Missing-Modality Learning
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10 papers in the last four weeks, up 43% on the four weeks before. 0.1% of all new papers.
Latest papers 107
We study multimodal learning under missing modalities, with particular motivation from bioscience applications in which heterogeneous modalities are often only partially available when decisions need to be made. We propose Latent World Recovery (LWR), a framework built on two key ideas: (i) modality-specific embeddings from different modalities are aligned in a shared latent space, and (ii) a unified representation is constructed by fusing only the embeddings of the modalities that are actually available at both training and inference time. Rather than imputing missing modalities or requiring a fixed modality set, LWR treats each modality as a partial perception of an underlying latent state and performs availability-aware representation learning directly from the observed modalities. This combination of neighbor-based latent alignment and availability-aware modality fusion enables robust multimodal prediction under partial observation, while avoiding error propagation from explicit reconstruction of missing modalities. We evaluate the proposed framework on real-world incomplete multi-omics benchmarks and demonstrate that it provides an effective approach to downstream tasks such as cancer phenotype classification and survival prediction.
Missing-Token Prompted Reliability-Aware Fusion for Robust Polyglot Speaker Identification
Accurate and robust multimodal speaker identification is essential for multimedia understanding and biometric authentication. However, real-world polyglot scenarios pose two key challenges: speaker-discriminative representations should generalize across languages, and the model should remain reliable when face information is unavailable. To address these challenges, we propose MRAF, a Missing-Token Prompted Reliability-Aware Fusion framework for polyglot speaker identification across complete-modality, missing-face, and cross-lingual scenarios. MRAF represents unavailable face inputs with a learnable missing token instead of fixed zero-valued features, providing a trainable representation of the missing visual state. This design reduces the distribution gap caused by missing inputs and allows subsequent reliability estimation and cross-modal fusion to operate within a unified token space. To adaptively integrate modalities with different reliability, MRAF further introduces a reliability-aware cross-attention fusion module, which estimates face and audio reliability scores, normalizes them into modality weights, and applies these weights to token representations before bidirectional cross-attention. In this way, the model can emphasize reliable modality cues while suppressing unreliable ones. During training, MRAF jointly optimizes multi-branch classification losses, audio-only knowledge distillation, and center loss to improve speaker discrimination and missing-modality robustness. Experiments on the official POLY-SIM 2026 test set demonstrate the effectiveness of the proposed framework. In the final evaluation, MRAF achieves 100% accuracy on P3 and P5, and obtains competitive results on the more challenging missing-face settings P4 and P6. The source code will be released at https://github.com/MSA-LMC/MRAF.
AnyMod-LLVE: Low-Light Video Enhancement with Modality-Agnostic Inference
Low-light video enhancement (LLVE) remains a challenging task due to severe information degradation under low-illumination conditions. Recent multimodal approaches have significantly improved enhancement performance by incorporating auxiliary modalities, such as event streams and infrared images. However, these methods typically assume the availability of these modalities at inference, which is often not feasible in real-world scenarios. To solve this problem, in this work, we propose AMNet, a unified multimodal framework for LLVE, to support flexible modality-agnostic inference, where auxiliary modalities may be unavailable. To address the issue of modality absence, we introduce a Spatial-Spectral Dual-Gated Translator that learns the correspondence between auxiliary modalities and RGB inputs, producing implicit auxiliary representations to support the robust enhancement. Additionally, to fully facilitate the learning of cross-modal correspondence, we conduct large-scale multimodal pretraining based on the RGB-only dataset with synthetic auxiliary modalities. Extensive experiments demonstrate that AMNet could handle arbitrary inference-time modality combinations and exhibits superior performance for LLVE under modality absence conditions. Code and models are available on the project page.
Cross-Modal Masking for Robust Silent Speech Synthesis Using sEMG and Lipreading
Speech restoration through silent speech interfaces (SSIs) has emerged as a promising assistive technology for individuals with impaired or absent laryngeal voice production. Among non-invasive SSI modalities, surface electromyography (sEMG) and video-based lipreading provide complementary articulatory information, yet their integration for continuous speech synthesis remains underexplored. Moreover, existing multimodal approaches rarely address robustness to modality degradation or temporary sensor failure, limiting their applicability in realistic scenarios. In this work, we propose a masked multimodal speech synthesis framework that jointly leverages sEMG and lipreading signals through modality masking during training. Under multispeaker settings, the proposed approach reduces word error rate by up to 14 absolute percentage points compared to the strongest unimodal baseline. Experimental results not only show that masking strategies are critical for these performance gains and robustness under low-bitrate conditions, but also that they generalize better than degradation-specific data augmentations in the presence of modality absence conditions. Phone-level analyses further reveal complementary contributions across modalities, with particularly strong benefits for vowels and for specific consonant groups. Overall, these findings demonstrate the effectiveness and robustness of masked multimodal integration for silent speech synthesis, although adaptation to laryngectomized speakers remains an open research challenge.
