Privacy-Preserving Federated Autoencoder for ECG Anomaly Detection on Edge Devices
For healthcare practitioners deploying ECG monitoring on edge devices, this work provides the first empirical demonstration that differential privacy and quantization penalties are independent, enabling strong privacy guarantees without sacrificing compact edge deployment.
The paper presents a federated autoencoder system for unsupervised ECG anomaly detection that simultaneously achieves legal-grade privacy, real-time edge inference, and strong detection quality under non-IID data. On the PTB-XL dataset, federated ConvAE achieves AUROC 0.782, and with INT8 quantization latency on Raspberry Pi 4 is reduced by up to 44% with <0.12% AUROC loss at ε=4.
Continuous electrocardiography (ECG) monitoring could surface rhythm abnormalities before they escalate into cardiovascular events. However, a deployable system must satisfy three requirements simultaneously: legal-grade privacy (GDPR, HIPAA), real-time inference on constrained edge hardware, and detection quality under non-IID cross-hospital data. We design and evaluate an end-to-end federated system addressing all three for unsupervised 12-lead ECG anomaly detection on PTB-XL dataset, combining three autoencoder families (VanillaAE, ConvAE, VAE), Flower-based federated averaging (FedAvg) across ten simulated hospitals, client-side differentially private SGD (DP-SGD) with a Rényi-DP accountant, and 8-bit integer (INT8) post-training quantization with Raspberry Pi 4 benchmarking. Our main contributions are: an empirical characterization of how these mechanisms compose, practical DP-specific recommendations, and technical and security insights for a clinically sensitive setting. Federated learning matches or exceeds the centralized baseline across all architectures (ConvAE federated area under the ROC curve, AUROC, $0.782$), and an $\varepsilon$ sweep identifies $\varepsilon=4$ as the recommended clinical operating point. INT8 quantization roughly halves model size and cuts Pi 4 latency by up to $44%$ with $<0.12%$ AUROC loss. Crucially, DP and quantization penalties are empirically independent, so practitioners need not trade a strong privacy guarantee for a compact edge footprint. To our knowledge, this is the first system combining federated learning, formal $(\varepsilon,δ)$-DP, unsupervised reconstruction-based detection, and quantized AArch64 deployment.