# SoK: Security and Privacy Risks of Healthcare AI

arXiv: https://arxiv.org/abs/2409.07415 · HTML: https://mlsanity.com/paper/2409.07415/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Builds on 89 of its 206 references that are in the map.
- First posted on arXiv 11 Sep 2024.

## Builds on (most cited first, 30 of 89)

- [Communication-Efficient Learning of Deep Networks from Decentralized Data](https://mlsanity.com/paper/1602.05629/) (2016)
- [Towards Deep Learning Models Resistant to Adversarial Attacks](https://mlsanity.com/paper/1706.06083/) (2017)
- [Towards Evaluating the Robustness of Neural Networks](https://mlsanity.com/paper/1608.04644/) (2016)
- [Membership Inference Attacks against Machine Learning Models](https://mlsanity.com/paper/1610.05820/) (2016)
- [BiomedCLIP: a multimodal biomedical foundation model pretrained from fifteen million scientific image-text pairs](https://mlsanity.com/paper/2303.00915/) (2023)
- [ML-Leaks: Model and Data Independent Membership Inference Attacks and Defenses on Machine Learning Models](https://mlsanity.com/paper/1806.01246/) (2018)
- [HopSkipJumpAttack: A Query-Efficient Decision-Based Attack](https://mlsanity.com/paper/1904.02144/) (2019)
- [Systematic Evaluation of Privacy Risks of Machine Learning Models](https://mlsanity.com/paper/2003.10595/) (2020)
- [Multitask learning and benchmarking with clinical time series data](https://mlsanity.com/paper/1703.07771/) (2017)
- [Molecular De Novo Design through Deep Reinforcement Learning](https://mlsanity.com/paper/1704.07555/) (2017)
- [Enhanced Membership Inference Attacks against Machine Learning Models](https://mlsanity.com/paper/2111.09679/) (2021)
- [Manipulating Machine Learning: Poisoning Attacks and Countermeasures for Regression Learning](https://mlsanity.com/paper/1804.00308/) (2018)
- [Evaluating Deep Neural Networks Trained on Clinical Images in Dermatology with the Fitzpatrick 17k Dataset](https://mlsanity.com/paper/2104.09957/) (2021)
- [Learning to Plan Chemical Syntheses](https://mlsanity.com/paper/1708.04202/) (2017)
- [Quantifying Privacy Risks of Masked Language Models Using Membership Inference Attacks](https://mlsanity.com/paper/2203.03929/) (2022)
- [Membership Leakage in Label-Only Exposures](https://mlsanity.com/paper/2007.15528/) (2020)
- [Understanding Adversarial Attacks on Deep Learning Based Medical Image Analysis Systems](https://mlsanity.com/paper/1907.10456/) (2019)
- [Privacy Risks of Securing Machine Learning Models against Adversarial Examples](https://mlsanity.com/paper/1905.10291/) (2019)
- [Sign-OPT: A Query-Efficient Hard-label Adversarial Attack](https://mlsanity.com/paper/1909.10773/) (2019)
- [Does BERT Pretrained on Clinical Notes Reveal Sensitive Data?](https://mlsanity.com/paper/2104.07762/) (2021)
- [ML-Doctor: Holistic Risk Assessment of Inference Attacks Against Machine Learning Models](https://mlsanity.com/paper/2102.02551/) (2021)
- [Technical Report: When Does Machine Learning FAIL? Generalized Transferability for Evasion and Poisoning Attacks](https://mlsanity.com/paper/1803.06975/) (2018)
- [Adversarial Attacks Against Medical Deep Learning Systems](https://mlsanity.com/paper/1804.05296/) (2018)
- [Data Poisoning Attacks on Federated Machine Learning](https://mlsanity.com/paper/2004.10020/) (2020)
- [FIBA: Frequency-Injection based Backdoor Attack in Medical Image Analysis](https://mlsanity.com/paper/2112.01148/) (2021)
- [Membership Inference Attacks Against Recommender Systems](https://mlsanity.com/paper/2109.08045/) (2021)
- [Label-Free Liver Tumor Segmentation](https://mlsanity.com/paper/2303.14869/) (2023)
- [Membership Inference Attack Susceptibility of Clinical Language Models](https://mlsanity.com/paper/2104.08305/) (2021)
- [SoK: Let the Privacy Games Begin! A Unified Treatment of Data Inference Privacy in Machine Learning](https://mlsanity.com/paper/2212.10986/) (2022)
- [Can We Use Split Learning on 1D CNN Models for Privacy Preserving Training?](https://mlsanity.com/paper/2003.12365/) (2020)

## Built on by (most cited first, 2 of 2)

- [Sequential LLM Framework for Fashion Recommendation](https://mlsanity.com/paper/2410.11327/) (2024)
- [Backdoor Learning in Language Models and Vision-Language Models](https://mlsanity.com/paper/2608.18095/) (2026)

## Abstract (arXiv)

The integration of artificial intelligence (AI) and machine learning (ML) into healthcare systems holds great promise for enhancing patient care and care delivery efficiency; however, it also exposes sensitive data and system integrity to potential cyberattacks. Current security and privacy (S&P) research on healthcare AI is highly unbalanced in terms of healthcare deployment scenarios and threat models, and has a disconnected focus with the biomedical research community. This hinders a comprehensive understanding of the risks that healthcare AI entails. To address this gap, this paper takes a thorough examination of existing healthcare AI S&P research, providing a unified framework that allows the identification of under-explored areas. Our survey presents a systematic overview of healthcare AI attacks and defenses, and points out challenges and research opportunities for each AI-driven healthcare application domain. Through our experimental analysis of different threat models and feasibility studies on under-explored adversarial attacks, we provide compelling insights into the pressing need for cybersecurity research in the rapidly evolving field of healthcare AI.
