ORIGINAL RESEARCH article

Front. Artif. Intell.

Sec. Medicine and Public Health

Volume 8 - 2025 | doi: 10.3389/frai.2025.1589358

Federated Knee Injury Diagnosis using Few Shot Learning

Provisionally accepted
Chirag  GoelChirag Goel1Anita  XAnita X1*JANI  ANBARASI LJANI ANBARASI L1Martin Leo Manickam  JMartin Leo Manickam J2
  • 1Vellore Institute of Technology (VIT), Chennai, India
  • 2St. Joseph's College of Engineering, Chennai, Tamil Nadu, India

The final, formatted version of the article will be published soon.

Knee injuries, especially Anterior Cruciate Ligament (ACL) tears and meniscus tears, are becoming increasingly common and can severely restrict mobility and quality of life. Early diagnosis is essential for effective treatment and for preventing long-term complications such as knee osteoarthritis. While deep learning approaches have shown promise in identifying knee injuries from MRI scans, they often require large amounts of labeled data, which can be both scarce and privacysensitive. This paper analyses a hybrid methodology that integrates few-shot learning with federated learning for the diagnosis of knee injuries using MRI scans. The proposed model used a 3DResNet50 architecture as the backbone to enhance both feature extraction and embedding representation. A combined Centralized and Federated Few-Shot Learning Framework is analysed to leverage episodicintermittent training strategy based on Prototypical Networks. The model is trained incorporating Stochastic Gradient Descent (SGD), Cross-Entropy Loss, and a MultiStep Learning Rate scheduler to enhance few-shot classification. This model also addressed the challenge of limited annotated data ensuring patient data privacy through distributed learning across multiple regions. The models performance was evaluated on the MRNet dataset for multi-label classification. In the centralized setting, the model achieved accuracies of 85.3% on axial views, 82.1% on sagittal views, and 71% on coronal views. The propose work attained accuracies as 83% (axial), 83.9% (sagittal), and 65% (coronal), demonstrating the framework's effectiveness across different learning configurations.

Keywords: Federated learning, few shot learning, Knee MRI, Medical image, MRNet

Received: 10 Mar 2025; Accepted: 27 Jun 2025.

Copyright: © 2025 Goel, X, ANBARASI L and J. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Anita X, Vellore Institute of Technology (VIT), Chennai, India

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