# V-ITI: Mitigating Hallucinations in Multimodal Large Language Models via Visual Inference-Time Intervention

arXiv: https://arxiv.org/abs/2512.03542 · HTML: https://mlsanity.com/paper/2512.03542/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Placed in Hallucination mitigation in LVLMs, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 30 of its 33 references that are in the map.
- First posted on arXiv 3 Dec 2025.

## Placed in

- Multimodal LLMs / vision-language models / [Hallucination mitigation in LVLMs](https://mlsanity.com/mllm/hallucination-mitigation-in-lvlms/)

## Builds on (most cited first, 30 of 30)

- [Microsoft COCO: Common Objects in Context](https://mlsanity.com/paper/1405.0312/) (2014)
- [Visual Instruction Tuning](https://mlsanity.com/paper/2304.08485/) (2023)
- [Qwen Technical Report](https://mlsanity.com/paper/2309.16609/) (2023)
- [MMBench: Is Your Multi-modal Model an All-around Player?](https://mlsanity.com/paper/2307.06281/) (2023)
- [Evaluating Object Hallucination in Large Vision-Language Models](https://mlsanity.com/paper/2305.10355/) (2023)
- [MME: A Comprehensive Evaluation Benchmark for Multimodal Large Language Models](https://mlsanity.com/paper/2306.13394/) (2023)
- [Inference-Time Intervention: Eliciting Truthful Answers from a Language Model](https://mlsanity.com/paper/2306.03341/) (2023)
- [MM-Vet: Evaluating Large Multimodal Models for Integrated Capabilities](https://mlsanity.com/paper/2308.02490/) (2023)
- [VizWiz Grand Challenge: Answering Visual Questions from Blind People](https://mlsanity.com/paper/1802.08218/) (2018)
- [CogVLM: Visual Expert for Pretrained Language Models](https://mlsanity.com/paper/2311.03079/) (2023)
- [Mitigating Object Hallucinations in Large Vision-Language Models through Visual Contrastive Decoding](https://mlsanity.com/paper/2311.16922/) (2023)
- [Object Hallucination in Image Captioning](https://mlsanity.com/paper/1809.02156/) (2018)
- [HallusionBench: An Advanced Diagnostic Suite for Entangled Language Hallucination and Visual Illusion in Large Vision-Language Models](https://mlsanity.com/paper/2310.14566/) (2023)
- [OPERA: Alleviating Hallucination in Multi-Modal Large Language Models via Over-Trust Penalty and Retrospection-Allocation](https://mlsanity.com/paper/2311.17911/) (2023)
- [RLHF-V: Towards Trustworthy MLLMs via Behavior Alignment from Fine-grained Correctional Human Feedback](https://mlsanity.com/paper/2312.00849/) (2023)
- [DoLa: Decoding by Contrasting Layers Improves Factuality in Large Language Models](https://mlsanity.com/paper/2309.03883/) (2023)
- [A Survey on Multimodal Large Language Models for Autonomous Driving](https://mlsanity.com/paper/2311.12320/) (2023)
- [MM-LLMs: Recent Advances in MultiModal Large Language Models](https://mlsanity.com/paper/2401.13601/) (2024)
- [Detecting and Preventing Hallucinations in Large Vision Language Models](https://mlsanity.com/paper/2308.06394/) (2023)
- [Mitigating Hallucinations in Large Vision-Language Models with Instruction Contrastive Decoding](https://mlsanity.com/paper/2403.18715/) (2024)
- [Paying More Attention to Image: A Training-Free Method for Alleviating Hallucination in LVLMs](https://mlsanity.com/paper/2407.21771/) (2024)
- [MLLMs Know Where to Look: Training-free Perception of Small Visual Details with Multimodal LLMs](https://mlsanity.com/paper/2502.17422/) (2025)
- [MedKLIP: Medical Knowledge Enhanced Language-Image Pre-Training in Radiology](https://mlsanity.com/paper/2301.02228/) (2023)
- [Look Twice Before You Answer: Memory-Space Visual Retracing for Hallucination Mitigation in Multimodal Large Language Models](https://mlsanity.com/paper/2410.03577/) (2024)
- [Visual Hallucinations of Multi-modal Large Language Models](https://mlsanity.com/paper/2402.14683/) (2024)
- [Evolving Normalization-Activation Layers](https://mlsanity.com/paper/2004.02967/) (2020)
- [ClearSight: Visual Signal Enhancement for Object Hallucination Mitigation in Multimodal Large language Models](https://mlsanity.com/paper/2503.13107/) (2025)
- [Alleviating Hallucination in Large Vision-Language Models with Active Retrieval Augmentation](https://mlsanity.com/paper/2408.00555/) (2024)
- [INTER: Mitigating Hallucination in Large Vision-Language Models by Interaction Guidance Sampling](https://mlsanity.com/paper/2507.05056/) (2025)
- [Vision + Language Applications: A Survey](https://mlsanity.com/paper/2305.14598/) (2023)

## Built on by (most cited first, 3 of 3)

- [PolarMem: A Training-Free Polarized Latent Graph Memory for Verifiable Vision-Language Models](https://mlsanity.com/paper/2602.00415/) (2026)
- [Mitigating Multimodal LLMs Hallucinations via Relevance Propagation at Inference Time](https://mlsanity.com/paper/2605.01766/) (2026)
- [Rethinking Visual Neglect: Steering via Context-Preference for MLLM Hallucination Mitigation](https://mlsanity.com/paper/2605.27993/) (2026)

## Abstract (arXiv)

Multimodal Large Language Models (MLLMs) excel in numerous vision-language tasks yet suffer from hallucinations, producing content inconsistent with input visuals, that undermine reliability in precision-sensitive domains. This issue stems from a fundamental problem of visual neglect, where models fail to adequately prioritize input images. Existing methods typically alleviate hallucinations by intervening in the attention score or output logits, focusing on "how to intervene" but overlooking the prerequisite "when to intervene", which leads to the "over-intervention" problem and subsequently introduces new hallucinations and unnecessary computational overhead. To address this gap, we first investigate the mechanism of visual neglect and reveal it can be accurately detected via head-level activation patterns in MLLMs. We thus propose V-ITI, a lightweight visual inference-time intervention framework integrating a Visual Neglect Detector that identifies visual neglect via head-level discriminative probes and a Visual Recall Intervenor that modulates activations with prestored visual activation information only when the visual neglect is detected. Extensive experiments across eight benchmarks and different MLLM families demonstrate that V-ITI consistently mitigates vision-related hallucinations while preserving general task performance.