Search Results (22)

The Internet of Medical Things (IoMT) interconnects medical devices, software applications, and healthcare services through the internet to enable the transmission and analysis of health data. IoMT facilitates seamless patient care and supports real-time clinical decision-making. The IoMT faces substantial security threats due to limited device resources, high device interconnectivity, and a lack of standardization. In this paper, we present an Intrusion Detection System (IDS) called An Empirical Distribution Ranking-Based Fuzzy J48 Classifier for Multiclass Intrusion Detection in IoMT Networks (EDR-FJ48) to distinguish between regular traffic and multiple types of security threats. The proposed IDS is built upon the J48 decision tree algorithm and is designed to detect a wide range of attacks. To ensure the protection of medical devices and patient data, the system incorporates a fuzzy IF-THEN rule inference module. In our approach, fuzzy rules are formulated based on the fuzzified values of selected features, which capture the statistical behavior of the input observations. These rules enable interpretable and transparent decision-making and are applied before the final classification step. We thoroughly evaluated our methodology through extensive simulations using three publicly available datasets, such as WUSTL-EHMS-2020, CICIoMT2024, and ECU-IoHT. The results exhibit exceptional accuracy rates of 99.68%, 98.71%, and 99.43%, respectively. A comparative analysis against state-of-the-art models in the existing literature, based on metrics including accuracy, precision, recall, F1-score, and time complexity, reveals that our proposed method achieves superior results. This evidence suggests that our method constitutes a robust solution for mitigating security threats in IoMT networks. Full article

Recent advancements in the Internet of Things (IoT) and artificial intelligence (AI) are unlocking transformative opportunities across society. One of the most critical challenges addressed by these technologies is the ageing population, which presents mounting concerns for healthcare systems and quality of life worldwide. By supporting continuous monitoring, personal care, and data-driven decision-making, IoT and AI are shifting healthcare delivery from a reactive approach to a proactive one. This paper presents a comprehensive overview of IoT-based systems with a particular focus on the Internet of Healthcare Things (IoHT) and their integration with AI, referred to as the Artificial Intelligence of Things (AIoT). We illustrate the operating procedures of IoHT systems in detail. We highlight their applications in disease management, health promotion, and active ageing. Key enabling technologies, including cloud computing, edge computing architectures, machine learning, and smart sensors, are examined in relation to continuous health monitoring, personalized interventions, and predictive decision support. This paper also indicates potential challenges that IoHT systems face, including data privacy, ethical concerns, and technology transition and aversion, and it reviews corresponding defense mechanisms from perception, policy, and technology levels. Future research directions are discussed, including explainable AI, digital twins, metaverse applications, and multimodal sensor fusion. By integrating IoT and AI, these systems offer the potential to support more adaptive and human-centered healthcare delivery, ultimately improving treatment outcomes and supporting healthy ageing. Full article

In recent years, Internet of Healthcare Things (IoHT) devices have attracted significant attention from computer scientists, healthcare professionals, and patients. These devices enable patients, especially in areas without access to hospitals, to easily record and transmit their health data to medical staff via the Internet. However, the analysis of sensitive health information necessitates a secure environment to safeguard patient privacy. Given the sensitivity of healthcare data, ensuring security and privacy is crucial in this sector. Federated learning (FL) provides a solution by enabling collaborative model training without sharing sensitive health data with third parties. Despite FL addressing some privacy concerns, the privacy of IoHT data remains an area needing further development. In this paper, we propose a privacy-preserving federated learning framework to enhance the privacy of IoHT data. Our approach integrates federated learning with $ϵ$-differential privacy to design an effective and secure intrusion detection system (IDS) for identifying cyberattacks on the network traffic of IoHT devices. In our FL-based framework, SECIoHT-FL, we employ deep neural network (DNN) including convolutional neural network (CNN) models. We assess the performance of the SECIoHT-FL framework using metrics such as accuracy, precision, recall, F1-score, and privacy budget ($ϵ$). The results confirm the efficacy and efficiency of the framework. For instance, the proposed CNN model within SECIoHT-FL achieved an accuracy of 95.48% and a privacy budget ($ϵ$) of 0.34 when detecting attacks on one of the datasets used in the experiments. To facilitate the understanding of the models and the reproduction of the experiments, we provide the explainability of the results by using SHAP and share the source code of the framework publicly as free and open-source software. Full article

