LGCVAug 14, 2025

Improving Learning of New Diseases through Knowledge-Enhanced Initialization for Federated Adapter Tuning

arXiv:2508.10299v1h-index: 5IEEE Transactions on Medical Imaging
Originality Incremental advance
AI Analysis

This addresses the need for efficient adaptation to new tasks in privacy-preserving healthcare AI, though it appears incremental as it builds on existing federated learning and adapter tuning approaches.

The paper tackles the problem of quickly adapting federated learning with foundation models to new diseases in healthcare by proposing FedKEI, a framework that uses knowledge-enhanced initialization for adapter tuning, achieving improved performance on three benchmark datasets compared to state-of-the-art methods.

In healthcare, federated learning (FL) is a widely adopted framework that enables privacy-preserving collaboration among medical institutions. With large foundation models (FMs) demonstrating impressive capabilities, using FMs in FL through cost-efficient adapter tuning has become a popular approach. Given the rapidly evolving healthcare environment, it is crucial for individual clients to quickly adapt to new tasks or diseases by tuning adapters while drawing upon past experiences. In this work, we introduce Federated Knowledge-Enhanced Initialization (FedKEI), a novel framework that leverages cross-client and cross-task transfer from past knowledge to generate informed initializations for learning new tasks with adapters. FedKEI begins with a global clustering process at the server to generalize knowledge across tasks, followed by the optimization of aggregation weights across clusters (inter-cluster weights) and within each cluster (intra-cluster weights) to personalize knowledge transfer for each new task. To facilitate more effective learning of the inter- and intra-cluster weights, we adopt a bi-level optimization scheme that collaboratively learns the global intra-cluster weights across clients and optimizes the local inter-cluster weights toward each client's task objective. Extensive experiments on three benchmark datasets of different modalities, including dermatology, chest X-rays, and retinal OCT, demonstrate FedKEI's advantage in adapting to new diseases compared to state-of-the-art methods.

Foundations

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