{"ID":2921601,"CreatedAt":"2026-06-02T02:42:49.606572591Z","UpdatedAt":"2026-06-03T05:56:00.181519634Z","DeletedAt":null,"paper_url":"https://arxiv.org/abs/2606.01044","arxiv_id":"2606.01044","title":"Ask4VG: Risk-Aware Question Selection for Reducing Prior-Driven Answers in Medical VQA","abstract":"Medical visual question answering requires models to ground their responses in image evidence, because visually unsupported answers can mislead downstream interpretation. However, many medical VQA questions are generic, template-like, or highly similar in form, which can encourage models to learn question-answer shortcuts instead of image-dependent reasoning and thereby increase the risk of hallucinated responses. We propose Ask4VG, a label-free pilot framework for risk-aware question selection. Ask4VG estimates question-induced hallucination risk through counterfactual visual probing: the same question is asked under the original image, a perturbed image, a blank image, and a mismatched image, and the resulting answer relations are converted into weak supervision for a counterfactual risk estimator. The learned estimator then reranks candidate question rewrites to favor intent-preserving questions that are less invariant to missing or mismatched visual evidence before final answer generation. On VQA-RAD with Qwen2-VL-2B-Instruct, prompt-only rewriting increases counterfactual risk, whereas predicted-risk reranking reduces held-out risk from 0.658 to 0.623 and improves exact accuracy from 0.337 to 0.356. A 300-sample PMC-VQA external check shows the same direction of risk reduction with a small accuracy gain. These results suggest that question selection is a promising complement to response-level hallucination mitigation for reliable medical VQA.","short_abstract":"Medical visual question answering requires models to ground their responses in image evidence, because visually unsupported answers can mislead downstream interpretation. However, many medical VQA questions are generic, template-like, or highly similar in form, which can encourage models to learn question-answer shortc...","url_abs":"https://arxiv.org/abs/2606.01044","url_pdf":"https://arxiv.org/pdf/2606.01044v1","authors":"[\"Xiaorong Zhu\",\"Qiang Li\",\"Zibo Xu\",\"Weijie Wang\",\"Weizhi Nie\"]","published":"2026-05-31T06:25:53Z","proceeding":"cs.CV","tasks":"[\"cs.CV\"]","methods":"[]","has_code":false}