RT Journal Article SR Electronic T1 Breaking medical data sharing boundaries by using synthesized radiographs JF Science Advances JO Sci Adv FD American Association for the Advancement of Science SP eabb7973 DO 10.1126/sciadv.abb7973 VO 6 IS 49 A1 Han, Tianyu A1 Nebelung, Sven A1 Haarburger, Christoph A1 Horst, Nicolas A1 Reinartz, Sebastian A1 Merhof, Dorit A1 Kiessling, Fabian A1 Schulz, Volkmar A1 Truhn, Daniel YR 2020 UL http://advances.sciencemag.org/content/6/49/eabb7973.abstract AB Computer vision (CV) has the potential to change medicine fundamentally. Expert knowledge provided by CV can enhance diagnosis. Unfortunately, existing algorithms often remain below expectations, as databases used for training are usually too small, incomplete, and heterogeneous in quality. Moreover, data protection is a serious obstacle to the exchange of data. To overcome this limitation, we propose to use generative models (GMs) to produce high-resolution synthetic radiographs that do not contain any personal identification information. Blinded analyses by CV and radiology experts confirmed the high similarity of synthesized and real radiographs. The combination of pooled GM improves the performance of CV algorithms trained on smaller datasets, and the integration of synthesized data into patient data repositories can compensate for underrepresented disease entities. By integrating federated learning strategies, even hospitals with few datasets can contribute to and benefit from GM training.