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Paper Citation Record · LEDGER

Breaking Failure Cascades: Step-Aware Reinforcement Learning for Medical Multimodal Reasoning

As of 17 August 2026, this Paper Citation Record lists 13 of 13 outbound references and 1 inbound Pith citation observation for arXiv:2606.31825.

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

pith.paper-citation-record.v1
2606.31825 v1

Coverage vector

measured 13 of 13 reference resolution

Typed states for the displayed outbound observations.

Source: paper_references, paper_reference_links, observed 2026-07-01T06:03:12.182207Z

measured 14 of 14 standing notices

One-hop event checks from named stored sources.

Source: scholarly_work_events, retraction_status_cache, observed 2026-08-17T06:30:58.91139+00:00

measured 1 of 1 inbound itemization

Pith citing papers itemized under the disclosed page cap.

Source: paper_references, paper_reference_links, observed 2026-07-08T05:22:50.462331Z

measured 0 of 1 external citation measurements

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

Source: pith, observed 2026-07-08T05:24:31.802601Z

Reference resolution

13 of 13 outbound references displayed

  • verified exact3
  • verified fuzzy5
  • unresolved2
  • parse uncertain0
  • malformed identifier0
  • metadata mismatch3

External citation measurements

No source-named external measurement is stored.

Outbound references

Observation 391de103-519a-486b-b9ea-c60ed180301b · outbound

This paper cites arXiv preprint arXiv:2503.13939 , year=.

Breaking Failure Cascades: Step-Aware Reinforcement Learning for Medical Multimodal Reasoning arXiv preprint arXiv:2503.13939 , year=

Reference 1

Resolution
verified exact
arxiv_id, observed 2026-07-01T09:55:40.921648Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-07-01T06:03:12.182207Z digest=sha256:b3382244b5562982270bccfc35f94ee6f6fb557857f329a95492983e6ccd4ab7

Observation bef98d89-4b53-4285-9591-c3ef4a30bfed · outbound

This paper cites Quilt-LLaVA: Visual Instruction Tuning by Extracting Localized Narratives from Open-Source Histopathology Videos.

Breaking Failure Cascades: Step-Aware Reinforcement Learning for Medical Multimodal Reasoning Quilt-LLaVA: Visual Instruction Tuning by Extracting Localized Narratives from Open-Source Histopathology Videos

Reference 2

Resolution
metadata mismatch
arxiv_id, observed 2026-07-01T09:55:40.928780Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-07-01T06:03:12.182207Z digest=sha256:a463a28f7cc2cd2a4ecba0278ec8ad3f646d19d99351e5f3068daa390436497d

Observation 1d1d2a86-09f8-4388-80bf-ea728822a117 · outbound

This paper cites Gtpo and grpo-s: Token and sequence-level reward shaping with policy entropy.arXiv preprint arXiv:2508.04349.

Breaking Failure Cascades: Step-Aware Reinforcement Learning for Medical Multimodal Reasoning Gtpo and grpo-s: Token and sequence-level reward shaping with policy entropy.arXiv preprint arXiv:2508.04349

Reference 3

Resolution
verified exact
arxiv_id, observed 2026-07-01T09:55:40.925415Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-07-01T06:03:12.182207Z digest=sha256:edd6d6b77eb0c823f2813941e4864c00065e38ef6b2ef0f664a6069177f67974

Observation 847f69e5-aa7a-4c5d-9380-c41f42571d61 · outbound

This paper cites arXiv preprint arXiv:2506.13793 (2025).

Breaking Failure Cascades: Step-Aware Reinforcement Learning for Medical Multimodal Reasoning arXiv preprint arXiv:2506.13793 (2025)

Reference 4

Resolution
metadata mismatch
arxiv_id, observed 2026-07-01T09:55:40.932224Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-07-01T06:03:12.182207Z digest=sha256:0e74f46facf00b4221cf1771b4a93bd7982b598a6b4cd362a859e2880fe9c5ac

Observation 4c54032d-1369-4b42-9250-a271c57e6cd2 · outbound

This paper cites Medgr ^ 2 : Breaking the data barrier for medical reasoning via generative reward learning.

Breaking Failure Cascades: Step-Aware Reinforcement Learning for Medical Multimodal Reasoning Medgr ^ 2 : Breaking the data barrier for medical reasoning via generative reward learning

Reference 5

Resolution
metadata mismatch
arxiv_id, observed 2026-07-01T09:55:40.922027Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-07-01T06:03:12.182207Z digest=sha256:61db32383b99d5a95ae8fc83ab9b6e5427c05ac7a56c414f720a9ceb3960baa4

Observation 8f5369d4-37b6-40b6-973f-e20775bf7b0c · outbound

This paper cites Our imple- mentation builds on VLM-R1 (Shen et al., 2025), an open-source GRPO framework for VLMs.

