Evidence map›Paper›PMID 40603924›Full record

ArticleScientific reports2025

False-positive tolerant model misconduct mitigation in distributed federated learning on electronic health record data across clinical institutions.

Maxim Edelson, Anh Pham, Tsung-Ting Kuo

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Maxim EdelsonDepartment of Computer Science and Engineering, University of California San Diego, La Jolla, CA, USA.
Anh PhamDivision of Biomedical Informatics, Department of Medicine, University of California San Diego, La Jolla, CA, USA.
Tsung-Ting KuoDivision of Biomedical Informatics, Department of Medicine, University of California San Diego, La Jolla, CA, USA. tsung-ting.kuo@yale.edu.

Funding

Genetic & Social Determinants of Health: Center for Admixture Science and TechnologyRM1HG011558 · NHGRI · YALE UNIVERSITY · PI FRAZER, KELLY A, GYMREK, MELISSA · 2021 to 2025
$11.2M
Ethics Core (FABRIC)U54HG012510 · NHGRI · YALE UNIVERSITY · PI OHNO-MACHADO, LUCILA · 2022 to 2025
$11.2M
iAGREE: A Multi-Center, Networked Patient Consent StudyR01HG011066 · NHGRI · YALE UNIVERSITY · PI OHNO-MACHADO, LUCILA · 2020 to 2024
$4.2M
SOCAL: Privacy-protecting Sharing Of Clinical Data Across LaboratoriesR01EB031030 · NIBIB · YALE UNIVERSITY · PI KUO, TSUNG-TING · 2022 to 2025
$1.3M
NHGRI NIH HHS R01 HG011066NHGRI NIH HHS RM1 HG011558NHGRI NIH HHS U54 HG012510NIBIB NIH HHS R01 EB031030NIH HHS R01EB031030
6 · The paper itself

Abstract

As collaborative Machine Learning on cross-institutional, fully distributed networks become an important tool in predictive health modeling, its inherent security risks must be addressed. One among such risks is the lack of a mitigation strategy against injections of tampered models (or "model misconduct") into the collaborative pipeline, without excessive false alarms. We propose a false-positive tolerant methodology to preserve model integrity and mitigate the impacts of adversarial misconduct in a Federated Learning scenario. Our method grants false-positive detection leeway as each participating site would be quarantined only when their misbehavior allowance (or "budget") is exhausted, preventing over-ostracization and the subsequent loss of sample size. We evaluated our system on a decentralized blockchain network with three datasets. Our method demonstrated gains of 0.058-0.121 Area Under the Receiver Operating Characteristic Curve when compared to the solution without false-positive tolerance, with negligible overhead (< 12 milliseconds). Our method can serve as an efficient and robust approach to safeguard the distributed Federated Learning process in collaborative healthcare, inheriting blockchain's characteristics of transparency and decentralization. Future work can apply our methodology to more sophisticated machine learning algorithms or scale the experiments in a large-scale learning scenario with more participating sites and larger sample sizes.

Indexed as

Computer SecurityElectronic Health RecordsMachine LearningAlgorithmsFalse Positive ReactionsFederated LearningHumansROC Curve

Identifiers

PMID40603924
PMCPMC12223104

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.