2018
DOI: 10.1093/jamia/ocy017
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Distributed deep learning networks among institutions for medical imaging

Abstract: ObjectiveDeep learning has become a promising approach for automated support for clinical diagnosis. When medical data samples are limited, collaboration among multiple institutions is necessary to achieve high algorithm performance. However, sharing patient data often has limitations due to technical, legal, or ethical concerns. In this study, we propose methods of distributing deep learning models as an attractive alternative to sharing patient data.MethodsWe simulate the distribution of deep learning models… Show more

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Cited by 278 publications
(258 citation statements)
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“…There is still the problem of rare pathologies with small available datasets, and the results indicate that it is necessary to finetune on them to make reasonable predictions. Maybe the idea of federated and distributed learning as applied by Ken et al 12 could overcome the problem of rare datasets and pathologies by sharing the network weights across distributed institutions.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…There is still the problem of rare pathologies with small available datasets, and the results indicate that it is necessary to finetune on them to make reasonable predictions. Maybe the idea of federated and distributed learning as applied by Ken et al 12 could overcome the problem of rare datasets and pathologies by sharing the network weights across distributed institutions.…”
Section: Discussionmentioning
confidence: 99%
“…Current guidelines for the timing of a heart valve replacement, more specifically of pulmonary valve replacement, are mainly based on enlarged ventricular volumes and depressed ventricular function (cf., 12 ). Technically, these information can be obtained by segmentation of cardiac magnetic resonance (CMR) images.…”
Section: Motivationmentioning
confidence: 99%
“…See [339] for a recent survey. There are a few examples of these ideas entering the medical machine learning community, as in [340] where the distribution of deep learning models among several medical institutions was investigated, but then 49 Lipton: Machine Learning: The Opportunity and the Opportunists https://www.technologyreview.com/video/ 612109, Jordan: Artificial Intelligence -The Revolution Hasn't Happened Yet https://medium.com/@mijordan3/ artificial-intelligence-the-revolution-hasnt-happened-yet-5e1d5812e1e7 50 See for example https://ai.googleblog.com/2017/04/federated-learning-collaborative.html without considering the above privacy issues. As machine learning systems in medicine grows to larger scales, perhaps even including computations and learning on the "edge", federated learning and differential privacy will likely become the focus of much research in our community.…”
Section: Datamentioning
confidence: 99%
“…Furthermore, access to available data sets should be improved to promote intellectual collaboration. Institutional, professional, and government groups should be encouraged to share validated data to support the development of AI algorithms, which requires overcoming certain fundamental technical, legal, and perhaps ethical concerns . For example, the National Institutes of Health recently shared chest x‐ray and CT repositories to help AI scientists .…”
Section: Challenges and Future Directionsmentioning
confidence: 99%