Study of the performance and scalability of federated learning for medical imaging with intermittent clients

Federated learning is a data decentralization privacy-preserving technique used to perform machine or deep learning in a secure way. In this paper we present theoretical aspects about federated learning, such as the presentation of an aggregation operator, different types of federated learning, and issues to be taken into account in relation to the distribution of data from the clients, together with the exhaustive analysis of a use case where the number of clients varies. Specifically, a use case of medical image analysis is proposed, using chest X-ray images obtained from an open data repository. In addition to the advantages related to privacy, improvements in predictions (in terms of accuracy, loss and area under the curve) and reduction of execution times will be studied with respect to the classical case (the centralized approach). Different clients will be simulated from the training data, selected in an unbalanced manner. The results of considering three or ten clients are exposed and compared between them and against the centralized case. Two different problems related to intermittent clients are discussed, together with two approaches to be followed for each of them. Specifically, this type of problems may occur because in a real scenario some clients may leave the training, and others enter it, and on the other hand because of client technical or connectivity problems. Finally, improvements and future work in the field are proposed.