arXiv AI

Generalist-Specialist Mixture-of-Experts for Rare Pathology Detection in Multimodal Imaging

The paper introduces Generalist‑Specialist Mixture‑of‑Experts (GS‑MoE), a two‑branch architecture that combines a cross‑modal generalist model with modality‑specific specialists through domain‑constrained feature fusion. GS‑MoE improves detection of rare pathologies in multimodal medical imaging, achieving significant per‑class F1 gains and outperforming dense and specialist‑only MoE baselines while using about 53% fewer active parameters at inference. The study demonstrates that balancing cross‑modal shared representations with expert routing can enhance performance on low‑prevalence conditions.

arXiv Machine Learning
Jul 31

TIER-MoE: Trust-Informed Expert Routing via Conditional Modality Risk for Multimodal Fusion in Biomedical Classification

arXiv:2607. 27289v1 Announce Type: new Abstract: The promise of multimodal fusion lies in combining complementary sources of evidence, yet more evidence does not always yield a better prediction.

By Yu Chang, Anzhe Cheng, Chenwei Wu, Zhuoran Wang, Jiahao Chen, Tamoghna Chattopadhyay, Sophia I. Thomopoulos, Paul M. Thompson, Liyue Shen, Paul Bogdan
arXiv Machine Learning
Aug 3

MoPET: Parameter-Efficient Mixture-of-Experts for Unified Medical Image Classification

arXiv:2607. 29462v1 Announce Type: cross Abstract: Adapting deep learning models to profound clinical heterogeneity typically relies on parameter-efficient fine-tuning (PEFT) to avoid the severe overfitting associated with full end-to-end network updates.

By Sebastian Doerrich, Daniel W\"urtinger, Francesco Di Salvo, Shyam Nandan Rai, Christian Ledig
arXiv Computer Vision
Aug 27

Hierarchical MoE for Multi-Modal ILD Diagnosis

The paper introduces a hierarchical multimodal mixture-of-experts (MoE) model for interstitial lung disease (ILD) classification. It combines a frozen, pre‑trained imaging expert with structured electronic health records (EHR) through a two‑stage gating system: a modality‑level gate weights imaging and EHR predictions, while a sub‑gating module further decomposes the EHR branch into clinically defined feature groups with learned, group‑specific contributions. The approach preserves stable imaging representations, allows input‑dependent clinical weighting, and enhances interpretability across anatomical regions, imaging–EHR utilization, and EHR feature groups, achieving the highest mean AUC (0.8750 ± 0.0443) under strict patient‑level cross‑validation.

By Alec K. Peltekian, Gorkem Durak, Halil Ertugrul Aktas, Carrie Lynn Richardson, Mary Carns, Kathleen Aren, GR Scott Budinger, Anthony J. Esposito, Alexander Misharin, Alok Nidhi Choudhary, Ankit Agrawal, Ulas Bagci
arXiv Machine Learning
Aug 17

MedMix: Specialization-Consistent Federated Sparse MoEs under Modality Heterogeneity

arXiv:2608. 13911v1 Announce Type: new Abstract: Federated multimodal medical AI faces modality heterogeneity at both the client and sample levels: clients may systematically lack access to specific modality types, while individual records within the same client may contain different partial modality subsets.

By Adiba Orzikulova, Dong Min Kim, Jaehong Yoon, Sung-Ju Lee
arXiv Machine Learning
Aug 31

Mixture of Multicenter Experts in Multimodal AI for Debiased Radiotherapy Target Delineation

The paper introduces a Mixture of Multicenter Experts (MoME) framework that leverages diverse clinical strategies to reduce bias in medical AI without sharing data across institutions. MoME integrates specialized expertise from multiple centers, improving generalizability and adaptability of a multimodal target volume delineation model for prostate cancer radiotherapy. The model, trained with few-shot imaging and clinical notes, outperformed baselines, especially in high inter‑center variability or limited data scenarios, and allows local customization without cross‑institutional data exchange.

By Yujin Oh, Sangjoon Park, Xiang Li, Pengfei Jin, Yi Wang, Jonathan Paly, Jason Efstathiou, Annie Chan, Jun Won Kim, Hwa Kyung Byun, Ik Jae Lee, Jaeho Cho, Chan Woo Wee, Peng Shu, Peilong Wang, Caiwen Jiang, Nathan Yu, Jason Holmes, Jong Chul Ye, Quanzheng Li, Wei Liu, Woong Sub Koom, Jin Sung Kim, Kyungsang Kim
arXiv AI
Jun 30

Towards Modality-Agnostic Medical Image Anomaly Detection: A Training-Free Manifold Refinement Approach

arXiv:2604. 19191v2 Announce Type: replace-cross Abstract: Deploying AI-based anomaly detection across diverse clinical imaging settings remains challenging because most existing methods rely on modality-specific architectures, anatomical priors, or extensive retraining, limiting their use as general-purpose screening tools.

By Pritam Kar, Gouri Lakshmi S, Saptarshi Bej
arXiv AI
Jun 17

Probing, Fusion, and Trustworthiness: A Systematic Evaluation of Foundation Model Representations for Multimodal Cancer Analysis

arXiv:2606. 17115v1 Announce Type: cross Abstract: Foundation models (FMs) have emerged as powerful representation extractors for medical data, yet their generalizability to datasets under distribution shift remains underexplored.

By Jingyu Hu, Giuseppe Tripodi, Reed Naidoo, Sarah F. McGough, Tapabrata Chakraborti