PRISM: Topology-Aware Cross-Modal Imputation for Modality-Deficient Federated Graph Learning
Multimodal federated graph learning (MM-FGL) aims to collaboratively learn from decentralized graphs with text and images. However, real-world clients may not share a common modality basis: a visual-search client may contain image--interaction graphs but no seller descriptions, while a catalog client may provide text but no product images. We refer to this practical setting as client-level modality deficiency. Unlike random instance-wise missingness, a deficient client lacks the local semantic basis needed to reconstruct the absent modality. More importantly, in graph learning, incomplete representations initialize message passing, so imputation errors can be filtered, mixed, and amplified by the receiving topology. To address this gap, we propose \textbf{PRISM} (\textbf{P}roactive \textbf{R}etrieval and \textbf{I}mputation via \textbf{S}tructural \textbf{M}eta-prompting), a topology-aware federated cross-modal imputation framework. Rather than reconstructing the missing modality solely from local observations, PRISM recovers missing-modality semantics from the federation and introduces them into local graph propagation under topology-aware control. Experiments on six multimodal graph datasets across graph-centric and modality-centric tasks show that PRISM consistently improves modality-deficient clients, outperforming state-of-the-art baselines by \textbf{4.48}% on average.
LongMoE: Longitudinal Multimodal Learning via Trajectory-Aware Mixture-of-Experts
Multimodal clinical learning is increasingly important for integrating diverse patient data, including imaging, text, and personalised health records. However, it faces two fundamental challenges: i) modality missingness, where arbitrary subsets of modalities are unavailable at a given patient visit, ii) longitudinal dynamics, where the diagnostic significance of an observation depends on the patient's evolving disease trajectory over time. Existing methods address these challenges in isolation: missing-modality frameworks treat each visit as an independent static snapshot and discard temporal context, while longitudinal models often assume complete modality availability and degrade under systematic modality incompleteness. We propose LongMoE (Longitudinal Mixture-of-Experts), the unified framework to jointly address both challenges. LongMoE combines a context-aware imputation module with an attentional tokenization module that captures frequency-domain temporal patterns across irregular visit sequences, a trajectory-aware encoder for modeling disease progression, and context-conditioned Sparse MoE routing for patient-specific expert selection. Experiments on ADNI, OASIS-3, and MIMIC-IV show that LongMoE improves robustness under missing or weak contemporaneous modalities and remains competitive in full-modality settings, establishing a strong foundation for longitudinally-aware multimodal clinical learning.
Multi-FRuGaL: Multimodal Flexible Redundancy-aware Decomposed Gated Learning for Cancer Diagnosis and Prognosis
Modern medicine relies on heterogeneous data sources spanning radiology, pathology, text reports, and structured clinical information. However, real-world patient data are frequently incomplete, with missing or sparsely acquired modalities, limiting the effectiveness of standard multimodal fusion approaches. To this end, we propose the Multimodal Flexible Redundancy-aware decomposed GAted Learning (Multi-FRuGaL) framework, a decomposition-aware, adaptive gated intermediate-fusion framework that performs modality-level representation learning under missing data. Multi-FRuGaL integrates per-modality encoders with a signal decomposition layer, an input-conditioned gating network, and an information-aware fusion objective to separate redundant from modality-specific complementary signals, selectively upweighting informative modalities and suppressing redundant or noisy inputs, and remaining well-defined even when multiple modalities are absent. We evaluate Multi-FRuGaL on two multimodal head and neck cancer cohorts: the HANCOCK challenge dataset (N = 763) comprising five modalities and two prognostic endpoints (5-year survival and 2-year recurrence), and the HECKTOR challenge dataset (N = 588) comprising three modalities for human papillomavirus (HPV) status classification. Multi-FRuGaL consistently achieves higher mean performance than the evaluated baselines across multiple tasks, improving AUC from 0.601 to 0.8496 for survival, from 0.672 to 0.8102 for recurrence, and achieving 0.975 AUC for HPV prediction on HECKTOR. For survival analysis, it further achieves a concordance index of 0.6814 for overall survival, 0.7421 for recurrence-free survival, and 0.7143 for progression-free survival on HANCOCK, and 0.7203 for recurrence-free survival on HECKTOR. Qualitative analyses further show that Multi-FRuGaL learns discriminative and robust multimodal representations, even under severe missing-modality conditions.
PAMF: Prior-Aware Multimodal Fusion for Incomplete Time Series Data
In healthcare, multimodal time series tasks often operate on incomplete observations in practice, for example when ECG segments are lost because electrodes detach or an entire respiratory channel is unavailable during overnight monitoring. Such missingness typically appears in two structurally distinct patterns: within-modality missing, where values are absent within an otherwise observed modality, and modality-level missing, where an entire modality is unavailable. Existing methods typically represent unobserved data implicitly through masks or missing embeddings, without learning instance-specific missing information, and most are designed for only one missingness pattern. A natural approach is to explicitly estimate the missing data; however, existing imputation methods treat missingness uniformly despite their different structural priors, and the imputation process is often isolated from downstream tasks, preventing downstream tasks from guiding imputation toward more informative representations. To address these limitations, we present PAMF, a multimodal time-series framework that explicitly handles different missingness patterns while coupling imputation with downstream prediction through prior-aware flow matching and weight sharing. Specifically, the method initializes the flow-matching source state with type-specific priors to distinguish two missing types. It further connects imputation and classification through architecturally matched encoders with weight sharing, transferring task-relevant representations into the imputation process. Experiments on multiple multimodal healthcare time-series benchmarks show that the proposed method achieves the strongest overall downstream performance across diverse datasets and missing settings compared with existing baselines.
