A

Swarm Learning for decentralized and confidential clinical machine learning

Nature, vol. 594, pp. 265–270

Abstract

Abstract Fast and reliable detection of patients with severe and heterogeneous illnesses is a major goal of precision medicine 1,2 . Patients with leukaemia can be identified using machine learning on the basis of their blood transcriptomes 3 . However, there is an increasing divide between what is technically possible and what is allowed, because of privacy legislation 4,5 . Here, to facilitate the integration of any medical data from any data owner worldwide without violating privacy laws, we introduce Swarm Learning—a decentralized machine-learning approach that unites edge computing, blockchain-based peer-to-peer networking and coordination while maintaining confidentiality without the need for a central coordinator, thereby going beyond federated learning. To illustrate the feasibility of using Swarm Learning to develop disease classifiers using distributed data, we chose four use cases of heterogeneous diseases (COVID-19, tuberculosis, leukaemia and lung pathologies). With more than 16,400 blood transcriptomes derived from 127 clinical studies with non-uniform distributions of cases and controls and substantial study biases, as well as more than 95,000 chest X-ray images, we show that Swarm Learning classifiers outperform those developed at individual sites. In addition, Swarm Learning completely fulfils local confidentiality regulations by design. We believe that this approach will notably accelerate the introduction of precision medicine.

Authors 97

  1. University of Bonn · German Center for Neurodegenerative Diseases

    Affiliation as printed

    Genomics and Immunoregulation, Life & Medical Sciences (LIMES) Institute, University of Bonn, Bonn, Germany

    Systems Medicine, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany

  2. Hewlett Packard Enterprise (United States)

    Affiliation as printed

    Hewlett Packard Enterprise, Houston, TX, USA

  3. Hewlett Packard Enterprise (United States)

    Affiliation as printed

    Hewlett Packard Enterprise, Houston, TX, USA

  4. Hewlett Packard Enterprise (United States)

    Affiliation as printed

    Hewlett Packard Enterprise, Houston, TX, USA

  5. German Center for Neurodegenerative Diseases · Hewlett Packard Enterprise (United States)

    Affiliation as printed

    Hewlett Packard Enterprise, Houston, TX, USA

    Statistics and Machine Learning, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany

  6. Hewlett Packard Enterprise (United States)

    Affiliation as printed

    Hewlett Packard Enterprise, Houston, TX, USA

    Mesh Dynamics, Bangalore, India

  7. Hewlett Packard Enterprise (United States)

    Affiliation as printed

    Hewlett Packard Enterprise, Houston, TX, USA

  8. University of Bonn · German Center for Neurodegenerative Diseases

    Affiliation as printed

    PRECISE Platform for Single Cell Genomics and Epigenomics, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) and the University of Bonn, Bonn, Germany

    Systems Medicine, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany

  9. Radboud University Nijmegen · Radboud University Medical Center

    Affiliation as printed

    Department of Intensive Care Medicine and Radboud Center for Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, The Netherlands

  10. University of Bonn · German Center for Neurodegenerative Diseases

    Affiliation as printed

    Department of Neurology, Faculty of Medicine, University of Bonn, Bonn, Germany

    Population Health Sciences, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany

  11. National and Kapodistrian University of Athens

    Affiliation as printed

    4th Department of Internal Medicine, National and Kapodistrian University of Athens, Medical School, Athens, Greece

  12. Christian-Albrechts-Universität zu Kiel · University Hospital Schleswig-Holstein

    Affiliation as printed

    Department of Internal Medicine I, Christian-Albrechts-University and University Hospital Schleswig-Holstein, Kiel, Germany

    Institute of Clinical Molecular Biology, Christian-Albrechts-University and University Hospital Schleswig-Holstein, Kiel, Germany

  13. Universitätsklinikum Tübingen · University of Tübingen

    Affiliation as printed

    Department of Internal Medicine I, University Hospital, University of Tübingen, Tübingen, Germany

