Recent Large Vision-Language Models (LVLMs) have achieved significant progress yet frequently suffer from visual hallucinations, often stemming from an over-reliance on language priors rather than visual evidence. Existing decoding-based approaches often rely on input perturbations to weaken language priors, but they do not explicitly decouple visual evidence from mixed vision–language representations. To address these limitations, we propose DiVE (Decoupling intra-layer Visual Evidence). DiVE dynamically identifies layers enriched with visual information and performs intra-layer decoupling to extract aggregated visual evidence. By suppressing this evidence to construct a language-prior-dominated reference distribution, DiVE employs contrastive decoding to calibrate the output logits, thereby mitigating hallucinations. Extensive experiments across diverse LVLM architectures demonstrate that DiVE achieves state-of-the-art performance among decoding-based methods on multiple benchmarks. Crucially, it eliminates the latency of an extra forward pass, offering a lightweight and efficient solution.

Ample evidence suggests that better machine learning models may be steadily obtained by training on increasingly larger datasets on natural language processing (NLP) problems from non-medical domains. Whether the same holds true for medical NLP has by far not been thoroughly investigated. This work shows that this is indeed not always the case. We reveal the somehow counter-intuitive observation that performant medical NLP models may be obtained with small amount of labeled data, quite the opposite to the common belief, most likely due to the domain specificity of the problem. We show quantitatively the effect of training data size on a fixed test set composed of two of the largest public chest x-ray radiology report datasets on the task of abnormality classification. The trained models not only make use of the training data efficiently, but also outperform the current state-of-the-art rule-based systems by a significant margin.