Blockchain-Based Privacy-Enhancing Federated Learning in Smart Healthcare: A Survey

Abstract

Federated learning (FL) has emerged as an efficient machine learning (ML) method with crucial privacy protection features. It is adapted for training models in Internet of Things (IoT)-related domains, including smart healthcare systems (SHSs), where the introduction of IoT devices and technologies can arise various security and privacy concerns. However, as FL cannot solely address all privacy challenges, privacy-enhancing technologies (PETs) and blockchain are often integrated to enhance privacy protection in FL frameworks within SHSs. The critical questions remain regarding how these technologies are integrated with FL and how they contribute to enhancing privacy protection in SHSs. This survey addresses these questions by investigating the recent advancements on the combination of FL with PETs and blockchain for privacy protection in smart healthcare. First, this survey emphasizes the critical integration of PETs into the FL context. Second, to address the challenge of integrating blockchain into FL, it examines three main technical dimensions such as blockchain-enabled model storage, blockchain-enabled aggregation, and blockchain-enabled gradient upload within FL frameworks. This survey further explores how these technologies collectively ensure the integrity and confidentiality of healthcare data, highlighting their significance in building a trustworthy SHS that safeguards sensitive patient information.