Reliable artificial intelligence (AI) models for medical image analysis often depend on large and diverse labeled datasets.
Federated learning (FL) struggles in highly non-independent and identically distributed (non-IID) settings, where institutions with more representative data may experience degraded performance.
Large-scale FL studies have been limited to adult datasets, neglecting the unique challenges posed by pediatric data, which introduces additional non-IID variability.
Using transfer learning from general-purpose self-supervised image representations, the study analyzed adult and pediatric chest radiographs and found that FL improved performance for smaller adult datasets but degraded performance for larger datasets and pediatric cases.