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Towards fair decentralized benchmarking of healthcare AI algorithms with the Federated Tumor Segmentation (FeTS) challenge

. 2025 Jul 08 ; 16 (1) : 6274. [epub] 20250708

Language English Country Great Britain, England Media electronic

Document type Journal Article

Grant support
R21 EB030209 NIBIB NIH HHS - United States
R21 CA270742 NCI NIH HHS - United States
U01 CA242871 NCI NIH HHS - United States
U24 CA279629 NCI NIH HHS - United States
P30 CA051008 NCI NIH HHS - United States
R37 CA214955 NCI NIH HHS - United States
Wellcome Trust - United Kingdom
UG3 CA236536 NCI NIH HHS - United States
U24 CA248265 NCI NIH HHS - United States
R01 CA233888 NCI NIH HHS - United States
UL1 TR001433 NCATS NIH HHS - United States
UH3 CA236536 NCI NIH HHS - United States

Links

PubMed 40628696
PubMed Central PMC12238412
DOI 10.1038/s41467-025-60466-1
PII: 10.1038/s41467-025-60466-1
Knihovny.cz E-resources

Computational competitions are the standard for benchmarking medical image analysis algorithms, but they typically use small curated test datasets acquired at a few centers, leaving a gap to the reality of diverse multicentric patient data. To this end, the Federated Tumor Segmentation (FeTS) Challenge represents the paradigm for real-world algorithmic performance evaluation. The FeTS challenge is a competition to benchmark (i) federated learning aggregation algorithms and (ii) state-of-the-art segmentation algorithms, across multiple international sites. Weight aggregation and client selection techniques were compared using a multicentric brain tumor dataset in realistic federated learning simulations, yielding benefits for adaptive weight aggregation, and efficiency gains through client sampling. Quantitative performance evaluation of state-of-the-art segmentation algorithms on data distributed internationally across 32 institutions yielded good generalization on average, albeit the worst-case performance revealed data-specific modes of failure. Similar multi-site setups can help validate the real-world utility of healthcare AI algorithms in the future.

Alberta Children's Hospital Research Institute University of Calgary Calgary AB Canada

Alberta Machine Intelligence Institute Edmonton AB Canada

American College of Radiology Reston VA USA

Athinoula A Martinos Center for Biomedical Imaging Massachusetts General Hospital Charlestown MA USA

Biomedical Engineering Program University of Calgary Calgary AB Canada

Brain Imaging and Neuro Epidemiology Group Luxembourg Institute of Health Luxembourg Luxembourg

Brown University Providence RI USA

Case Western Reserve University Cleveland OH USA

Catalan Institute of Oncology Badalona Spain

Center for AI and Data Science for Integrated Diagnostics University of Pennsylvania Philadelphia PA USA

Center for Federated Learning in Medicine Indiana University Indianapolis IN USA

Center for MR Research University Children's Hospital Zurich Zurich Switzerland

Center for Research and Innovation American College of Radiology Philadelphia PA USA

Centre de recherche du Centre hospitalier universitaire de Sherbrooke Sherbrooke QC Canada

Centre for Biomedical Image Analysis Faculty of Informatics Masaryk University Brno Czech Republic

Changping Laboratory Beijing China

Children's National Hospital Washington DC USA

City St George's University of London London UK

Clínica Imbanaco QuirónSalud Cali Colombia

Clinical Cooperation Unit Neuropathology German Cancer Consortium Heidelberg Germany

Clinical Radiology Laboratory Department of Medicine University of Patras Patras Greece

Clinix Healthcare Lagos Lagos Nigeria

College of Medicine and Public Health Flinders University Bedford Park SA Australia

Columbia University Data Science Institute New York NY USA

Consorci MAR Parc de Salut de Barcelona Catalonia Spain

Department of Bioengineering University of Texas at Dallas Dallas TX USA

Department of Biomedical and Molecular Sciences Queen's University Kingston ON Canada

Department of Biophysics Faculty of Medicine Masaryk University Brno Czech Republic

Department of Biostatistics Epidemiology and Informatics Perelman School of Medicine University of Pennsylvania Philadelphia PA USA

Department of Chemical Engineering Indian Institute of Technology Kanpur Kanpur Uttar Pradesh India

Department of Clinical Neurosciences Cumming School of Medicine University of Calgary Calgary AB Canada

Department of Computational Medicine and Bioinformatics University of Michigan Ann Arbor MI USA

Department of Computer Engineering Universidad Carlos 3 de Madrid Madrid Spain

Department of Computer Science and Engineering Beihang University Beijing China

Department of Computer Science and Engineering The Chinese University of Hong Kong Hong Kong SAR China

Department of Computer Science and Technology Zhejiang University Hangzhou China

Department of Computer Science Luddy School of Informatics Computing and Engineering Indiana University Indianapolis IN USA

Department of Computer Science Université de Sherbrooke Sherbrooke QC Canada

Department of Computer Science Vanderbilt University Nashville TN USA

Department of Data Science and AI Faculty of Information Technology Monash University Melbourne VIC Australia

Department of Diagnostic and Interventional Neuroradiology School of Medicine and Health Technical University of Munich Munich Germany

Department of Diagnostic Radiology University of Texas MD Anderson Cancer Center Houston TX USA

Department of Electrical and Computer Engineering University of Patras Patras Greece

Department of Electrical and Computer Engineering Vanderbilt University Nashville TN USA

Department of Electrical and Computer Systems Engineering Faculty of Engineering Monash University Melbourne VIC Australia

Department of Electrical Engineering Qazvin Branch Islamic Azad University Qazvin Iran

Department of Electrical Engineering Syed Babar Ali School of Science and Engineering LUMS Lahore Pakistan

Department of Engineering Design IIT Madras Chennai India

Department of Imaging The Clatterbridge Cancer Centre NHS Foundation Trust Liverpool UK

Department of Industrial and Systems Engineering Department of Radiation Oncology University of Iowa Iowa City IA USA

Department of Industrial and Systems Engineering University of Iowa Iowa City IA USA

Department of Informatics Federal University of Parana Curitiba Paraná Brazil

Department of Informatics Technical University of Munich Munich Germany

Department of Mathematics and Computer Science Universitat de Barcelona Artificial Intelligence in Medicine Lab Barcelona Spain

Department of Mathematics and Computer Science Universitat de Barcelona Barcelona Spain

Department of Mathematics National Taiwan Normal University Taipei Taiwan

Department of Medical Imaging Unity Health Toronto University of Toronto Toronto ON Canada

Department of Medical Physics UW Madison School of Medicine and Public Health University of Wisconsin Madison WI USA

Department of Neuroimaging and interventional Radiology National Institute of Mental Health and Neurosciences Bangalore India

Department of Neurological Surgery Indiana University School of Medicine Indianapolis IN USA

Department of Neurology and Clinical Neuroscience Center University Hospital Zurich and University of Zurich Zurich Switzerland

Department of Neurology Baylor College of Medicine Houston TX USA

Department of Neurooncology Neuromed Campus Kepler University Hospital Linz Linz Austria

Department of Neuropathology Heidelberg University Hospital Heidelberg Germany

Department of Neuroradiology and Clinical Neuroscience Center University Hospital Zurich and University of Zurich Zurich Switzerland

Department of Neuroradiology Heidelberg University Hospital Heidelberg Germany

Department of Neuroradiology Klinikum rechts der Isar Munich Germany

Department of Neuroradiology University of Michigan Ann Arbor MI USA

Department of NeuroRadiology University of Patras Patras Greece

Department of Neurosurgery NYU Grossman School of Medicine New York NY USA

Department of Neurosurgery University Hospital Brno and Faculty of Medicine Masaryk University Brno Czech Republic

Department of Neurosurgery University of Colorado Anschutz Medical Campus Aurora CO USA

Department of Neurosurgery University of Patras Patras Greece

Department of Neurosurgery Vanderbilt University Medical Center Nashville TN USA

Department of Nuclear Medicine and Radiobiology Sherbrooke Molecular Imaging Centre Université de Sherbrooke Sherbrooke QC Canada

Department of Oncology Queen's University Kingston ON Canada

Department of Pathology Memorial Sloan Kettering Cancer Center New York NY USA

Department of Public Health Sciences Henry Ford Health Detroit MI USA

Department of Quantitative Biomedicine University of Zurich Zurich Switzerland

Department of Radiation Oncology Christiana Care Health System Philadelphia PA USA

Department of Radiation Oncology Columbia University Irving Medical Center New York NY USA

Department of Radiation Oncology Henry Ford Health Detroit MI USA

Department of Radiation Oncology Icahn School of Medicine at Mount Sinai New York NY USA

Department of Radiation Oncology James Cancer Center The Ohio State University Columbus OH USA

Department of Radiation Oncology Sidney Kimmel Comprehensive Cancer Center Thomas Jefferson University Philadelphia PA USA

Department of Radiation Oncology University of Iowa Iowa City IA USA

Department of Radiation Oncology University of Maryland Baltimore MD USA

Department of Radiation Oncology University of Patras Patras Greece

Department of Radiation Physics The University of Texas MD Anderson Cancer Center Houston TX USA

Department of Radiodiagnosis and Imaging Tata Memorial Centre Tata Memorial Hospital HBNI Mumbai India

