医疗联邦学习存严重隐私泄露风险，可被攻击者复原病患影像。

Federated learning is emerging as a promising machine learning technique in the medical field for analyzing medical images, as it is considered an effective method to safeguard sensitive patient data and comply with privacy regulations. However, recent studies have revealed that the default settings of federated learning may inadvertently expose private training data to privacy attacks. Thus, the intensity of such privacy risks and potential mitigation strategies in the medical domain remain unclear. In this paper, we make three original contributions to privacy risk analysis and mitigation in federated learning for medical data. First, we propose a holistic framework, MedPFL, for analyzing privacy risks in processing medical data in the federated learning environment and developing effective mitigation strategies for protecting privacy. Second, through our empirical analysis, we demonstrate the severe privacy risks in federated learning to process medical images, where adversaries can accurately reconstruct private medical images by performing privacy attacks. Third, we illustrate that the prevalent defense mechanism of adding random noises may not always be effective in protecting medical images against privacy attacks in federated learning, which poses unique and pressing challenges related to protecting the privacy of medical data. Furthermore, the paper discusses several unique research questions related to the privacy protection of medical data in the federated learning environment. We conduct extensive experiments on several benchmark medical image datasets to analyze and mitigate the privacy risks associated with federated learning for medical data.