Breaking Failure Cascades: Step-Aware Reinforcement Learning for Medical Multimodal Reasoning Our imple- mentation builds on VLM-R1 (Shen et al., 2025), an open-source GRPO framework for VLMs

Reference 6

Resolution
verified fuzzy
raw_fallback, observed 2026-07-06T19:42:52.016022Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-07-01T06:03:12.182207Z digest=sha256:cd4d2f37e31df7ae415cb04a5d0c4eff3096953ff25738a6fd2387e7e1254810

Observation 880a61e7-868c-4a23-ab28-0d2b83701c18 · outbound

This paper cites consistent with.

Breaking Failure Cascades: Step-Aware Reinforcement Learning for Medical Multimodal Reasoning consistent with

Reference 7

Resolution
verified exact
arxiv_id, observed 2026-07-01T09:55:40.919462Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-07-01T06:03:12.182207Z digest=sha256:90e68bd91aa378cfe049c3e4f8c68df43e69c50585d1e0766c2f1e96f9a986d5

Observation f1b47ad8-bb2a-49e2-911e-0153f571c989 · outbound

This paper cites Step2 It has a deep reddish-brown color, a lobulated shape, and a granular, nodular cut surface.

Breaking Failure Cascades: Step-Aware Reinforcement Learning for Medical Multimodal Reasoning Step2 It has a deep reddish-brown color, a lobulated shape, and a granular, nodular cut surface

Reference 8

Resolution
verified fuzzy
raw_fallback, observed 2026-07-06T19:42:52.007455Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-07-01T06:03:12.182207Z digest=sha256:76c406c769d00fb0396f80a19c53143bc179bb39cc099ec8806d8d28088b27b2

Observation ea312527-37a9-4c37-8b32-21d584feb6f5 · outbound

This paper cites an unresolved cited work.

Breaking Failure Cascades: Step-Aware Reinforcement Learning for Medical Multimodal Reasoning Unresolved cited work

Reference 9

Resolution
unresolved
raw_fallback, observed 2026-07-06T19:42:52.005101Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-07-01T06:03:12.182207Z digest=sha256:6f6482cede25e300eeb8f7a38700bd3043b18554d9c1bfeaf01f47ae72353bfd

Observation 1a381f95-1bc9-498a-890a-ef5224ae6e2b · outbound

This paper cites Step2 The dark regions in and around the liver look like fluid, suggesting a fluid- sensitive T2 sequence.

Breaking Failure Cascades: Step-Aware Reinforcement Learning for Medical Multimodal Reasoning Step2 The dark regions in and around the liver look like fluid, suggesting a fluid- sensitive T2 sequence

Reference 10

Resolution
verified fuzzy
raw_fallback, observed 2026-07-06T19:42:52.009928Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-07-01T06:03:12.182207Z digest=sha256:ee0e9c9298b0d4475ab8a235edada5c45f6fc715d2a78285c858d2bf946ae59c

Observation 9d09fcc0-7c04-4877-94b4-a857eddab13d · outbound

This paper cites an unresolved cited work.

Breaking Failure Cascades: Step-Aware Reinforcement Learning for Medical Multimodal Reasoning Unresolved cited work

Reference 11

Resolution
unresolved
raw_fallback, observed 2026-07-06T19:42:52.017932Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-07-01T06:03:12.182207Z digest=sha256:c129f6bcae898ef3331a67d2e27a7bec3f3aa0f001dacd310cf1a6d8bfa127dc

Observation 6d724102-70fa-4c29-b98e-7a25e18d61aa · outbound

This paper cites lobulated,.

Breaking Failure Cascades: Step-Aware Reinforcement Learning for Medical Multimodal Reasoning lobulated,

Reference 12

Resolution
verified fuzzy
raw_fallback, observed 2026-07-06T19:42:52.011750Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-07-01T06:03:12.182207Z digest=sha256:b3474e46b9afe975c58de49df33368b14211e4615170b7bcf77018c5e38fcc67

Observation 435e1e5a-80ec-4845-b10a-d888ae7869d8 · outbound

This paper cites lobulated.

Breaking Failure Cascades: Step-Aware Reinforcement Learning for Medical Multimodal Reasoning lobulated

Reference 13

Resolution
verified fuzzy
raw_fallback, observed 2026-07-06T19:42:52.013434Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-07-01T06:03:12.182207Z digest=sha256:6f54794279d7239313bca7dbddd362d9a108dc6f53a3c337ddab3b595d64341f

Pith citing papers

Observation e32c882c-8e53-4c7e-a5b8-867115386abb · inbound

From Voting to Agent Collaboration: Answer-Type-Aware LLM Pipelines for BioASQ 14b cites this paper.

From Voting to Agent Collaboration: Answer-Type-Aware LLM Pipelines for BioASQ 14b Breaking Failure Cascades: Step-Aware Reinforcement Learning for Medical Multimodal Reasoning

Reference 7

Resolution
verified exact
local_arxiv, observed 2026-07-08T05:24:31.804241Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-07-08T05:22:50.462331Z digest=sha256:f01c9d2653447546418ae0c7f8eae28f30bae048fba7274bc6bbded3c22f4a7c