Daily Papers

Egocentric Referring Video Object Segmentation (Ego-RVOS) aims to segment the specific object actively involved in a human action, as described by a language query, within first-person videos. This task is critical for understanding egocentric human behavior. However, achieving such segmentation robustly is challenging due to ambiguities inherent in egocentric videos and biases present in training data. Consequently, existing methods often struggle, learning spurious correlations from skewed object-action pairings in datasets and fundamental visual confounding factors of the egocentric perspective, such as rapid motion and frequent occlusions. To address these limitations, we introduce Causal Ego-REferring Segmentation (CERES), a plug-in causal framework that adapts strong, pre-trained RVOS backbones to the egocentric domain. CERES implements dual-modal causal intervention: applying backdoor adjustment principles to counteract language representation biases learned from dataset statistics, and leveraging front-door adjustment concepts to address visual confounding by intelligently integrating semantic visual features with geometric depth information guided by causal principles, creating representations more robust to egocentric distortions. Extensive experiments demonstrate that CERES achieves state-of-the-art performance on Ego-RVOS benchmarks, highlighting the potential of applying causal reasoning to build more reliable models for broader egocentric video understanding.

Observational studies of causal effects require adjustment for confounding factors. In the tabular setting, where these factors are well-defined, separate random variables, the effect of confounding is well understood. However, in public policy, ecology, and in medicine, decisions are often made in non-tabular settings, informed by patterns or objects detected in images (e.g., maps, satellite or tomography imagery). Using such imagery for causal inference presents an opportunity because objects in the image may be related to the treatment and outcome of interest. In these cases, we rely on the images to adjust for confounding but observed data do not directly label the existence of the important objects. Motivated by real-world applications, we formalize this challenge, how it can be handled, and what conditions are sufficient to identify and estimate causal effects. We analyze finite-sample performance using simulation experiments, estimating effects using a propensity adjustment algorithm that employs a machine learning model to estimate the image confounding. Our experiments also examine sensitivity to misspecification of the image pattern mechanism. Finally, we use our methodology to estimate the effects of policy interventions on poverty in African communities from satellite imagery.

Despite extensive research into mitigating distribution shifts, many existing algorithms yield inconsistent performance, often failing to outperform baseline Empirical Risk Minimization (ERM) across diverse scenarios. Furthermore, high algorithmic complexity frequently limits interpretability and offers only an indirect means of addressing spurious correlations. We propose eXplaining to Learn (eX2L): an interpretable, explanation-based framework that decorrelates confounding features from a classifier's latent representations during training. eX2L achieves this by penalizing the similarity between Grad-CAM activation maps generated by a primary label classifier and those from a concurrently trained confounder classifier. On the rigorous Spawrious Many-to-Many Hard Challenge benchmark, eX2L achieves an average accuracy (AA) of 82.24% +/- 3.87% and a worst-group accuracy (WGA) of 66.31% +/- 8.73%, outperforming the current state-of-the-art (SOTA) by 5.49% and 10.90%, respectively. Beyond its competitive performance, eX2L demonstrates that functional domain invariance can be achieved by explicitly decoupling label and nuisance attributes at the group level.

Pretrained vision-language models, such as CLIP, show promising zero-shot performance across a wide variety of datasets. For closed-set classification tasks, however, there is an inherent limitation: CLIP image encoders are typically designed to extract generic image-level features that summarize superfluous or confounding information for the target tasks. This results in degradation of classification performance, especially when objects of interest cover small areas of input images. In this work, we propose CLIP with Guided Cropping (GC-CLIP), where we use an off-the-shelf zero-shot object detection model in a preprocessing step to increase focus of zero-shot classifier to the object of interest and minimize influence of extraneous image regions. We empirically show that our approach improves zero-shot classification results across architectures and datasets, favorably for small objects.

Vision-Language Models (VLMs) such as GPT-4V have recently demonstrated incredible strides on diverse vision language tasks. We dig into vision-based deductive reasoning, a more sophisticated but less explored realm, and find previously unexposed blindspots in the current SOTA VLMs. Specifically, we leverage Raven's Progressive Matrices (RPMs), to assess VLMs' abilities to perform multi-hop relational and deductive reasoning relying solely on visual clues. We perform comprehensive evaluations of several popular VLMs employing standard strategies such as in-context learning, self-consistency, and Chain-of-thoughts (CoT) on three diverse datasets, including the Mensa IQ test, IntelligenceTest, and RAVEN. The results reveal that despite the impressive capabilities of LLMs in text-based reasoning, we are still far from achieving comparable proficiency in visual deductive reasoning. We found that certain standard strategies that are effective when applied to LLMs do not seamlessly translate to the challenges presented by visual reasoning tasks. Moreover, a detailed analysis reveals that VLMs struggle to solve these tasks mainly because they are unable to perceive and comprehend multiple, confounding abstract patterns in RPM examples.

Visual language is a system of communication that conveys information through symbols, shapes, and spatial arrangements. Diagrams are a typical example of a visual language depicting complex concepts and their relationships in the form of an image. The symbolic nature of diagrams presents significant challenges for building models capable of understanding them. Yet, recent studies seem to suggest that Large Vision-Language Models (LVLMs) can even tackle complex reasoning tasks involving diagrams. In this paper, we investigate this phenomenon by developing a comprehensive test suite to evaluate the diagram comprehension capability of LVLMs. Our test suite uses a variety of questions focused on concept entities and their relationships over a set of synthetic as well as real diagrams across several domains to evaluate the recognition and reasoning abilities of models. Our evaluation of three LVLMs (GPT-4V, GPT-4o, and Gemini) shows that while these models can accurately identify and reason about entities, their ability to understand relationships is notably limited. Further testing reveals that the decent performance on diagram understanding largely stems from leveraging their background knowledge as shortcuts to identify and reason about the relational information. Thus, we conclude that LVLMs have a limited capability for genuine diagram understanding, and their impressive performance in diagram reasoning is an illusion emanating from other confounding factors, such as the background knowledge in the models.

Observational studies require adjustment for confounding factors that are correlated with both the treatment and outcome. In the setting where the observed variables are tabular quantities such as average income in a neighborhood, tools have been developed for addressing such confounding. However, in many parts of the developing world, features about local communities may be scarce. In this context, satellite imagery can play an important role, serving as a proxy for the confounding variables otherwise unobserved. In this paper, we study confounder adjustment in this non-tabular setting, where patterns or objects found in satellite images contribute to the confounder bias. Using the evaluation of anti-poverty aid programs in Africa as our running example, we formalize the challenge of performing causal adjustment with such unstructured data -- what conditions are sufficient to identify causal effects, how to perform estimation, and how to quantify the ways in which certain aspects of the unstructured image object are most predictive of the treatment decision. Via simulation, we also explore the sensitivity of satellite image-based observational inference to image resolution and to misspecification of the image-associated confounder. Finally, we apply these tools in estimating the effect of anti-poverty interventions in African communities from satellite imagery.

The "thinking-with-images" paradigm equips multimodal LLMs with active visual operations such as crop-and-zoom. However, models using these operations often achieve only marginal or negative gains over direct inference at substantially higher token cost. They may also repeatedly crop irrelevant regions and fail on questions that direct inference answers correctly. We ask whether the returned visual evidence causally affects the answer. To answer this question, we formulate visual tool-use as a causal graph that separates observation-mediated paths from action-induced shortcuts. We then audit it through interventions at the three levels: policy (comparing tool-use with direct inference), trajectory (corrupting all observations during rollout), and step (counterfactually replacing one individual observation under a fixed prefix). Our step-level estimand, Visual Evidence Gain, isolates the contribution of each returned observation. Across six representative models and five fine-grained perception benchmarks, we uncover policy miscalibration with two failure modes. In Calling Without Looking, returned observations have no causal effect on the answer. In Looking Without Planning, observations are informative but the call schedule is incoherent. A trajectory-level diagnostic decomposes the policy-level accuracy gain and shows that the gain is concentrated in a Calibrated minority. We term this discrepancy the illusion of visual tool-use: despite aggregate accuracy gains, visual tool-use is not causally effective across a broad range of rollouts. The code is available at https://github.com/OpenCausaLab/CauAudit.

This work presents a first evaluation of two state-of-the-art Large Reasoning Models (LRMs), OpenAI's o3-mini and DeepSeek R1, on analogical reasoning, focusing on well-established nonverbal human IQ tests based on Raven's progressive matrices. We benchmark with the I-RAVEN dataset and its more difficult extension, I-RAVEN-X, which tests the ability to generalize to longer reasoning rules and ranges of the attribute values. To assess the influence of visual uncertainties on these nonverbal analogical reasoning tests, we extend the I-RAVEN-X dataset, which otherwise assumes an oracle perception. We adopt a two-fold strategy to simulate this imperfect visual perception: 1) we introduce confounding attributes which, being sampled at random, do not contribute to the prediction of the correct answer of the puzzles and 2) smoothen the distributions of the input attributes' values. We observe a sharp decline in OpenAI's o3-mini task accuracy, dropping from 86.6% on the original I-RAVEN to just 17.0% -- approaching random chance -- on the more challenging I-RAVEN-X, which increases input length and range and emulates perceptual uncertainty. This drop occurred despite spending 3.4x more reasoning tokens. A similar trend is also observed for DeepSeek R1: from 80.6% to 23.2%. On the other hand, a neuro-symbolic probabilistic abductive model, ARLC, that achieves state-of-the-art performances on I-RAVEN, can robustly reason under all these out-of-distribution tests, maintaining strong accuracy with only a modest reduction from 98.6% to 88.0%. Our code is available at https://github.com/IBM/raven-large-language-models.

Medical image classification is a critical problem for healthcare, with the potential to alleviate the workload of doctors and facilitate diagnoses of patients. However, two challenges arise when deploying deep learning models to real-world healthcare applications. First, neural models tend to learn spurious correlations instead of desired features, which could fall short when generalizing to new domains (e.g., patients with different ages). Second, these black-box models lack interpretability. When making diagnostic predictions, it is important to understand why a model makes a decision for trustworthy and safety considerations. In this paper, to address these two limitations, we propose a new paradigm to build robust and interpretable medical image classifiers with natural language concepts. Specifically, we first query clinical concepts from GPT-4, then transform latent image features into explicit concepts with a vision-language model. We systematically evaluate our method on eight medical image classification datasets to verify its effectiveness. On challenging datasets with strong confounding factors, our method can mitigate spurious correlations thus substantially outperform standard visual encoders and other baselines. Finally, we show how classification with a small number of concepts brings a level of interpretability for understanding model decisions through case studies in real medical data.

Deep neural networks have demonstrated promising performance on image recognition tasks. However, they may heavily rely on confounding factors, using irrelevant artifacts or bias within the dataset as the cue to improve performance. When a model performs decision-making based on these spurious correlations, it can become untrustable and lead to catastrophic outcomes when deployed in the real-world scene. In this paper, we explore and try to solve this problem in the context of skin cancer diagnosis. We introduce a human-in-the-loop framework in the model training process such that users can observe and correct the model's decision logic when confounding behaviors happen. Specifically, our method can automatically discover confounding factors by analyzing the co-occurrence behavior of the samples. It is capable of learning confounding concepts using easily obtained concept exemplars. By mapping the black-box model's feature representation onto an explainable concept space, human users can interpret the concept and intervene via first order-logic instruction. We systematically evaluate our method on our newly crafted, well-controlled skin lesion dataset and several public skin lesion datasets. Experiments show that our method can effectively detect and remove confounding factors from datasets without any prior knowledge about the category distribution and does not require fully annotated concept labels. We also show that our method enables the model to focus on clinical-related concepts, improving the model's performance and trustworthiness during model inference.

Counterfactual data augmentation has recently emerged as a method to mitigate confounding biases in the training data for a machine learning model. These biases, such as spurious correlations, arise due to various observed and unobserved confounding variables in the data generation process. In this paper, we formally analyze how confounding biases impact downstream classifiers and present a causal viewpoint to the solutions based on counterfactual data augmentation. We explore how removing confounding biases serves as a means to learn invariant features, ultimately aiding in generalization beyond the observed data distribution. Additionally, we present a straightforward yet powerful algorithm for generating counterfactual images, which effectively mitigates the influence of confounding effects on downstream classifiers. Through experiments on MNIST variants and the CelebA datasets, we demonstrate the effectiveness and practicality of our approach.

Most existing debiasing methods for multimodal models, including causal intervention and inference methods, utilize approximate heuristics to represent the biases, such as shallow features from early stages of training or unimodal features for multimodal tasks like VQA, etc., which may not be accurate. In this paper, we study bias arising from confounders in a causal graph for multimodal data and examine a novel approach that leverages causally-motivated information minimization to learn the confounder representations. Robust predictive features contain diverse information that helps a model generalize to out-of-distribution data. Hence, minimizing the information content of features obtained from a pretrained biased model helps learn the simplest predictive features that capture the underlying data distribution. We treat these features as confounder representations and use them via methods motivated by causal theory to remove bias from models. We find that the learned confounder representations indeed capture dataset biases, and the proposed debiasing methods improve out-of-distribution (OOD) performance on multiple multimodal datasets without sacrificing in-distribution performance. Additionally, we introduce a novel metric to quantify the sufficiency of spurious features in models' predictions that further demonstrates the effectiveness of our proposed methods. Our code is available at: https://github.com/Vaidehi99/CausalInfoMin

Large Vision Language Models (LVLMs) show promise in medical applications, but their inability to faithfully ground responses in visual evidence raises serious concerns about clinical trustworthiness. While visual attribution methods are widely used to explain LVLM predictions, whether these explanations actually reflect the visual evidence underlying the model's decision is largely unverified, since ground-truth annotations for internal model reasoning are typically unavailable. We address this question for chest X-ray (CXR) reasoning by developing a causal evaluation framework that retains only CXR-VQA samples for which the expert-annotated region is verified, via counterfactual editing, to be causally responsible for the model's prediction. Using this framework across 11 attribution methods, six open-source LVLMs, and two output modes (direct answer and step-by-step reasoning), we find that existing attribution methods often fail to identify the evidence used by LVLMs. To address this failure, we propose MedFocus, a concept-based attribution method that localizes clinically meaningful anatomical regions via unbalanced optimal transport and measures their causal effect on model outputs through targeted interventions. MedFocus produces spatial, concept-level, and token-level attributions and substantially outperforms prior methods, taking a step toward more trustworthy attribution for medical LVLMs. Our data and code are available at https://github.com/gzxiong/medfocus/.

Estimating the causal effects of a spatially-varying intervention on a spatially-varying outcome may be subject to non-local confounding (NLC), a phenomenon that can bias estimates when the treatments and outcomes of a given unit are dictated in part by the covariates of other nearby units. In particular, NLC is a challenge for evaluating the effects of environmental policies and climate events on health-related outcomes such as air pollution exposure. This paper first formalizes NLC using the potential outcomes framework, providing a comparison with the related phenomenon of causal interference. Then, it proposes a broadly applicable framework, termed "weather2vec", that uses the theory of balancing scores to learn representations of non-local information into a scalar or vector defined for each observational unit, which is subsequently used to adjust for confounding in conjunction with causal inference methods. The framework is evaluated in a simulation study and two case studies on air pollution where the weather is an (inherently regional) known confounder.

