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APB-FLDPA: Adaptive Personalized Blockchain-Federated Learning With Differential Privacy and Attention for
Md Kamran Hussin Chowdhury1, Proloy Kumar Mondal1, Md Ariful Islam Mozumder1
1Digital Anti-Aging Healthcare Inje University Gimhae Republic of Korea.
Healthcare Technology Letters
|April 27, 2026
Summary
A new privacy-preserving federated learning framework, APB-FLDPA, enables secure multi-hospital disease prediction. It achieves high accuracy with minimal performance loss, overcoming data sharing limitations for medical AI.
Area of Science:
- Medical Artificial Intelligence (AI)
- Federated Learning (FL)
- Data Privacy and Security
Background:
- Developing robust medical AI necessitates multi-institutional collaboration, but regulations like HIPAA and GDPR impede centralized patient data sharing.
- Existing federated learning (FL) methods suffer significant performance degradation (15-30%) in clinical settings due to data heterogeneity, security risks, and privacy concerns.
Purpose of the Study:
- To introduce APB-FLDPA, a novel privacy-preserving federated learning framework designed for secure multi-hospital disease prediction.
- To address the limitations of current FL methods in real-world clinical applications, focusing on data heterogeneity, security, and privacy.
Main Methods:
- APB-FLDPA integrates adaptive Byzantine-resilient aggregation with dynamic client trust scoring.
- Incorporates self-attention for automated clinical feature importance, selective differential privacy, and cluster-aware personalization.
- Utilizes a lightweight blockchain module for enhanced model integrity and security.
Main Results:
- APB-FLDPA achieved 90.8% accuracy for diabetes and 83.8% accuracy for thyroid disease prediction across five institutions.
- Demonstrated minimal performance loss (<0.2%) compared to centralized learning, with statistical tests confirming significant improvements.
- Selective differential privacy enhanced accuracy by 5.6% over conventional methods.
Conclusions:
- APB-FLDPA offers a scalable, high-performance, and privacy-compliant solution for federated medical AI.
- The framework effectively overcomes data heterogeneity and privacy constraints in multi-institutional disease prediction.
- This approach facilitates collaborative medical AI development while adhering to strict data protection regulations.
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