Paper Citation Record · LEDGER

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints

As of 20 August 2026, this Paper Citation Record lists 33 of 33 outbound references and 2 inbound Pith citation observations for arXiv:2506.06600.

A citation records a reference. It does not transfer a finding from one paper to another.

pith.paper-citation-record.v1
2506.06600 v2

Coverage vector

measured 33 of 33 reference resolution

Typed states for the displayed outbound observations.

Source: paper_references, paper_reference_links, observed 2026-08-07T05:57:22.751107Z

measured 35 of 35 standing notices

One-hop event checks from named stored sources.

Source: scholarly_work_events, retraction_status_cache, observed 2026-08-19T06:32:44.657259+00:00

measured 2 of 2 inbound itemization

Pith citing papers itemized under the disclosed page cap.

Source: paper_references, paper_reference_links, observed 2026-07-12T19:39:46.922877Z

measured 0 of 1 external citation measurements

A source-named dated measurement, never combined with another source.

Source: arxiv_reference, observed 2026-06-29T23:24:01.588708Z

Reference resolution

33 of 33 outbound references displayed

verified exact1
verified fuzzy9
unresolved22
parse uncertain0
malformed identifier0
metadata mismatch1

External citation measurements

No source-named external measurement is stored.

Outbound references

Observation c57bfb3f-f07d-4a98-a200-4525fd253797 · outbound

This paper cites Language Models are Few-Shot Learners.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Language Models are Few-Shot Learners

Reference 1

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.627032Z

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Observation 20461b7d-3f2e-4d9e-96ff-b7c3c5a2d8d5 · outbound

This paper cites LLaMA: Open and Efficient Foundation Language Models.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints LLaMA: Open and Efficient Foundation Language Models

Reference 2

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.632278Z

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Observation 21a63095-f6ba-463f-9676-4a004d5f9353 · outbound

This paper cites Llama 2: Open Foundation and Fine-Tuned Chat Models.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Llama 2: Open Foundation and Fine-Tuned Chat Models

Reference 3

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.637181Z

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Observation 05346d2e-3ece-4cfa-93fd-f83fcabbd77e · outbound

This paper cites The Llama 3 Herd of Models.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints The Llama 3 Herd of Models

Reference 4

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.641263Z

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Observation d355fdae-063a-4c0b-890d-c6dbc462590b · outbound

This paper cites Qwen3, April 2025.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Qwen3, April 2025

Reference 5

Resolution: verified fuzzy; raw_fallback, observed 2026-08-07T05:57:23.193547Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

Observation a27ca818-e6c9-4536-ba0d-7a5c6713cedd · outbound

This paper cites Visual-language models for medical image analysis: A survey.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Visual-language models for medical image analysis: A survey

Reference 6

Resolution: verified fuzzy; raw_fallback, observed 2026-08-07T05:57:23.182550Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

Observation 3d146fbb-eb46-4603-916d-570fde5b3fc8 · outbound

This paper cites Med-flamingo: a multimodal medical few-shot learner.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Med-flamingo: a multimodal medical few-shot learner

Reference 7

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.654852Z

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Observation 22fc5508-addf-460e-b57b-05dff12354d4 · outbound

This paper cites GEM3D: GEnerative Medial Abstractions for 3D Shape Synthesis.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints GEM3D: GEnerative Medial Abstractions for 3D Shape Synthesis

Reference 8

Resolution: verified exact; local_arxiv, observed 2026-08-07T05:57:22.982969Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

Observation e4811ea2-b637-4362-a90f-f8fe9f73e1ad · outbound

This paper cites BiomedCLIP: a multimodal biomedical foundation model pretrained from fifteen million scientific image-text pairs.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints BiomedCLIP: a multimodal biomedical foundation model pretrained from fifteen million scientific image-text pairs

Reference 9

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.662714Z

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Observation b8a46e70-17ed-4b53-9668-28f92aec6133 · outbound

This paper cites Biomedgpt: A unified and generalist biomedical generative pre-trained transformer for vision, language, and multimodal tasks.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Biomedgpt: A unified and generalist biomedical generative pre-trained transformer for vision, language, and multimodal tasks

Reference 10

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.666851Z

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Observation 621c8906-edb3-44d1-83ca-f6fdc282c21e · outbound

