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In-depth Analysis of Privacy Threats in Federated Learning for Medical Data.

Sep 2026 · IEEE journal of biomedical and health informatics · Vol PP, pp. 1-14 · 0 citations
Medicine

TL;DR

A holistic framework, MedPFL, is proposed for analyzing privacy risks in processing medical data in the FL environment and developing effective mitigation strategies for protecting privacy, which demonstrates the higher privacy risks in FL to process medical images.

Abstract

Federated learning (FL) is emerging as a promising machine learning technique in the medical field for analyzing medical images, as it is considered an effective method to safeguard sensitive patient data and comply with privacy regulations. However, recent studies have revealed that the default settings of FL may inadvertently expose private training data to privacy attacks. Thus, the intensity of such privacy risks and potential mitigation strategies in the medical domain remain unclear. In this paper, we make three original contributions to privacy risk analysis and mitigation in FL for medical data. First, we propose a holistic framework, MedPFL, for analyzing privacy risks in processing medical data in the FL environment and developing effective mitigation strategies for protecting privacy. Second, through our empirical analysis, we demonstrate the higher privacy risks in FL to process medical images, where adversaries can accurately reconstruct private medical images by performing privacy attacks. Third, we illustrate that the prevalent defense mechanism of adding random noise may not always be effective in protecting medical images against privacy attacks in FL, which poses unique and pressing challenges related to protecting the privacy of medical data. Furthermore, the paper discusses several unique research questions related to the privacy protection of medical data in the FL environment. We conduct extensive experiments on several benchmark medical image datasets to analyze and mitigate the privacy risks associated with FL for medical data.

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