Abstract
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.
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Sarmistha Sarna Gomasta, Bhawana Chhaglani, Prashant Shenoy
Jul 30, 2026cs.CR
Federated learning enables multiple institutions to collaboratively train a shared model without exchanging their raw data. However, individual model updates are data-dependent and may reveal information about clients' local training data. This paper presents a privacy-preserving federated learning framework for clinical EEG data that uses masking-based secure aggregation as its core protection mechanism. The framework combines graph-based communication, threshold secret sharing, dropout recovery, local update clipping, an optional Bloom filter-based privacy-preserving record-linkage initialization module, and auxiliary-notary-based verifiability. It supports semi-honest and malicious aggregation settings and is implemented using the Flower federated learning framework. The secure aggregation variants are evaluated in a simulated cross-silo healthcare setting using TUH EEG-derived data under different client configurations. Under the stated assumptions, the secure variants hide individual updates from the aggregation server. The results show that these variants remain compatible with federated model training, although malicious-setting safeguards and lightweight consistency-checking mechanisms introduce additional computation, communication, and round-duration overhead. Among the proposed secure configurations, the base semi-honest variant incurs the lowest overhead; the malicious-server variants add protocol-consistency and authenticity safeguards, and the auxiliary-notary variants add lightweight aggregate-consistency checking.
Pouya Rajabi, Mohsen Toorani
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A shared electrocardiogram (ECG) is itself a biometric fingerprint that can re-identify a patient and reveal personal information. Recent ECG anonymizers transform the signal before sharing to reduce privacy leakage. However, existing methods still face a privacy--utility trade-off, in which preserving privacy often compromises utility while preserving utility reveals personal information. We propose \emph{REAN} (\emph{RE}construction-aware ECG \emph{AN}onymizer), a raw ECG signal anonymizer, to address this privacy--utility trade-off. REAN reconstructs the signal using a 1-D U-Net trained with losses from frozen privacy and utility classifiers to reduce privacy leakage while preserving utility. The privacy and utility gradients are near-orthogonal (
≈93.8
∘), so reducing privacy leakage leaves utility almost unchanged. On four public PhysioNet databases, REAN achieves the strongest privacy--utility balance among raw ECG signal baselines. It drives re-identification to chance (0.96
→0.00), keeps arrhythmia macro-AUROC at the clean level (Clean 0.9982 vs.\ REAN 0.9991), and maintains re-identification protection under unseen privacy-classifier architectures.
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