propelled their application in the medical field. However, Medical LVLMs (Med-LVLMs) encounter factuality challenges due to modality misalignment, where the models prioritize textual knowledge over visual input, leading to hallucinations that contradict information in medical images. Previous attempts to enhance modality alignment in Med-LVLMs through preference optimization have inadequately mitigated clinical relevance in preference data, making these samples easily distinguishable and reducing alignment effectiveness. To address this challenge, we propose MMedPO, a novel multimodal medical preference optimization approach that considers the clinical relevance of preference samples to enhance Med-LVLM alignment. MMedPO curates multimodal preference data by introducing two types of dispreference: (1) plausible hallucinations injected through target Med-LVLMs or GPT-4o to produce medically inaccurate responses, and (2) lesion region neglect achieved through local lesion-noising, disrupting visual understanding of critical areas. We then calculate clinical relevance for each sample based on scores from multiple Med-LLMs and visual tools, and integrate these scores into the preference optimization process as weights, enabling effective alignment. Our experiments demonstrate that MMedPO significantly enhances factual accuracy in Med-LVLMs, achieving substantial improvements over existing preference optimization methods by averaging 14.2% and 51.7% across the Med-VQA and report generation tasks. Our code are available in https://github.com/aiming-lab/MMedPO.

  • 6 authors
·
Dec 8, 2024

Beyond Task Performance: Evaluating and Reducing the Flaws of Large Multimodal Models with In-Context Learning

Following the success of Large Language Models (LLMs), Large Multimodal Models (LMMs), such as the Flamingo model and its subsequent competitors, have started to emerge as natural steps towards generalist agents. However, interacting with recent LMMs reveals major limitations that are hardly captured by the current evaluation benchmarks. Indeed, task performances (e.g., VQA accuracy) alone do not provide enough clues to understand their real capabilities, limitations, and to which extent such models are aligned to human expectations. To refine our understanding of those flaws, we deviate from the current evaluation paradigm, and (1) evaluate 10 recent open-source LMMs from 3B up to 80B parameter scale, on 5 different axes; hallucinations, abstention, compositionality, explainability and instruction following. Our evaluation on these axes reveals major flaws in LMMs. While the current go-to solution to align these models is based on training, such as instruction tuning or RLHF, we rather (2) explore the training-free in-context learning (ICL) as a solution, and study how it affects these limitations. Based on our ICL study, (3) we push ICL further and propose new multimodal ICL variants such as; Multitask-ICL, Chain-of-Hindsight-ICL, and Self-Correcting-ICL. Our findings are as follows. (1) Despite their success, LMMs have flaws that remain unsolved with scaling alone. (2) The effect of ICL on LMMs flaws is nuanced; despite its effectiveness for improved explainability, answer abstention, ICL only slightly improves instruction following, does not improve compositional abilities, and actually even amplifies hallucinations. (3) The proposed ICL variants are promising as post-hoc approaches to efficiently tackle some of those flaws. The code is available here: https://github.com/mshukor/EvALign-ICL.

  • 4 authors
·
Oct 1, 2023

DSRAG: A Domain-Specific Retrieval Framework Based on Document-derived Multimodal Knowledge Graph

Current general-purpose large language models (LLMs) commonly exhibit knowledge hallucination and insufficient domain-specific adaptability in domain-specific tasks, limiting their effectiveness in specialized question answering scenarios. Retrieval-augmented generation (RAG) effectively tackles these challenges by integrating external knowledge to enhance accuracy and relevance. However, traditional RAG still faces limitations in domain knowledge accuracy and context modeling.To enhance domain-specific question answering performance, this work focuses on a graph-based RAG framework, emphasizing the critical role of knowledge graph quality during the generation process. We propose DSRAG (Domain-Specific RAG), a multimodal knowledge graph-driven retrieval-augmented generation framework designed for domain-specific applications. Our approach leverages domain-specific documents as the primary knowledge source, integrating heterogeneous information such as text, images, and tables to construct a multimodal knowledge graph covering both conceptual and instance layers. Building on this foundation, we introduce semantic pruning and structured subgraph retrieval mechanisms, combining knowledge graph context and vector retrieval results to guide the language model towards producing more reliable responses. Evaluations using the Langfuse multidimensional scoring mechanism show that our method excels in domain-specific question answering, validating the efficacy of integrating multimodal knowledge graphs with retrieval-augmented generation.

