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Gregory Verghese

Publications and source records attributed to Gregory Verghese.

3 recordsLinked to original sources

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

PySlyde: A Lightweight, Open-Source Toolkit for Pathology Preprocessing

The integration of artificial intelligence (AI) into pathology is advancing precision medicine by improving diagnosis, treatment planning, and patient outcomes. Digitised whole-slide images (WSIs) capture rich spatial and morphological information vital for understanding disease biology, yet their gigapixel scale and variability pose major challenges for standardisation and analysis. Robust preprocessing, covering tissue detection, tessellation, stain normalisation, and annotation parsing is critical but often limited by fragmented and inconsistent workflows. We present PySlyde, a lightweight, open-source Python toolkit built on OpenSlide to simplify and standardise WSI preprocessing. PySlyde provides an intuitive API for slide loading, annotation management, tissue detection, tiling, and feature extraction, compatible with modern pathology foundation models. By unifying these processes, it streamlines WSI preprocessing, enhances reproducibility, and accelerates the generation of AI-ready datasets, enabling researchers to focus on model development and downstream analysis.

q-bio.QM

Deep Multi-Scale U-Net Architecture and Label-Noise Robust Training Strategies for Histopathological Image Segmentation

Although the U-Net architecture has been extensively used for segmentation of medical images, we address two of its shortcomings in this work. Firstly, the accuracy of vanilla U-Net degrades when the target regions for segmentation exhibit significant variations in shape and size. Even though the U-Net already possesses some capability to analyze features at various scales, we propose to explicitly add multi-scale feature maps in each convolutional module of the U-Net encoder to improve segmentation of histology images. Secondly, the accuracy of a U-Net model also suffers when the annotations for supervised learning are noisy or incomplete. This can happen due to the inherent difficulty for a human expert to identify and delineate all instances of specific pathology very precisely and accurately. We address this challenge by introducing auxiliary confidence maps that emphasize less on the boundaries of the given target regions. Further, we utilize the bootstrapping properties of the deep network to address the missing annotation problem intelligently. In our experiments on a private dataset of breast cancer lymph nodes, where the primary task was to segment germinal centres and sinus histiocytosis, we observed substantial improvement over a U-Net baseline based on the two proposed augmentations.

eess.IV