Evidence map›Paper›PMID 33411624›Full record

ArticleJCO clinical cancer informatics2021

Cloud-Based Federated Learning Implementation Across Medical Centers.

Suraj Rajendran, Jihad S Obeid, Hamidullah Binol, Ralph D Agostino, Kristie Foley, Wei Zhang, Philip Austin, Joey Brakefield, Metin N Gurcan, Umit Topaloglu

Abstract read
In one paragraph

Article in JCO clinical cancer informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Review
  2. Current trends and future directions of artificial intelligence in lung cancer diagnosis.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2026
    Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Survey of Medical Applications of Federated Learning.Healthcare informatics research · 2024
    Article
  14. Article
  15. Review
  16. Federated Learning in Health care Using Structured Medical Data.Advances in kidney disease and health · 2023
    Review
  17. Review
  18. Review
  19. Article
  20. Article
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

10 authors.

Suraj RajendranDepartment of Cancer Biology, Wake Forest University School of Medicine, Winston Salem, NC.
Jihad S ObeidDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC.
Hamidullah BinolCenter for Biomedical Informatics, Wake Forest University School of Medicine, Winston Salem, NC.
Ralph D AgostinoDepartment of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston Salem, NC.
Kristie FoleyDepartment of Implementation Science, Wake Forest University School of Medicine, Winston Salem, NC.
Wei ZhangDepartment of Cancer Biology, Wake Forest University School of Medicine, Winston Salem, NC.
Philip AustinDatabricks, Boca Raton, FL.
Joey BrakefieldMicrosoft, Atlanta, GA.
Metin N GurcanCenter for Biomedical Informatics, Wake Forest University School of Medicine, Winston Salem, NC.
Umit TopalogluDepartment of Cancer Biology, Wake Forest University School of Medicine, Winston Salem, NC.

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
Proteomics CoreP30DK123704 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DON C. ROCKEY · 2020 to 2026
$8.8M
NCATS NIH HHS UL1 TR001420NCATS NIH HHS UL1 TR001450NCI NIH HHS P30 CA012197NIDDK NIH HHS P30 DK123704
6 · The paper itself

Abstract

purposeBuilding well-performing machine learning (ML) models in health care has always been exigent because of the data-sharing concerns, yet ML approaches often require larger training samples than is afforded by one institution. This paper explores several federated learning implementations by applying them in both a simulated environment and an actual implementation using electronic health record data from two academic medical centers on a Microsoft Azure Cloud Databricks platform. MATERIALS AND

methodsUsing two separate cloud tenants, ML models were created, trained, and exchanged from one institution to another via a GitHub repository. Federated learning processes were applied to both artificial neural networks (ANNs) and logistic regression (LR) models on the horizontal data sets that are varying in count and availability. Incremental and cyclic federated learning models have been tested in simulation and real environments.

resultsThe cyclically trained ANN showed a 3% increase in performance, a significant improvement across most attempts (

conclusionUnlike previous studies, our work has shown the implementation and effectiveness of federated learning processes beyond simulation. Additionally, we have identified different federated learning models that have achieved statistically significant performances. More work is needed to achieve effective federated learning processes in biomedicine, while preserving the security and privacy of the data.

Indexed as

Cloud ComputingInformation DisseminationPrivacyHumansMachine LearningNeural Networks, Computer

Identifiers

PMID33411624
PMCPMC8140794

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.