Examining Modality Incongruity in Multimodal Federated Learning for Medical Vision and Language-based Disease Detection
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Abstract (arXiv)
Multimodal Federated Learning (MMFL) utilizes multiple modalities in each client to build a more powerful Federated Learning (FL) model than its unimodal counterpart. However, the impact of missing modality in different clients, also called modality incongruity, has been greatly overlooked. This paper, for the first time, analyses the impact of modality incongruity and reveals its connection with data heterogeneity across participating clients. We particularly inspect whether incongruent MMFL with unimodal and multimodal clients is more beneficial than unimodal FL. Furthermore, we examine three potential routes of addressing this issue. Firstly, we study the effectiveness of various self-attention mechanisms towards incongruity-agnostic information fusion in MMFL. Secondly, we introduce a modality imputation network (MIN) pre-trained in a multimodal client for modality translation in unimodal clients and investigate its potential towards mitigating the missing modality problem. Thirdly, we assess the capability of client-level and server-level regularization techniques towards mitigating modality incongruity effects. Experiments are conducted under several MMFL settings on two publicly available real-world datasets, MIMIC-CXR and Open-I, with Chest X-Ray and radiology reports.
Key facts. Cited by 8 papers in the map (data through 7 Oct 2026). Builds on 27 of its 55 references that are in the map. First posted on arXiv 7 Feb 2024.
Builds on
27 of 55 references.
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15 more
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Citing papers per year: 2024: 4; 2025: 3; 2026: 1.
8 papers.
- 2024Deep Multimodal Learning with Missing Modality: A Surveycited by 89
- 2025Multimodal Federated Learning With Missing Modalities through Feature Imputation Networkcited by 8
- 2024FedPIA -- Permuting and Integrating Adapters leveraging Wasserstein Barycenters for Finetuning Foundation Models in Multi-Modal Federated Learningcited by 6
- 2024Feasibility of Federated Learning from Client Databases with Different Brain Diseases and MRI Modalitiescited by 5
- 2024F3OCUS -- Federated Finetuning of Vision-Language Foundation Models with Optimal Client Layer Updating Strategy via Multi-objective Meta-Heuristicscited by 4
- 2025MCAT: Visual Query-Based Localization of Standard Anatomical Clips in Fetal Ultrasound Videos Using Multi-Tier Class-Aware Token Transformercited by 2
- 2025Robust Incomplete-Modality Alignment for Ophthalmic Disease Grading and Diagnosis via Labeled Optimal Transportcited by 0
- 2026ProMoE-FL: Prototype-conditioned Mixture of Experts for Multimodal Federated Learning with Missing Modalitiescited by 0
- 2026ProMoE-FL: Prototype-conditioned Mixture of Experts for Multimodal Federated Learning with Missing Modalities7 Jul 2026
- 2025Robust Incomplete-Modality Alignment for Ophthalmic Disease Grading and Diagnosis via Labeled Optimal Transport7 Jul 2025
- 2025Multimodal Federated Learning With Missing Modalities through Feature Imputation Network26 May 2025
- 2025MCAT: Visual Query-Based Localization of Standard Anatomical Clips in Fetal Ultrasound Videos Using Multi-Tier Class-Aware Token Transformer8 Apr 2025
- 2024FedPIA -- Permuting and Integrating Adapters leveraging Wasserstein Barycenters for Finetuning Foundation Models in Multi-Modal Federated Learning19 Dec 2024
- 2024F3OCUS -- Federated Finetuning of Vision-Language Foundation Models with Optimal Client Layer Updating Strategy via Multi-objective Meta-Heuristics17 Nov 2024
- 2024Deep Multimodal Learning with Missing Modality: A Survey12 Sep 2024
- 2024Feasibility of Federated Learning from Client Databases with Different Brain Diseases and MRI Modalities17 Jun 2024