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DrGait addresses the critical issue of hallucinations in Vision-Language Models by anchoring clinical reasoning in verifiable biomechanical metrics rather than raw visual intuition. This framework shifts AI from a black-box predictor to an auditable planner, ensuring diagnostic accuracy through a closed-loop verification process that integrates deterministic tools with semantic understanding. The approach represents a significant step toward trustworthy, interpretable AI for high-stakes healthcare applications where geometric precision is non-negotiable.
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DrGait: Biomechanically Grounded Visual Reasoning for Interpretable Clinical Gait Analysis

arXiv2 min de cititArticolul și perspectiva sunt în engleză.

arXiv:2609.28796v1 Announce Type: cross Abstract: Current automated gait analysis for clinical applications relies on uninterpretable black-box classifiers. Although Vision-Language Models (VLMs) offer strong reasoning capabilities, applying them directly to gait videos often leads to hallucinations, because they struggle to measure subtle geometric deviations from raw visual contexts. To address this, we introduce DrGait, a training-free agentic framework that shifts the VLM's role from a direct visual reasoner to a clinical planner. DrGait decouples semantic reasoning from geometric perception through a structured Triage-Verification-Synthesis (TVS) workflow. Given an input video and a set of basic spatiotemporal metrics, the DrGait agent first performs a heuristic triage to propose diagnostic hypotheses, which are then verified by autonomously calling deterministic biomechanical tools that operate on reconstructed 3D mesh trajectories, segmented 2D pose tracks, and event-centered video evidence. Finally, a closed-loop mechanism recursively updates the agent's reasoning context based on the feedback. By anchoring VLM's reasoning in verifiable geometric and temporal measurements, DrGait reduces hallucinations, achieving competitive diagnostic accuracy while generating transparent and audit-ready clinical reports.

Abstract:Current automated gait analysis for clinical applications relies on uninterpretable black-box classifiers. Although Vision-Language Models (VLMs) offer strong reasoning capabilities, applying them directly to gait videos often leads to hallucinations, because they struggle to measure subtle geometric deviations from raw visual contexts. To address this, we introduce DrGait, a training-free agentic framework that shifts the VLM's role from a direct visual reasoner to a clinical planner. DrGait decouples semantic reasoning from geometric perception through a structured Triage-Verification-Synthesis (TVS) workflow. Given an input video and a set of basic spatiotemporal metrics, the DrGait agent first performs a heuristic triage to propose diagnostic hypotheses, which are then verified by autonomously calling deterministic biomechanical tools that operate on reconstructed 3D mesh trajectories, segmented 2D pose tracks, and event-centered video evidence. Finally, a closed-loop mechanism recursively updates the agent's reasoning context based on the feedback. By anchoring VLM's reasoning in verifiable geometric and temporal measurements, DrGait reduces hallucinations, achieving competitive diagnostic accuracy while generating transparent and audit-ready clinical reports.

Computer Vision and Pattern Recognition (cs.CV); Artificial Intelligence (cs.AI)

arXiv:2609.28796 [cs.CV]

(or arXiv:2609.28796v1 [cs.CV] for this version)

https://doi.org/10.48550/arXiv.2609.28796 Focus to learn more arXiv-issued DOI via DataCite (pending registration)

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