This paper cites Llava-med: Training a large language-and-vision assistant for biomedicine in one day.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Llava-med: Training a large language-and-vision assistant for biomedicine in one day

Reference 11

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.670308Z

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Observation 48f93aba-269a-4d53-b74d-ce843f717b7f · outbound

This paper cites Mimic-cxr, a de-identified publicly available database of chest radiographs with free-text reports.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Mimic-cxr, a de-identified publicly available database of chest radiographs with free-text reports

Reference 12

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.673917Z

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Observation 1aad558e-94e1-447e-bc96-998d294aecf9 · outbound

This paper cites Robust Kalman Filters Based on the Sub-Gaussian $\alpha$-stable Distribution.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Robust Kalman Filters Based on the Sub-Gaussian $\alpha$-stable Distribution

Reference 13

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.677585Z

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Observation fca66905-e254-4a17-a9af-fc70bf6fc588 · outbound

This paper cites Artificial intelligence in radiology.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Artificial intelligence in radiology

Reference 14

Resolution: verified fuzzy; raw_fallback, observed 2026-08-07T05:57:23.142062Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

Observation 6349b17c-70c1-4041-a3ed-97f290a22c00 · outbound

This paper cites MedVLM-R1: Incentivizing Medical Reasoning Capability of Vision-Language Models (VLMs) via Reinforcement Learning.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints MedVLM-R1: Incentivizing Medical Reasoning Capability of Vision-Language Models (VLMs) via Reinforcement Learning

Reference 15

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.684656Z

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Observation eeb376da-144c-4f9e-bf4e-0ecab4f05ec3 · outbound

This paper cites Med-r1: Reinforce- ment learning for generalizable medical reasoning in vision-language models.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Med-r1: Reinforce- ment learning for generalizable medical reasoning in vision-language models

Reference 16

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.688075Z

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Observation d591a105-dcc3-4bbb-b57a-fa8afe9d2838 · outbound

This paper cites Explainability for artificial intelligence in healthcare: a multidisciplinary perspective.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Explainability for artificial intelligence in healthcare: a multidisciplinary perspective

Reference 17

Resolution: verified fuzzy; raw_fallback, observed 2026-08-07T05:57:23.130793Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

Observation dd1ecbe9-32cb-47c8-b2ae-cec7f1c9e7aa · outbound

This paper cites Chain-of-thought prompting elicits reasoning in large language models.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Chain-of-thought prompting elicits reasoning in large language models

Reference 18

Resolution: verified fuzzy; raw_fallback, observed 2026-08-07T05:57:23.118859Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

Observation c2ab2436-87e7-4f78-94c6-47d7493cd9ed · outbound

This paper cites MedCoT: Medical Chain of Thought via Hierarchical Expert.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints MedCoT: Medical Chain of Thought via Hierarchical Expert

Reference 19

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.698599Z

Source-reported events for the cited work

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Observation b0fc92e6-b2f7-47af-b297-9e93e147bed8 · outbound

This paper cites Silvar-med: A speech-driven visual language model for explainable abnormality detection in medical imaging.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Silvar-med: A speech-driven visual language model for explainable abnormality detection in medical imaging

Reference 20

Resolution: verified fuzzy; raw_fallback, observed 2026-08-07T05:57:23.105655Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

Observation c1813c07-a182-4df5-af8e-fb5791917559 · outbound

This paper cites Two-Stage Estimation and Variance Modeling for Latency-Constrained Variational Quantum Algorithms.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Two-Stage Estimation and Variance Modeling for Latency-Constrained Variational Quantum Algorithms

Reference 21

Resolution: metadata mismatch; local_arxiv, observed 2026-08-07T05:57:22.845736Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

Observation 0f22b2dd-101a-4481-9ea9-42dce54c8cf9 · outbound

This paper cites Reinforcement learning for medical image analysis: Current progress and future directions.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Reinforcement learning for medical image analysis: Current progress and future directions

Reference 22

Resolution: verified fuzzy; raw_fallback, observed 2026-08-07T05:57:23.092508Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

Observation fe64f8fd-0251-4290-99d3-5e70ee5715fa · outbound

This paper cites Which shapes can appear in a Curve Shortening Flow Singularity?.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Which shapes can appear in a Curve Shortening Flow Singularity?

