Probing the Reliability of Driving VLMs: From Inconsistent Responses to Grounded Temporal Reasoning

A reliable driving assistant should provide consistent responses based on temporally grounded reasoning derived from observed information. In this work, we investigate whether Vision-Language Models (VLMs), when applied as driving assistants, can response consistantly and understand how present observations shape future outcomes, or whether their outputs merely reflect patterns memorized during training without temporally grounded reasoning. While recent efforts have integrated VLMs into autonomous driving, prior studies typically emphasize scene understanding and instruction generation, implicitly assuming that strong visual interpretation naturally enables consistant future reasoning and thus ensures reliable decision-making, a claim we critically examine. We focus on two major challenges limiting VLM reliability in this setting: response inconsistency, where minor input perturbations yield different answers or, in some cases, responses degenerate toward near-random guessing, and limited temporal reasoning, in which models fail to reason and align sequential events from current observations, often resulting in incorrect or even contradictory responses. Moreover, we find that models with strong visual understanding do not necessarily perform best on tasks requiring temporal reasoning, indicating a tendency to over-rely on pretrained patterns rather than modeling temporal dynamics. To address these issues, we adopt existing evaluation methods and introduce FutureVQA, a human-annotated benchmark dataset specifically designed to assess future scene reasoning. In addition, we propose a simple yet effective self-supervised tuning approach with chain-of-thought reasoning that improves both consistency and temporal reasoning without requiring temporal labels.

Vascular anatomy-aware self-supervised pre-training for X-ray angiogram analysis

X-ray angiography is the gold standard imaging modality for cardiovascular diseases. However, current deep learning approaches for X-ray angiogram analysis are severely constrained by the scarcity of annotated data. While large-scale self-supervised learning (SSL) has emerged as a promising solution, its potential in this domain remains largely unexplored, primarily due to the lack of effective SSL frameworks and large-scale datasets. To bridge this gap, we introduce a vascular anatomy-aware masked image modeling (VasoMIM) framework that explicitly integrates domain-specific anatomical knowledge. Specifically, VasoMIM comprises two key designs: an anatomy-guided masking strategy and an anatomical consistency loss. The former strategically masks vessel-containing patches to compel the model to learn robust vascular semantics, while the latter preserves structural consistency of vessels between original and reconstructed images, enhancing the discriminability of the learned representations. In conjunction with VasoMIM, we curate XA-170K, the largest X-ray angiogram pre-training dataset to date. We validate VasoMIM on four downstream tasks across six datasets, where it demonstrates superior transferability and achieves state-of-the-art performance compared to existing methods. These findings highlight the significant potential of VasoMIM as a foundation model for advancing a wide range of X-ray angiogram analysis tasks. VasoMIM and XA-170K will be available at https://github.com/Dxhuang-CASIA/XA-SSL.