  14. University of Tübingen

    Affiliation as printed

    Institute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany

    NGS Competence Center Tübingen, Tübingen, Germany

  15. University of Tübingen

    Affiliation as printed

    Institute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany

    NGS Competence Center Tübingen, Tübingen, Germany

  16. Universitätsklinikum des Saarlandes · Saarland University

    Affiliation as printed

    Department of Internal Medicine V, Saarland University Hospital, Homburg, Germany

  17. LMU Klinikum · Ludwig-Maximilians-Universität München

    Affiliation as printed

    Department of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital LMU Munich, Munich, Germany

  18. Technical University of Munich

    Affiliation as printed

    Children's Hospital, Medical Faculty, Technical University Munich, Munich, Germany

  19. Saarland University

    Affiliation as printed

    Clinical Bioinformatics, Saarland University, Saarbrücken, Germany

  20. Saarland University

    Affiliation as printed

    Clinical Bioinformatics, Saarland University, Saarbrücken, Germany

  21. University of Cologne · University Hospital Cologne

    Affiliation as printed

    Department I of Internal Medicine, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Cologne, Germany

  22. University of Cologne · German Center for Infection Research · University Hospital Cologne

    Affiliation as printed

    Center for Molecular Medicine Cologne (CMMC), University of Cologne, Cologne, Germany

    Department I of Internal Medicine, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Cologne, Germany

    German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany

  23. University of Cologne · German Center for Infection Research · University Hospital Cologne

    Affiliation as printed

    Center for Molecular Medicine Cologne (CMMC), University of Cologne, Cologne, Germany

    Department I of Internal Medicine, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Cologne, Germany

    German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany

  24. University of Cologne · German Center for Infection Research · University Hospital Cologne

    Affiliation as printed

    Center for Molecular Medicine Cologne (CMMC), University of Cologne, Cologne, Germany

    Department I of Internal Medicine, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Cologne, Germany

    German Center for Infection Research (DZIF), Partner Site Bonn-Cologne, Cologne, Germany

  25. University of Cologne

    Affiliation as printed

    Cologne Center for Genomics, West German Genome Center, University of Cologne, Cologne, Germany

  26. Christian-Albrechts-Universität zu Kiel · University Hospital Schleswig-Holstein

    Affiliation as printed

    Institute of Clinical Molecular Biology, Christian-Albrechts-University and University Hospital Schleswig-Holstein, Kiel, Germany

  27. Christian-Albrechts-Universität zu Kiel · University Hospital Schleswig-Holstein

    Affiliation as printed

    Institute of Clinical Molecular Biology, Christian-Albrechts-University and University Hospital Schleswig-Holstein, Kiel, Germany

  28. German Center for Infection Research

    Affiliation as printed

    Clinical Infectious Diseases, Research Center Borstel and German Center for Infection Research (DZIF), Partner Site Hamburg-Lübeck-Borstel-Riems, Borstel, Germany

  29. University of Bonn · German Center for Neurodegenerative Diseases

    Affiliation as printed

    Genomics and Immunoregulation, Life & Medical Sciences (LIMES) Institute, University of Bonn, Bonn, Germany

    Systems Medicine, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany

  30. University of Bonn · German Center for Neurodegenerative Diseases

    Affiliation as printed

    Genomics and Immunoregulation, Life & Medical Sciences (LIMES) Institute, University of Bonn, Bonn, Germany

    Systems Medicine, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany

  31. University of Bonn · German Center for Neurodegenerative Diseases

    Affiliation as printed

    PRECISE Platform for Single Cell Genomics and Epigenomics, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) and the University of Bonn, Bonn, Germany

    Systems Medicine, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany

  32. Hewlett Packard Enterprise (United States)

    Affiliation as printed

    Hewlett Packard Enterprise, Houston, TX, USA

  33. Hewlett Packard Enterprise (United States)

    Affiliation as printed

    Hewlett Packard Enterprise, Houston, TX, USA

  34. Hewlett Packard Enterprise (United States)

    Affiliation as printed

    Hewlett Packard Enterprise, Houston, TX, USA

  35. National and Kapodistrian University of Athens

    Affiliation as printed

    4th Department of Internal Medicine, National and Kapodistrian University of Athens, Medical School, Athens, Greece

