Enhanced Distributed Multimodal Federated Learning Framework for Privacy-Preserving IoMT Applications: E-DMFL

The rapid growth of Internet of Medical Things (IoMT) devices offers promising avenues for real-time, personalized healthcare while also introducing critical challenges related to data privacy, device heterogeneity, and deployment scalability. This paper presents E-DMFL (Enhanced Distributed Multimodal Federated Learning), an Enhanced Distributed Multimodal Federated Learning framework designed to address these issues. Our approach combines systems analysis principles with intelligent model design, integrating PyTorch-based modular orchestration and TensorFlow-style data pipelines to enable multimodal edge-based training. E-DMFL incorporates gated attention fusion, differential privacy, Shapley-value-based modality selection, and peer-to-peer communication to facilitate secure and adaptive learning in non-IID environments. We evaluate the framework using the EarSAVAS dataset, which includes synchronized audio and motion signals from ear-worn sensors. E-DMFL achieves a test accuracy of 92.0% in just six communication rounds. The framework also supports energy-efficient and real-time deployment through quantization-aware training and battery-aware scheduling. These results demonstrate the potential of combining systems-level design with federated learning (FL) innovations to support practical, privacy-aware IoMT applications.