Harnessing the power of synthetic data in healthcare: innovation, application, and privacy
Open accessAbstract
Data-driven decision-making in modern healthcare underpins innovation and predictive analytics in public health and clinical research. Synthetic data has shown promise in finance and economics to improve risk assessment, portfolio optimization, and algorithmic trading. However, higher stakes, potential liabilities, and healthcare practitioner distrust make clinical use of synthetic data difficult. This paper explores the potential benefits and limitations of synthetic data in the healthcare analytics context. We begin with real-world healthcare applications of synthetic data that informs government policy, enhance data privacy, and augment datasets for predictive analytics. We then preview future applications of synthetic data in the emergent field of digital twin technology. We explore the issues of data quality and data bias in synthetic data, which can limit applicability across different applications in the clinical context, and privacy concerns stemming from data misuse and risk of re-identification. Finally, we evaluate the role of regulatory agencies in promoting transparency and accountability and propose strategies for risk mitigation such as Differential Privacy (DP) and a dataset chain of custody to maintain data integrity, traceability, and accountability. Synthetic data can improve healthcare, but measures to protect patient well-being and maintain ethical standards are key to promote responsible use.
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Because synthetic data are similar to but not the same as real data, they can be used to eliminate or mask personal identifiers and protect the confidentiality of human participants.
“because synthetic data are similar to but not the same as real data, they can be used to eliminate or mask personal identifiers and protect the confidentiality of human participants [31, 81, 200].”
From The ethics of using artificial intelligence in scientific research: new guidance needed for a new tool (2025) · cites this paper as [81]
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Cites
Auto-Encoding Variational Bayes
Kingma, D. P., & Welling, M. (2013) · arXiv · doi:10.48550/arxiv.1312.6114 · Cited by 20,067 · see citing works
Generative adversarial networks
Goodfellow, I., Pouget-Abadie, J., Mirza, M., Xu, B., Warde-Farley, D., Ozair, S., Courville, A., & Bengio, Y. (2020) · Communications of the ACM · doi:10.1145/3422622 · Cited by 18,384 · see citing works
k-ANONYMITY: A MODEL FOR PROTECTING PRIVACY
SWEENEY, L. (2002) · International Journal of Uncertainty, Fuzziness and Knowledge-Based Systems · doi:10.1142/s0218488502001648 · Cited by 8,571 · see citing works
Metropolis, N., & Ulam, S. (1949) · Journal of the American Statistical Association · doi:10.1080/01621459.1949.10483310 · Cited by 6,474 · cited 1× · see citing works
“This approach traces back to the foundational work of Stanislaw Ulam and John von Neumann in the 1940s, focusing on Monte Carlo simulation methods 7 .”
Dwork, C. (2006) · Lecture notes in computer science · doi:10.1007/11787006_1 · Cited by 5,945 · see citing works
Agent-based modeling: Methods and techniques for simulating human systems
Bonabeau, E. (2002) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.082080899 · Cited by 4,500 · see citing works
Addressing bias in big data and AI for health care: A call for open science
Norori, N., Hu, Q., Aellen, F. M., Faraci, F. D., & Tzovara, A. (2021) · Patterns · doi:10.1016/j.patter.2021.100347 · Cited by 903 · see citing works
Analysis of Dimensionality Reduction Techniques on Big Data
Gadekallu, T. R., Maddikunta, P. K. R., Lakshmanna, K., Kaluri, R., Rajput, D. S., Srivastava, G., & Baker, T. (2020) · IEEE Access · doi:10.1109/access.2020.2980942 · Cited by 896 · see citing works
Synthetic data in machine learning for medicine and healthcare
Chen, R. J., Lu, M. Y., Chen, T. Y., Williamson, D. F. K., & Mahmood, F. (2021) · Nature Biomedical Engineering · doi:10.1038/s41551-021-00751-8 · Cited by 728 · see citing works
Probabilistic Theory of Mean Field Games with Applications II
Carmona, R. A., & Delarue, F. (2018) · Probability theory and stochastic modelling · doi:10.1007/978-3-319-56436-4 · Cited by 575 · see citing works
Evaluation of artificial intelligence techniques in disease diagnosis and prediction
Nia, N. G., Kaplanoğlu, E., & Nasab, A. (2023) · Discover Artificial Intelligence · doi:10.1007/s44163-023-00049-5 · Cited by 462 · see citing works
