Efficient and Accurate Cloud-Assisted Medical Pre-Diagnosis With Privacy Preservation
Bibliographic record
Abstract
The emergence of cloud computing enables various healthcare institutions to outsource pre-diagnostic models and provide timely and convenient services for patients. However, healthcare institutions and patients have serious concerns about potential privacy leakage as cloud servers cannot be fully trusted. In this paper, a privacy-preserving cloud-assisted medical pre-diagnosis scheme, named NAIAD, is proposed, where patients can securely query the outsourced model and obtain their pre-diagnostic results. Specifically, the pre-diagnostic model is constructed on$k$-Nearest Neighbor ($k$NN), and Mahalanobis Distance (MD) is chosen as the similarity metric to achieve high accuracy. Accordingly, a secure MD-based comparison method (SMDC) is designed based on a matrix encryption technique. The method is a basic module of NAIAD that enables cloud servers to compare encrypted medical records and achieve privacy-preserving$k$NN-based pre-diagnosis with linear complexity. To further improve the computational efficiency, medical records are first clustered and encrypted to construct a hierarchical index tree, then patients can query the tree to speed up the query process. Detailed security analysis indicates NAIAD can resist closeness-same-pattern chosen-plaintext attack, and extensive experiments on real-world and synthetic databases demonstrate NAIAD has high query efficiency and pre-diagnosis accuracy.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".