Healthcare multimodal AI must combine visual and textual evidence while remaining reliable and interpretable. Using MediaEval Medico 2025 as a retrospective GI endoscopy case study, we analyze design choices across nine documented systems for question answering and explanation quality. Parameter-efficient adaptation of pretrained backbones provides strong challenge performance, but answer-level gains do not consistently translate into faithful and complete clinical reasoning. Methods enforcing structured reasoning and explicit grounding show more reliable behavior across heterogeneous question types, although the evidence is correlational rather than ablation-based. These results motivate evaluation beyond lexical overlap, standardized evidence-linked explanations, leakage-aware data governance, and lightweight robustness and calibration checks. The findings support trustworthy multimodal healthcare AI based on data fusion, explainability, and resilient evaluation.
Multimodal large language models (MLLMs) applied to Medical Visual Question Answering (VQA) tend to produce overconfident outputs regardless of actual correctness, and existing verbalized confidence calibration methods, developed primarily for text only LLMs, do not account for t…
As grounded QA systems are increasingly deployed in AI assistants, accurately attributing generated answers to evidence is critical for user trust and model safety. While unimodal attributions have been explored in depth, the multimodal setting remains relatively under-researched…
Achieving true artificial general intelligence requires foundation models capable of integrating new modalities without forgetting prior knowledge. However, accommodating continuous generative objectives alongside discrete understanding tasks causes severe gradient conflicts. Exi…
Despite the rapid progress of Multimodal Large Language Models (MLLMs), they still suffer from untruthfulness issues, such as visual hallucinations, content fabrication, and unfaithful reasoning, which substantially undermine their faithfulness and practical utility. Alignment me…
Large Vision-Language Models (LVLMs) specialized in healthcare are emerging as a promising research direction due to their potential impact in clinical and biomedical applications. However, progress is constrained by the scarcity of high-quality medical multimodal data, concerns…
Knowledge-Based Visual Question Answering (KB-VQA) aims to evaluate whether Visual Language Models (VLMs) can retrieve, ground, and reason over external structured knowledge beyond visual evidence. In practice, answer accuracy is widely adopted as the primary evaluation metric, i…