TRACE: A Temporal Conditional Estimation for Multimodal Time Series Foundation Models
Time series foundation models (TS-FMs) aim to learn generalizable temporal representations that can be adapted to a wide range of downstream tasks. In real-world multimodal settings, time series are frequently affected by temporal misalignment and partial modality missingness, where different modalities are observed at heterogeneous time scales or are partially absent. Existing approaches typically rely on naive imputation or masking strategies, which fail to account for cross-modal dependencies and often lead to misaligned or degraded representations. We propose TRACE, a conditional estimation paradigm for multimodal time series foundation model pipelines under missingness and irregular sampling, allowing incomplete target modalities to be systematically inferred from available auxiliary modalities. We evaluate TRACE on diverse multimodal benchmarks spanning healthcare and affective computing, including the MIMIC-IV clinical dataset and the CMU-MOSI and CMU-MOSEI benchmarks for multimodal sentiment analysis. Across a range of downstream prediction tasks and missing-modality settings, TRACE consistently outperforms prior multimodal fusion approaches, demonstrating improved robustness to severe modality missingness and more reliable cross-modal representations.
To Be Multimodal or Not to Be: Query-Adaptive Audio-Visual Person Retrieval via Active Modality Detection
When retrieving a person from a video archive by voice and face, should the system be multimodal or not? In real-world broadcast archives, unlike curated benchmarks, a target may be heard but unseen, seen but unheard, or both. Fusing scores from an absent modality injects noise, degrading precision below the best unimodal system. We propose a query-adaptive framework that detects active modalities via cross-modal score consistency: when both modalities are active, files retrieved by one also score highly on the other; this agreement breaks down when a modality is absent. Classifiers driven by these cross-modal features achieve 89% detection accuracy. On the BBC Rewind corpus (with over 12,000 broadcast videos) the adaptive system attains 94.2% P@1, outperforming speaker-only (82.9%), face-only (93.4%), and fixed fusion (90.0%), recovering 64% of the gap to an oracle with ground-truth modality labels (96.6%).
Disentangled Fine-Grained Prototype Learning for Incomplete Image-Tabular Classification
The missing-modality problem poses a significant challenge in image-tabular multimodal learning across a wide range of multimedia applications, including product understanding, recommendation systems, and medical diagnosis. This challenge is particularly pronounced when the two modalities are highly heterogeneous, as images and tabular attributes differ substantially in their semantic granularity and data distributions. Existing methods learn modality-invariant representations through disentanglement and alignment over global token-averaged features, capturing only coarse cross-modal consistency and overlooking fine-grained semantic and distributional misalignment, which hampers the exploitation of complementary cues under missing modalities. To address this, we propose DFPL, a novel framework for fine-grained prototype learning. Specifically, Shared-Specific Prototype Modeling (SSPM) extracts compact and diverse shared and modality-specific prototypes, and further performs prototype-level disentanglement to suppress redundant intra-modality correlations. Additionally, we propose a Prototype-guided Fine-grained Alignment (PFA) module that jointly enforces prototype-level distribution matching and prototype-to-class semantic alignment within a unified prototype space, thereby preserving both fine-grained distributional and semantic consistency across modalities. We further introduce a Class-aware Multi-scale Aggregation (CMA) module to adaptively aggregate shared semantics and modality-specific characteristics from global and prototype levels for robust predictions. Extensive experiments on three diverse image-tabular benchmarks demonstrate the superiority of our method compared to the previous approaches under various missing-modality settings. Code will be made publicly available.
Beyond Missing Rates: Rethinking Incomplete Multi-View Clustering with Protocol Divergence
Incomplete multi-view clustering (IMVC) is typically evaluated by retraining separate models under different missing-view configurations. Evaluations indexed only by nominal missing rate can overlook differences in observation structure across missing-view protocols. We show that missing-data protocols with identical nominal missing rates can induce substantially different learning regimes, differing by approximately 50-fold in the proportion of fully observed samples. We formalize this phenomenon as protocol divergence, which quantifies structural disparities among missing-view protocols beyond marginal missing rates. Furthermore, we analyze support-gated reconstruction mechanisms and show that their optimization contribution is inherently limited by the frequency of eligible observations under explicit normalization and optimization conditions. Based on these observations, we propose CRAFT (Co-occurrence-free Robust Attention-masked Fusion Transformer), a train-once framework that combines representation learning with an architecture designed to process missing-view inputs. CRAFT combines (i) per-sample forward computation using each sample's observed views and shared parameters, and (ii) mask-aware fusion over nonempty observed-view subsets. The deployment evaluation starts from training data with all views available and reuses one final checkpoint per dataset and seed across missing-view protocols without retraining. Experiments on CUB and MultiFashion show that CRAFT achieves the strongest performance in 12 out of 13 information-matched settings. Additional deployment experiments across seven benchmarks and sixteen missing configurations demonstrate substantial computational savings through checkpoint reuse while maintaining competitive clustering performance. Code and evaluation tools: https://github.com/dk23lhl/CRAFT and https://github.com/dk23lhl/imvc-audit.
