从挑战和陷到建议和机会:在医疗保健中实施联合学习
Ming Li1, Pengcheng Xu2, Junjie Hu3
1Bioengineering Department and Imperial-X, Imperial College London, London W12 7SL, UK; National Heart and Lung Institute, Imperial College London, London SW7 2AZ, UK.
医疗保健领域的联合学习显得有前途,但面临着重大挑战. 大多数当前的方法由于缺陷而缺乏临床实用性,损害了有效性,并需要新的解决方案来开发可靠的模型.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 机器学习应用程序 机器学习应用程序
- 数据隐私和安全数据隐私和安全
背景情况:
- 联合学习 (FL) 能够实现多中心医疗保健研究,同时保护患者数据.
- 许多研究探讨了医疗保健中的FL,但临床效用仍然不确定.
研究的目的:
- 在2024年5月之前,审查和分析医疗保健领域最近的联合学习方法.
- 评估医疗领域当前FL方法的临床适用性并确定其局限性.
主要方法:
- 关于医疗保健中联合学习研究的综合文献综述.
- 批判性分析方法论的严谨性,偏见,隐私,概括和沟通成本.
主要成果:
- 大多数审查的FL方法不适合临床使用.
- 确定的缺陷包括隐私漏洞,糟糕的概括和高通讯开销.
- 这些问题显著阻碍了FL在医疗保健应用中的有效性.
结论:
- 联合学习在医疗保健中的潜力目前受到方法学限制的影响.
- 建议和机会提议提高FL模型开发质量.
- 解决已确定的挑战对于实现FL的临床实用性至关重要.
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