mlsanityData to 7 Oct 2026

Beyond Static Knowledge Messengers: Towards Adaptive, Fair, and Scalable Federated Learning for Medical AI

arXiv 2510.06259 ↗First posted 5 Oct 2025cs.CY cs.LGcited by 2

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Abstract (arXiv)

Medical AI faces challenges in privacy-preserving collaborative learning while ensuring fairness across heterogeneous healthcare institutions. Current federated learning approaches suffer from static architectures, slow convergence (45-73 rounds), fairness gaps marginalizing smaller institutions, and scalability constraints (15-client limit). We propose Adaptive Fair Federated Learning (AFFL) through three innovations: (1) Adaptive Knowledge Messengers dynamically scaling capacity based on heterogeneity and task complexity, (2) Fairness-Aware Distillation using influence-weighted aggregation, and (3) Curriculum-Guided Acceleration reducing rounds by 60-70%. Our theoretical analysis provides convergence guarantees with epsilon-fairness bounds, achieving O(T^{-1/2}) + O(H_max/T^{3/4}) rates. Projected results show 55-75% communication reduction, 56-68% fairness improvement, 34-46% energy savings, and 100+ institution support. The framework enables multi-modal integration across imaging, genomics, EHR, and sensor data while maintaining HIPAA/GDPR compliance. We propose MedFedBench benchmark suite for standardized evaluation across six healthcare dimensions: convergence efficiency, institutional fairness, privacy preservation, multi-modal integration, scalability, and clinical deployment readiness. Economic projections indicate 400-800% ROI for rural hospitals and 15-25% performance gains for academic centers. This work presents a seven-question research agenda, 24-month implementation roadmap, and pathways toward democratizing healthcare AI.

Key facts. Cited by 2 papers in the map (data through 7 Oct 2026). Builds on 30 of its 49 references that are in the map. First posted on arXiv 5 Oct 2025.

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30 of 49 references.

References · 30

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18 more
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