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Artificial Intelligence in Health                                           Omnichain FL in healthcare AI



            federated learning model can seamlessly access and   Omnichain,  the  federated  learning  framework  may
            aggregate these diverse data sources – while respecting   decrease redundant deployments, thus enabling support
            privacy and permission constraints – thus enhancing   for multiple blockchains directly from the Omnichain. This
            the model’s generalization capabilities and training   design enhances the efficiency of the AI training paradigm
            quality. In parallel, the concept of a taxonomy driven by   that  combines  federated learning with blockchain  in
            practical services can be applied here. By approaching   healthcare. However, it is important to note that the
            the discussion from the perspective of concrete services,   Omnichain is still in its nascent developmental stage, and
            we can deduce the unique advantages that Omnichain   its speed and cost remain significant constraints on its
            offers, thereby realizing synergy between a fully   integration with federated learning. This presents a crucial
            integrated blockchain framework and federated learning   area for future research and attention.
            across diverse domains, such as health data circulation
            and management, privacy and security, token-based   Acknowledgments
            incentive mechanisms, collaborative orchestration, and   We are deeply grateful to the Duke University Writing
            regulatory oversight. This approach ultimately advances   Studio for tremendous assistance in polishing the academic
            the real-world adoption of the hybrid solution. For   language of our work.
            example, in  the  realm  of health data  circulation  and
            management, indexing services built on Omnichain   Funding
            can standardize data drawn from multiple blockchains,
            thereby streamlining cross-chain data flow and providing   None.
            high-quality datasets for federated learning.      Conflict of interest
              However,  Omnichain remains undeveloped. Before   The authors declare that they have no competing interests.
            its development, cross-chain bridges represented a
            bold yet flawed endeavor. Users were required to lock   Author contributions
            assets on the source chain and incur gas fees to receive
            corresponding wrapped assets on the target chain,   Conceptualization: Dongfang Wu
            thereby creating liquidity challenges.  In addition,   Writing–original draft: Dongfang Wu
                                             10
            cross-chain bridges predominantly focused on value   Writing–review & editing: Yichen Wang
            transfer rather than imperative information transfer,   Ethics approval and consent to participate
            which is essential for training AI. In contrast, Omnichain
            emerges as a novel paradigm extending from cross-  Not applicable.
            chain bridges, utilizing universal smart contracts to
            create an infrastructure that spans multiple chains and   Consent for publication
            can be directly deployed across various blockchains,   Not applicable.
            including Ethereum Virtual Machine – compatible and
            other mainstream platforms, thereby mitigating the silo   Availability of data
            effect of disparate blockchains. Nevertheless, the high-  Not applicable.
            throughput requirements of federated learning in the
            training process remain in tension with the existing   References
            gas pricing mechanisms of Omnichain, and the block
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            cost and rapid transaction capabilities.           2.   Zhan Y, Li P, Qu Z, Zeng D, Guo S. A  learning-based
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            4. Conclusion                                         Things J. 2020;7:6360-6368.

            This article proposes the integration of Omnichain concept      doi: 10.1109/JIOT.2020.2967772
            into the existing frameworks of federated learning and   3.   Mammen PM. Federated learning: Opportunities and
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            Volume 2 Issue 3 (2025)                         42                               doi: 10.36922/aih.5753
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