arXiv Machine Learning

FedDRAW: Federated Dual Reputation Annealing Weighting for Heterogeneous Multi-Institutional Chest Radiograph Classification

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.

arXiv AI
Sep 11

OmniMed-FL: A Robust Multimodal Federated Learning Framework for Clinical Diagnosis

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
arXiv AI
Sep 3

Federated LoRA Adaptation of BiomedCLIP Across Four International Chest X-Ray Cohorts

The paper evaluates federated learning with Low‑Rank Adaptation (LoRA) for fine‑tuning the BiomedCLIP vision‑language model on chest X‑ray classification across four international cohorts. Federated LoRA improves shared‑class AUC from 0.687 to 0.802, outperforming isolated single‑cohort training and approaching a centralized reference. The study shows that SVD‑based product‑space aggregation (FlexLoRA) is crucial for performance, while FedProx offers no advantage over FedAvg in this setting.

By Sanjaya Poudel, Nirajan Kunwor, Manish Dhakal, Debesh Jha, Sunil Kumar Gaire
arXiv Machine Learning
Jun 24

Federated Survival Analysis in Healthcare: A Multi-Model Evaluation on Cross-Institutional Heterogeneous Breast Cancer Data

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
arXiv AI
Oct 12

Medical foundation models converge less under label supervision

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 AI
Sep 10

A radiographic world model for clinical reasoning and evidence generation

The paper introduces MedDream, a radiographic world model that learns a shared continuous latent state from paired chest radiograph-text observations. MedDream outperforms existing diagnostic and generative AI models across eight clinical datasets, improving diagnostic reasoning, resident concordance, and evidence generation. Targeted synthetic augmentation guided by subgroup performance gaps further enhances model performance, particularly for Asian patients.

By Suyang Xi, Songtao Hu, Shansong Wang, Mojtaba Safari, Luke del Balzo, Ehsan Ul Karim, Mingzhe Hu, Kuo Zhang, Tonghe Wang, Ralph R. Weichselbaum, Xiaofeng Yang
arXiv Machine Learning
Oct 8

ORDERS: An Empirical Study of Norm-Rank Aggregation for Personalized Federated Learning

ORDERS is a personalized federated learning configuration that combines a shared backbone, private residual adapters, and a classifier, using geometric weights based on descending update norms, feature alignment, and private‑parameter perturbations. In extensive experiments on CIFAR‑10 and Sent140, ORDERS achieves slightly higher mean client accuracy than baseline methods, with a 5.47% reduction in parameter payload. Ablation studies show limited, dataset‑dependent benefits from norm ranking and alignment, and no clear advantage from perturbations.

By Koffka Khan