MOSAIC: Modality-agnostic Spectral Alignment for Federated Image-level Weakly Supervised Tumor Segmentation under Client-specific Missing Modalities

Most existing federated learning (FL) methods for medical image analysis only considered intramodal heterogeneity, limiting their applicability to multimodal imaging applications. In practice, some FL participants may possess only a subset of the complete imaging modalities, posing intermodal heterogeneity as a challenge to effectively training a global model on all participants' data. Meanwhile, each participant expects a personalized model tailored to its local data characteristics in FL. This work proposes a new FL framework with federated modality-specific encoders and partially personalized multimodal fusion decoders (FedMEPD) to address the two concurrent issues. Specifically, FedMEPD employs an exclusive encoder for each modality to account for the intermodal heterogeneity. While these encoders are fully federated, the decoders are partially personalized to meet individual needs -- using the discrepancy between global and local parameter updates to dynamically determine which decoder filters are personalized. Implementation-wise, a server with full-modal data employs a fusion decoder to fuse representations from all modality-specific encoders, thus bridging the modalities to optimize the encoders via backpropagation. Moreover, multiple anchors are extracted from the fused multimodal representations and distributed to the clients in addition to the model parameters. Conversely, the clients with incomplete modalities calibrate their missing-modal representations toward the global full-modal anchors via scaled dot-product cross-attention, making up for the information loss due to absent modalities. FedMEPD is validated on the BraTS 2018 and 2020 multimodal brain tumor segmentation benchmarks. Results show that it outperforms various up-to-date methods for multimodal and personalized FL, and its novel designs are effective.

Federated learning (FL) has become a promising paradigm for collaborative medical image analysis, yet existing frameworks remain tightly coupled to task-specific backbones and are fragile under heterogeneous imaging modalities. Such constraints hinder real-world deployment, where institutions vary widely in modality distributions and must support diverse downstream tasks. To address this limitation, we propose OmniFM, a modality- and task-agnostic FL framework that unifies training across classification, segmentation, super-resolution, visual question answering, and multimodal fusion without re-engineering the optimization pipeline. OmniFM builds on a key frequency-domain insight: low-frequency spectral components exhibit strong cross-modality consistency and encode modality-invariant anatomical structures. Accordingly, OmniFM integrates (i) Global Spectral Knowledge Retrieval to inject global frequency priors, (ii) Embedding-wise Cross-Attention Fusion to align representations, and (iii) Prefix-Suffix Spectral Prompting to jointly condition global and personalized cues, together regularized by a Spectral-Proximal Alignment objective that stabilizes aggregation. Experiments on real-world datasets show that OmniFM consistently surpasses state-of-the-art FL baselines across intra- and cross-modality heterogeneity, achieving superior results under both fine-tuning and training-from-scratch setups.

Multi-organ segmentation using deep learning requires large amounts of annotated patient data; however, institutions often lack sufficiently large and diverse annotated datasets. Privacy constraints further prevent institutions from sharing patient data to overcome this limitation. Moreover, due to the labor-intensive nature of annotation and the scarcity of diverse expertise, institutions typically have labels for only a small portion of their local data, leaving the larger unlabeled portion unused. In this work, we propose a flexible semi-supervised federated multi-task student-teacher framework that leverages federated learning (FL) to improve multi-organ segmentation using both labeled and unlabeled data across participating sites. At each communication round, the proposed framework initiates local training, where clients with labels for the same task form a federation to produce an aggregated teacher model. The resulting teachers generate task-specific features for all data at each client. Subsequently, all clients form a second federation to train a multi-task student model with a shared encoder and task-specific decoders that replicate the teacher-generated features across all segmentation tasks. The aggregated student model is then used to update the local teachers and initiate the next training round. Extensive experiments demonstrated the effectiveness of the proposed method compared with local and federated single-organ models, yielding an average performance gain of 13 percent across clients. The experiments also demonstrated the impact of multi-task learning and unlabeled data and the applicability of the framework in relaxing labeled-data requirements for client participation. The code is available at https://github.com/AshknMrd/FedMust.