Multimodal Learning

Safe predictions are a crucial requirement for integrating predictive models into clinical decision support systems. One approach to improving trustworthiness is to enable models to express uncertainty about individual predictions. However, current machine learning models frequently lack reliable uncertainty estimation, hindering real-world deployment. This limitation is particularly evident in multimodal settings, where models must effectively integrate heterogeneous information. In this work, we propose MedCertAIn, a predictive uncertainty framework that leverages multimodal clinical data to improve model performance and reliability for in-hospital mortality risk prediction as an indicator of patient deterioration. We design data-driven priors over neural network parameters using a hybrid strategy that considers cross-modal similarity in self-supervised latent representations and modality-specific data corruptions. We train and evaluate the models with such priors using clinical time-series and chest X-ray images from the publicly available datasets MIMIC-IV and MIMIC-CXR. Our results show that MedCertAIn achieves competitive predictive performance and substantial gains in selective prediction compared with the evaluated deterministic and stochastic baselines. These findings highlight the promise of data-driven priors in advancing robust, uncertainty-aware AI tools for high-stakes clinical applications. Our implementation is publicly available at: https://github.com/jlaitue/medcertain.

Contrastive Language-Image Pre-training (CLIP) has shown impressive performance in aligning visual and textual representations. Recent studies have extended this paradigm to 3D vision to improve scene understanding for autonomous driving. A common strategy is to employ pairwise cosine similarity between modalities to guide the training of a 3D encoder. However, considering the similarity between individual modality pairs rather than all modalities jointly fails to ensure consistent and unified alignment across the entire multimodal space. In this paper, we propose a Contrastive Tensor Pre-training (CTP) framework that simultaneously aligns multiple modalities in a unified embedding space to enhance end-to-end autonomous driving. Compared with pairwise cosine similarity alignment, our method extends the 2D similarity matrix into a multimodal similarity tensor. Furthermore, we introduce a tensor loss to enable joint contrastive learning across all modalities. For experimental validation of our framework, we construct a text-image-point cloud triplet dataset derived from existing autonomous driving datasets. The results show that our proposed unified multimodal alignment framework achieves favorable performance for both scenarios: (i) aligning a 3D encoder with pretrained CLIP encoders, and (ii) pretraining all encoders from scratch.

Accurate analysis of industrial time-series big data is critical for the Prognostics and Health Management (PHM) of industrial equipment. While recent advancements in Large Language Models (LLMs) have shown promise in time-series analysis, existing methods typically focus on single-modality adaptations, failing to exploit the complementary nature of temporal signals, frequency-domain visual representations, and textual knowledge information. In this paper, we propose TS-MLLM, a unified multi-modal large language model framework designed to jointly model temporal signals, frequency-domain images, and textual domain knowledge. Specifically, we first develop an Industrial time-series Patch Modeling branch to capture long-range temporal dynamics. To integrate cross-modal priors, we introduce a Spectrum-aware Vision-Language Model Adaptation (SVLMA) mechanism that enables the model to internalize frequency-domain patterns and semantic context. Furthermore, a Temporal-centric Multi-modal Attention Fusion (TMAF) mechanism is designed to actively retrieve relevant visual and textual cues using temporal features as queries, ensuring deep cross-modal alignment. Extensive experiments on multiple industrial benchmarks demonstrate that TS-MLLM significantly outperforms state-of-the-art methods, particularly in few-shot and complex scenarios. The results validate our framework's superior robustness, efficiency, and generalization capabilities for industrial time-series prediction.

We present VisualDeltas, a lightweight preference-learning framework that extracts supervision from visual quality variations in multimodal data. By leveraging the systematic impact of image quality on visual perception and reasoning, VisualDeltas induces informative preference signals without relying on human annotations or external teachers. The framework supports both label-free and label-based regimes, enabling flexible use of available supervision when present. Across diverse multimodal benchmarks and model scales, VisualDeltas consistently outperforms rejection-sampling fine-tuning and improves generalization, and extends naturally to a range of visual degradations.

