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Paper · arXiv

MedFL-Stress: A Systematic Robustness Evaluation of Federated Brain Tumor Segmentation under Cross-Hospital MRI Appearance Shift

Federated learning enables hospitals to collaboratively train segmentation models without sharing patient data. However, current evaluation protocols report only average performance across clients, masking failures at individual sites. In clinical deployment, a model that fails consistently at one hospital is a real safety risk that a good mean score can hide entirely. We introduce MedFL-Stress, a controlled stress-testing framework that exposes exactly this failure mode. Using 2D axial slices from BraTS 2020 distributed across four simulated hospital clients, we apply graded MRI appearance shifts (gamma contrast, scale-shift, and noise-plus-blur) reflecting scanner and acquisition variab...

AuthorsKiran Naseer, Naveed Anwer Butt
Primary categorycs.CV
Published9 May 2026
Last updated at source9 May 2026
cs.CVcs.LG
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