Spatial confounding poses a significant challenge in scientific studies involving spatial data, where unobserved spatial variables can influence both treatment and outcome, possibly leading to spurious associations. To address this problem, we introduce SpaCE: The Spatial Confounding Environment, the first toolkit to provide realistic benchmark datasets and tools for systematically evaluating causal inference methods designed to alleviate spatial confounding. Each dataset includes training data, true counterfactuals, a spatial graph with coordinates, and smoothness and confounding scores characterizing the effect of a missing spatial confounder. It also includes realistic semi-synthetic outcomes and counterfactuals, generated using state-of-the-art machine learning ensembles, following best practices for causal inference benchmarks. The datasets cover real treatment and covariates from diverse domains, including climate, health and social sciences. SpaCE facilitates an automated end-to-end pipeline, simplifying data loading, experimental setup, and evaluating machine learning and causal inference models. The SpaCE project provides several dozens of datasets of diverse sizes and spatial complexity. It is publicly available as a Python package, encouraging community feedback and contributions.

The rapid progress of multimodal large language models (MLLMs) has led to increasing interest in agent-based systems. While most prior work in medical imaging concentrates on automating routine clinical workflows, we study an underexplored yet clinically significant setting: distinguishing visually hard-to-separate diseases in a zero-shot setting. We benchmark representative agents on two imaging-only proxy diagnostic tasks, (1) melanoma vs. atypical nevus and (2) pulmonary edema vs. pneumonia, where visual features are highly confounded despite substantial differences in clinical management. We introduce a multi-agent framework based on contrastive adjudication. Experimental results show improved diagnostic performance (an 11-percentage-point gain in accuracy on dermoscopy data) and reduced unsupported claims on qualitative samples, although overall performance remains insufficient for clinical deployment. We acknowledge the inherent uncertainty in human annotations and the absence of clinical context, which further limit the translation to real-world settings. Within this controlled setting, this pilot study provides preliminary insights into zero-shot agent performance in visually confounded scenarios.

Causal inference plays a vital role in diverse domains like epidemiology, healthcare, and economics. De-confounding and counterfactual prediction in observational data has emerged as a prominent concern in causal inference research. While existing models tackle observed confounders, the presence of unobserved confounders remains a significant challenge, distorting causal inference and impacting counterfactual outcome accuracy. To address this, we propose a novel variational learning model of unobserved confounders for counterfactual inference (VLUCI), which generates the posterior distribution of unobserved confounders. VLUCI relaxes the unconfoundedness assumption often overlooked by most causal inference methods. By disentangling observed and unobserved confounders, VLUCI constructs a doubly variational inference model to approximate the distribution of unobserved confounders, which are used for inferring more accurate counterfactual outcomes. Extensive experiments on synthetic and semi-synthetic datasets demonstrate VLUCI's superior performance in inferring unobserved confounders. It is compatible with state-of-the-art counterfactual inference models, significantly improving inference accuracy at both group and individual levels. Additionally, VLUCI provides confidence intervals for counterfactual outcomes, aiding decision-making in risk-sensitive domains. We further clarify the considerations when applying VLUCI to cases where unobserved confounders don't strictly conform to our model assumptions using the public IHDP dataset as an example, highlighting the practical advantages of VLUCI.

Image captioning, which generates natural language descriptions of the visual information in an image, is a crucial task in vision-language research. Previous models have typically addressed this task by aligning the generative capabilities of machines with human intelligence through statistical fitting of existing datasets. While effective for normal images, they may struggle to accurately describe those where certain parts of the image are obscured or edited, unlike humans who excel in such cases. These weaknesses they exhibit, including hallucinations and limited interpretability, often hinder performance in scenarios with shifted association patterns. In this paper, we present a generic image captioning framework that employs causal inference to make existing models more capable of interventional tasks, and counterfactually explainable. Our approach includes two variants leveraging either total effect or natural direct effect. Integrating them into the training process enables models to handle counterfactual scenarios, increasing their generalizability. Extensive experiments on various datasets show that our method effectively reduces hallucinations and improves the model's faithfulness to images, demonstrating high portability across both small-scale and large-scale image-to-text models. The code is available at https://github.com/Aman-4-Real/See-or-Guess.

Computer vision models have been shown to exhibit and amplify biases across a wide array of datasets and tasks. Existing methods for quantifying bias in classification models primarily focus on dataset distribution and model performance on subgroups, overlooking the internal workings of a model. We introduce the Attention-IoU (Attention Intersection over Union) metric and related scores, which use attention maps to reveal biases within a model's internal representations and identify image features potentially causing the biases. First, we validate Attention-IoU on the synthetic Waterbirds dataset, showing that the metric accurately measures model bias. We then analyze the CelebA dataset, finding that Attention-IoU uncovers correlations beyond accuracy disparities. Through an investigation of individual attributes through the protected attribute of Male, we examine the distinct ways biases are represented in CelebA. Lastly, by subsampling the training set to change attribute correlations, we demonstrate that Attention-IoU reveals potential confounding variables not present in dataset labels.

Interpreting the inner function of neural networks is crucial for the trustworthy development and deployment of these black-box models. Prior interpretability methods focus on correlation-based measures to attribute model decisions to individual examples. However, these measures are susceptible to noise and spurious correlations encoded in the model during the training phase (e.g., biased inputs, model overfitting, or misspecification). Moreover, this process has proven to result in noisy and unstable attributions that prevent any transparent understanding of the model's behavior. In this paper, we develop a robust interventional-based method grounded by causal analysis to capture cause-effect mechanisms in pre-trained neural networks and their relation to the prediction. Our novel approach relies on path interventions to infer the causal mechanisms within hidden layers and isolate relevant and necessary information (to model prediction), avoiding noisy ones. The result is task-specific causal explanatory graphs that can audit model behavior and express the actual causes underlying its performance. We apply our method to vision models trained on classification tasks. On image classification tasks, we provide extensive quantitative experiments to show that our approach can capture more stable and faithful explanations than standard attribution-based methods. Furthermore, the underlying causal graphs reveal the neural interactions in the model, making it a valuable tool in other applications (e.g., model repair).

Causal thinking enables humans to understand not just what is seen, but why it happens. To replicate this capability in modern AI systems, we introduce the task of visual causal discovery. It requires models to infer cause-and-effect relations among visual entities across diverse scenarios instead of merely perceiving their presence. To this end, we first construct the Visual Causal Graph dataset (VCG-32K), a large-scale collection of over 32,000 images annotated with entity-level causal graphs, and further develop CauSight, a novel vision-language model to perform visual causal discovery through causally aware reasoning. Our training recipe integrates three components: (1) training data curation from VCG-32K, (2) Tree-of-Causal-Thought (ToCT) for synthesizing reasoning trajectories, and (3) reinforcement learning with a designed causal reward to refine the reasoning policy. Experiments show that CauSight outperforms GPT-4.1 on visual causal discovery, achieving over a threefold performance boost (21% absolute gain). Our code, model, and dataset are fully open-sourced at project page: https://github.com/OpenCausaLab/CauSight.

Deep neural networks have significantly improved the performance of low-level vision tasks but also increased the difficulty of interpretability. A deep understanding of deep models is beneficial for both network design and practical reliability. To take up this challenge, we introduce causality theory to interpret low-level vision models and propose a model-/task-agnostic method called Causal Effect Map (CEM). With CEM, we can visualize and quantify the input-output relationships on either positive or negative effects. After analyzing various low-level vision tasks with CEM, we have reached several interesting insights, such as: (1) Using more information of input images (e.g., larger receptive field) does NOT always yield positive outcomes. (2) Attempting to incorporate mechanisms with a global receptive field (e.g., channel attention) into image denoising may prove futile. (3) Integrating multiple tasks to train a general model could encourage the network to prioritize local information over global context. Based on the causal effect theory, the proposed diagnostic tool can refresh our common knowledge and bring a deeper understanding of low-level vision models. Codes are available at https://github.com/J-FHu/CEM.

Prior image-text matching methods have shown remarkable performance on many benchmark datasets, but most of them overlook the bias in the dataset, which exists in intra-modal and inter-modal, and tend to learn the spurious correlations that extremely degrade the generalization ability of the model. Furthermore, these methods often incorporate biased external knowledge from large-scale datasets as prior knowledge into image-text matching model, which is inevitable to force model further learn biased associations. To address above limitations, this paper firstly utilizes Structural Causal Models (SCMs) to illustrate how intra- and inter-modal confounders damage the image-text matching. Then, we employ backdoor adjustment to propose an innovative Deconfounded Causal Inference Network (DCIN) for image-text matching task. DCIN (1) decomposes the intra- and inter-modal confounders and incorporates them into the encoding stage of visual and textual features, effectively eliminating the spurious correlations during image-text matching, and (2) uses causal inference to mitigate biases of external knowledge. Consequently, the model can learn causality instead of spurious correlations caused by dataset bias. Extensive experiments on two well-known benchmark datasets, i.e., Flickr30K and MSCOCO, demonstrate the superiority of our proposed method.

Current evaluation protocols for Vision-Language Models (VLMs) in Radiology Report Generation (RRG) rely on report-level metrics that measure lexical overlap or aggregate clinical correctness. However, such metrics do not test whether individual diagnostic statements stem from the actual pathological evidence visible in the image. This allows models to achieve competitive scores by exploiting learned priors or spurious correlations, a failure mode we refer to as vision shortcut. We introduce SHOVIR, a benchmark for evaluating vision shortcut behavior in RRG. SHOVIR extends two spatially annotated chest X-ray datasets, MIMIC-CXR and PadChest-GR, with per-box CheXpert labels, and defines image-level and disease-level occlusion experiments that contrast baseline performance on clean images against localized, region-specific perturbations. Comparing predictions across these conditions isolates two failure modes at the disease-class level: direct shortcuts, where a finding persists after its visual evidence is removed, and contextual shortcuts, where detection degrades once co-occurring pathologies are occluded despite the target region remaining intact. Benchmarking eight state-of-the-art VLMs, we find that shortcut behavior varies substantially across architectures and datasets. Models achieving the highest baseline report quality do not necessarily rank highest in spatial grounding, revealing that clinically fluent generation can coexist with shallow reliance on visual evidence. These findings expose a blind spot in current RRG evaluation and motivate region-aware assessment protocols.

The proliferation of machine learning models in critical decision making processes has underscored the need for bias discovery and mitigation strategies. Identifying the reasons behind a biased system is not straightforward, since in many occasions they are associated with hidden spurious correlations which are not easy to spot. Standard approaches rely on bias audits performed by analyzing model performance in pre-defined subgroups of data samples, usually characterized by common attributes like gender or ethnicity when it comes to people, or other specific attributes defining semantically coherent groups of images. However, it is not always possible to know a-priori the specific attributes defining the failure modes of visual recognition systems. Recent approaches propose to discover these groups by leveraging large vision language models, which enable the extraction of cross-modal embeddings and the generation of textual descriptions to characterize the subgroups where a certain model is underperforming. In this work, we argue that incorporating visual explanations (e.g. heatmaps generated via GradCAM or other approaches) can boost the performance of such bias discovery and mitigation frameworks. To this end, we introduce Visually Grounded Bias Discovery and Mitigation (ViG-Bias), a simple yet effective technique which can be integrated to a variety of existing frameworks to improve both, discovery and mitigation performance. Our comprehensive evaluation shows that incorporating visual explanations enhances existing techniques like DOMINO, FACTS and Bias-to-Text, across several challenging datasets, including CelebA, Waterbirds, and NICO++.

Object hallucination remains a persistent reliability issue in large vision-language models, where generated object mentions may sound plausible but lack visual grounding. Recent training-free detectors use internal signals such as token likelihood, attention, visual confidence, or image-text similarity to identify hallucinated objects. These signals are useful, but they are often source-confounded. They measure how strongly an object is supported inside the model without distinguishing whether that support comes from object-specific visual evidence or the generated text prefix. In difficult cases, a hallucinated object can still receive high internal support because it fits the scene, is associated with nearby visual cues, or follows naturally from the generated text prefix. We propose VisER, a training-free two-sided metric for object-level hallucination detection. VisER evaluates each generated object mention from two complementary views. Visual Evidence measures whether object-context compatibility is backed by object-specific evidence from image tokens. Visual Reliance measures whether the object is supported more by the image than by the generated prefix. Combining these views gives a more source-aware grounding score, while avoiding additional object-level verification generations. Across multiple LVLMs and benchmarks, VisER improves AUROC and AUPR over a range of baselines.

Large Vision-Language Models (LVLMs) demonstrate significant progress in multimodal understanding and reasoning, yet object hallucination remains a critical challenge. While existing research focuses on mitigating language priors or high-level statistical biases, they often overlook the internal complexities of the visual encoding process. We identify that visual statistical bias, arising from the inherent Bag-of-Patches behavior of Vision Encoders under weak structural supervision, acts as a contributing factor of object hallucinations. Under this bias, models prioritize local texture features within individual patches over holistic geometric structures. This tendency may induce spurious visual confidence and result in hallucinations. To address this, we introduce a training-free algorithm called Structure-Disrupted Contrastive Decoding (SDCD), which performs contrastive calibration of the output distribution by introducing a shuffled structure-disrupted view. By penalizing tokens that maintain high confidence under this structure-less view, SDCD effectively suppresses the texture-driven bias. Experimental results demonstrate that SDCD significantly mitigates hallucinations across multiple benchmarks and enhances the overall multimodal capabilities of LVLMs.

Human visual reasoning typically follows a coarse-to-fine attention process, starting from global scene understanding and gradually focusing on question-relevant regions. However, multimodal large language models may deviate from this pattern due to attention drift and the underutilization of visual evidence, which can lead to hallucinations. To mitigate these issues, this study proposes a Dual-Indicator Guided Contrastive Alignment (DICA), which tracks two information-theoretic indicators during inference: Visual Attention Entropy (VAE), which reflects the concentration of visual attention, and Output Image Correlation (OIC), which measures the dependence of generated outputs on the visual input. An abnormal increase in VAE or a decrease in OIC corresponds to different failure modes, which trigger targeted contrastive alignment to restore visual grounding. Experimental results across multiple benchmarks demonstrate that DICA consistently outperforms existing approaches and substantially reduces hallucinations, highlighting the effectiveness of indicator-driven intervention in improving multimodal inference reliability. The code is publicly available at https://github.com/BGWH123/DICA/.

Small sample sizes are common in many disciplines, which necessitates pooling roughly similar datasets across multiple institutions to study weak but relevant associations between images and disease outcomes. Such data often manifest shift/imbalance in covariates (i.e., secondary non-imaging data). Controlling for such nuisance variables is common within standard statistical analysis, but the ideas do not directly apply to overparameterized models. Consequently, recent work has shown how strategies from invariant representation learning provides a meaningful starting point, but the current repertoire of methods is limited to accounting for shifts/imbalances in just a couple of covariates at a time. In this paper, we show how viewing this problem from the perspective of Category theory provides a simple and effective solution that completely avoids elaborate multi-stage training pipelines that would otherwise be needed. We show the effectiveness of this approach via extensive experiments on real datasets. Further, we discuss how this style of formulation offers a unified perspective on at least 5+ distinct problem settings, from self-supervised learning to matching problems in 3D reconstruction.