Multimodal emotion recognition fuses cues such as text, video, and audio to understand individual emotional states. Prior methods face two main limitations: mechanically relying on independent unimodal performance, thereby missing genuine complementary contributions, and coarse-grained fusion conflicting with the fine-grained representations required by emotion tasks. As inconsistent information density across heterogeneous modalities hinders inter-modal feature mining, we propose the Complementarity-Supervised Multi-Band Expert Network, named Atsuko, to model fine-grained complementary features via multi-scale band decomposition and expert collaboration. Specifically, we orthogonally decompose each modality's features into high, mid, and low-frequency components. Building upon this band-level routing, we design a modality-level router with a dual-path mechanism for fine-grained cross-band selection and cross-modal fusion. To mitigate shortcut learning from dominant modalities, we propose the Marginal Complementarity Module (MCM) to quantify performance loss when removing each modality via bi-modal comparison. The resulting complementarity distribution provides soft supervision, guiding the router to focus on modalities contributing unique information gains. Extensive experiments show our method achieves superior performance on the CMU-MOSI, CMU-MOSEI, CH-SIMS, CH-SIMSv2, and MIntRec benchmarks.

While recent multimodal large language models (MLLMs) have made impressive strides, they predominantly employ a conventional autoregressive architecture as their backbone, leaving significant room to explore effective and efficient alternatives in architectural design. Concurrently, recent studies have successfully applied discrete diffusion models to various domains, such as visual understanding and image generation, revealing their considerable potential as a promising backbone for multimodal systems. Drawing inspiration from these pioneering studies, we introduce Omni-Diffusion, the first any-to-any multimodal language model built entirely on mask-based discrete diffusion models, which unifies understanding and generation across text, speech, and images. Omni-Diffusion employs a unified mask-based discrete diffusion model to directly capture the joint distribution over discrete multimodal tokens. This approach supports not only bimodal tasks but also more complex scenarios involving multiple modalities. On a diverse set of benchmarks, our method outperforms or performs on par with existing multimodal systems that process two or more modalities, highlighting the significant promise of diffusion models in powering the next generation of multimodal foundation models. Project webpage: https://omni-diffusion.github.io.

Irregularly sampled time series (ISTS) are widespread in real-world scenarios, exhibiting asynchronous observations on uneven time intervals across diverse variables. Existing ISTS forecasting methods often solely utilize historical observations to predict future ones while falling short in learning contextual semantics and fine-grained temporal patterns. To address these problems, we propose MM-ISTS, a multimodal ISTS forecasting framework augmented by vision-text large language models, which bridges temporal, visual, and textual modalities. MM-ISTS encompasses a two-stage encoding mechanism. In particular, a Cross-Modal Vision-Text Encoding module is proposed to automatically generate informative visual images and textual data, enabling the capture of intricate temporal patterns and comprehensive contextual understanding, in collaboration with multimodal LLMs (MLLMs). In parallel, ISTS encoding extracts complementary yet enriched temporal features from historical ISTS observations, including multi-view embedding fusion and a Temporal-Variable Encoder. Further, we propose an Adaptive Query-Based Feature Extractor to compress MLLM token embeddings while preserving useful knowledge, which in turn reduces computational costs. In addition, a Multimodal Alignment module with Modality-Aware Gating is designed to alleviate the modality gaps. Extensive experiments on real data offer insight into the effectiveness of the proposed solutions.

In real-world multimodal applications, systems usually need to comprehend arbitrarily combined and interleaved multimodal inputs from users, while also generating outputs in any interleaved multimedia form. This capability defines the goal of any-to-any interleaved multimodal learning under a unified paradigm of understanding and generation, posing new challenges and opportunities for advancing Multimodal Large Language Models (MLLMs). To foster and benchmark this capability, this paper introduces the UniM benchmark, the first Unified Any-to-Any Interleaved Multimodal dataset. UniM contains 31K high-quality instances across 30 domains and 7 representative modalities: text, image, audio, video, document, code, and 3D, each requiring multiple intertwined reasoning and generation capabilities. We further introduce the UniM Evaluation Suite, which assesses models along three dimensions: Semantic Correctness & Generation Quality, Response Structure Integrity, and Interleaved Coherence. In addition, we propose UniMA, an agentic baseline model equipped with traceable reasoning for structured interleaved generation. Comprehensive experiments demonstrate the difficulty of UniM and highlight key challenges and directions for advancing unified any-to-any multimodal intelligence. The project page is https://any2any-mllm.github.io/unim.

