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An International Study Presenting a Federated Learning Ai Platform for Pediatric Brain Tumors Publisher Pubmed



Lee EH1, 2 ; Han M1, 3 ; Wright J4 ; Kuwabara M5 ; Mevorach J6 ; Fu G6 ; Choudhury O6 ; Ratan U6 ; Zhang M1 ; Wagner MW7 ; Goetti R8 ; Toescu S9 ; Perreault S10 ; Dogan H11 Show All Authors
Authors
  1. Lee EH1, 2
  2. Han M1, 3
  3. Wright J4
  4. Kuwabara M5
  5. Mevorach J6
  6. Fu G6
  7. Choudhury O6
  8. Ratan U6
  9. Zhang M1
  10. Wagner MW7
  11. Goetti R8
  12. Toescu S9
  13. Perreault S10
  14. Dogan H11
  15. Altinmakas E12
  16. Mohammadzadeh M13
  17. Szymanski KA5, 14
  18. Campen CJ15
  19. Lai H16
  20. Eghbal A16
  21. Radmanesh A17, 35
  22. Mankad K9
  23. Aquilina K9
  24. Said M18
  25. Vossough A3
  26. Oztekin O19, 36
  27. Ertlwagner B20
  28. Poussaint T21
  29. Thompson EM22
  30. Ho CY24
  31. Jaju A5
  32. Curran J5
  33. Ramaswamy V26
  34. Cheshier SH27
  35. Grant GA22
  36. Wong SS28
  37. Moseley ME2
  38. Lober RM29
  39. Wilms M30, 31, 32
  40. Forkert ND32, 33
  41. Vitanza NA34
  42. Miller JH5
  43. Prolo LM1
  44. Yeom KW1, 5
Show Affiliations
Authors Affiliations
  1. 1. Department of Neurosurgery, Stanford University School of Medicine, Stanford, CA, United States
  2. 2. Department of Radiology, Lucas Center, Stanford University, Stanford, CA, United States
  3. 3. Department of Neurology, Children’s Hospital of Philadelphia, Philadelphia, PA, United States
  4. 4. Department of Radiology, Seattle Children’s Hospital, Seattle, WA, United States
  5. 5. Department of Radiology, Phoenix Children’s Hospital, Phoenix, AZ, United States
  6. 6. Amazon Web Services, Seattle, WA, United States
  7. 7. Department of Diagnostic and Interventional Neuroradiology, University Hospital Augsburg, Augsburg, Germany
  8. 8. Department of Medical Imaging, The Children’s Hospital at Westmead, Sydney, NSW, Australia
  9. 9. Great Ormond Street Hospital for Children, London, United Kingdom
  10. 10. Division of Child Neurology, Department of Pediatrics, Centre Hospitalier Universitaire Sainte-Justine, Universite de Montreal, Montreal, QC, Canada
  11. 11. Department of Radiology, Koc University School of Medicine, Istanbul, Turkey
  12. 12. Department of Diagnostic, Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States
  13. 13. Department of Radiology, Tehran University of Medical Sciences, Tehran, Iran
  14. 14. Creighton University School of Medicine—Phoenix Regional Campus, Phoenix, AZ, United States
  15. 15. Department of Neurology, Lucile Packard Children’s Hospital, Stanford University Medical School, Palo Alto, CA, United States
  16. 16. Department of Radiology, Children’s Hospital of Orange County, Orange, CA, United States
  17. 17. Department of Radiology, New York University Grossman School of Medicine, New York, NY, United States
  18. 18. Radiology Department, Centre International Carthage Medicale, Monastir, Tunisia
  19. 19. Department of Neuroradiology, Tepecik Education and Research Hospital, Izmir, Turkey
  20. 20. Department of Diagnostic and Interventional Radiology, The Hospital for Sick Children, Toronto, ON, Canada
  21. 21. Department of Radiology, Boston Children’s Hospital, Boston, MA, United States
  22. 22. Department of Neurosurgery, Duke Children’s Hospital & amp
  23. 23. Health Center, Durham, NC, United States
  24. 24. Department of Radiology & amp
  25. 25. Imaging Sciences, Riley Children’s Hospital, Indianapolis, IN, United States
  26. 26. Division of Haematology/Oncology, Department of Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada
  27. 27. Department of Neurosurgery, University of Utah School of Medicine, Salt Lake City, UT, United States
  28. 28. Department of Electrical Engineering, Stanford University, Stanford, CA, United States
  29. 29. Division of Neurosurgery, Dayton Children’s Hospital, Dayton, OH, United States
  30. 30. Departments of Pediatrics, Community Health Sciences, and Radiology, University of Calgary, Calgary, AB, Canada
  31. 31. Alberta Children’s Hospital Research Institute, University of Calgary, Calgary, AB, Canada
  32. 32. Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada
  33. 33. Departments of Radiology and Clinical Neurosciences, University of Calgary, Calgary, AB, Canada
  34. 34. Ben Towne Center for Childhood Cancer Research, Seattle Children’s Research Institute, Seattle, WA, United States
  35. 35. Kaiser Los Angeles, Los Angeles, CA, United States
  36. 36. Hamad Medical Corporation, Doha, Qatar

Source: Nature Communications Published:2024


Abstract

While multiple factors impact disease, artificial intelligence (AI) studies in medicine often use small, non-diverse patient cohorts due to data sharing and privacy issues. Federated learning (FL) has emerged as a solution, enabling training across hospitals without direct data sharing. Here, we present FL-PedBrain, an FL platform for pediatric posterior fossa brain tumors, and evaluate its performance on a diverse, realistic, multi-center cohort. Pediatric brain tumors were targeted due to the scarcity of such datasets, even in tertiary care hospitals. Our platform orchestrates federated training for joint tumor classification and segmentation across 19 international sites. FL-PedBrain exhibits less than a 1.5% decrease in classification and a 3% reduction in segmentation performance compared to centralized data training. FL boosts segmentation performance by 20 to 30% on three external, out-of-network sites. Finally, we explore the sources of data heterogeneity and examine FL robustness in real-world scenarios with data imbalances. © The Author(s) 2024.