Reference 23

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.713892Z

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Observation a3f3f9be-363b-4006-9834-d829cd011408 · outbound

This paper cites HuatuoGPT-Vision, Towards Injecting Medical Visual Knowledge into Multimodal LLMs at Scale.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints HuatuoGPT-Vision, Towards Injecting Medical Visual Knowledge into Multimodal LLMs at Scale

Reference 24

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.717492Z

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Observation 34f1c314-0099-4ed5-96ae-1d085cc868c4 · outbound

This paper cites A dataset of clinically generated visual questions and answers about radiology images.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints A dataset of clinically generated visual questions and answers about radiology images

Reference 25

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.721052Z

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Observation 0758ad61-c5fa-4d6f-b6c8-001ca2c3f319 · outbound

This paper cites SLAKE: A Semantically-Labeled Knowledge-Enhanced Dataset for Medical Visual Question Answering.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints SLAKE: A Semantically-Labeled Knowledge-Enhanced Dataset for Medical Visual Question Answering

Reference 26

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.724573Z

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Observation 8c7b02f2-f134-4049-86c5-81af31d62f94 · outbound

This paper cites Hasan, Vivek V.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Hasan, Vivek V

Reference 27

Resolution: verified fuzzy; raw_fallback, observed 2026-08-07T05:57:23.074082Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

Observation c5d2c434-a1a8-4ce4-aaa3-5290bd92de62 · outbound

This paper cites DeepSeekMath: Pushing the Limits of Mathematical Reasoning in Open Language Models.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints DeepSeekMath: Pushing the Limits of Mathematical Reasoning in Open Language Models

Reference 28

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.731580Z

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Observation 55493f64-ddfc-4e72-b236-94359fc45321 · outbound

This paper cites Weinberger, and Yoav Artzi.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Weinberger, and Yoav Artzi

Reference 29

Resolution: verified fuzzy; raw_fallback, observed 2026-08-07T05:57:23.063149Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

Observation cedffaf2-33a3-4aaf-a605-84f17b598694 · outbound

This paper cites Flashattention: Fast and memory-efficient exact attention with io-awareness.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Flashattention: Fast and memory-efficient exact attention with io-awareness

Reference 30

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.742808Z

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Observation d107493a-58e3-434b-8b63-5de0e80d7d93 · outbound

This paper cites Cambrian-1: A fully open, vision-centric exploration of multimodal llms.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Cambrian-1: A fully open, vision-centric exploration of multimodal llms

Reference 31

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.747458Z

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Observation a1a0afb0-d962-481f-9147-dd3b48a2456a · outbound

This paper cites R1-Zero's "Aha Moment" in Visual Reasoning on a 2B Non-SFT Model.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints R1-Zero's "Aha Moment" in Visual Reasoning on a 2B Non-SFT Model

Reference 32

Resolution: unresolved; no resolver link, observed 2026-08-07T05:57:22.751107Z

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Observation 04006296-ec90-4526-8845-f0df9fa6fb01 · outbound

This paper cites an unresolved cited work.

RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints Unresolved cited work

Reference 2020

Resolution: unresolved; raw_fallback, observed 2026-08-07T05:57:23.051792Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

Pith citing papers

Observation a7916707-232e-4e32-99ff-9c13587ee46b · inbound

LLM-as-a-Judge in Healthcare: A Scoping Analysis of Applications, Methods, and Human Alignment cites this paper.

LLM-as-a-Judge in Healthcare: A Scoping Analysis of Applications, Methods, and Human Alignment RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints

Reference 116

Resolution: verified exact; arxiv_id, observed 2026-06-29T23:24:01.590061Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-19T06:32:44.657259+00:00.

Observation 03ad372f-6803-41f7-bc9d-8f8783da5a6d · inbound

Improving Heart-Focused Medical Question Answering in LLMs via Variance-Aware Rubric Rewards with GRPO cites this paper.

Improving Heart-Focused Medical Question Answering in LLMs via Variance-Aware Rubric Rewards with GRPO RARL: Improving Medical VLM Reasoning and Generalization with Reinforcement Learning and LoRA under Data and Hardware Constraints

Reference 37

Resolution: unresolved; no resolver link, observed 2026-07-12T19:39:46.922877Z

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Unavailable: canonical work link unavailable.