Evidence map›Paper›PMID 32724046›Full record

ArticleScientific reports2020

Federated learning in medicine: facilitating multi-institutional collaborations without sharing patient data.

Micah J Sheller, Brandon Edwards, G Anthony Reina, Jason Martin, Sarthak Pati, Aikaterini Kotrotsou, Mikhail Milchenko, Weilin Xu, Daniel Marcus, Rivka R Colen and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 420 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
420citing papers in PubMed, 4 pooled it
–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

420 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  12. Comment on "Privacy-preserving multicenter validation of the RMODscore".Journal of cancer research and clinical oncology · 2026
    Article
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  18. The Continuity Trap in Data Science Health Research.Journal of medical Internet research · 2026
    Article
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  20. Article

360 more citing papers are in PubMed but not listed here.

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

11 authors.

Micah J ShellerIntel Corporation, 2200 Mission College Blvd., Santa Clara, CA, 95052, USA.
Brandon EdwardsIntel Corporation, 2200 Mission College Blvd., Santa Clara, CA, 95052, USA.
G Anthony ReinaIntel Corporation, 2200 Mission College Blvd., Santa Clara, CA, 95052, USA.
Jason MartinIntel Corporation, 2200 Mission College Blvd., Santa Clara, CA, 95052, USA.
Sarthak PatiCenter for Biomedical Image Computing and Analytics (CBICA), University of Pennsylvania, Richards Medical Research Laboratories, Floor 7, 3700 Hamilton Walk, Philadelphia, PA, 19104, USA.ORCID http://orcid.org/0000-0003-2243-8487
Aikaterini KotrotsouDepartment of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1400 Pressler St., Houston, TX, 77030, USA.ORCID http://orcid.org/0000-0002-0433-7159
Mikhail MilchenkoDepartment of Radiology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Weilin XuIntel Corporation, 2200 Mission College Blvd., Santa Clara, CA, 95052, USA.
Daniel MarcusDepartment of Radiology, Washington University School of Medicine, St. Louis, MO, 63110, USA.ORCID http://orcid.org/0000-0001-9501-8104
Rivka R ColenDepartment of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, 1400 Pressler St., Houston, TX, 77030, USA.ORCID http://orcid.org/0000-0002-0882-0607
Spyridon BakasCenter for Biomedical Image Computing and Analytics (CBICA), University of Pennsylvania, Richards Medical Research Laboratories, Floor 7, 3700 Hamilton Walk, Philadelphia, PA, 19104, USA. sbakas@upenn.edu.ORCID http://orcid.org/0000-0001-8734-6482

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Jessie Nedrow · 1988 to 2026
$158.0M
Statistical atlases of brain tumor MRI:do imaging phenotypes predict progression?R01NS042645 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI DAVATZIKOS, CHRISTOS · 2002 to 2024
$8.7M
Cancer imaging phenomics software suite: application to brain and breast cancerU24CA189523 · NCI · UNIVERSITY OF PENNSYLVANIA · PI DAVATZIKOS, CHRISTOS, KONTOS, DESPINA · 2015 to 2019
$3.2M
INTEGRATIVE IMAGING INFORMATICS FOR CANCER RESEARCHU24CA204854 · NCI · WASHINGTON UNIVERSITY · PI MARCUS, DANIEL SCOTT, WAHL, RICHARD LEO · 2016 to 2020
$3.0M
Biomedical Image Computing and Informatics ClusterS10OD023495 · OD · UNIVERSITY OF PENNSYLVANIA · PI DAVATZIKOS, CHRISTOS · 2017 to 2017
$1.9M
The Federated Tumor Segmentation (FeTS) platform: An intuitive tool facilitating secure multi-institutional collaborationU01CA242871 · NCI · UNIVERSITY OF PENNSYLVANIA · PI BAKAS, SPYRIDON · 2019 to 2021
$1.1M
NCI NIH HHS P30 CA047904NCI NIH HHS U01 CA242871NCI NIH HHS U24 CA189523NCI NIH HHS U24CA189523NCI NIH HHS U24 CA204854NIH HHS S10 OD023495NINDS NIH HHS R01 NS042645NINDS NIH HHS R01NS042645
6 · The paper itself

Abstract

Several studies underscore the potential of deep learning in identifying complex patterns, leading to diagnostic and prognostic biomarkers. Identifying sufficiently large and diverse datasets, required for training, is a significant challenge in medicine and can rarely be found in individual institutions. Multi-institutional collaborations based on centrally-shared patient data face privacy and ownership challenges. Federated learning is a novel paradigm for data-private multi-institutional collaborations, where model-learning leverages all available data without sharing data between institutions, by distributing the model-training to the data-owners and aggregating their results. We show that federated learning among 10 institutions results in models reaching 99% of the model quality achieved with centralized data, and evaluate generalizability on data from institutions outside the federation. We further investigate the effects of data distribution across collaborating institutions on model quality and learning patterns, indicating that increased access to data through data private multi-institutional collaborations can benefit model quality more than the errors introduced by the collaborative method. Finally, we compare with other collaborative-learning approaches demonstrating the superiority of federated learning, and discuss practical implementation considerations. Clinical adoption of federated learning is expected to lead to models trained on datasets of unprecedented size, hence have a catalytic impact towards precision/personalized medicine.

Indexed as

Information DisseminationInterinstitutional RelationsLearningMedicinePatientsPrivacyHumans

Identifiers

PMID32724046
PMCPMC7387485

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.