<p>This study introduces a novel federated deep learning framework designed for multi-institutional healthcare networks, ensuring robust privacy while delivering superior diagnostic accuracy. Unlike conventional centralized models that expose sensitive patient data, the proposed approach integrates adaptive model personalization, multi-tier aggregation, and secure update protocols to safeguard confidentiality under heterogeneous environments. Experiments across imaging, physiological, and synthetic EHR datasets show the framework achieving 94.1% accuracy, 93.5% precision, 92.7% recall, 93.1% F1-score, and ROC-AUC of 0.981, while also recording reduced training time of 6&#xa0;h, only 115 communication rounds, and the lowest Brier Score of 0.061. Furthermore, the system exhibits a privacy score of 5, a personalization score of 10, and enhanced fairness with minimized demographic disparities. These results confirm that the proposed solution not only strengthens diagnostic reliability but also achieves efficiency, scalability, and equity, making it highly practical for real-world deployment in collaborative healthcare AI.</p>

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Federated deep learning for privacy-preserving diagnosis in multi-institutional healthcare networks

  • Princy Diwan,
  • Ramgopal Kashyap,
  • Soubhagya Ranjan Mallick,
  • Mukesh Bathre,
  • Jameer Kotwal

摘要

This study introduces a novel federated deep learning framework designed for multi-institutional healthcare networks, ensuring robust privacy while delivering superior diagnostic accuracy. Unlike conventional centralized models that expose sensitive patient data, the proposed approach integrates adaptive model personalization, multi-tier aggregation, and secure update protocols to safeguard confidentiality under heterogeneous environments. Experiments across imaging, physiological, and synthetic EHR datasets show the framework achieving 94.1% accuracy, 93.5% precision, 92.7% recall, 93.1% F1-score, and ROC-AUC of 0.981, while also recording reduced training time of 6 h, only 115 communication rounds, and the lowest Brier Score of 0.061. Furthermore, the system exhibits a privacy score of 5, a personalization score of 10, and enhanced fairness with minimized demographic disparities. These results confirm that the proposed solution not only strengthens diagnostic reliability but also achieves efficiency, scalability, and equity, making it highly practical for real-world deployment in collaborative healthcare AI.