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Sensors 2016, 16(4), 424;

Secure Authentication for Remote Patient Monitoring with Wireless Medical Sensor Networks

School of Engineering and Computing Sciences, New York Institute of Technology, Old Westbury, NY 11568, USA
Computer Engineering Department, Hashemite University, Zarqa 13133, Jordan
College of Computer and Information Sciences, King Saud University, AlMuzahmiah 11451, Saudi Arabia
Computer Science Department, Columbia University, New York, NY 10027, USA
Department of Computer Science, Electrical and Space Engineering, Lulea University of Technology, Lulea 97187, Sweden
This paper is an extended version of our paper published in Hayajneh, T.; Vasilakos, A.V.; Almashaqbeh, G.; Mohd, B.J.; Imran, M.A.; Shakir, M.Z.; Qaraqe, K.A. Public-key Authentication for Cloud-based WBANs. In the Proceedings of the 9th International Conference on Body Area Networks, London, UK, 29 September–1 October 2014; ICST (Institute for Computer Sciences, Social-Informatics and Telecommunications Engineering): Brussels, Belgium, 2014; pp. 286–292.
Author to whom correspondence should be addressed.
Academic Editors: Neal N. Xiong and Xuefeng Liang
Received: 31 December 2015 / Revised: 8 March 2016 / Accepted: 17 March 2016 / Published: 24 March 2016
(This article belongs to the Special Issue Mobile Sensor Computing: Theory and Applications)
Full-Text   |   PDF [1181 KB, uploaded 24 March 2016]   |  


There is broad consensus that remote health monitoring will benefit all stakeholders in the healthcare system and that it has the potential to save billions of dollars. Among the major concerns that are preventing the patients from widely adopting this technology are data privacy and security. Wireless Medical Sensor Networks (MSNs) are the building blocks for remote health monitoring systems. This paper helps to identify the most challenging security issues in the existing authentication protocols for remote patient monitoring and presents a lightweight public-key-based authentication protocol for MSNs. In MSNs, the nodes are classified into sensors that report measurements about the human body and actuators that receive commands from the medical staff and perform actions. Authenticating these commands is a critical security issue, as any alteration may lead to serious consequences. The proposed protocol is based on the Rabin authentication algorithm, which is modified in this paper to improve its signature signing process, making it suitable for delay-sensitive MSN applications. To prove the efficiency of the Rabin algorithm, we implemented the algorithm with different hardware settings using Tmote Sky motes and also programmed the algorithm on an FPGA to evaluate its design and performance. Furthermore, the proposed protocol is implemented and tested using the MIRACL (Multiprecision Integer and Rational Arithmetic C/C++) library. The results show that secure, direct, instant and authenticated commands can be delivered from the medical staff to the MSN nodes. View Full-Text
Keywords: remote patient monitoring; MSN; authentication; Rabin algorithm; FPGA implementation; security issues remote patient monitoring; MSN; authentication; Rabin algorithm; FPGA implementation; security issues

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Hayajneh, T.; Mohd, B.J.; Imran, M.; Almashaqbeh, G.; Vasilakos, A.V. Secure Authentication for Remote Patient Monitoring with Wireless Medical Sensor Networks. Sensors 2016, 16, 424.

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