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A Durable Backdoor Attack on Medical Imaging via Federated Learning
Hichem Faraoun1, Reda Bellafqira1,2, Gouenou Coatrieux1,2
1IMT Atlantique, 29238 Brest Cedex, France.
Studies in Health Technology and Informatics
|May 23, 2026
Summary
Federated Learning (FL) is vulnerable to backdoor attacks. This study introduces a durable attack using Generative Adversarial Networks, highlighting the need for robust defenses in medical AI.
Area of Science:
- Artificial Intelligence
- Machine Learning
- Medical Informatics
Background:
- Federated Learning (FL) facilitates collaborative model training across healthcare institutions without raw data sharing, enhancing patient privacy.
- The distributed and semi-trusted nature of FL systems makes them susceptible to sophisticated backdoor attacks, compromising model integrity.
- Backdoor attacks involve malicious clients injecting hidden triggers into models, causing misclassifications during inference.
Purpose of the Study:
- To propose a novel, durable backdoor attack specifically designed for Federated Learning environments in healthcare.
- To enhance the robustness and persistence of backdoor effects even with limited attacker participation.
- To underscore the critical need for advanced defense mechanisms against such attacks in medical AI applications.
Main Methods:
- Developed a backdoor attack leveraging a Generative Adversarial Network (GAN) guided by the global FL model.
- Utilized the GAN to generate synthetic data that mimics the distribution of benign client data, masking the attack.
- Implemented a two-step strategy to increase the resilience and durability of the injected backdoor.
Main Results:
- The proposed attack successfully created a durable backdoor effect within the FL model.
- The backdoor persisted effectively even when the malicious client's participation was limited.
- Experiments conducted on the MedMNIST benchmark under non-IID data distributions validated the attack's efficacy in realistic medical scenarios.
Conclusions:
- The study demonstrates a potent and durable backdoor attack against Federated Learning in medical applications.
- Existing FL security measures may be insufficient against this advanced attack vector.
- There is an urgent requirement for developing and implementing more resilient defense strategies to safeguard the trustworthiness of FL in healthcare.