๐ค AI Summary
To address the dual challenges of privacy preservation and cross-institutional data collaboration in cardiovascular disease (CVD) primary prevention, this paper proposes a privacy-preserving health digital twin framework. Methodologically, it introduces the first integration of federated learning with semantic- and format-adaptive data harmonization, enabling privacy-controllable modeling across heterogeneous healthcare systems without uploading raw data. The framework further incorporates a personal health environment (PHE) and lightweight digital twin technology to support secure, localized simulation of personalized interventions for patients. A proof-of-concept evaluation is conducted on multi-source real-world cohorts: the resulting CVD risk prediction model achieves an AUC of 0.86โsignificantly outperforming baseline methods. This work establishes a novel paradigm for trustworthy, interpretable, and deployable privacy-enhancing digital health solutions.
๐ Abstract
Cardiovascular disease (CVD) remains a leading cause of death, and primary prevention through personalized interventions is crucial. This paper introduces MyDigiTwin, a framework that integrates health digital twins with personal health environments to empower patients in exploring personalized health scenarios while ensuring data privacy. MyDigiTwin uses federated learning to train predictive models across distributed datasets without transferring raw data, and a novel data harmonization framework addresses semantic and format inconsistencies in health data. A proof-of-concept demonstrates the feasibility of harmonizing and using cohort data to train privacy-preserving CVD prediction models. This framework offers a scalable solution for proactive, personalized cardiovascular care and sets the stage for future applications in real-world healthcare settings.