Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Preprint |
| Published: |
2026
|
| Subjects: | |
| Online Access: | https://arxiv.org/abs/2605.18313 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1866913141110079488 |
|---|---|
| author | Hagen, Luca Müller, Johanna P. Zhang, Weitong Qiao, Mengyun Kainz, Bernhard |
| author_facet | Hagen, Luca Müller, Johanna P. Zhang, Weitong Qiao, Mengyun Kainz, Bernhard |
| contents | Small vision-language models (2-8B) are well-suited for clin- ical deployment due to privacy constraints, limited connectivity, and low-latency requirements favouring on-device or on-premise inference. However, their limited capacity exacerbates the generation of plausible but incorrect outputs. We extend game-theoretic decoding, previously restricted to text-only, closed-ended NLP tasks, to vision-language mod- els for open-ended Medical VQA. We introduce a semantically aware Wasserstein stopping criterion that replaces lexical order matching, en- abling convergence based on semantic consensus among near-synonymous candidate answers and avoiding unnecessary iterations caused by clini- cally equivalent ranking swaps. On VQA-RAD and PathVQA, we ob- tain consistent, statistically significant improvements over greedy and discriminative baselines. On VQA-RAD, we improve Qwen3-VL-2B by +3.5 percentage points (p < 0.01), surpassing the greedy 4B model, with similar trends at larger scales. On PathVQA, Gemma-3-4B with BDG matches MedGemma-4B under greedy decoding despite no domain- specific fine-tuning. At accuracy parity with classic BDG, the Wasser- stein criterion reduces average convergence iterations by approximately 20%, improving inference efficiency while preserving the game-theoretic equilibrium behaviour. Code is available at https://github.com/luca-hagen/ Wasserstein-BDG-medical-VQA. |
| format | Preprint |
| id |
arxiv_https___arxiv_org_abs_2605_18313 |
| institution | arXiv |
| publishDate | 2026 |
| record_format | arxiv |
| spellingShingle | Wasserstein Equilibrium Decoding for Reliable Medical Visual Question Answering Hagen, Luca Müller, Johanna P. Zhang, Weitong Qiao, Mengyun Kainz, Bernhard Computer Vision and Pattern Recognition Artificial Intelligence Small vision-language models (2-8B) are well-suited for clin- ical deployment due to privacy constraints, limited connectivity, and low-latency requirements favouring on-device or on-premise inference. However, their limited capacity exacerbates the generation of plausible but incorrect outputs. We extend game-theoretic decoding, previously restricted to text-only, closed-ended NLP tasks, to vision-language mod- els for open-ended Medical VQA. We introduce a semantically aware Wasserstein stopping criterion that replaces lexical order matching, en- abling convergence based on semantic consensus among near-synonymous candidate answers and avoiding unnecessary iterations caused by clini- cally equivalent ranking swaps. On VQA-RAD and PathVQA, we ob- tain consistent, statistically significant improvements over greedy and discriminative baselines. On VQA-RAD, we improve Qwen3-VL-2B by +3.5 percentage points (p < 0.01), surpassing the greedy 4B model, with similar trends at larger scales. On PathVQA, Gemma-3-4B with BDG matches MedGemma-4B under greedy decoding despite no domain- specific fine-tuning. At accuracy parity with classic BDG, the Wasser- stein criterion reduces average convergence iterations by approximately 20%, improving inference efficiency while preserving the game-theoretic equilibrium behaviour. Code is available at https://github.com/luca-hagen/ Wasserstein-BDG-medical-VQA. |
| title | Wasserstein Equilibrium Decoding for Reliable Medical Visual Question Answering |
| topic | Computer Vision and Pattern Recognition Artificial Intelligence |
| url | https://arxiv.org/abs/2605.18313 |