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Daniel Kreuter

Publications and source records attributed to Daniel Kreuter.

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Embedding-Based Federated Learning with Runtime Governance for Iron Deficiency Prediction

Recent reviews find that the vast majority of published healthcare federated learning (FL) studies never reach real-world deployment. We developed an embedding-based FL pipeline for iron deficiency prediction from routine full blood count (FBC) data and deployed it across real institutional environments at Amsterdam University Medical Centre (AUMC) and NHS Blood and Transplant (NHSBT), two clinical environments that differ markedly in iron deficiency prevalence, ferritin distribution, and subject populations. A frozen domain-specific haematology foundation model, DeepCBC, performs site-local representation extraction, restricting federated training to a compact downstream classifier and substantially reducing recurrent communication relative to full-encoder federation. The two clinical datasets are structurally not independent and identically distributed (non-IID), with heterogeneity arising from distinct population differences rather than sampling artefacts. Runtime governance is enforced by FLA$^3$, a healthcare-oriented FL platform providing study-scoped execution, policy-based authorisation, and signed audit logging. Standard sample-size-weighted aggregation (FedAvg) reduced the area under the receiver operating characteristic curve (ROC-AUC) at both sites relative to local-only training, as the global update was biased towards the larger AUMC distribution. FedMAP, a personalised aggregation method, raised ROC-AUC from 0.9470 to 0.9594 at AUMC and from 0.8558 to 0.8671 at NHSBT relative to local-only training, achieving the highest macro ROC-AUC of 0.9133 and the best macro balanced accuracy overall. These results support personalised aggregation in clinical federations where client sample size and task relevance diverge substantially.

cs.LG

Building Privacy-and-Security-Focused Federated Learning Infrastructure for Global Multi-Centre Healthcare Research

Collaborative healthcare research across multiple institutions increasingly requires diverse clinical datasets, but cross-border data sharing is strictly constrained by privacy regulations. Federated learning (FL) enables model training while keeping data local; however, many existing frameworks remain proof-of-concept and do not adequately address governance risks such as unauthorised participation, misuse, and lack of accountability. In particular, enforceable mechanisms for authentication, authorisation, and accounting (AAA) are often missing, limiting real-world clinical deployment. This paper presents FLA$^3$ (Federated Learning with Authentication, Authorisation, and Accounting), a governance-aware federated learning platform that operationalises regulatory obligations through runtime policy enforcement. FLA$^3$ integrates eXtensible Access Control Markup Language (XACML) compliant attribute-based access control (ABAC), cryptographic accounting, and study-scoped federation directly into the federated learning orchestration layer to enforce institutional sovereignty and protocol adherence. We evaluate FLA$^3$ through two complementary studies. First, we demonstrate operational feasibility by deploying the platform infrastructure across five BloodCounts! Consortium institutions in four countries: United Kingdom, Netherlands, India, and The Gambia. Second, we assess clinical utility using simulated federation of full blood count (FBC) data from 54,446 samples from 35,315 subjects across 25 centres in the INTERVAL study. Results show that FLA$^3$ achieves predictive performance comparable to centralised training while strictly enforcing governance constraints. These results show that enforceable governance can function as a first-class privacy-preserving control, improving trustworthiness for scalable artificial intelligence (AI) in cross-jurisdictional healthcare deployments.

cs.CR

FedMAP: Personalised Federated Learning for Real Large-Scale Healthcare Systems

Federated learning (FL) promises to enable collaborative machine learning across healthcare sites whilst preserving data privacy. Practical deployment remains limited by statistical heterogeneity arising from differences in patient demographics, treatments, and outcomes, and infrastructure constraints. We introduce FedMAP, a personalised FL (PFL) framework that addresses heterogeneity through local Maximum a Posteriori (MAP) estimation with Input Convex Neural Network priors. These priors represent global knowledge gathered from other sites that guides the model while adapting to local data, and we provide a formal proof of convergence. Unlike many PFL methods that rely on fixed regularisation, FedMAP's prior adaptively learns patterns that capture complex inter-site relationships. We demonstrate improved performance compared to local training, FedAvg, and several PFL methods across three large-scale clinical datasets: 10-year cardiovascular risk prediction (CPRD, 387 general practitioner practices, 258,688 patients), iron deficiency detection (INTERVAL, 4 donor centres, 31,949 blood donors), and mortality prediction (eICU, 150 hospitals, 44,842 patients). FedMAP incorporates a three-tier design that enables participation across healthcare sites with varying infrastructure and technical capabilities, from full federated training to inference-only deployment. Geographical analysis reveals substantial equity improvements, with underperforming regions achieving up to 14.3% performance gains. This framework provides the first practical pathway for large-scale healthcare FL deployment, which ensures clinical sites at all scales can benefit, equity is enhanced, and privacy is retained.

cs.LG

Recent Methodological Advances in Federated Learning for Healthcare

For healthcare datasets, it is often not possible to combine data samples from multiple sites due to ethical, privacy or logistical concerns. Federated learning allows for the utilisation of powerful machine learning algorithms without requiring the pooling of data. Healthcare data has many simultaneous challenges which require new methodologies to address, such as highly-siloed data, class imbalance, missing data, distribution shifts and non-standardised variables. Federated learning adds significant methodological complexity to conventional centralised machine learning, requiring distributed optimisation, communication between nodes, aggregation of models and redistribution of models. In this systematic review, we consider all papers on Scopus that were published between January 2015 and February 2023 and which describe new federated learning methodologies for addressing challenges with healthcare data. We performed a detailed review of the 89 papers which fulfilled these criteria. Significant systemic issues were identified throughout the literature which compromise the methodologies in many of the papers reviewed. We give detailed recommendations to help improve the quality of the methodology development for federated learning in healthcare.

cs.LG

Modeling of a Liquid Leaf Target TNSA Experiment using Particle-In-Cell Simulations and Deep Learning

Liquid leaf targets show promise as high repetition rate targets for laser-based ion acceleration using the Target Normal Sheath Acceleration (TNSA) mechanism and are currently under development. In this work, we discuss the effects of different ion species and investigate how they can be leveraged for use as a possible laser-driven neutron source. To aid in this research, we develop a surrogate model for liquid leaf target laser-ion acceleration experiments, based on artificial neural networks. The model is trained using data from Particle-In-Cell (PIC) simulations. The fast inference speed of our deep learning model allows us to optimize experimental parameters for maximum ion energy and laser-energy conversion efficiency. An analysis of parameter influence on our model output, using Sobol and PAWN indices, provides deeper insights into the laser-plasma system.

physics.plasm-ph

Dis-AE: Multi-domain & Multi-task Generalisation on Real-World Clinical Data

Clinical data is often affected by clinically irrelevant factors such as discrepancies between measurement devices or differing processing methods between sites. In the field of machine learning (ML), these factors are known as domains and the distribution differences they cause in the data are known as domain shifts. ML models trained using data from one domain often perform poorly when applied to data from another domain, potentially leading to wrong predictions. As such, developing machine learning models that can generalise well across multiple domains is a challenging yet essential task in the successful application of ML in clinical practice. In this paper, we propose a novel disentangled autoencoder (Dis-AE) neural network architecture that can learn domain-invariant data representations for multi-label classification of medical measurements even when the data is influenced by multiple interacting domain shifts at once. The model utilises adversarial training to produce data representations from which the domain can no longer be determined. We evaluate the model's domain generalisation capabilities on synthetic datasets and full blood count (FBC) data from blood donors as well as primary and secondary care patients, showing that Dis-AE improves model generalisation on multiple domains simultaneously while preserving clinically relevant information.

cs.LG