Walonoski, J. A., Kramer, M. A., Nichols, J., Quina, A., Moesel, C., Hall, D., Duffett, C., Dube, K., Gallagher, T., & McLachlan, S. (2017) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocx079 · Cited by 440 · see citing works
Differentially Private Generative Adversarial NetworkPreprint
Xie, L., Lin, K., Wang, S., Wang, F., & Zhou, J. (2018) · arXiv (Cornell University) · doi:10.48550/arxiv.1802.06739 · Cited by 322 · see citing works
Synthetic data in health care: A narrative review
Gonzales, A., Guruswamy, G., & Smith, S. R. (2023) · PLOS Digital Health · doi:10.1371/journal.pdig.0000082 · Cited by 316 · see citing works
Learning Open Set Network with Discriminative Reciprocal Points
Chen, G., Qiao, L., Shi, Y., Peng, P., Li, J., Huang, T., Pu, S., & Tian, Y. (2020) · Lecture notes in computer science · doi:10.1007/978-3-030-58580-8_30 · Cited by 261 · see citing works
Xia, Y. (2020) · Progress in molecular biology and translational science · doi:10.1016/bs.pmbts.2020.04.003 · Cited by 217 · see citing works
COVID-19 CT Image Synthesis With a Conditional Generative Adversarial Network
Jiang, Y., Chen, H., Loew, M. H., & Ko, H. (2020) · IEEE Journal of Biomedical and Health Informatics · doi:10.1109/jbhi.2020.3042523 · Cited by 190 · see citing works
Forensic-chain: Blockchain based digital forensics chain of custody with PoC in Hyperledger Composer
Lone, A. H., & Mir, R. N. (2019) · Digital Investigation · doi:10.1016/j.diin.2019.01.002 · Cited by 169 · see citing works
Differential Privacy in Practice: Expose your Epsilons!
Dwork, C., Kohli, N., & Mulligan, D. K. (2019) · Journal of Privacy and Confidentiality · doi:10.29012/jpc.689 · Cited by 147 · see citing works
Human-AI Collaboration via Conditional Delegation: A Case Study of Content Moderation
Lai, V., Carton, S., Bhatnagar, R., Liao, Q. V., Zhang, Y., & Tan, C. (2022) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3491102.3501999 · Cited by 145 · see citing works
Benaim, A. R., Almog, R., Gorelik, Y., Hochberg, I., Nassar, L., Mashiach, T., Khamaisi, M., Lurie, Y., Azzam, Z. S., Khoury, J., et al. (2019) · JMIR Medical Informatics · doi:10.2196/16492 · Cited by 138 · see citing works
Brauneck, A., Schmalhorst, L., Kazemi Majdabadi, M. M., Bakhtiari, M., Völker, U., Baumbach, J., Baumbach, L., & Buchholtz, G. (2023) · Journal of Medical Internet Research · doi:10.2196/41588 · Cited by 130 · see citing works
Data-Driven Healthcare: Challenges and Opportunities for Interactive Visualization
Gotz, D., & Borland, D. (2016) · IEEE Computer Graphics and Applications · doi:10.1109/mcg.2016.59 · Cited by 120 · see citing works
Prediction Models — Development, Evaluation, and Clinical Application
Pencina, M. J., Goldstein, B. A., & D’Agostino, R. B. (2020) · New England Journal of Medicine · doi:10.1056/nejmp2000589 · Cited by 116 · see citing works
Linking Data for Mothers and Babies in De-Identified Electronic Health Data
Harron, K. L., Gilbert, R. E., Cromwell, D. A., & van der Meulen, J. (2016) · PLoS ONE · doi:10.1371/journal.pone.0164667 · Cited by 114 · see citing works
Synthetic Data -- what, why and how?Preprint
Jordon, J., Szpruch, Ł., Houssiau, F., et al. (2022) · arXiv (Cornell University) · doi:10.48550/arxiv.2205.03257 · Cited by 107 · see citing works
Differential privacy in health research: A scoping review
Ficek, J., Wang, W., Chen, H., Dagne, G. A., & Daley, E. M. (2021) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocab135 · Cited by 105 · see citing works
Mixed effect machine learning: A framework for predicting longitudinal change in hemoglobin A1c
Ngufor, C. G., Houten, H. V., Caffo, B. S., Shah, N. D., & McCoy, R. G. (2018) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2018.09.001 · Cited by 104 · see citing works
Re-identification attacks—A systematic literature review
Henriksen-Bulmer, J., & Jeary, S. (2016) · International Journal of Information Management · doi:10.1016/j.ijinfomgt.2016.08.002 · Cited by 80 · see citing works
HospiT'Win: A Predictive Simulation-Based Digital Twin for Patients Pathways in Hospital
Karakra, A., Fontanili, F., Lamine, E., & Lamothe, J. (2019) · 2019 IEEE EMBS International Conference on Biomedical & Health Informatics (BHI) · doi:10.1109/bhi.2019.8834534 · Cited by 79 · see citing works
Generation and evaluation of artificial mental health records for Natural Language Processing
Ive, J., Viani, N., Kam, J., Yin, L., Verma, S., Puntis, S., Cardinal, R. N., Roberts, A., Stewart, R. J., & Velupillai, S. U. (2020) · npj Digital Medicine · doi:10.1038/s41746-020-0267-x · Cited by 73 · see citing works
Cardiovascular models for personalised medicine: Where now and where next?
