#01Nov 5, 2026
cs.CV
Where and Why is Grounded Reasoning Useful?
David Yan, Le Xue, Forrest Huang and 4 more
Grounded reasoning, where a model outputs text coordinates of relevant locations in chain-of-thought reasoning, is a common strategy for solving complex visual reasoning problems. However, the benefits and limitations of grounded reasoning are understudied. We study where and why grounded reasoning is most useful. To do so, we introduce a chain-of-thought analysis method to measure how much a model uses its outputted grounding in its thinking trace and perform a detailed ablation study of a grounded reasoning training recipe. We find that grounded reasoning improves counting but shows no significant gain over baselines without coordinate grounding across a wide range of spatial reasoning and perception benchmarks. Using several synthetic tasks, we show that grounded reasoning is most useful when a task requires undescribable references, which are visual concepts that are difficult to describe in language. However, we observe that many existing visual reasoning benchmarks are solvable with only describable text references. To close this gap, we introduce BrickVision, a new benchmark that requires undescribable visual references to solve.
#02Nov 5, 2026
cs.CV
OraRefer: Segmentation-Guided Multi-Photograph Fusion for Oral Cancer Screening with Guaranteed Patient-Level Sensitivity
Rupam Mukherjee, Mehakdeep Singh, Shirin Dasgupta and 1 more
Oral cancer and the oral potentially malignant disorders (OPMD) that can precede it are visible on the oral mucosa, which makes smartphone photographs a promising tool for screening. Deep learning models for this task classify individual photographs. However, screening refers patients, not photographs: a patient is usually photographed several times, and the referral decision must miss no more than a set share of patients with disease. We propose OraRefer, a patient-level screening model that reads each photograph with a segmentation-guided foundation model that conditions its class decision on the predicted lesion, combines all photographs of a patient with risk factors, and refers through a threshold with a finite-sample sensitivity guarantee. The model localizes the mouth itself, so inference needs no annotation. On 3000 photographs of 714 patients, patient-level fusion reaches an AUROC of 0.919 and outperforms attention-based multiple-instance learning. At a 90% sensitivity target, OraRefer detects 95% of patients with OPMD or cancer and misses 3 of 61 patients with cancer, at a specificity of 0.610. Because the threshold is calibrated without retraining, each clinic can set its own guaranteed operating point on a local calibration sample.
#03Nov 5, 2026
cs.LG
Interpretable Multimodal MRI-Clinical Fusion for Functional Outcome Prediction After Acute Ischemic Stroke
Sina Raeisadigh, Henning Müller, Abderrahmane Hedjoudje
This study evaluates the added prognostic value of day-1 multimodal MRI for predicting three-month functional outcome after acute ischemic stroke (AIS). Sixty-six AIS patients with ADC, DWI, FLAIR, and clinical data were analyzed. Three-dimensional pretrained ResNet embeddings were extracted from each MRI modality, reduced using fold-isolated principal component analysis, and combined with structured clinical variables and ADC-derived lesion biomarkers. Linear support vector machines were evaluated using eight-fold stratified group cross-validation across MRI modality combinations. Clinical-only modeling achieved strong performance (AUC = $0.899 \pm 0.151$), while MRI-only models showed limited discrimination (AUC $\approx$ $0.67$-$0.73$). Among multimodal configurations, FLAIR-clinical fusion achieved the highest mean cross-validated performance (AUC = $0.948 \pm 0.061$), followed by ADC-clinical fusion (AUC = $0.941 \pm 0.094$). Full ADC-DWI-FLAIR fusion did not consistently outperform single-modality clinical fusion. Feature-importance analysis identified age, NIHSS subscores, ADC lesion burden, and learned FLAIR representations as key contributors, while qualitative FLAIR activation maps showed responses over lesion-like regions. These findings suggest that compact day-1 FLAIR and ADC representations provide complementary prognostic information beyond clinical variables and support interpretable, data-efficient outcome prediction in AIS.
#04Nov 5, 2026
cs.LG
Beyond Quadratic Attention: Separable Gaussian Operators for ODE Vision Transformers
Carlos Boned Riera, David Romero Sanchez, Oriol Ramos Terrades
Self-attention carries a quadratic cost in token count, which limits how far Vision Transformers can scale with input resolution. We introduce SSoG, a separable sum-of-Gaussians spatial operator that replaces dense self-attention with a learned mixture of axis-factorized Gaussian kernels, reducing the per-layer cost from $\mathcal{O}(N^2)$ to subquadratic in $N$. Unlike dot-product self-attention, whose Lipschitz constant is unbounded outside a compact input domain, SSoG with fixed kernels is globally Lipschitz continuous, which, via the Picard--Lindelöf theorem, guarantees that the continuous-depth variant has a unique solution on the whole integration interval, a global guarantee that dense-attention counterparts lack in general. On CIFAR-100 at $224\times224$, in a matched discrete-Transformer setting and in the continuous setting, SSoG improves Top-1 accuracy by 2.2--4.1 points across three model widths while using 8.8--16.6\% fewer parameters, with depth and training recipe held fixed. In a looped-Transformer setting, SSoG improves Top-1 accuracy by 5.4--8.1 points. We further probe inference-time scaling by evaluating on inputs up to $1024\times1024$ at matched batch size: in the continuous-depth (Neural ODE) architecture, SSoG reaches up to 154\% higher throughput and over 60\% lower peak memory than dense attention, with the gap widening as resolution grows, consistent with the difference in asymptotic cost. In the discrete and looped settings, SSoG also achieves over 30\% higher throughput than dense attention at this resolution. Together, these results establish SSoG as a practical, parameter-efficient, and theoretically grounded alternative to dense attention across discrete, weight-shared, and continuous-depth Transformer variants.
#05Nov 5, 2026
cs.CV
Improving Context-Shift Robustness of Convolutional Networks via Context-Regularized Cross-Entropy
Jinen Setpal, Chaoyue Liu
Image classification models often encounter objects in diverse and unpredictable contexts at test time, which may differ substantially from those seen during training. This phenomenon, termed context shift, exposes a key fragility in neural networks: when models rely on non-causal contextual cues for prediction, shifts in context can lead to significant performance degradation. In this paper, we propose a novel training framework to improve the robustness of convolutional neural networks under context shift. Our approach leverages spatial feature attribution to guide models toward making predictions that rely less on contextual regions and more on object-relevant features. As a first step, recognizing a theoretical limitation of existing feature attribution methods we introduce a new variant, ContrastiveCAMs, which produces more faithful attribution maps of model predictions. Building on ContrastiveCAMs, we further propose Context-Regularized Cross-Entropy (CR-CE), a modification of the standard cross-entropy loss that regularizes the model's attention by suppressing the influence of contextual regions, thereby improving robustness to context shift. We evaluate the effectiveness of our approach on several medium-to-large scale datasets (Waterbirds, Spawrious, ImageNet/ImageNet-BG, Hard-ImageNet), and report consistent improvements in context-shift robustness.