ProMoE-FL: Prototype-conditioned Mixture of Experts for Multimodal Federated Learning with Missing Modalities
On the map: Mixture-of-experts → Medical and biomedical MoE
Abstract (arXiv)
In this paper, we address the problem of multimodal federated learning with missing modality. Existing methods utilize an additional public dataset or perform naive feature synthesis that is based solely on the available modality. To address these limitations, we propose ProMoE-FL, a Prototype-conditioned Mixture-of-Experts framework for robust missing-modality feature synthesis in multimodal federated learning. ProMoE-FL builds a global client-aware prototype bank that captures clinically meaningful modality priors across institutions. Our Mixture of Experts is conditioned on these prototypes and modality indices to enable direction-aware expert routing for dynamically synthesizing missing features. We perform extensive quantitative and qualitative evaluations on four public chest X-ray datasets (MIMIC-CXR, NIH Open-I, PadChest, and CheXpert) and demonstrate that ProMoE-FL consistently outperforms state-of-the-art methods in both homogeneous as well as the more challenging heterogeneous settings.
Key facts. No citing papers in the map yet (data through 14 Oct 2026). Placed in Medical and biomedical MoE, one of 12 directions in Mixture-of-experts. Builds on 24 of its 35 references that are in the map. First posted on arXiv 7 Jul 2026.
Builds on
24 of 35 references.
References · 24
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12 more
- 2022Breaking with Fixed Set Pathology Recognition through Report-Guided Contrastive Trainingcited by 26
- 2023Medical Vision Language Pretraining: A surveycited by 24
- 2024Cross-Modal Prototype based Multimodal Federated Learning under Severely Missing Modalitycited by 21
- 2023Multimodal Federated Learning with Missing Modality via Prototype Mask and Contrastcited by 17
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- 2024CAR-MFL: Cross-Modal Augmentation by Retrieval for Multimodal Federated Learning with Missing Modalitiescited by 5
- 2026Med-MMFL: A Multimodal Federated Learning Benchmark in Healthcarecited by 1
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- 2026Conditional Imputation for Within-Modality Missingness in Multi-Modal Federated Learning
- 2026MedMix: Specialization-Consistent Federated Sparse MoEs under Modality Heterogeneity
- 2024Flex-MoE: Modeling Arbitrary Modality Combination via the Flexible Mixture-of-Experts
- 2026FM2: Unified Federated Foundation Models for Heterogeneous Multimodal Medical Imaging
- 2026LongMoE: Longitudinal Multimodal Learning via Trajectory-Aware Mixture-of-Experts
- 2023ConDistFL: Conditional Distillation for Federated Learning from Partially Annotated Data
- 2025dFLMoE: Decentralized Federated Learning via Mixture of Experts for Medical Data Analysis
- 2026Federated LoRA Adaptation of BiomedCLIP Across Four International Chest X-Ray Cohorts