Evidence map›Paper›PMID 42169119›Full record

ArticleBMC medical informatics and decision making2026

TrainTracks - federated learning for reproducible research on sensitive medical data.

Mayra Elwes, Mehrshad Jaberansary, Fu-Sung Kim-Benjamin Tang, Markus Aswendt, Oya Beyan, Ekaterina Kutafina

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Mayra ElwesInstitute for Biomedical Informatics, Faculty of Medicine, University Hospital Cologne, Kerpener str. 62, 50937, Cologne, North-Rhine-Westphalia, Germany. mayra.elwes@uk-koeln.de.ORCID 0009-0005-9454-7174
Mehrshad JaberansaryInstitute for Biomedical Informatics, Faculty of Medicine, University Hospital Cologne, Kerpener str. 62, 50937, Cologne, North-Rhine-Westphalia, Germany.ORCID 0000-0003-3407-1387
Fu-Sung Kim-Benjamin TangInstitute for Biomedical Informatics, Faculty of Medicine, University Hospital Cologne, Kerpener str. 62, 50937, Cologne, North-Rhine-Westphalia, Germany.ORCID 0000-0002-6132-0089
Markus AswendtDepartment of Neurology, Experimental Neurology Section, Goethe University Frankfurt and University Hospital, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany.ORCID 0000-0003-1423-0934
Oya BeyanInstitute for Biomedical Informatics, Faculty of Medicine, University Hospital Cologne, Kerpener str. 62, 50937, Cologne, North-Rhine-Westphalia, Germany.ORCID 0000-0001-7611-3501
Ekaterina KutafinaInstitute for Biomedical Informatics, Faculty of Medicine, University Hospital Cologne, Kerpener str. 62, 50937, Cologne, North-Rhine-Westphalia, Germany.ORCID 0000-0002-3430-5123

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReproducibility of computational algorithms is a challenging but crucial requirement for medical research and an important component of trustworthy training and application of AI algorithms. Federated Learning (FL) is commonly used to enable privacy-preserving AI in medical research. One prerequisite of reproducibility is traceability. A majority of publications on traceable FL platforms leverage blockchain technology to achieve traceable FL. In healthcare settings, resource-efficient alternatives to blockchains are possible; however, their traceability features require separate design considerations.

methodsTo meet the growing demand for reproducible AI, as outlined in guidelines published by governing bodies such as the European Commission, we propose a novel concept TrainTracks. TrainTracks extends the established Personal Health Train (PHT) Platform for Analytics and Distributed Machine Learning for Enterprises (PADME) to support reproducible and traceable federated learning in medical research. PADME already partially supports tracing the FL and changes to the analysis algorithms used in the FL projects. We extend PADME by adding privacy-preserving change tracing of the data, metadata, and computational experiment execution through integrating it with the tools specialized in distributed data management (DataLad and MetaLad). Finally, we evaluate the proposed concept against the detailed list of requirements to analyze the advantages of the TrainTracks and the need for further design improvements.

resultsEvaluation of the TrainTracks concepts' compliance with a checklist for reproducible AI showed that TrainTracks improves the original PADME platform in 15 points out of 47 points applicable to FL. The greatest improvement was in data reproducibility, improving 10 of 12 points from no support to full support for automatic information extraction. No improvements were made to method reproducibility, aside from introducing a dedicated reproducibility repository. Experiment reproducibility saw upgrades in 5 of 30 applicable points, mainly through workflow and code traceability.

conclusionsOur concept of combining FL technology with a data versioning tool provides a structured, automated workflow that traces the FL algorithm itself, delivered algorithms, and the used data. TrainTracks demonstrated high compliance with recommendations for reproducible AI experiments, methods, and data. Our work emphasizes the importance of complete FL process traceability, as all considered aspects individually contribute to the reproducibility of the medical research. Tracking dataset versions in FL is crucial for dynamic application areas, such as medical research, where new data, e.g. electronic health records, are continuously recorded and added.

Indexed as

Biomedical ResearchComputer SecurityConfidentialityFederated LearningAlgorithmsHumansReproducibility of ResultsFederated learningPersonal Health TrainReproducibility crisisTraceabilityTrustworthy AI

Identifiers

PMID42169119
PMCPMC13195871

What OpenQuestion holds

Textmetadata
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.