articleIEEE Transactions on Medical ImagingJan 1, 2026Closed access

Med-R1: Reinforcement Learning for Generalizable Medical Reasoning in Vision-Language Models

Emory University · University of Southern California · +3 more institutions

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Abstract

Vision-language models (VLMs) have achieved impressive progress in natural image reasoning, yet their potential in medical imaging remains underexplored. Medical vision-language tasks demand precise understanding and clinically coherent answers, which are difficult to achieve due to complexity of medical data and the scarcity of high-quality expert annotations. These challenges limit the effectiveness of conventional supervised fine-tuning (SFT) and Chain-of-Thought (CoT) strategies that work well in general domains. To address these challenges, we propose Med-R1, a reinforcement learning (RL)-enhanced VLM designed to improve generalization and reliability in medical reasoning. Med-R1 adopts Group Relative…

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Topics & keywords

Keywords
  • Generalization
  • Reinforcement learning
  • Process (computing)
  • Reliability (semiconductor)
  • Medical imaging
  • Limit (mathematics)
  • Component (thermodynamics)
  • Quality (philosophy)
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