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Inclusive, Differentially Private Federated Learning for Clinical Data

Machine Learning 2025-10-14 v3 Artificial Intelligence Cryptography and Security Distributed, Parallel, and Cluster Computing

Abstract

Federated Learning (FL) offers a promising approach for training clinical AI models without centralizing sensitive patient data. However, its real-world adoption is hindered by challenges related to privacy, resource constraints, and compliance. Existing Differential Privacy (DP) approaches often apply uniform noise, which disproportionately degrades model performance, even among well-compliant institutions. In this work, we propose a novel compliance-aware FL framework that enhances DP by adaptively adjusting noise based on quantifiable client compliance scores. Additionally, we introduce a compliance scoring tool based on key healthcare and security standards to promote secure, inclusive, and equitable participation across diverse clinical settings. Extensive experiments on public datasets demonstrate that integrating under-resourced, less compliant clinics with highly regulated institutions yields accuracy improvements of up to 15% over traditional FL. This work advances FL by balancing privacy, compliance, and performance, making it a viable solution for real-world clinical workflows in global healthcare.

Keywords

Cite

@article{arxiv.2505.22108,
  title  = {Inclusive, Differentially Private Federated Learning for Clinical Data},
  author = {Santhosh Parampottupadam and Melih Coşğun and Sarthak Pati and Maximilian Zenk and Saikat Roy and Dimitrios Bounias and Benjamin Hamm and Sinem Sav and Ralf Floca and Klaus Maier-Hein},
  journal= {arXiv preprint arXiv:2505.22108},
  year   = {2025}
}
R2 v1 2026-07-01T02:45:40.551Z