zkFL-Health: Blockchain-Enabled Zero-Knowledge Federated Learning for Medical AI Privacy
Bibliographic record
Abstract
Healthcare AI needs large, diverse datasets, yet strict privacy and governance constraints prevent raw data sharing across institutions. Federated learning (FL) mitigates this by training where data reside and exchanging only model updates, but practical deployments still face two core risks: (1) privacy leakage via gradients or updates (membership inference, gradient inversion) and (2) trust in the aggregator, a single point of failure that can drop, alter, or inject contributions undetected. We present zkFL-Health, an architecture that combines FL with zero-knowledge proofs (ZKPs) and Trusted Execution Environments (TEEs) to deliver privacy-preserving, verifiably correct collaborative training for medical AI. Clients locally train and commit their updates; the aggregator operates within a TEE to compute the global update and produces a succinct ZK proof (via Halo2/Nova) that it used exactly the committed inputs and the correct aggregation rule, without revealing any client update to the host. Verifier nodes validate the proof and record cryptographic commitments on-chain, providing an immutable audit trail and removing the need to trust any single party. We outline system and threat models tailored to healthcare, the zkFL-Health protocol, security/privacy guarantees, and a performance evaluation plan spanning accuracy, privacy risk, latency, and cost. This framework enables multi-institutional medical AI with strong confidentiality, integrity, and auditability, key properties for clinical adoption and regulatory compliance.
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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 | 0.005 | 0.015 |
| 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 | 0.002 |
| Scholarly communication | 0.003 | 0.005 |
| Open science | 0.002 | 0.009 |
| Research integrity | 0.002 | 0.003 |
| Insufficient payload (model declined to judge) | 0.011 | 0.003 |
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".