Lupus nephritis (LN) is a severe complication of systemic lupus erythematosus that affects pediatric patients with significantly greater severity and worse renal outcomes compared to adults. Despite the urgent clinical need, predicting pediatric LN prognosis remains unexplored in computational pathology. Furthermore, the only existing histopathology-based approach for LN relies on multiple costly staining protocols and fails to integrate complementary clinical data. To address these gaps, we propose the first multimodal computational pathology framework for three-class treatment response prediction (complete remission, partial response, and no response) in pediatric LN, utilizing only routine PAS-stained biopsies and structured clinical data. Our framework introduces two key methodological innovations. First, a Clinical-Injection Transformer (CIT) embeds clinical features as condition tokens into patch-level self-attention, facilitating implicit and bidirectional cross-modal interactions within a unified attention space. Second, we design a decoupled representation-knowledge adaptation strategy using a domain-adapted Masked Autoencoder (MAE). This strategy explicitly separates self-supervised morphological feature learning from pathological knowledge extraction. Additionally, we introduce a multi-granularity morphological type injection mechanism to bridge distilled classification knowledge with downstream prognostic predictions at both the instance and patient levels. Evaluated on a cohort of 71 pediatric LN patients with KDIGO-standardized labels, our method achieves a three-class accuracy of 90.1% and an AUC of 89.4%, demonstrating its potential as a highly accurate and cost-effective prognostic tool.

Smart factories use advanced technologies to optimize production and increase efficiency. To this end, the recognition of worker activity allows for accurate quantification of performance metrics, improving efficiency holistically while contributing to worker safety. OpenMarcie is, to the best of our knowledge, the biggest multimodal dataset designed for human action monitoring in manufacturing environments. It includes data from wearables sensing modalities and cameras distributed in the surroundings. The dataset is structured around two experimental settings, involving a total of 36 participants. In the first setting, twelve participants perform a bicycle assembly and disassembly task under semi-realistic conditions without a fixed protocol, promoting divergent and goal-oriented problem-solving. The second experiment involves twenty-five volunteers (24 valid data) engaged in a 3D printer assembly task, with the 3D printer manufacturer's instructions provided to guide the volunteers in acquiring procedural knowledge. This setting also includes sequential collaborative assembly, where participants assess and correct each other's progress, reflecting real-world manufacturing dynamics. OpenMarcie includes over 37 hours of egocentric and exocentric, multimodal, and multipositional data, featuring eight distinct data types and more than 200 independent information channels. The dataset is benchmarked across three human activity recognition tasks: activity classification, open vocabulary captioning, and cross-modal alignment.

Multimodal embedding models, rooted in multimodal large language models (MLLMs), have yielded significant performance improvements across diverse tasks such as retrieval and classification. However, most existing approaches rely heavily on large-scale contrastive learning, with limited exploration of how the architectural and training paradigms of MLLMs affect embedding quality. While effective for generation, the causal attention and next-token prediction paradigm of MLLMs does not explicitly encourage the formation of globally compact representations, limiting their effectiveness as multimodal embedding backbones. To address this, we propose CoCoA, a Content reconstruction pre-training paradigm based on Collaborative Attention for multimodal embedding optimization. Specifically, we restructure the attention flow and introduce an EOS-based reconstruction task, encouraging the model to reconstruct input from the corresponding <EOS> embeddings. This drives the multimodal model to compress the semantic information of the input into the <EOS> token, laying the foundations for subsequent contrastive learning. Extensive experiments on MMEB-V1 demonstrate that CoCoA built upon Qwen2-VL and Qwen2.5-VL significantly improves embedding quality. Results validate that content reconstruction serves as an effective strategy to maximize the value of existing data, enabling multimodal embedding models generate compact and informative representations, raising their performance ceiling.

