Random projection to preserve patient privacy

With the availability of accessible and widely used cloud services, it is natural that large components of healthcare systems migrate to them; for example, patient databases can be stored and processed in the cloud. Such cloud services provide enhanced flexibility and additional gains, such as availability, ease of data share, and so on. This trend poses serious threats regarding the privacy of the patients and the trust that an individual must put into the healthcare system itself. Thus, there is a strong need of privacy preservation, achieved through a variety of different approaches. In this paper, we study the application of a random projection-based approach to patient data as a means to achieve two goals: (1) provably mask the identity of users under some adversarial-attack settings, (2) preserve enough information to allow for aggregate data analysis and application of machine-learning techniques. As far as we know, such approaches have not been applied and tested on medical data. We analyze the tradeoff between the loss of accuracy on the outcome of machine-learning algorithms and the resilience against an adversary. We show that random projections proved to be strong against known input/output attacks while offering high quality data, as long as the projected space is smaller than the original space, and as long as the amount of leaked data available to the adversary is limited

Visions and Challenges in Managing and Preserving Data to Measure Quality of Life

Health-related data analysis plays an important role in self-knowledge, disease prevention, diagnosis, and quality of life assessment. With the advent of data-driven solutions, a myriad of apps and Internet of Things (IoT) devices (wearables, home-medical sensors, etc) facilitates data collection and provide cloud storage with a central administration. More recently, blockchain and other distributed ledgers became available as alternative storage options based on decentralised organisation systems. We bring attention to the human data bleeding problem and argue that neither centralised nor decentralised system organisations are a magic bullet for data-driven innovation if individual, community and societal values are ignored. The motivation for this position paper is to elaborate on strategies to protect privacy as well as to encourage data sharing and support open data without requiring a complex access protocol for researchers. Our main contribution is to outline the design of a self-regulated Open Health Archive (OHA) system with focus on quality of life (QoL) data.Comment: DSS 2018: Data-Driven Self-Regulating System

On the Use of XML in Medical Imaging Web-Based Applications

The rapid growth of digital technology in medical fields over recent years has increased the need for applications able to manage patient medical records, imaging data, and chart information. Web-based applications are implemented with the purpose to link digital databases, storage and transmission protocols, management of large volumes of data and security concepts, allowing the possibility to read, analyze, and even diagnose remotely from the medical center where the information was acquired. The objective of this paper is to analyze the use of the Extensible Markup Language (XML) language in web-based applications that aid in diagnosis or treatment of patients, considering how this protocol allows indexing and exchanging the huge amount of information associated with each medical case. The purpose of this paper is to point out the main advantages and drawbacks of the XML technology in order to provide key ideas for future web-based applicationsPeer ReviewedPostprint (author's final draft

Federated Learning for Protecting Medical Data Privacy

Deep learning is one of the most advanced machine learning techniques, and its prominence has increased in recent years. Language processing, predictions in medical research and pattern recognition are few of the numerous fields in which it is widely utilized. Numerous modern medical applications benefit greatly from the implementation of machine learning (ML) models and the disruptive innovations in the entire modern health care system. It is extensively used for constructing accurate and robust statistical models from large volumes of medical data collected from a variety of sources in contemporary healthcare systems [1]. Due to privacy concerns that restrict access to medical data, these Deep learning techniques have yet to completely exploit medical data despite their immense potential benefits. Many data proprietors are unable to benefit from large-scale deep learning due to privacy and confidentiality concerns associated with data sharing. However, without access to sufficient data, Deep Learning will not be able to realize its maximum potential when transitioning from the research phase to clinical practice [2]. This project addresses this problem by implementing Federated Learning and Encrypted Computations on text data, such as Multi Party Computation. SyferText, a Python library for privacy-protected Natural Language Processing that leverages PySyft to conduct Federated Learning, is used in this context

Federated Learning for Medical Applications: A Taxonomy, Current Trends, Challenges, and Future Research Directions

