Multimodal federated learning holds immense potential for collaboratively training models from multiple sources without sharing raw data, addressing both data scarcity and privacy concerns--two key challenges in healthcare. A major challenge in training multimodal federated models in healthcare is the presence of missing modalities due to multiple reasons, including variations in clinical practice, cost and accessibility constraints, retrospective data collection, privacy concerns, and occasional technical or human errors. Previous methods typically rely on publicly available real datasets or synthetic data to compensate for missing modalities. However, obtaining real datasets for every disease is impractical, and training generative models to synthesize missing modalities is computationally expensive and prone to errors due to the high dimensionality of medical data. In this paper, we propose a novel, lightweight, low-dimensional feature translator to reconstruct bottleneck features of the missing modalities. Our experiments on three different datasets (MIMIC-CXR, NIH Open-I, and CheXpert), in both homogeneous and heterogeneous settings consistently improve the performance of competitive baselines.

Multimodal Federated Learning (MFL) enables multiple clients to collaboratively train models on multimodal data while ensuring clients' privacy. However, modality and task heterogeneity hinder clients from learning a unified representation, weakening local model generalization, especially in MFL with mixed modalities where only some clients have multimodal data. In this work, we propose an Adaptive prototype-based Multimodal Federated Learning (AproMFL) framework for mixed modalities and heterogeneous tasks to address the aforementioned issues. Our AproMFL transfers knowledge through adaptively-constructed prototypes without a prior public dataset. Clients adaptively select prototype construction methods in line with tasks; server converts client prototypes into unified multimodal prototypes and aggregates them to form global prototypes, avoid clients keeping unified labels. We divide the model into various modules and only aggregate mapping modules to reduce communication and computation overhead. To address aggregation issues in heterogeneity, we develop a client relationship graph-based scheme to dynamically adjust aggregation weights. Extensive experiments on representative datasets evidence effectiveness of AproMFL.

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.

Federated learning (FL) enables a decentralized machine learning paradigm for multiple clients to collaboratively train a generalized global model without sharing their private data. Most existing works simply propose typical FL systems for single-modal data, thus limiting its potential on exploiting valuable multimodal data for future personalized applications. Furthermore, the majority of FL approaches still rely on the labeled data at the client side, which is limited in real-world applications due to the inability of self-annotation from users. In light of these limitations, we propose a novel multimodal FL framework that employs a semi-supervised learning approach to leverage the representations from different modalities. Bringing this concept into a system, we develop a distillation-based multimodal embedding knowledge transfer mechanism, namely FedMEKT, which allows the server and clients to exchange the joint knowledge of their learning models extracted from a small multimodal proxy dataset. Our FedMEKT iteratively updates the generalized global encoders with the joint embedding knowledge from the participating clients. Thereby, to address the modality discrepancy and labeled data constraint in existing FL systems, our proposed FedMEKT comprises local multimodal autoencoder learning, generalized multimodal autoencoder construction, and generalized classifier learning. Through extensive experiments on three multimodal human activity recognition datasets, we demonstrate that FedMEKT achieves superior global encoder performance on linear evaluation and guarantees user privacy for personal data and model parameters while demanding less communication cost than other baselines.

With the increasing amount of multimedia data on modern mobile systems and IoT infrastructures, harnessing these rich multimodal data without breaching user privacy becomes a critical issue. Federated learning (FL) serves as a privacy-conscious alternative to centralized machine learning. However, existing FL methods extended to multimodal data all rely on model aggregation on single modality level, which restrains the server and clients to have identical model architecture for each modality. This limits the global model in terms of both model complexity and data capacity, not to mention task diversity. In this work, we propose Contrastive Representation Ensemble and Aggregation for Multimodal FL (CreamFL), a multimodal federated learning framework that enables training larger server models from clients with heterogeneous model architectures and data modalities, while only communicating knowledge on public dataset. To achieve better multimodal representation fusion, we design a global-local cross-modal ensemble strategy to aggregate client representations. To mitigate local model drift caused by two unprecedented heterogeneous factors stemming from multimodal discrepancy (modality gap and task gap), we further propose two inter-modal and intra-modal contrasts to regularize local training, which complements information of the absent modality for uni-modal clients and regularizes local clients to head towards global consensus. Thorough evaluations and ablation studies on image-text retrieval and visual question answering tasks showcase the superiority of CreamFL over state-of-the-art FL methods and its practical value.