Despite advances in machine learning-based medical image classifiers, the safety and reliability of these systems remain major concerns in practical settings. Existing auditing approaches mainly rely on unimodal features or metadata-based subgroup analyses, which are limited in interpretability and often fail to capture hidden systematic failures. To address these limitations, we introduce the first automated auditing framework that extends slice discovery methods to multimodal representations specifically for medical applications. Comprehensive experiments were conducted under common failure scenarios using the MIMIC-CXR-JPG dataset, demonstrating the framework's strong capability in both failure discovery and explanation generation. Our results also show that multimodal information generally allows more comprehensive and effective auditing of classifiers, while unimodal variants beyond image-only inputs exhibit strong potential in scenarios where resources are constrained.

Recent multimodal systems often rely on separate expert modality encoders which cause linearly scaling complexity and computational overhead with added modalities. While unified Omni-models address this via Mixture-of-Expert (MoE) architectures with specialized experts and routing, they still inflate parameter counts and introduce routing overhead. In this paper, we propose Omni-C (Omni-Compress), a single dense Transformer-based encoder that learns competitive shared representations across heterogeneous modalities--images, audio, and text--through unimodal contrastive pretraining on large-scale unaligned data. By maximizing parameter sharing in the backbone and using lightweight modality-specific projection heads, Omni-C effectively mitigates inter-modality conflicts without requiring MoE, paired supervision, or routing. This design supports efficient deployment on memory-constrained systems via sequential modality processing and low-memory inference, eliminating the need for parallel expert loading or specialized hardware. Experiments show Omni-C achieves performance comparable to expert models in unimodal and cross-model tasks, with modest zero-shot degradation on audio and text that is largely recovered through lightweight linear probing or parameter efficient fine-tuning. The unified architecture substantially reduces inference memory usage compared to multi-encoder baselines, advancing efficient and scalable multimodal learning.

Compositional Zero-Shot Learning (CZSL) aims to recognize novel attribute-object compositions based on the knowledge learned from seen ones. Existing methods suffer from performance degradation caused by the distribution shift of label space at test time, which stems from the inclusion of unseen compositions recombined from attributes and objects. To overcome the challenge, we propose a novel approach that accumulates comprehensive knowledge in both textual and visual modalities from unsupervised data to update multimodal prototypes at test time. Building on this, we further design an adaptive update weight to control the degree of prototype adjustment, enabling the model to flexibly adapt to distribution shift during testing. Moreover, a dynamic priority queue is introduced that stores high-confidence images to acquire visual prototypes from historical images for inference. Since the model tends to favor compositions already stored in the queue during testing, we warm-start the queue by initializing it with training images for visual prototypes of seen compositions and generating unseen visual prototypes using the mapping learned between seen and unseen textual prototypes. Considering the semantic consistency of multimodal knowledge, we align textual and visual prototypes by multimodal collaborative representation learning. To provide a more reliable evaluation for CZSL, we introduce a new benchmark dataset, C-Fashion, and refine the widely used but noisy MIT-States dataset. Extensive experiments indicate that our approach achieves state-of-the-art performance on four benchmark datasets under both closed-world and open-world settings. The source code and datasets are available at https://github.com/xud-yan/WARM-CAT .

Multimodal models ideally should generalize to unseen domains while remaining data-efficient to reduce annotation costs. To this end, we introduce and study a new problem, Semi-Supervised Multimodal Domain Generalization (SSMDG), which aims to learn robust multimodal models from multi-source data with few labeled samples. We observe that existing approaches fail to address this setting effectively: multimodal domain generalization methods cannot exploit unlabeled data, semi-supervised multimodal learning methods ignore domain shifts, and semi-supervised domain generalization methods are confined to single-modality inputs. To overcome these limitations, we propose a unified framework featuring three key components: Consensus-Driven Consistency Regularization, which obtains reliable pseudo-labels through confident fused-unimodal consensus; Disagreement-Aware Regularization, which effectively utilizes ambiguous non-consensus samples; and Cross-Modal Prototype Alignment, which enforces domain- and modality-invariant representations while promoting robustness under missing modalities via cross-modal translation. We further establish the first SSMDG benchmarks, on which our method consistently outperforms strong baselines in both standard and missing-modality scenarios. Our benchmarks and code are available at https://github.com/lihongzhao99/SSMDG.

