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

The promise of multimodal fusion lies in combining complementary sources of evidence, yet more evidence does not always yield a better prediction. Recent multimodal models have advanced fusion through richer cross-modal interaction and sample-adaptive fusion. However, the influence assigned to a modality during fusion does not reveal whether that source is unreliable, redundant, or poorly matched to a specialized expert. To address this limitation, we introduce TIER-MoE, a risk-guided subspace mixture-of-experts model that defines sample-specific modality reliability as the prediction loss its unimodal predictor is expected to incur. This risk is learned from out-of-fold predictions generated by models that were not trained on the corresponding sample. TIER-MoE combines the estimated risk with expert-specific subspace compatibility for sparse modality-expert routing, while an always-active shared path preserves multimodal complementarity. We evaluate TIER-MoE on four public multimodal biomedical datasets spanning Alzheimer's disease status, skin-lesion malignancy, and retinal classification. Results demonstrate its superiority over state-of-the-art methods in predictive performance and probability calibration, with consistent improvements in Macro-F1 and Brier score and strong zero-shot generalization to an external cohort.

MaskAttn-SDXL: Controllable Region-Level Text-To-Image Generation

Text-to-image diffusion models achieve impressive realism but often suffer from compositional failures on prompts with multiple objects, attributes, and spatial relations, resulting in cross-token interference where entities entangle, attributes mix across objects, and spatial cues are violated. To address these failures, we propose MaskAttn-SDXL,a region-level gating mechanism applied to the cross-attention logits of Stable Diffusion XL(SDXL)'s UNet. MaskAttn-SDXL learns a binary mask per layer, injecting it into each cross-attention logit map before softmax to sparsify token-to-latent interactions so that only semantically relevant connections remain active. The method requires no positional encodings, auxiliary tokens, or external region masks, and preserves the original inference path with negligible overhead. In practice, our model improves spatial compliance and attribute binding in multi-object prompts while preserving overall image quality and diversity. These findings demonstrate that logit-level maksed cross-attention is an data-efficient primitve for enforcing compositional control, and our method thus serves as a practical extension for spatial control in text-to-image generation.