EcoFair: Trustworthy and Energy-Aware Routing for Privacy-Preserving Vertically Partitioned Medical Inference

Privacy-preserving medical inference must balance data locality, diagnostic reliability, and deployment efficiency. This paper presents EcoFair, a simulated vertically partitioned inference framework for dermatological diagnosis in which raw image and tabular data remain local and only modality-specific embeddings are transmitted for server-side multimodal fusion. EcoFair introduces a lightweight-first routing mechanism that selectively activates a heavier image encoder when local uncertainty or metadata-derived clinical risk indicates that additional computation is warranted. The routing decision combines predictive uncertainty, a safe--danger probability gap, and a tabular neurosymbolic risk score derived from patient age and lesion localisation. Experiments on three dermatology benchmarks show that EcoFair can substantially reduce edge-side inference energy in representative model pairings while remaining competitive in classification performance. The results further indicate that selective routing can improve subgroup-sensitive malignant-case behaviour in representative settings without modifying the global training objective. These findings position EcoFair as a practical framework for privacy-preserving and energy-aware medical inference under edge deployment constraints.

HybridVFL: Disentangled Feature Learning for Edge-Enabled Vertical Federated Multimodal Classification

Vertical Federated Learning (VFL) offers a privacy-preserving paradigm for Edge AI scenarios like mobile health diagnostics, where sensitive multimodal data reside on distributed, resource-constrained devices. Yet, standard VFL systems often suffer performance limitations due to simplistic feature fusion. This paper introduces HybridVFL, a novel framework designed to overcome this bottleneck by employing client-side feature disentanglement paired with a server-side cross-modal transformer for context-aware fusion. Through systematic evaluation on the multimodal HAM10000 skin lesion dataset, we demonstrate that HybridVFL significantly outperforms standard federated baselines, validating the criticality of advanced fusion mechanisms in robust, privacy-preserving systems.