Answers are grounded in this paper and cite their sources.
Multi-center medical image modeling faces persistent challenges arising from data privacy constraints and cross-institutional distribution discrepancies. Federated learning provides a feasible paradigm for collaborative training of intelligent diagnostic models for breast magnetic resonance imaging (MRI) without sharing raw imaging data. However, under non-independent and identically distributed (non-IID) settings, variations in imaging protocols, cohort composition, and class distributions across institutions may induce representation shifts and class-boundary ambiguity, particularly compromising the stable discrimination between benign and malignant lesions. To address these challenges, this paper proposes FedBCFA, a Federated Boundary-Constrained Feature Alignment method for three-class classification of multi-center breast MRI, including no-lesion, benign, and malignant cases. During federated training, FedBCFA integrates class-prototype feature alignment with a boundary-constrained learning mechanism to alleviate inter-client representation inconsistency and promote stable learning of discriminative class boundaries. In addition, benign-oriented frequency-domain augmentation and a constrained model selection strategy are introduced to improve the recognition of minority and boundary samples. Experimental results demonstrate that the proposed method achieves favorable overall performance in multi-center breast MRI classification, effectively mitigates class confusion under non-IID conditions, and improves the discriminative stability for benign and malignant lesions. Overall, FedBCFA enhances the generalization capability of multi-center breast MRI classification models under privacy-preserving constraints and provides a feasible solution for cross-institutional computer-aided diagnosis in medical imaging.
No takes yet. Share an insight, caveat, or question.
Du et al. (2026) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: