Privacy Leakage in Federated Learning in Radiology Reports: A Comparative Evaluation of Tokenizer-Driven Privacy Risks

Federated learning (FL) enables multi-institutional training on clinical text without sharing raw data, but gradient inversion can reconstruct sensitive information from shared model updates. The extent of this leakage for radiology reports, and the role of tokenizer design, remains unclear. We quantify gradient-based text reconstruction in FL and compare privacy risk across three tokenizers with the model architecture held fixed. Six FL clients trained a GPT-2-style transformer (sequence length 32) on public radiology corpora (368,751 diagnostic reports, 98,206 discharge summaries, 1,500 MIMIC-CXR free-text reports) using the GPT-2, RadBERT, and LLaMA-2 tokenizers at batch sizes of 64, 128, and 256. Assuming an active malicious server that modifies the shared architecture before distribution, we applied analytic gradient inversion and measured reconstruction fidelity over five runs. Exact sentence reconstruction ranged from 31% to 44% across tokenizers (30.6-43.5% across the 27 tokenizer x dataset x batch-size cells). At batch size 64 on the Discharge dataset, accuracy was 42.1% (GPT-2), 42.3% (RadBERT), and 39.4% (LLaMA-2), decreasing to 37.3%, 37.2%, and 34.3% at batch size 256. S-BLEU declined as batch size grew (GPT-2: 0.44 to 0.33; RadBERT: 0.48 to 0.35). RadBERT yielded the highest reconstruction fidelity and recovered the most clinical terms (18.1% of a 1,440-term reference vocabulary, vs 12.5% for GPT-2 and 9.4% for LLaMA-2), yet no tokenizer prevented leakage. Substantial portions of report text are therefore recoverable from FL gradients even at larger batch sizes and with domain-specific tokenizers. Tokenizer design influences leakage severity and is a privacy-relevant decision, not only a utility one; safeguards such as secure aggregation and differential privacy are likely necessary to meet HIPAA and GDPR requirements for FL in radiology NLP.

Inclusive, Differentially Private Federated Learning for Clinical Data

Federated Learning (FL) offers a promising approach for training clinical AI models without centralizing sensitive patient data. However, its real-world adoption is hindered by challenges related to privacy, resource constraints, and compliance. Existing Differential Privacy (DP) approaches often apply uniform noise, which disproportionately degrades model performance, even among well-compliant institutions. In this work, we propose a novel compliance-aware FL framework that enhances DP by adaptively adjusting noise based on quantifiable client compliance scores. Additionally, we introduce a compliance scoring tool based on key healthcare and security standards to promote secure, inclusive, and equitable participation across diverse clinical settings. Extensive experiments on public datasets demonstrate that integrating under-resourced, less compliant clinics with highly regulated institutions yields accuracy improvements of up to 15% over traditional FL. This work advances FL by balancing privacy, compliance, and performance, making it a viable solution for real-world clinical workflows in global healthcare.

A Taxonomy of Attacks and Defenses in Split Learning

Split Learning (SL) has emerged as a promising paradigm for distributed deep learning, allowing resource-constrained clients to offload portions of their model computation to servers while maintaining collaborative learning. However, recent research has demonstrated that SL remains vulnerable to a range of privacy and security threats, including information leakage, model inversion, and adversarial attacks. While various defense mechanisms have been proposed, a systematic understanding of the attack landscape and corresponding countermeasures is still lacking. In this study, we present a comprehensive taxonomy of attacks and defenses in SL, categorizing them along three key dimensions: employed strategies, constraints, and effectiveness. Furthermore, we identify key open challenges and research gaps in SL based on our systematization, highlighting potential future directions.

POSEIDON: Privacy-Preserving Federated Neural Network Learning

In this paper, we address the problem of privacy-preserving training and evaluation of neural networks in an $N$-party, federated learning setting. We propose a novel system, POSEIDON, the first of its kind in the regime of privacy-preserving neural network training, employing multiparty lattice-based cryptography and preserving the confidentiality of the training data, the model, and the evaluation data, under a passive-adversary model and collusions between up to $N-1$ parties. To efficiently execute the secure backpropagation algorithm for training neural networks, we provide a generic packing approach that enables Single Instruction, Multiple Data (SIMD) operations on encrypted data. We also introduce arbitrary linear transformations within the cryptographic bootstrapping operation, optimizing the costly cryptographic computations over the parties, and we define a constrained optimization problem for choosing the cryptographic parameters. Our experimental results show that POSEIDON achieves accuracy similar to centralized or decentralized non-private approaches and that its computation and communication overhead scales linearly with the number of parties. POSEIDON trains a 3-layer neural network on the MNIST dataset with 784 features and 60K samples distributed among 10 parties in less than 2 hours.