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Updated: Mar 31, 2026

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A Protocol for the Administration of Real-Time fMRI Neurofeedback Training
Published on: August 24, 2017
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Real-world federated learning for brain imaging scientists
Stijn Denissen1,2,3, Jorne Laton1, Matthias Grothe4
1AIMS Lab, Center for Neurosciences, UZ Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
Frontiers in Digital Health
|March 30, 2026
Summary
Federated learning (FL) in neuroimaging is now feasible for real-world applications. Our FLightcase toolbox enabled accurate prediction of cognitive status in multiple sclerosis patients using brain MRI data.
Area of Science:
- Neuroimaging
- Machine Learning
- Federated Learning
Background:
- Federated learning (FL) offers potential for deep learning in neuroimaging but is underutilized in real-world settings.
- The study introduces FLightcase, a novel FL toolbox specifically designed for brain research.
- FLightcase is evaluated on a real-world FL network for predicting cognitive status in multiple sclerosis (MS) patients using brain MRI.
Purpose of the Study:
- To develop and evaluate FLightcase, a federated learning toolbox for neuroimaging research.
- To assess the feasibility and performance of FL in predicting cognitive status in MS patients using brain MRI.
- To compare federated learning with centralized approaches and evaluate different transfer learning strategies.
Main Methods:
- Trained DenseNet models to predict age from T1-weighted brain MRI across three centers (Brussels, Greifswald, Prague).
- Benchmarked federated model performance against a centralized version.
- Fine-tuned the best brain age model using shallow and deep transfer learning (TL) to predict Symbol Digit Modalities Test (SDMT) performance in MS patients.
Main Results:
- Federated training outperformed centralized training for brain age prediction (MAE 6.08 vs. 7.02).
- High correlations between true and predicted age were achieved with federated learning (r=0.88-0.93).
- Deep TL was superior for SDMT prediction (MAE 9.19) compared to shallow TL (MAE 11.05), with federated deep TL achieving MAEs of 8.98-10.71 across centers.
Conclusions:
- Real-world federated learning with FLightcase is viable for neuroimaging research in MS, enabling large-scale data analysis without data sharing.
- The federated SDMT-prediction model shows promise and can be enhanced by addressing non-IID data challenges and incorporating multimodal imaging.
- The study encourages the adoption of FL in neuroimaging by providing detailed real-world experiments and an open-source toolbox.

