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Peer-reviewedCC BYScientific Reports

MST-former: multiparty shared representation enabled transformer for secure medical image analysis

7 affiliations
  1. 1Information Technology Department, College of Computer and Information Sciences, Imam Mohammad Ibn Saud Islamic University (IMSIU)
  2. 2Saudi Electronic University
  3. 3College of Computer and Information Sciences, Imam Mohammad Ibn Saud Islamic University (IMSIU)
  4. 4Department of Information Systems, College of Computer and Information Sciences, Princess Nourah Bint Abdulrahman University
  5. 5Department of Computer Science, College of Computer Engineering and Sciences, Prince Sattam Bin Abdulaziz University
  6. 6Department of Information System, College of Computer and Information Sciences, Princess Nourah Bint Abdulrahman University
  7. 7Department of Intelligent Systems, KTH Royal Institute of Technology

Abstract

Privacy-preserving collaborative medical image analysis across multiple healthcare institutions remains challenging due to data heterogeneity, patient privacy constraints, and incomplete cross-institutional record alignment. To address these limitations, this paper proposes MST-Former, a multiparty shared transformer framework that enables secure embedding fusion without sharing raw medical images. The framework combines a deep reinforced autoencoder (DRA) for local representation learning with adaptive positional encoding, dynamic attention masking, and transformer-based embedding aggregation to facilitate robust cross-institutional knowledge integration. In addition, a contrastive learning strategy is employed to enhance representation consistency across heterogeneous imaging sources. Extensive experiments conducted on multiple benchmark medical imaging datasets demonstrate that MST-Former consistently outperforms existing methods in segmentation and prediction performance while preserving data confidentiality. Across multiple medical image segmentation datasets, MST-Former consistently achieved strong performance, with mDice scores ranging from 92.73 to 94.95% and mIoU scores ranging from 87.31 to 92.65%, demonstrating its effectiveness and generalization capability. These results highlight the effectiveness of MST-Former as a scalable and privacy-preserving solution for collaborative medical image analysis in distributed healthcare environments.

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BibTeX
@article{khan2026mstformer,
  title = {{MST-former: multiparty shared representation enabled transformer for secure medical image analysis}},
  author = {Shakir Khan and Thamer Alshammari and Fahad Omar Alomary and Hadeel Alsolai and Sultan Ahmad and Bayan Ibrahimm Alabduallah and Fatimah Alhayan and Saqib Qamar},
  journal = {Scientific Reports},
  year = {2026},
  month = sep,
  doi = {10.1038/s41598-026-72504-z},
  url = {https://doi.org/10.1038/s41598-026-72504-z},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - MST-former: multiparty shared representation enabled transformer for secure medical image analysis
AU  - Shakir Khan
AU  - Thamer Alshammari
AU  - Fahad Omar Alomary
AU  - Hadeel Alsolai
AU  - Sultan Ahmad
AU  - Bayan Ibrahimm Alabduallah
AU  - Fatimah Alhayan
AU  - Saqib Qamar
PY  - 2026
DA  - 2026/09/01
JO  - Scientific Reports
DO  - 10.1038/s41598-026-72504-z
UR  - https://doi.org/10.1038/s41598-026-72504-z
AB  - Privacy-preserving collaborative medical image analysis across multiple healthcare institutions remains challenging due to data heterogeneity, patient privacy constraints, and incomplete cross-institutional record alignment. To address these limitations, this paper proposes MST-Former, a multiparty shared transformer framework that enables secure embedding fusion without sharing raw medical images. The framework combines a deep reinforced autoencoder (DRA) for local representation learning with adaptive positional encoding, dynamic attention masking, and transformer-based embedding aggregation to facilitate robust cross-institutional knowledge integration. In addition, a contrastive learning strategy is employed to enhance representation consistency across heterogeneous imaging sources. Extensive experiments conducted on multiple benchmark medical imaging datasets demonstrate that MST-Former consistently outperforms existing methods in segmentation and prediction performance while preserving data confidentiality. Across multiple medical image segmentation datasets, MST-Former consistently achieved strong performance, with mDice scores ranging from 92.73 to 94.95% and mIoU scores ranging from 87.31 to 92.65%, demonstrating its effectiveness and generalization capability. These results highlight the effectiveness of MST-Former as a scalable and privacy-preserving solution for collaborative medical image analysis in distributed healthcare environments.
SN  - 2045-2322
ER  -