Large Language Models (LLMs) have showcased exceptional ability in causal reasoning from textual information. However, will these causalities remain straightforward for Vision Large Language Models (VLLMs) when only visual hints are provided? Motivated by this, we propose a novel Multimodal Causal Reasoning benchmark, namely MuCR, to challenge VLLMs to infer semantic cause-and-effect relationship when solely relying on visual cues such as action, appearance, clothing, and environment. Specifically, we introduce a prompt-driven image synthesis approach to create siamese images with embedded semantic causality and visual cues, which can effectively evaluate VLLMs' causal reasoning capabilities. Additionally, we develop tailored metrics from multiple perspectives, including image-level match, phrase-level understanding, and sentence-level explanation, to comprehensively assess VLLMs' comprehension abilities. Our extensive experiments reveal that the current state-of-the-art VLLMs are not as skilled at multimodal causal reasoning as we might have hoped. Furthermore, we perform a comprehensive analysis to understand these models' shortcomings from different views and suggest directions for future research. We hope MuCR can serve as a valuable resource and foundational benchmark in multimodal causal reasoning research. The project is available at: https://github.com/Zhiyuan-Li-John/MuCR

Many social and environmental phenomena are associated with macroscopic changes in the built environment, captured by satellite imagery on a global scale and with daily temporal resolution. While widely used for prediction, these images and especially image sequences remain underutilized for causal inference, especially in the context of randomized controlled trials (RCTs), where causal identification is established by design. In this paper, we develop and compare a set of general tools for analyzing Conditional Average Treatment Effects (CATEs) from temporal satellite data that can be applied to any RCT where geographical identifiers are available. Through a simulation study, we analyze different modeling strategies for estimating CATE in sequences of satellite images. We find that image sequence representation models with more parameters generally yield a greater ability to detect heterogeneity. To explore the role of model and data choice in practice, we apply the approaches to two influential RCTs -- Banerjee et al. (2015), a poverty study in Cusco, Peru, and Bolsen et al. (2014), a water conservation experiment in Georgia, USA. We benchmark our image sequence models against image-only, tabular-only, and combined image-tabular data sources, summarizing practical implications for investigators in a multivariate analysis. Land cover classifications over satellite images facilitate interpretation of what image features drive heterogeneity. We also show robustness to data and model choice of satellite-based generalization of the RCT results to larger geographical areas outside the original. Overall, this paper shows how satellite sequence data can be incorporated into the analysis of RCTs, and provides evidence about the implications of data, model, and evaluation metric choice for causal analysis.

Visualizations help communicate data insights, but deceptive data representations can distort their interpretation and propagate misinformation. While recent Vision Language Models (VLMs) perform well on many chart understanding tasks, their ability to detect misleading visualizations, especially when deception arises from subtle reasoning errors in captions, remains poorly understood. Here, we evaluate VLMs on misleading visualization-caption pairs grounded in a fine-grained taxonomy of reasoning errors (e.g., Cherry-picking, Causal inference) and visualization design errors (e.g., Truncated axis, Dual axis, inappropriate encodings). To this end, we develop a benchmark that combines real-world visualization with human-authored, curated misleading captions designed to elicit specific reasoning and visualization error types, enabling controlled analysis across error categories and modalities of misleadingness. Evaluating many commercial and open-source VLMs, we find that models detect visual design errors substantially more reliably than reasoning-based misinformation, and frequently misclassify non-misleading visualizations as deceptive. Overall, our work fills a gap between coarse detection of misleading content and the attribution of the specific reasoning or visualization errors that give rise to it.

State-of-the-art methods for conditional average treatment effect (CATE) estimation make widespread use of representation learning. Here, the idea is to reduce the variance of the low-sample CATE estimation by a (potentially constrained) low-dimensional representation. However, low-dimensional representations can lose information about the observed confounders and thus lead to bias, because of which the validity of representation learning for CATE estimation is typically violated. In this paper, we propose a new, representation-agnostic framework for estimating bounds on the representation-induced confounding bias that comes from dimensionality reduction (or other constraints on the representations) in CATE estimation. First, we establish theoretically under which conditions CATEs are non-identifiable given low-dimensional (constrained) representations. Second, as our remedy, we propose to perform partial identification of CATEs or, equivalently, aim at estimating of lower and upper bounds of the representation-induced confounding bias. We demonstrate the effectiveness of our bounds in a series of experiments. In sum, our framework is of direct relevance in practice where the validity of CATE estimation is of importance.

Large vision language models (VLMs) report strong accuracy on medical question-answering, yet it remains unclear whether they reason from visual evidence or exploit textual shortcuts. We introduce a counterfactual evaluation framework that decouples visual and textual contributions by substituting input images with controlled surrogates blank, pixel-shuffled, image-absent, and CLIP-retrieved hard negatives and derive a suite of grounding metrics including the Visual Reliance Score (VRS) and Visual Hallucination Rate (VHR). We further introduce CORAL (COntrastive Retrieval-Augmented Learning), a 7B-parameter LoRA fine-tune of Qwen2.5-VL-7B trained with a Contrastive Grounding Objective (CGO) that penalises answer invariance under hard-negative image swaps. On a paired controlled evaluation across four closed-form medical VQA benchmarks (PathVQA, PMC-VQA, SLAKE, VQA-RAD; n=400 total), CORAL improves macro accuracy by +6.7 pp (P(Delta>0)=0.988) and reduces VHR by 8.0 pp (P<0.001) over the matched Qwen2.5-VL-7B base; neither MedVLThinker RL variant achieves a significant gain on either metric. Cross-domain diagnostics further reveal that image substitution costs only <=6.5 pp on medical benchmarks versus 48-61 pp on general-domain tasks, situating the grounding gap that CGO targets. We discuss evaluation limitations openly including train/eval benchmark overlap and underpowered secondary metrics and release our framework, training code, and model weights to support reproducible grounding audits of medical VLMs.

Audio-visual understanding is a rapidly evolving field that seeks to integrate and interpret information from both auditory and visual modalities. Despite recent advances in multi-modal learning, existing benchmarks often suffer from strong visual bias -- where answers can be inferred from visual data alone -- and provide only aggregate scores that conflate multiple sources of error. This makes it difficult to determine whether models struggle with visual understanding, audio interpretation, or audio-visual alignment. In this work, we introduce DAVE (Diagnostic Audio Visual Evaluation), a novel benchmark dataset designed to systematically evaluate audio-visual models across controlled challenges. DAVE alleviates existing limitations by (i) ensuring both modalities are necessary to answer correctly and (ii) decoupling evaluation into atomic subcategories. Our detailed analysis of state-of-the-art models reveals specific failure modes and provides targeted insights for improvement. By offering this standardized diagnostic framework, we aim to facilitate more robust development of audio-visual models. The dataset is released: https://github.com/gorjanradevski/dave

Recent interest in Large Vision-Language Models (LVLMs) for practical applications is moderated by the significant challenge of hallucination or the inconsistency between the factual information and the generated text. In this paper, we first perform an in-depth analysis of hallucinations and discover several novel insights about how and when LVLMs hallucinate. From our analysis, we show that: (1) The community's efforts have been primarily targeted towards reducing hallucinations related to visual recognition (VR) prompts (e.g., prompts that only require describing the image), thereby ignoring hallucinations for cognitive prompts (e.g., prompts that require additional skills like reasoning on contents of the image). (2) LVLMs lack visual perception, i.e., they can see but not necessarily understand or perceive the input image. We analyze responses to cognitive prompts and show that LVLMs hallucinate due to a perception gap: although LVLMs accurately recognize visual elements in the input image and possess sufficient cognitive skills, they struggle to respond accurately and hallucinate. To overcome this shortcoming, we propose Visual Description Grounded Decoding (VDGD), a simple, robust, and training-free method for alleviating hallucinations. Specifically, we first describe the image and add it as a prefix to the instruction. Next, during auto-regressive decoding, we sample from the plausible candidates according to their KL-Divergence (KLD) to the description, where lower KLD is given higher preference. Experimental results on several benchmarks and LVLMs show that VDGD improves significantly over other baselines in reducing hallucinations. We also propose VaLLu, a benchmark for the comprehensive evaluation of the cognitive capabilities of LVLMs.

Vision-language models (VLMs) have shown increasing potential for medical image understanding, yet their capabilities in ophthalmic imaging remain insufficiently characterized. Existing ophthalmic datasets are typically designed for individual diseases or specialized tasks, making it difficult to systematically evaluate whether VLMs can move beyond disease recognition toward comparative reasoning and fine-grained spatial grounding. We introduce EyeVQA, a unified visual question answering benchmark for comprehensive evaluation of ophthalmic VLMs. EyeVQA is constructed from 21 available ophthalmic datasets and contains 20,000 question-answer pairs spanning six disease groups and seven question types: Single-Choice, Multi-Select, Variable-Select, True-False, Ranking, Point Location, and Bounding Box. Gold answers are deterministically derived from source-provided diagnoses, severity grades, clinical findings, segmentation masks, bounding boxes, and anatomical landmarks, enabling reproducible evaluation without relying on model-generated annotations. Notably, 44.5% of the questions require reasoning across multiple images, extending evaluation beyond conventional single-image medical VQA. We benchmark fourteen representative general-purpose, scientific, and medically specialized VLMs under a unified zero-shot protocol. The best-performing model only achieves an overall score of 62.8, while substantial gaps remain in spatial grounding and cross-task generalization. These results highlight the limitations of current VLMs in comprehensive ophthalmic visual understanding and establish EyeVQA as a diagnostic benchmark for developing more reliable and spatially grounded ophthalmic multimodal models. The project page is available at https://github.com/PKUTHM/EyeVQA.

The robustness of Vision Language Models (VLMs) is commonly assessed through output-level invariance, implicitly assuming that stable predictions reflect stable multimodal processing. In this work, we argue that this assumption is insufficient. We introduce a representation-aware and frequency-aware evaluation framework that measures internal embedding drift, spectral sensitivity, and structural smoothness (spatial consistency of vision tokens), alongside standard label-based metrics. Applying this framework to modern VLMs across the SEEDBench, MMMU, and POPE datasets reveals three distinct failure modes. First, models frequently preserve predicted answers while undergoing substantial internal representation drift; for perturbations such as text overlays, this drift approaches the magnitude of inter-image variability, indicating that representations move to regions typically occupied by unrelated inputs despite unchanged outputs. Second, robustness does not improve with scale; larger models achieve higher accuracy but exhibit equal or greater sensitivity, consistent with sharper yet more fragile decision boundaries. Third, we find that perturbations affect tasks differently: they harm reasoning when they disrupt how models combine coarse and fine visual cues, but on the hallucination benchmarks, they can reduce false positives by making models generate more conservative answers.

Multimodal on-policy distillation (OPD) transfers fine-grained visual knowledge by supervising student-generated trajectories with a privileged-view teacher. Yet its next-token corrections are source-mixed, combining visual signals with linguistic priors and teacher-specific effects. The key challenge is to estimate which corrections are supported by visual evidence, not merely where or how strongly to distill. We introduce Visual Attribution Distillation (VAD), a counterfactual target-reconstruction algorithm that estimates the visually attributable part of a teacher correction. At each student-generated prefix, VAD evaluates the same fixed teacher with the relevant evidence present and removed. The corresponding change in centered log-probabilities defines ut, a signed proxy for the visual evidence direction that estimates how revealing the evidence supports or refutes candidate tokens. VAD projects the original correction onto this proxy to obtain an intervention-aligned component and a proxy-unexplained residual, then reconstructs a student-anchored target from the former. During training, this reconstructed target supplies the primary supervision signal, while the privileged teacher contributes a weak regularizer. Across six fine-grained visual benchmarks at 4B and 9B scales, VAD outperforms direct privileged-view distillation and visual-advantage weighting. Token- level and controlled-target analyses show that the proxy-aligned component is enriched in task-relevant visual corrections and yields stronger target shifts, especially when evidence refutes a mistaken answer. These results support counterfactual target reconstruction as an effective alternative to source-mixed supervision.

Recent advances in causal interpretability have extended from language models to vision-language models (VLMs), seeking to reveal their internal mechanisms through input interventions. While textual interventions often target semantics, visual interventions typically rely on coarse pixel-level perturbations, limiting semantic insights on multimodal integration. In this study, we introduce V-SEAM, a novel framework that combines Visual Semantic Editing and Attention Modulating for causal interpretation of VLMs. V-SEAM enables concept-level visual manipulations and identifies attention heads with positive or negative contributions to predictions across three semantic levels: objects, attributes, and relationships. We observe that positive heads are often shared within the same semantic level but vary across levels, while negative heads tend to generalize broadly. Finally, we introduce an automatic method to modulate key head embeddings, demonstrating enhanced performance for both LLaVA and InstructBLIP across three diverse VQA benchmarks. Our data and code are released at: https://github.com/petergit1/V-SEAM.

In the realms of computer vision and natural language processing, Large Vision-Language Models (LVLMs) have become indispensable tools, proficient in generating textual descriptions based on visual inputs. Despite their advancements, our investigation reveals a noteworthy bias in the generated content, where the output is primarily influenced by the underlying Large Language Models (LLMs) prior rather than the input image. Our empirical experiments underscore the persistence of this bias, as LVLMs often provide confident answers even in the absence of relevant images or given incongruent visual input. To rectify these biases and redirect the model's focus toward vision information, we introduce two simple, training-free strategies. Firstly, for tasks such as classification or multi-choice question-answering (QA), we propose a ``calibration'' step through affine transformation to adjust the output distribution. This ``Post-Hoc debias'' approach ensures uniform scores for each answer when the image is absent, serving as an effective regularization technique to alleviate the influence of LLM priors. For more intricate open-ended generation tasks, we extend this method to ``Debias sampling'', drawing inspirations from contrastive decoding methods. Furthermore, our investigation sheds light on the instability of LVLMs across various decoding configurations. Through systematic exploration of different settings, we significantly enhance performance, surpassing reported results and raising concerns about the fairness of existing evaluations. Comprehensive experiments substantiate the effectiveness of our proposed strategies in mitigating biases. These strategies not only prove beneficial in minimizing hallucinations but also contribute to the generation of more helpful and precise illustrations.

With the rapid advancement of Large Models, numerous text-and-vision-fused Multimodal Large Models (MLMs) have emerged. However, these MLMs remain susceptible to informational interference in visual perception, particularly in color perception, which introduces an additional risk of hallucination. To validate this hypothesis, we introduce the "What Color Is It" dataset, a novel benchmark constructed using a simple method to trigger single-modality visual hallucination in MLMs. Based on this dataset, we further investigate the underlying causes of hallucination in the visual modality of MLMs and propose potential solutions to enhance their robustness.

Understanding how the predictions of deep learning models are formed during the training process is crucial to improve model performance and fix model defects, especially when we need to investigate nontrivial training strategies such as active learning, and track the root cause of unexpected training results such as performance degeneration. In this work, we propose a time-travelling visual solution DeepVisualInsight (DVI), aiming to manifest the spatio-temporal causality while training a deep learning image classifier. The spatio-temporal causality demonstrates how the gradient-descent algorithm and various training data sampling techniques can influence and reshape the layout of learnt input representation and the classification boundaries in consecutive epochs. Such causality allows us to observe and analyze the whole learning process in the visible low dimensional space. Technically, we propose four spatial and temporal properties and design our visualization solution to satisfy them. These properties preserve the most important information when inverse-)projecting input samples between the visible low-dimensional and the invisible high-dimensional space, for causal analyses. Our extensive experiments show that, comparing to baseline approaches, we achieve the best visualization performance regarding the spatial/temporal properties and visualization efficiency. Moreover, our case study shows that our visual solution can well reflect the characteristics of various training scenarios, showing good potential of DVI as a debugging tool for analyzing deep learning training processes.