Hose, D. R., Lawford, P. V., Huberts, W., Hellevik, L. R., Omholt, S. W., & van de Vosse, F. N. (2019) · Medical Engineering & Physics · doi:10.1016/j.medengphy.2019.08.007 · Cited by 66 · see citing works
Generating Synthetic Data in Finance: Opportunities, Challenges and PitfallsPreprint
Assefa, S. (2020) · SSRN Electronic Journal · doi:10.2139/ssrn.3634235 · Cited by 63 · see citing works
Differentially Private Synthetic Data: Applied Evaluations and EnhancementsPreprint
Rosenblatt, L., Liu, X., Pouyanfar, S., de Leon, E., Desai, A., & Allen, J. (2020) · arXiv (Cornell University) · doi:10.48550/arxiv.2011.05537 · Cited by 45 · see citing works
Enanoria, W. T. A., Liu, F., Zipprich, J., Harriman, K. H., Ackley, S. F., Blumberg, S., Worden, L., & Porco, T. C. (2016) · PLoS ONE · doi:10.1371/journal.pone.0167160 · Cited by 40 · see citing works
Privacy and utility of private synthetic data for medical data analyses
Appenzeller, A., Leitner, M., Philipp, P., Krempel, E., & Beyerer, J. (2022) · Applied Sciences · doi:10.3390/app122312320 · Cited by 37 · see citing works
Synthetic patient data in health care: a widening legal loophole
Arora, A., & Arora, A. (2022) · The Lancet · doi:10.1016/s0140-6736(22)00232-x · Cited by 35 · see citing works
Out-of-distribution Detection and Generation using Soft Brownian Offset Sampling and Autoencoders
Möller, F., Botache, D., Huseljic, D., et al. (2021) · IEEE/CVF Conference on Computer Vision and Pattern Recognition Workshops (CVPRW) · doi:10.1109/cvprw53098.2021.00014 · Cited by 34 · see citing works
The Virtues of Interpretable Medical Artificial Intelligence
Hatherley, J. J., Sparrow, R., & Howard, M. (2022) · Cambridge Quarterly of Healthcare Ethics · doi:10.1017/s0963180122000305 · Cited by 30 · see citing works
Davis, P. B., Lay‐Yee, R., & Pearson, J. (2010) · Health Policy · doi:10.1016/j.healthpol.2010.05.014 · Cited by 28 · see citing works
Single-cell Digital Twins for Cancer Preclinical Investigation
Filippo, M. D., Damiani, C., Vanoni, M., Maspero, D., Mauri, G., Alberghina, L., & Pescini, D. (2019) · Methods in molecular biology · doi:10.1007/978-1-0716-0159-4_15 · Cited by 28 · see citing works
Building the hospital intelligent twins for all-scenario intelligence health care
Cheng, W., Lian, W., & Tian, J. (2022) · Digital Health · doi:10.1177/20552076221107894 · Cited by 27 · see citing works
Loong, B., Zaslavsky, A. M., He, Y., et al. (2013) · Statistics in Medicine · doi:10.1002/sim.5841 · Cited by 25 · see citing works
Modeling Health Care Policy Alternatives
Ringel, J. S., Eibner, C., Girosi, F., et al. (2010) · Health Services Research · doi:10.1111/j.1475-6773.2010.01146.x · Cited by 24 · see citing works
Symonds, P., Hutchinson, E. J., Ibbetson, A., Taylor, J., Milner, J., Chalabi, Z., Davies, M., & Wilkinson, P. (2019) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2019.134105 · Cited by 24 · see citing works
Characterization of Synthetic Health Data Using Rule-Based Artificial Intelligence Models
Lenatti, M., Paglialonga, A., Orani, V., Ferretti, M., & Mongelli, M. (2023) · IEEE Journal of Biomedical and Health Informatics · doi:10.1109/jbhi.2023.3236722 · Cited by 23 · see citing works
Sarve: synthetic data and local differential privacy for private frequency estimation
