Training Together, Diagnosing Better: Federated Learning for Collagen VI-Related Dystrophies

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Main Authors: Brull, Astrid, Aguti, Sara, Bolduc, Véronique, Hu, Ying, Jimenez-Gutierrez, Daniel M., Zuazua, Enrique, Del-Rio, Joaquin, Sliusarenko, Oleksii, Zhou, Haiyan, Muntoni, Francesco, Bönnemann, Carsten G., Uribe-Etxebarria, Xabi
Format: Preprint
Published: 2025
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author Brull, Astrid
Aguti, Sara
Bolduc, Véronique
Hu, Ying
Jimenez-Gutierrez, Daniel M.
Zuazua, Enrique
Del-Rio, Joaquin
Sliusarenko, Oleksii
Zhou, Haiyan
Muntoni, Francesco
Bönnemann, Carsten G.
Uribe-Etxebarria, Xabi
author_facet Brull, Astrid
Aguti, Sara
Bolduc, Véronique
Hu, Ying
Jimenez-Gutierrez, Daniel M.
Zuazua, Enrique
Del-Rio, Joaquin
Sliusarenko, Oleksii
Zhou, Haiyan
Muntoni, Francesco
Bönnemann, Carsten G.
Uribe-Etxebarria, Xabi
contents The application of Machine Learning (ML) to the diagnosis of rare diseases, such as collagen VI-related dystrophies (COL6-RD), is fundamentally limited by the scarcity and fragmentation of available data. Attempts to expand sampling across hospitals, institutions, or countries with differing regulations face severe privacy, regulatory, and logistical obstacles that are often difficult to overcome. The Federated Learning (FL) provides a promising solution by enabling collaborative model training across decentralized datasets while keeping patient data local and private. Here, we report a novel global FL initiative using the Sherpa.ai FL platform, which leverages FL across distributed datasets in two international organizations for the diagnosis of COL6-RD, using collagen VI immunofluorescence microscopy images from patient-derived fibroblast cultures. Our solution resulted in an ML model capable of classifying collagen VI patient images into the three primary pathogenic mechanism groups associated with COL6-RD: exon skipping, glycine substitution, and pseudoexon insertion. This new approach achieved an F1-score of 0.82, outperforming single-organization models (0.57-0.75). These results demonstrate that FL substantially improves diagnostic utility and generalizability compared to isolated institutional models. Beyond enabling more accurate diagnosis, we anticipate that this approach will support the interpretation of variants of uncertain significance and guide the prioritization of sequencing strategies to identify novel pathogenic variants.
format Preprint
id arxiv_https___arxiv_org_abs_2512_16876
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Training Together, Diagnosing Better: Federated Learning for Collagen VI-Related Dystrophies
Brull, Astrid
Aguti, Sara
Bolduc, Véronique
Hu, Ying
Jimenez-Gutierrez, Daniel M.
Zuazua, Enrique
Del-Rio, Joaquin
Sliusarenko, Oleksii
Zhou, Haiyan
Muntoni, Francesco
Bönnemann, Carsten G.
Uribe-Etxebarria, Xabi
Machine Learning
Artificial Intelligence
Computer Vision and Pattern Recognition
Distributed, Parallel, and Cluster Computing
The application of Machine Learning (ML) to the diagnosis of rare diseases, such as collagen VI-related dystrophies (COL6-RD), is fundamentally limited by the scarcity and fragmentation of available data. Attempts to expand sampling across hospitals, institutions, or countries with differing regulations face severe privacy, regulatory, and logistical obstacles that are often difficult to overcome. The Federated Learning (FL) provides a promising solution by enabling collaborative model training across decentralized datasets while keeping patient data local and private. Here, we report a novel global FL initiative using the Sherpa.ai FL platform, which leverages FL across distributed datasets in two international organizations for the diagnosis of COL6-RD, using collagen VI immunofluorescence microscopy images from patient-derived fibroblast cultures. Our solution resulted in an ML model capable of classifying collagen VI patient images into the three primary pathogenic mechanism groups associated with COL6-RD: exon skipping, glycine substitution, and pseudoexon insertion. This new approach achieved an F1-score of 0.82, outperforming single-organization models (0.57-0.75). These results demonstrate that FL substantially improves diagnostic utility and generalizability compared to isolated institutional models. Beyond enabling more accurate diagnosis, we anticipate that this approach will support the interpretation of variants of uncertain significance and guide the prioritization of sequencing strategies to identify novel pathogenic variants.
title Training Together, Diagnosing Better: Federated Learning for Collagen VI-Related Dystrophies
topic Machine Learning
Artificial Intelligence
Computer Vision and Pattern Recognition
Distributed, Parallel, and Cluster Computing
url https://arxiv.org/abs/2512.16876