Evidence map›Paper›PMID 41037211›Full record

ArticleInternational journal of computer assisted radiology and surgery2026

What are you looking at? Modality contribution in multimodal medical deep learning.

Christian Gapp, Elias Tappeiner, Martin Welk, Karl Fritscher, Elke R Gizewski, Rainer Schubert

Abstract read
In one paragraph

Article in International journal of computer assisted radiology and surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Christian GappInstitute of Biomedical Image Analysis, UMIT TIROL - Private University for Health Sciences and Health Technology, Eduard-Wallnöfer-Zentrum 1, 6060, Hall in Tirol, Austria. christian.gapp@umit-tirol.at.ORCID http://orcid.org/0000-0002-4520-298X
Elias TappeinerInstitute of Biomedical Image Analysis, UMIT TIROL - Private University for Health Sciences and Health Technology, Eduard-Wallnöfer-Zentrum 1, 6060, Hall in Tirol, Austria.ORCID http://orcid.org/0000-0003-1034-8361
Martin WelkInstitute of Biomedical Image Analysis, UMIT TIROL - Private University for Health Sciences and Health Technology, Eduard-Wallnöfer-Zentrum 1, 6060, Hall in Tirol, Austria.ORCID http://orcid.org/0000-0002-6268-7050
Karl FritscherVASCage - Centre on Clinical Stroke Research, 6020, Innsbruck, Austria.ORCID http://orcid.org/0000-0003-2593-6203
Elke R GizewskiDepartment of Radiology, Medical University of Innsbruck, 6020, Innsbruck, Austria.ORCID http://orcid.org/0000-0001-6859-8377
Rainer SchubertInstitute of Biomedical Image Analysis, UMIT TIROL - Private University for Health Sciences and Health Technology, Eduard-Wallnöfer-Zentrum 1, 6060, Hall in Tirol, Austria.ORCID http://orcid.org/0000-0002-8026-7500

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHigh dimensional, multimodal data can nowadays be analyzed by huge deep neural networks with little effort. Several fusion methods for bringing together different modalities have been developed. Given the prevalence of high-dimensional, multimodal patient data in medicine, the development of multimodal models marks a significant advancement. However, how these models process information from individual sources in detail is still underexplored.

methodsTo this end, we implemented an occlusion-based modality contribution method that is both model- and performance agnostic. This method quantitatively measures the importance of each modality in the dataset for the model to fulfill its task. We applied our method to three different multimodal medical problems for experimental purposes.

resultsHerein we found that some networks have modality preferences that tend to unimodal collapses, while some datasets are imbalanced from the ground up. Moreover, we provide fine-grained quantitative and visual attribute importance for each modality.

conclusionOur metric offers valuable insights that can support the advancement of multimodal model development and dataset creation. By introducing this method, we contribute to the growing field of interpretability in deep learning for multimodal research. This approach helps to facilitate the integration of multimodal AI into clinical practice. Our code is publicly available at https://github.com/ChristianGappGit/MC_MMD.

Indexed as

Deep LearningMultimodal ImagingHumansNeural Networks, ComputerInterpretabilityModality contributionMultimodal medical AIOcclusion sensitivity

Identifiers

PMID41037211
PMCPMC13035656

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.