# Fine-Tuning Foundation Models with Federated Learning for Privacy Preserving Medical Time Series Forecasting

arXiv: https://arxiv.org/abs/2502.09744 · HTML: https://mlsanity.com/paper/2502.09744/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Builds on 9 of its 20 references that are in the map.
- First posted on arXiv 13 Feb 2025.

## Builds on (most cited first, 9 of 9)

- [Communication-Efficient Learning of Deep Networks from Decentralized Data](https://mlsanity.com/paper/1602.05629/) (2016)
- [Federated Optimization in Heterogeneous Networks](https://mlsanity.com/paper/1812.06127/) (2018)
- [Adaptive Federated Optimization](https://mlsanity.com/paper/2003.00295/) (2020)
- [Chronos: Learning the Language of Time Series](https://mlsanity.com/paper/2403.07815/) (2024)
- [A decoder-only foundation model for time-series forecasting](https://mlsanity.com/paper/2310.10688/) (2023)
- [Enhancing the Locality and Breaking the Memory Bottleneck of Transformer on Time Series Forecasting](https://mlsanity.com/paper/1907.00235/) (2019)
- [Heterogeneous Federated Learning: State-of-the-art and Research Challenges](https://mlsanity.com/paper/2307.10616/) (2023)
- [Federated Learning for 5G Base Station Traffic Forecasting](https://mlsanity.com/paper/2211.15220/) (2022)
- [Application of federated learning techniques for arrhythmia classification using 12-lead ECG signals](https://mlsanity.com/paper/2208.10993/) (2022)

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

- [Post-Training in Time Series Foundation Models: A Unifying Framework](https://mlsanity.com/paper/2607.20002/) (2026)
- [GeoVision-Enabled Digital Twin for Hybrid Autonomous-Teleoperated Medical Responses](https://mlsanity.com/paper/2604.13248/) (2026)

## Abstract (arXiv)

Federated Learning (FL) provides a decentralized machine learning approach, where multiple devices or servers collaboratively train a model without sharing their raw data, thus enabling data privacy. This approach has gained significant interest in academia and industry due to its privacy-preserving properties, which are particularly valuable in the medical domain where data availability is often protected under strict regulations. A relatively unexplored area is the use of FL to fine-tune Foundation Models (FMs) for time series forecasting, potentially enhancing model efficacy by overcoming data limitation while maintaining privacy. In this paper, we fine-tuned time series FMs with Electrocardiogram (ECG) and Impedance Cardiography (ICG) data using different FL techniques. We then examined various scenarios and discussed the challenges FL faces under different data heterogeneity configurations. Our empirical results demonstrated that while FL can be effective for fine-tuning FMs on time series forecasting tasks, its benefits depend on the data distribution across clients. We highlighted the trade-offs in applying FL to FM fine-tuning.