CL-DMDF:Dynamic Multimodal Data Fusion Model Based on Contrastive Learning
Multimodal data fusion involves integrating and analyzing information from multiple modalities to uncover latent correlations and complementary patterns, thereby enhancing data processing and decision-making. While existing methods for structured multimodal inputs are typically designed around specific tasks and assume fully observed modalities, real-world applications often suffer from uncertain or missing modality inputs due to various factors. Some traditional models overly emphasize local interactions within missing modalities, neglecting the global complementary cues embedded in multimodal representations. To overcome these limitations, we propose a Dynamic Multimodal Data Fusion model based on Contrastive Learning (CL-DMDF). CL-DMDF introduces a novel attention mechanism that operates across both feature and modality dimensions to compute reliable attention scores, effectively reflecting importance at each level. The CL-DMDF further incorporates an entity-centroid contrastive learning module that constructs centroid-based positive samples from entity features to enhance discriminative learning. Additionally, an adaptive fusion module is employed to improve the efficiency and accuracy of dynamic fusion strategies. Extensive experiments conducted on three datasets demonstrate the effectiveness of the CL-DMDF across diverse multimodal fusion tasks.
Can BEV Perception Gracefully Degrade under Sensor Failures?
Despite the remarkable success of multi-modal bird's-eye view (BEV) perception in autonomous driving, current systems exhibit a critical vulnerability: existing fusion mechanisms are highly brittle to sensor corruptions, often causing catastrophic performance degradation. This vulnerability largely stems from the fact that standard fusion frameworks typically integrate multi-modal representations in a static manner, leading to a precipitous performance collapse under missing or corrupted modalities. In contrast, we show that graceful degradation is achievable through active modality reliability assessment. To this end, we present Grace-BEV, a lightweight and plug-and-play framework that enforces active reliability awareness during multi-modal fusion. Instead of relying on computationally expensive cross-modal interactions, Grace-BEV leverages the aligned BEV space to explicitly assess modality trustworthiness via a TrustGate Router and dynamically recalibrate feature integration using the FailSafe Fusion Block. Furthermore, we devise a Three-Phase Training strategy with Modality Dropout to prevent modality dominance and encourage balanced cross-modal learning under unreliable inputs. Extensive experiments on nuScenes-R and nuScenes-C show that Grace-BEV maintains robust performance across diverse corruption settings. Notably, under catastrophic LiDAR failures where standard baselines collapse to 0.0% mean Average Precision (mAP), Grace-BEV restores performance to as high as 34.7% mAP. Moreover, it improves clean accuracy by up to 1.4%, achieving a strong trade-off between robustness and efficiency.
Towards Unified Vision-Language Models with Incomplete Multi-Modal Inputs
Video-Language Models (VLMs) have demonstrated impressive multi-modal reasoning capabilities across diverse computer vision applications. However, these VLMs are task-specific and assume that both video and language inputs are complete. However, real-world VLM applications might face challenges due to deactivated sensors (e.g., cameras are unavailable due to data privacy), yielding modality-incomplete data and leading to inconsistency between training and testing data. While straightforward incomplete input can boast training generalization-ability and lead to training failure, its potential risks to VLMs regarding safety and trustworthiness have been largely neglected. To this end, we make the first attempt to propose a unified incomplete video-language model to process the incomplete multi-modal inputs. Extensive experimental results show that our method can serve as a plug-and-play module for previous works to improve their performance in various multi-modal tasks.
Context-driven Missing-Modality Learning for Robust Medical Diagnosis with Image-Tabular Data
While multimodal data integrating diverse imaging and clinical tabular records is crucial for accurate medical diagnosis, the arbitrary absence of specific modalities is prevalent in clinical practice, severely degrading the performance of multimodal models. Existing methods either discard missing modalities, leading to information loss, or struggle to synthesize them without capturing complex inter-modal dependencies. To address these limitations, we propose a novel Context-driven Missing-Modality Learning (CMML) framework, which sequentially performs modality synthesis and semantic alignment to achieve robust diagnosis under arbitrary missing conditions. Specifically, we design a Cascade Residual Transformer-based Autoencoder (CRTA) that leverages learnable context tokens acting as dataset-level semantic prior to capture inter-modal dependencies and synthesize key missing representations. These representations are further enriched by modality-specific memory banks. To resolve the discrepancy between original available and synthesized representations, we transform the learned context tokens into instance-adaptive semantic references by infusing multimodal representations from the CRTA's outputs. This reference guides the alignment of heterogeneous modality representations into a unified space, where class-aware contrastive refinement is finally applied to explore discriminative diagnostic cues. Extensive evaluations on skin lesion (Derm7pt), ocular disease (ODIR), and meningioma (MEN) datasets demonstrate that CMML significantly outperforms state-of-the-art (SOTA) methods, yielding AVG AUC improvements of 1.26%, 0.97%, and 1.32%, respectively.
