Multimodal Fusion

Pretrained vision-language models (VLMs) have shown promising performance in medical image segmentation by incorporating clinical text. However, it remains unclear how much textual information actually contributes to pixel-level predictions. In this work, we systematically investigate the role of text in multimodal medical image segmentation. We first analyze several commonly used fusion strategies and find that segmentation performance is largely insensitive to the choice of fusion module. To further understand modality interactions, we propose an Evidence Decoupling Decoder (EDD) based on evidential deep learning and deep supervision. EDD serves as an internal representation analysis tool that decomposes image evidence and text-modulated evidence throughout the decoding process while maintaining competitive segmentation performance. Experimental results show that the sensitivity to text perturbation varies substantially across datasets. On BUSI and BTMRI, removing text causes catastrophic performance drops, indicating strong model reliance on textual input. On ISIC and Kvasir-SEG, text exerts relatively marginal influence. We further find that text affects predictions mainly through global semantic modulation rather than independent spatial localization, and that the specific semantic components driving text sensitivity differ across datasets. These findings provide a deeper understanding of modality interaction in multimodal medical image segmentation and offer practical insights for future model design.

Multimodal emotion recognition is a key research area in affective computing, with applications in sentiment analysis, intelligent customer service, and human-computer interaction. However, existing methods often rely on single-modal features or simple multimodal fusion, failing to capture the synergy between global and local contexts, which limits model performance and emotion understanding. To address this challenge, we propose Transformer-GAT, a hybrid framework that combines Transformer and the Graph Attention Network to enable cross-modal emotion understanding. The Transformer is used to capture global semantic information, while the Graph Attention Network is employed to model fine-grained relationships between modalities, thereby enhancing the representation of emotional features. Experiments on the IEMOCAP and MELD datasets show that our model achieves weighted F1 scores of 72.45% and 77.37%, outperforming state-of-the-art methods. These results demonstrate that Transformer-GAT effectively integrates multimodal features, balances global and local contexts, and provides deeper emotional insights, offering new directions for multimodal emotion computing.

Clear cell renal cell carcinoma (CCRCC) grading is essential for treatment planning, yet existing approaches either analyze patch-level images directly or focus solely on nuclei-level classification, without linking to final tumor grading. We propose a semantic-guided multimodal preprocessing method that integrates nuclei classification maps from existing pre-trained models with RGB histopathology images for Vision Transformer (ViT)-based CCRCC grading. Our approach employs classification map channel concatenation and multiplicative modulation, with optimized overlays to leverage nuclei grading information, while preserving RGB textural features. Evaluation of multiple preprocessing strategies demonstrates that semantic-guided enhancement achieves 0.916 balanced accuracy, outperforming RGB-only baseline (0.707) and max-voting aggregation from prior studies (0.427). Sensitivity analysis reveals that this 21 percentage point improvement over baseline persists even under simulated perturbation at rates matching current state-of-the-art nuclei classification model error thresholds, suggesting both effective semantic utilization and practical robustness. These findings show that preprocessing-based multimodal fusion can leverage the diagnostic potential of existing imperfect nuclei classifiers, effectively bridging previously isolated fine-grained nuclear-level analysis with coarse-grained ViT-based patch classification. Per-class recall was consistent across grades (0.93, 0.91, 0.91), indicating that gains are not concentrated in the majority class. Because the sensitivity analysis perturbs ground-truth maps rather than predictions from an actual nuclei model, this result characterizes robustness under simulated error rather than deployment with a real upstream model, which remains for future work.

Unmanned Aerial Vehicles (UAVs) have emerged as a promising platform for firefighting operations due to their flexibility, low operational cost, and ability to acquire high-resolution imagery in locations that may be difficult or dangerous to access using conventional methods. Recent advances in deep learning have significantly improved the capabilities of UAV-based wildfire monitoring systems. The present work investigates RGB-infrared fusion for binary wildfire segmentation on the FLAME3 dataset. In this Study, RGB and Infrared baselines are compared with three representative fusion strategies across three segmentation architectures, including U-Net, DeepLabV3+, and SegFormer. The key motivation of this work is to analyze the contribution of each modality, evaluate the impact of fusion timing, and examine how different network architectures exploit multimodal information for UAV wildfire delineation. The findings indicate that thermal information plays a dominant role in UAV segmentation and that feature-level multimodal fusion combined with transformer-based architectures offers the most promising direction for future research.

