Embedding-Based Federated Learning with Runtime Governance for Iron Deficiency Prediction

Recent reviews find that the vast majority of published healthcare federated learning (FL) studies never reach real-world deployment. We developed an embedding-based FL pipeline for iron deficiency prediction from routine full blood count (FBC) data and deployed it across real institutional environments at Amsterdam University Medical Centre (AUMC) and NHS Blood and Transplant (NHSBT), two clinical environments that differ markedly in iron deficiency prevalence, ferritin distribution, and subject populations. A frozen domain-specific haematology foundation model, DeepCBC, performs site-local representation extraction, restricting federated training to a compact downstream classifier and substantially reducing recurrent communication relative to full-encoder federation. The two clinical datasets are structurally not independent and identically distributed (non-IID), with heterogeneity arising from distinct population differences rather than sampling artefacts. Runtime governance is enforced by FLA$^3$, a healthcare-oriented FL platform providing study-scoped execution, policy-based authorisation, and signed audit logging. Standard sample-size-weighted aggregation (FedAvg) reduced the area under the receiver operating characteristic curve (ROC-AUC) at both sites relative to local-only training, as the global update was biased towards the larger AUMC distribution. FedMAP, a personalised aggregation method, raised ROC-AUC from 0.9470 to 0.9594 at AUMC and from 0.8558 to 0.8671 at NHSBT relative to local-only training, achieving the highest macro ROC-AUC of 0.9133 and the best macro balanced accuracy overall. These results support personalised aggregation in clinical federations where client sample size and task relevance diverge substantially.

Tabular Foundation Models Can Learn Association Rules

Association Rule Mining (ARM) is a fundamental task for knowledge discovery in tabular data and is widely used in high-stakes decision-making. Classical ARM methods rely on frequent itemset mining, leading to rule explosion and poor scalability, while recent neural approaches mitigate these issues but suffer from degraded performance in low-data regimes. Tabular foundation models (TFMs), pretrained on diverse tabular data with strong in-context generalization, provide a basis for addressing these limitations. We introduce a model-agnostic association rule learning framework that extracts association rules from any conditional probabilistic model over tabular data, enabling us to leverage TFMs. We then introduce TabProbe, an instantiation of our framework that utilizes TFMs as conditional probability estimators to learn association rules out-of-the-box without frequent itemset mining. We evaluate our approach on tabular datasets of varying sizes based on standard ARM rule quality metrics and downstream classification performance. The results show that TFMs consistently produce concise, high-quality association rules with strong predictive performance and remain robust in low-data settings without task-specific training. Source code is available at https://github.com/DiTEC-project/tabprobe.