2026-06-01 北海道大学
研究成果の概要図
＜関連情報＞
時間的要素を考慮した連合型適応による、パーソナライズされた長期医療レポート生成 Personalized Longitudinal Medical Report Generation via Temporally-Aware Federated Adaptation
He Zhu, Ren Togo, Takahiro Ogawa, Kenji Hirata, Minghui Tang, Takaaki Yoshimura, Hiroyuki Sugimori, Noriko Nishioka, Yukie Shimizu, Kohsuke Kudo, Miki Haseyama
arXiv Submitted on 23 Feb 2026
DOI:https://doi.org/10.48550/arXiv.2602.19668
Abstract
Longitudinal medical report generation is clinically important yet remains challenging due to strict privacy constraints and the evolving nature of disease progression. Although federated learning (FL) enables collaborative training without data sharing, existing FL methods largely overlook longitudinal dynamics by assuming stationary client distributions, making them unable to model temporal shifts across visits or patient-specific heterogeneity-ultimately leading to unstable optimization and suboptimal report generation.
We introduce Federated Temporal Adaptation (FTA), a federated setting that explicitly accounts for the temporal evolution of client data. Building upon this setting, we propose FedTAR, a framework that integrates demographic-driven personalization with time-aware global aggregation. FedTAR generates lightweight LoRA adapters from demographic embeddings and performs temporal residual aggregation, where updates from different visits are weighted by a meta-learned temporal policy optimized via first-order MAML.
Experiments on J-MID (1M exams) and MIMIC-CXR demonstrate consistent improvements in linguistic accuracy, temporal coherence, and cross-site generalization, establishing FedTAR as a robust and privacy-preserving paradigm for federated longitudinal modeling.
