Data-driven machine learning (ML) has emerged as a promising approach for building accurate and robust statistical models from medical data, which is collected in huge volumes by modern healthcare systems. Existing medical data is not fully exploited by ML primarily because it sits in data silos and privacy concerns restrict access to this data. However, without access to sufficient data, ML will be prevented from reaching its full potential and, ultimately, from making the transition from research to clinical practice. This paper considers key factors contributing to this issue, explores how federated learning (FL) may provide a solution for the future of digital health and highlights the challenges and considerations that need to be addressed.

Using large, multi-national datasets for high-performance medical imaging AI systems requires innovation in privacy-preserving machine learning so models can train on sensitive data without requiring data transfer. Here we present PriMIA (Privacy-preserving Medical Image Analysis), a free, open-source software framework for differentially private, securely aggregated federated learning and encrypted inference on medical imaging data. We test PriMIA using a real-life case study in which an expert-level deep convolutional neural network classifies paediatric chest X-rays; the resulting model's classification performance is on par with locally, non-securely trained models. We theoretically and empirically evaluate our framework's performance and privacy guarantees, and demonstrate that the protections provided prevent the reconstruction of usable data by a gradient-based model inversion attack. Finally, we successfully employ the trained model in an end-to-end encrypted remote inference scenario using secure multi-party computation to prevent the disclosure of the data and the model.

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We present a meta-learning approach for adaptive text-to-speech (TTS) with few data. During training, we learn a multi-speaker model using a shared conditional WaveNet core and independent learned embeddings for each speaker. The aim of training is not to produce a neural network with fixed weights, which is then deployed as a TTS system. Instead, the aim is to produce a network that requires few data at deployment time to rapidly adapt to new speakers. We introduce and benchmark three strategies: (i) learning the speaker embedding while keeping the WaveNet core fixed, (ii) fine-tuning the entire architecture with stochastic gradient descent, and (iii) predicting the speaker embedding with a trained neural network encoder. The experiments show that these approaches are successful at adapting the multi-speaker neural network to new speakers, obtaining state-of-the-art results in both sample naturalness and voice similarity with merely a few minutes of audio data from new speakers.