Efficient Medical VIE via Reinforcement Learning
On the map: Deep reinforcement learning methods → RL for clinical treatment and surgery
Abstract (arXiv)
Visual Information Extraction (VIE) converts unstructured document images into structured formats like JSON, critical for medical applications such as report analysis and online consultations. Traditional methods rely on OCR and language models, while end-to-end multimodal models offer direct JSON generation. However, domain-specific schemas and high annotation costs limit their effectiveness in medical VIE. We base our approach on the Reinforcement Learning with Verifiable Rewards (RLVR) framework to address these challenges using only 100 annotated samples. Our approach ensures dataset diversity, a balanced precision-recall reward mechanism to reduce hallucinations and improve field coverage, and innovative sampling strategies to enhance reasoning capabilities. Fine-tuning Qwen2.5-VL-7B with our RLVR method, we achieve state-of-the-art performance on medical VIE tasks, significantly improving F1, precision, and recall. While our models excel on tasks similar to medical datasets, performance drops on dissimilar tasks, highlighting the need for domain-specific optimization. Case studies further demonstrate the value of reasoning during training and inference for VIE.
Key facts. Cited by 2 papers in the map (data through 14 Oct 2026). Placed in RL for clinical treatment and surgery, one of 15 directions in Deep reinforcement learning methods. Builds on 26 of its 44 references that are in the map. First posted on arXiv 16 Jun 2025.
Builds on
26 of 44 references.
References · 26
- 2024Expanding Performance Boundaries of Open-Source Multimodal Models with Model, Data, and Test-Time Scalingcited by 1,599
- 2019LayoutLM: Pre-training of Text and Layout for Document Image Understandingcited by 553
- 2025Visual-RFT: Visual Reinforcement Fine-Tuningcited by 513
- 2022LayoutLMv3: Pre-training for Document AI with Unified Text and Image Maskingcited by 485
- 2020LayoutLMv2: Multi-modal Pre-training for Visually-Rich Document Understandingcited by 408
- 2019FUNSD: A Dataset for Form Understanding in Noisy Scanned Documentscited by 349
- 2024MinerU: An Open-Source Solution for Precise Document Content Extractioncited by 267
- 2021ICDAR2019 Competition on Scanned Receipt OCR and Information Extractioncited by 256
- 2021DocFormer: End-to-End Transformer for Document Understandingcited by 256
- 2025Seg-Zero: Reasoning-Chain Guided Segmentation via Cognitive Reinforcementcited by 239
- 2021Going Full-TILT Boogie on Document Understanding with Text-Image-Layout Transformercited by 134
- 2025olmOCR: Unlocking Trillions of Tokens in PDFs with Vision Language Modelscited by 125
14 more
- 2021BROS: A Pre-trained Language Model Focusing on Text and Layout for Better Key Information Extraction from Documentscited by 104
- 2024DocLayout-YOLO: Enhancing Document Layout Analysis through Diverse Synthetic Data and Global-to-Local Adaptive Perceptioncited by 82
- 2024OmniParser: A Unified Framework for Text Spotting, Key Information Extraction and Table Recognitioncited by 74
- 2020PICK: Processing Key Information Extraction from Documents using Improved Graph Learning-Convolutional Networkscited by 72
- 2021Towards Robust Visual Information Extraction in Real World: New Dataset and Novel Solutioncited by 64
- 2020TRIE: End-to-End Text Reading and Information Extraction for Document Understandingcited by 61
- 2023Visual Information Extraction in the Wild: Practical Dataset and End-to-end Solutioncited by 54
- 2025GoT-R1: Unleashing Reasoning Capability of MLLM for Visual Generation with Reinforcement Learningcited by 52
- 2021PGNet: Real-time Arbitrarily-Shaped Text Spotting with Point Gathering Networkcited by 49
- 2023GeoLayoutLM: Geometric Pre-training for Visual Information Extractioncited by 40
- 2019EATEN: Entity-aware Attention for Single Shot Visual Text Extractioncited by 29
- 2022XDoc: Unified Pre-training for Cross-Format Document Understandingcited by 12
- 2025Exploring the Inquiry-Diagnosis Relationship with Advanced Patient Simulatorscited by 8
- 2024A LayoutLMv3-Based Model for Enhanced Relation Extraction in Visually-Rich Documentscited by 1
Built on by
Citing papers per year: 2025: 2.
2 papers.
Similar, not cited
Close in wording, no citation either way
- 2025Adaptive Reinforcement for Open-ended Medical Reasoning via Semantic-Guided Reward Collapse Mitigation
- 2025Open-Medical-R1: How to Choose Data for RLVR Training at Medicine Domain
- 2026Enhancing Visual Reasoning in Chest X-Ray Report Generation Using Reinforcement Learning
- 2026MedVR: Annotation-Free Medical Visual Reasoning via Agentic Reinforcement Learning
- 2025Med-R1: Reinforcement Learning for Generalizable Medical Reasoning in Vision-Language Models
- 2026Token-Sparse Medical Multimodal Reasoning via Dual-Stream Reinforcement Learning
- 2025MedVLM-R1: Incentivizing Medical Reasoning Capability of Vision-Language Models (VLMs) via Reinforcement Learning
- 2025GMAI-VL-R1: Harnessing Reinforcement Learning for Multimodal Medical Reasoning