  36. Hewlett Packard Enterprise (United States)

    Affiliation as printed

    Hewlett Packard Enterprise, Houston, TX, USA

  37. University of Bonn · German Center for Neurodegenerative Diseases

    Affiliation as printed

    PRECISE Platform for Single Cell Genomics and Epigenomics, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) and the University of Bonn, Bonn, Germany

    Systems Medicine, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany

  38. University of Bonn · German Center for Neurodegenerative Diseases

    Affiliation as printed

    Genomics and Immunoregulation, Life & Medical Sciences (LIMES) Institute, University of Bonn, Bonn, Germany

    Systems Medicine, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany

  39. University of Bonn · German Center for Neurodegenerative Diseases

    Affiliation as printed

    PRECISE Platform for Single Cell Genomics and Epigenomics, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) and the University of Bonn, Bonn, Germany

    Systems Medicine, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany

  40. German Center for Infection Research

    Affiliation as printed

    Clinical Infectious Diseases, Research Center Borstel and German Center for Infection Research (DZIF), Partner Site Hamburg-Lübeck-Borstel-Riems, Borstel, Germany

  41. Christian-Albrechts-Universität zu Kiel · University Hospital Schleswig-Holstein

    Affiliation as printed

    Department of Internal Medicine I, Christian-Albrechts-University and University Hospital Schleswig-Holstein, Kiel, Germany

  42. LMU Klinikum · Ludwig-Maximilians-Universität München

    Affiliation as printed

    Department of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital LMU Munich, Munich, Germany

  43. Universitätsklinikum Aachen · RWTH Aachen University

    Affiliation as printed

    Department of Cardiology, Angiology and Intensive Care Medicine, University Hospital RWTH Aachen, Aachen, Germany

    Institute of Human Genetics, Medical Faculty, RWTH Aachen University, Aachen, Germany

  44. Universitätsklinikum Aachen · RWTH Aachen University

    Affiliation as printed

    Institute of Human Genetics, Medical Faculty, RWTH Aachen University, Aachen, Germany

    Institute of Pathology & Department of Nephrology, University Hospital RWTH Aachen, Aachen, Germany

  45. Universitätsklinikum Aachen · RWTH Aachen University

    Affiliation as printed

    Institute of Pathology & Department of Nephrology, University Hospital RWTH Aachen, Aachen, Germany

    Institute of Clinical Pharmacology, University Hospital RWTH Aachen, Aachen, Germany

  46. Universitätsklinikum Aachen · RWTH Aachen University

    Affiliation as printed

    Institute of Clinical Pharmacology, University Hospital RWTH Aachen, Aachen, Germany

    Institute for Biology I, RWTH Aachen University, Aachen, Germany

  47. RWTH Aachen University

    Affiliation as printed

    Institute for Biology I, RWTH Aachen University, Aachen, Germany

    Department of Hematology, Oncology, Hemostaseology and Stem Cell Transplantation, Medical School, RWTH Aachen University, Aachen, Germany

  48. Universitätsklinikum Aachen · RWTH Aachen University

    Affiliation as printed

    Department of Hematology, Oncology, Hemostaseology and Stem Cell Transplantation, Medical School, RWTH Aachen University, Aachen, Germany

    Institute of Clinical Pharmacology, University Hospital RWTH Aachen, Aachen, Germany

  49. Universitätsklinikum Aachen · RWTH Aachen University

    Affiliation as printed

    Institute of Clinical Pharmacology, University Hospital RWTH Aachen, Aachen, Germany

  50. Universitätsklinikum Aachen · RWTH Aachen University

    Affiliation as printed

    Institute of Clinical Pharmacology, University Hospital RWTH Aachen, Aachen, Germany

    Department of Diagnostic and Interventional Radiology, University Hospital RWTH Aachen, Aachen, Germany

  51. Universitätsklinikum Aachen · RWTH Aachen University

    Affiliation as printed

    Department of Diagnostic and Interventional Radiology, University Hospital RWTH Aachen, Aachen, Germany

