Privacy Leakage in Federated Learning in Radiology Reports: A Comparative Evaluation of Tokenizer-Driven Privacy Risks
Authors: Santhosh Parampottupadam, Andres Martinez, Dimitrios Bounias, Sinem Sav, Klaus Maier-Hein, Ralf Floca
Organizations: German Cancer Research Center (DKFZ), Division of Medical Image Computing, Heidelberg, Germany · Medical Faculty Heidelberg, Heidelberg University, Heidelberg, Germany · Department of Computer Engineering, Bilkent University, Universiteler 06800 Çankaya/Ankara, Türkiye · Pattern Analysis and Learning Group, Department of Radiation Oncology, Heidelberg University Hospital, 69120 Heidelberg, Germany
Abstract
Federated learning (FL) enables multi-institutional training on clinical text without sharing raw data, but gradient inversion can reconstruct sensitive information from shared model updates. The extent of this leakage for radiology reports, and the role of tokenizer design, remains unclear. We quantify gradient-based text reconstruction in FL and compare privacy risk across three tokenizers with the model architecture held fixed. Six FL clients trained a GPT-2-style transformer (sequence length 32) on public radiology corpora (368,751 diagnostic reports, 98,206 discharge summaries, 1,500 MIMIC-CXR free-text reports) using the GPT-2, RadBERT, and LLaMA-2 tokenizers at batch sizes of 64, 128, and 256. Assuming an active malicious server that modifies the shared architecture before distribution, we applied analytic gradient inversion and measured reconstruction fidelity over five runs. Exact sentence reconstruction ranged from 31% to 44% across tokenizers (30.6-43.5% across the 27 tokenizer x dataset x batch-size cells). At batch size 64 on the Discharge dataset, accuracy was 42.1% (GPT-2), 42.3% (RadBERT), and 39.4% (LLaMA-2), decreasing to 37.3%, 37.2%, and 34.3% at batch size 256. S-BLEU declined as batch size grew (GPT-2: 0.44 to 0.33; RadBERT: 0.48 to 0.35). RadBERT yielded the highest reconstruction fidelity and recovered the most clinical terms (18.1% of a 1,440-term reference vocabulary, vs 12.5% for GPT-2 and 9.4% for LLaMA-2), yet no tokenizer prevented leakage. Substantial portions of report text are therefore recoverable from FL gradients even at larger batch sizes and with domain-specific tokenizers. Tokenizer design influences leakage severity and is a privacy-relevant decision, not only a utility one; safeguards such as secure aggregation and differential privacy are likely necessary to meet HIPAA and GDPR requirements for FL in radiology NLP.
Federated learning (FL) enables multiple data holders to train machine learning models collaboratively without centralizing raw data, making it useful in privacy sensitive domains such as healthcare and institutional data sharing. FL keeps data local to clients while communicating only model updates, such as gradients or model deltas. Nevertheless, these updates can expose private client data through gradient inversion attacks (GIAs). We study this risk for tabular FL under an honest-but-curious server threat model across FL protocols, client batch sizes, training stages, attacker assumptions, model architectures, and binary classification, multiclass classification, and regression tasks. We use MIMIC-IV and complementary benchmark datasets. Our evaluation distinguishes numerical and categorical recovery, baseline recoverability, feature level recovery, and exact match rate (EMR). We evaluate FedSGD gradients and FedAvg model deltas with an exposure aligned protocol, comparing attacked models after matched client data exposure rather than matched communication rounds. We compare multilayer perceptron (MLP), ResNet, and FT-Transformer models, and isolate architecture effects through an MLP grid over width, depth, activation, normalization, and dropout. The results show that small client batches and updates representing few distinct records are most vulnerable. Larger local batches and stronger aggregation reduce reconstruction but do not eliminate leakage. FT-Transformer is consistently harder to invert than one-hot baselines, while reconstructability also varies substantially within the MLP family. These findings identify architecture as a practical privacy variable in tabular FL. We also show that aggregate reconstruction accuracy can overstate complete record recovery in sparse data, making EMR and baseline comparisons essential.
Ivo Osterberg Nilsson, Maximilian Birr Engvall, Viktor Valadi +1
Gradient inversion attacks threaten client privacy in federated learning by reconstructing training samples from clients' shared gradients. Gradients aggregate contributions from multiple records and existing attacks may fail to disentangle them, yielding incorrect reconstructions with no intrinsic way to certify success. In vision and language, attackers may fall back on human inspection to judge reconstruction plausibility, but this is far less feasible for numerical tabular records, fueling the impression that tabular data is less vulnerable. We challenge this perception by proposing a verifiable gradient inversion attack (VGIA) that provides an explicit certificate of correctness for reconstructed samples. Our method adopts a geometric view of ReLU leakage: the activation boundary of a fully connected layer defines a hyperplane in input space. VGIA introduces an algebraic, subspace-based verification test that detects when a hyperplane-delimited region contains exactly one record. Once isolation is certified, VGIA recovers the corresponding feature vector analytically and reconstructs the target via a lightweight optimization step. Experiments on tabular benchmarks with large batch sizes demonstrate exact record and target recovery in regimes where existing state-of-the-art attacks either fail or cannot assess reconstruction fidelity. Compared to prior geometric approaches, VGIA allocates hyperplane queries more effectively, yielding faster reconstructions with fewer attack rounds.
The increasing demand for data privacy, alongside the benefits of aggregating data from networked devices, has catalyzed the emergence of federated learning (FL). In FL, clients jointly train a global model by sharing gradients computed over private data. While this paradigm eliminates the need to exchange raw data, inference attacks can still be launched to extract sensitive information from gradients. To this end, partial gradient encryption has emerged as a promising design for balancing privacy and efficiency in practical FL systems, as encrypting only the classification-head gradients is believed to prevent known inference attacks while avoiding the high computational cost of encrypting the entire model. However, this design provides a false sense of privacy. By proposing GDBR, we show that sharing even a single unencrypted layer of gradients can lead to serious privacy leakage. GDBR is the first attack capable of high-fidelity label recovery with partial access to the gradients. It exploits a vulnerability in a commonly used neural building block, constructs a gradient bridge from the unencrypted layer to the final output layer, and approximates the logits information for accurate inference of private labels. These inferred labels not only reveal sensitive information about a client's private dataset but also serve as a prerequisite for many downstream attacks, such as data reconstruction and membership inference. GDBR brings these threats squarely into scope for FL systems employing partial encryption. In addition to theoretical analysis, extensive experiments demonstrate the severity of the problem across a wide variety of datasets and model architectures, including convolutional and transformer-based networks. Overall, our findings challenge the widespread assumption that encrypting only the output layer suffices for privacy protection.