InfRared Small Target Detection (IRSTD) is a challenging task. Relying solely on pixel-level information, vision-only methods struggle to distinguish targets from clutter. Current multimodal methods typically describe both targets and backgrounds with a single textual prompt. Such an approach lacks dedicated regional guidance and ignores infrared semantic asymmetry. Consequently, it provides insufficient background suppression information and introduces severe feature optimization conflicts, overwhelming small targets with noise. To address these issues, we propose a novel Asymmetric Dual-text Guided Network (ADGNet). Specifically, accounting for the infrared semantic asymmetry, we first design the Asymmetric Dual-text Prompt (ADP), comprising an image-agnostic abstract target prompt and an image-specific detailed background prompt. To leverage these prompts, we introduce an Asymmetric Dual-Branch Interaction (ADBI) module to separately guide visual features with their respective text priors, protecting targets from noise while suppressing background clutter. Subsequently, we introduce an Adaptive Feature Aggregation (AFA) module to dynamically fuse features from the two branches. Furthermore, we construct a multimodal Asymmetric Image-Text Infrared (AITIR) dataset by providing asymmetric text annotations for three public datasets (IRSTD-1K, NUDT-SIRST, and SIRST). Extensive experiments demonstrate that ADGNet outperforms 21 state-of-the-art (SOTA) methods. Code is available at https://github.com/iLearn-Lab/MM26-ADGNet.

Surgical phase recognition is key to context-aware computer-assisted feedback in vitreoretinal procedures, yet the scarcity of synchronized multimodal intraoperative data, particularly microscope views and intraoperative OCT, limits approaches that aim to replicate the multimodal integration surgeons perform naturally. Surgical narration, by contrast, is abundantly available online and offers rich semantic supervision. Prior work has mainly explored pairwise contrastive learning (e.g., intraoperative OCT-microscope or microscope-narration), leaving the joint modeling of all three modalities largely unexplored. We introduce a framework that uses microscope views as a shared anchor to bridge surgical narrations and intraoperative OCT (iOCT) without requiring a fully synchronized tri-modal dataset, leveraging real microscope-narration videos and a synthetic dataset of synchronized microscope video and tool-aligned iOCT pairs. Contrastive alignment transfers structural priors from the synthetic domain to real videos lacking iOCT, and a dual-head MS-TCN++ integrates the resulting embeddings for joint macro- and micro-phase prediction. Evaluated on real vitreoretinal surgeries, our framework improves macro-phase recognition over a zero-shot baseline (mean F1 0.38 to 0.53) and provides an exploratory route to estimating fine-grained instrument-tissue measurements that are not directly observable in real microscope video alone; these micro-phase estimates are validated quantitatively on synthetic data and shown only qualitatively on real surgery. To our knowledge, this is the first work to unify microscope view, iOCT B-scans, and surgical narrations in a shared latent space for surgical phase recognition.

Depression and anxiety in older adults with Mild Cognitive Impairment (MCI) are frequently underdiagnosed due to limited access to care. Multimodal analysis of remote clinical interviews is a scalable screening approach, but existing methods have three limitations. First, they do not correct temporal misalignment across multimodal features extracted at different resolutions, inducing spurious cross-modal associations. Second, remote recordings exhibit uneven modality dropout, but missing values are often zero-filled, making them indistinguishable from valid near-zero measurements. Finally, they do not jointly attribute predictions to modalities, questions, and interview moments, limiting fine-grained clinical interpretation. We propose a Temporally-Aligned, Missingness-Aware, Interpretable (TAMI) multimodal fusion framework. TAMI aligns speech, language, facial, and physiological features within question-answer segments on a shared timeline, encodes modality-level missingness over time, and conditions fusion on question context. In interviews with 49 older adults with MCI, TAMI achieved area under the receiver operating characteristic curve (AUROC) scores of 0.68 (depression) and 0.69 (anxiety). Fine-grained temporal alignment of multimodal features produced the largest performance gain ($Δ{\geq}0.1$). Multi-level interpretability analysis revealed that depression classification relied on eyegaze and open-ended questions, while anxiety classification depended on eyegaze and head pose, with attribution uniformly distributed across questions. Using only responses to the open-ended questions (5.1min), the depression model achieved an AUROC score of 0.67, which was not significantly different from using the full interview (19min) ($p>0.05$). Our findings support designing interview protocols centered on open-ended questions for depression screening in older adults with MCI.

