arXiv:2509.17492v1 Announce Type: cross Abstract: Multimodal pathological images are usually in clinical diagnosis, but computer vision-based multimodal image-assisted diagnosis faces challenges with modality fusion, especially in the absence of expert-annotated data. To achieve the modality fusion in multimodal images with label scarcity, we propose a novel ``pretraining + fine-tuning" framework for multimodal semi-supervised medical image classification. Specifically, we propose a synergistic learning pretraining framework of consistency, reconstructive, and aligned learning. By treating one modality as an augmented sample of another modality, we implement a self-supervised learning pre-train, enhancing the baseline model's feature representation capability. Then, we design a fine-tuning method for multimodal fusion. During the fine-tuning stage, we set different encoders to extract features from the original modalities and provide a multimodal fusion encoder for fusion modality. In addition, we propose a distribution shift method for multimodal fusion features, which alleviates the prediction uncertainty and overfitting risks caused by the lack of labeled samples. We conduct extensive experiments on the publicly available gastroscopy image datasets Kvasir and Kvasirv2. Quantitative and qualitative results demonstrate that the proposed method outperforms the current state-of-the-art classification methods. The code will be released at: https://github.com/LQH89757/MICS.