论文标题
使用高级隐私增强技术革新医疗数据共享:技术,法律和道德综合
Revolutionizing Medical Data Sharing Using Advanced Privacy Enhancing Technologies: Technical, Legal and Ethical Synthesis
论文作者
论文摘要
多站点医学数据共享在现代临床实践和医学研究中至关重要。挑战是进行数据共享,以保留个人隐私和数据可用性。传统增强隐私技术的缺点意味着机构依靠定制的数据共享合同。这些合同增加了数据共享的效率低下,并可能不影响重要的临床治疗和医学研究。本文提供了两种新型的高级隐私增强技术(PET)之间的综合:同构加密和安全的多阶级计算(将其定义为多阶同质加密或MHE)。这些宠物提供了隐私的数学保证,而MHE比使用HE或SMC提供了性能优势。我们认为,根据《通用数据保护法规》(GDPR),MHE满足了医疗数据共享的法律要求,该法规为数据保护设定了全球基准。具体而言,使用MHE处理和共享的数据可以视为匿名数据。我们解释了MHE如何减少机构之间对定制合同措施的依赖。所提出的方法可以加速医学研究的步伐,同时为医疗保健和研究机构提供其他激励措施,以采用常见的数据互操作性标准。
Multisite medical data sharing is critical in modern clinical practice and medical research. The challenge is to conduct data sharing that preserves individual privacy and data usability. The shortcomings of traditional privacy-enhancing technologies mean that institutions rely on bespoke data sharing contracts. These contracts increase the inefficiency of data sharing and may disincentivize important clinical treatment and medical research. This paper provides a synthesis between two novel advanced privacy enhancing technologies (PETs): Homomorphic Encryption and Secure Multiparty Computation (defined together as Multiparty Homomorphic Encryption or MHE). These PETs provide a mathematical guarantee of privacy, with MHE providing a performance advantage over separately using HE or SMC. We argue MHE fulfills legal requirements for medical data sharing under the General Data Protection Regulation (GDPR) which has set a global benchmark for data protection. Specifically, the data processed and shared using MHE can be considered anonymized data. We explain how MHE can reduce the reliance on customized contractual measures between institutions. The proposed approach can accelerate the pace of medical research whilst offering additional incentives for healthcare and research institutes to employ common data interoperability standards.