Missing modalities present a fundamental challenge in multimodal models, often causing catastrophic performance degradation. Our observations suggest that this fragility stems from an imbalanced learning process, where the model develops an implicit preference for certain modalities, leading to the under-optimization of others. We propose a simple yet efficient method to address this challenge. The central insight of our work is that the dominance relationship between modalities can be effectively discerned and quantified in the frequency domain. To leverage this principle, we first introduce a Frequency Ratio Metric (FRM) to quantify modality preference by analyzing features in the frequency domain. Guided by FRM, we then propose a Multimodal Weight Allocation Module, a plug-and-play component that dynamically re-balances the contribution of each branch during training, promoting a more holistic learning paradigm. Extensive experiments demonstrate that MWAM can be seamlessly integrated into diverse architectural backbones, such as those based on CNNs and ViTs. Furthermore, MWAM delivers consistent performance gains across a wide range of tasks and modality combinations. This advancement extends beyond merely optimizing the performance of the base model; it also manifests as further performance improvements to state-of-the-art methods addressing the missing modality problem.

As multimodal large language models (MLLMs) advance in handling interleaved image-text data, assessing their few-shot learning capabilities remains an open challenge. In this paper, we introduce FewMMBench, a comprehensive benchmark designed to evaluate MLLMs under few-shot conditions, with a focus on In-Context Learning (ICL) and Chain-of-Thought (CoT) prompting. Covering a diverse suite of multimodal understanding tasks, from attribute recognition to temporal reasoning, FewMMBench enables systematic analysis across task types, model families, and prompting strategies. We evaluate 26 open-weight MLLMs from six model families across zero-shot, few-shot, and CoT-augmented few-shot settings. Our findings reveal that instruction-tuned models exhibit strong zero-shot performance but benefit minimally, or even regress, with additional demonstrations or CoT reasoning. Retrieval-based demonstrations and increased context size also yield limited gains. These results highlight FewMMBench as a rigorous testbed for diagnosing and advancing few-shot capabilities in multimodal LLMs. The data is available at: https://huggingface.co/datasets/mustafaa/FewMMBench

Gene expression prediction, which predicts mRNA expression levels from DNA sequences, presents significant challenges. Previous works often focus on extending input sequence length to locate distal enhancers, which may influence target genes from hundreds of kilobases away. Our work first reveals that for current models, long sequence modeling can decrease performance. Even carefully designed algorithms only mitigate the performance degradation caused by long sequences. Instead, we find that proximal multimodal epigenomic signals near target genes prove more essential. Hence we focus on how to better integrate these signals, which has been overlooked. We find that different signal types serve distinct biological roles, with some directly marking active regulatory elements while others reflect background chromatin patterns that may introduce confounding effects. Simple concatenation may lead models to develop spurious associations with these background patterns. To address this challenge, we propose Prism, a framework that learns multiple combinations of high-dimensional epigenomic features to represent distinct background chromatin states and uses backdoor adjustment to mitigate confounding effects. Our experimental results demonstrate that proper modeling of multimodal epigenomic signals achieves state-of-the-art performance using only short sequences for gene expression prediction.

App ratings are among the most significant indicators of the quality, usability, and overall user satisfaction of mobile applications. However, existing app rating prediction models are largely limited to textual data or user interface (UI) features, overlooking the importance of jointly leveraging UI and semantic information. To address these limitations, this study proposes a lightweight vision--language framework that integrates both mobile UI and semantic information for app rating prediction. The framework combines MobileNetV3 to extract visual features from UI layouts and DistilBERT to extract textual features. These multimodal features are fused through a gated fusion module with Swish activations, followed by a multilayer perceptron (MLP) regression head. The proposed model is evaluated using mean absolute error (MAE), root mean square error (RMSE), mean squared error (MSE), coefficient of determination (R2), and Pearson correlation. After training for 20 epochs, the model achieves an MAE of 0.1060, an RMSE of 0.1433, an MSE of 0.0205, an R2 of 0.8529, and a Pearson correlation of 0.9251. Extensive ablation studies further demonstrate the effectiveness of different combinations of visual and textual encoders. Overall, the proposed lightweight framework provides valuable insights for developers and end users, supports sustainable app development, and enables efficient deployment on edge devices.

