EchoSonar-R: A Multi-View Reasoning-Enabled Model for Disease Classification and Report Generation in Echocardiography

Echocardiography is the most widely used non-invasive cardiac imaging modality, providing essential information for cardiovascular diagnosis. Interpreting an echocardiogram requires synthesizing complementary evidence across multiple heart views to identify abnormalities and produce structured clinical reports. While recent efforts focus on improving classification performance, most models lack explicit diagnostic reasoning and spatially grounded anatomical evidence, limiting clinician trust. We present EchoSonar-R, a multi-view reasoning-enabled vision-language model that jointly performs multi-label disease classification and report generation from echocardiography studies. EchoSonar-R combines a spatiotemporal video encoder with a structure-aware cardiac detector that provides spatially grounded anatomical cues to improve interpretability and clinician trust during cross-view reasoning. EchoSonar-R is trained in two stages: supervised fine-tuning (SFT) on reasoning-annotated targets, followed by Group Relative Policy Optimization (GRPO) with task-specific rewards that jointly align classification and report generation within a unified reinforcement-learning framework. Across a private multi-view dataset and two public benchmarks, EchoSonar-R improves macro balanced accuracy by 17.1% on the private set and 6.1% on MIMICEchoQA over the strongest baseline, achieves a GREEN clinical faithfulness score of 0.800, and produces interpretable reasoning traces grounded in multi-view visual evidence.

LoRA-Tuned Large Language Models for Dementia Detection via Multi-View Speech-Derived Features

Early detection of dementia enables timely intervention, and reflecting cognitive impairment, spontaneous speech offers a non-invasive screening modality. Conventional approaches often focus on a single representational dimension -- such as acoustic descriptors, pause modeling, automatic speech recognition (ASR) transcripts, or multimodal fusion -- limiting integrative reasoning across heterogeneous cognitive symptoms. We propose a low-rank adaptation (LoRA)-tuned large language model (LLM) that performs structured multi-view reasoning over four complementary speech-derived signals: ASR transcripts with pause markers, discourse-level topic cues, temporal fluency statistics, and phonological sequences. These cues are encoded within a unified prompt, enabling a single LLM to learn a coherent decision function without modality-specific encoders or late-stage fusion. On ADReSSo, our best model achieves an F1-score of 90.14%, and ablation confirms the complementary contribution of each view.

Dense Reward for Multi-View 3D Reasoning with Global Maps and Local Views

Multi-view 3D Visual Question Answering (MV3D-VQA) requires integrating partial observations into a coherent 3D scene representation and selecting informative viewpoints for multi-step spatial reasoning. However, current multimodal LLMs are typically trained with sparse, answer-level supervision, which often yields inconsistent cross-view reasoning and brittle view selection. We present DR-MV3D (Dense Reward for MV3D-VQA), a map-grounded learning framework that provides dense, verifiable rewards to supervise the reasoning process. Our approach decomposes MV3D-VQA into (i) allocentric global map construction, (ii) question-conditioned view-trajectory planning, and (iii) egocentric grounding for answer prediction. To make intermediate steps learnable without manual annotations, we introduce two rewards: a global consistency reward that aligns the predicted map with geometry-consistent pseudo targets from frozen 3D vision foundation models (e.g., VGGT + SAM3), and a local trajectory reward that supervises ordered viewpoint selection. We optimize the full pipeline with trajectory-level policy optimization (GRPO). Experiments on MindCube, VSI-Bench, and BLINK (MV) show that DR-MV3D consistently improves over strong multi-image baselines, supporting the effectiveness of process-level dense supervision for multi-view 3D reasoning.

RoboPIN: Grounded Embodied Reasoning via Pinned Chain-of-Thought

Embodied reasoning requires models to perceive task-relevant objects and spaces in physical environments and maintain consistent visual grounding throughout multi-step reasoning. However, current vision-language models rely on text-only or coordinate-augmented chain-of-thought, where entity references remain implicit and ambiguous. This may cause the reasoning process to decouple from visual evidence, entity references to drift across steps, and a causal disconnection between the reasoning trajectory and the final answer, with these problems further amplified in multi-view scenarios due to cross-view appearance changes. To address these issues, we propose Pinned Chain-of-Thought (PinCoT), a structured reasoning paradigm that pins every reasoning step to visual evidence. PinCoT introduces the concept of reasoning anchor, which binds each task-relevant entity to a structured visual anchor with entity name, unique identity, view index, and spatial grounding, enabling consistent entity tracking across reasoning steps and views. We build a fully automated data generation pipeline to construct PIN-170K, a high-quality PinCoT-formatted reasoning dataset. We then train RoboPIN through three-stage post-training that progressively injects embodied knowledge, structured reasoning ability, and process-supervised alignment, with rewards that directly constrain both anchor localization and identity consistency during reasoning. On 14 benchmarks covering embodied spatial reasoning, multi-view reasoning, and pointing, RoboPIN with only 4B parameters surpasses 7B level open-source embodied models on average, achieving a 12% average improvement over the strongest 7B baseline, Mimo-Embodied. Further analysis shows that PinCoT improves grounding accuracy and cross-step identity consistency, validating the effectiveness of process supervision.