Took a lot of time to analyze this issue. Used the process monitor of the sysinternals suite. The microsoft defender service watching the sql server filestream directories slowed down the backup.
Solution:
you have to configure file extension and folder exclusions for the Windows Defender
- Open Group Policy Management Console
- go to Computer configuration and select Administrative templates
- expand the tree to Windows components > Windows Defender Antivirus > Exclusions.
- configure the "Path Exclusions" add the directory where all SQL Server Filestream are stored and the In-Memory directory. Value must be 0
- open the Extension Exclusions and add "mdf", "ldf", "ndf" with the value 0
No Windows OS restart needed.
Executed a new Full SQL Server Database Backup. Now the Backup I/O for the SQL Server Filestream is the same as for Table / Index Data.