FedIHRAS: A Privacy-Preserving Federated Learning Framework for Multi-Institutional Collaborative Radiological Analysis with Integrated Explainability and Automated Clinical Reporting

<b>Background/Objectives:</b> Federated learning has emerged as a promising paradigm for enabling collaborative artificial intelligence in healthcare while preserving data privacy. However, most existing frameworks focus on isolated tasks and lack integrated pipelines that combine classification, segmentation, explainability, and automated clinical reporting. <b>Methods:</b> This study proposes FedIHRAS, a privacy-preserving federated learning framework designed for multi-institutional radiological analysis. The system integrates multi-task deep learning modules, including pathology classification using a modified ResNet-50 backbone, anatomical segmentation, explainability through Grad-CAM, and automated report generation supported by semantic aggregation using SNOMED CT. The framework employs confidence-weighted aggregation, differential privacy mechanisms, and secure aggregation protocols to ensure privacy and robustness across heterogeneous institutional datasets. <b>Results:</b> Experimental evaluation was conducted across four large-scale chest X-ray datasets representing simulated institutional nodes, totaling approximately 874,000 images. FedIHRAS achieved high diagnostic performance with strong cross-institutional generalization and demonstrated improved robustness under non-IID data distributions. Additional experiments showed favorable communication efficiency, effective privacy-utility trade-offs, and strong agreement with expert radiologist assessments. <b>Conclusion:</b> The proposed FedIHRAS framework demonstrates that federated learning can support scalable, privacy-preserving, and clinically meaningful radiological AI systems. By integrating multi-task learning, explainability, and automated reporting within a unified federated architecture, the framework addresses key limitations of existing approaches and contributes to the development of collaborative AI in healthcare.