Multimodality Stacking with Blockwise missing values and application to the PIONeeR biomarkers study for prediction of resistance to immunotherapy
Integrating multimodal datasets in clinical oncology is frequently hindered by high dimensionality and blockwise missingness, where entire data sources are unavailable for specific patient subsets. Standard survival models often struggle with these gaps, leading to biased results or patient exclusion. We introduce Multimodality Stacking with Blockwise missing values (MSB), a late-fusion framework for survival analysis that independently models modality-specific features before aggregating predictions via a cross-validated stacking meta-learner. MSB was validated on the PIONeeR study (n=443 patients, 378 biomarkers across eight heterogeneous sources) to predict progression-free survival in advanced non-small cell lung cancer patients receiving immunotherapy. MSB yielded higher predictive performance (C-index) than baseline algorithms. Improvements varied by baseline strength: linear models showed a 15.9% increase (p<0.001 for the Wilcoxon signed-rank test), random survival forests gained 5.4% (p=0.002), and gradient boosting methods improved by 2.1% (p=0.030). Beyond discrimination, MSB reduced the generalization gap (train-test difference in 5 folds cross-validation repeated 3 times: 0.055 vs 0.380 for linear models). Permutation importance analysis identified routine laboratory markers, clinical features, and PD-L1 expression as primary predictive drivers. Missing block indicators showed negligible importance, suggesting the model learned from biomarker values rather than data availability patterns. MSB provides a statistically validated framework for multimodal survival prediction with blockwise missingness. By enabling systematic biomarker evaluation without requiring complete data, MSB offers a practical tool for predictive modeling in biomedical research, pending external validation. Implementation is available at https://github.com/MohamedBoussena/MSB under Inria license.
AOEPT: Breaking the Implicit Modality-Reduction Bottleneck in Modality-Missing Prompt Tuning
Deploying multimodal systems in real-world environments often entails handling modality-missing scenarios, where one or more modalities are unavailable. While recent studies address this challenge for the general Multimodal Transformer (MT) architecture via prompt tuning, we identify a fundamental limitation in these methods: the Implicit Modality-Reduction bottleneck. By conditioning prompts solely on the observed modalities, they inadvertently restrict the reasoning scope of MTs to the modality-reduced subspace, cutting off access to the latent information sources of the missing modalities. To overcome this limitation, we propose AOEPT, which pioneers a novel modal-contextualized prompting fashion. Specifically, we introduce lightweight Modal-Contextualized Prompts (MCPs) that distill global modality-wise priors from training data, serving as latent repositories of the information sources for missing modalities. Conditioned on the remaining modalities, these MCPs are instantiated into instance-aware prompts that selectively augment missing-modality information for each sample, thereby restoring the reasoning scope of MTs beyond the observed-modality-only subspace. Experiments across various multimodal benchmarks and backbones confirm the strong performance of AOEPT, with minimal computational overhead.
GMENet: Generative Mixture of Experts Network for Multi-Center Glioma Diagnosis with Incomplete Imaging Sequences
Contemporary glioma diagnosis integrates molecular features with histopathology to guide clinical decision-making. However, in clinical settings, divergent imaging protocols result in incomplete MRI sequences, leading to two primary challenges: forcing existing frameworks to discard a large portion of clinical data during training and consequently limiting their clinical applicability. To address these limitations, we propose GMENet, a Generative Mixture of Experts Network for multi-center glioma diagnosis with incomplete imaging sequences. Firstly, we design a Cross-attention-based Gated Generation Module that synthesizes missing sequence features from available sequences via cross-attention and dynamic gating mechanisms, incorporating a cycle-consistency loss to preserve semantic integrity. Secondly, we introduce a Dynamically Weighted Experts Fusion Module that performs mixture-of-experts interaction and confidence-aware fusion over original and synthesized dual-sequence features for multi-task prediction. We evaluate GMENet on a multi-center cohort of 1,241 subjects from four in-house datasets and two public repositories. Experiments show that GMENet expands clinically usable training data by 97%, relative to complete-sequence-only data. Furthermore, it consistently outperforms state-of-the-art methods trained on complete data, demonstrating improved robustness under cross-center distribution shifts.