Multimodal Sentiment Analysis (MSA) is a fundamental component of affective computing that aims to decipher complex emotional states by integrating verbal content with non-verbal cues including vocal intonation and facial micro-expressions. While recent disentanglement-based approaches have advanced the field, their potential is hindered by two methodological challenges. First, static computation graphs process all samples indiscriminately regardless of semantic complexity, which leads to suboptimal representation for diverse emotional expressions and contextual scenarios. Second, generic contrastive objectives often neglect the intrinsic ordinal hierarchy of sentiment intensities. To systematically address these limitations, we introduce Multimodal Adaptive Expert Selection with Text Routing and Ordinal prototype optimization (MAESTRO), a novel framework designed to dynamically orchestrate and refine multimodal representations. Drawing inspiration from an orchestra conductor, we design a Text-Guided Hybrid Mixture-of-Experts (MoE) mechanism. Unlike static fusion, this module utilizes linguistic context as a routing signal to dynamically activate specific audio-visual experts, thereby resolving cross-modal ambiguity through adaptive feature enhancement. Furthermore, to capture fine-grained sentiment gradations, we propose an Ordinal-aware Prototype Contrastive Learning (O-PCL). By incorporating distance-based penalties into the prototype learning objective, O-PCL enforces a structured latent space that preserves the natural order of emotion. Extensive experiments on the CMU-MOSI and CMU-MOSEI benchmarks demonstrate that MAESTRO achieves state-of-the-art performance, and qualitative analysis further confirms the interpretability of our dynamic routing paradigm.

Classification models based on resting-state functional magnetic resonance imaging (rs-fMRI) often show lower performance at imaging sites not included during model development, which can limit their use in clinical settings. Domain generalization (DG) addresses this issue by learning representations from source sites that remain effective for unseen target sites. However, existing DG approaches for psychiatric disorder classification commonly rely on a single imaging modality and may not fully account for site-specific acquisition effects on the learned representation space. Subjects scanned at the same site share scanner hardware, acquisition settings, and preprocessing characteristics, which can cause representations to reflect acquisition conditions rather than diagnostic information. In this work, we present M2LG-DG, a source-only multimodal local-global framework for cross-site major depressive disorder (MDD) classification. The framework employs a dual-stream rs-fMRI encoder, where the global pathway models inter-regional dependencies through self-attention and the local pathway performs graph-constrained aggregation over functional connectivity-derived brain graphs. Imaging and non-imaging representations are decomposed into shared and private components and integrated through bidirectional cross-attention with a learned modality gate. A cross-site supervised contrastive objective forms positive pairs from same-class subjects acquired at different source sites, encouraging the fused representation to preserve diagnostic information across acquisition domains. On four held-out REST-meta-MDD sites, M2LG-DG achieves an AUC of 69.48% and exceeds the closest comparison method by 2.18 percentage points. Experiments on the Autism Brain Imaging Data Exchange (ABIDE) dataset further support its applicability to other psychiatric neuroimaging classification tasks.

Multi-label chest X-ray classification has attracted considerable attention in recent years, with the effective use of visual representations and clinical semantic knowledge playing an important role. This study proposes a framework that combines unimodal representations from RAD-DINO with vision--language representations from BioViL-T for the classification of 14 labels in the MIMIC-CXR-JPG dataset. The RAD-DINO and BioViL-T embeddings and their combined representation are refined separately in latent space before being normalized and fused across the three branches. In addition to improving classification performance, the study aims to clarify the role of each embedding source and the degree to which they complement one another. Experiments show that RAD-DINO outperforms BioViL-T when used independently, whereas early fusion further improves the results, indicating that the two embedding sources contain complementary information. The best-performing model achieves a mean AUROC of 0.840 and an mAP of 0.467. Ablation analysis shows that hybrid fusion provides consistent and statistically significant improvements over early fusion when each embedding source is refined in latent space, suggesting that fusion effectiveness depends on the quality of the representation supplied by each branch. However, the study has only been evaluated internally on MIMIC-CXR-JPG; its generalizability to data from other healthcare institutions therefore remains to be validated. The source code is available at: https://anonymous.4open.science/r/mimic-report-C210/.

Mobile AI acts as a visual oracle, empowering users to snap a picture of something and ask for information. Snap-and-ask retrieval is now one of the most common entry points for mobile AI, yet photos are often blurry, while text questions may be short or mistyped. Existing benchmarks only test on clean inputs or do not isolate paired robustness in snap-and-ask retrieval. Therefore, we introduce SnapBench, the first paired benchmark for robust snap-and-ask multimodal retrieval, spanning 1,145 queries, 9,085 gallery items under 53 controlled corruption conditions with human annotations. We evaluate 16 multimodal retrievers, covering dual-tower encoders and embedding-based VLMs. Results show that image corruptions substantially degrade retrieval, while text corruptions mainly affect text-only retrieval and have limited impact on joint retrieval. Clean image-only retrieval often outperforms joint retrieval, indicating the coarse-text drag and the lack of cross-modal fallback under noisy inputs. SnapBench provides a controlled testbed for evaluating robust retrieval in snap-and-ask scenarios. We further propose MOOR (Modality-anchored, Outlier-aware, Optimal Reweighting), a simple adaptive fusion approach, highlighting the need for reliability-aware modality calibration in snap-and-ask retrieval.

