This work presents 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 via two-stage gating.
Abstract
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.
A novel three-axis taxonomy covering Gating Architecture, Application Level, and Supporting Techniques is proposed and a controlled comparison of six gating architectures on three biomedical benchmarks shows that the five Axis 1 gating types produce measurably distinct performance profiles and that no single architectu...
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Multimodal medical data provide complementary information for cancer diagnosis and prognosis; however, effectively integrating heterogeneous modalities remains challenging because real-world clinical datasets frequently contain incomplete modality observations. We present a unified benchmarking framework for multimodal...
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Selective Cross-Modal Learning is introduced, a lightweight pre-fusion refinement framework that enriches unimodal embeddings by selectively incorporating complementary cues from concurrently available modalities and maintains its advantage under missing-pathology and missing-genomics conditions.
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Recent advances and emerging translational evidence for clinically oriented MML in glioblastoma is summarized, with particular emphasis on MRI-centered systems that integrate imaging with pathology, selected molecular measurements, and longitudinal clinical context.
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This work proposes MultiSigBERT, a unified framework for multimodal sequential survival modeling in oncology based on path signature representations that achieves a concordance index of 0.743 on an independent test set, demonstrating the benefit of jointly modeling multimodal temporal dynamics together with patient-lev...
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