D3Seg: Dependency-Aware Diffusion for Brain Tumor Segmentation with Missing Modalities
Accurate brain tumor segmentation using multi-parametric MRI is critical for effective treatment planning. However, in clinical settings, complete acquisition of all MRI sequences is not always possible. The absence of certain MRI modalities results in substantial performance degradation in existing segmentation methods, which typically rely on naive feature concatenation or direct fusion strategies. To address this limitation, we propose a novel segmentation model D3Seg which is designed to maintain stable performance under missing-modality settings. D3Seg introduces Multi-hop Modality Graph Fusion (MMGF) to model higher-order inter-modality dependencies, a lightweight diffusion-based imputation mechanism to compensate for missing T1ce and FLAIR feature representations in latent space, and probability-space decision refinement to mitigate dominant-class overconfidence and improve delineation of underrepresented tumor subregions. We evaluate the proposed D3Seg model on BraTS 2023 Glioma as the primary benchmark and further test it on a subset of the external BraTS 2023 Meningioma cohort to assess generalization across tumor pathologies. The results are compared with the state-of-the-art models under different missing-modality conditions. The proposed model achieves approximately 1.5-2.0% Dice improvement on enhancing tumor (ET) and around 1.0% on tumor core (TC) across multiple missing-modality configurations compared to the current state-of-the-art model on BraTS Glioma dataset. Cross-cohort evaluation on BraTS Meningioma dataset demonstrates the generalizability of the proposed model, showing consistent improvements in the challenging TC and ET regions, with approximately 1.5-3.0% and 1.5-6.5% gains respectively across several missing-modality configurations.
Latent Space Guided Scenario Sampling for Multimodal Segmentation Under Missing Modalities
Multimodal semantic segmentation benefits remote sensing analysis by combining complementary information from different sensor modalities. In real-world remote sensing applications, one or more modalities may be unavailable due to sensor failures, adverse atmospheric conditions, or data acquisition problems. Even with pretrained multimodal representations and existing fine-tuning or adaptation strategies, performance may remain limited because all modality availability scenarios are typically treated as equally informative during training. In this paper, we propose a novel training strategy that learns a scenario sampling distribution directly from the pretrained latent space. Instead of relying on uniform random modality dropout, the proposed method guides fine-tuning toward more informative modality availability scenarios. More specifically, we quantify the effect of each scenario independently based on the distortion it induces in the shared latent representation. We then capture scenario relations using a radial basis function kernel and derive refined scenario scores through a regularized kernel smoothing. These scores are then converted into a probability distribution during scenario sampling for fine-tuning. We evaluate this strategy on three remote sensing image sets, namely DSTL, Potsdam, and Hunan, using CBC-SLP, CBC, and CMX backbones. The experimental results with different image sets and backbones show that our method outperforms standard fine-tuning and LoRA-based adaptation. These findings suggest that the pretrained latent representation can serve as an effective basis for sampling during missing modality fine-tuning. Code is available at https://github.com/iremulku/Latent-Space-Guided-Scenario-Sampling
Controlling Decision Drift in Multimodal Sentiment Analysis with Missing Modalities
Multimodal sentiment analysis relies on textual, acoustic, and visual signals, yet real-world data often suffer from modality missing and quality imbalance. Existing methods generate features for modality missing from available ones, but differences in expression mechanisms and sentiment dynamics across modalities may cause the generated features to deviate from true distributions and mislead prediction. In addition, unreliable modalities may dominate fusion, resulting in representation shift across modality combinations and unstable sentiment representations. To address these challenges, we propose a two-level reference alignment framework. The framework introduces stable references at the feature representation and sentiment decision levels to improve robustness under modality missing. First-level reference alignment leverages complete-modality samples to constrain representations and align different modality combinations into a shared sentiment space. Second-level reference alignment enforces cross-modal consistency at the decision level by suppressing unreliable modalities through prototype retrieval and voting. As a result, the framework maintains stable and reliable sentiment predictions under diverse missing-modality patterns. Experiments on CMU-MOSI and CMU-MOSEI show consistent improvements across various missing-modality settings. Under full-modality input, the proposed method achieves state-of-the-art performance, with ACC of 86.28% and 85.88%, and F1 of 86.24% and 85.86%.
Virtual Nodes Guided Dynamic Graph Neural Network for Brain Tumor Segmentation with Missing Modalities
Multimodal magnetic resonance imaging (MRI) is crucial for brain tumor segmentation, with many methods leveraging its four key modalities to capture complementary information for effective sub-region analysis. However, the absence of several modalities is very common in practice, leading to severe performance degradation in existing full-modality segmentation methods. Limited by the structured data model, recent works often adopt a multi-stage training strategy for full-modality and missing-modality scenarios, which increases training costs and inadequately addresses the interference of miss. In this work, we propose a graph-based one-stage framework for robust brain tumor segmentation with missing modalities. Specifically, we introduce modality-specific virtual nodes that serve as supplementary information sources to compensate for missing modalities. To enhance model robustness against arbitrary modality combinations, we leverage the inherent flexibility of graph networks to devise a dynamic connection strategy. This mechanism dynamically adjusts the adjacency matrix based on modality availability, preserving beneficial information flow while mitigating interference effects caused by missing modalities. Furthermore, we enhance the graph network through heterogeneous weight matrices, enhancing its adaptability to multimodal scenarios. Extensive experiments on the BRATS-2018 and BRATS-2020 datasets demonstrate that our method outperforms the state-of-the-art methods on almost all subsets of incomplete modalities.
