AI-Driven Healthcare Governance and Software Testing Framework for Cloud-Based Medical Systems using Multimodal BERT and Imaging Augmentation

Authors

  • John Paul Christopher Independent Researcher, Finland Author

DOI:

https://doi.org/10.15680/IJCTECE.2025.0806806

Keywords:

AI-Driven Testing, Healthcare Cloud Systems, Multimodal BERT, Medical Imaging, Data Augmentation, Software Governance, Explainability, Compliance, BioBERT, Databricks AI

Abstract

The integration of artificial intelligence (AI) into healthcare demands robust governance and validation mechanisms to ensure security, reliability, and ethical compliance across digital medical systems. This paper proposes an AI-Driven Healthcare Governance and Software Testing Framework for cloud-based medical infrastructures, leveraging Multimodal BERT and medical imaging augmentation to enhance automation, accuracy, and trust in healthcare applications. The framework combines natural language understanding, visual feature extraction, and predictive analytics to test and validate cloud-hosted clinical applications and electronic health systems. Using Multimodal BERT, the system interprets complex medical text, diagnostic images, and metadata for integrated validation workflows, while imaging augmentation improves model generalization and defect detection. Governance modules enforce data privacy, compliance, and continuous monitoring aligned with standards such as HIPAA and GDPR. Experimental evaluations show enhanced test coverage, fault detection rates, and governance traceability compared to traditional testing approaches. This research contributes to developing secure, interpretable, and governance-aware AI ecosystems, ensuring the reliability of cloud-based healthcare software through multimodal intelligence and ethical automation.

References

1. Harman, M., & Clark, J. A. (2004). Metrics are fitness functions too. Proceedings of the 10th IEEE International Conference on Software Metrics.

2. Bussu, V. R. R. Leveraging AI with Databricks and Azure Data Lake Storage. https://pdfs.semanticscholar.org/cef5/9d7415eb5be2bcb1602b81c6c1acbd7e5cdf.pdf

3. Poornima, G., & Anand, L. (2025). Medical image fusion model using CT and MRI images based on dual scale weighted fusion based residual attention network with encoder-decoder architecture. Biomedical Signal Processing and Control, 108, 107932.

4. Amuda, K. K., Kumbum, P. K., Adari, V. K., Chunduru, V. K., & Gonepally, S. (2020). Applying design methodology to software development using WPM method. Journal ofComputer Science Applications and Information Technology, 5(1), 1-8.

5. Reddy, B. V. S., & Sugumar, R. (2025, June). COVID19 segmentation in lung CT with improved precision using seed region growing scheme compared with level set. In AIP Conference Proceedings (Vol. 3267, No. 1, p. 020154). AIP Publishing LLC.

6. Manda, P. (2023). A Comprehensive Guide to Migrating Oracle Databases to the Cloud: Ensuring Minimal Downtime, Maximizing Performance, and Overcoming Common Challenges. International Journal of Research Publications in Engineering, Technology and Management (IJRPETM), 6(3), 8201-8209.

7. HV, M. S., & Kumar, S. S. (2024). Fusion Based Depression Detection through Artificial Intelligence using Electroencephalogram (EEG). Fusion: Practice & Applications, 14(2).

8. Sridhar Kakulavaram. (2024). Artificial Intelligence-Driven Frameworks for Enhanced Risk Management in Life Insurance. Journal of Computational Analysis and Applications (JoCAAA), 33(08), 4873–4897. Retrieved from https://www.eudoxuspress.com/index.php/pub/article/view/2996

9. Jula, A., Sundararajan, E., & Othman, Z. (2014). Cloud computing service composition: A systematic literature review. Expert Systems with Applications, 41(8), 3809–3824.

10. Perez, L., & Wang, J. (2017). The effectiveness of data augmentation in image classification using deep learning. arXiv:1712.04621.

11. Wei, J., & Zou, K. (2019). EDA: Easy data augmentation techniques for boosting performance on text classification tasks. EMNLP Proceedings.

