arXiv:2603.29405v1 Announce Type: cross Abstract: Large Vision-Language Models have demonstrated exceptional performance in multimodal reasoning and complex scene understanding. However, these models still face significant hallucination issues, where outputs contradict visual facts. Recent research on hallucination mitigation has focused on retraining methods and Contrastive Decoding (CD) methods. While both methods perform well, retraining methods require substantial training resources, and CD methods introduce dual inference overhead. These factors hinder their practical applicability. To address the above issue, we propose a framework for dynamically detecting hallucination representations and performing hallucination-eliminating edits on these representations. With minimal additional computational cost, we achieve state-of-the-art performance on existing benchmarks. Extensive experiments demonstrate the effectiveness of our approach, highlighting its efficient and robust hallucination elimination capability and its powerful controllability over hallucinations. Code is available at https://github.com/ASGO-MM/HIRE

arXiv:2512.00818v2 Announce Type: replace Abstract: MLLMs MLLMs are beginning to appear in clinical workflows, but their ability to perform complex medical reasoning remains unclear. We present Med-CMR, a fine-grained Medical Complex Multimodal Reasoning benchmark. Med-CMR distinguishes from existing counterparts by three core features: 1) Systematic capability decomposition, splitting medical multimodal reasoning into fine-grained visual understanding and multi-step reasoning to enable targeted evaluation; 2) Challenging task design, with visual understanding across three key dimensions (small-object detection, fine-detail discrimination, spatial understanding) and reasoning covering four clinically relevant scenarios (temporal prediction, causal reasoning, long-tail generalization, multi-source integration); 3) Broad, high-quality data coverage, comprising 20,653 Visual Question Answering (VQA) pairs spanning 11 organ systems and 12 imaging modalities, validated via a rigorous two-stage (human expert + model-assisted) review to ensure clinical authenticity. We evaluate 18 state-of-the-art MLLMs with Med-CMR, revealing GPT-5 as the top-performing commercial model: 57.81 accuracy on multiple-choice questions (MCQs) and a 48.70 open-ended score, outperforming Gemini 2.5 Pro (49.87 MCQ accuracy, 45.98 open-ended score) and leading open-source model Qwen3-VL-235B-A22B (49.34 MCQ accuracy, 42.62 open-ended score). However, specialized medical MLLMs do not reliably outperform strong general models, and long-tail generalization emerges as the dominant failure mode. Med-CMR thus provides a stress test for visual-reasoning integration and rare-case robustness in medical MLLMs, and a rigorous yardstick for future clinical systems.