Fairness for machine learning predictions is widely required in practice for legal, ethical, and societal reasons. Existing work typically focuses on settings without unobserved confounding, even though unobserved confounding can lead to severe violations of causal fairness and, thus, unfair predictions. In this work, we analyze the sensitivity of causal fairness to unobserved confounding. Our contributions are three-fold. First, we derive bounds for causal fairness metrics under different sources of unobserved confounding. This enables practitioners to examine the sensitivity of their machine learning models to unobserved confounding in fairness-critical applications. Second, we propose a novel neural framework for learning fair predictions, which allows us to offer worst-case guarantees of the extent to which causal fairness can be violated due to unobserved confounding. Third, we demonstrate the effectiveness of our framework in a series of experiments, including a real-world case study about predicting prison sentences. To the best of our knowledge, ours is the first work to study causal fairness under unobserved confounding. To this end, our work is of direct practical value as a refutation strategy to ensure the fairness of predictions in high-stakes applications.

Vision-Language Models (VLMs) increasingly power high-stakes applications, from medical imaging to autonomous systems, yet they routinely hallucinate, confidently describing content not present in the input. We investigate the root causes of these failure modes with a mechanistic analysis focusing on the decoder-based VLMs. We trace these failure modes to a geometric over-alignment: to bridge the modality gap required by attention mechanisms, decoder-based VLMs over-align visual embeddings with the text manifold, injecting a statistical linguistic bias that systematically overshadows fine-grained visual evidence. While prior work either aggressively closes this gap or suppresses hallucinations through expensive black-box decoding strategies, none addresses the underlying geometric cause. We provide the first quantitative characterization of this over-alignment, demonstrating that linguistic bias concentrates in the top principal components of a universal, dataset-agnostic text subspace. Building on this insight, we propose two complementary remedies: a training-free inference strategy and a bias-aware fine-tuning paradigm, both of which explicitly project out this subspace from visual representations. Our methods significantly reduce hallucinations across POPE, CHAIR, and AMBER benchmarks, and improve CLAIR scores on long-form captioning tasks, with the training-free variant adding no computational overhead over the base model.

A prominent challenge of offline reinforcement learning (RL) is the issue of hidden confounding: unobserved variables may influence both the actions taken by the agent and the observed outcomes. Hidden confounding can compromise the validity of any causal conclusion drawn from data and presents a major obstacle to effective offline RL. In the present paper, we tackle the problem of hidden confounding in the nonidentifiable setting. We propose a definition of uncertainty due to hidden confounding bias, termed delphic uncertainty, which uses variation over world models compatible with the observations, and differentiate it from the well-known epistemic and aleatoric uncertainties. We derive a practical method for estimating the three types of uncertainties, and construct a pessimistic offline RL algorithm to account for them. Our method does not assume identifiability of the unobserved confounders, and attempts to reduce the amount of confounding bias. We demonstrate through extensive experiments and ablations the efficacy of our approach on a sepsis management benchmark, as well as on electronic health records. Our results suggest that nonidentifiable hidden confounding bias can be mitigated to improve offline RL solutions in practice.

Large Vision-Language Models (VLMs) are increasingly used to evaluate outputs of other models, for image-to-text (I2T) tasks such as visual question answering, and text-to-image (T2I) generation tasks. Despite this growing reliance, the reliability of these Evaluator VLMs remains under explored. In this work, we systematically evaluate the reliability of Evaluator VLMs across both I2T and T2I tasks. We introduce targeted perturbations that degrade output quality along key error dimensions, including object hallucinations, spatial reasoning, factual grounding, and visual fidelity. These perturbations test whether Evaluator VLMs can reliably account for these quality degrading errors in their evaluations. Using a comprehensive benchmark of over 4000 perturbed instances spanning 40 perturbation dimensions, we evaluate 4 prominent VLMs using single-answer scoring, pairwise comparison, and reference-guided paradigms. Our findings reveal that current VLM evaluators exhibit substantial blind spots: they often fail to detect perturbed outputs - in some cases exceeding 50%, struggle particularly with fine-grained compositional and spatial errors, and are often insensitive to hallucinated content that contradicts the input image. Pairwise comparison proves more reliable, though failure rates persist. These results highlight the unreliable nature of current Evaluator VLMs and urge caution in their deployment for benchmarking and development decisions. Code and data have been made publicly available.

Vision-Language Models (VLMs) have been shown to be blind, often underutilizing their visual inputs even on tasks that require visual reasoning. In this work, we demonstrate that VLMs are selectively blind. They modulate the amount of attention applied to visual inputs based on linguistic framing even when alternative framings demand identical visual reasoning. Using visual attention as a probe, we quantify how framing alters both the amount and distribution of attention over the image. Constrained framings, such as multiple choice and yes/no, induce substantially lower attention to image context compared to open-ended, reduce focus on task-relevant regions, and shift attention towards uninformative tokens. We further demonstrate that this attention misallocation is the principal cause of degraded accuracy and cross-framing inconsistency. Building on this mechanistic insight, we introduce a lightweight prompt-tuning method using learnable tokens that encourages the robust, visually grounded attention patterns observed in open-ended settings, improving visual grounding and improving performance across framings.

Recent development of Large Vision-Language Models (LVLMs) has attracted growing attention within the AI landscape for its practical implementation potential. However, ``hallucination'', or more specifically, the misalignment between factual visual content and corresponding textual generation, poses a significant challenge of utilizing LVLMs. In this comprehensive survey, we dissect LVLM-related hallucinations in an attempt to establish an overview and facilitate future mitigation. Our scrutiny starts with a clarification of the concept of hallucinations in LVLMs, presenting a variety of hallucination symptoms and highlighting the unique challenges inherent in LVLM hallucinations. Subsequently, we outline the benchmarks and methodologies tailored specifically for evaluating hallucinations unique to LVLMs. Additionally, we delve into an investigation of the root causes of these hallucinations, encompassing insights from the training data and model components. We also critically review existing methods for mitigating hallucinations. The open questions and future directions pertaining to hallucinations within LVLMs are discussed to conclude this survey.

The systemic, metabolic, lifestyle factors have established associations with Alzheimer's Disease (AD) through epidemiologic and AD-specific biomarker studies. Whether colored fundus photography (CFP) contains retinal structural signatures corresponding to these AD-related risk domains remains unclear. To determine whether deep learning (DL) models can predict 12 AD-related risk factors from CFP and to characterize the retinal structures underlying these predictions, thereby assessing whether CFP reflects pathways to AD vulnerability. Using 62,876 CFPs from 44,501 unique participants from the UK Biobank, DL models were trained to predict 12 factors linked to AD incidence: 6 categorical (sex, smoking, sleeplessness, economic status, alcohol use, depression) and 6 continuous (age, age at completing education, BMI, systolic, diastolic blood pressure, HbA1c). Model performance, model saliency, and saliency-derived scores (CAM-Score) were evaluated and compared to retinal morphometry. The scores were also compared between incident-AD cases (average 8.55 years before onset) and matched controls. Performance of DL ranged from AUROC= 0.5654-0.9480 for categorical and R2=-0.0291-0.7620 for continuous factors, outperforming most of the morphometry-machine learning models. Saliency-based score consistently highlighted biologically meaningful regions, particularly the optic nerve head and retinal vasculature. It also aligned with present morphometric variations. Several saliency-based scores differed significantly between incident AD and matched controls, suggesting potential overlap between retinal correlates of risk factors and preclinical AD-associated changes. CFP encodes retinal signatures linked to AD risk factors. Although not diagnostic, DL-derived retinal representations may uncover biologically meaningful risk-related structural changes mirroring the potential AD vulnerability.

Recent studies have shown that Large Vision-Language Models (VLMs) tend to neglect image content and over-rely on language-model priors, resulting in errors in visually grounded tasks and hallucinations. We hypothesize that this issue arises because existing VLMs are not explicitly trained to generate texts that are accurately grounded in fine-grained image details. To enhance visual feedback during VLM training, we propose S-VCO (Symmetrical Visual Contrastive Optimization), a novel finetuning objective that steers the model toward capturing important visual details and aligning them with corresponding text tokens. To further facilitate this detailed alignment, we introduce MVC, a paired image-text dataset built by automatically filtering and augmenting visual counterfactual data to challenge the model with hard contrastive cases involving Minimal Visual Contrasts. Experiments show that our method consistently improves VLM performance across diverse benchmarks covering various abilities and domains, achieving up to a 22% reduction in hallucinations, and significant gains in vision-centric and general tasks. Notably, these improvements become increasingly pronounced in benchmarks with higher visual dependency. In short, S-VCO offers a significant enhancement of VLM's visually-dependent task performance while retaining or even improving the model's general abilities. We opensource our code at https://s-vco.github.io/

Today's scene graph generation (SGG) task is still far from practical, mainly due to the severe training bias, e.g., collapsing diverse "human walk on / sit on / lay on beach" into "human on beach". Given such SGG, the down-stream tasks such as VQA can hardly infer better scene structures than merely a bag of objects. However, debiasing in SGG is not trivial because traditional debiasing methods cannot distinguish between the good and bad bias, e.g., good context prior (e.g., "person read book" rather than "eat") and bad long-tailed bias (e.g., "near" dominating "behind / in front of"). In this paper, we present a novel SGG framework based on causal inference but not the conventional likelihood. We first build a causal graph for SGG, and perform traditional biased training with the graph. Then, we propose to draw the counterfactual causality from the trained graph to infer the effect from the bad bias, which should be removed. In particular, we use Total Direct Effect (TDE) as the proposed final predicate score for unbiased SGG. Note that our framework is agnostic to any SGG model and thus can be widely applied in the community who seeks unbiased predictions. By using the proposed Scene Graph Diagnosis toolkit on the SGG benchmark Visual Genome and several prevailing models, we observed significant improvements over the previous state-of-the-art methods.

Vision-Language Models (VLMs) have demonstrated remarkable progress in multimodal tasks, but remain susceptible to hallucinations, where generated text deviates from the underlying visual content. Existing hallucination detection methods primarily rely on output logits or external verification tools, often overlooking their internal mechanisms. In this work, we investigate the outputs of internal attention heads, postulating that specific heads carry the primary signals for truthful generation.However, directly probing these high-dimensional states is challenging due to the entanglement of visual-linguistic syntax and noise. To address this, we propose VIB-Probe, a novel hallucination detection and mitigation framework leveraging the Variational Information Bottleneck (VIB) theory. Our method extracts discriminative patterns across layers and heads while filtering out semantic nuisances through the information bottleneck principle. Furthermore, by leveraging the gradients of our VIB probe, we identify attention heads with strong causal influence on hallucinations and introduce an inference-time intervention strategy for hallucination mitigation. Extensive experiments across diverse benchmarks demonstrate that VIB-Probe significantly outperforms existing baselines in both settings. Our code will be made publicly available.

Recent work has raised concerns about the inherent limitations of text-only pretraining. In this paper, we first demonstrate that reporting bias, the tendency of people to not state the obvious, is one of the causes of this limitation, and then investigate to what extent multimodal training can mitigate this issue. To accomplish this, we 1) generate the Color Dataset (CoDa), a dataset of human-perceived color distributions for 521 common objects; 2) use CoDa to analyze and compare the color distribution found in text, the distribution captured by language models, and a human's perception of color; and 3) investigate the performance differences between text-only and multimodal models on CoDa. Our results show that the distribution of colors that a language model recovers correlates more strongly with the inaccurate distribution found in text than with the ground-truth, supporting the claim that reporting bias negatively impacts and inherently limits text-only training. We then demonstrate that multimodal models can leverage their visual training to mitigate these effects, providing a promising avenue for future research.

Multimodal Large Language Models (MLLMs) show reasoning promise, yet their visual perception is a critical bottleneck. Strikingly, MLLMs can produce correct answers even while misinterpreting crucial visual elements, masking these underlying failures. Our preliminary study on a joint perception-reasoning dataset revealed that for one leading MLLM, 29% of its correct answers to reasoning questions still exhibited visual perception errors. To systematically address this, we introduce "Do You See Me", a scalable benchmark with 1,758 images and 2,612 questions. It spans seven human-psychology inspired subtasks in 2D and 3D, featuring controllable complexity to rigorously evaluate MLLM visual skills. Our findings on 3 leading closed-source and 5 major open-source models reveal a stark deficit: humans achieve 96.49% accuracy, while top MLLMs average below 50%. This performance gap widens rapidly with increased task complexity (e.g., from 12% to 45% in the visual form constancy subtask). Further analysis into the root causes suggests that failures stem from challenges like misallocated visual attention and the instability of internal representations for fine-grained details, especially at or below encoder patch resolution. This underscores an urgent need for MLLMs with truly robust visual perception. The benchmark dataset, source code and evaluation scripts are available at https://github.com/microsoft/Do-You-See-Me.

The retina offers a noninvasive window into neurodegenerative disease, capturing subtle structural patterns associated with a risk of future cognitive decline. Vision-language alignment frameworks such as REVEAL have shown that pairing retinal fundus images with structured clinical risk narratives improves early prediction of Alzheimer's disease (AD). A key design choice in these approaches is the use of phenotypic grouping, where individuals with similar risk profiles are treated as multi-positive pairs during contrastive learning. However, existing methods operationalize phenotypic similarity as a discrete construct, relying on hard group assignments that impose rigid supervision and decouple group formation from representation learning. We propose a continuous formulation of phenotypic structure within contrastive learning. Rather than assigning samples to fixed clusters, we model inter-subject similarity as a differentiable weighting function derived from intra-modality embedding similarities in both retinal images and risk profiles. These weights define soft multi-positive relationships through a continuous aggregation operator, enabling graded supervision that reflects the spectrum nature of disease risk. We further introduce a soft-target contrastive objective that jointly learns cross-modal alignment and phenotypic structure in an end-to-end manner. Evaluated on UK Biobank retinal imaging data for incident AD prediction, the proposed framework consistently outperforms discrete group-based contrastive learning and standard vision-language baselines. By treating phenotypic similarity as a learnable, continuous signal rather than a fixed grouping rule, our approach provides a principled and robust foundation for population-scale neurodegenerative risk modeling from multi-modal retinal and clinical data.

When building artificial intelligence systems that can reason and answer questions about visual data, we need diagnostic tests to analyze our progress and discover shortcomings. Existing benchmarks for visual question answering can help, but have strong biases that models can exploit to correctly answer questions without reasoning. They also conflate multiple sources of error, making it hard to pinpoint model weaknesses. We present a diagnostic dataset that tests a range of visual reasoning abilities. It contains minimal biases and has detailed annotations describing the kind of reasoning each question requires. We use this dataset to analyze a variety of modern visual reasoning systems, providing novel insights into their abilities and limitations.

Diabetic retinopathy (DR) is a leading cause of vision loss in working-age adults. While screening reduces the risk of blindness, traditional imaging is often costly and inaccessible. Artificial intelligence (AI) algorithms present a scalable diagnostic solution, but concerns regarding fairness and generalization persist. This work evaluates the fairness and performance of image-trained models in DR prediction, as well as the impact of disentanglement as a bias mitigation technique, using the diverse mBRSET fundus dataset. Three models, ConvNeXt V2, DINOv2, and Swin V2, were trained on macula images to predict DR and sensitive attributes (SAs) (e.g., age and gender/sex). Fairness was assessed between subgroups of SAs, and disentanglement was applied to reduce bias. All models achieved high DR prediction performance in diagnosing (up to 94% AUROC) and could reasonably predict age and gender/sex (91% and 77% AUROC, respectively). Fairness assessment suggests disparities, such as a 10% AUROC gap between age groups in DINOv2. Disentangling SAs from DR prediction had varying results, depending on the model selected. Disentanglement improved DINOv2 performance (2% AUROC gain), but led to performance drops in ConvNeXt V2 and Swin V2 (7% and 3%, respectively). These findings highlight the complexity of disentangling fine-grained features in fundus imaging and emphasize the importance of fairness in medical imaging AI to ensure equitable and reliable healthcare solutions.

