Federated Learning for Medical Image Analysis: A Survey
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Abstract (arXiv)
Machine learning in medical imaging often faces a fundamental dilemma, namely, the small sample size problem. Many recent studies suggest using multi-domain data pooled from different acquisition sites/centers to improve statistical power. However, medical images from different sites cannot be easily shared to build large datasets for model training due to privacy protection reasons. As a promising solution, federated learning, which enables collaborative training of machine learning models based on data from different sites without cross-site data sharing, has attracted considerable attention recently. In this paper, we conduct a comprehensive survey of the recent development of federated learning methods in medical image analysis. In this survey, we first introduce the background knowledge of federated learning for dealing with privacy protection and collaborative learning issues in medical imaging. We then present a comprehensive review of recent advances in federated learning methods for medical image analysis. Specifically, existing methods are categorized based on three critical aspects of a federated learning system, including client end, server end, and communication techniques. In each category, we summarize the existing federated learning methods according to specific research problems in medical image analysis and also provide insights into the motivations of different approaches. In addition, we provide a review of existing benchmark medical imaging datasets and software platforms for current federated learning research. We also conduct an experimental study to empirically evaluate typical federated learning methods for medical image analysis. This survey can help to better understand the current research status, challenges, and potential research opportunities in this promising research field.
Key facts. Cited by 78 papers in the map (data through 13 Oct 2026). Builds on 98 of its 208 references that are in the map. First posted on arXiv 9 Jun 2023.
Builds on
98 of 208 references.
References · 98
- 2015U-Net: Convolutional Networks for Biomedical Image Segmentationcited by 19,656
- 2014Microsoft COCO: Common Objects in Contextcited by 17,550
- 2015Distilling the Knowledge in a Neural Networkcited by 10,180
- 2016Communication-Efficient Learning of Deep Networks from Decentralized Datacited by 7,653
- 2019Momentum Contrast for Unsupervised Visual Representation Learningcited by 7,492
- 2019Advances and Open Problems in Federated Learningcited by 3,040
- 2018Federated Optimization in Heterogeneous Networkscited by 2,981
- 2019Federated Learning: Challenges, Methods, and Future Directionscited by 1,538
- 2019CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparisoncited by 1,419
- 2019On the Convergence of FedAvg on Non-IID Datacited by 1,227
- 2017A Survey on Deep Learning in Medical Image Analysiscited by 1,183
- 2019Deep Leakage from Gradientscited by 1,017
38 more
- 2017ChestX-ray8: Hospital-scale Chest X-ray Database and Benchmarks on Weakly-Supervised Classification and Localization of Common Thorax Diseasescited by 970
- 2017Virtual Adversarial Training: A Regularization Method for Supervised and Semi-Supervised Learningcited by 919
- 2017A Survey on Multi-Task Learningcited by 840
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- 2019Self-Supervised Learning of Pretext-Invariant Representationscited by 808
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- 2019Skin Lesion Analysis Toward Melanoma Detection 2018: A Challenge Hosted by the International Skin Imaging Collaboration (ISIC)cited by 664
- 2020The Future of Digital Health with Federated Learningcited by 630
- 2020Personalized Federated Learning with Moreau Envelopescited by 616
- 2020Learning from Noisy Labels with Deep Neural Networks: A Surveycited by 581
- 2019The Liver Tumor Segmentation Benchmark (LiTS)cited by 507
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- 2018A Survey of Unsupervised Deep Domain Adaptationcited by 361
- 2021Domain Adaptation for Medical Image Analysis: A Surveycited by 351
- 2021See through Gradients: Image Batch Recovery via GradInversioncited by 326
- 2018Recent Advances in Open Set Recognition: A Surveycited by 310
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- 2021FedDG: Federated Domain Generalization on Medical Image Segmentation via Episodic Learning in Continuous Frequency Spacecited by 287
- 2020COVID-Net: A Tailored Deep Convolutional Neural Network Design for Detection of COVID-19 Cases from Chest X-Ray Imagescited by 264
- 2021A Survey on Deep Semi-supervised Learningcited by 250
- 2020MedMNIST Classification Decathlon: A Lightweight AutoML Benchmark for Medical Image Analysiscited by 206
- 2020Can AI help in screening Viral and COVID-19 pneumonia?cited by 200
- 2016Skin Lesion Analysis toward Melanoma Detection: A Challenge at the International Symposium on Biomedical Imaging (ISBI) 2016, hosted by the International Skin Imaging Collaboration (ISIC)cited by 197
- 2021Federated Learning for Smart Healthcare: A Surveycited by 183
- 2018Not-so-supervised: a survey of semi-supervised, multi-instance, and transfer learning in medical image analysiscited by 178
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- 2016Multiple Instance Learning: A Survey of Problem Characteristics and Applicationscited by 163
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- 2018Multi-Institutional Deep Learning Modeling Without Sharing Patient Data: A Feasibility Study on Brain Tumor Segmentationcited by 149
- 2020Multi-site fMRI Analysis Using Privacy-preserving Federated Learning and Domain Adaptation: ABIDE Resultscited by 122
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- 2026MedCRP-CL: Continual Medical Image Segmentation via Bayesian Nonparametric Semantic Modality Discovery19 May 2026
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