Jun Won Kim

Sangjoon Park, Ik-Jae Lee, Jun Won Kim et al.

Despite the recent success of deep learning in the field of medicine, the issue of data scarcity is exacerbated by concerns about privacy and data ownership. Distributed learning approaches, including federated learning, have been investigated to address these issues. However, they are hindered by the need for cumbersome communication overheads and weaknesses in privacy protection. To tackle these challenges, we propose a self-supervised masked sampling distillation method for the vision transformer. This method can be implemented without continuous communication and can enhance privacy by utilizing a vision transformer-specific encryption technique. We conducted extensive experiments on two different tasks, which demonstrated the effectiveness of our method. We achieved superior performance compared to the existing distributed learning strategy as well as the fine-tuning only baseline. Furthermore, since the self-supervised model created using our proposed method can achieve a general semantic understanding of the image, we demonstrate its potential as a task-agnostic self-supervised foundation model for various downstream tasks, thereby expanding its applicability in the medical domain.

Yujin Oh, Sangjoon Park, Xiang Li et al.

Clinical decision-making reflects diverse strategies shaped by regional patient populations and institutional protocols. However, most existing medical artificial intelligence (AI) models are trained on highly prevalent data patterns, which reinforces biases and fails to capture the breadth of clinical expertise. Inspired by the recent advances in Mixture of Experts (MoE), we propose a Mixture of Multicenter Experts (MoME) framework to address AI bias in the medical domain without requiring data sharing across institutions. MoME integrates specialized expertise from diverse clinical strategies to enhance model generalizability and adaptability across medical centers. We validate this framework using a multimodal target volume delineation model for prostate cancer radiotherapy. With few-shot training that combines imaging and clinical notes from each center, the model outperformed baselines, particularly in settings with high inter-center variability or limited data availability. Furthermore, MoME enables model customization to local clinical preferences without cross-institutional data exchange, making it especially suitable for resource-constrained settings while promoting broadly generalizable medical AI.