Privacy-Net: An Adversarial Approach for Identity-Obfuscated Segmentation of Medical Images
Open accessAbstract
This paper presents a client/server privacy-preserving network in the context of multicentric medical image analysis. Our approach is based on adversarial learning which encodes images to obfuscate the patient identity while preserving enough information for a target task. Our novel architecture is composed of three components: 1) an encoder network which removes identity-specific features from input medical images, 2) a discriminator network that attempts to identify the subject from the encoded images, 3) a medical image analysis network which analyzes the content of the encoded images (segmentation in our case). By simultaneously fooling the discriminator and optimizing the medical analysis network, the encoder learns to remove privacy-specific features while keeping those essentials for the target task. Our approach is illustrated on the problem of segmenting brain MRI from the large-scale Parkinson Progression Marker Initiative (PPMI) dataset. Using longitudinal data from PPMI, we show that the discriminator learns to heavily distort input images while allowing for highly accurate segmentation results. Our results also demonstrate that an encoder trained on the PPMI dataset can be used for segmenting other datasets, without the need for retraining. The code is made available at: https://github.com/bachkimn/Privacy-Net-An-Adversarial-Approach-forIdentity-Obfuscated-Segmentation-of-MedicalImages.
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Deidentified medical images could be reidentified in medical image analysis because of the massive amount of image data used in training.
“One example is medical image analysis, as deidentified medical images could be reidentified in medical image analysis because of the massive amount of image data used in training [39].”
From Generative AI in medical practice: in-depth exploration of privacy and security challenges (2024) · cites this paper as [39]
The Introduction says that removing patient-related image tags does not prevent identification: the raw image content can reveal a person’s identity. The paper attributes that risk to information in the images, not to the massive amount of image data used in training; that causal explanation is unsupported. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThe identity-obfuscated segmentation framework integrates an encoder, a binary classifier, and a segmentation analysis network to safeguard medical data privacy while preserving the integrity and efficacy of medical image segmentation.
“This framework integrates an encoder, a binary classifier, and a segmentation analysis network to form a robust approach to safeguard medical data privacy while preserving the integrity and efficacy of medical image segmentation.”
From Generative AI in medical practice: in-depth exploration of privacy and security challenges (2024) · cites this paper as [39]
An innovative adversarial training method focused on identity-obfuscated segmentation has been proposed to address exposure of individual identities.
“An innovative adversarial training method focused on identity-obfuscated segmentation has been proposed to address this challenge [39].”
From Generative AI in medical practice: in-depth exploration of privacy and security challenges (2024) · cites this paper as [39]
Noise-to-image and image-to-image GANs have been used to synthesize realistic training magnetic resonance imaging images to boost the performance of convolutional neural networks for image diagnostic AI.
“Noise-to-image and image-to-image GANs have been used to synthesize realistic training magnetic resonance imaging images to boost the performance of convolutional neural networks for image diagnostic AI [39,72].”
From Generative AI in medical practice: in-depth exploration of privacy and security challenges (2024) · cites this paper as [39]
The Introduction describes an adversarial encoder that obfuscates patient identity in MRI images while preserving information for a segmentation CNN. The Related Works section discusses adversarial learning for privacy, and the robustness analysis concerns distorted encoded images. Searches for noise-to-image and image-to-image GANs, synthetic MRI training images, and improved diagnostic performance found no passage addressing the attributed claim. (LLM, conf=0.76)
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Cited by
Sorted by citations
Generative AI in medical practice: in-depth exploration of privacy and security challenges
Chen, Y., & Esmaeilzadeh, P. (2024) · Journal of Medical Internet Research · doi:10.2196/53008 · Cited by 353 · see citing works
“Noise-to-image and image-to-image GANs have been used to synthesize realistic training magnetic resonance imaging images to boost the performance of convolutional neural networks for image diagnostic AI [39,72].”
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
- Authors
- Kim, B. N., Dolz, J., Jodoin, P.-M., & Desrosiers, C.
- Affiliations
- École de Technologie Supérieure (CA)
- Université de Sherbrooke (CA)
- Venue
- IEEE Transactions on Medical Imaging
- Published
- 2021-07
- Volume
- 40
- Issue
- 7
- Pages
- 1737-1749
- ISSN
- 0278-0062 (ISSN-L)
- 1558-254X
- OpenAlex
- W3003567739
- Cited by
- 43
- References
- 5
- Citations by year
- 2026: 5 · 2025: 11 · 2024: 12 · 2023: 8 · 2022: 3 · 2021: 4
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- green
- arxiv.org
- Licence
- Locations
- IEEE Transactions on Medical Imaging (publishedVersion)
- PubMed (publishedVersion)
- arXiv (Cornell University) (submittedVersion)
- Espace ÉTS (ETS) (submittedVersion)
- arXiv (Cornell University)
- Funders
- Natural Sciences and Engineering Research Council of Canada (RGPIN-2017-758170, RGPIN-2018-05715)
- Reseau de BioImagrie du Quebec (247388)
- NVIDIA Corporation through their GPU grant program
- Topics
- Physical Sciences › Computer Science › Artificial Intelligence › Privacy-Preserving Technologies in Data
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Medical Image Segmentation Techniques
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Keywords
- identity obfuscation, adversarial learning, medical image segmentation, brain MRI segmentation, Parkinson's disease, feature removal, domain adaptation
- MeSH terms
- Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Privacy
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