Learning effective multimodal entity representations is fundamental for reasoning tasks such as multimodal knowledge graph completion (MMKGC). However, existing methods often suffer from semantic over-smoothing within modalities and ineffective noise filtration across modalities, particularly under sparse or ambiguous conditions. To overcome these limitations, we propose PrismF, a unified framework that synergizes multi-perspective enhancement with progressive fusion to extract stronger signals from diverse inputs. PrismF enhances fine-grained intra-modal semantics through a multi-perspective mechanism that decomposes each modality into complementary views and constrains them with a decoupling loss to reduce representation collapse. Furthermore, it improves cross-modal integration through a progressive fusion strategy that dynamically calibrates inter-modal interactions, enabling the model to emphasize informative signals while suppressing noisy or unreliable ones. Extensive experiments on three public benchmarks show that PrismF achieves the strongest overall performance, including relative improvements of 4.04% in MRR and 11.17% in Hits@1 on KVC16K. Our code can be found at https://github.com/HubuKG/PrismF.

Inferring molecular structures from multimodal spectroscopic measurements requires integrating complementary yet highly heterogeneous signals. However, the common paradigm of directly concatenating multispectral sequences can exhibit anomalous performance degradation, primarily due to pronounced heterogeneity and the resulting multimodal imbalance across modalities. As a remedy, we propose MM-Spectrum, a sparse Mixture-of-Experts framework tailored for multimodal multispectral spectra-to-structure elucidation. To better match the information characteristics under multispectral imbalance, MM-Spectrum introduces an explicit modality-aware routing mechanism that exposes spectral identity to the router in addition to token content representations. Moreover, it incorporates shared and interaction experts, together with heterogeneous expert capacities, to extract multispectral modality-unique and cross-modal synergistic information while suppressing noise-induced interference. Across full-modality, bimodal, and missing-modality settings on molecular structural elucidation, MM-Spectrum achieves consistent and substantial improvements, supported by ablation studies and interpretability analyses.

Fusing multiple modalities is expected to improve model performance. However, on the MultiHuSE dataset, early, late, and symmetric attention fusion often fail to outperform the best unimodal baseline (text). Pathway isolation of a symmetric attention fusion model reveals that the text-pathway accuracy drops from 74.9% to 56.4% after fusion in one such setting, indicating that the dominant modality can be degraded during integration. We term this strong-modality collapse and argue that it helps explain why some multimodal models fail to surpass unimodal baselines. We propose Inverted Asymmetric Fusion (IAF), which avoids forcing mutual attention across modalities. The dominant modality is preserved by passing through fusion unchanged, while weaker modalities attend to it as a contextual anchor. Before fusion, weaker modalities are strengthened using Modality-Aware Knowledge Distillation. We evaluate IAF on three benchmarks with different modality hierarchies: text-dominant datasets (MultiHuSE, UR-FUNNY) and an audio-visual-dominant dataset (MUStARD). Pathway isolation shows that IAF preserves the dominant modality's internal accuracy at its unimodal ceiling across all tested configurations, whereas symmetric fusion degrades it by up to 18.5% on MultiHuSE. IAF improves over the strongest unimodal baseline by up to 8.25%.

Neonatal mortality risk prediction from bedside monitoring data remains challenging due to extreme class imbalance, heterogeneous clinical risk factors, multi-scale temporal dynamics, and substantial missingness. We propose NeoTriFuse, a reliability-aware multimodal fusion framework for missingness-heterogeneous neonatal monitoring data. Unlike conventional multimodal approaches that treat missingness primarily as a preprocessing issue, NeoTriFuse models missingness as an explicit reliability signal that dynamically modulates modality contributions during fusion. The framework integrates static perinatal variables, local-global temporal encoders, and patient-level statistical summaries through reliability-guided gating mechanisms, while jointly optimizing mortality prediction and an auxiliary length-of-stay objective. NeoTriFuse achieves competitive performance, with an F1 score of 0.6736 +/- 0.0216 and an AUROC of 0.9454 +/- 0.0056. Ablation studies indicate that the local-global temporal architecture and patient-level summary branch contribute most substantially to predictive performance, while reliability-aware gating provides additional improvements on threshold-dependent metrics under heterogeneous observation completeness. Sensitivity analyses further suggest stable performance across nearby hyperparameter settings. Overall, the findings support reliability-aware multimodal fusion as a practical approach for neonatal mortality prediction under realistic clinical missingness conditions.

