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Federated learning in computational pathology: a literature review.
1University at Buffalo SUNY, Department of Pathology and Anatomical Sciences, Buffalo, New York, United States.
Journal of Medical Imaging (Bellingham, Wash.)
|November 28, 2025
Summary
Federated learning (FL) enables collaborative AI model training in healthcare without sharing sensitive data, showing promise for computational pathology. Challenges in standardization and heterogeneity remain but are being addressed for future clinical integration.
Area of Science:
- Artificial intelligence in healthcare
- Computational pathology and medical imaging
- Decentralized machine learning techniques
Background:
- Centralized AI models risk patient privacy due to data aggregation.
- Federated learning (FL) offers a privacy-preserving alternative for collaborative model training.
- FL is particularly relevant for sensitive healthcare data and computational pathology.
Purpose of the Study:
- To systematically review the state-of-the-art applications of FL in healthcare.
- To focus on FL's role in computational pathology and medical imaging.
- To identify motivations, strategies, challenges, and solutions in FL for healthcare.
Main Methods:
- Systematic literature review of FL in healthcare, emphasizing computational pathology.
- Analysis of studies using diverse medical imaging modalities (histopathology, MRI, CT, PET).
- Categorization of studies by FL architecture, motivations, implementation, and challenges.
Main Results:
- Growing adoption of FL in healthcare, with increasing use in computational pathology.
- FL models achieve comparable or superior accuracy to centralized models while preserving privacy.
- Federated training is feasible for computational pathology tasks like prediction and segmentation.
Conclusions:
- FL shows significant potential for secure, privacy-preserving healthcare collaboration, especially in computational pathology.
- Key challenges include data heterogeneity, system interoperability, and model interpretability.
- Future research needs to focus on standardization, robustness, and ethical considerations for clinical integration.

