In recent years, powered by state-of-the-art achievements in a broad range of areas, machine learning has received considerable attention from the healthcare sector. Despite their ability to provide solutions within personalized medicine, strict regulations on the confidentiality of patient health information have in many cases hindered the adoption of deep learning-based solutions in clinical workflows. To allow for the processing of sensitive health information without disclosing the underlying data, we propose a solution based on fully homomorphic encryption (FHE). The considered encryption scheme, MORE (Matrix Operation for Randomization or Encryption), enables the computations within a neural network model to be directly performed on floating point data with a relatively small computational overhead. We consider the well-known MNIST digit recognition problem to evaluate the feasibility of the proposed method and show that performance does not decrease when deep learning is applied on MORE homomorphic data. To further evaluate the suitability of the method for healthcare applications, we first train a model on encrypted data to estimate the outputs of a whole-body circulation (WBC) hemodynamic model and then provide a solution for classifying encrypted X-ray coronary angiography medical images. The findings highlight the potential of the proposed privacy-preserving deep learning methods to outperform existing approaches by providing, within a reasonable amount of time, results equivalent to those achieved by unencrypted models. Lastly, we discuss the security implications of the encryption scheme and show that while the considered cryptosystem promotes efficiency and utility at a lower security level, it is still applicable in certain practical use cases.

Motivated by state-of-the-art performances across a wide variety of areas, over the last few years Machine Learning has drawn a significant amount of attention from the healthcare domain. Despite their potential in enabling personalized medicine applications, the adoption of Deep Learning based solutions in clinical workflows has been hindered in many cases by the strict regulations concerning the privacy of patient health data. We propose a solution that relies on Fully Homomorphic Encryption, particularly on the MORE scheme, as a mechanism for enabling computations on sensitive health data, without revealing the underlying data. The chosen variant of the encryption scheme allows for the computations in the Neural Network model to be directly performed on floating point numbers, while incurring a reasonably small computational overhead. For feasibility evaluation, we demonstrate on the MNIST digit recognition task that Deep Learning can be performed on encrypted data without compromising the accuracy. We then address a more complex task by training a model on encrypted data to classify X-ray coronary angiography views. These results underline the potential of the proposed approach to outperform current solutions by delivering comparable results to the unencrypted Deep Learning based solutions, in a reasonable amount of time. Lastly, the security aspects of the encryption scheme are analyzed, and we show that, even though the chosen encryption scheme favors performance and utility at the cost of weaker security, it can still be used in certain practical applications.

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