Mixture-of-experts (MoE) models combine specialized predictors under learned routing, offering a principled mechanism for leveraging heterogeneity in medical data. We present a hierarchical multimodal MoE for interstitial lung disease (ILD) classification that integrates a frozen, pre-trained imaging expert with structured electronic health records (EHR) via two-stage gating. A modality-level gate assigns patient-specific weights to imaging and EHR predictions, while a sub-gating module decomposes the EHR branch into clinically defined feature groups with learned, group-specific contributions. This design preserves stable imaging representations while enabling input-dependent clinical weighting and explicit EHR specialization. Under strict patient-level cross-validation, the model achieved the highest mean AUC among the evaluated methods (0.8750 +- 0.0443), compared with 0.8646 for imaging-only REN and 0.7685 for SwinUNETR. The framework extends interpretability across anatomical regions, imaging--EHR utilization, and clinically defined EHR feature groups.

Multi-modal time series forecasting methods integrate auxiliary context into temporal predictions through increasingly sophisticated fusion mechanisms. A growing body of work reports substantial gains, yet it is often unclear whether they reflect genuine use of the context or incidental architectural effects. We ask a narrower, checkable question: when can auxiliary context help a forecaster at all? We identify two dataset-level conditions that must both hold: (1) the target is not dominated by a last-value shortcut (low autocorrelation rho_h), and (2) the context carries information about the target beyond history (non-zero conditional mutual information delta; when delta=0 no predictor can benefit---a distribution-free result). Through controlled experiments on MoME (a 14.3B-parameter mixture-of-experts model, 6 datasets, 10 seeds) and four additional fusion mechanisms implemented within a single-backbone testbed (5 datasets), we find that when both conditions hold, text-conditioned expert modulation contributes a sizeable MSE reduction; when either fails, the contribution collapses to the capacity floor of the modulation pathway and carries no context-attributable signal. We establish causality through two interventions: adding a shortcut to MoME suppresses routing contribution by 77-93% across 3 datasets; progressively corrupting context quality drives the context-specific benefit from +44% to negative. We validate the autocorrelation component of our diagnostic on 27 Monash Archive datasets. We provide a calibrated pre-training diagnostic that, on the datasets we test, yields no false positives in well-powered settings. We are explicit about the asymmetry of our evidence: the negative arm is broadly reliable, while the large positive magnitudes come from a single model family (MoME) and are corroborated only in direction by the testbed.

Recently, the rapid advancement of multimodal domains has driven a data-centric paradigm shift in graph ML, transitioning from text-attributed to multimodal-attributed graphs. This advancement significantly enhances data representation and expands the scope of graph downstream tasks, such as modality-oriented tasks, thereby improving the practical utility of graph ML. Despite its promise, limitations exist in the current neural paradigms:(1) Neglect Context in Modality Alignment: Most existing methods adopt topology-constrained or modality-specific operators as tokenizers.These aligners inevitably neglect graph context and inhibit modality interaction, resulting in suboptimal alignment.(2) Lack of Adaptation in Modality Fusion: Most existing methods are simple adaptations for 2-modality graphs and fail to adequately exploit aligned tokens equipped with topology priors during fusion, leading to poor generalizability and performance degradation.To address the above issues, we propose LION (cLIffOrd Neural paradigm) based on the Clifford algebra and decoupled graph neural paradigm (i.e., propagation-then-aggregation) to implement alignment-then-fusion in multimodal-attributed graphs. Specifically, we first construct a modality-aware geometric manifold grounded in Clifford algebra.This geometric-induced high-order graph propagation efficiently achieves modality interaction, facilitating modality alignment.Then, based on the topology-aware Clifford components of aligned tokens, we propose adaptive holographic aggregation. This module integrates component-wise energy and propagation-scale information with learnable parameters to improve modality fusion. Extensive experiments on 9 text-image MAG datasets demonstrate that LION significantly outperforms SOTA baselines across 3 graph and 3 modality downstream tasks.

Multimodal fusion of structural MRI (sMRI) and dynamic functional network connectivity (dFNC) can reveal how brain structure relates to changing functional states. When the same structural latent representation is coupled with multiple states, applying independent vector analysis (IVA) separately to each state can produce unrelated structural decompositions, while forcing identical decompositions may suppress state-specific relationships. In addition, not every subject expresses every dynamic state. We propose masked structural residual IVA (MSR-IVA), a state-aware framework that combines a shared structural representation with state-specific residual adaptations and masks for incomplete state expression. On an Alzheimer's Disease Neuroimaging Initiative cohort, MSR-IVA improved matched source coupling by 6.5% and reduced unmatched dependence by 15.7% relative to the independent pairwise IVA baseline. Among subjects expressing both states, mean absolute cross-state structural source correlation was 0.9177 for MSR-IVA versus 0.2978 for no sharing, demonstrating controlled structural sharing that preserves source correspondence while allowing state-specific adaptation.