The technique of data augmentation (DA) is often used in machine learning for regularization purposes to better generalize under i.i.d. settings. In this work, we present a unifying framework with topics in causal inference to make a case for the use of DA beyond just the i.i.d. setting, but for generalization across interventions as well. Specifically, we argue that when the outcome generating mechanism is invariant to our choice of DA, then such augmentations can effectively be thought of as interventions on the treatment generating mechanism itself. This can potentially help to reduce bias in causal effect estimation arising from hidden confounders. In the presence of such unobserved confounding we typically make use of instrumental variables (IVs) -- sources of treatment randomization that are conditionally independent of the outcome. However, IVs may not be as readily available as DA for many applications, which is the main motivation behind this work. By appropriately regularizing IV based estimators, we introduce the concept of IV-like (IVL) regression for mitigating confounding bias and improving predictive performance across interventions even when certain IV properties are relaxed. Finally, we cast parameterized DA as an IVL regression problem and show that when used in composition can simulate a worst-case application of such DA, further improving performance on causal estimation and generalization tasks beyond what simple DA may offer. This is shown both theoretically for the population case and via simulation experiments for the finite sample case using a simple linear example. We also present real data experiments to support our case.

Humans can approach complex visual problems by mentally simulating intermediate visual steps, rather than reasoning through language alone. Inspired by this, several works on Vision-Language Models have recently explored chain-of-thought reasoning with continuous latent tokens as intermediate visual imagination steps. In this work, we investigate how recent models leverage such latent tokens. Surprisingly, we find that model accuracy is unaffected when latent tokens are replaced by uninformative dummy tokens. This indicates that latent tokens play a minimal causal role in the model's final prediction. To better understand this phenomenon, we analyze both the training signal provided by oracle latent representations and the quality of the latent tokens generated at inference time. Our experiments reveal two crucial issues holding back latent visual reasoning: First, in most existing datasets, oracle latent tokens provide limited additional information beyond the original image and do not substantially simplify the task, leading models to ignore them during training and effectively bypassing them at inference time. When fine-tuned on a diagnostic dataset, in which latent tokens provide sufficient support for the final prediction, we show that models can causally rely on them. Second, the latent tokens produced at inference time deviate from their corresponding oracle representations, collapsing to a narrow region and preventing benefits even when the model relies on them. Overall, our findings suggest that future progress in latent visual reasoning depends on two key pillars: high-quality datasets with informative intermediate steps and more precise latent token prediction.

Clinical decision-making relies heavily on understanding relative positions of anatomical structures and anomalies. Therefore, for Vision-Language Models (VLMs) to be applicable in clinical practice, the ability to accurately determine relative positions on medical images is a fundamental prerequisite. Despite its importance, this capability remains highly underexplored. To address this gap, we evaluate the ability of state-of-the-art VLMs, GPT-4o, Llama3.2, Pixtral, and JanusPro, and find that all models fail at this fundamental task. Inspired by successful approaches in computer vision, we investigate whether visual prompts, such as alphanumeric or colored markers placed on anatomical structures, can enhance performance. While these markers provide moderate improvements, results remain significantly lower on medical images compared to observations made on natural images. Our evaluations suggest that, in medical imaging, VLMs rely more on prior anatomical knowledge than on actual image content for answering relative position questions, often leading to incorrect conclusions. To facilitate further research in this area, we introduce the MIRP , Medical Imaging Relative Positioning, benchmark dataset, designed to systematically evaluate the capability to identify relative positions in medical images.

The prevalence of vision-threatening eye diseases is a significant global burden, with many cases remaining undiagnosed or diagnosed too late for effective treatment. Large vision-language models (LVLMs) have the potential to assist in understanding anatomical information, diagnosing eye diseases, and drafting interpretations and follow-up plans, thereby reducing the burden on clinicians and improving access to eye care. However, limited benchmarks are available to assess LVLMs' performance in ophthalmology-specific applications. In this study, we introduce LMOD, a large-scale multimodal ophthalmology benchmark consisting of 21,993 instances across (1) five ophthalmic imaging modalities: optical coherence tomography, color fundus photographs, scanning laser ophthalmoscopy, lens photographs, and surgical scenes; (2) free-text, demographic, and disease biomarker information; and (3) primary ophthalmology-specific applications such as anatomical information understanding, disease diagnosis, and subgroup analysis. In addition, we benchmarked 13 state-of-the-art LVLM representatives from closed-source, open-source, and medical domains. The results demonstrate a significant performance drop for LVLMs in ophthalmology compared to other domains. Systematic error analysis further identified six major failure modes: misclassification, failure to abstain, inconsistent reasoning, hallucination, assertions without justification, and lack of domain-specific knowledge. In contrast, supervised neural networks specifically trained on these tasks as baselines demonstrated high accuracy. These findings underscore the pressing need for benchmarks in the development and validation of ophthalmology-specific LVLMs.

In this work, we identify an inherent bias in prevailing LVLM architectures toward the language modality, largely resulting from the common practice of simply appending visual embeddings to the input text sequence. To address this, we propose a simple yet effective method that refines textual embeddings by integrating average-pooled visual features. Our approach demonstrably improves visual grounding and significantly reduces hallucinations on established benchmarks. While average pooling offers a straightforward, robust, and efficient means of incorporating visual information, we believe that more sophisticated fusion methods could further enhance visual grounding and cross-modal alignment. Given that the primary focus of this work is to highlight the modality imbalance and its impact on hallucinations -- and to show that refining textual embeddings with visual information mitigates this issue -- we leave exploration of advanced fusion strategies for future work.

Latent visual reasoning aims to perform multimodal reasoning through hidden-state computation rather than explicit textual chains of thought. However, visual information being present in a latent state does not imply that the model actually relies on that state when producing its answer, especially when alternative image-conditioned paths remain available. We introduce Causal Visual Recurrent Reasoning (CVRR), which preserves pretrained visual competence while making recurrent computation the required image-conditioned path to prediction. CVRR initializes recurrence from the question hidden state after the pretrained vision-language model has incorporated the image, then repeatedly updates this state while re-reading the same fixed visual evidence. Before decoding, visual states and the original multimodal KV cache are removed so that only the final recurrent state carries image-conditioned information to the answer. Across the V^*, MMVP, BLINK, and MME-RealWorld-Lite benchmarks, CVRR retains strong performance under this strict interface, while compatible latent reasoners fail to recover comparable visual competence even when retrained under the same constraint. Causal interventions further show that predictions remain sensitive to recurrent content when the question is held fixed, and that persistent visual evidence causally revises the recurrent trajectory. These results distinguish latent informativeness from latent computation that is actually used for prediction.

Despite the remarkable advancements of Large Vision-Language Models (LVLMs), the mechanistic interpretability remains underexplored. Existing analyses are insufficiently comprehensive and lack examination covering visual and textual tokens, model components, and the full range of layers. This limitation restricts actionable insights to improve the faithfulness of model output and the development of downstream tasks, such as hallucination mitigation. To address this limitation, we introduce Fine-grained Cross-modal Causal Tracing (FCCT) framework, which systematically quantifies the causal effects on visual object perception. FCCT conducts fine-grained analysis covering the full range of visual and textual tokens, three core model components including multi-head self-attention (MHSA), feed-forward networks (FFNs), and hidden states, across all decoder layers. Our analysis is the first to demonstrate that MHSAs of the last token in middle layers play a critical role in aggregating cross-modal information, while FFNs exhibit a three-stage hierarchical progression for the storage and transfer of visual object representations. Building on these insights, we propose Intermediate Representation Injection (IRI), a training-free inference-time technique that reinforces visual object information flow by precisely intervening on cross-modal representations at specific components and layers, thereby enhancing perception and mitigating hallucination. Consistent improvements across five widely used benchmarks and LVLMs demonstrate IRI achieves state-of-the-art performance, while preserving inference speed and other foundational performance.

Text-based causal inference increasingly employs textual data as proxies for unobserved confounders, yet this approach introduces a previously undertheorized source of bias: treatment leakage. Treatment leakage occurs when text intended to capture confounding information also contains signals predictive of treatment status, thereby inducing post-treatment bias in causal estimates. Critically, this problem can arise even when documents precede treatment assignment, as authors may employ future-referencing language that anticipates subsequent interventions. Despite growing recognition of this issue, no systematic methods exist for identifying and mitigating treatment leakage in text-as-confounder applications. This paper addresses this gap through three contributions. First, we provide formal statistical and set-theoretic definitions of treatment leakage that clarify when and why bias occurs. Second, we propose four text distillation methods -- similarity-based passage removal, distant supervision classification, salient feature removal, and iterative nullspace projection -- designed to eliminate treatment-predictive content while preserving confounder information. Third, we validate these methods through simulations using synthetic text and an empirical application examining International Monetary Fund structural adjustment programs and child mortality. Our findings indicate that moderate distillation optimally balances bias reduction against confounder retention, whereas overly stringent approaches degrade estimate precision.

Recent advancements in Vision-Language Models (VLMs) have significantly pushed the boundaries of Visual Question Answering (VQA).However,high-resolution details can sometimes become noise that leads to hallucinations or reasoning errors. In this paper,we propose Degradation-Driven Prompting (DDP), a novel framework that improves VQA performance by strategically reducing image fidelity to force models to focus on essential structural information. We evaluate DDP across two distinct tasks. Physical attributes targets images prone to human misjudgment, where DDP employs a combination of 80p downsampling, structural visual aids (white background masks and orthometric lines), and In-Context Learning (ICL) to calibrate the model's focus. Perceptual phenomena addresses various machine-susceptible visual anomalies and illusions, including Visual Anomaly (VA), Color (CI), Motion(MI),Gestalt (GI), Geometric (GSI), and Visual Illusions (VI).For this task, DDP integrates a task-classification stage with specialized tools such as blur masks and contrast enhancement alongside downsampling. Our experimental results demonstrate that less is more: by intentionally degrading visual inputs and providing targeted structural prompts, DDP enables VLMs to bypass distracting textures and achieve superior reasoning accuracy on challenging visual benchmarks.

Artificial intelligence (AI) is vital in ophthalmology, tackling tasks like diagnosis, classification, and visual question answering (VQA). However, existing AI models in this domain often require extensive annotation and are task-specific, limiting their clinical utility. While recent developments have brought about foundation models for ophthalmology, they are limited by the need to train separate weights for each imaging modality, preventing a comprehensive representation of multi-modal features. This highlights the need for versatile foundation models capable of handling various tasks and modalities in ophthalmology. To address this gap, we present EyeFound, a multimodal foundation model for ophthalmic images. Unlike existing models, EyeFound learns generalizable representations from unlabeled multimodal retinal images, enabling efficient model adaptation across multiple applications. Trained on 2.78 million images from 227 hospitals across 11 ophthalmic modalities, EyeFound facilitates generalist representations and diverse multimodal downstream tasks, even for detecting challenging rare diseases. It outperforms previous work RETFound in diagnosing eye diseases, predicting systemic disease incidents, and zero-shot multimodal VQA. EyeFound provides a generalizable solution to improve model performance and lessen the annotation burden on experts, facilitating widespread clinical AI applications for retinal imaging.

Unimodal vision models are known to rely on spurious correlations, but it remains unclear to what extent Multimodal Large Language Models (MLLMs) exhibit similar biases despite language supervision. In this paper, we investigate spurious bias in MLLMs and introduce SpurLens, a pipeline that leverages GPT-4 and open-set object detectors to automatically identify spurious visual cues without human supervision. Our findings reveal that spurious correlations cause two major failure modes in MLLMs: (1) over-reliance on spurious cues for object recognition, where removing these cues reduces accuracy, and (2) object hallucination, where spurious cues amplify the hallucination by over 10x. We validate our findings in various MLLMs and datasets. Beyond diagnosing these failures, we explore potential mitigation strategies, such as prompt ensembling and reasoning-based prompting, and conduct ablation studies to examine the root causes of spurious bias in MLLMs. By exposing the persistence of spurious correlations, our study calls for more rigorous evaluation methods and mitigation strategies to enhance the reliability of MLLMs.

Counterfactual medical image generation enables clinicians to explore clinical hypotheses, such as predicting disease progression, facilitating their decision-making. While existing methods can generate visually plausible images from disease progression prompts, they produce silent predictions that lack interpretation to verify how the generation reflects the hypothesized progression -- a critical gap for medical applications that require traceable reasoning. In this paper, we propose Interpretable Counterfactual Generation (ICG), a novel task requiring the joint generation of counterfactual images that reflect the clinical hypothesis and interpretation texts that outline the visual changes induced by the hypothesis. To enable ICG, we present ICG-CXR, the first dataset pairing longitudinal medical images with hypothetical progression prompts and textual interpretations. We further introduce ProgEmu, an autoregressive model that unifies the generation of counterfactual images and textual interpretations. We demonstrate the superiority of ProgEmu in generating progression-aligned counterfactuals and interpretations, showing significant potential in enhancing clinical decision support and medical education. Project page: https://progemu.github.io.

A key challenge in evaluating VLMs is testing models' ability to analyze visual content independently from their textual priors. Recent benchmarks such as BLINK probe visual perception through visual prompting, where questions about visual content are paired with coordinates to which the question refers, with the coordinates explicitly marked in the image itself. While these benchmarks are an important part of VLM evaluation, we find that existing models are surprisingly fragile to seemingly irrelevant details of visual prompting: simply changing a visual marker from red to blue can completely change rankings among models on a leaderboard. By evaluating nine commonly-used open- and closed-source VLMs on two visually prompted tasks, we demonstrate how details in benchmark setup, including visual marker design and dataset size, have a significant influence on model performance and leaderboard rankings. These effects can even be exploited to lift weaker models above stronger ones; for instance, slightly increasing the size of the visual marker results in open-source InternVL3-8B ranking alongside or better than much larger proprietary models like Gemini 2.5 Pro. We further show that low-level inference choices that are often ignored in benchmarking, such as JPEG compression levels in API calls, can also cause model lineup changes. These details have substantially larger impacts on visually prompted benchmarks than on conventional semantic VLM evaluations. To mitigate this instability, we curate existing datasets to create VPBench, a larger visually prompted benchmark with 16 visual marker variants. We open-source VPBench and our analysis framework at: https://lisadunlap.github.io/vpbench/.

Often, the needs and visual abilities differ between the annotator group and the end user group. Generating detailed diagram descriptions for blind and low-vision (BLV) users is one such challenging domain. Sighted annotators could describe visuals with ease, but existing studies have shown that direct generations by them are costly, bias-prone, and somewhat lacking by BLV standards. In this study, we ask sighted individuals to assess -- rather than produce -- diagram descriptions generated by vision-language models (VLM) that have been guided with latent supervision via a multi-pass inference. The sighted assessments prove effective and useful to professional educators who are themselves BLV and teach visually impaired learners. We release Sightation, a collection of diagram description datasets spanning 5k diagrams and 137k samples for completion, preference, retrieval, question answering, and reasoning training purposes and demonstrate their fine-tuning potential in various downstream tasks.

