arXiv:2603.06697v1 Announce Type: cross Abstract: Vision--language models (VLMs) process images as visual tokens, yet their intermediate reasoning is often carried out in text, which can be suboptimal for visually grounded radiology tasks. Radiologists instead diagnose via sequential visual search; eye-tracking captures this process as time-ordered gaze trajectories that reveal how evidence is acquired over time. We use eye-gaze as supervision to guide VLM reasoning by introducing a small set of dedicated gaze tokens. These tokens are trained to predict gaze-selected image patch indices in temporal order, encouraging the model to follow human-like evidence acquisition and integration. Experiments on MIMIC-EYE and multiple external zero-shot benchmarks show consistent gains over baselines, achieving state-of-the-art in-domain performance and improved out-of-domain robustness. These results highlight temporally ordered gaze as an effective supervision signal for learning visually grounded medical reasoning.

arXiv:2603.07023v1 Announce Type: cross Abstract: Despite the promise of Retrieval-Augmented Generation in grounding Multimodal Large Language Models with external knowledge, the transition to extensive contexts often leads to significant attention dilution and reasoning hallucinations. The surge in information density causes critical evidence to be submerged by voluminous noise, which complicates the discernment of relevant fragments within a dense input. In this paper, we propose \textbf{Hit-RAG}, a multi-stage preference alignment framework designed to resolve these cognitive bottlenecks through a progressive optimization pipeline. Our approach systematically refines the utilization of external evidence via three distinct stages. First, Supervised Fine-tuning establishes baseline context awareness to minimize information neglect. Next, Discriminative Preference Alignment enhances robustness against misleading distractors. Finally, Group-Relative Policy Optimization stabilizes logical synthesis to prevent reasoning collapse. Extensive evaluations on eight benchmarks demonstrate that Hit-RAG consistently yields substantial performance gains, enabling models to bridge the gap between context acquisition and accurate reasoning while surpassing much larger counterparts in long-context scenarios.