Breast ultrasound (BUS) is widely used for breast cancer diagnosis yet remains operator-dependent. While deep learning shows promise, ensuring diagnostic reliability and interpretability is challenging. Recent Multimodal Large Language Models (MLLMs) often generate spurious descriptions due to limited domain knowledge, which mislead downstream expert models and compromise clinical validity. To address these challenges, we propose the Boot-and-Feedback (BooF) model collaboration framework for synergistic MLLM-expert interaction. Specifically, in the Boot Stage, the MLLM is guided by the BI-RADS lexicon and preliminary benign-malignant vision-expert predictions, enabling it to transfer general reasoning to BUS analysis while avoiding hallucinations. Subsequently, the Feedback Stage integrates these descriptions with visual features via a lightweight Attention-Gated Cross-Modality Fusion Module. This allows the expert to leverage textual feedback while adaptively filtering noise. Extensive experiments on multiple BUS datasets demonstrate that BooF substantially outperforms state-of-the-art methods in terms of diagnostic accuracy and interpretability.

End-to-end training of multimodal neural networks often exhibits unstable neural dynamics characterized by three coupled failure modes that degrade learning: (i) modality imbalance, where one branch dominates gradient-based optimization; (ii) unstable gating, where noisy confidence cues induce erratic modality selection; and (iii) fusion interference, where modality-specific gradients conflict at the shared fusion layer. We propose CAT-GS (Calibrated, Adaptive, Thresholded Gating with Fusion Surgery), a neural dynamics-based optimization controller for intelligent computing applications. CAT-GS operates during backpropagation without modifying model architectures, fusion modules, or task losses. Through calibration of teacher-derived reliability via temperature scaling and EMA smoothing, CAT-GS stabilizes neural dynamics using a margin-thresholded policy to switch between warm-up dropout, weak-modality prioritization, and weak-biased blending, stabilizes gradient magnitudes under aggressive gating via capped gradient-budget renormalization, and applies fusion-only PCGrad to reduce destructive cross-modal interference at the primary shared bottleneck. We evaluate CAT-GS on audio--visual multimodal pattern recognition benchmarks (CREMA-D, AV-MNIST, and VGGSound), a tri-modal setting (UR-FUNNY), controlled synthetic data (CG-MNIST), and additional cross-domain benchmarks (AVE and CMU-MOSI). CAT-GS improves or matches fused multimodal accuracy against strong imbalance-aware baselines (including OGM-GE, G$^2$D, and UMT) across settings, and yields smoother gating behavior with fewer conflicting fusion gradients.

Forecasting long-range influenza-like illness (ILI) matters for public health readiness. Publicly available surveillance datasets typically pair numeric epidemiological signals with textual information that is noisy, loosely structured, only indirectly related to near-term trends, and often lagged relative to the numeric signal. Fusing the two therefore requires careful design. We propose Dual-Stream Attention (DSA), a multimodal deep learning framework that forecasts 12-week-ahead ILI activity from a 36-week multimodal history by letting the numerical and textual streams condition each other. Using the Time-MMD health-domain dataset, DSA separately encodes the two modalities with a Transformer-based numerical encoder and a domain-adapted headline encoder, then couples them through a bidirectional Cross-Modal Attention (CMA) mechanism: the text (news headlines) conditions the interpretation of the numeric signal and vice versa. The CMA output then passes to a causal temporal model for forecasting. Evaluated across ten random seeds, DSA achieves a median test MSE of 0.416, versus 0.668, 0.607, and 0.851 for iTransformer, TaTS, and GPT4MTS, corresponding to mean-error reductions of 54.95%, 37.29%, and 67.23%, with paired Cohen's d of 0.555, 0.337, and 0.345, respectively, and ranks first in 100% of bootstrap draws. It also has substantially lower worst-window error than all baselines. On an external-geography dataset, DSA again ranks first among nine evaluated baselines. Ablations show the advantage does not depend on text-encoder choice or language-model fine-tuning, and that bidirectional attention outperforms either direction alone. Finally, perturbation-based faithfulness analysis shows the learned CMA is functionally informative under targeted masking, with a stronger effect in the text-to-numerical direction.

