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Securing Medical LLMs with Differential Privacy Against Inference and Reconstruction Attacks

Publication Type : Conference Paper

Publisher : IEEE

Source : 2026 International Conference on Innovative Trends in Information Technology (ICITIIT)

Url : https://doi.org/10.1109/icitiit68860.2026.11499724

Campus : Coimbatore

School : School of Computing

Department : Computer Science and Engineering

Year : 2026

Abstract :

Protecting the personal health information of every individual is an absolute requirement when training LLMs (Large Language Model) within the healthcare arena. In this paper, we trained the BioGPT (biomedical-specific generative language model) on a large set (MedQuAD) of medical questions and answers. Our means of ensuring the protection of the data has included the use of Differential Privacy via the use of DP-SGD, where we implemented per-sample gradient clipping, along with well-calibrated random Gaussian noise generated over the duration of our training process. As a result, these models protect patient privacy while retaining almost all of their performance on downstream healthcare applications as compared to non-private models and have a significantly decreased risk of Membership Inference Attacks, memorization of training data, and prompt-based leakage of patient data. Additionally, a series of comprehensive experiments to validate the privacy vs utility trade-off has allowed us to quantify the highest level of privacy (in correlation to HIPAA Compliance) we can provide, while maintaining clinically acceptable accuracy rates. Our research provides a scalable, reproducible, and easy-to-deploy training pipeline for creating generative medical LLMs that protect patient privacy, and is an excellent framework for developing trust-able language models for use in real-life applications of healthcare.

Cite this Research Publication : Kadiyala Sai Sathvik, T. Gireesh Kumar, Securing Medical LLMs with Differential Privacy Against Inference and Reconstruction Attacks, 2026 International Conference on Innovative Trends in Information Technology (ICITIIT), IEEE, 2026, https://doi.org/10.1109/icitiit68860.2026.11499724

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