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Main Authors: Chu, Yun-Wei, Zhang, Kai, Malon, Christopher, Min, Martin Renqiang
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2502.15040
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author Chu, Yun-Wei
Zhang, Kai
Malon, Christopher
Min, Martin Renqiang
author_facet Chu, Yun-Wei
Zhang, Kai
Malon, Christopher
Min, Martin Renqiang
contents Multimodal Large Language Models (MLLMs) have shown impressive performance in vision and text tasks. However, hallucination remains a major challenge, especially in fields like healthcare where details are critical. In this work, we show how MLLMs may be enhanced to support Visual RAG (V-RAG), a retrieval-augmented generation framework that incorporates both text and visual data from retrieved images. On the MIMIC-CXR chest X-ray report generation and Multicare medical image caption generation datasets, we show that Visual RAG improves the accuracy of entity probing, which asks whether a medical entities is grounded by an image. We show that the improvements extend both to frequent and rare entities, the latter of which may have less positive training data. Downstream, we apply V-RAG with entity probing to correct hallucinations and generate more clinically accurate X-ray reports, obtaining a higher RadGraph-F1 score.
format Preprint
id arxiv_https___arxiv_org_abs_2502_15040
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Reducing Hallucinations of Medical Multimodal Large Language Models with Visual Retrieval-Augmented Generation
Chu, Yun-Wei
Zhang, Kai
Malon, Christopher
Min, Martin Renqiang
Computation and Language
Artificial Intelligence
Multimodal Large Language Models (MLLMs) have shown impressive performance in vision and text tasks. However, hallucination remains a major challenge, especially in fields like healthcare where details are critical. In this work, we show how MLLMs may be enhanced to support Visual RAG (V-RAG), a retrieval-augmented generation framework that incorporates both text and visual data from retrieved images. On the MIMIC-CXR chest X-ray report generation and Multicare medical image caption generation datasets, we show that Visual RAG improves the accuracy of entity probing, which asks whether a medical entities is grounded by an image. We show that the improvements extend both to frequent and rare entities, the latter of which may have less positive training data. Downstream, we apply V-RAG with entity probing to correct hallucinations and generate more clinically accurate X-ray reports, obtaining a higher RadGraph-F1 score.
title Reducing Hallucinations of Medical Multimodal Large Language Models with Visual Retrieval-Augmented Generation
topic Computation and Language
Artificial Intelligence
url https://arxiv.org/abs/2502.15040