{"ID":2850358,"CreatedAt":"2026-06-01T04:54:23.091178241Z","UpdatedAt":"2026-06-01T04:54:23.091178241Z","DeletedAt":null,"paper_url":"https://arxiv.org/abs/2510.22387","arxiv_id":"2510.22387","title":"Privacy-Aware Federated nnU-Net for ECG Page Digitization","abstract":"Deep neural networks can convert ECG page images into analyzable waveforms, yet centralized training often conflicts with cross-institutional privacy and deployment constraints. A cross-silo federated digitization framework is presented that trains a full-model nnU-Net segmentation backbone without sharing images and aggregates updates across sites under realistic non-IID heterogeneity (layout, grid style, scanner profile, noise). The protocol integrates three standard server-side aggregators--FedAvg, FedProx, and FedAdam--and couples secure aggregation with central, user-level differential privacy to align utility with formal guarantees. Key features include: (i) end-to-end full-model training and synchronization across clients; (ii) secure aggregation so the server only observes a clipped, weighted sum once a participation threshold is met; (iii) central Gaussian DP with Renyi accounting applied post-aggregation for auditable user-level privacy; and (iv) a calibration-aware digitization pipeline comprising page normalization, trace segmentation, grid-leakage suppression, and vectorization to twelve-lead signals. Experiments on ECG pages rendered from PTB-XL show consistently faster convergence and higher late-round plateaus with adaptive server updates (FedAdam) relative to FedAvg and FedProx, while approaching centralized performance. The privacy mechanism maintains competitive accuracy while preventing exposure of raw images or per-client updates, yielding deployable, auditable guarantees suitable for multi-institution settings.","short_abstract":"Deep neural networks can convert ECG page images into analyzable waveforms, yet centralized training often conflicts with cross-institutional privacy and deployment constraints. A cross-silo federated digitization framework is presented that trains a full-model nnU-Net segmentation backbone without sharing images and a...","url_abs":"https://arxiv.org/abs/2510.22387","url_pdf":"https://arxiv.org/pdf/2510.22387v1","authors":"[\"Nader Nemati\"]","published":"2025-10-25T18:10:05Z","proceeding":"cs.CR","tasks":"[\"cs.CR\",\"cs.CV\",\"cs.LG\"]","methods":"[]","has_code":false}