Varma, G., Chauhan, R., & Singh, D. (2022) · Cybersecurity · doi:10.1186/s42400-022-00129-6 · Cited by 18 · see citing works
Synthetic Data in HealthcarePreprint
McDuff, D., Curran, T. B., & Kadambi, A. (2023) · arXiv (Cornell University) · doi:10.48550/arxiv.2304.03243 · Cited by 16 · see citing works
Fidelity and Privacy of Synthetic Medical DataPreprint
Mendelevitch, O., & Lesh (2021) · arXiv (Cornell University) · doi:10.48550/arxiv.2101.08658 · Cited by 16 · see citing works
Tewari, A. (2023) · Journal of Medical Internet Research · doi:10.2196/46700 · Cited by 13 · see citing works
Teaching data science fundamentals through realistic synthetic clinical cardiovascular dataPreprint
Laderas, T., Vasilevsky, N., Pederson, B., et al. (2017) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/232611 · Cited by 12 · see citing works
Amoon, A. T., Arah, O. A., & Kheifets, L. (2019) · Cancer Causes & Control · doi:10.1007/s10552-019-01189-9 · Cited by 12 · see citing works
Sun, Z., Wang, F., & Hu, J. (2015) · ACM SIGKDD International Conference on Knowledge Discovery and Data Mining (KDD) · doi:10.1145/2783258.2783324 · Cited by 11 · see citing works
Sadiku, M. N. O., Shadare, A. E., & Musa, S. M. (2017) · International Journal of Advanced Research in Computer Science and Software Engineering · doi:10.23956/ijarcsse.v7i7.109 · Cited by 11 · see citing works
Zhang, J., Qian, H., & Zhou, H. (2019) · PubMed · doi:10.3969/j.issn.1671-7104.2019.06.005 · Cited by 11 · see citing works
Synthetic Data Generation with Differential Privacy via Bayesian Networks
Bao, E., Xiao, X., Zhao, J., et al. (2021) · Journal of Privacy and Confidentiality · doi:10.29012/jpc.776 · Cited by 10 · see citing works
Cockrell, C., Schobel, S., Lisboa, F., Yoram Vodovotz, B., & An, G. C. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.11.22.517524 · Cited by 9 · see citing works
BBS: A Blockchain Big-Data Sharing System
Wang, S., Yang, M., Ge, T., et al. (2022) · International Conference on Communications · doi:10.1109/icc45855.2022.9838666 · Cited by 7 · see citing works
Partially Synthesised Dataset to Improve Prediction Accuracy
Aljaaf, A. J., Al‐Jumeily, D., Hussain, A. J., Fergus, P., Al-Jumaily, M., & Hamdan, H. (2016) · Lecture notes in computer science · doi:10.1007/978-3-319-42291-6_84 · Cited by 6 · see citing works
Who is this Explanation for? Human Intelligence and Knowledge Graphs for eXplainable AIPreprint
Celino, I. (2020) · arXiv (Cornell University) · doi:10.48550/arxiv.2005.13275 · Cited by 2 · see citing works
Distribution-Based Similarity Measures Applied to Laboratory Results Matching
Courtois, M., Filiot, A., & Ficheur, G. (2021) · Studies in health technology and informatics · doi:10.3233/shti210823 · Cited by 1 · see citing works
Auditing for Human ExpertisePreprint
Alur, R., Laine, L., Li, D. K., et al. (2023) · arXiv (Cornell University) · doi:10.48550/arxiv.2306.01646 · Cited by 1 · see citing works
Flagged first, then by citations
Research works printed but not linked: 9
- [6]Philpott, D. A Guide to Federal Terms and Acronyms: Bernan Press; (2017)
- [13]MDClone Launches New Phase of Collaboration with Washington University in St. Louis. [cited 31 October 2019]. In: MDClone News [Internet]. Available from: https://www.mdclone.com/news-press/articles/mdclone-washington-university-collaboration (2019).
