ERMoE: Eigen-Reparameterized Mixture-of-Experts for Stable Routing and Interpretable Specialization

Mixture-of-Experts (MoE) architectures expand model capacity by sparsely activating experts but face two core challenges: misalignment between router logits and each expert's internal structure leads to unstable routing and expert underutilization, and load imbalances create straggler bottlenecks. Standard solutions, such as auxiliary load-balancing losses, can reduce load disparities but often weaken expert specialization and hurt downstream performance. To address these issues, we propose ERMoE, a sparse MoE transformer that reparameterizes each expert in a learned orthonormal eigenbasis and replaces learned gating logits with an "Eigenbasis Score", defined as the cosine similarity between input features and an expert's basis. This content-aware routing ties token assignments directly to experts' representation spaces, stabilizing utilization and promoting interpretable specialization without sacrificing sparsity. Crucially, ERMoE removes the need for explicit balancing losses and avoids the interfering gradients they introduce. We show that ERMoE achieves state-of-the-art accuracy on ImageNet classification and cross-modal image-text retrieval benchmarks (e.g., COCO, Flickr30K), while naturally producing flatter expert load distributions. Moreover, a 3D MRI variant (ERMoE-ba) improves brain age prediction accuracy by more than 7\% and yields anatomically interpretable expert specializations. ERMoE thus introduces a new architectural principle for sparse expert models that directly addresses routing instabilities and enables improved performance with scalable, interpretable specialization.

Linking Symptom Inventories using Semantic Textual Similarity

An extensive library of symptom inventories has been developed over time to measure clinical symptoms, but this variety has led to several long standing issues. Most notably, results drawn from different settings and studies are not comparable, which limits reproducibility. Here, we present an artificial intelligence (AI) approach using semantic textual similarity (STS) to link symptoms and scores across previously incongruous symptom inventories. We tested the ability of four pre-trained STS models to screen thousands of symptom description pairs for related content - a challenging task typically requiring expert panels. Models were tasked to predict symptom severity across four different inventories for 6,607 participants drawn from 16 international data sources. The STS approach achieved 74.8% accuracy across five tasks, outperforming other models tested. This work suggests that incorporating contextual, semantic information can assist expert decision-making processes, yielding gains for both general and disease-specific clinical assessment.