Errors in understanding visual information in images (i.e., visual perception errors) remain a major source of mistakes in Large Vision Language Models (LVLMs). While further analysis is essential, there is a deficiency in datasets for evaluating the visual perception of LVLMs. In this work, we introduce VisOnlyQA, a new dataset designed to directly evaluate the visual perception capabilities of LVLMs on questions about geometric and numerical information in scientific figures. Our dataset enables us to analyze the visual perception of LVLMs for fine-grained visual information, independent of other capabilities such as reasoning. The evaluation set of VisOnlyQA includes 1,200 multiple-choice questions in 12 tasks on four categories of figures. We also provide synthetic training data consisting of 70k instances. Our experiments on VisOnlyQA highlight the following findings: (i) 20 LVLMs we evaluate, including GPT-4o and Gemini 1.5 Pro, work poorly on the visual perception tasks in VisOnlyQA, while human performance is nearly perfect. (ii) Fine-tuning on synthetic training data demonstrates the potential for enhancing the visual perception of LVLMs, but observed improvements are limited to certain tasks and specific models. (iii) Stronger language models improve the visual perception of LVLMs. In summary, our experiments suggest that both training data and model architectures should be improved to enhance the visual perception capabilities of LVLMs. The datasets, code, and model responses are provided at https://github.com/psunlpgroup/VisOnlyQA.

Despite the impressive performance of vision-language models (VLMs) on downstream tasks, their ability to understand and reason about causal relationships in visual inputs remains unclear. Robust causal reasoning is fundamental to solving complex high-level reasoning tasks, yet existing benchmarks often include a mixture of reasoning questions, and VLMs can frequently exploit object recognition and activity identification as shortcuts to arrive at the correct answers, making it challenging to truly assess their causal reasoning abilities. To bridge this gap, we introduce VQA-Causal and VCR-Causal, two new benchmarks specifically designed to isolate and rigorously evaluate VLMs' causal reasoning abilities. Our findings reveal that while VLMs excel in object and activity recognition, they perform poorly on causal reasoning tasks, often only marginally surpassing random guessing. Further analysis suggests that this limitation stems from a severe lack of causal expressions in widely used training datasets, where causal relationships are rarely explicitly conveyed. We additionally explore fine-tuning strategies with hard negative cases, showing that targeted fine-tuning can improve model's causal reasoning while maintaining generalization and downstream performance. Our study highlights a key gap in current VLMs and lays the groundwork for future work on causal understanding.

Large Vision-Language Models (LVLMs) have grown increasingly powerful in recent years, but can also exhibit harmful biases. Prior studies investigating such biases have primarily focused on demographic traits related to the visual characteristics of a person depicted in an image, such as their race or gender. This has left biases related to cultural differences (e.g., religion, socioeconomic status), which cannot be readily discerned from an individual's appearance alone, relatively understudied. A key challenge in measuring cultural biases is that determining which group an individual belongs to often depends upon cultural context cues in images, and datasets annotated with cultural context cues are lacking. To address this gap, we introduce Cultural Counterfactuals: a high-quality synthetic dataset containing nearly 60k counterfactual images for measuring cultural biases related to religion, nationality, and socioeconomic status. To ensure that cultural contexts are accurately depicted, we generate our dataset using an image-editing model to place people of different demographics into real cultural context images. This enables the construction of counterfactual image sets which depict the same person in multiple different contexts, allowing for precise measurement of the impact that cultural context differences have on LVLM outputs. We demonstrate the utility of Cultural Counterfactuals for quantifying cultural biases in popular LVLMs.

Large Vision-Language Models (LVLMs) have advanced considerably, intertwining visual recognition and language understanding to generate content that is not only coherent but also contextually attuned. Despite their success, LVLMs still suffer from the issue of object hallucinations, where models generate plausible yet incorrect outputs that include objects that do not exist in the images. To mitigate this issue, we introduce Visual Contrastive Decoding (VCD), a simple and training-free method that contrasts output distributions derived from original and distorted visual inputs. The proposed VCD effectively reduces the over-reliance on statistical bias and unimodal priors, two essential causes of object hallucinations. This adjustment ensures the generated content is closely grounded to visual inputs, resulting in contextually accurate outputs. Our experiments show that VCD, without either additional training or the usage of external tools, significantly mitigates the object hallucination issue across different LVLM families. Beyond mitigating object hallucinations, VCD also excels in general LVLM benchmarks, highlighting its wide-ranging applicability.

Multimodal Large Language Models (MLLMs) have achieved impressive advances, yet object hallucination remains a persistent challenge. Existing methods, based on the flawed assumption that omission and fabrication hallucinations share a common cause, often reduce omissions only to trigger more fabrications. In this work, we overturn this view by demonstrating that omission hallucinations arise from insufficient confidence when mapping perceived visual features to linguistic expressions, whereas fabrication hallucinations result from spurious associations within the cross-modal representation space due to statistical biases in the training corpus. Building on findings from visual attention intervention experiments, we propose the Visual-Semantic Attention Potential Field, a conceptual framework that reveals how the model constructs visual evidence to infer the presence or absence of objects. Leveraging this insight, we introduce Visual Potential Field Calibration (VPFC), a plug-and-play hallucination mitigation method that effectively reduces omission hallucinations without introducing additional fabrication hallucinations. Our findings reveal a critical oversight in current object hallucination research and chart new directions for developing more robust and balanced hallucination mitigation strategies.

In this work, we develop a technique to produce counterfactual visual explanations. Given a 'query' image I for which a vision system predicts class c, a counterfactual visual explanation identifies how I could change such that the system would output a different specified class c'. To do this, we select a 'distractor' image I' that the system predicts as class c' and identify spatial regions in I and I' such that replacing the identified region in I with the identified region in I' would push the system towards classifying I as c'. We apply our approach to multiple image classification datasets generating qualitative results showcasing the interpretability and discriminativeness of our counterfactual explanations. To explore the effectiveness of our explanations in teaching humans, we present machine teaching experiments for the task of fine-grained bird classification. We find that users trained to distinguish bird species fare better when given access to counterfactual explanations in addition to training examples.

Vision-language models (VLMs) can respond to queries about images in many languages. However, beyond language, culture affects how we see things. For example, individuals from Western cultures focus more on the central figure in an image while individuals from Eastern cultures attend more to scene context. In this work, we present a novel investigation that demonstrates and localizes VLMs' Western bias in image understanding. We evaluate large VLMs across subjective and objective visual tasks with culturally diverse images and annotations. We find that VLMs perform better on the Western subset than the Eastern subset of each task. Controlled experimentation tracing the source of this bias highlights the importance of a diverse language mix in text-only pre-training for building equitable VLMs, even when inference is performed in English. Moreover, while prompting in the language of a target culture can lead to reductions in bias, it is not a substitute for building AI more representative of the world's languages.

Hallucination poses a challenge to the deployment of large vision-language models (LVLMs) in applications. Unlike in large language models (LLMs), hallucination in LVLMs often arises from misalignments between visual inputs and textual outputs. This paper investigates the underlying mechanisms of hallucination, focusing on the unique structure of LVLMs that distinguishes them from large language models (LLMs). We identify that hallucinations often arise from the sensitivity of text decoders to vision inputs, a natural phenomenon when image encoders and text decoders are pre-trained separately. Inspired by this, we introduce Visual and Textual Intervention (VTI), a novel technique designed to reduce hallucinations by steering latent space representations during inference to enhance the stability of vision features. As a task-agnostic test-time intervention, VTI can be easily applied to any problem without additional cost. Extensive experiments demonstrate that it can effectively reduce hallucinations and outperform baseline methods across multiple metrics, highlighting the critical role of vision feature stability in LVLMs.

Vision-Language Instruction Tuning (VLIT) is a critical training phase for Large Vision-Language Models (LVLMs). With the improving capabilities of open-source LVLMs, researchers have increasingly turned to generate VLIT data by using open-source LVLMs and achieved significant progress. However, such data generation approaches are bottlenecked by the following challenges: 1) Since multi-modal models tend to be influenced by prior language knowledge, directly using LVLMs to generate VLIT data would inevitably lead to low content relevance between generated data and images. 2) To improve the ability of the models to generate VLIT data, previous methods have incorporated an additional training phase to boost the generative capacity. This process hurts the generalization of the models to unseen inputs (i.e., "exposure bias" problem). In this paper, we propose a new Content Correlated VLIT data generation via Contrastive Learning (C3L). Specifically, we design a new content relevance module which enhances the content relevance between VLIT data and images by computing Image Instruction Correspondence Scores S(I2C). Moreover, a contrastive learning module is introduced to further boost the VLIT data generation capability of the LVLMs. A large number of automatic measures on four benchmarks show the effectiveness of our method.

Though advanced in understanding visual information with human languages, Large Vision-Language Models (LVLMs) still suffer from multimodal hallucinations. A natural concern is that during multimodal interaction, the generated hallucinations could influence the LVLMs' subsequent generation. Thus, we raise a question: When presented with a query relevant to the previously generated hallucination, will LVLMs be misled and respond incorrectly, even though the ground visual information exists? To answer this, we propose a framework called MMHalSnowball to evaluate LVLMs' behaviors when encountering generated hallucinations, where LVLMs are required to answer specific visual questions within a curated hallucinatory conversation. Crucially, our experiment shows that the performance of open-source LVLMs drops by at least 31%, indicating that LVLMs are prone to accept the generated hallucinations and make false claims that they would not have supported without distractions. We term this phenomenon Multimodal Hallucination Snowballing. To mitigate this, we further propose a training-free method called Residual Visual Decoding, where we revise the output distribution of LVLMs with the one derived from the residual visual input, providing models with direct access to the visual information. Experiments show that our method can mitigate more than 24% of the snowballed multimodal hallucination while maintaining capabilities.

Text-to-image (T2I) generation models have achieved remarkable progress in producing visually realistic images from natural language prompts. Yet it remains unclear whether their success reflects genuine causal understanding or sophisticated pattern matching over visual-textual correlations. Inspired by Russell's inductivist turkey, we introduce Counterfactual-World (CF-World), a counterfactual benchmark designed to investigate whether text-to-image models can generate images under rules that systematically contradict real-world priors. CF-World organizes each scenario into three progressive levels: factual generation under ordinary world knowledge, explicit counterfactual generation with direct visual instructions, and implicit counterfactual generation requiring causal deduction from altered rules. We evaluate both open-source and closed-source T2I models using a Vision Language Model (VLM)-based evaluator (CF-Eval). Furthermore, we introduce two metrics: Prior Resistance Rate (PRR), which measures a model's ability to overcome entrenched real-world priors, and Reasoning Retention Rate (RRR), which assesses whether models can maintain reasoning-dependent counterfactual generation without explicit visual cues. Experiments show that all models exhibit sharp degradation from factual to counterfactual settings. Further analyses suggest that these failures arise because current T2I models encode world knowledge and visual appearances as tightly coupled patterns. Consequently, their heavy reliance on frequent visual co-occurrences within the training data forces them to default to familiar commonsense priors when tasked with rendering counterfactual worlds.

Multimodal large language models (MLLMs) have advanced the integration of visual and linguistic modalities, establishing themselves as the dominant paradigm for visual-language tasks. Current approaches like chain of thought (CoT) reasoning have augmented the cognitive capabilities of large language models (LLMs), yet their adaptation to MLLMs is hindered by heightened risks of hallucination in cross-modality comprehension. In this paper, we find that the thinking while looking paradigm in current multimodal CoT approaches--where reasoning chains are generated alongside visual input--fails to mitigate hallucinations caused by misleading images. To address these limitations, we propose the Visual Inference Chain (VIC) framework, a novel approach that constructs reasoning chains using textual context alone before introducing visual input, effectively reducing cross-modal biases and enhancing multimodal reasoning accuracy. Comprehensive evaluations demonstrate that VIC significantly improves zero-shot performance across various vision-related tasks, mitigating hallucinations while refining the reasoning capabilities of MLLMs. Our code repository can be found at https://github.com/Terry-Xu-666/visual_inference_chain.

Multimodal Large Language Models (MLLMs) excel in numerous vision-language tasks yet suffer from hallucinations, producing content inconsistent with input visuals, that undermine reliability in precision-sensitive domains. This issue stems from a fundamental problem of visual neglect, where models fail to adequately prioritize input images. Existing methods typically alleviate hallucinations by intervening in the attention score or output logits, focusing on "how to intervene" but overlooking the prerequisite "when to intervene", which leads to the "over-intervention" problem and subsequently introduces new hallucinations and unnecessary computational overhead. To address this gap, we first investigate the mechanism of visual neglect and reveal it can be accurately detected via head-level activation patterns in MLLMs. We thus propose V-ITI, a lightweight visual inference-time intervention framework integrating a Visual Neglect Detector that identifies visual neglect via head-level discriminative probes and a Visual Recall Intervenor that modulates activations with prestored visual activation information only when the visual neglect is detected. Extensive experiments across eight benchmarks and different MLLM families demonstrate that V-ITI consistently mitigates vision-related hallucinations while preserving general task performance.

Identifying which brain regions represent a visual concept in the human brain is a central challenge in neuroscience. Existing approaches have localized coarse functional regions (e.g., faces, places) through activation maximization, identifying regions that activate strongly for a target concept relative to other concepts. Yet strong activation alone does not establish that a region represents the concept itself, as responses may instead be driven by correlated visual or semantic cues. We introduce BrainCause, an automated framework that combines generative and brain models to synthesize controlled stimuli and validate neural representations through targeted causal testing. Given a query specifying a concept of interest, our framework constructs targeted stimulus sets comprising concept images, counterfactual edits that remove the target concept while preserving other image content, and images with candidate correlated distractors. It then uses an image-to-fMRI encoding model to predict brain responses and searches for representations that respond specifically to the target concept over correlated alternatives. BrainCause returns validated candidate representations and proposes follow-up fMRI experiments to further test or extend its discoveries. Our approach successfully recovers known functional localizations and identifies new candidate representations across dozens of concepts, validated on both predicted and measured fMRI data. Critically, we show that without causal validation, a large fraction of localizations would be false positives, confirming that activation alone is insufficient evidence of representation.

We study the perception of color illusions by vision-language models. Color illusion, where a person's visual system perceives color differently from actual color, is well-studied in human vision. However, it remains underexplored whether vision-language models (VLMs), trained on large-scale human data, exhibit similar perceptual biases when confronted with such color illusions. We propose an automated framework for generating color illusion images, resulting in RCID (Realistic Color Illusion Dataset), a dataset of 19,000 realistic illusion images. Our experiments show that all studied VLMs exhibit perceptual biases similar human vision. Finally, we train a model to distinguish both human perception and actual pixel differences.

