REAN: Reconstruction-aware ECG Anonymization Based on Privacy--Utility Orthogonality

Clinical electroencephalography (EEG) data are valuable for healthcare research and for developing artificial intelligence (AI)-based clinical decision-support systems, but EEG recordings and derived features may contain sensitive patient-specific information. This creates privacy risks when data are reused, analyzed, or shared across clinical and research environments. Conventional anonymization methods are often insufficient for high-dimensional biomedical signals, since removing direct identifiers does not necessarily prevent re-identification, linkage, or inference risks. At the same time, strong privacy protection may distort clinically relevant signal characteristics and reduce data utility. This paper studies subject-level differential privacy for protecting clinical EEG-derived feature representations using Gaussian and Laplace perturbations. The proposed framework considers three deployment scenarios: client-side anonymization, centralized server-side anonymization, and decentralized local training. Following EEG preprocessing and feature extraction, Gaussian and Laplace perturbations are applied to the resulting patient-level EEG feature representations. The Laplace experiments evaluate the implemented noise scales, while the scales required for formal full-vector calibration are derived separately. The effects of both perturbations are assessed using statistical utility measures and a downstream machine-learning-based utility check. The results show that differentially private perturbation can be integrated into EEG processing workflows, but the selected mechanism, privacy parameters, and sensitivity calibration strongly influence data utility. The study highlights the practical privacy-utility trade-off in DP-based EEG feature anonymization and the challenges of preserving downstream utility in small and imbalanced clinical EEG datasets.

Continuous electrocardiography (ECG) monitoring could surface rhythm abnormalities before they escalate into cardiovascular events. However, a deployable system must satisfy three requirements simultaneously: legal-grade privacy (GDPR, HIPAA), real-time inference on constrained edge hardware, and detection quality under non-IID cross-hospital data. We design and evaluate an end-to-end federated system addressing all three for unsupervised 12-lead ECG anomaly detection on PTB-XL dataset, combining three autoencoder families (VanillaAE, ConvAE, VAE), Flower-based federated averaging (FedAvg) across ten simulated hospitals, client-side differentially private SGD (DP-SGD) with a Rényi-DP accountant, and 8-bit integer (INT8) post-training quantization with Raspberry Pi 4 benchmarking. Our main contributions are: an empirical characterization of how these mechanisms compose, practical DP-specific recommendations, and technical and security insights for a clinically sensitive setting. Federated learning matches or exceeds the centralized baseline across all architectures (ConvAE federated area under the ROC curve, AUROC, $0.782$), and an $\varepsilon$ sweep identifies $\varepsilon=4$ as the recommended clinical operating point. INT8 quantization roughly halves model size and cuts Pi 4 latency by up to $44$ with $<0.12$ AUROC loss. Crucially, DP and quantization penalties are empirically independent, so practitioners need not trade a strong privacy guarantee for a compact edge footprint. To our knowledge, this is the first system combining federated learning, formal $(\varepsilon,δ)$-DP, unsupervised reconstruction-based detection, and quantized AArch64 deployment.

Electrocardiogram (ECG) biometrics have emerged as a promising modality for continuous, liveness-aware authentication in wearable systems. However, many prior studies report overly optimistic results due to data leakage (e.g., random splits within the same session). To address this issue, we introduce ECG-biometrics-bench, a modular, reproducible benchmarking framework that standardizes preprocessing, segmentation, and evaluation across seven widely used public ECG datasets spanning clinical, ambulatory, and large-scale cohort settings. The framework supports both closed-set and open-set (i.e., subject-disjoint generalization in this work) evaluation, as well as progressively realistic protocols including cross-session and long-term temporal separation. To facilitate reproducible research in the community, the ECG-biometrics-bench repository will be made publicly accessible on GitHub upon the acceptance of this manuscript. Through a comprehensive multi-dataset analysis, we expose the Random Split Fallacy, demonstrating that intra-session evaluation protocols artificially inflate performance while masking severe degradation caused by temporal drift and unseen identities. Furthermore, by evaluating multiple architectures, including DeepECG, ResNet1D, and CNN-LSTM, we show that these failures are not model-specific but are likely inherent to current supervised feature-learning paradigms. Finally, we demonstrate that performance degradation due to temporal aging can be partially mitigated through a heavy enrollment, lightweight authentication strategy based on dynamic multi-session template fusion. These findings establish a more realistic baseline for ECG biometrics and highlight critical challenges that must be addressed for reliable real-world deployment.