    Institute of Medical Informatics, University Hospital RWTH Aachen, Aachen, Germany

  52. Universitätsklinikum Aachen · RWTH Aachen University

    Affiliation as printed

    Institute of Medical Informatics, University Hospital RWTH Aachen, Aachen, Germany

    Department of Intensive Care, University Hospital RWTH Aachen, Aachen, Germany

  53. Universitätsklinikum Aachen · RWTH Aachen University

    Affiliation as printed

    Department of Intensive Care, University Hospital RWTH Aachen, Aachen, Germany

    Institute of Pharmacology and Toxicology, Medical Faculty Aachen, RWTH Aachen University, Aachen, Germany

  54. RWTH Aachen University

    Affiliation as printed

    Institute of Pharmacology and Toxicology, Medical Faculty Aachen, RWTH Aachen University, Aachen, Germany

    Molecular Oncology Group, Institute of Pathology, Medical Faculty, RWTH Aachen University, Aachen, Germany

  55. Universitätsklinikum Aachen · RWTH Aachen University

    Affiliation as printed

    Molecular Oncology Group, Institute of Pathology, Medical Faculty, RWTH Aachen University, Aachen, Germany

    RWTH centralized Biomaterial Bank (RWTH cBMB) of the Medical Faculty, RWTH Aachen University, Aachen, Germany

    Department of Internal Medicine I, University Hospital RWTH Aachen, Aachen, Germany

  56. Universitätsklinikum Aachen · RWTH Aachen University

    Affiliation as printed

    Department of Internal Medicine I, University Hospital RWTH Aachen, Aachen, Germany

    Department of Pneumology and Intensive Care Medicine, University Hospital RWTH Aachen, Aachen, Germany

  57. Universitätsklinikum Aachen · RWTH Aachen University

    Affiliation as printed

    Department of Pneumology and Intensive Care Medicine, University Hospital RWTH Aachen, Aachen, Germany

    Department of Internal Medicine I, University Hospital RWTH Aachen, Aachen, Germany

  58. University of Bonn · University Hospital Bonn · Universitätsklinikum Aachen · RWTH Aachen University

    Affiliation as printed

    Department of Internal Medicine I, University Hospital RWTH Aachen, Aachen, Germany

    Department of Internal Medicine I, University Hospital Bonn, Bonn, Germany

  59. University of Bonn · University Hospital Bonn · German Center for Infection Research

    Affiliation as printed

    Department of Internal Medicine I, University Hospital Bonn, Bonn, Germany

    German Center for Infection Research (DZIF), Braunschweig, Germany

    Department of Internal Medicine II - Cardiology/Pneumology, University of Bonn, Bonn, Germany

  60. University of Bonn · RWTH Aachen University

    Affiliation as printed

    Department of Internal Medicine II - Cardiology/Pneumology, University of Bonn, Bonn, Germany

    Institute of Human Genetics, Medical Faculty, RWTH Aachen University, Aachen, Germany

  61. RWTH Aachen University · Saarland University

    Affiliation as printed

    Institute of Human Genetics, Medical Faculty, RWTH Aachen University, Aachen, Germany

    Clinical Bioinformatics, Saarland University, Saarbrücken, Germany

  62. Universitätsklinikum des Saarlandes · Stanford Medicine · Saarland University · Stanford University

    Affiliation as printed

    Clinical Bioinformatics, Saarland University, Saarbrücken, Germany

    Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA, USA

    Department of Internal Medicine V, Saarland University Hospital, Homburg, Germany

  63. University of Cologne · Universitätsklinikum des Saarlandes · Saarland University

    Affiliation as printed

    Department of Internal Medicine V, Saarland University Hospital, Homburg, Germany

    Cologne Center for Genomics, West German Genome Center, University of Cologne, Cologne, Germany

  64. University of Cologne · University of Tübingen

    Affiliation as printed

    Cologne Center for Genomics, West German Genome Center, University of Cologne, Cologne, Germany

