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Paper Citation Record · LEDGER

Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning

As of 6 August 2026, this Paper Citation Record lists 16 of 16 outbound references and 3 inbound Pith citation observations for arXiv:2512.14157.

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

pith.paper-citation-record.v1
2512.14157 v2

Coverage vector

measured 16 of 16 reference resolution

Typed states for the displayed outbound observations.

Source: paper_references, paper_reference_links, observed 2026-08-03T16:18:54.747490Z

measured 19 of 19 standing notices

One-hop event checks from named stored sources.

Source: scholarly_work_events, retraction_status_cache, observed 2026-08-06T06:34:29.942622+00:00

measured 3 of 3 inbound itemization

Pith citing papers itemized under the disclosed page cap.

Source: paper_references, paper_reference_links, observed 2026-06-27T10:21:12.782864Z

measured 0 of 1 external citation measurements

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

Source: pith, observed 2026-07-03T09:37:49.455068Z

Reference resolution

16 of 16 outbound references displayed

  • verified exact0
  • verified fuzzy0
  • unresolved16
  • parse uncertain0
  • malformed identifier0
  • metadata mismatch0

External citation measurements

No source-named external measurement is stored.

Outbound references

Observation d26705a4-fd79-449a-ad7b-2666fee9f612 · outbound

This paper cites an unresolved cited work.

Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning Unresolved cited work

Reference 1

Resolution
unresolved
no resolver link, observed 2026-08-03T16:18:53.688561Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-03T16:18:53.688561Z digest=sha256:74ccc5477484dd989be7b7728f90280fc79784dcdcf47ca2ad4f09bfdd4b3b1c

Observation 5dd9be59-3cfa-403c-b5df-b578513a4970 · outbound

This paper cites an unresolved cited work.

Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning Unresolved cited work

Reference 2

Resolution
unresolved
no resolver link, observed 2026-08-03T16:18:53.730829Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-03T16:18:53.730829Z digest=sha256:f6dd9037cc2ee0f8a9fc3bd621dd2dbefdd77c1314897d8c68da24fd61b892be

Observation 41ea7d4a-26aa-4de8-8a39-f6f6d2c9cb22 · outbound

This paper cites an unresolved cited work.

Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning Unresolved cited work

Reference 3

Resolution
unresolved
no resolver link, observed 2026-08-03T16:18:53.798026Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-03T16:18:53.798026Z digest=sha256:f1f751a38fb9ebf97654e7caae6f9558593187e4d37fb79a1e1b82ecf2176282

Observation 7bccfdda-73c0-4455-b875-93119971857d · outbound

This paper cites Question.

Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning Question

Reference 4

Resolution
unresolved
no resolver link, observed 2026-08-03T16:18:53.849031Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-03T16:18:53.849031Z digest=sha256:1bdfdb77bf7a72ae2f521d7347bc1e2a73a23f09f84ba9242fd0bb3bb592f3f9

Observation 3494742b-5402-4860-9623-4b019b5bed7b · outbound

This paper cites an unresolved cited work.

Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning Unresolved cited work

Reference 5

Resolution
unresolved
no resolver link, observed 2026-08-03T16:18:53.918403Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-03T16:18:53.918403Z digest=sha256:32b46e2483acdc3069d8b8747c7ec3d3be994e9795fff28d74d0da39c8a7e813

Observation 9b6ed5b7-54b5-4f13-9ee2-952e23f502e4 · outbound

This paper cites an unresolved cited work.

Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning Unresolved cited work

Reference 6

Resolution
unresolved
no resolver link, observed 2026-08-03T16:18:53.962021Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-03T16:18:53.962021Z digest=sha256:259e971229879af6acce2cb7b640855a205ccd2c6d7eef1c88c63257c1589a11

Observation c1fcc272-6060-4f8c-9f78-ff3612cc6acf · outbound

This paper cites an unresolved cited work.

Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning Unresolved cited work

Reference 7

Resolution
unresolved
no resolver link, observed 2026-08-03T16:18:54.026045Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-03T16:18:54.026045Z digest=sha256:c7e712a864d13575d5b82962668d6e9e2e12c7ee05f5dface85a070fd5612f4a

Observation 9bb2cd6e-2e0e-4505-b102-9b2a0ebbfded · outbound

This paper cites Question.

Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning Question

Reference 8

Resolution
unresolved
no resolver link, observed 2026-08-03T16:18:54.124811Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-03T16:18:54.124811Z digest=sha256:4a4686b791e9e8fdf02cea21aea0a3ed0c7693cd822879303bf5f69292501f2d

Observation aa76cd59-c235-43c1-8583-f8c07e1dc6f9 · outbound

This paper cites • Keys Question, Options, Answer exist.

Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning • Keys Question, Options, Answer exist

Reference 9

Resolution
unresolved
no resolver link, observed 2026-08-03T16:18:54.231206Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-03T16:18:54.231206Z digest=sha256:d75ee70ed41aa3a39f654f8c4fbe5dd6795102f92ae5fe3db20128d5edf2688d

Observation 991b699d-8d20-4dc9-b2fb-e71de275a251 · outbound

This paper cites • Professional, precise clinical terminology; no vague or colloquial phrasing.

Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning • Professional, precise clinical terminology; no vague or colloquial phrasing

Reference 10

Resolution
unresolved
no resolver link, observed 2026-08-03T16:18:54.271019Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-03T16:18:54.271019Z digest=sha256:8fb372a3cdbde2b2804fdb0ce5cab515c757fb9effa79f281482ee58219303dd

Observation bde6a408-750a-4618-a9da-3a706c4f092b · outbound

This paper cites • High correlation with the target region: content should pertain to structures/findings inside or tightly adjacent to the masked area.

Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning • High correlation with the target region: content should pertain to structures/findings inside or tightly adjacent to the masked area

Reference 11

Resolution
unresolved
no resolver link, observed 2026-08-03T16:18:54.337914Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-03T16:18:54.337914Z digest=sha256:b42d4d8bc68fc21e9530a617a9677d98e0a2ee8dd53b17c6ef45fd0ddf862e64

Observation ebd6e4e9-51c5-492b-861f-50b0c7ddd82e · outbound

This paper cites All of the above,.

Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning All of the above,

Reference 12

Resolution
unresolved
no resolver link, observed 2026-08-03T16:18:54.388615Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-03T16:18:54.388615Z digest=sha256:7c7b8ddfb778a57e126ad66423c455c4a689a53094d92e13dde02dd03b10300d

Observation 0501bf2c-318d-4b78-9b14-a8f2f6cf9955 · outbound

This paper cites question not grounded to target region.

Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning question not grounded to target region

Reference 13

Resolution
unresolved
no resolver link, observed 2026-08-03T16:18:54.433181Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-03T16:18:54.433181Z digest=sha256:a957edf8a982e291e69ea0e3c762994b8726d7789d7892544b5fea0e3fab8d97

Observation 0ad30a80-eba1-4452-a286-68ea9f74b383 · outbound

This paper cites Break down the problem: what is being asked, and what information or measurements might be needed from the image? Plan an approach before using any tool.

Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning Break down the problem: what is being asked, and what information or measurements might be needed from the image? Plan an approach before using any tool

Reference 14

Resolution
unresolved
no resolver link, observed 2026-08-03T16:18:54.526168Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-03T16:18:54.526168Z digest=sha256:20500871d8d2496dc9aebbd19ad6862bc7592814fec821493d709cc615ce4a77

Observation b987be3d-cf5f-4bf0-9295-e963b0aff270 · outbound

This paper cites liver tumor.

Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning liver tumor

Reference 15

Resolution
unresolved
no resolver link, observed 2026-08-03T16:18:54.647546Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-03T16:18:54.647546Z digest=sha256:a0af414e0f5d648d2639336e4182700c6c4cbdcbcdb3b120d8261b8ba422ea61

Observation 32e258f4-39e9-4cd5-8f35-b38561f07132 · outbound

This paper cites • End your reasoning chain with an Answer action.

Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning • End your reasoning chain with an Answer action

Reference 16

Resolution
unresolved
no resolver link, observed 2026-08-03T16:18:54.747490Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-03T16:18:54.747490Z digest=sha256:9864169ae66b735019ec7febaf9fbf476a6874e5d1165feddb54665fab44e5f8

Pith citing papers

Observation 400d5369-d121-4927-ad60-5d43a2f7c36c · inbound

MedScribe: Clinically Grounded CT Reporting through Agentic Workflows cites this paper.

MedScribe: Clinically Grounded CT Reporting through Agentic Workflows Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning

Reference 3

Resolution
metadata mismatch
arxiv_id, observed 2026-07-03T02:17:08.134060Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-06T06:34:29.942622+00:00.

source=arxiv_source observed=2026-05-08T19:22:09.493354Z digest=sha256:b9a495e5c2199e5e323eb13f7f5977c9e2336f6e857115cbaf4f3f86833e70ee

Observation 38d189d6-807b-4b54-aca2-95699fb319cf · inbound

DeepTumorVQA: A Hierarchical 3D CT Benchmark for Stage-Wise Evaluation of Medical VLMs and Tool-Augmented Agents cites this paper.

DeepTumorVQA: A Hierarchical 3D CT Benchmark for Stage-Wise Evaluation of Medical VLMs and Tool-Augmented Agents Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning

Reference 30

Resolution
verified exact
arxiv_id, observed 2026-07-03T02:17:08.134060Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-06T06:34:29.942622+00:00.

source=pdf_text observed=2026-05-12T04:02:36.159920Z digest=sha256:45ded164c79e0c1d6d8d8229e192e781fe4e23134577c26040a9b312d346bd03

Observation 71c8a5fa-1579-43e8-a54d-07039f4df236 · inbound

UniReason-Med: A Shared Grounded Reasoning Interface for 2D-to-3D Transfer in Medical VQA cites this paper.

UniReason-Med: A Shared Grounded Reasoning Interface for 2D-to-3D Transfer in Medical VQA Ophiuchus: Incentivizing Tool-augmented "Think with Images" for Joint Medical Segmentation, Understanding and Reasoning

Reference 278

Resolution
metadata mismatch
local_arxiv, observed 2026-07-03T09:37:49.456436Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-06T06:34:29.942622+00:00.

source=arxiv_source observed=2026-06-27T10:21:12.782864Z digest=sha256:331f9dcb78a7ace3548729df2a64dddbbd523253e2a14633bc45f87b914361ef