Large vision--language models (LVLMs) demonstrate strong multimodal reasoning capabilities but remain prone to hallucination, where model predictions are not grounded in visual evidence, so a fully black-box framework that models hallucination as a structured uncertainty pattern is proposed.
Abstract
Large vision--language models (LVLMs) demonstrate strong multimodal reasoning capabilities but remain prone to hallucination, where model predictions are not grounded in visual evidence. Existing black-box hallucination detection methods estimate uncertainty through a single consistency metric, implicitly assuming that model uncertainty can be adequately characterized by a single measure. However, hallucinations exhibit diverse manifestations of uncertainty across different behavioral probes, making a single measure insufficient to characterize their underlying behavior. We propose \emph{Unique Hallucination Pattern (UHP) Detection}, a fully black-box framework that models hallucination as a structured uncertainty pattern defined by two axes: perturbation modality (image vs.\ text) and logical polarity (a statement vs.\ its negation). Their intersection produces four complementary consistency groups that capture distinct manifestations of model uncertainty, from which both within-group and between-group features are extracted to train a lightweight classifier. Through comprehensive experiments on AMBER and PhD across three LVLMs, UHP Detection consistently outperforms prior black-box and white-box baselines, with improvements of up to $+18.72\%$ AUC-ROC and $+20.07\%$ AUC-PR over the strongest black-box methods. Extensive ablation studies demonstrate that each consistency group contributes complementary information and that their combination forms a structured hallucination pattern. Furthermore, cross-dataset evaluation shows that this learned pattern generalizes across benchmarks, indicating that hallucination behavior reflects a model-specific consistency pattern. \textbf{Code is publicly available at} https://github.com/amirezzati/uhpdet.
This work proposes AURORA, a novel hallucination detection framework that shifts the focus from static representations to the weight-gradient dynamics of LLMs, and achieves strong hallucination detection performance across four model families and four benchmark datasets.
Z. Zhang, Hainan Zhang, Zhiming Zheng· arXiv.org· 0 citations
A lightweight linear detector is built on top of Role-Break that requires no fine-tuning of the VLM, whose feature dimension stays below 5,000 and reaches an average AUROC of 93.23 across six VLMs and four benchmarks.
Mingyu Wang, Weilin Jin, Wenbo Li et al.· 0 citations
Hallucination remains a critical challenge for developing trustworthy Multimodal Large Language Models (MLLMs). While existing benchmarks mainly focus on entity, attribute, and relation hallucinations, knowledge-related failures are often investigated separately, lacking a unified evaluation framework across different hallucination dimensions. To overcome this, we propose \textbf{KnowHal}, a benchmark that explicitly incorporates knowledge hallucination into multimodal hallucination evaluation spanning four dimensions: entity, attribute, relation, and knowledge. KnowHal constructs paired positive and negative questions over shared images and entities, enabling controlled comparisons among perceptual errors, knowledge-related errors, and false-premise acceptance. The benchmark contains 1,800 samples across 10 domains and 50 categories, constructed through a semi-automated pipeline combining LLM assistance, CLIP-based filtering, and human verification. We evaluate 14 representative MLLMs on KnowHal and conduct extensive analyses. Results show that the knowledge dimension consistently presents the greatest challenge for nearly all evaluated models, while most models exhibit substantial performance degradation on negative questions, revealing limited robustness to false premises. By unifying four hallucination dimensions with paired question design, KnowHal addresses an important gap in existing evaluation frameworks and enables a more comprehensive assessment of hallucinations in MLLMs.
Ruihan Li, Jiyang Tan, Kailin Jiang et al.· 0 citations
Large vision-language models (LVLMs) are increasingly used for clinical image understanding, yet they remain vulnerable to \emph{hallucinations}--producing textual findings or attributes not supported by the image. We present a vision-traceable hallucination detection framework that audits arbitrary LVLM responses via visual evidence grounding, requiring neither modification nor internal access to the hidden states of LVLMs. Given an LVLM response, we extract visually verifiable entities and use a medical-domain-adapted Qwen-VL grounding verifier to localize each entity on the input image. To enhance the robustness of our detection method, we introduce a counterfactual entity perturbation method and estimate visual evidence uncertainty by contrasting factual and counterfactual grounding results. Specifically, we compute an entity-level uncertainty score from the positive confidence, counterfactual confidence, and their grounding overlap for binary hallucination decision-making. Experiments on multiple medical imaging modalities and LVLM backbones demonstrate that our method consistently improves hallucination detection performance over recent baselines, while providing interpretable localization evidence and strong cross-model transferability. Code and dataset are available at https://github.com/Agentic-CliniAI/CounterVHD.
This work studies hallucination from the perspective of dynamic representation shift during generation and proposes an online projection-based intervention on intermediate hidden states to suppress the hallucination-related directions, mitigating hallucinations while preserving language quality.