12. Phani Santhosh Sivaraju, 2025. "Phased Enterprise Data Migration Strategies: Achieving Regulatory Compliance in Wholesale Banking Cloud Transformations," Journal of Artificial Intelligence General science (JAIGS) ISSN:3006- 4023, Open Knowledge, vol. 8(1), pages 291-306.

13. Kesavan, E. (2025). A Comprehensive Review of Automated Software Testing Tools and Techniques. International Journal of Innovations in Science, Engineering And Management, 14-20. https://ijisem.com/journal/index.php/ijisem/article/view/279

14. Kandula, N. (2023). Evaluating Social Media Platforms A Comprehensive Analysis of Their Influence on Travel Decision-Making. J Comp Sci Appl Inform Technol, 8(2), 1-9.

15. Arunkumar Pasumarthi and Balamuralikrishnan Anbalagan, “Datasphere and SAP: How Data Integration Can Drive Business Value”, Int. J. Sci. Res. Comput. Sci. Eng.Inf. Technol, vol. 10, no. 6, pp. 2512–2522, Dec. 2024, https://doi.org/10.32628/CSEIT25113472.

16. Bairi, A. R., Thangavelu, K., & Keezhadath, A. A. (2024). Quantum Computing in Test Automation: Optimizing Parallel Execution with Quantum Annealing in D-Wave Systems. Journal of Artificial Intelligence General science (JAIGS) ISSN: 3006-4023, 5(1), 536-545.

17. Raji, I. D., et al. (2020). Closing the AI accountability gap: Defining an end-to-end framework for internal algorithmic auditing. FAT Conference Proceedings.

18. Chivukula, V. (2024). The Role of Adstock and Saturation Curves in Marketing Mix Models: Implications for Accuracy and Decision-Making. International Journal of Advanced Research in Computer Science & Technology (IJARCST), 7(2), 10002-10007.

19. Shashank, P. S. R. B., Anand, L., & Pitchai, R. (2024, December). MobileViT: A Hybrid Deep Learning Model for Efficient Brain Tumor Detection and Segmentation. In 2024 International Conference on Progressive Innovations in Intelligent Systems and Data Science (ICPIDS) (pp. 157-161). IEEE.

20. Balaji, P. C., & Sugumar, R. (2025, June). Multi-level thresholding of RGB images using Mayfly algorithm comparison with Bat algorithm. In AIP Conference Proceedings (Vol. 3267, No. 1, p. 020180). AIP Publishing LLC.

21. Sudha, N., Kumar, S. S., Rengarajan, A., & Rao, K. B. (2021). Scrum Based Scaling Using Agile Method to Test Software Projects Using Artificial Neural Networks for Block Chain. Annals of the Romanian Society for Cell Biology, 25(4), 3711-3727.

22. Joseph, J. (2024). AI-Driven Synthetic Biology and Drug Manufacturing Optimization. International Journal of Innovative Research in Computer and Communication Engineering, 12(1138), 10-15680. https://www.researchgate.net/profile/Jimmy-Joseph-9/publication/394614673_AI-Driven_Synthetic_Biology_and_Drug_Manufacturing_Optimization/links/68a49c952c7d3e0029b1ab47/AI-Driven-Synthetic-Biology-and-Drug-Manufacturing-Optimization.pdf

23. Pimpale, S. (2025). Synergistic Development of Cybersecurity and Functional Safety for Smart Electric Vehicles. arXiv preprint arXiv:2511.07713.

24. Kathiresan, G. (2025). Real-time data ingestion and stream processing for AI applications in cloud-native environments. International Journal of Cloud Computing (QITP-IJCC). QIT Press, Volume 5, Issue 2, 2025, pp.12-23

25. Price, W. N., Gerke, S., & Cohen, I. G. (2023). AI governance in healthcare: Balancing innovation and regulation. Nature Medicine, 29(4), 673–680.

