Privacy in Practice: Private COVID-19 Detection in X-Ray Images (Extended Version)

Machine learning (ML) can help fight pandemics like COVID-19 by enabling rapid screening of large volumes of images. To perform data analysis while maintaining patient privacy, we create ML models that satisfy Differential Privacy (DP). Previous works exploring private COVID-19 models are in part based on small datasets, provide weaker or unclear privacy guarantees, and do not investigate practical privacy. We suggest improvements to address these open gaps. We account for inherent class imbalances and evaluate the utility-privacy trade-off more extensively and over stricter privacy budgets. Our evaluation is supported by empirically estimating practical privacy through black-box Membership Inference Attacks (MIAs). The introduced DP should help limit leakage threats posed by MIAs, and our practical analysis is the first to test this hypothesis on the COVID-19 classification task. Our results indicate that needed privacy levels might differ based on the task-dependent practical threat from MIAs. The results further suggest that with increasing DP guarantees, empirical privacy leakage only improves marginally, and DP therefore appears to have a limited impact on practical MIA defense. Our findings identify possibilities for better utility-privacy trade-offs, and we believe that empirical attack-specific privacy estimation can play a vital role in tuning for practical privacy.