arXiv:2508.16129v4 Announce Type: replace Abstract: Multimodal large language models (MLLMs) have recently demonstrated remarkable reasoning abilities under reinforcement learning (RL) paradigm. However, most existing multimodal medical reasoning models focus on basic reasoning, which refers to shallow inference based on visual feature matching. In contrast, real-world clinical diagnosis extends beyond basic reasoning, demanding complex reasoning that integrates heterogeneous clinical information (such as chief complaints and medical history) with multimodal medical imaging data. To bridge this gap, we introduce MM-Retinal-Reason, an ophthalmic multimodal dataset covering the full spectrum of perception and reasoning. Specifically, it is the first dataset in ophthalmology to encompass both basic and complex reasoning tasks with Chain-of-Thought (CoT) trajectories, aiming to enhance visual-centric reasoning and emulate realistic clinical decision-making. Building upon MM-Retinal-Reason, we propose OphthaReason, the first RL-enhanced ophthalmic multimodal reasoning model with step-by-step reasoning traces. To enable flexible adaptation to both basic and complex reasoning tasks, we further introduce Uncertainty-Aware Dynamic Thinking (UADT), which estimates sample-level uncertainty via entropy and dynamically modulates exploration depth through a shaped advantage mechanism. Comprehensive experiments demonstrate the effectiveness of our model on both basic and complex reasoning tasks, outperforming general-purpose MLLMs, medical MLLMs, RL-based medical MLLMs, and ophthalmic MLLMs by at least 15.47\%. Project Page: \href{https://github.com/lxirich/OphthaReason}{link}.

arXiv:2603.06676v1 Announce Type: cross Abstract: Performing a timely and accurate identification of crop diseases is vital to maintain agricultural productivity and food security. The current work presents a hybrid few-shot learning model that integrates Explainable Artificial Intelligence (XAI) and Few-Shot Learning (FSL) to address the challenge of identifying and classifying the stages of disease of the diseases of maize, rice, and wheat leaves under limited annotated data conditions. The proposed model integrates Siamese and Prototypical Networks within an episodic training paradigm to effectively learn discriminative disease features from a few examples. To ensure model transparency and trustworthiness, Gradient-weighted Class Activation Mapping (Grad-CAM) is employed for visualizing key decision regions in the leaf images, offering interpretable insights into the classification process. Experimental evaluations on custom few-shot datasets developed in the study prove that the model consistently achieves high accuracy, precision, recall, and F1-scores, frequently exceeding 92% across various disease stages. Comparative analyses against baseline FSL models further confirm the superior performance and explainability of the proposed approach. The framework offers a promising solution for real-world, data-constrained agricultural disease monitoring applications.