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Main Authors: Zang, Zelin, Gu, Wenyi, Ma, Siqi, Yang, Dan, Shen, Yue, Zhang, Zhu, Fan, Guohui, Ling, Wing-Kuen, Yang, Fuji
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2512.21583
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author Zang, Zelin
Gu, Wenyi
Ma, Siqi
Yang, Dan
Shen, Yue
Zhang, Zhu
Fan, Guohui
Ling, Wing-Kuen
Yang, Fuji
author_facet Zang, Zelin
Gu, Wenyi
Ma, Siqi
Yang, Dan
Shen, Yue
Zhang, Zhu
Fan, Guohui
Ling, Wing-Kuen
Yang, Fuji
contents With the rapid growth of large language models (LLMs) and vision-language models (VLMs) in medicine, simply integrating clinical text and medical imaging does not guarantee reliable reasoning. Existing multimodal models often produce hallucinations or inconsistent chains of thought, limiting clinical trust. We propose a diagnostic framework built upon LLaVA that combines vision-language alignment with logic-regularized reasoning. The system includes an input encoder for text and images, a projection module for cross-modal alignment, a reasoning controller that decomposes diagnostic tasks into steps, and a logic tree generator that assembles stepwise premises into verifiable conclusions. Evaluations on MedXpertQA and other benchmarks show that our method improves diagnostic accuracy and yields more interpretable reasoning traces on multimodal tasks, while remaining competitive on text-only settings. These results suggest a promising step toward trustworthy multimodal medical AI.
format Preprint
id arxiv_https___arxiv_org_abs_2512_21583
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle A Medical Multimodal Diagnostic Framework Integrating Vision-Language Models and Logic Tree Reasoning
Zang, Zelin
Gu, Wenyi
Ma, Siqi
Yang, Dan
Shen, Yue
Zhang, Zhu
Fan, Guohui
Ling, Wing-Kuen
Yang, Fuji
Artificial Intelligence
With the rapid growth of large language models (LLMs) and vision-language models (VLMs) in medicine, simply integrating clinical text and medical imaging does not guarantee reliable reasoning. Existing multimodal models often produce hallucinations or inconsistent chains of thought, limiting clinical trust. We propose a diagnostic framework built upon LLaVA that combines vision-language alignment with logic-regularized reasoning. The system includes an input encoder for text and images, a projection module for cross-modal alignment, a reasoning controller that decomposes diagnostic tasks into steps, and a logic tree generator that assembles stepwise premises into verifiable conclusions. Evaluations on MedXpertQA and other benchmarks show that our method improves diagnostic accuracy and yields more interpretable reasoning traces on multimodal tasks, while remaining competitive on text-only settings. These results suggest a promising step toward trustworthy multimodal medical AI.
title A Medical Multimodal Diagnostic Framework Integrating Vision-Language Models and Logic Tree Reasoning
topic Artificial Intelligence
url https://arxiv.org/abs/2512.21583