A federal learning-driven artificial intelligence framework for fundus image myopia diagnosis - Summary - MDSpire

A federal learning-driven artificial intelligence framework for fundus image myopia diagnosis

  • By

  • Xiaolong Yin

  • Chunhong Yu

  • Weiwei Xiong

  • Yujun Liao

  • July 1, 2026

  • 0 min

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Objective:

To propose a federated learning (FL)-based framework for myopia classification using fundus imaging that enhances cross-center generalization while ensuring data privacy.

Approach:
  • Framework Design: Developed a privacy-preserving multicenter myopia classification framework allowing joint training of deep learning models without raw data sharing.
  • Dynamic Aggregation Strategy: Implemented a dynamic aggregation strategy based on federated averaging (FedAvg) to address multicenter data heterogeneity.
  • Handling Category Imbalance: Incorporated a category imbalance handling mechanism to improve model performance on underrepresented pathological myopia samples.
  • Model Optimization: Optimized model architecture to adapt to heterogeneous data distributions across different medical centers.
  • Experimental Validation: Conducted experiments on datasets from multiple medical centers to validate the effectiveness of the proposed methods.
Key Findings:
  • The proposed FL framework enhances cross-center generalization ability, demonstrated through improved model performance across diverse datasets.
  • The dynamic aggregation strategy significantly improves model fitness across different data sources, leading to more accurate classifications.
  • The framework effectively addresses training bias from insufficient samples of pathological myopia, resulting in better recognition of minority categories.
Interpretation:

The research presents a novel solution for diagnosing myopia in a privacy-preserving manner using federated learning.

Limitations:
  • Challenges remain in achieving consistent image quality across different medical centers, which may affect model accuracy.
  • Variability in annotation standards across institutions could hinder the model's generalization capabilities.
  • The scarcity of pathological myopia samples can introduce class imbalance, impacting the model's performance on these categories.
Conclusion:

The study provides technical references for the application of federated learning in medical image analysis, particularly for myopia classification.

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