Multimodal learning aims to capture both shared and private information from multiple modalities. However, existing methods that project all modalities into a single latent space for fusion often overlook the asynchronous, multi-level semantic structure of multimodal data. This oversight induces semantic misalignment and error propagation, thereby degrading representation quality. To address this issue, we propose Cross-Level Co-Representation (CLCR), which explicitly organizes each modality's features into a three-level semantic hierarchy and specifies level-wise constraints for cross-modal interactions. First, a semantic hierarchy encoder aligns shallow, mid, and deep features across modalities, establishing a common basis for interaction. And then, at each level, an Intra-Level Co-Exchange Domain (IntraCED) factorizes features into shared and private subspaces and restricts cross-modal attention to the shared subspace via a learnable token budget. This design ensures that only shared semantics are exchanged and prevents leakage from private channels. To integrate information across levels, the Inter-Level Co-Aggregation Domain (InterCAD) synchronizes semantic scales using learned anchors, selectively fuses the shared representations, and gates private cues to form a compact task representation. We further introduce regularization terms to enforce separation of shared and private features and to minimize cross-level interference. Experiments on six benchmarks spanning emotion recognition, event localization, sentiment analysis, and action recognition show that CLCR achieves strong performance and generalizes well across tasks.

Cross-Domain Few-Shot Object Detection (CD-FSOD) aims to detect novel classes in unseen target domains given only a few labeled examples. While open-vocabulary detectors built on vision-language models (VLMs) transfer well, they depend almost entirely on text prompts, which encode domain-invariant semantics but miss domain-specific visual information needed for precise localization under few-shot supervision. We propose a dual-branch detector that Learns Multi-modal Prototypes, dubbed LMP, by coupling textual guidance with visual exemplars drawn from the target domain. A Visual Prototype Construction module aggregates class-level prototypes from support RoIs and dynamically generates hard-negative prototypes in query images via jittered boxes, capturing distractors and visually similar backgrounds. In the visual-guided branch, we inject these prototypes into the detection pipeline with components mirrored from the text branch as the starting point for training, while a parallel text-guided branch preserves open-vocabulary semantics. The branches are trained jointly and ensembled at inference by combining semantic abstraction with domain-adaptive details. On six cross-domain benchmark datasets and standard 1/5/10-shot settings, our method achieves state-of-the-art or highly competitive mAP.

Despite the recent success of Multimodal Large Language Models (MLLMs), existing approaches predominantly assume the availability of multiple modalities during training and inference. In practice, multimodal data is often incomplete because modalities may be missing, collected asynchronously, or available only for a subset of examples. In this work, we propose PRIMO, a supervised latent-variable imputation model that quantifies the predictive impact of any missing modality within the multimodal learning setting. PRIMO enables the use of all available training examples, whether modalities are complete or partial. Specifically, it models the missing modality through a latent variable that captures its relationship with the observed modality in the context of prediction. During inference, we draw many samples from the learned distribution over the missing modality to both obtain the marginal predictive distribution (for the purpose of prediction) and analyze the impact of the missing modalities on the prediction for each instance. We evaluate PRIMO on a synthetic XOR dataset, Audio-Vision MNIST, and MIMIC-III for mortality and ICD-9 prediction. Across all datasets, PRIMO obtains performance comparable to unimodal baselines when a modality is fully missing and to multimodal baselines when all modalities are available. PRIMO quantifies the predictive impact of a modality at the instance level using a variance-based metric computed from predictions across latent completions. We visually demonstrate how varying completions of the missing modality result in a set of plausible labels.