With the advent of the IoT, AI, ML, and DL algorithms, the landscape of data-driven medical applications has emerged as a promising avenue for designing robust and scalable diagnostic and prognostic models from medical data. This has gained a lot of attention from both academia and industry, leading to significant improvements in healthcare quality. However, the adoption of AI-driven medical applications still faces tough challenges, including meeting security, privacy, and quality of service (QoS) standards. Recent developments in \ac{FL} have made it possible to train complex machine-learned models in a distributed manner and have become an active research domain, particularly processing the medical data at the edge of the network in a decentralized way to preserve privacy and address security concerns. To this end, in this paper, we explore the present and future of FL technology in medical applications where data sharing is a significant challenge. We delve into the current research trends and their outcomes, unravelling the complexities of designing reliable and scalable \ac{FL} models. Our paper outlines the fundamental statistical issues in FL, tackles device-related problems, addresses security challenges, and navigates the complexity of privacy concerns, all while highlighting its transformative potential in the medical field. Our study primarily focuses on medical applications of \ac{FL}, particularly in the context of global cancer diagnosis. We highlight the potential of FL to enable computer-aided diagnosis tools that address this challenge with greater effectiveness than traditional data-driven methods. We hope that this comprehensive review will serve as a checkpoint for the field, summarizing the current state-of-the-art and identifying open problems and future research directions.Comment: Accepted at IEEE Internet of Things Journa

Secure and robust machine learning for healthcare: A survey

Recent years have witnessed widespread adoption of machine learning (ML)/deep learning (DL) techniques due to their superior performance for a variety of healthcare applications ranging from the prediction of cardiac arrest from one-dimensional heart signals to computer-aided diagnosis (CADx) using multi-dimensional medical images. Notwithstanding the impressive performance of ML/DL, there are still lingering doubts regarding the robustness of ML/DL in healthcare settings (which is traditionally considered quite challenging due to the myriad security and privacy issues involved), especially in light of recent results that have shown that ML/DL are vulnerable to adversarial attacks. In this paper, we present an overview of various application areas in healthcare that leverage such techniques from security and privacy point of view and present associated challenges. In addition, we present potential methods to ensure secure and privacy-preserving ML for healthcare applications. Finally, we provide insight into the current research challenges and promising directions for future research

How Privacy-Enhanced Technologies (Pets) are Transforming Digital Healthcare Delivery

Privacy Enhancing Technologies (PETs) are playing a crucial role in maturing digital healthcare delivery for mainstream adaption from both a social and regulatory perspective. Different PETs are improving different aspects of digital healthcare delivery, and we have chosen seven of them to observe in the context of their influence on digital healthcare and their use cases. Homomorphic encryption can provide data security when healthcare data is being collected from individuals via IoT or IoMT devices. It’s also a key facilitator for large-scale healthcare data pooling from multiple sources for analytics without compromising privacy. Secure Multi-Party Computation (SMPC) facilitates safe data transfer between patients and healthcare professionals, and other relevant entities. Generative Adversarial Networks (GANs) can be used to generate larger data sets from smaller training data sets directly obtained from the patients, to train AI and ML algorithms. Differential Privacy (DP) focuses on combining multiple data sets for collective or individual processing without compromising privacy. However, its addition of noise to obscure data has some technical limitations. Zero-Knowledge Proof (ZKP) can facilitate safe verifications/validation protocols to establish connections between healthcare devices without straining their hardware capacities. Federated learning leans quite heavily towards training AI/ML algorithms on multiple data sets without margining or compromising the privacy of the constituents of any dataset. Obfuscation can be used in different stages of healthcare delivery to obscure healthcare data.

Blockchain inspired secure and reliable data exchange architecture for cyber-physical healthcare system 4.0

A cyber-physical system is considered to be a collection of strongly coupled communication systems and devices that poses numerous security trials in various industrial applications including healthcare. The security and privacy of patient data is still a big concern because healthcare data is sensitive and valuable, and it is most targeted over the internet. Moreover, from the industrial perspective, the cyber-physical system plays a crucial role in the exchange of data remotely using sensor nodes in distributed environments. In the healthcare industry, Blockchain technology offers a promising solution to resolve most securities-related issues due to its decentralized, immutability, and transparency properties. In this paper, a blockchain-inspired secure and reliable data exchange architecture is proposed in the cyber-physical healthcare industry 4.0. The proposed system uses the BigchainDB, Tendermint, Inter-Planetary-File-System (IPFS), MongoDB, and AES encryption algorithms to improve Healthcare 4.0. Furthermore, blockchain-enabled secure healthcare architecture for accessing and managing the records between Doctors and Patients is introduced. The development of a blockchain-based Electronic Healthcare Record (EHR) exchange system is purely patient-centric, which means the entire control of data is in the owner's hand which is backed by blockchain for security and privacy. Our experimental results reveal that the proposed architecture is robust to handle more security attacks and can recover the data if 2/3 of nodes are failed. The proposed model is patient-centric, and control of data is in the patient's hand to enhance security and privacy, even system administrators can't access data without user permission