{"title":"欧洲远程医疗网络中支持重症监护室患者决策过程的联合学习方法","authors":"Giovanni Paragliola, Patrizia Ribino, Zaib Ullah","doi":"10.3390/jsan12060078","DOIUrl":null,"url":null,"abstract":"A result of the pandemic is an urgent need for data collaborations that empower the clinical and scientific communities in responding to rapidly evolving global challenges. The ICU4Covid project joined research institutions, medical centers, and hospitals all around Europe in a telemedicine network for sharing capabilities, knowledge, and expertise distributed within the network. However, healthcare data sharing has ethical, regulatory, and legal complexities that pose several restrictions on their access and use. To mitigate this issue, the ICU4Covid project integrates a federated learning architecture, allowing distributed machine learning within a cross-institutional healthcare system without the data being transported or exposed outside their original location. This paper presents the federated learning approach to support the decision-making process for ICU patients in a European telemedicine network. The proposed approach was applied to the early identification of high-risk hypertensive patients. Experimental results show how the knowledge of every single node is spread within the federation, improving the ability of each node to make an early prediction of high-risk hypertensive patients. Moreover, a performance evaluation shows an accuracy and precision of over 90%, confirming a good performance of the FL approach as a prediction test. The FL approach can significantly support the decision-making process for ICU patients in distributed networks of federated healthcare organizations.","PeriodicalId":37584,"journal":{"name":"Journal of Sensor and Actuator Networks","volume":null,"pages":null},"PeriodicalIF":3.3000,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Federated Learning Approach to Support the Decision-Making Process for ICU Patients in a European Telemedicine Network\",\"authors\":\"Giovanni Paragliola, Patrizia Ribino, Zaib Ullah\",\"doi\":\"10.3390/jsan12060078\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"A result of the pandemic is an urgent need for data collaborations that empower the clinical and scientific communities in responding to rapidly evolving global challenges. The ICU4Covid project joined research institutions, medical centers, and hospitals all around Europe in a telemedicine network for sharing capabilities, knowledge, and expertise distributed within the network. However, healthcare data sharing has ethical, regulatory, and legal complexities that pose several restrictions on their access and use. To mitigate this issue, the ICU4Covid project integrates a federated learning architecture, allowing distributed machine learning within a cross-institutional healthcare system without the data being transported or exposed outside their original location. This paper presents the federated learning approach to support the decision-making process for ICU patients in a European telemedicine network. The proposed approach was applied to the early identification of high-risk hypertensive patients. Experimental results show how the knowledge of every single node is spread within the federation, improving the ability of each node to make an early prediction of high-risk hypertensive patients. Moreover, a performance evaluation shows an accuracy and precision of over 90%, confirming a good performance of the FL approach as a prediction test. The FL approach can significantly support the decision-making process for ICU patients in distributed networks of federated healthcare organizations.\",\"PeriodicalId\":37584,\"journal\":{\"name\":\"Journal of Sensor and Actuator Networks\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2023-11-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Sensor and Actuator Networks\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3390/jsan12060078\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"COMPUTER SCIENCE, INFORMATION SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Sensor and Actuator Networks","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3390/jsan12060078","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"COMPUTER SCIENCE, INFORMATION SYSTEMS","Score":null,"Total":0}
A Federated Learning Approach to Support the Decision-Making Process for ICU Patients in a European Telemedicine Network
A result of the pandemic is an urgent need for data collaborations that empower the clinical and scientific communities in responding to rapidly evolving global challenges. The ICU4Covid project joined research institutions, medical centers, and hospitals all around Europe in a telemedicine network for sharing capabilities, knowledge, and expertise distributed within the network. However, healthcare data sharing has ethical, regulatory, and legal complexities that pose several restrictions on their access and use. To mitigate this issue, the ICU4Covid project integrates a federated learning architecture, allowing distributed machine learning within a cross-institutional healthcare system without the data being transported or exposed outside their original location. This paper presents the federated learning approach to support the decision-making process for ICU patients in a European telemedicine network. The proposed approach was applied to the early identification of high-risk hypertensive patients. Experimental results show how the knowledge of every single node is spread within the federation, improving the ability of each node to make an early prediction of high-risk hypertensive patients. Moreover, a performance evaluation shows an accuracy and precision of over 90%, confirming a good performance of the FL approach as a prediction test. The FL approach can significantly support the decision-making process for ICU patients in distributed networks of federated healthcare organizations.
期刊介绍:
Journal of Sensor and Actuator Networks (ISSN 2224-2708) is an international open access journal on the science and technology of sensor and actuator networks. It publishes regular research papers, reviews (including comprehensive reviews on complete sensor and actuator networks), and short communications. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced.