Blockchain-Enabled Federated Learning in Healthcare: Survey and State-of-the-Art

Advances in Internet of Medical Things technology, information and communication technologies, and machine learning have initiated the shift in healthcare towards smart healthcare. Centralization of health data to train ML models does pose privacy, ownership, and regulatory problems. Federated learn...

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Main Authors: Nasim Nezhadsistani, Naghmeh S. Moayedian, Burkhard Stiller
Format: Article
Language:English
Published: IEEE 2025-01-01
Series:IEEE Access
Subjects:
Online Access:https://ieeexplore.ieee.org/document/11075663/
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author Nasim Nezhadsistani
Naghmeh S. Moayedian
Burkhard Stiller
author_facet Nasim Nezhadsistani
Naghmeh S. Moayedian
Burkhard Stiller
author_sort Nasim Nezhadsistani
collection DOAJ
description Advances in Internet of Medical Things technology, information and communication technologies, and machine learning have initiated the shift in healthcare towards smart healthcare. Centralization of health data to train ML models does pose privacy, ownership, and regulatory problems. Federated learning solves such problems by distributing the learning process to several devices, but it also encounters problems like encouraging participants and model aggregation correctness. Combining blockchain and FL can solve such problems through a decentralized approach that provides greater security and privacy for intelligent healthcare. This survey provides a systematic review of blockchain-based federated learning (BCFL) systems in healthcare. Key design features of BCFLs are analyzed, such as consensus protocols, crypto protocols, storage topology, and integration processes relevant to healthcare use cases. Characteristics such as convergence delay, computation overhead, accuracy loss when privacy is an issue, and ledger scalability for different implementations are compared among common implementations. The works of recent FL-based healthcare frameworks have been discussed, along with determining the challenges and research directions for healthcare use cases.
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id doaj-art-ac3a6a19d2d5472d9a39d288f9c1d038
institution Kabale University
issn 2169-3536
language English
publishDate 2025-01-01
publisher IEEE
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spelling doaj-art-ac3a6a19d2d5472d9a39d288f9c1d0382025-08-20T03:50:59ZengIEEEIEEE Access2169-35362025-01-011311992211994510.1109/ACCESS.2025.358734511075663Blockchain-Enabled Federated Learning in Healthcare: Survey and State-of-the-ArtNasim Nezhadsistani0https://orcid.org/0000-0001-6504-6729Naghmeh S. Moayedian1https://orcid.org/0000-0002-2358-039XBurkhard Stiller2https://orcid.org/0000-0002-7461-7463Department of Electrical and Computer Engineering, Isfahan University of Technology, Isfahan, IranDepartment of Electrical and Computer Engineering, Isfahan University of Technology, Isfahan, IranCommunication Systems Group (CSG), Department of Informatics (IfI), University of Zürich (UZH), Zürich, SwitzerlandAdvances in Internet of Medical Things technology, information and communication technologies, and machine learning have initiated the shift in healthcare towards smart healthcare. Centralization of health data to train ML models does pose privacy, ownership, and regulatory problems. Federated learning solves such problems by distributing the learning process to several devices, but it also encounters problems like encouraging participants and model aggregation correctness. Combining blockchain and FL can solve such problems through a decentralized approach that provides greater security and privacy for intelligent healthcare. This survey provides a systematic review of blockchain-based federated learning (BCFL) systems in healthcare. Key design features of BCFLs are analyzed, such as consensus protocols, crypto protocols, storage topology, and integration processes relevant to healthcare use cases. Characteristics such as convergence delay, computation overhead, accuracy loss when privacy is an issue, and ledger scalability for different implementations are compared among common implementations. The works of recent FL-based healthcare frameworks have been discussed, along with determining the challenges and research directions for healthcare use cases.https://ieeexplore.ieee.org/document/11075663/Blockchaindata sharingEHRfederated learningIoMTprivacy
spellingShingle Nasim Nezhadsistani
Naghmeh S. Moayedian
Burkhard Stiller
Blockchain-Enabled Federated Learning in Healthcare: Survey and State-of-the-Art
IEEE Access
Blockchain
data sharing
EHR
federated learning
IoMT
privacy
title Blockchain-Enabled Federated Learning in Healthcare: Survey and State-of-the-Art
title_full Blockchain-Enabled Federated Learning in Healthcare: Survey and State-of-the-Art
title_fullStr Blockchain-Enabled Federated Learning in Healthcare: Survey and State-of-the-Art
title_full_unstemmed Blockchain-Enabled Federated Learning in Healthcare: Survey and State-of-the-Art
title_short Blockchain-Enabled Federated Learning in Healthcare: Survey and State-of-the-Art
title_sort blockchain enabled federated learning in healthcare survey and state of the art
topic Blockchain
data sharing
EHR
federated learning
IoMT
privacy
url https://ieeexplore.ieee.org/document/11075663/
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AT naghmehsmoayedian blockchainenabledfederatedlearninginhealthcaresurveyandstateoftheart
AT burkhardstiller blockchainenabledfederatedlearninginhealthcaresurveyandstateoftheart