Large Vision-Language Models (LVLMs) show strong visualization interpretation, yet it is unclear whether their responses reflect genuine reasoning over visual evidence or factual priors learned during training. Current evaluations mix these two sources, obscuring when correct visual interpretation is overridden by memorized facts. We present a framework that isolates visual correctness from factual correctness, revealing validity limitations in existing visualization literacy assessments. Across three experiments with 15 state-of-the-art LVLMs: (1) several models reach human-level performance on standard tests (VLAT), but this may reflect factual recall rather than visual understanding, while randomized-data tests (reVLAT) underestimate literacy when correct visual interpretation is superseded by factual priors. (2) Using our Counterfactual Visualization Literacy Assessment Test (CVLAT) with capability-normalized arbitration metrics, we classify models by the sign of their visual-factual reliance index (VFRI), revealing a visualization-oriented majority and a factual knowledge-oriented minority, though several near-zero cases warrant caution. A human baseline (N=30) on the same counterfactual items confirms that people overwhelmingly follow the chart under conflict, providing a human reference point. (3) Prompt-based intervention can shift prioritization, but its effectiveness is highly model-dependent and direction-asymmetric, and high chart-reading capability does not predict prompt-controllability. Overall, high visualization accuracy is not sufficient evidence of faithful visual reasoning: reliable integration into visual analytics requires evaluating not only visualization literacy but also how models arbitrate between visual evidence and factual priors when the two diverge. Benchmark and code: https://github.com/JaeyoungKim-HCIL/CVLAT

Throughout the different phases of a drug development program, randomized trials are used to establish the tolerability, safety, and efficacy of a candidate drug. At each stage one aims to optimize the design of future studies by extrapolation from the available evidence at the time. This includes collected trial data and relevant external data. However, relevant external data are typically available as averages only, for example from trials on alternative treatments reported in the literature. Here we report on such an example from a drug development for wet age-related macular degeneration. This disease is the leading cause of severe vision loss in the elderly. While current treatment options are efficacious, they are also a substantial burden for the patient. Hence, new treatments are under development which need to be compared against existing treatments. The general statistical problem this leads to is meta-analysis, which addresses the question of how we can combine datasets collected under different conditions. Bayesian methods have long been used to achieve partial pooling. Here we consider the challenge when the model of interest is complex (hierarchical and nonlinear) and one dataset is given as raw data while the second dataset is given as averages only. In such a situation, common meta-analytic methods can only be applied when the model is sufficiently simple for analytic approaches. When the model is too complex, for example nonlinear, an analytic approach is not possible. We provide a Bayesian solution by using simulation to approximately reconstruct the likelihood of the external summary and allowing the parameters in the model to vary under the different conditions. We first evaluate our approach using fake-data simulations and then report results for the drug development program that motivated this research.

Despite recent progress in 3D-LLMs, they remain limited in accurately grounding language to visual and spatial elements in 3D environments. This limitation stems in part from training data that focuses on language reasoning rather than spatial understanding due to scarce 3D resources, leaving inherent grounding biases unresolved. To address this, we propose 3D scene editing as a key mechanism to generate precise visual counterfactuals that mitigate these biases through fine-grained spatial manipulation, without requiring costly scene reconstruction or large-scale 3D data collection. Furthermore, to make these edits targeted and directly address the specific weaknesses of the model, we introduce DEER-3D, an error-driven framework following a structured "Decompose, Diagnostic Evaluation, Edit, and Re-train" workflow, rather than broadly or randomly augmenting data as in conventional approaches. Specifically, upon identifying a grounding failure of the 3D-LLM, our framework first diagnoses the exact predicate-level error (e.g., attribute or spatial relation). It then executes minimal, predicate-aligned 3D scene edits, such as recoloring or repositioning, to produce targeted counterfactual supervision for iterative model fine-tuning, significantly enhancing grounding accuracy. We evaluate our editing pipeline across multiple benchmarks for 3D grounding and scene understanding tasks, consistently demonstrating improvements across all evaluated datasets through iterative refinement. DEER-3D underscores the effectiveness of targeted, error-driven scene editing in bridging linguistic reasoning capabilities with spatial grounding in 3D LLMs.

Multimodal Large Language Models (MLLMs) perform well on tasks such as visual question answering, but it remains unclear whether their reasoning relies more on memorized world knowledge or on the visual information present in the input image. To investigate this, we introduce Visual CounterFact, a new dataset of visually-realistic counterfactuals that put world knowledge priors (e.g, red strawberry) into direct conflict with visual input (e.g, blue strawberry). Using Visual CounterFact, we show that model predictions initially reflect memorized priors, but shift toward visual evidence in mid-to-late layers. This dynamic reveals a competition between the two modalities, with visual input ultimately overriding priors during evaluation. To control this behavior, we propose Pixels Versus Priors (PvP) steering vectors, a mechanism for controlling model outputs toward either world knowledge or visual input through activation-level interventions. On average, PvP successfully shifts 92.5% of color and 74.6% of size predictions from priors to counterfactuals. Together, these findings offer new tools for interpreting and controlling factual behavior in multimodal models.

Recently, large vision-language models (LVLMs) have emerged as the preferred tools for judging text-image alignment, yet their robustness along the visual modality remains underexplored. This work is the first study to address a key research question: Can adversarial visual manipulations systematically fool LVLM judges into assigning unfairly inflated scores? We define potential image induced biases within the context of T2I evaluation and examine how these biases affect the evaluations of LVLM judges. Moreover, we introduce a novel, fine-grained, multi-domain meta-evaluation benchmark named FRAME, which is deliberately constructed to exhibit diverse score distributions. By introducing the defined biases into the benchmark, we reveal that all tested LVLM judges exhibit vulnerability across all domains, consistently inflating scores for manipulated images. Further analysis reveals that combining multiple biases amplifies their effects, and pairwise evaluations are similarly susceptible. Moreover, we observe that visual biases persist under prompt-based mitigation strategies, highlighting the vulnerability of current LVLM evaluation systems and underscoring the urgent need for more robust LVLM judges.

Existing Large Vision-Language Models (LVLMs) exhibit insufficient visual attention, leading to hallucinations. To alleviate this problem, some previous studies adjust and amplify visual attention. These methods present a limitation that boosting attention for all visual tokens inevitably increases attention to task irrelevant tokens. To tackle this challenge, we propose a training free attentional intervention algorithm to enhance the attention of task-relevant tokens based on the argument that task-relevant tokens generally demonstrate high visual-textual similarities. Specifically, the vision-text cross-attention submatrices, which represent visual-textual correlations, are extracted to construct the reweighting matrices to reallocate attention. Besides, to enhance the contribution of visual tokens, we inject visual attention values into the beam search decoding to identify solutions with higher visual attention. Extensive experiments demonstrate that this method significantly reduces hallucinations across mainstream LVLMs, while preserving the accuracy and coherence of generated content.

Extracting causal relationships from observed correlations is a growing area in probabilistic reasoning, originating with the seminal work of Pearl and others from the early 1990s. This paper develops a new, categorically oriented view based on a clear distinction between syntax (string diagrams) and semantics (stochastic matrices), connected via interpretations as structure-preserving functors. A key notion in the identification of causal effects is that of an intervention, whereby a variable is forcefully set to a particular value independent of any prior propensities. We represent the effect of such an intervention as an endofunctor which performs `string diagram surgery' within the syntactic category of string diagrams. This diagram surgery in turn yields a new, interventional distribution via the interpretation functor. While in general there is no way to compute interventional distributions purely from observed data, we show that this is possible in certain special cases using a calculational tool called comb disintegration. We demonstrate the use of this technique on a well-known toy example, where we predict the causal effect of smoking on cancer in the presence of a confounding common cause. After developing this specific example, we show this technique provides simple sufficient conditions for computing interventions which apply to a wide variety of situations considered in the causal inference literature.

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

Although Visual-Language Models (VLMs) have shown impressive capabilities in tasks like visual question answering and image captioning, they still struggle with hallucinations. Analysis of attention distribution in these models shows that VLMs tend to processing textual tokens rather than visual tokens. This imbalance of attention distribution causes VLMs to favor textual knowledge in the case of multimodal knowledge conflicts, resulting in differences from the image information. In this paper, we propose Re-Balancing Contrastive Decoding (RBD) method, which employs textual and visual branches to recalibrate attention distribution in VLMs. Specifically, the textual branch injects image noise to stimulate the model's dependency on text, thereby reducing textual bias. Concurrently, the visual branch focuses on the selection of significant tokens, refining the attention mechanism to highlight the primary subject. This dual-branch strategy enables the RBD method to diminish textual bias while enhancing visual information. Experimental results demonstrate that our method, RBD, outperforms the existing methods by the CHAIR and POPE metrics, mitigate hallucinations without reducing the model's general capabilities.

The embedding spaces of image models have been shown to encode a range of social biases such as racism and sexism. Here, we investigate specific factors that contribute to the emergence of these biases in Vision Transformers (ViT). Therefore, we measure the impact of training data, model architecture, and training objectives on social biases in the learned representations of ViTs. Our findings indicate that counterfactual augmentation training using diffusion-based image editing can mitigate biases, but does not eliminate them. Moreover, we find that larger models are less biased than smaller models, and that models trained using discriminative objectives are less biased than those trained using generative objectives. In addition, we observe inconsistencies in the learned social biases. To our surprise, ViTs can exhibit opposite biases when trained on the same data set using different self-supervised objectives. Our findings give insights into the factors that contribute to the emergence of social biases and suggests that we could achieve substantial fairness improvements based on model design choices.

We respond to the recent paper by Makelov et al. (2023), which reviews subspace interchange intervention methods like distributed alignment search (DAS; Geiger et al. 2023) and claims that these methods potentially cause "interpretability illusions". We first review Makelov et al. (2023)'s technical notion of what an "interpretability illusion" is, and then we show that even intuitive and desirable explanations can qualify as illusions in this sense. As a result, their method of discovering "illusions" can reject explanations they consider "non-illusory". We then argue that the illusions Makelov et al. (2023) see in practice are artifacts of their training and evaluation paradigms. We close by emphasizing that, though we disagree with their core characterization, Makelov et al. (2023)'s examples and discussion have undoubtedly pushed the field of interpretability forward.

Objective: fMRI and derived measures such as functional connectivity (FC) have been used to predict brain age, general fluid intelligence, psychiatric disease status, and preclinical neurodegenerative disease. However, it is not always clear that all demographic confounds, such as age, sex, and race, have been removed from fMRI data. Additionally, many fMRI datasets are restricted to authorized researchers, making dissemination of these valuable data sources challenging. Methods: We create a variational autoencoder (VAE)-based model, DemoVAE, to decorrelate fMRI features from demographics and generate high-quality synthetic fMRI data based on user-supplied demographics. We train and validate our model using two large, widely used datasets, the Philadelphia Neurodevelopmental Cohort (PNC) and Bipolar and Schizophrenia Network for Intermediate Phenotypes (BSNIP). Results: We find that DemoVAE recapitulates group differences in fMRI data while capturing the full breadth of individual variations. Significantly, we also find that most clinical and computerized battery fields that are correlated with fMRI data are not correlated with DemoVAE latents. An exception are several fields related to schizophrenia medication and symptom severity. Conclusion: Our model generates fMRI data that captures the full distribution of FC better than traditional VAE or GAN models. We also find that most prediction using fMRI data is dependent on correlation with, and prediction of, demographics. Significance: Our DemoVAE model allows for generation of high quality synthetic data conditioned on subject demographics as well as the removal of the confounding effects of demographics. We identify that FC-based prediction tasks are highly influenced by demographic confounds.

While Multimodal Large Language Models (MLLMs) have demonstrated remarkable proficiency in tasks such as abnormality detection and report generation for anatomical modalities, their capability in functional imaging remains largely unexplored. In this work, we identify and quantify a fundamental functional perception gap: the inability of current vision encoders to decode functional tracer biodistribution independent of morphological priors. Identifying Positron Emission Tomography (PET) as the quintessential modality to investigate this disconnect, we introduce PET-Bench, the first large-scale functional imaging benchmark comprising 52,308 hierarchical QA pairs from 9,732 multi-site, multi-tracer PET studies. Extensive evaluation of 19 state-of-the-art MLLMs reveals a critical safety hazard termed the Chain-of-Thought (CoT) hallucination trap. We observe that standard CoT prompting, widely considered to enhance reasoning, paradoxically decouples linguistic generation from visual evidence in PET, producing clinically fluent but factually ungrounded diagnoses. To resolve this, we propose Atomic Visual Alignment (AVA), a simple fine-tuning strategy that enforces the mastery of low-level functional perception prior to high-level diagnostic reasoning. Our results demonstrate that AVA effectively bridges the perception gap, transforming CoT from a source of hallucination into a robust inference tool and improving diagnostic accuracy by up to 14.83%. Code and data are available at https://github.com/yezanting/PET-Bench.

Despite the rapid progress of multimodal large language models (MLLMs), they have largely overlooked the importance of visual processing. In a simple yet revealing experiment, we interestingly find that language-only models, when provided with image captions, can achieve comparable or even better performance than MLLMs that consume raw visual inputs. This suggests that current MLLMs may generate accurate visual descriptions but fail to effectively integrate them during reasoning. Motivated by this, we propose a simple visual perturbation framework that enhances perceptual robustness without requiring algorithmic modifications or additional training data. Our approach introduces three targeted perturbations: distractor concatenation, dominance-preserving mixup, and random rotation, that can be easily integrated into existing post-training pipelines including SFT, DPO, and GRPO. Through extensive experiments across multiple datasets, we demonstrate consistent improvements in mathematical reasoning performance, with gains comparable to those achieved through algorithmic changes. Additionally, we achieve competitive performance among open-source 7B RL-tuned models by training Qwen2.5-VL-7B with visual perturbation. Through comprehensive ablation studies, we analyze the effectiveness of different perturbation strategies, revealing that each perturbation type contributes uniquely to different aspects of visual reasoning. Our findings highlight the critical role of visual perturbation in multimodal mathematical reasoning: better reasoning begins with better seeing. Our code is available at https://github.com/YutingLi0606/Vision-Matters.

Visual counterfactual explanation (CF) methods modify image concepts, e.g, shape, to change a prediction to a predefined outcome while closely resembling the original query image. Unlike self-explainable models (SEMs) and heatmap techniques, they grant users the ability to examine hypothetical "what-if" scenarios. Previous CF methods either entail post-hoc training, limiting the balance between transparency and CF quality, or demand optimization during inference. To bridge the gap between transparent SEMs and CF methods, we introduce the GdVAE, a self-explainable model based on a conditional variational autoencoder (CVAE), featuring a Gaussian discriminant analysis (GDA) classifier and integrated CF explanations. Full transparency is achieved through a generative classifier that leverages class-specific prototypes for the downstream task and a closed-form solution for CFs in the latent space. The consistency of CFs is improved by regularizing the latent space with the explainer function. Extensive comparisons with existing approaches affirm the effectiveness of our method in producing high-quality CF explanations while preserving transparency. Code and models are public.

Large vision-language models (LVLMs), which integrate a vision encoder (VE) with a large language model, have achieved remarkable success across various tasks. However, there are still crucial challenges in LVLMs such as object hallucination, generating descriptions of objects that are not in the input image. Here, we argue that uncertain visual tokens within the VE is a key factor that contributes to object hallucination. Our statistical analysis found that there are positive correlations between visual tokens with high epistemic uncertainty and the occurrence of hallucinations. Furthermore, we show theoretically and empirically that visual tokens in early VE layers that exhibit large representation deviations under small adversarial perturbations indicate high epistemic uncertainty. Based on these findings, we propose a simple yet effective strategy to mitigate object hallucination by modifying the VE only. Our method comprises a proxy method with adversarial perturbations for identifying uncertain visual tokens efficiently and a method to mask these uncertain visual tokens during the self-attention process in the middle layers of the VE, suppressing their influence on visual encoding and thus alleviating hallucinations. Extensive experiments show that our method significantly reduces object hallucinations in LVLMs and can synergistically work with other prior arts.

Saliency methods have emerged as a popular tool to highlight features in an input deemed relevant for the prediction of a learned model. Several saliency methods have been proposed, often guided by visual appeal on image data. In this work, we propose an actionable methodology to evaluate what kinds of explanations a given method can and cannot provide. We find that reliance, solely, on visual assessment can be misleading. Through extensive experiments we show that some existing saliency methods are independent both of the model and of the data generating process. Consequently, methods that fail the proposed tests are inadequate for tasks that are sensitive to either data or model, such as, finding outliers in the data, explaining the relationship between inputs and outputs that the model learned, and debugging the model. We interpret our findings through an analogy with edge detection in images, a technique that requires neither training data nor model. Theory in the case of a linear model and a single-layer convolutional neural network supports our experimental findings.