    Institute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany

  65. Christian-Albrechts-Universität zu Kiel · University Hospital Schleswig-Holstein · University of Tübingen

    Affiliation as printed

    Institute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany

    NGS Competence Center Tübingen, Tübingen, Germany

    Institute of Clinical Molecular Biology, Christian-Albrechts-University and University Hospital Schleswig-Holstein, Kiel, Germany

  66. Radboud University Nijmegen · Radboud University Medical Center · Christian-Albrechts-Universität zu Kiel · University Hospital Schleswig-Holstein

    Affiliation as printed

    Institute of Clinical Molecular Biology, Christian-Albrechts-University and University Hospital Schleswig-Holstein, Kiel, Germany

    Department of Internal Medicine and Radboud Center for Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, The Netherlands

  67. University of Bonn · Radboud University Nijmegen · Radboud University Medical Center · Helmholtz Munich · Institute of Computational Biology

    Affiliation as printed

    Department of Internal Medicine and Radboud Center for Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, The Netherlands

    Immunology & Metabolism, Life and Medical Sciences (LIMES) Institute, University of Bonn, Bonn, Germany

    Institute of Computational Biology, Helmholtz Center Munich (HMGU), Neuherberg, Germany

  68. German Center for Neurodegenerative Diseases · Helmholtz Munich · Institute of Computational Biology

    Affiliation as printed

    Institute of Computational Biology, Helmholtz Center Munich (HMGU), Neuherberg, Germany

    Statistics and Machine Learning, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany

  69. German Center for Neurodegenerative Diseases · Hewlett Packard Enterprise (United States) · Helmholtz Center for Information Security

    Affiliation as printed

    Hewlett Packard Enterprise, Houston, TX, USA

    Statistics and Machine Learning, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany

    CISPA Helmholtz Center for Information Security, Saarbrücken, Germany

  70. University of Bonn · German Center for Neurodegenerative Diseases · Helmholtz Center for Information Security

    Affiliation as printed

    CISPA Helmholtz Center for Information Security, Saarbrücken, Germany

    PRECISE Platform for Single Cell Genomics and Epigenomics, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) and the University of Bonn, Bonn, Germany

  71. University of Bonn · Radboud University Nijmegen · German Center for Neurodegenerative Diseases · Radboud University Medical Center

    Affiliation as printed

    Department of Internal Medicine and Radboud Center for Infectious Diseases (RCI), Radboud University Medical Center, Nijmegen, The Netherlands

    Genomics and Immunoregulation, Life & Medical Sciences (LIMES) Institute, University of Bonn, Bonn, Germany

    PRECISE Platform for Single Cell Genomics and Epigenomics, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) and the University of Bonn, Bonn, Germany

    Systems Medicine, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany

  72. University of Bonn · German Center for Neurodegenerative Diseases

    Affiliation as printed

    Genomics and Immunoregulation, Life & Medical Sciences (LIMES) Institute, University of Bonn, Bonn, Germany

    Systems Medicine, Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Bonn, Germany

    NGS Competence Center Tübingen, Tübingen, Germany

  73. Philipps University of Marburg · Loewe Center for Synthetic Microbiology · University of Tübingen

    Affiliation as printed

    Institute of Medical Microbiology and Hygiene, University of Tübingen, Tübingen, Germany

    NGS Competence Center Tübingen, Tübingen, Germany

    LOEWE Center for Synthetic Microbiology (SYNMIKRO), Philipps-Universität Marburg, Marburg, Germany

  74. GFZ Helmholtz Centre for Geosciences

    Affiliation as printed

    Geomicrobiology, German Research Centre for Geosciences (GFZ), Potsdam, Germany

    NGS Competence Center Tübingen, Tübingen, Germany

  75. Philipps University of Marburg · Loewe Center for Synthetic Microbiology · Fraunhofer Institute for Cell Therapy and Immunology

    Affiliation as printed

    LOEWE Center for Synthetic Microbiology (SYNMIKRO), Philipps-Universität Marburg, Marburg, Germany

