Vision-language-action (VLA) models often expose spatial grounding through autoregressive text coordinates or opaque action tokens, creating brittle interfaces between multimodal reasoning and robot execution. We present Pointing-VLA, a typed hidden-state spatial readout built on Embodied-R1. Geometry-specific heads predict normalized points, object-functional grounding (OFG) heatmaps, and visual trajectories without serializing geometry as text. For the evaluated Bridge/WidowX and physical pick-place deployments, an explicit execution contract assigns PICK to source-conditioned OFG and PLACE to Pointing, providing direct stage-aligned spatial targets. Pointing-VLA achieves SOTA performance on Bridge/WidowX, averaging 72.9\% across the evaluated four-task set without Bridge-specific finetuning under collision-enabled CuRobo execution. Pointing and OFG show complementary strengths across native and cross-dataset evaluations. The OFG/contact readout transfers to NORA-1.5, preserving or improving success while reducing recorded controller time by more than 20$\times$; typed heads are also 6.68--6.90$\times$ faster than Embodied-R1 text decoding on a shared external suite. When integrated as spatial guidance for a $π_{0.5}$ action policy, Pointing-VLA raises autonomous real-robot success from 52.7\% to 80.7\% across three visual contexts. These results establish typed spatial readouts as an efficient, inspectable interface between embodied reasoning and robot execution.
Mercy Prasanna Ranjit, Anirban Porya, Sathvik Joel +8cs.CV cs.AI
A clinically useful chest X-ray system must go beyond fluent report generation: it should classify findings with tunable decision thresholds, localize them spatially, and derive the anatomical measurements upon which many diagnoses depend. Today's Vision-Language Models (VLMs) treat these as separate problems, if they address them at all, leaving a gap between what radiologists need and what generative models provide. We introduce CARE-X, a chest X-ray VLM that narrows this gap by unifying auxiliary discriminative supervision with reward-aligned generation. CARE-X augments its generative backbone with focal-loss classification and composite-loss grounding heads, co-trained alongside the language-modeling objective. This auxiliary supervision produces discriminative diagnostic predictions with tunable decision thresholds and precise spatial localization while also improving report quality, providing evidence that structured prediction and generation reinforce one another. Building on this foundation, Decoupled Clip and Dynamic Sampling Policy Optimization (DAPO) leverages task-specific reward signals for report generation, visual question answering (VQA), and spatial grounding, directly optimizing the clinical quality metrics that matter in practice. The result is state-of-the-art performance on the majority of metrics across four report-generation benchmarks, 94.0% VQA accuracy on ReXVQA (+6.0 pp over the next-best baseline), and generative spatial decoding that reaches near parity with dedicated detection heads. Separately, to address measurement-dependent diagnoses, we couple Qwen3-VL-4B-Instruct with native tool-calling capabilities for invoking deterministic measurement tools, while retaining full visual access to the image. This hybrid inference yields +43.6 pp average F1 over perception-only baselines across five measurement-dependent conditions.
Hugo Malard, Michel Olvera, Sanjeel Parekh +3cs.IR cs.AI cs.MM cs.SD eess.AS
Weak supervision sets a practical regime for audio-visual sound source localization as dense spatial annotations are costly to obtain at scale. The task, however, remains challenging, as models must locate sound sources from temporally aligned audio-visual data without pixel-level supervision. Recent large-scale audio-visual retrieval models, trained at unprecedented scale, encode rich multimodal structure. We show their latent representations, though optimized for global alignment, can nonetheless enable fine-grained spatial grounding. While spatial detail is progressively lost in the upper layers of retrieval backbones due to global pooling, intermediate visual tokens retain highly structured spatial information. To exploit this, we introduce LAIP (\emph{Localization via Audio-Informed Pooling}), a framework that employs a lightweight \emph{Audio-informed Spatial Pooling} (AiSP) to replace the standard global aggregation module. By using frame-aligned audio to query intermediate visual tokens, LAIP recovers localized spatial information that is otherwise discarded by the frozen retrieval pipeline. Our approach achieves state-of-the-art performance on AVSBench and AVATAR, nearly doubling previous results on the latter. These findings prove that accurate localization does not need to be learned from scratch; instead, it can be unlocked from existing retrieval representations, providing a unified path for both retrieval and localization tasks.
Vision-language models (VLMs) achieve strong singleshot spatial grounding, yet lack any mechanism to observe and correct their own predictions. We find that naively prompting a VLM to iterate over rendered visualizations of its predictions causes catastrophic failure: Acc@0.5 on referring expression comprehension collapses from 79.6% to 48.7% (a 31 percentage point drop), revealing a fundamental gap between grounding capability and self-correction ability. We propose Iterative Visual Thinking (IVT), a closed-loop framework in which the model predicts a bounding box, observes the prediction rendered on the image, and iteratively refines through visual feedback. A two-phase training recipe closes the self-correction gap: first, we exploit the base model's own predictions as realistic errors and prompt a teacher VLM to generate corrective reasoning traces, yielding supervised data without human annotation; second, we apply Group Relative Policy Optimization (GRPO) with a simple IoU reward to stabilize multi-step refinement. On a mixed benchmark spanning RefCOCOg, Ref-Adv, and Ref-L4 (505 test samples), SFT warm-up with IVT surpasses the single-shot base model on every metric: Acc@0.5 rises to 82.0% (+2.4pp), Acc@0.7 to 74.1% (+3.2pp), and Acc@0.9 to 48.3% (+2.8pp). GRPO further reduces per-step IoU degradation by 5x, stabilizing the refinement trajectory. All training uses only 2,400 samples on a single GPU, demonstrating that spatial self-correction is a learnable capability that can be instilled at modest scale.
Visual Question Answering (VQA) holds great promise for clinical support, particularly in ophthalmology, where retinal fundus photography is essential for diagnosis. However, ophthalmic VQA benchmarks primarily emphasize answer accuracy, neglecting the explicit visual evidence necessary for clinical interpretability. In this work, we introduce FundusGround, a new benchmark for clinically interpretable ophthalmic VQA with spatially-grounded lesion evidence. Specifically, we propose a three-stage pipeline that collects 10,719 fundus images with 15,595 image-level meticulously annotated lesions. To ensure anatomical consistency and clinical validity, all lesions are spatially localized using the Early Treatment Diabetic Retinopathy Study (ETDRS) grid, enabling standardized mapping to nine clinically meaningful retinal regions. Built upon this structured lesion evidence, 72,706 questions are then generated spanning four formats: open-ended, closed-ended, single-choice, and multiple-choice. We further benchmark multiple general- and medical- large vision-language models using dual metrics for answer accuracy and lesion-level reasoning. The experiments demonstrate that incorporating lesion-level visual evidence consistently improves model performance and transparency, highlighting the necessity of explicit spatial grounding for reliable and explainable ophthalmic VQA.