Adaptive Federated Few-Shot Rare-Disease Diagnosis with Energy-Aware Secure Aggregation

Abstract--Rare-disease diagnosis remains one of the most pressing challenges in digital health, hindered by extreme data scarcity, privacy concerns, and the limited resources of edge devices. This paper proposes the Adaptive Federated Few-Shot Rare-Disease Diagnosis (AFFR) framework, which integrates three pillars: (i) few-shot federated optimization with meta-learning to generalize from limited patient samples, (ii) energy-aware client scheduling to mitigate device dropouts and ensure balanced participation, and (iii) secure aggregation with calibrated differential privacy to safeguard sensitive model updates. Experimental evaluation on simulated rare-disease detection datasets demonstrates up to 10% improvement in accuracy compared with baseline FL, while reducing client dropouts by over 50% without degrading convergence. Furthermore, privacy-utility trade-offs remain within clinically acceptable bounds. Rare genetic diseases have been estimated to affect hundreds of millions of individuals worldwide, yet each disease is encountered infrequently and presents with heterogeneous phenotypes, leading to prolonged diagnostic odysseys and substantial unmet clinical needs [2].