Multimodal fusion frameworks, which integrate diverse medical imaging modalities (e.g., MRI, CT), have shown great potential in applications such as skin cancer detection, dementia diagnosis, and brain tumor prediction. However, existing multimodal fusion methods face significant challenges. First, they often rely on computationally expensive models, limiting their applicability in low-resource environments. Second, they often employ cascaded attention modules, which potentially increase risk of information loss during inter-module transitions and hinder their capacity to effectively capture robust shared representations across modalities. This restricts their generalization in multi-disease analysis tasks. To address these limitations, we propose a Hybrid Parallel-Fusion Cascaded Attention Network (HyPCA-Net), composed of two core novel blocks: (a) a computationally efficient residual adaptive learning attention block for capturing refined modality-specific representations, and (b) a dual-view cascaded attention block aimed at learning robust shared representations across diverse modalities. Extensive experiments on ten publicly available datasets exhibit that HyPCA-Net significantly outperforms existing leading methods, with improvements of up to 5.2% in performance and reductions of up to 73.1% in computational cost. Code: https://github.com/misti1203/HyPCA-Net.

Early diagnosis of Alzheimer's Disease (AD) is crucial for delaying its progression. While AI-based speech detection is non-invasive and cost-effective, it faces a critical data efficiency dilemma due to medical data scarcity and privacy barriers. Therefore, we propose FAL-AD, a novel framework that synergistically integrates federated learning with data augmentation to systematically optimize data efficiency. Our approach delivers three key breakthroughs: First, absolute efficiency improvement through voice conversion-based augmentation, which generates diverse pathological speech samples via cross-category voice-content recombination. Second, collaborative efficiency breakthrough via an adaptive federated learning paradigm, maximizing cross-institutional benefits under privacy constraints. Finally, representational efficiency optimization by an attentive cross-modal fusion model, which achieves fine-grained word-level alignment and acoustic-textual interaction. Evaluated on ADReSSo, FAL-AD achieves a state-of-the-art multi-modal accuracy of 91.52%, outperforming all centralized baselines and demonstrating a practical solution to the data efficiency dilemma. Our source code is publicly available at https://github.com/smileix/fal-ad.

Multimodal action understanding requires complementary sensory observations to be connected with structured semantic knowledge. This is particularly challenging in vehicle cabins, where fine-grained actions exhibit similar upper-body motion, relevant objects may be small or occluded, and appearance varies substantially across illumination conditions. Existing in-cabin datasets, however, rarely provide synchronized visual modalities together with dense object annotations and explicit action--object alignment, limiting the study of object-grounded multimodal recognition. To address this gap, we introduce the Driver Action with Object Synergy (DAOS) dataset, containing 9,787 video clips, 36 fine-grained actions, 15 object categories, and more than 2.5 million annotated object instances. DAOS provides synchronized RGB, infrared, and depth observations from four camera views, thereby combining complementary appearance, low-light, and geometric information. Building on DAOS, we propose the Action-Object-Relation Network (AOR-Net), a vision-language framework that organizes multimodal understanding at three semantic levels: action, object, and human-object relation. Its Chain-of-action Prompting mechanism progressively grounds global motion with localized object and relation cues, while a textual prototype bank supplies corresponding semantic descriptions. A Mixture of Thoughts module then dynamically selects and integrates the most informative semantic levels and visual modalities under object-rich and object-scarce conditions. Extensive experiments show that AOR-Net consistently outperforms strong baselines on DAOS, demonstrating the effectiveness of combining heterogeneous visual sensing with structured action-object-relation semantics for fine-grained multimodal video understanding.

ECG-Language Models (ELMs) extend recent advances in Multimodal Large Language Models (MLLMs) to automated ECG interpretation. However, most existing ELMs inherit Vision-Language Model (VLM) design choices and rely on pretrained ECG encoders, introducing substantial architectural and training complexity. Inspired by encoder-free VLMs, we introduce ELF, a family of three encoder-free ELMs that remain competitive with, and often outperform, prior state-of-the-art ELMs across two datasets despite substantially simpler architectures and training pipelines. All code and data are available at github.com/ELM-Research/ECG-Language-Models.

