IEEE J Biomed Health Inform. 2014 Jan;18(1):56-66. doi: 10.1109/JBHI.2013.2274899.
A clinical decision support system forms a critical capability to link health observations with health knowledge to influence choices by clinicians for improved healthcare. Recent trends toward remote outsourcing can be exploited to provide efficient and accurate clinical decision support in healthcare. In this scenario, clinicians can use the health knowledge located in remote servers via the Internet to diagnose their patients. However, the fact that these servers are third party and therefore potentially not fully trusted raises possible privacy concerns. In this paper, we propose a novel privacy-preserving protocol for a clinical decision support system where the patients' data always remain in an encrypted form during the diagnosis process. Hence, the server involved in the diagnosis process is not able to learn any extra knowledge about the patient's data and results. Our experimental results on popular medical datasets from UCI-database demonstrate that the accuracy of the proposed protocol is up to 97.21% and the privacy of patient data is not compromised.
临床决策支持系统是将健康观测结果与健康知识联系起来,以影响临床医生的决策,从而改善医疗保健的关键能力。最近向远程外包的趋势可以被利用来提供高效和准确的医疗保健临床决策支持。在这种情况下,临床医生可以通过互联网使用位于远程服务器上的健康知识来诊断他们的患者。然而,这些服务器是第三方的,因此可能不完全可信,这引发了可能的隐私问题。在本文中,我们提出了一种新的隐私保护协议,用于临床决策支持系统,其中在诊断过程中患者的数据始终保持加密形式。因此,参与诊断过程的服务器无法学习有关患者数据和结果的任何额外知识。我们在 UCI 数据库中的流行医疗数据集上的实验结果表明,所提出协议的准确性高达 97.21%,并且患者数据的隐私不会受到损害。