- [27]Sun, Z., Wang, F., Hu, J. LINKAGE: An approach for comprehensive risk prediction for care management. In: Cao L., Zhang C., editors. Proceedings of the ACM SIGKDD International Conference on Knowledge Discovery and Data Mining. Sydney, Australia. New York: Association for Computing Machinery; 2015. 1145–1154 (2015).
- [31]Das, H. P. et al Conditional Synthetic Data Generation for Robust Machine Learning Applications with Limited Pandemic Data arXiv:2109.0648609.06486arXiv:2109.06486Top of FormBottom of Form
- [40]Naeem, M. F., Oh, S. J., Uh, Y., Choi, Y. & Yoo, J. In International Conference on Machine Learning, 7176–7185 (PMLR, 2020).
- [41]Sajjadi, M. S., Bachem, O., Lucic, M., Bousquet, O. & Gelly, S. In Advances in Neural Information Processing Systems (2018).
- [42]Alaa, A. M., van Breugel, B., Saveliev, E. & van der Schaar, M. In International Conference on Machine Learning (2021).
- [70]Jordon, J., Yoon, J., & Van Der Schaar, M. PATE-GAN: Generating synthetic data with differential privacy guarantees. In International conference on learning representations. (2019).
- [72]Patel J Bhatt N Review of digital image forgery detection Int. J. Recent Innov. Trends Comput. Commun. 2017 5 152 155
Cited by
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Lekadir, K., Frangi, A. F., Porras, A. R., Glocker, B., Cintas, C., Langlotz, C. P., Weicken, E., Asselbergs, F. W., Prior, F., Collins, G. S., et al. (2025) · BMJ · doi:10.1136/bmj-2024-081554 · Cited by 957 · see citing works
Resnik, D. B., & Hosseini, M. (2025) · AI and Ethics · doi:10.1007/s43681-024-00493-8 · Cited by 228 · see citing works
“Also, because synthetic data are similar to but not the same as real data, they can be used to eliminate or mask personal identifiers and protect the confidentiality of human participants [31, 81, 200].”
Generating synthetic data for medical imaging
Koetzier, L. R., Wu, J., Mastrodicasa, D., Lutz, A., Chung, M., Koszek, W. A., Pratap, J., Chaudhari, A. S., Rajpurkar, P., Lungren, M. P., et al. (2024) · Radiology · doi:10.1148/radiol.232471 · Cited by 111 · see citing works
Digital twin systems for musculoskeletal applications: A current concepts review
Diniz, P., Grimm, B., Garcia, F., Fayad, J., Ley, C., Mouton, C., Oeding, J. F., Hirschmann, M. T., Samuelsson, K., & Seil, R. (2025) · Knee Surgery, Sports Traumatology, Arthroscopy · doi:10.1002/ksa.12627 · Cited by 60 · see citing works
Open Science at the generative AI turn: An exploratory analysis of challenges and opportunities
Hosseini, M., Horbach, S. P. J. M., Holmes, K., & Ross-Hellauer, T. (2025) · Quantitative Science Studies · doi:10.1162/qss_a_00337 · Cited by 40 · see citing works
The Impact of Generative Artificial Intelligence on Research Integrity in Scholarly Publishing
Chauhan, C., & Currie, G. (2024) · The American Journal of Pathology · doi:10.1016/j.ajpath.2024.10.001 · Cited by 22 · see citing works
- Authors
- Giuffrè, M., & Shung, D. L.
- Affiliations
- University of Trieste (IT)
- Yale University (US)
- Corresponding author
- Giuffrè, Mauro
- Venue
- npj Digital Medicine
- Published
- 2023-10-09
- Volume
- 6
- Issue
- 1
- Pages
- 186-186
- ISSN
- 2398-6352 (ISSN-L)
- PMC
- PMC10562365
- OpenAlex
- W4387457231
- Cited by
- 392
- References
- 62
- Citations by year
- 2026: 135 · 2025: 163 · 2024: 88 · 2023: 6
- FWCI
- 4.61
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- npj Digital Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ArTS Archivio della ricerca di Trieste (University of Trieste https://www.units.it/) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institutes of Health (UL1TR001863)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Physical Sciences › Computer Science › Artificial Intelligence › Privacy-Preserving Technologies in Data
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Keywords
- synthetic data, medical data analysis, data privacy, re-identification, differential privacy, digital twin, data bias, data quality, regulatory oversight, transparency and accountability, predictive analytics, patient data protection
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