Multispectral object detection is critical for safety-sensitive applications such as autonomous driving and surveillance, where robust perception under diverse illumination conditions is essential. However, the limited availability of annotated multispectral data severely restricts the training of deep detectors. In such data-scarce scenarios, textual class information can serve as a valuable source of semantic supervision. Motivated by the recent success of Vision-Language Models (VLMs) in computer vision, we explore their potential for few-shot multispectral object detection. Specifically, we adapt two representative VLM-based detectors, Grounding DINO and YOLO-World, to handle multispectral inputs and propose an effective mechanism to integrate text, visual and thermal modalities. Through extensive experiments on two popular multispectral image benchmarks, FLIR and M3FD, we demonstrate that VLM-based detectors not only excel in few-shot regimes, significantly outperforming specialized multispectral models trained with comparable data, but also achieve competitive or superior results under fully supervised settings. Our findings reveal that the semantic priors learned by large-scale VLMs effectively transfer to unseen spectral modalities, ofFering a powerful pathway toward data-efficient multispectral perception.

We present PrismSSL, a Python library that unifies state-of-the-art self-supervised learning (SSL) methods across audio, vision, graphs, and cross-modal settings in a single, modular codebase. The goal of the demo is to show how researchers and practitioners can: (i) install, configure, and run pretext training with a few lines of code; (ii) reproduce compact benchmarks; and (iii) extend the framework with new modalities or methods through clean trainer and dataset abstractions. PrismSSL is packaged on PyPI, released under the MIT license, integrates tightly with HuggingFace Transformers, and provides quality-of-life features such as distributed training in PyTorch, Optuna-based hyperparameter search, LoRA fine-tuning for Transformer backbones, animated embedding visualizations for sanity checks, Weights & Biases logging, and colorful, structured terminal logs for improved usability and clarity. In addition, PrismSSL offers a graphical dashboard - built with Flask and standard web technologies - that enables users to configure and launch training pipelines with minimal coding. The artifact (code and data recipes) will be publicly available and reproducible.

Survival analysis plays a vital role in making clinical decisions. However, the models currently in use are often difficult to interpret, which reduces their usefulness in clinical settings. Prototype learning presents a potential solution, yet traditional methods focus on local similarities and static matching, neglecting the broader tumor context and lacking strong semantic alignment with genomic data. To overcome these issues, we introduce an innovative prototype-based multimodal framework, FeatProto, aimed at enhancing cancer survival prediction by addressing significant limitations in current prototype learning methodologies within pathology. Our framework establishes a unified feature prototype space that integrates both global and local features of whole slide images (WSI) with genomic profiles. This integration facilitates traceable and interpretable decision-making processes. Our approach includes three main innovations: (1) A robust phenotype representation that merges critical patches with global context, harmonized with genomic data to minimize local bias. (2) An Exponential Prototype Update Strategy (EMA ProtoUp) that sustains stable cross-modal associations and employs a wandering mechanism to adapt prototypes flexibly to tumor heterogeneity. (3) A hierarchical prototype matching scheme designed to capture global centrality, local typicality, and cohort-level trends, thereby refining prototype inference. Comprehensive evaluations on four publicly available cancer datasets indicate that our method surpasses current leading unimodal and multimodal survival prediction techniques in both accuracy and interpretability, providing a new perspective on prototype learning for critical medical applications. Our source code is available at https://github.com/JSLiam94/FeatProto.

Medical decision systems increasingly rely on data from multiple sources to ensure reliable and unbiased diagnosis. However, existing multimodal learning models fail to achieve this goal because they often overlook two critical challenges. First, various data modalities may learn unevenly, thereby converging to a model biased towards certain modalities. Second, the model may emphasize learning on certain demographic groups causing unfair performances. The two aspects can influence each other, as different data modalities may favor respective groups during optimization, leading to both imbalanced and unfair multimodal learning. This paper proposes a novel approach called MultiFair for multimodal medical classification, which addresses these challenges with a dual-level gradient modulation process. MultiFair dynamically modulates training gradients regarding the optimization direction and magnitude at both data modality and group levels. We evaluate MultiFair on three real-world medical classification datasets with diverse demographic attributes,including multiclass classification and missing-modality settings. Experimental results demonstrate its effectiveness.