26. Archana, R., & Anand, L. (2025). Residual u-net with Self-Attention based deep convolutional adaptive capsule network for liver cancer segmentation and classification. Biomedical Signal Processing and Control, 105, 107665.

27. Gosangi, S. R. (2023). AI AND THE FUTURE OF PUBLIC SECTOR ERP: INTELLIGENT AUTOMATION BEYOND DATA ANALYTICS. International Journal of Research Publications in Engineering, Technology and Management (IJRPETM), 6(4), 8991-8995.

28. Kusumba, S. (2025). Empowering Federal Efficiency: Building an Integrated Maintenance Management System (Imms) Data Warehouse for Holistic Financial And Operational Intelligence. Journal Of Multidisciplinary, 5(7), 377-384.

29. Soni, V. K., Kotapati, V. B. R., & Jeyaraman, J. (2025). Self-Supervised Session-Anomaly Detection for Password-less Wallet Logins. Newark Journal of Human-Centric AI and Robotics Interaction, 5, 112-145.

30. Kondra, S., Raghavan, V., & kumar Adari, V. (2025). Beyond Text: Exploring Multimodal BERT Models. International Journal of Research Publications in Engineering, Technology and Management (IJRPETM), 8(1), 11764-11769.

31. Samal, B. (2025). Mathematical Framework for ABM-MARL Integration in Financial Systems: A Discrete Multi-Agent Population-Strategy Game Approach. https://www.researchsquare.com/article/rs-7326746/v1

32. Natta, P. K. (2023). Harmonizing enterprise architecture and automation: A systemic integration blueprint. International Journal of Research Publications in Engineering, Technology and Management (IJRPETM), 6(6), 9746–9759. https://doi.org/10.15662/IJRPETM.2023.0606016

33. Gangina, P. (2025). Demystifying Zero-Trust Architecture for Cloud Applications. Journal of Computer Science and Technology Studies, 7(9), 542-548.

34. Urs, A. D. (2024). AI-Powered 3D Reconstruction from 2D Scans. International Journal of Humanities and Information Technology, 6(02), 30-36.

35. Christadoss, J., Devi, C., & Mohammed, A. S. (2024). Event-Driven Test-Environment Provisioning with Kubernetes Operators and Argo CD. American Journal of Data Science and Artificial Intelligence Innovations, 4, 229-263

36. Panchakarla, S. K. A Scalable Architecture For Intelligent Document Workflows In Healthcare Communications. International Journal of Environmental Sciences, 11(17s), 2025. Retrieved from https://theaspd.com/index.php/ijes/article/view/5667

37. Kiran, A., Rubini, P., & Kumar, S. S. (2025). Comprehensive review of privacy, utility and fairness offered by synthetic data. IEEE Access.

38. Navandar, P. (2025). AI Based Cybersecurity for Internet of Things Networks via Self-Attention Deep Learning and Metaheuristic Algorithms. International Journal of Research and Applied Innovations, 8(3), 13053-13077.

39. Gopinathan, V. R. (2024). AI-Driven Customer Support Automation: A Hybrid Human–Machine Collaboration Model for Real-Time Service Delivery. International Journal of Technology, Management and Humanities, 10(01), 67-83.

40. Konda, S. K. (2023). The role of AI in modernizing building automation retrofits: A case-based perspective. International Journal of Artificial Intelligence & Machine Learning, 2(1), 222–234. https://doi.org/10.34218/IJAIML_02_01_020

41. Databricks. (2023). Lakehouse for healthcare and life sciences: Unified data & AI governance. Databricks White Paper.

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Published

2025-11-12

How to Cite

AI-Driven Healthcare Governance and Software Testing Framework for Cloud-Based Medical Systems using Multimodal BERT and Imaging Augmentation. (2025). International Journal of Computer Technology and Electronics Communication, 8(Special Issue 1), 30-34. https://doi.org/10.15680/IJCTECE.2025.0806806