Deep learning-based medical AI systems are increasingly deployed for disease diagnosis in decentralized healthcare environments where data are siloed across hospitals and IoT devices and cannot be freely shared due to strict privacy and security regulations. However, most existing continual learning and distributed learning approaches either assume centrally aggregated data or overlook incremental clinical changes, leading to catastrophic forgetting when applied to real-world medical data streams.
This paper introduces a novel healthcare-specific framework that integrates continual learning and distributed learning methods to utilize medical AI models effectively by addressing the practical constraints of the healthcare and medical ecosystem, such as data privacy, security, and changing clinical environments. Through the proposed framework, medical clients, such as hospital devices and IoT-based smart devices, can collaboratively train deep learning-based models on distributed computing resources without sharing sensitive data. Additionally, by considering incremental characteristics in medical environments such as mutations, new diseases, and abnormalities, the proposed framework can improve the disease diagnosis of medical AI models in actual clinical scenarios.
We propose Privacy-preserving Rehearsal-based Continual Split Learning (PRCSL), a healthcare-specific continual split learning framework that combines differential-privacy-based exemplar sharing, a mutual information alignment (MIA) module to correct representation shifts induced by noisy exemplars, and a parameter-free nearest-mean-of-exemplars (NME) classifier to mitigate task-recency bias under non-IID data distributions. o=Across eight benchmark datasets, including four MedMNIST subsets, HAM10000, CCH5000, c=CIFAR,cp=, p=100, and SVHN, PRCSL achieves competitive performance compared with representative continual learning baselines in terms of average accuracy and average forgetting. In particular, PRCSL achieves up to 3.62%p higher average accuracy than the best baseline. These results indicate that PRCSL enables privacy-preserving, communication-efficient, and continually adaptable medical AI in realistic decentralized clinical and IoT-enabled ecosystems. Our code is publicly available at our repository.
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