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Asynchronous proximal federated aggregation for heterogeneous healthcare networks
Manakkattu Sreelakshmi1, Radhakrishnan Delhibabu1
1School of Computer Science and Engineering (SCOPE) and the Department of Quantum AI, Vellore Institute of Technology (VIT), Vellore, Tamil Nadu, India.
Frontiers in Digital Health
|August 1, 2026
Summary
Asynchronous Proximal Federated Aggregation (APFA) accelerates federated learning on medical devices by overcoming computational limits. This novel approach significantly reduces wait times for scalable, privacy-preserving clinical diagnostics.
Area of Science:
- Medical Informatics
- Machine Learning
- Distributed Systems
Background:
- Federated Learning (FL) deployment in the Internet of Medical Things (IoMT) faces challenges from computational asymmetry and statistical heterogeneity.
- Synchronous aggregation protocols in FL are inefficient due to straggler effects from devices with varying computational capacities.
Purpose of the Study:
- To introduce the Asynchronous Proximal Federated Aggregation (APFA) framework.
- To address computational asymmetry and statistical heterogeneity in FL for IoMT.
Main Methods:
- APFA integrates a local proximal regularizer with a server-side staleness dampening penalty.
- It allows continuous, uncoordinated model updates from edge devices, enabling asynchronous learning.
Main Results:
- APFA achieved an 80% diagnostic viability threshold in 4.1 simulated hours on skewed datasets (CheXpert, MIMIC-IV).
- This represents a 71% reduction in total wait time compared to synchronous methods like FedProx.
Conclusions:
- APFA's mathematical integration mitigates weight divergence, ensuring robustness.
- The framework demonstrates the potential of asynchronous machine learning for scalable, privacy-preserving clinical diagnostics.
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