Department of Radiology and Biomedical Imaging University of California San Francisco San Francisco CA USA

Department of Radiology and Imaging Sciences Indiana University School of Medicine Indianapolis IN USA

Department of Radiology and Nuclear Medicine University Hospital Brno and Faculty of Medicine Masaryk University Brno Czech Republic

Department of Radiology Baylor College of Medicine Houston TX USA

Department of Radiology Biomedical Engineering Medical Physics University of Wisconsin School of Medicine and Public Health Madison WI USA

Department of Radiology Brigham and Women's Hospital Harvard Medical School Boston MA USA

Department of Radiology Cumming School of Medicine University of Calgary Calgary AB Canada

Department of Radiology Leeds Teaching Hospitals Trust Leeds UK

Department of Radiology Mayo Clinic Rochester MN USA

Department of Radiology Muhammad Abdullahi Wase Teaching Hospital Kano Nigeria

Department of Radiology Neuroradiology Division University of Pittsburgh Pittsburgh PA USA

Department of Radiology NYU Grossman School of Medicine New York NY USA

Department of Radiology Obafemi Awolowo University Ile Ife Ile Ife Osun Nigeria

Department of Radiology Perelman School of Medicine at the University of Pennsylvania Philadelphia PA USA

Department of Radiology Sidney Kimmel Cancer Center Thomas Jefferson University Philadelphia PA USA

Department of Radiology Stanford University Stanford CA USA

Department of Radiology University College Hospital Ibadan Oyo Nigeria

Department of Radiology UW Madison School of Medicine and Public Health University of Wisconsin Madison WI USA

Department of Radiology Washington University in St Louis St Louis MO USA

Department of Radiology Weill Cornell Medicine Cornell University New York NY USA

Departments of Neurosurgery and Neurology University of Colorado Anschutz Medical Campus Aurora CO USA

Division for Computational Radiology and Clinical AI University Hospital Bonn Bonn Germany

Division of Computational Pathology Department of Pathology and Laboratory Medicine Indiana University School of Medicine Indianapolis IN USA

Division of Neuroradiology and Neurointerventional Radiology MedStar Georgetown University Hospital Department of Radiology Washington DC USA

Division of Neurosurgery and Neuro Oncology Faculty of Medicine and Health Science Université de Sherbrooke Sherbrooke QC Canada

École Normale Supérieure Paris France

EPITA Le Kremlin Bicêtre France

Escuela Superior Politecnica del Litoral Guayaquil Guayas Ecuador

Factored Palo Alto CA USA

Faculty of Arts and Sciences Queen's University Kingston ON Canada

Faculty of Medicine and Health Sciences McGill University Montreal QC Canada

Faculty of Medicine University of Bonn Bonn Germany

Faculty of Science Technology and Medicine University of Luxembourg Esch sur Alzette Luxembourg

Federal Institute of Education Science and Technology of São Paulo Araraquara São Paulo Brazil

Federal University of Parana Curitiba Paraná Brazil

Fujian Normal University Fuzhou China

Fuzhou University Fuzhou China

German Cancer Research Center Heidelberg Division of Intelligent Medical Systems Heidelberg Germany

German Cancer Research Center Heidelberg Division of Medical Image Computing Heidelberg Germany

German Centre for Neurodegenerative Diseases Magdeburg Germany

Goethe University University Hospital Dr Senckenberg Institute of Neurooncology Frankfurt am Main Germany

Graduate School of Informatics Middle East Technical University Ankara Turkey

Graylight Imaging Gliwice Poland

Gustave Roussy Cancer Campus Villejuif France

Hasso Plattner Institute for Digital Health at Mount Sinai Icahn School of Medicine at Mount Sinai New York NY USA

Helmholtz Imaging German Cancer Research Center Heidelberg Germany

Hong Kong University of Science and Technology Hong Kong Hong Kong Special Administrative Region of China China

Hotchkiss Brain Institute University of Calgary Calgary AB Canada

IBM Research Dublin Ireland

Imperial College London London UK

Indian Institute of Information Technology Vadodara Gandhinagar India

Indian Institute of Technology Delhi India

Indiana University Melvin and Bren Simon Comprehensive Cancer Center Indianapolis IN USA

Innovation Center for Biomedical Informatics Georgetown University Washington DC USA

Institució Catalana de Recerca i Estudis Avançats Barcelona Spain

Institute for AI in Medicine University Hospital Essen Essen Germany

Institute for Anthropomatics and Robotics Karlsruhe Institute of Technology Karlsruhe Germany

Institute for cognitive neurology and dementia research Magdeburg Germany

Institute for Surgical Technology and Biomechanics University of Bern Bern Switzerland

Institute of Applied Mathematical Sciences National Taiwan University Taipei Taiwan

