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Multi-Cohort Federated Learning Shows Synergy in Mortality Prediction for MRI-Based and Metabolomics-Based Age Scores
Pedro Mateus1, Swier Garst2,3, Jing Yu4,5
1Department of Radiation Oncology (Maastro), GROW School for Oncology and Reproduction, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Journal of Healthcare Informatics Research
|November 13, 2025
Summary
Federated learning enabled accurate BrainAge prediction across cohorts. BrainAge and MetaboAge scores showed complementary value in predicting mortality risk, capturing distinct aging aspects.
Area of Science:
- Biomedical data science
- Aging research
- Neuroimaging and metabolomics
Background:
- Biological age scores estimate physiological aging but their interactions are poorly understood.
- Large-scale multi-modal data are essential for studying these interactions, yet data sharing is restricted.
- Federated learning offers a solution for analyzing distributed, sensitive health data.
Purpose of the Study:
- To investigate the relationship between BrainAge (from brain MRI) and MetaboAge (from metabolites) using federated learning.
- To assess the predictive performance of a federated deep learning model for BrainAge.
- To evaluate the complementary roles of BrainAge and MetaboAge in predicting dementia and mortality.
Main Methods:
- Employed federated learning across three large population-based cohorts to train a deep learning model for BrainAge estimation.
- Compared the federated model's performance against models trained within single cohorts.
- Conducted association and survival analyses to compare BrainAge and MetaboAge for dementia and mortality prediction.
Main Results:
- The federated BrainAge model significantly reduced age prediction error compared to local models.
- Harmonizing age intervals further enhanced federated BrainAge accuracy.
- BrainAge and MetaboAge exhibited a weak association but complementary predictive values for mortality risk.
Conclusions:
- Federated learning is effective for analyzing restricted research cohort data.
- BrainAge and MetaboAge synergistically predict all-cause mortality risk.
- These distinct biological age scores capture different facets of the aging process.
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