KEYWORDS: Data modeling, Magnetic resonance imaging, Performance modeling, Education and training, Data privacy, Cross validation, Feature extraction, Tumors, Radiomics, Mixtures
Deep learning models have shown potential in medical image analysis tasks. However, training a generalized deep learning model requires huge amounts of patient data that is usually gathered from multiple institutions which may raise privacy concerns. Federated learning (FL) provides an alternative to sharing data across institutions. Nonetheless, FL is susceptible to a few challenges including inversion attacks on model weights, heterogenous data distributions, and bias. This study addresses heterogeneity and bias issues for multi-institution patient data by proposing domain adaptive FL modeling using several radiomics (volume, fractal, texture) features for O6-methylguanine-DNA methyltransferase (MGMT) classification across multiple institutions. The proposed domain adaptive FL MGMT classification inherently offers differential privacy (DP) for the patient data. For domain adaptation two techniques e.g., mixture of experts (ME) with a gating network and adversarial alignment are used for comparison. The proposed method is evaluated using publicly available multi-institution (UPENN-GBM, UCSF-PDGM, RSNA-ASNR-MICCAI BraTS-2021) data set with a total of 1007 patients. Our experiments with 5-fold cross validation suggest that domain adaptive FL offers improved performance with a mean accuracy of 69.93% ± 4.8 % and area under curve of 0.655 ± 0.055 across multiple institutions. In addition, further analysis of probability density of gating network for domain adaptive FL identifies the institution that may bias the global model prediction due to increased heterogeneity for a given input. Our comparison analysis shows that the proposed method with bias identification offers the best predictive performance when compared to different commonly employed FL and baseline methods in the literature.
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