Volumetric medical VQA requires reasoning over long and redundant 3D visual token sequences, especially in multi-sequence MRI where complementary modalities provide diverse diagnostic cues but expose the decoder to many repeated anatomical regions. To investigate reasoning under multi-sequence visual redundancy, we first introduce BreMRIs-VQA, a clinically curated breast MRI benchmark with 1.19M QA pairs from 71.0K sequences and 12.9K patients, covering both free-text and multiple-choice questions. We further propose SeVeR, a selective visual exposure framework that compresses dense volumes into modality-wise prototypes and retrieves complementary multi-level evidence with change-aware gated attention during decoding, trained with a marginal-utility self-consistency objective that suppresses unhelpful retrieval. Experiments on BreMRIs-VQA and public benchmarks show that SeVeR improves both discriminative and generative performance while exposing substantially fewer visual tokens.
Yaojun Hu, Danyang Tu, Yang Liu et al.· 0 citations
Video-language models (VLMs) have achieved remarkable performance on video understanding and visual question answering, yet they remain unreliable in reasoning about physical plausibility, where understanding object interactions, causal dynamics, and fundamental physical principles is essential. This limitation is particularly evident on challenging physical reasoning benchmarks, revealing a persistent gap in physical commonsense reasoning. To address this challenge, we propose PhysMRV, a training-free physical memory and verification framework for physical plausibility reasoning. Unlike retrieval-augmented VLMs that retrieve semantically similar videos as additional context, PhysMRV transforms training videos into a Hierarchical Memory Bank of structured physical knowledge comprising three complementary levels: scene descriptions capturing visual context, physical-event graphs modeling object interactions and causal structure, and physics-rule summaries distilling reusable physical principles and cues. During inference, PhysMRV retrieves physically relevant memories and leverages their structured physical evidence to guide a frozen VLM in verifying physical plausibility, requiring neither fine-tuning nor parameter updates. We evaluate PhysMRV on three challenging physical reasoning benchmarks, ImplausiBench, IntPhys2, and GRASP Level 2, across multiple state-of-the-art VLMs. Experimental results demonstrate consistent improvements over direct prompting across diverse VLMs and evaluation benchmarks, showing that structured physical memories provide an effective and scalable means of enhancing physical plausibility reasoning without additional training.
Wenyuan Wang, Lianyu Hu, Hao Wang et al.· 0 citations
