Federated learning, ethics, and the double black box problem in medical AI

Fuente: arXiv
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Autori principali: Hatherley, Joshua, Søgaard, Anders, Ballantyne, Angela, Pauwels, Ruben
Natura: Preprint
Pubblicazione: 2025
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author Hatherley, Joshua
Søgaard, Anders
Ballantyne, Angela
Pauwels, Ruben
author_facet Hatherley, Joshua
Søgaard, Anders
Ballantyne, Angela
Pauwels, Ruben
contents Federated learning (FL) is a machine learning approach that allows multiple devices or institutions to collaboratively train a model without sharing their local data with a third-party. FL is considered a promising way to address patient privacy concerns in medical artificial intelligence. The ethical risks of medical FL systems themselves, however, have thus far been underexamined. This paper aims to address this gap. We argue that medical FL presents a new variety of opacity -- federation opacity -- that, in turn, generates a distinctive double black box problem in healthcare AI. We highlight several instances in which the anticipated benefits of medical FL may be exaggerated, and conclude by highlighting key challenges that must be overcome to make FL ethically feasible in medicine.
format Preprint
id arxiv_https___arxiv_org_abs_2504_20656
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Federated learning, ethics, and the double black box problem in medical AI
Hatherley, Joshua
Søgaard, Anders
Ballantyne, Angela
Pauwels, Ruben
Machine Learning
Artificial Intelligence
Computers and Society
Human-Computer Interaction
Federated learning (FL) is a machine learning approach that allows multiple devices or institutions to collaboratively train a model without sharing their local data with a third-party. FL is considered a promising way to address patient privacy concerns in medical artificial intelligence. The ethical risks of medical FL systems themselves, however, have thus far been underexamined. This paper aims to address this gap. We argue that medical FL presents a new variety of opacity -- federation opacity -- that, in turn, generates a distinctive double black box problem in healthcare AI. We highlight several instances in which the anticipated benefits of medical FL may be exaggerated, and conclude by highlighting key challenges that must be overcome to make FL ethically feasible in medicine.
title Federated learning, ethics, and the double black box problem in medical AI
topic Machine Learning
Artificial Intelligence
Computers and Society
Human-Computer Interaction
url https://arxiv.org/abs/2504.20656