Institute of Computing University of Campinas Campinas São Paulo Brazil

Institute of Diagnostic and Interventional Neuroradiology RKH Klinikum Ludwigsburg Ludwigsburg Germany

Institute of Diagnostic and Interventional Radiology Pediatric Radiology and Neuroradiology University Medical Center Rostock Rostock Germany

Institute of High Performance Computing Singapore Singapore

Institute of Neuroradiology Neuromed Campus Kepler University Hospital Linz Linz Austria

Instituto de Neurologia de Curitiba Curitiba Paraná Brazil

Intel Corporation Santa Clara CA USA

ITERM Institute Helmholtz Zentrum Muenchen Neuherberg Germany

Leidos Biomedical Research Inc Frederick National Laboratory for Cancer Research Frederick MD USA

Maria Sklodowska Curie Memorial Cancer Center and Institute of Oncology Gliwice Poland

Mazumdar Shaw Medical Foundation Bengaluru India

Medical College of Wiconsin Milwaukee WI USA

Medical Faculty Heidelberg Heidelberg University Heidelberg Germany

Medical Research Group MLCommons San Francisco CA USA

Monash Biomedical Imaging Monash University Melbourne VIC Australia

MRI Lab KAIST Daejeon Korea

Nanjing University of Science and Technology Nanjing China

National Imaging Facility St Lucia QLD Australia

National Taiwan University of Science and Technology Taipei Taiwan

National Tsing Hua University Hsinchu Taiwan

National University of Singapore Yong Loo Lin School of Medicine Singapore Singapore

Neuroimaging Informatics and Analysis Center Washington University in St Louis St Louis MO USA

Neurology Clinic Heidelberg University Hospital Heidelberg Germany

NORLUX Neuro Oncology Laboratory Luxembourg Institute of Health Luxembourg Luxembourg

Novosibirsk State University Novosibirsk Russia

NVIDIA Santa Clara CA USA

Pattern Analysis and Learning Group Department of Radiation Oncology Heidelberg University Hospital Heidelberg Germany

Penn Statistics in Imaging and Visualization Center Perelman School of Medicine University of Pennsylvania Philadelphia PA USA

Radiology Department CDI and IDIBAPS Hospital Clinic of Barcelona Barcelona Spain

Riphah International University Islamabad Pakistan

Robert Bosch Center of Data Science and AI IIT Madras Chennai India

Sage Bionetworks Seattle WA USA

ScaDS AI Dresden Germany

School of Automation Northwestern Polytechnical University Xi'an China

School of Computer Science and Engineering Northwestern Polytechnical University Xi'an China

School of Computing Queen's University Kingston ON Canada

School of Data Engineering and AI Technologies Turku University of Applied Sciences Turku Finland

School of Electrical and Computer Engineering Cornell University Ithaca NY USA

School of Electronic Engineering and Computer Science Queen Mary University of London London UK

School of Psychological Sciences Monash University Melbourne VIC Australia

Shanghai Artificial Intelligence Laboratory Shanghai China

Shanghai Jiao Tong University Shanghai China

Sidney Kimmel Medical College Thomas Jefferson University Philadelphia PA USA

Silesian University of Technology Gliwice Poland

Skolkovo Institute of Science and Technology Moscow Russia

Sociedad de Lucha Contral el Cancer SOLCA Guayaquil Ecuador

South Australia Medical Imaging Flinders Medical Centre Bedford Park SA Australia

Support Center for Advanced Neuroimaging University Institute of Diagnostic and Interventional Neuroradiology University Hospital Bern Inselspital University of Bern Bern Switzerland

Symbiosis Center for Medical Image Analysis Symbiosis International University Pune India

The University of Edinburgh Edinburgh UK

TranslaTUM Central Institute for Translational Cancer Research Technical University of Munich Munich Germany

Ukrainian Catholic University Lviv Ukraine

Universidad Católica de Cuenca Cuenca Ecuador

Universidad de Concepción Concepción Chile

Universidad del Valle Cali Colombia

Universitas Islam Nahdlatul Ulama Jepara Jepara Indonesia

University of Alabama in Birmingham Birmingham AL USA

University of Alberta Edmonton AB Canada

University of Bergen Bergen Norway

University of Helsinki Helsinki Finland

University of North Carolina at Charlotte Charlotte NC USA

University of Southern California Los Angeles CA USA

University of Texas Southwestern Medical Center Dallas TX USA

University of Virginia Charlottesville VA USA

VinBrain Hanoi Vietnam

William S Middleton Memorial Veterans Affairs Madison WI USA

Windreich Department of Artificial Intelligence and Human Health Icahn School of Medicine at Mount Sinai New York NY USA

Yonsei University College of Medicine Seoul Korea

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