OmniMed‑FL is a multimodal federated learning framework that fuses chest radiographs and synthetic patient notes to classify five clinical conditions. The study benchmarks eight fusion strategies, three initializations, and four missing‑text imputation rules across 3–20 hospital clients under non‑IID Dirichlet partitioning, showing that federated approaches (FedAvg, FedProx, SCAFFOLD‑AdamW) outperform local‑only training. Multimodal fusion consistently improves performance, achieving macro‑F1 scores up to 0.956 on the synthetic corpus and 0.906 on the radiograph corpus.
By Ayush Debnath, Ruelia Saha, Sudip Misra
Simultaneous assessment of medical imaging and patient records is often required in clinical diagnosis. However, standard machine learning algorithms cannot analyze these data types together. Meanwhil...
The paper introduces a label‑free method called AURCC for selecting the best foundational model for medical image classification when the target domain lacks labels. AURCC uses a pseudo‑label discrepancy computed by the SUDO framework to score models without fine‑tuning. Experiments on chest X‑ray data across three inter‑hospital shifts show that AURCC closely matches the true model ranking, outperforming simple source‑accuracy baselines especially when source data are limited.
By Juan I\~naki Larrea, Lucas Mansilla, Enzo Ferrante
arXiv:2607. 20641v1 Announce Type: new Abstract: Federated learning (FL) enables multiple clinical institutions to collaboratively train a shared disease classifier without centralizing patient data.
By Afsaneh Mahanipour, Hana Khamfroush
arXiv:2610.09907v1 Announce Type: new
Abstract: Vision-Language Models (VLMs) have shown strong performance across a wide range of downstream vision tasks, thanks to the complementary information con...
By Ankita Das, Ambarish Parthasarathy, Sumohana S. Channappayya, C. Krishna Mohan
arXiv:2608.21300v1 Announce Type: new
Abstract: Foundation models for medical image segmentation, like prompt-based MedSAM, generalize well across domains and modalities, often in zero or few-shot se...
By Marko Haralovi\'c, Sounic Akkaraju, Carlo Baretta, Vasil Zapryanov, Alexia Briassouli
The paper evaluates privacy‑aware federated learning for breast cancer imaging by comparing pretrained vision‑language models (CLIP, BiomedCLIP) and a ViT‑B/16 baseline on two public datasets, with and without differential privacy. All five models achieve high normal‑versus‑sick discrimination (ROC‑AUC 0.940‑0.990), but acquisition year alone attains 0.974, indicating potential confounding. Removing the text pathway keeps accuracy while cutting communication cost, while differential privacy lowers ROC‑AUC by 0.375 due to perturbing the full model state.
By Malithi Mithsara Wanniarachchi Kankanamge, Ning Yang, Sree Bash Debnath, Md Zobaer Islam, Abdur R. Shahid
The study evaluates how well different medical foundation models agree on image embeddings by measuring mutual k‑nearest‑neighbor overlap across 750,000 images from 14 datasets and 18 public models. Results show that label‑supervised models converge the least, sharing only 6–10% of nearest neighbors, whereas models trained with self‑distillation, masked image modeling, or contrastive pretraining share up to 80%. The authors suggest that developers can select pretraining objectives to control convergence and recommend testing unlabeled images for nearest‑neighbor consistency before replacing a model.
By Soroosh Tayebi Arasteh, Sebastian Ziegelmayer, Mahshad Lotfinia, Lisa Adams, Sven Nebelung, Jakob Nikolas Kather, Daniel Truhn
arXiv:2509.06984v4 Announce Type: replace-cross
Abstract: Federated Learning with LoRA fine-tuning offers an efficient and privacy-aware solution for institutions to collaboratively leverage their la...
By Lishan Yang, Wei Emma Zhang, Nam Kha Nguygen, Po Hu, Yanjun Shu, Weitong Chen, Mong Yuan Sim
arXiv:2606. 23871v1 Announce Type: new Abstract: Survival analysis is central to clinical decision-making, yet reliable time-to-event models require large, diverse cohorts that are rarely available at a single institution, while privacy regulations restrict the centralization of patient data.
By Natalia Moreno-Blasco, Anusha Ihalapathirana, Pekka Siirtola, Miguel Fernandez-de-Retana
FedDRAW introduces a new server‑side aggregation technique for federated learning called Federated Dual Reputation Annealing Weighting. It blends a data‑size prior with cosine similarity between client and global model parameters, using two annealing schedules to shift weight from size to similarity and to gradually relax selectivity. Experiments on 12 simulated client partitions of CheXpert and ChestMNIST datasets show FedDRAW outperforms seven federated baselines in AUC and geometric mean of sensitivity and specificity, with statistically significant results.
By Maryam Moradpour, Anne-Christin Hauschild
arXiv:2606. 23487v2 Announce Type: replace Abstract: Medical vision-language models (VLMs) such as BiomedCLIP generalize broadly, but adapting them to a clinical service is as much a safety problem as an accuracy one.
By Rishabh Jha, Amrita Singh, Prashanna Chudal