Accurate assessment of patients in intensive care units (ICUs) is essential for timely clinical intervention and improved patient outcomes. Multimodal electronic health records (EHRs), including structured physiological time series and longitudinal clinical notes, provide complementary information for critical care prediction. However, in real-world clinical settings, individual modalities may be partially observed or entirely unavailable, resulting in substantial performance degradation for existing multimodal models. To address this challenge, we propose a multimodal prompt-learning framework for robust clinical prediction under diverse missing-modality scenarios. The proposed framework introduces four complementary types of prompts: generative prompts, missing-signal prompts, missing-type prompts, and temporal prompts. Generative prompts construct surrogate latent representations for unavailable modalities, while missing-signal prompts distinguish observed representations from generated ones. Missing-type prompts condition the model on different modality-availability configurations, whereas temporal prompts perform condition-specific aggregation over temporally encoded clinical sequences. Together, these prompts enable the model to capture missingness-aware intramodal dependencies and cross-modal interactions within a unified architecture. Extensive experiments demonstrate that our method outperforms existing approaches across evaluation metrics on two missingness settings. Ablation and robustness analyses further verify the complementary contributions of the four prompt types and the effectiveness of the proposed framework for clinical prediction from incomplete multimodal EHR data.

General image fusion aims to integrate complementary information from multiple source images, but existing methods often rely on task-specific models and struggle to maintain robust performance under diverse degradation conditions. In this paper, we propose UniDiffFusion, a unified diffusion framework for multi-task and degradation-robust image fusion. UniDiffFusion leverages the strong generative prior of a pretrained diffusion model to establish a shared fusion backbone across heterogeneous fusion tasks, while introducing task- and degradation-aware conditional adaptation to accommodate their distinct information-selection requirements. Specifically, we employ task prompt modulation to progressively adapt the shared diffusion representations to different fusion objectives, and develop a degradation prompt router to dynamically retrieve degradation-aware priors and restore corrupted source features before fusion. Furthermore, an application prompt bank is introduced to incorporate task-oriented semantic guidance for downstream applications, such as object detection and semantic segmentation, without altering the shared fusion and restoration pathways. The proposed framework is trained in a progressive manner to decouple fusion learning, degradation-aware restoration, and application-specific adaptation, thereby reducing interference among heterogeneous objectives. Extensive experiments on visible-infrared, multi-exposure, and multi-focus image fusion demonstrate that UniDiffFusion achieves superior fusion quality and robustness under both clean and degraded conditions. Moreover, UniDiffFusion consistently improves downstream detection and semantic segmentation performance, demonstrating its effectiveness as a unified diffusion framework for both perceptual fusion and task-oriented vision.

Multi-modal object detection is essential for robust scene understanding in challenging conditions, including low-light and adverse environments. Recent vision foundation models (e.g., DINOv3) have exhibited strong representation capabilities, yet adapting them to multi-modal scenarios remains challenging. Existing dense cross-modal fusion strategies often force heterogeneous modalities to interact indiscriminately, which may introduce redundant information and disrupt the valuable pre-trained representations. To address this issue, we revisit multi-modal fusion from the perspective of socialized learning and propose adapter to DINOv3 (A2DINOv3), a multi-expert collaboration framework with a Socialized Collaboration Protocol (SCP). Specifically, RGB and infrared branches are modeled as heterogeneous experts that independently preserve their specialized knowledge while exchanging complementary information through selective and constrained interactions. This design mitigates harmful cross-modal interference and prevents degradation of pre-trained priors during adaptation. Furthermore, a zero-initialization strategy is introduced to gradually activate cross-modal collaboration, enabling a smooth transition from modality-specific learning to cooperative representation learning. Extensive experiments on four multi-modal benchmarks, including aerial detection (GAIIC), autonomous driving (FLIR), low-light surveillance (LLVIP), and diverse real-world scenarios (M3FD), demonstrate that A2DINOv3 consistently achieves state-of-the-art performance in multi-modal object detection.

Multimodal clinical AI is limited by weakly aligned inputs and the absence of domain-specific interpretable representations, particularly when learning from dense video stream, structured time-series, and template-based kinematic text. Here we present ScoliDetect, an explainable framework for adolescent idiopathic scoliosis screening from monocular gait video, built around a kinematic knowledge map (KKM) and complementary template-based kinematic text derived from per-sequence pose statics. KKM is a fixed-index structured representation that encodes gait features across absolute motion, self-skeleton configuration and joint-joint signal correlation, providing anchor-referenced multimodal fusion and factor-level interpretation. We integrate video, KKM, and template-based kinematic text through bidirectional cross-attention with latent-bottleneck aggregation. In a multicenter cohort (n = 1,858 after exclusions), prespecified supervised ablations on an external screening cohort show that KKM-mediated multimodal fusion outperforms unimodal models and late concatenation. Under a staged training protocol, trimodal contrastive pretraining is applied after architecture selection as representation initialization, improving external ROC-AUC from 0.961 to 0.972. Furthermore, the structured nature of the KKM provides inherent, factor-level attributions mapped directly to specific kinematic phases and skeletal indices, offering verifiable interpretability. The results demonstrate that embedding explicit structural topologies into latent spaces significantly enhances both the generalization and explainability of multimodal pattern analysis systems.

