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Better Eyes, Better Thoughts: Why Vision Chain-of-Thought Fails in Medicine

arXiv:2603.06665v1 Announce Type: cross Abstract: Large vision-language models (VLMs) often benefit from chain-of-thought (CoT) prompting in general domains, yet its efficacy in medical vision-language tasks remains underexplored. We report a counter-intuitive trend: on medical visual question answering, CoT frequently underperforms direct answering (DirA) across general-purpose and medical-specific models. We attribute this to a \emph{medical perception bottleneck}: subtle, domain-specific cues can weaken visual grounding, and CoT may compound early perceptual uncertainty rather than correct it. To probe this hypothesis, we introduce two training-free, inference-time grounding interventions: (i) \emph{perception anchoring} via region-of-interest cues and (ii) \emph{description grounding} via high-quality textual guidance. Across multiple benchmarks and model families, these interventions improve accuracy, mitigate CoT degradation, and in several settings reverse the CoT--DirA inversion. Our findings suggest that reliable clinical VLMs require robust visual grounding and cross-modal alignment, beyond extending text-driven reasoning chains. Code is available \href{https://github.com/TianYin123/Better_Eyes_Better_Thoughts}{here}.
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Reallocating Attention Across Layers to Reduce Multimodal Hallucination

arXiv:2510.10285v3 Announce Type: replace Abstract: Multimodal large reasoning models (MLRMs) often suffer from hallucinations that stem not only from insufficient visual grounding but also from imbalanced allocation between perception and reasoning processes. Building upon recent interpretability findings suggesting a staged division of attention across layers, we analyze how this functional misalignment leads to two complementary failure modes: perceptual bias in shallow layers and reasoning drift in deeper layers. To alleviate these issues, we propose Functional Head Identification and Class-Conditioned Rescaling , a lightweight, training-free plugin that identifies perception- and reasoning-oriented heads and adaptively rebalances their layerwise contributions. Our method improves reasoning consistency and visual faithfulness without retraining or any architectural modification. Evaluations across three representative MLRMs and five multimodal reasoning benchmarks show an average 4.2% point gain, with less than 1% additional computation and only 9% baseline latency. Beyond empirical improvements, our study provides an interpretable perspective on regulating cross-layer functional dynamics to enhance the reliability of multimodal reasoning.
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Chimera: Neuro-Symbolic Attention Primitives for Trustworthy Dataplane Intelligence

arXiv:2602.12851v2 Announce Type: replace-cross Abstract: Deploying expressive learning models directly on programmable dataplanes promises line-rate, low-latency traffic analysis but remains hindered by strict hardware constraints and the need for predictable, auditable behavior. Chimera introduces a principled framework that maps attention-oriented neural computations and symbolic constraints onto dataplane primitives, enabling trustworthy inference within the match-action pipeline. Chimera combines a kernelized, linearized attention approximation with a two-layer key-selection hierarchy and a cascade fusion mechanism that enforces hard symbolic guarantees while preserving neural expressivity. The design includes a hardware-aware mapping protocol and a two-timescale update scheme that together permit stable, line-rate operation under realistic dataplane budgets. The paper presents the Chimera architecture, a hardware mapping strategy, and empirical evidence showing that neuro-symbolic attention primitives can achieve high-fidelity inference within the resource envelope of commodity programmable switches.
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CoFL: Continuous Flow Fields for Language-Conditioned Navigation

arXiv:2603.02854v1 Announce Type: cross Abstract: Language-conditioned navigation pipelines often rely on brittle modular components or costly action-sequence generation. To address these limitations, we present CoFL, an end-to-end policy that directly maps a bird's-eye view (BEV) observation and a language instruction to a continuous flow field for navigation. Instead of predicting discrete action tokens or sampling action chunks via iterative denoising, CoFL outputs instantaneous velocities that can be queried at arbitrary 2D projected locations. Trajectories are obtained by numerical integration of the predicted field, producing smooth motion that remains reactive under closed-loop execution. To enable large-scale training, we build a dataset of over 500k BEV image-instruction pairs, each procedurally annotated with a flow field and a trajectory derived from BEV semantic maps built on Matterport3D and ScanNet. By training on a mixed distribution, CoFL significantly outperforms modular Vision-Language Model (VLM)-based planners and generative policy baselines on strictly unseen scenes. Finally, we deploy CoFL zero-shot in real-world experiments with overhead BEV observations across multiple layouts, maintaining reliable closed-loop control and a high success rate.
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