  • 6 authors
·
Aug 22, 2025

The Future of MLLM Prompting is Adaptive: A Comprehensive Experimental Evaluation of Prompt Engineering Methods for Robust Multimodal Performance

Multimodal Large Language Models (MLLMs) are set to transform how machines process and generate human-like responses by integrating diverse modalities such as text, images, and code. Yet, effectively harnessing their capabilities hinges on optimal prompt engineering. We present a comprehensive experimental evaluation of seven prompt engineering methods applied to 13 open-source MLLMs over 24 tasks spanning Reasoning and Compositionality, Multimodal Understanding and Alignment, Complex Code Generation and Execution, and Knowledge Retrieval and Integration. Our approach stratifies models by parameter count into Small (<4B), Medium (4B-10B), and Large (>10B) categories and compares prompting techniques including Zero-Shot, One-Shot, Few-Shot, Chain-of-Thought, Analogical, Generated Knowledge, and Tree-of-Thought. While Large MLLMs excel in structured tasks such as code generation, achieving accuracies up to 96.88% under Few-Shot prompting, all models struggle with complex reasoning and abstract understanding, often yielding accuracies below 60% and high hallucination rates. Structured reasoning prompts frequently increased hallucination up to 75% in small models and led to longer response times (over 20 seconds in Large MLLMs), while simpler prompting methods provided more concise and efficient outputs. No single prompting method uniformly optimises all task types. Instead, adaptive strategies combining example-based guidance with selective structured reasoning are essential to enhance robustness, efficiency, and factual accuracy. Our findings offer practical recommendations for prompt engineering and support more reliable deployment of MLLMs across applications including AI-assisted coding, knowledge retrieval, and multimodal content understanding.

  • 3 authors
·
Apr 14, 2025 1

NoisyGRPO: Incentivizing Multimodal CoT Reasoning via Noise Injection and Bayesian Estimation

Reinforcement learning (RL) has shown promise in enhancing the general Chain-of-Thought (CoT) reasoning capabilities of multimodal large language models (MLLMs). However, when applied to improve general CoT reasoning, existing RL frameworks often struggle to generalize beyond the training distribution. To address this, we propose NoisyGRPO, a systematic multimodal RL framework that introduces controllable noise into visual inputs for enhanced exploration and explicitly models the advantage estimation process via a Bayesian framework. Specifically, NoisyGRPO improves RL training by: (1) Noise-Injected Exploration Policy: Perturbing visual inputs with Gaussian noise to encourage exploration across a wider range of visual scenarios; and (2) Bayesian Advantage Estimation: Formulating advantage estimation as a principled Bayesian inference problem, where the injected noise level serves as a prior and the observed trajectory reward as the likelihood. This Bayesian modeling fuses both sources of information to compute a robust posterior estimate of trajectory advantage, effectively guiding MLLMs to prefer visually grounded trajectories over noisy ones. Experiments on standard CoT quality, general capability, and hallucination benchmarks demonstrate that NoisyGRPO substantially improves generalization and robustness, especially in RL settings with small-scale MLLMs such as Qwen2.5-VL 3B. The project page is available at https://artanic30.github.io/project_pages/NoisyGRPO/.

  • 4 authors
·
Oct 23, 2025

OrthoDoc: Multimodal Large Language Model for Assisting Diagnosis in Computed Tomography

Multimodal large language models (MLLMs) have achieved significant success in the general field of image processing. Their emerging task generalization and freeform conversational capabilities can greatly facilitate medical diagnostic assistance, helping patients better understand their conditions and enhancing doctor-patient trust. Computed Tomography (CT) is a non-invasive imaging technique used to capture the internal mechanisms of a patient's condition and is widely utilized. However, in past research, the complex textural features of this imaging data have made accurate interpretation by algorithms challenging, impeding the performance of general LLMs in diagnostic assistance. To address this, we developed OrthoDoc, a MLLM designed for CT diagnostics. OrthoDoc is trained on 120,000 CT images and diagnostic reports and includes a Retrieval-Augmented Generation (RAG) module capable of effectively mitigating model hallucinations. This module is informed by extensive medical literature, textbooks, and explanatory data. Thus, OrthoDoc not only processes complex CT images but also stores, understands, and reasons over medical knowledge and language. In extensive experiments, OrthoDoc outperforms commercial models led by GPT-4, demonstrating superior diagnostic capabilities and accuracy. Specifically, OrthoDoc significantly surpasses existing models in the diagnosis of common orthopedic conditions such as fractures, arthritis, and tumors. Additionally, OrthoDoc exhibits robust generalization and stability when handling rare and complex cases.

  • 2 authors
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Aug 30, 2024