Latent Implicit Visual Reasoning

While Large Multimodal Models (LMMs) have made significant progress, they remain largely text-centric, relying on language as their core reasoning modality. As a result, they are limited in their ability to handle reasoning tasks that are predominantly visual. Recent approaches have sought to address this by supervising intermediate visual steps with helper images, depth maps, or image crops. However, these strategies impose restrictive priors on what "useful" visual abstractions look like, add heavy annotation costs, and struggle to generalize across tasks. To address this critical limitation, we propose a task-agnostic mechanism that trains LMMs to discover and use visual reasoning tokens without explicit supervision. These tokens attend globally and re-encode the image in a task-adaptive way, enabling the model to extract relevant visual information without hand-crafted supervision. Our approach outperforms direct fine-tuning and achieves state-of-the-art results on a diverse range of vision-centric tasks -- including those where intermediate abstractions are hard to specify -- while also generalizing to multi-task instruction tuning.

Benchmarking Next-Generation Reasoning-Focused Large Language Models in Ophthalmology: A Head-to-Head Evaluation on 5,888 Items

Recent advances in reasoning-focused large language models (LLMs) mark a shift from general LLMs toward models designed for complex decision-making, a crucial aspect in medicine. However, their performance in specialized domains like ophthalmology remains underexplored. This study comprehensively evaluated and compared the accuracy and reasoning capabilities of four newly developed reasoning-focused LLMs, namely DeepSeek-R1, OpenAI o1, o3-mini, and Gemini 2.0 Flash-Thinking. Each model was assessed using 5,888 multiple-choice ophthalmology exam questions from the MedMCQA dataset in zero-shot setting. Quantitative evaluation included accuracy, Macro-F1, and five text-generation metrics (ROUGE-L, METEOR, BERTScore, BARTScore, and AlignScore), computed against ground-truth reasonings. Average inference time was recorded for a subset of 100 randomly selected questions. Additionally, two board-certified ophthalmologists qualitatively assessed clarity, completeness, and reasoning structure of responses to differential diagnosis questions.O1 (0.902) and DeepSeek-R1 (0.888) achieved the highest accuracy, with o1 also leading in Macro-F1 (0.900). The performance of models across the text-generation metrics varied: O3-mini excelled in ROUGE-L (0.151), o1 in METEOR (0.232), DeepSeek-R1 and o3-mini tied for BERTScore (0.673), DeepSeek-R1 (-4.105) and Gemini 2.0 Flash-Thinking (-4.127) performed best in BARTScore, while o3-mini (0.181) and o1 (0.176) led AlignScore. Inference time across the models varied, with DeepSeek-R1 being slowest (40.4 seconds) and Gemini 2.0 Flash-Thinking fastest (6.7 seconds). Qualitative evaluation revealed that DeepSeek-R1 and Gemini 2.0 Flash-Thinking tended to provide detailed and comprehensive intermediate reasoning, whereas o1 and o3-mini displayed concise and summarized justifications.