Paper Citation Record · LEDGER

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

As of 9 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 2026-08-09T06:31:02.800959+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 2026-08-09T06:31:02.800959+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 2026-08-09T06:31:02.800959+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 2026-08-09T06:31:02.800959+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 2026-08-09T06:31:02.800959+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 2026-08-09T06:31:02.800959+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 2026-08-09T06:31:02.800959+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 2026-08-09T06:31:02.800959+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 2026-08-09T06:31:02.800959+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 2026-08-09T06:31:02.800959+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

Source-reported events for the cited work

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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 2026-08-09T06:31:02.800959+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 2026-08-09T06:31:02.800959+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 2026-08-09T06:31:02.800959+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 2026-08-09T06:31:02.800959+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.