MedMIX: Modality-Internal Expert Fusion for Multimodal Medical Diagnosis
Multimodal clinical prediction faces three challenges: multiple foundation models (FMs) with complementary strengths per modality, pervasive missing modalities at training and test time, and sample-specific variation in modality contributions. We introduce MedMIX, a multimodal framework that combines intra-modality expert fusion, learned inter-modality fusion, and training-only large--small model collaboration for robust medical prediction under incomplete modalities. Within each modality, MedMIX aggregates complementary embeddings from multiple small expert models; across modalities, it performs learned fusion over available modalities; and during training, it leverages large teacher models to improve deployed representations without additional inference cost. Across three heterogeneous benchmarks (OpenI, MIMIC-IV-MM, and MMIST-ccRCC), MedMIX achieves consistently strong performance while remaining robust under controlled missing-modality perturbations, and further demonstrates sustained robustness under cross-cohort shift on MIMIC-III. These results highlight MedMIX as a practical framework that unifies within-modality expert collaboration, sample-specific cross-modality fusion, and efficient large--small model collaboration while remaining robust to incomplete modalities.
MuteBench: Modality Unavailability Tolerance Evaluation for Incomplete Multimodal Fusion
Multimodal physiological data powers clinical AI systems from intensive care units to wearable devices, but sensors routinely fail in practice. Two failure modes are common: modality missing, where an entire channel is absent, and within-modality missing, where a contiguous time segment is lost. No existing benchmark evaluates multiple fusion architectures under both failure modes at controlled severity levels across diverse clinical datasets. We present MuteBench, a benchmark covering 9 datasets from 7 clinical domains, 6 fusion architectures, and 2 missing-data modes over 125,000 samples. Through this benchmark, we find that architecture family is the strongest predictor of robustness, outweighing parameter count. Channel-independent models tolerate modality missing well but can be sensitive to within-modality missing, especially on short sequences. Curriculum modality dropout protects reliably only up to the maximum dropout rate used in training. We also find that channel count, sequence length, and modality alignment jointly determine which failure mode poses the greater threat. Finally, a PTB-XL case study suggests that diffusion-based imputation can improve downstream classification under within-modality missing, with the largest gains for models whose expert routing is most sensitive to corrupted inputs, though broader validation across datasets remains an open direction. MuteBench provides practitioners with concrete guidance for both selecting existing architectures and informing the design of future robust multimodal fusion methods.
PRA-PoE: Robust Multimodal Alzheimer's Diagnosis with Arbitrary Missing Modalities
Missing modalities are prevalent in real-world Alzheimer's disease (AD) assessment and pose a significant challenge to multimodal learning, particularly when the distribution of observed modality subsets differs between training and deployment. Such missingness pattern mismatch induces a conditional representation shift across modality subsets. Existing approaches that rely on implicit imputation or modality synthesis often fail to explicitly model modality availability and uncertainty, leading to overconfident dependence on synthesized features, reduced robustness, and miscalibrated uncertainty estimates. To address these limitations, we propose PRA-PoE, an incomplete multimodal learning framework that is equipped with Prototype-anchored Representation Alignment (PRA) and an Uncertainty-aware Product of Experts (UA-PoE) fusion mechanism. First, PRA uses learnable global prototypes and availability-conditioned tokens to encode modality availability, distinguish observed from missing modalities, re-synthesize features for missing modalities, and adaptively refine observed representations to align latent spaces across modality subsets, with the goal of reducing representation shift under varying missingness patterns. Second, UA-PoE models each modality as a Gaussian expert and performs closed-form Product of Experts fusion, where experts with higher uncertainty are automatically down-weighted via lower precision, improving uncertainty reliability. We evaluate PRA-PoE under a clinically realistic protocol by training with naturally missing data and testing on all non-empty modality combinations. PRA-PoE consistently outperforms the state-of-the-art across datasets, achieving a 5.4% relative improvement in average accuracy on ADNI and a 10.9% relative gain in average F1 on OASIS-3 over the strongest baseline across all non-empty modality subsets.
BrainAnytime: Anatomy-Aware Cross-Modal Pretraining for Brain Image Analysis with Arbitrary Modality Availability
Clinical diagnostic workups typically follow a modality escalation pathway: after initial clinical evaluation, clinicians begin with routine structural imaging (e.g., MRI), selectively add sequences such as FLAIR or T2 to refine the differential, and reserve molecular imaging (e.g., amyloid-PET) for cases that remain uncertain after standard evaluation. Consequently, patients are observed with heterogeneous and often incomplete modality subsets. However, most current AI models assume fixed data modalities as the model inputs. In this paper, we present BrainAnytime, a unified pretraining framework pretrained on 34,899 3D brain scans from five datasets that support brain image analysis under arbitrary modality availability spanning multi-sequence MRI and amyloid-PET. A single model accepts whatever imaging is available, from a lone T1 scan to a full multimodal workup. Pretraining learns structural-molecular correspondences between MRI and PET via cross-modal distillation (RCMD) and prioritizes disease-vulnerable anatomy via atlas-guided curriculum masking (PACM), all within a shared 3D masked autoencoder (Multi-MAE3D). Across four downstream tasks and five clinically motivated modality settings, BrainAnytime largely outperforms modality-specific models, missing-modality baselines, and large-scale brain MRI pretrained foundation models on most modality settings. Notably, it surpasses the strongest missing-modality baselines with relative improvements of 6.2% and 7.0% in average accuracy on CN vs. AD and CN vs. MCI classification, respectively. Code is available at https://github.com/SDH-Lab/BrainAnytime.
