Abstract:Federated Composite Optimization (FCO) has emerged as a promising framework for training models with structural constraints (e.g., sparsity) in distributed edge networks. However, simultaneously achieving communication efficiency and convergence robustness remains a significant challenge, particularly when dealing with non-smooth regularizers, statistical heterogeneity, and the restrictions of biased compression. To address these issues, we propose FedCEF (Federated Composite Error Feedback), a novel algorithm tailored for non-convex FCO. FedCEF introduces a decoupled proximal update scheme that separates the proximal operator from communication, enabling clients to handle non-smooth terms locally while transmitting compressed information. To mitigate the noise from aggressive quantization and the bias from non-IID data, FedCEF integrates a rigorous error feedback mechanism with control variates. Furthermore, we design a communication-efficient pre-proximal downlink strategy that allows clients to exactly reconstruct global control variables without explicit transmission. We theoretically establish that FedCEF achieves sublinear convergence to a bounded residual error under general non-convexity, which is controllable via the step size and batch size. Extensive experiments on real datasets validate FedCEF maintains competitive model accuracy even under extreme compression ratios (e.g., 1%), significantly reducing the total communication volume compared to uncompressed baselines.
Abstract:Multimodal cardiovascular magnetic resonance (CMR) imaging provides comprehensive and non-invasive insights into cardiovascular disease (CVD) diagnosis and underlying mechanisms. Despite decades of advancements, its widespread clinical adoption remains constrained by prolonged scan times and heterogeneity across medical environments. This underscores the urgent need for a generalist reconstruction foundation model for ultra-fast CMR imaging, one capable of adapting across diverse imaging scenarios and serving as the essential substrate for all downstream analyses. To enable this goal, we curate MMCMR-427K, the largest and most comprehensive multimodal CMR k-space database to date, comprising 427,465 multi-coil k-space data paired with structured metadata across 13 international centers, 12 CMR modalities, 15 scanners, and 17 CVD categories in populations across three continents. Building on this unprecedented resource, we introduce CardioMM, a generalist reconstruction foundation model capable of dynamically adapting to heterogeneous fast CMR imaging scenarios. CardioMM unifies semantic contextual understanding with physics-informed data consistency to deliver robust reconstructions across varied scanners, protocols, and patient presentations. Comprehensive evaluations demonstrate that CardioMM achieves state-of-the-art performance in the internal centers and exhibits strong zero-shot generalization to unseen external settings. Even at imaging acceleration up to 24x, CardioMM reliably preserves key cardiac phenotypes, quantitative myocardial biomarkers, and diagnostic image quality, enabling a substantial increase in CMR examination throughput without compromising clinical integrity. Together, our open-access MMCMR-427K database and CardioMM framework establish a scalable pathway toward high-throughput, high-quality, and clinically accessible cardiovascular imaging.