Multimodal object detection in remote sensing faces challenges due to semantic heterogeneity and modality-specific noise interference. To this end, we propose SuppreSensing, which reformulates multimodal fusion as a selective collaboration process that jointly models shared information and modality-specific cues. SuppreSensing first designs an Expert-driven Multimodal Feature Recalibration (EMFR) module, which reformulates shared-consensus extraction as an input-adaptive multi-expert selection process to alleviate the symmetry trap in multimodal fusion. Complementing this, a modality-specific attribute augmentation strategy is employed to enhance specific modality features by modeling bidirectional discrepancy patterns, mitigating cross-modal heterogeneity. Furthermore, we propose an Expert-driven Customized Feature Purification (ECFP) module based on a "specialized inspection-comprehensive analysis-diagnostic update" physical examination paradigm to iteratively filter redundancies and reinforce task-relevant semantics. Extensive experiments on the DroneVehicle and VEDAI datasets demonstrate that SuppreSensing achieves state-of-the-art detection performance. Cross-domain evaluations on natural scene datasets (FLIR and LLVIP) further validate its superior robustness and generalization capability across diverse environmental conditions.

Background: Multimodal fracture classifiers may benefit from patient and anatomical metadata, but they can also become brittle when contextual information is missing or mismatched. Methods: We studied 1493 radiographs from the Bangladeshi OrthoFrac-XR dataset using leakage-safe age, sex, bone type, and laterality. A ConvNeXt image encoder was combined with a clinical multilayer perceptron through concatenation, late fusion, reliability-gated residual fusion, and a hierarchical state-location formulation. We additionally introduced an anatomy-consistency gate that attenuates metadata corrections when an image-side anatomical prediction disagrees with the reported bone type. Results: Across five folds and three seeds, hierarchical residual fusion achieved a macro-F1 of 0.6046 +/- 0.0279, compared with 0.5727 +/- 0.0270 for image-only learning, while improving the Brier score from 0.5239 to 0.4948. In a five-fold robustness experiment, anatomy-consistency fusion reduced the macro-F1 loss under shuffled metadata from 0.0567 to 0.0203 relative to ordinary residual fusion, although its clean-data macro-F1 was lower. Without bone type at inference, auxiliary anatomy supervision improved macro-F1 from 0.5620 +/- 0.0330 to 0.5899 +/- 0.0289. Conclusions: Structured context improves fracture classification, and consistency-aware gating limits harm from mismatched metadata. The observed clean-performance-robustness trade-off and the absence of patient-level identifiers motivate external and prospective validation.

We participated in the BIC-MAC Challenge with a multimodal 3D patch-based U-Net for pseudo-CT generation from NAC-PET, MRI, and 2D topograms. By using separate PET and MR encoders, multi-scale feature fusion, and FiLM-based topogram conditioning at the bottleneck, we obtain a model that integrates complementary cross-modal information while reducing reliance on precise voxel-wise correspondence between modalities. Our final submission can be found: https://github.com/rrr-uom-projects/BIC-MAC-MICCAI2026

Multimodal sentiment analysis aims to infer affective states by integrating language, visual, and acoustic cues. However, real-world multimodal inputs are often incomplete or corrupted, which can weaken cross-modal complementarity and introduce misleading information into downstream fusion. Existing proxy-based methods for incomplete MSA commonly rely on one-shot proxy construction to compensate for degraded language information, but the generated proxy may be coarse or unreliable at initialization. Prematurely injecting such a proxy into multimodal reasoning can propagate initial errors and compromise sentiment prediction. To address this limitation, we propose an iterative proxy correction framework for robust incomplete MSA. Our method constructs a language-oriented proxy from non-language modalities and progressively refines it under multimodal context through gated residual correction. The corrected proxy is then adaptively fused with the observed language representation according to an estimated language reliability score, allowing the model to balance proxy-based compensation and trustworthy linguistic evidence. In addition, we introduce a stage-wise latent correction objective that uses the complete language representation as a training-time semantic anchor to stabilize the proxy refinement trajectory. Extensive experiments on MOSI, MOSEI, and SIMS under diverse missing-modality settings demonstrate that the proposed framework consistently outperforms competitive baselines and achieves robust sentiment prediction under incomplete inputs.