VCR: Learning Valid Contextual Representation for Incomplete Wearable Signals
Wearable devices enable continuous health monitoring from multimodal signals, but real-world deployment is hindered by limited labeled data and pervasive sensor incompleteness. While large-scale self-supervised pretraining reduces label dependence, most existing methods assume full modality availability. Current approaches for handling modality missingness often reconstruct entire absent signals, which can encourage hallucinating modality-specific details that are not inferable from the observed sensor signals and degrade robustness. We propose VCR, a self-supervised framework that learns to extract valid representations robust to modality missingness. VCR employs an orthogonal tokenizer to enforce strict orthogonal disentanglement by rectifying latent manifolds and applying a geometric projection, separating each modality into shared semantics and modality-specific residuals. This design preserves complete information integrity while serving as a structural foundation for robust learning under modality missingness. The resulting tokens are processed by a missing-aware mixture-of-experts backbone that adapts to varying patterns of modality availability. By constraining the objective to reconstruct only the shared components of missing modalities, VCR effectively mitigates hallucinations of non-inferable modality-specific details. Across multiple health monitoring tasks, VCR consistently improves performance and robustness under full, single-missing, and multiple-missing modality settings compared with strong supervised and self-supervised baselines.
Towards Robust Federated Multimodal Graph Learning under Modality Heterogeneity
Recently, multimodal graph learning (MGL) has garnered significant attention for integrating diverse modality information and structured context to support various network applications. However, real-world graphs are often isolated due to data-sharing limitations across multiple parties, and their modalities are frequently incomplete. This highlights an urgent need to develop a robust federated approach. However, we find that existing methods remain insufficient. On the one hand, centralized MGL methods that handle missing modalities overlook the knowledge sharing and generalization in federated scenarios. On the other hand, while federated MGL methods have become increasingly mature, they primarily target non-graph data. Based on these technologies, we identify a two-stage pipeline wherein client-side completion reconstructs missing modalities, and server-side aggregation integrates the client-updated parameters of both the modality generator and the backbone models. Although this serves as a general solution, we identify two primary challenges in achieving greater robustness: (1) Topology-Isolated Local Completion: Client-side modality generation struggles to effectively leverage global semantics. (2) Reliability-Imbalanced Global Aggregation: Server-side multi-party collaboration is hindered by client updates with varying modality availability and recovery reliability. To address these challenges, we propose \textsc{FedMPO}, which utilizes topology-aware cross-modal generation to recover missing features using comprehensive graph context, missing-aware expert routing to locally filter out noisy recovered signals, and reliability-aware aggregation to appropriately down-weight unreliable updates. Extensive experiments on 3 tasks across 6 datasets demonstrate that FedMPO outperforms baselines, achieving performance gains of up to 4.10% and 5.65% in high-missing and non-IID settings.
Resilient Vision-Tabular Multimodal Learning under Modality Missingness
Multimodal deep learning has shown strong potential in medical applications by integrating heterogeneous data sources such as medical images and structured clinical variables. However, most existing approaches implicitly assume complete modality availability, an assumption that rarely holds in real-world clinical settings where entire modalities and individual features are frequently missing. In this work, we propose a multimodal transformer framework for joint vision-tabular learning explicitly designed to operate under pervasive modality missingness, without relying on imputation or heuristic model switching. The architecture integrates three components: a vision, a tabular, and a multimodal fusion encoder. Unimodal representations are weighted through learnable modality tokens and fused via intermediate fusion with masked self-attention, which excludes missing tokens and modalities from information aggregation and gradient propagation. To further enhance resilience, we introduce a modality-dropout regularization strategy that stochastically removes available modalities during training, encouraging the model to exploit complementary information under partial data availability. We evaluate our approach on the MIMIC-CXR dataset paired with structured clinical data from MIMIC-IV for multilabel classification of 14 diagnostic findings with incomplete annotations. Two parallel systematic stress-test protocols progressively increase training and inference missingness in each modality separately, spanning fully multimodal to fully unimodal scenarios. Across all missingness regimes, the proposed method consistently outperforms representative baselines, showing smoother performance degradation and improved robustness. Ablation studies further demonstrate that attention-level masking and intermediate fusion with joint fine-tuning are key to resilient multimodal inference.