ArticleJournal of medical Internet research2020
Federated Learning on Clinical Benchmark Data: Performance Assessment.
Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 135 citations in OpenAlex.
- Federated Learning-Based Model for Predicting Mortality: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2025Pooled it
- Federated learning frameworks: quality and interoperability for biomedical research.NAR genomics and bioinformatics · 2026Review
- Federated learning for heterogeneous electronic health record systems with cost effective participant selection.Scientific reports · 2026Article
- Privacy-by-Design Approach to Generate Two Virtual Clinical Trials for Multiple Sclerosis and Release Them as Open Datasets: Evaluation Study.Journal of medical Internet research · 2025Article
- Perceptions and Willingness of Patients and Caregivers on the Utilization of Patient-Generated Health Data: A Cross-Sectional Survey.International journal of environmental research and public health · 2025Article
- Cross-device federated unsupervised learning for the detection of anomalies in single-lead electrocardiogram signals.PLOS digital health · 2025Article
- Article
- FedGAN: Federated diabetic retinopathy image generation.PloS one · 2025Article
- Retina Fundus Photograph-Based Artificial Intelligence Algorithms in Medicine: A Systematic Review.Ophthalmology and therapy · 2024Review
- Evaluating distributed-learning on real-world obstetrics data: comparing distributed, centralized and local models.Scientific reports · 2024Article
- Federated learning for multi-omics: A performance evaluation in Parkinson's disease.Patterns (New York, N.Y.) · 2024Article
- Federated Learning for multi-omics: a performance evaluation in Parkinson's disease.bioRxiv : the preprint server for biology · 2024Article
- A generalizable physiological model for detection of Delayed Cerebral Ischemia using Federated Learning.Proceedings. IEEE International Conference on Bioinformatics and Biomedicine · 2023Article
- Architectural Design of a Blockchain-Enabled, Federated Learning Platform for Algorithmic Fairness in Predictive Health Care: Design Science Study.Journal of medical Internet research · 2023Article
- Hypothesis testing procedure for binary and multi-class FStatistics in medicine · 2023Article
- Clinical support system for triage based on federated learning for the Korea triage and acuity scale.Heliyon · 2023Article
- Empowering Patient Similarity Networks through Innovative Data-Quality-Aware Federated Profiling.Sensors (Basel, Switzerland) · 2023Article
- The FeatureCloud Platform for Federated Learning in Biomedicine: Unified Approach.Journal of medical Internet research · 2023Article
- Influence of Data Distribution on Federated Learning Performance in Tumor Segmentation.Radiology. Artificial intelligence · 2023Article
- Exploring the Relationship Between Privacy and Utility in Mobile Health: Algorithm Development and Validation via Simulations of Federated Learning, Differential Privacy, and External Attacks.Journal of medical Internet research · 2023Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFederated learning (FL) is a newly proposed machine-learning method that uses a decentralized dataset. Since data transfer is not necessary for the learning process in FL, there is a significant advantage in protecting personal privacy. Therefore, many studies are being actively conducted in the applications of FL for diverse areas.
objectiveThe aim of this study was to evaluate the reliability and performance of FL using three benchmark datasets, including a clinical benchmark dataset.
methodsTo evaluate FL in a realistic setting, we implemented FL using a client-server architecture with Python. The implemented client-server version of the FL software was deployed to Amazon Web Services. Modified National Institute of Standards and Technology (MNIST), Medical Information Mart for Intensive Care-III (MIMIC-III), and electrocardiogram (ECG) datasets were used to evaluate the performance of FL. To test FL in a realistic setting, the MNIST dataset was split into 10 different clients, with one digit for each client. In addition, we conducted four different experiments according to basic, imbalanced, skewed, and a combination of imbalanced and skewed data distributions. We also compared the performance of FL to that of the state-of-the-art method with respect to in-hospital mortality using the MIMIC-III dataset. Likewise, we conducted experiments comparing basic and imbalanced data distributions using MIMIC-III and ECG data.
resultsFL on the basic MNIST dataset with 10 clients achieved an area under the receiver operating characteristic curve (AUROC) of 0.997 and an F1-score of 0.946. The experiment with the imbalanced MNIST dataset achieved an AUROC of 0.995 and an F1-score of 0.921. The experiment with the skewed MNIST dataset achieved an AUROC of 0.992 and an F1-score of 0.905. Finally, the combined imbalanced and skewed experiment achieved an AUROC of 0.990 and an F1-score of 0.891. The basic FL on in-hospital mortality using MIMIC-III data achieved an AUROC of 0.850 and an F1-score of 0.944, while the experiment with the imbalanced MIMIC-III dataset achieved an AUROC of 0.850 and an F1-score of 0.943. For ECG classification, the basic FL achieved an AUROC of 0.938 and an F1-score of 0.807, and the imbalanced ECG dataset achieved an AUROC of 0.943 and an F1-score of 0.807.
conclusionsFL demonstrated comparative performance on different benchmark datasets. In addition, FL demonstrated reliable performance in cases where the distribution was imbalanced, skewed, and extreme, reflecting the real-life scenario in which data distributions from various hospitals are different. FL can achieve high performance while maintaining privacy protection because there is no requirement to centralize the data.
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Registered trials
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.