Large language models (LLMs) have shown remarkable ability in various language tasks, especially with their emergent in-context learning capability. Extending LLMs to incorporate visual inputs, large vision-language models (LVLMs) have shown impressive performance in tasks such as recognition and visual question answering (VQA). Despite increasing interest in the utility of LLMs in causal reasoning tasks such as causal discovery and counterfactual reasoning, there has been relatively little work showcasing the abilities of LVLMs on visual causal reasoning tasks. We take this opportunity to formally introduce a comprehensive causal reasoning benchmark for multi-modal in-context learning from LVLMs. Our CausalVLBench encompasses three representative tasks: causal structure inference, intervention target prediction, and counterfactual prediction. We evaluate the ability of state-of-the-art open-source LVLMs on our causal reasoning tasks across three causal representation learning datasets and demonstrate their fundamental strengths and weaknesses. We hope that our benchmark elucidates the drawbacks of existing vision-language models and motivates new directions and paradigms in improving the visual causal reasoning abilities of LVLMs.

Large vision-language models (VLMs) demonstrate strong performance in medical image understanding, but frequently generate clinically plausible yet incorrect statements, raising significant safety concerns. Existing medical hallucination benchmarks primarily focus on 2D imaging with one-shot diagnostic questions, offering limited insight into whether predictions are grounded in correct localization and abnormality identification, allowing critical reasoning errors to remain hidden behind seemingly correct diagnoses. We introduce Med-StepBench, the first large-scale benchmark for step-wise hallucination detection in 3D oncological PET/CT, comprising over 12,000 images and more than 1,000,000 image-statement pairs across volumetric and multi-view 2D data, which decomposes clinical reasoning into four expert-designed diagnostic stages. Using clinician-verified annotations, we perform the first step-level evaluation of general-purpose and medical VLMs, revealing systematic failure modes obscured by aggregate accuracy metrics. Furthermore, we show that current VLMs are highly susceptible to adversarial yet clinically plausible intermediate explanations, which significantly amplify hallucinations despite contradictory visual evidence. Together, our findings highlight fundamental limitations in grounding multi-step clinical reasoning and establish Med-StepBench as a rigorous benchmark for developing safer and more reliable medical VLMs.

Large Vision Language Models (LVLMs) have achieved remarkable progress, yet they often suffer from language bias, producing answers without relying on visual evidence. While prior work attempts to mitigate this issue through decoding strategies, architectural modifications, or curated instruction data, they typically lack a quantitative measure of how much individual training samples or tokens actually benefit from the image. In this work, we introduce Visual Information Gain (VIG), a perplexity-based metric that measures the reduction in prediction uncertainty provided by visual input. VIG enables fine-grained analysis at both sample and token levels, effectively highlighting visually grounded elements such as colors, spatial relations, and attributes. Leveraging this, we propose a VIG-guided selective training scheme that prioritizes high-VIG samples and tokens. This approach improves visual grounding and mitigates language bias, achieving superior performance with significantly reduced supervision by focusing exclusively on visually informative samples and tokens.

State-of-the-art whole-body pose estimators often lack robustness, producing anatomically implausible predictions in challenging scenes. We posit this failure stems from spurious correlations learned from visual context, a problem we formalize using a Structural Causal Model (SCM). The SCM identifies visual context as a confounder that creates a non-causal backdoor path, corrupting the model's reasoning. We introduce the Causal Intervention Graph Pose (CIGPose) framework to address this by approximating the true causal effect between visual evidence and pose. The core of CIGPose is a novel Causal Intervention Module: it first identifies confounded keypoint representations via predictive uncertainty and then replaces them with learned, context-invariant canonical embeddings. These deconfounded embeddings are processed by a hierarchical graph neural network that reasons over the human skeleton at both local and global semantic levels to enforce anatomical plausibility. Extensive experiments show CIGPose achieves a new state-of-the-art on COCO-WholeBody. Notably, our CIGPose-x model achieves 67.0\% AP, surpassing prior methods that rely on extra training data. With the additional UBody dataset, CIGPose-x is further boosted to 67.5\% AP, demonstrating superior robustness and data efficiency. The codes and models are publicly available at https://github.com/53mins/CIGPose.

We conduct a systematic study of 18 widely used vision-language benchmarks and identify three major issues: 1) many items do not rely on visual cues and therefore fail to effectively measure multimodal understanding; 2) many items are already close to performance saturation for current LVLMs, which limits their discriminative power; 3) a small number of anomalous items affect the reliability of evaluation results. To this end, we propose MMGist, a curated benchmark that covers seven capability dimensions and contains 7,262 items. MMGist is constructed through a three-stage pipeline, which sequentially combines text-ablation filtering, cross-model saturation filtering, and anomaly detection filtering. We conduct extensive experiments on 27 leading LVLMs and compare MMGist with the raw pool of 23,250 items. The results show that MMGist preserves model rankings with high fidelity, with Spearman ρ= 0.98, while reducing evaluation items by 69\% and improving cross-model discrimination by 78\%. Further results indicate that Visual Logic remains a systematic weakness of current LVLMs, while knowledge-intensive dimensions such as Expert Knowledge dimensions remain important factors for distinguishing closed-source models from open-source models. These findings suggest that high-quality evaluation should prioritize visual dependency, discriminative power, and reliability, rather than simply pursuing benchmark scale.

Vision language models (VLMs) perceive the world through a combination of a visual encoder and a large language model (LLM). The visual encoder, pre-trained on large-scale vision-text datasets, provides zero-shot generalization to visual data, and the LLM endows its high reasoning ability to VLMs. It leads VLMs to achieve high performance on wide benchmarks without fine-tuning, exhibiting zero or few-shot capability. However, recent studies show that VLMs are vulnerable to hallucination. This undesirable behavior degrades reliability and credibility, thereby making users unable to fully trust the output from VLMs. To enhance trustworthiness and better tackle the hallucination of VLMs, we curate a new evaluation dataset, called the BEfore-AFter hallucination dataset (BEAF), and introduce new metrics: True Understanding (TU), IGnorance (IG), StuBbornness (SB), and InDecision (ID). Unlike prior works that focus only on constructing questions and answers, the key idea of our benchmark is to manipulate visual scene information by image editing models and to design the metrics based on scene changes. This allows us to clearly assess whether VLMs correctly understand a given scene by observing the ability to perceive changes. We also visualize image-wise object relationship by virtue of our two-axis view: vision and text. Upon evaluating VLMs with our dataset, we observed that our metrics reveal different aspects of VLM hallucination that have not been reported before. Project page: https://beafbench.github.io/

Computer vision systems have witnessed rapid progress over the past two decades due to multiple advances in the field. As these systems are increasingly being deployed in high-stakes real-world applications, there is a dire need to ensure that they do not propagate or amplify any discriminatory tendencies in historical or human-curated data or inadvertently learn biases from spurious correlations. This paper presents a comprehensive survey on fairness that summarizes and sheds light on ongoing trends and successes in the context of computer vision. The topics we discuss include 1) The origin and technical definitions of fairness drawn from the wider fair machine learning literature and adjacent disciplines. 2) Work that sought to discover and analyze biases in computer vision systems. 3) A summary of methods proposed to mitigate bias in computer vision systems in recent years. 4) A comprehensive summary of resources and datasets produced by researchers to measure, analyze, and mitigate bias and enhance fairness. 5) Discussion of the field's success, continuing trends in the context of multimodal foundation and generative models, and gaps that still need to be addressed. The presented characterization should help researchers understand the importance of identifying and mitigating bias in computer vision and the state of the field and identify potential directions for future research.

Prior work has analyzed the robustness of visual encoders to image transformations and corruptions, particularly in cases where such alterations are not seen during training. When this occurs, they introduce a form of distribution shift at test time, often leading to performance degradation. The primary focus has been on severe corruptions that, when applied aggressively, distort useful signals necessary for accurate semantic predictions. We take a different perspective by analyzing parameters of the image acquisition process and transformations that may be subtle or even imperceptible to the human eye. We find that such parameters are systematically encoded in the learned visual representations and can be easily recovered. More strikingly, their presence can have a profound impact, either positively or negatively, on semantic predictions. This effect depends on whether there is a strong correlation or anti-correlation between semantic labels and these acquisition-based or processing-based labels. Our code and data are available at: https://github.com/ryan-caesar-ramos/visual-encoder-traces

Medical multimodal large language models (MLLMs) are increasingly expected to perform complex image understanding tasks, yet their reliability is often compromised by frequent errors in visual interpretation. To systematically trace these failures, we traverse the hierarchy from high-level clinical tasks down to fundamental visual perception. We therefore introduce Perception-Bench, a large-scale benchmark comprising 1.13 million samples that assesses medical MLLMs across six dimensions: attribute judgment, spatial grounding, spatial understanding, disease prediction, anomaly detection, and report generation, spanning both 2D and 3D radiology images. Our analysis on Perception-Bench reveals that existing MLLMs lack the ability to capture even the most basic lesion attributes, such as location, size, and density. This inability to ground clinical outputs in primary visual evidence reveals that the models' diagnostic unreliability is rooted in a critical but overlooked bottleneck in low-level visual perception. Motivated by this, we propose RadSight, a perception-driven MLLM built upon a dual 2D/3D encoder architecture that preserves native imaging spatial structures. RadSight formulates medical image understanding as a four-stage progressive process: visual-language alignment, fine-grained visual perception, clinical diagnosis, and diagnostic interpretation. The model is trained on an 8.37 million perception-oriented corpus using progressive curriculum learning. On Perception-Bench, RadSight consistently outperforms existing MLLMs across all six evaluation dimensions, with particularly strong gains in spatial grounding and clinical diagnosis. It also achieves consistent improvements on public 2D and 3D medical benchmarks, further demonstrating that robust low-level visual perception is a critical foundation for reliable clinical understanding. Code and model will be publicly available.

Evaluating whether large vision-language models (VLMs) align with human perception for high-level semantic scene comprehension remains a challenge. Traditional white-box interpretability methods are inapplicable to closed-source architectures and passive metrics fail to isolate causal features. We introduce Counterfactual Semantic Saliency (CSS). This black-box, model-agnostic framework quantifies the importance of objects by measuring the semantic shift induced by their causal ablation from a scene. To evaluate AI-human semantic alignment, we tested prominent VLMs against a human psychophysics baseline comprising 16,289 valid responses across 307 complex natural scenes and 1,306 high-fidelity counterfactual variants. Our analysis reveals a pervasive scene comprehension gap: models exhibit an overreliance (relative to humans) on large objects (size bias), objects at the center of the image (center bias), and high saliency objects. In contrast, models rely less on people in the scenes than our human participants to describe the images. A model's size bias is a primary driver explaining variations in model-human semantic divergence. Code and data will be available at https://github.com/starsky77/Counterfactual-Semantic-Saliency.

Multimodal Large Language Models (MLLMs) are prone to hallucination as their generation preferences are insufficiently calibrated to visual evidence, causing them to fall back on linguistic priors, rather than faithful grounding. In this work, we start from an empirical observation: when query-relevant visual evidence is explicitly strengthened using the model's own attention, generation becomes more accurate, suggesting that many failures do not arise solely from missing perception, but from an insufficient tendency to trust the evidence the model has already attended to. Motivated by this finding, we propose Oriented Pickup Preference Optimization (OPPO), an evidence-aware alignment objective that learns preferences over the strength of visual evidence, rather than only response quality. Concretely, OPPO contrasts the same faithful response under stronger, anchored, weaker-evidence views, turning naive visual preference into ordered visual-evidence alignment. We further combine this objective with fine-grained span-level and token-level regularization to stabilize the training. Besides, we provide a theoretical analysis showing that ordered evidence margins induce a positive lower bound on local visual sensitivity. Extensive evaluations across hallucination and general-purpose benchmarks demonstrate that OPPO consistently outperforms baseline methods.

Vision-language models (VLMs) have great potential for medical image understanding, particularly in Visual Report Generation (VRG) and Visual Question Answering (VQA), but they may generate hallucinated responses that contradict visual evidence, limiting clinical deployment. Although uncertainty-based hallucination detection methods are intuitive and effective, they are limited in medical VLMs. Specifically, Semantic Entropy (SE), effective in text-only LLMs, becomes less reliable in medical VLMs due to their overconfidence from strong language priors. To address this challenge, we propose UniVRSE, a Unified Vision-conditioned Response Semantic Entropy framework for hallucination detection in medical VLMs. UniVRSE strengthens visual guidance during uncertainty estimation by contrasting the semantic predictive distributions derived from an original image-text pair and a visually distorted counterpart, with higher entropy indicating hallucination risk. For VQA, UniVRSE works on the image-question pair, while for VRG, it decomposes the report into claims, generates verification questions, and applies vision-conditioned entropy estimation at the claim level. To evaluate hallucination detection, we propose a unified pipeline that generates responses on medical datasets and derives hallucination labels via factual consistency assessment. However, current evaluation methods rely on subjective criteria or modality-specific rules. To improve reliability, we introduce Alignment Ratio of Atomic Facts (ALFA), a novel method that quantifies fine-grained factual consistency. ALFA-derived labels provide ground truth for robust benchmarking. Experiments on six medical VQA/VRG datasets and three VLMs show UniVRSE significantly outperforms existing methods with strong cross-modal generalization.

Large vision-language models (LVLMs) suffer from hallucination, resulting in misalignment between the output textual response and the input visual content. Recent research indicates that the over-reliance on the Large Language Model (LLM) backbone, as one cause of the LVLM hallucination, inherently introduces bias from language priors, leading to insufficient context attention to the visual inputs. We tackle this issue of hallucination by mitigating such over-reliance through preference learning. We propose Vision-guided Direct Preference Optimization (V-DPO) to enhance visual context learning at training time. To interpret the effectiveness and generalizability of V-DPO on different types of training data, we construct a synthetic dataset containing both response- and image-contrast preference pairs, compared against existing human-annotated hallucination samples. Our approach achieves significant improvements compared with baseline methods across various hallucination benchmarks. Our analysis indicates that V-DPO excels in learning from image-contrast preference data, demonstrating its superior ability to elicit and understand nuances of visual context. Our code is publicly available at https://github.com/YuxiXie/V-DPO.

Pre-trained vision language models still fall short of human visual cognition. In an effort to improve visual cognition and align models with human behavior, we introduce visual stimuli and human judgments on visual cognition tasks, allowing us to systematically evaluate performance across cognitive domains under a consistent environment. We fine-tune models on ground truth data for intuitive physics and causal reasoning and find that this improves model performance in the respective fine-tuning domain. Furthermore, it can improve model alignment with human behavior. However, we find that task-specific fine-tuning does not contribute to robust human-like generalization to data with other visual characteristics or to tasks in other cognitive domains.

Visual Grounding (VG) methods in Visual Question Answering (VQA) attempt to improve VQA performance by strengthening a model's reliance on question-relevant visual information. The presence of such relevant information in the visual input is typically assumed in training and testing. This assumption, however, is inherently flawed when dealing with imperfect image representations common in large-scale VQA, where the information carried by visual features frequently deviates from expected ground-truth contents. As a result, training and testing of VG-methods is performed with largely inaccurate data, which obstructs proper assessment of their potential benefits. In this study, we demonstrate that current evaluation schemes for VG-methods are problematic due to the flawed assumption of availability of relevant visual information. Our experiments show that these methods can be much more effective when evaluation conditions are corrected. Code is provided on GitHub.