Beyond Invariance: Factor-wise Selective Treatment of Shifts for Multimodal Learning

Multimodal affective computing aims to predict humans' sentiment, emotion, intention, and opinion using language, acoustic, and visual modalities. However, current models often learn spurious correlations that harm generalization under distribution shifts or noisy modalities. To address this, we propose a causal modality-invariant representation (CmIR) learning framework for robust multimodal learning. At its core, we introduce a theoretically grounded disentanglement method that separates each modality into causal invariant representation' and environment-specific spurious representation' from a causal inference perspective. CmIR ensures that the learned invariant representations retain stable predictive relationships with labels across different environments while preserving sufficient information from the raw inputs via invariance constraint, mutual information constraint, and reconstruction constraint. Experiments across multiple multimodal benchmarks demonstrate that CmIR achieves state-of-the-art performance. CmIR particularly excels on out-of-distribution data and noisy data, confirming its robustness and generalizability.

Multimodal medical models often degrade when inputs are missing, a common scenario in real-world clinical workflows. Separately, even when all modalities are present, modality dominance is observed during training, where optimization over-relies on a highly predictive modality and undertrains complementary sources, resulting in poor robustness under partial availability. While training-time modality knockout improves missing-modality robustness, existing approaches use static masking rates that cannot adapt to evolving modality utility during training. We introduce ShapKO (Shapley-Adaptive Modality Knockout), a dynamic training strategy that learns modality-specific knockout probabilities based on validation utility. ShapKO periodically evaluates performance across modality subsets, estimates modality importance via Shapley values, and updates masking probabilities to suppress dominant modalities more frequently. This adaptive process promotes complementary representations, while requiring no architectural modifications. We evaluate ShapKO on three datasets covering multitask clinical classification, survival prediction, and cancer detection. ShapKO consistently improves performance under modality absence and yields interpretable trajectories of learned masking behavior. Code is available at: https://github.com/sumona00/ShapKO

Clinical machine learning models are increasingly trained using large scale, multimodal foundation paradigms, yet deployment environments often differ systematically from the data generating settings used during training. Such shifts arise from heterogeneous measurement policies, documentation practices, and institutional workflows, leading to representation entanglement between physiologic signal and practice specific artifacts. In this work, we propose a practice invariant representation learning framework for multimodal clinical prediction. We model clinical observations as arising from latent physiologic factors and environment dependent processes, and introduce an objective that jointly optimizes predictive performance while suppressing environment predictive information in the learned embedding. Concretely, we combine supervised risk minimization with adversarial environment regularization and invariant risk penalties across hospitals. Across multiple longitudinal EHR prediction tasks and cross institution evaluations, our method improves out of distribution AUROC by up to 2 to 3 points relative to masked pretraining and standard supervised baselines, while maintaining in distribution performance and improving calibration. These results demonstrate that explicitly accounting for systematic distribution shift during representation learning yields more robust and transferable clinical models, highlighting the importance of structural invariance alongside architectural scale in healthcare AI.