Multimodal federated learning (FL) supports collaborative modeling in privacy-sensitive health-sensing and medical settings, but realistic deployments often exhibit dual-axis modality missingness: clients have different modality sets, and individual samples may contain only subsets of the modalities available locally. Existing methods typically address these two axes separately. We propose Flux, a multimodal federated learning framework built around two complementary components. First, modality-aware confidence tempering learns sample-specific confidence for each modality through mask-aware unimodal supervision and fuses the confidence estimates from observed modalities into a sample-adaptive temperature that adjusts predictive sharpness according to evidence quality and completeness. Second, gradient-decoupled private adaptation applies this temperature only to a client-private prediction pathway, while training the shared federated model with a standard, untempered objective. This enables sample-specific, client-local confidence adaptation without allowing confidence-dependent gradients to perturb shared representation learning. Across four multimodal datasets, Flux achieves the highest average macro-F1 on every dataset, outperforming the strongest dataset-specific baseline by 0.8~2.2 points and by 1.6 points on average. Additional analyses demonstrate favorable calibration, temperature sensitivity to both modality missingness and input corruption, and more stable shared optimization under private-only tempering. Our code is available at https://github.com/AdibaOrz/Flux.
In this paper, we address the problem of multimodal federated learning with missing modality. Existing methods utilize an additional public dataset or perform naive feature synthesis that is based solely on the available modality. To address these limitations, we propose ProMoE-FL, a Prototype-conditioned Mixture-of-Experts framework for robust missing-modality feature synthesis in multimodal federated learning. ProMoE-FL builds a global client-aware prototype bank that captures clinically meaningful modality priors across institutions. Our Mixture of Experts is conditioned on these prototypes and modality indices to enable direction-aware expert routing for dynamically synthesizing missing features. We perform extensive quantitative and qualitative evaluations on four public chest X-ray datasets (MIMIC-CXR, NIH Open-I, PadChest, and CheXpert) and demonstrate that ProMoE-FL consistently outperforms state-of-the-art methods in both homogeneous as well as the more challenging heterogeneous settings.
Multimodal Federated Learning (MMFL) enables privacy-preserving collaborative training, but real-world clinical applications often suffer from within-modality missingness caused by sensor intermittency or irregular sampling. Existing methods implicitly represent unobserved data via architectural alignment or missing embeddings, often failing to recover the true distribution and yielding sub-optimal performance. We propose CondI, a federated framework explicitly addressing this missingness using conditional diffusion models. CondI employs a two-phase training pipeline: first, imputing unobserved temporal components using available multimodal context and conditional embeddings; second, optimizing modality-specific extractors and joint embedding spaces. During inference, imputed raw data pass through trained extractors to generate robust features, providing a holistic representation for downstream tasks. Explicit data imputation ensures models operate on complete semantic structures, significantly enhancing resilience against severe data incompleteness. Experiments on three clinical datasets (PTB-XL, SLEEP-EDF, MIMIC-IV) demonstrate CondI achieves comparable results to state-of-the-art baselines. Code: https://github.com/ZhengWugeng/CondI
Multimodal Federated Learning (MMFL) enables privacy-preserving collaborative learning across decentralized clients with heterogeneous data and modality availability. However, most existing MMFL methods cast multimodal training as a joint optimization problem, overlooking a key bottleneck: modality competition, where dominant modalities suppress weaker ones and lead to suboptimal global models. To address this, we propose FedMChain, a balanced MMFL framework that structures federated multimodal training as a chain of modality-wise phases. This phase-wise design gives each modality a dedicated local optimization window on multimodal clients to mitigate modality competition, and further promotes cross-modal complementarity via an error-compensated regularizer. On the server side, we employ a sparse sign-guided aggregation strategy that leverages directional sign agreement for robust intra-modality aggregation, avoids destructive averaging, and supports less frequent synchronization to reduce communication overhead. Extensive experiments on multimodal benchmarks demonstrate that FedMChain consistently improves predictive performance while requiring less frequent communication than baselines.