    Fraunhofer Institute for Cell Therapy and Immunology (IZI), Leipzig, Germany

  76. Center for Regenerative Therapies Dresden · University of Tübingen

    Affiliation as printed

    Institute for Medical Virology and Epidemiology of Viral Diseases, University of Tübingen, Tübingen, Germany

    Institute of Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany

    NGS Competence Center Tübingen, Tübingen, Germany

    Center for Regenerative Therapies Dresden (CRTD), Dresden, Germany

  77. European Molecular Biology Laboratory · Fraunhofer Institute for Cell Therapy and Immunology · European Molecular Biology Laboratory

    Affiliation as printed

    Fraunhofer Institute for Cell Therapy and Immunology (IZI), Leipzig, Germany

    European Molecular Biology Laboratory (EMBL), Heidelberg, Germany

  78. Center for Regenerative Therapies Dresden · Leibniz Institute DSMZ – German Collection of Microorganisms and Cell Cultures

    Affiliation as printed

    Center for Regenerative Therapies Dresden (CRTD), Dresden, Germany

    DSMZ - German Collection of Microorganisms and Cell Cultures, Leibniz Institute, Braunschweig, Germany

  79. European Molecular Biology Laboratory · European Molecular Biology Laboratory · Ludwig-Maximilians-Universität München

    Affiliation as printed

    European Molecular Biology Laboratory (EMBL), Heidelberg, Germany

    Gene Center - Functional Genomics Analysis, Ludwig-Maximilians-Universität München, München, Germany

  80. Universitätsklinikum Aachen · Leibniz Institute DSMZ – German Collection of Microorganisms and Cell Cultures · RWTH Aachen University

    Affiliation as printed

    DSMZ - German Collection of Microorganisms and Cell Cultures, Leibniz Institute, Braunschweig, Germany

    Institute for Medical Microbiology, University Hospital Aachen, RWTH Aachen, Germany

  81. Helmholtz Munich · Institute of Computational Biology · Ludwig-Maximilians-Universität München

    Affiliation as printed

    Gene Center - Functional Genomics Analysis, Ludwig-Maximilians-Universität München, München, Germany

    Institute of Computational Biology, Helmholtz Center Munich (HMGU), Neuherberg, Germany

  82. Medizinische Hochschule Hannover · Universitätsklinikum Aachen · RWTH Aachen University

    Affiliation as printed

    Institute for Medical Microbiology, University Hospital Aachen, RWTH Aachen, Germany

    Klinik für Gastroenterologie, Hepatologie und Endokrinologie, Medizinische Hochschule Hannover (MHH), Hannover, Germany

  83. University of Groningen · Helmholtz Munich · Institute of Computational Biology · Technical University of Munich

    Affiliation as printed

    European Research Institute for the Biology of Ageing, University of Groningen, Groningen, The Netherlands

    Institute of Computational Biology, Helmholtz Center Munich (HMGU), Neuherberg, Germany

    TUM School of Life Sciences Weihenstephan, Technical University of Munich, Freising, Germany

    Genome Analysis Center, Helmholtz Zentrum München Deutsches Forschungszentrum für Gesundheit und Umwelt, Neuherberg, Germany

  84. Medizinische Hochschule Hannover · German Center for Infection Research · Centre for Individualised Infection Medicine · Charité - Universitätsmedizin Berlin

    Affiliation as printed

    Centre for Individualised Infection Medicine (CiiM), Hannover, Germany

    German Center for Infection Research (DZIF), Hannover, Germany

    Klinik für Gastroenterologie, Hepatologie und Endokrinologie, Medizinische Hochschule Hannover (MHH), Hannover, Germany

    Institut für Mikrobiologie und Infektionsimmunologie, Charité – Universitätsmedizin Berlin, Berlin, Germany

  85. Helmholtz Munich · Düsseldorf University Hospital · Heinrich Heine University Düsseldorf

    Affiliation as printed

    Genome Analysis Center, Helmholtz Zentrum München Deutsches Forschungszentrum für Gesundheit und Umwelt, Neuherberg, Germany

