# FairFedMed: Benchmarking Group Fairness in Federated Medical Imaging with FairLoRA

arXiv: https://arxiv.org/abs/2508.00873 · HTML: https://mlsanity.com/paper/2508.00873/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 36 of its 52 references that are in the map.
- First posted on arXiv 21 Jul 2025.

## Builds on (most cited first, 30 of 36)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [Communication-Efficient Learning of Deep Networks from Decentralized Data](https://mlsanity.com/paper/1602.05629/) (2016)
- [Equality of Opportunity in Supervised Learning](https://mlsanity.com/paper/1610.02413/) (2016)
- [Federated Learning: Challenges, Methods, and Future Directions](https://mlsanity.com/paper/1908.07873/) (2019)
- [CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparison](https://mlsanity.com/paper/1901.07031/) (2019)
- [Few-Shot Parameter-Efficient Fine-Tuning is Better and Cheaper than In-Context Learning](https://mlsanity.com/paper/2205.05638/) (2022)
- [MIMIC-CXR-JPG, a large publicly available database of labeled chest radiographs](https://mlsanity.com/paper/1901.07042/) (2019)
- [Vision Transformer Adapter for Dense Predictions](https://mlsanity.com/paper/2205.08534/) (2022)
- [Fair Resource Allocation in Federated Learning](https://mlsanity.com/paper/1905.10497/) (2019)
- [PiSSA: Principal Singular Values and Singular Vectors Adaptation of Large Language Models](https://mlsanity.com/paper/2404.02948/) (2024)
- [Evaluating Deep Neural Networks Trained on Clinical Images in Dermatology with the Fitzpatrick 17k Dataset](https://mlsanity.com/paper/2104.09957/) (2021)
- [Improving LoRA in Privacy-preserving Federated Learning](https://mlsanity.com/paper/2403.12313/) (2024)
- [PromptFL: Let Federated Participants Cooperatively Learn Prompts Instead of Models -- Federated Learning in Age of Foundation Model](https://mlsanity.com/paper/2208.11625/) (2022)
- [FairFed: Enabling Group Fairness in Federated Learning](https://mlsanity.com/paper/2110.00857/) (2021)
- [Local Learning Matters: Rethinking Data Heterogeneity in Federated Learning](https://mlsanity.com/paper/2111.14213/) (2021)
- [MiLoRA: Harnessing Minor Singular Components for Parameter-Efficient LLM Finetuning](https://mlsanity.com/paper/2406.09044/) (2024)
- [FedPrompt: Communication-Efficient and Privacy Preserving Prompt Tuning in Federated Learning](https://mlsanity.com/paper/2208.12268/) (2022)
- [Exponential Moving Average of Weights in Deep Learning: Dynamics and Benefits](https://mlsanity.com/paper/2411.18704/) (2024)
- [FairCLIP: Harnessing Fairness in Vision-Language Learning](https://mlsanity.com/paper/2403.19949/) (2024)
- [MEDFAIR: Benchmarking Fairness for Medical Imaging](https://mlsanity.com/paper/2210.01725/) (2022)
- [Fair Federated Medical Image Segmentation via Client Contribution Estimation](https://mlsanity.com/paper/2303.16520/) (2023)
- [Global and Local Prompts Cooperation via Optimal Transport for Federated Learning](https://mlsanity.com/paper/2403.00041/) (2024)
- [pFedLoRA: Model-Heterogeneous Personalized Federated Learning with LoRA Tuning](https://mlsanity.com/paper/2310.13283/) (2023)
- [Harvard Glaucoma Fairness: A Retinal Nerve Disease Dataset for Fairness Learning and Fair Identity Normalization](https://mlsanity.com/paper/2306.09264/) (2023)
- [Fair Federated Learning under Domain Skew with Local Consistency and Domain Diversity](https://mlsanity.com/paper/2405.16585/) (2024)
- [Federated Adaptive Prompt Tuning for Multi-Domain Collaborative Learning](https://mlsanity.com/paper/2211.07864/) (2022)
- [FairDomain: Achieving Fairness in Cross-Domain Medical Image Segmentation and Classification](https://mlsanity.com/paper/2407.08813/) (2024)

## Built on by (most cited first, 1 of 1)

- [FairEnc: A Fair Vision-Language Model with Fair Vision and Text Encoders for Glaucoma Detection](https://mlsanity.com/paper/2605.04882/) (2026)

## Abstract (arXiv)

Fairness remains a critical concern in healthcare, where unequal access to services and treatment outcomes can adversely affect patient health. While Federated Learning (FL) presents a collaborative and privacy-preserving approach to model training, ensuring fairness is challenging due to heterogeneous data across institutions, and current research primarily addresses non-medical applications. To fill this gap, we establish the first experimental benchmark for fairness in medical FL, evaluating six representative FL methods across diverse demographic attributes and imaging modalities. We introduce FairFedMed, the first medical FL dataset specifically designed to study group fairness (i.e., demographics). It comprises two parts: FairFedMed-Oph, featuring 2D fundus and 3D OCT ophthalmology samples with six demographic attributes; and FairFedMed-Chest, which simulates real cross-institutional FL using subsets of CheXpert and MIMIC-CXR. Together, they support both simulated and real-world FL across diverse medical modalities and demographic groups. Existing FL models often underperform on medical images and overlook fairness across demographic groups. To address this, we propose FairLoRA, a fairness-aware FL framework based on SVD-based low-rank approximation. It customizes singular value matrices per demographic group while sharing singular vectors, ensuring both fairness and efficiency. Experimental results on the FairFedMed dataset demonstrate that FairLoRA not only achieves state-of-the-art performance in medical image classification but also significantly improves fairness across diverse populations. Our code and dataset can be accessible via link: https://wang.hms.harvard.edu/fairfedmed/.