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      Federated learning improves site performance in multicenter deep learning without data sharing

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          Abstract

          Objective

          To demonstrate enabling multi-institutional training without centralizing or sharing the underlying physical data via federated learning (FL).

          Materials and Methods

          Deep learning models were trained at each participating institution using local clinical data, and an additional model was trained using FL across all of the institutions.

          Results

          We found that the FL model exhibited superior performance and generalizability to the models trained at single institutions, with an overall performance level that was significantly better than that of any of the institutional models alone when evaluated on held-out test sets from each institution and an outside challenge dataset.

          Discussion

          The power of FL was successfully demonstrated across 3 academic institutions while avoiding the privacy risk associated with the transfer and pooling of patient data.

          Conclusion

          Federated learning is an effective methodology that merits further study to enable accelerated development of models across institutions, enabling greater generalizability in clinical use.

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          Most cited references23

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          ImageNet Large Scale Visual Recognition Challenge

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            Dermatologist-level classification of skin cancer with deep neural networks

            Skin cancer, the most common human malignancy, is primarily diagnosed visually, beginning with an initial clinical screening and followed potentially by dermoscopic analysis, a biopsy and histopathological examination. Automated classification of skin lesions using images is a challenging task owing to the fine-grained variability in the appearance of skin lesions. Deep convolutional neural networks (CNNs) show potential for general and highly variable tasks across many fine-grained object categories. Here we demonstrate classification of skin lesions using a single CNN, trained end-to-end from images directly, using only pixels and disease labels as inputs. We train a CNN using a dataset of 129,450 clinical images—two orders of magnitude larger than previous datasets—consisting of 2,032 different diseases. We test its performance against 21 board-certified dermatologists on biopsy-proven clinical images with two critical binary classification use cases: keratinocyte carcinomas versus benign seborrheic keratoses; and malignant melanomas versus benign nevi. The first case represents the identification of the most common cancers, the second represents the identification of the deadliest skin cancer. The CNN achieves performance on par with all tested experts across both tasks, demonstrating an artificial intelligence capable of classifying skin cancer with a level of competence comparable to dermatologists. Outfitted with deep neural networks, mobile devices can potentially extend the reach of dermatologists outside of the clinic. It is projected that 6.3 billion smartphone subscriptions will exist by the year 2021 (ref. 13) and can therefore potentially provide low-cost universal access to vital diagnostic care.
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              Development and Validation of a Deep Learning Algorithm for Detection of Diabetic Retinopathy in Retinal Fundus Photographs.

              Deep learning is a family of computational methods that allow an algorithm to program itself by learning from a large set of examples that demonstrate the desired behavior, removing the need to specify rules explicitly. Application of these methods to medical imaging requires further assessment and validation.
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                Author and article information

                Journal
                J Am Med Inform Assoc
                J Am Med Inform Assoc
                jamia
                Journal of the American Medical Informatics Association : JAMIA
                Oxford University Press
                1067-5027
                1527-974X
                June 2021
                04 February 2021
                04 February 2021
                : 28
                : 6
                : 1259-1264
                Affiliations
                [1 ] Department of Radiological Sciences, University of California , Los Angeles, Los Angeles, California, USA
                [2 ] Department of Bioengineering, University of California , Los Angeles, Los Angeles, California, USA
                [3 ] National Cancer Institute, National Institutes of Health , Bethesda, Maryland, USA
                [4 ] Clinical Monitoring Research Program Directorate, Frederick National Laboratory for Cancer Research , Frederick, Maryland, USA
                [5 ] Department of Urology, SUNY Upstate Medical Center , Syracuse, New York, USA
                [6 ] NVIDIA Corporation , Bethesda, Maryland, USA
                [7 ] Department of Urology, University of California , Los Angeles, Los Angeles, California, USA
                [8 ] Department of Pathology and Laboratory Medicine University of California , Los Angeles, Los Angeles, California, USA
                Author notes
                Corresponding Author: Corey W. Arnold, PhD, Computational Diagnostics Lab, University of California, Los Angeles, 924 Westwood Blvd, Ste 420, Los Angeles, CA 90024, USA ( cwarnold@ 123456ucla.edu )
                Author information
                https://orcid.org/0000-0002-7442-9526
                https://orcid.org/0000-0002-0890-8684
                Article
                ocaa341
                10.1093/jamia/ocaa341
                8200268
                33537772
                cb9816ce-6cfd-4764-b82e-240ca0d4fe10
                © The Author(s) 2021. Published by Oxford University Press on behalf of the American Medical Informatics Association.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 06 July 2020
                : 30 November 2020
                : 23 December 2020
                Page count
                Pages: 6
                Funding
                Funded by: NIH NCI;
                Award ID: F30CA210329
                Award ID: R21CA220352
                Award ID: P50CA092131
                Award ID: ZIDBC011242
                Award ID: Z1ACL040015
                Award ID: HHSN261200800001E
                Funded by: NIH NIGMS;
                Award ID: GM08042
                Funded by: NIH, DOI 10.13039/100000002;
                Funded by: AMA Foundation, DOI 10.13039/100001459;
                Funded by: NVIDIA Corporation Academic Hardware Grant;
                Funded by: NIH Center for Interventional Oncology;
                Funded by: Intramural Research Program of the NIH, and a cooperative research and development agreement (CRADA) between NIH and nVIDIA;
                Categories
                Brief Communications
                AcademicSubjects/MED00580
                AcademicSubjects/SCI01060
                AcademicSubjects/SCI01530

                Bioinformatics & Computational biology
                deep learning,federated learning,privacy,generalizability,prostate

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