    Institut für Medizinische Mikrobiologie und Krankenhaushygiene, Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany

  86. University Medical Center Hamburg-Eppendorf · Charité - Universitätsmedizin Berlin

    Affiliation as printed

    Institut für Mikrobiologie und Infektionsimmunologie, Charité – Universitätsmedizin Berlin, Berlin, Germany

    Institut für Medizinische Mikrobiologie, Virologie und Hygiene, Universitätsklinikum Hamburg- Eppendorf (UKE), Hamburg, Germany

  87. Düsseldorf University Hospital · ZB MED - Information Centre for Life Sciences · Heinrich Heine University Düsseldorf

    Affiliation as printed

    Institut für Medizinische Mikrobiologie und Krankenhaushygiene, Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany

    German Information Centre for Life Sciences (ZB MED), Cologne, Germany

  88. Christian-Albrechts-Universität zu Kiel · University Medical Center Hamburg-Eppendorf · University Hospital Schleswig-Holstein

    Affiliation as printed

    Institut für Medizinische Mikrobiologie, Virologie und Hygiene, Universitätsklinikum Hamburg- Eppendorf (UKE), Hamburg, Germany

    Institute of Clinical Molecular Biology, Christian-Albrechts-University and University Hospital Schleswig-Holstein, Kiel, Germany

  89. ZB MED - Information Centre for Life Sciences

    Affiliation as printed

    German Information Centre for Life Sciences (ZB MED), Cologne, Germany

    NGS Competence Center Tübingen, Tübingen, Germany

  90. Christian-Albrechts-Universität zu Kiel · University Hospital Schleswig-Holstein

    Affiliation as printed

    Institute of Clinical Molecular Biology, Christian-Albrechts-University and University Hospital Schleswig-Holstein, Kiel, Germany

    NGS Competence Center Tübingen, Tübingen, Germany

  91. Technical University of Munich · University of Tübingen

    Affiliation as printed

    Institute of Medical Microbiology and Hygiene, University of Tübingen, Tübingen, Germany

    NGS Competence Center Tübingen, Tübingen, Germany

    Informatik 29 - Computational Molecular Medicine, Technische Universität München, München, Germany

  92. Quantitative Biology Center · University of Tübingen

    Affiliation as printed

    NGS Competence Center Tübingen, Tübingen, Germany

    Quantitative Biology Center, University of Tübingen, Tübingen, Germany

    Institute for Medical Virology and Epidemiology of Viral Diseases, University of Tübingen, Tübingen, Germany

  93. Technical University of Munich

    Affiliation as printed

    Informatik 29 - Computational Molecular Medicine, Technische Universität München, München, Germany

    NGS Competence Center Tübingen, Tübingen, Germany

  94. University of Tübingen

    Affiliation as printed

    Institute for Medical Virology and Epidemiology of Viral Diseases, University of Tübingen, Tübingen, Germany

    NGS Competence Center Tübingen, Tübingen, Germany

  95. Justus-Liebig-Universität Gießen · Quantitative Biology Center · University of Tübingen

    Affiliation as printed

    NGS Competence Center Tübingen, Tübingen, Germany

    Quantitative Biology Center, University of Tübingen, Tübingen, Germany

    Bioinformatics and Systems Biology, Justus Liebig University Giessen, Giessen, Germany

  96. Universitätsklinikum Tübingen · University of Tübingen

    Affiliation as printed

    Institute of Medical Microbiology and Hygiene, University of Tübingen, Tübingen, Germany

    NGS Competence Center Tübingen, Tübingen, Germany

    Department of Internal Medicine I, University Hospital, University of Tübingen, Tübingen, Germany

  97. Justus-Liebig-Universität Gießen · German Center for Infection Research

    Affiliation as printed

    Bioinformatics and Systems Biology, Justus Liebig University Giessen, Giessen, Germany

    Clinical Infectious Diseases, Research Center Borstel and German Center for Infection Research (DZIF), Partner Site Hamburg-Lübeck-Borstel-Riems, Borstel, Germany

Cited by 888 stored of 901

References 48