The Internet of Health Things (IoHT) is a broader version of the Internet of Things. The main goal is to intervene autonomously from geographically diverse regions and provide low-cost preventative or active healthcare treatments. Smart wearable IMUs for human motion analysis have proven to provide valuable insights into a person’s psychological state, activities of daily living, identification/re-identification through gait signatures, etc. The existing literature, however, focuses on specificity i.e., problem-specific deep models. This work presents a generic BiGRU-CNN deep model that can predict the emotional state of a person, classify the activities of daily living, and re-identify a person in a closed-loop scenario. For training and validation, we have employed publicly available and closed-access datasets. The data were collected with wearable inertial measurement units mounted non-invasively on the bodies of the subjects. Our findings demonstrate that the generic model achieves an impressive accuracy of 96.97% in classifying activities of daily living. Additionally, it re-identifies individuals in closed-loop scenarios with an accuracy of 93.71% and estimates emotional states with an accuracy of 78.20%. This study represents a significant effort towards developing a versatile deep-learning model for human motion analysis using wearable IMUs, demonstrating promising results across multiple applications. Full article

The proliferation of the Internet of Health Things (IoHT) introduces significant benefits for healthcare through enhanced connectivity and data-driven insights, but it also presents substantial cybersecurity challenges. Protecting sensitive health data from cyberattacks is critical. This paper proposes a novel approach for detecting cyberattacks in IoHT environments using a Federated Learning (FL) framework integrated with Long Short-Term Memory (LSTM) networks. The FL paradigm ensures data privacy by allowing individual IoHT devices to collaboratively train a global model without sharing local data, thereby maintaining patient confidentiality. LSTM networks, known for their effectiveness in handling time-series data, are employed to capture and analyze temporal patterns indicative of cyberthreats. Our proposed system uses an embedded feature selection technique that minimizes the computational complexity of the cyberattack detection model and leverages the decentralized nature of FL to create a robust and scalable cyberattack detection mechanism. We refer to the proposed approach as Embedded Federated Learning-Driven Long Short-Term Memory (EFL-LSTM). Extensive experiments using real-world ECU-IoHT data demonstrate that our proposed model outperforms traditional models regarding accuracy (97.16%) and data privacy. The outcomes highlight the feasibility and advantages of integrating Federated Learning with LSTM networks to enhance the cybersecurity posture of IoHT infrastructures. This research paves the way for future developments in secure and privacy-preserving IoHT systems, ensuring reliable protection against evolving cyberthreats. Full article

The increasing use of IoHT devices in healthcare has brought about revolutionary advancements, but it has also exposed some critical vulnerabilities, particularly in cybersecurity. IoHT is characterized by interconnected medical devices sharing sensitive patient data, which amplifies the risk of cyber threats. Therefore, ensuring healthcare data’s integrity, confidentiality, and availability is essential. This study proposes a hybrid deep learning-based intrusion detection system that uses an Artificial Neural Network (ANN) with Bidirectional Long Short-Term Memory (BLSTM) and Gated Recurrent Unit (GRU) architectures to address critical cybersecurity threats in IoHT. The model was tailored to meet the complex security demands of IoHT and was rigorously tested using the Electronic Control Unit ECU-IoHT dataset. The results are impressive, with the system achieving 100% accuracy, precision, recall, and F1-Score in binary classifications and maintaining exceptional performance in multiclass scenarios. These findings demonstrate the potential of advanced AI methodologies in safeguarding IoHT environments, providing high-fidelity detection while minimizing false positives. Full article

The Internet of Things (IoT) has witnessed significant growth with advancements in Internet and wireless technologies. In the medical field, the Internet of Health Things (IoHT) has emerged as an extension of the IoT, enabling the exchange of remote data and real-time monitoring of patients’ health conditions. Through the IoHT, doctors can promptly provide diagnoses and treatment for patients. As patient data are transmitted over public channels, security issues may arise, necessitating security mechanisms. Recently, Amintoosi et al. proposed an authentication protocol for smart medical services in the IoHT. However, their protocol exhibited security weaknesses, including vulnerabilities to privileged insider attacks. To address the security concerns, we propose an enhanced authentication and key agreement protocol. The security of our protocol is rigorously analyzed using the Real-Or-Random model, informal security analysis, and the AVISPA tool. Finally, the results of our analysis demonstrate that our proposed protocol ensures sufficient security while maintaining a performance level similar to existing protocols. Full article

Health is gold, and good health is a matter of survival for humanity. The development of the healthcare industry aligns with the development of humans throughout history. Nowadays, along with the strong growth of science and technology, the medical domain in general and the healthcare industry have achieved many breakthroughs, such as remote medical examination and treatment applications, pandemic prediction, and remote patient health monitoring. The advent of 5th generation communication networks in the early 2020s led to the Internet of Things concept. Moreover, the 6th generation communication networks (so-called 6G) expected to launch in 2030 will be the next revolution of the IoT era, and will include autonomous IoT systems and form a series of endogenous intelligent applications that serve humanity. One of the domains that receives the most attention is smart healthcare. In this study, we conduct a comprehensive survey of IoT-based technologies and solutions in the medical field. Then, we propose an all-in-one computing architecture for real-time IoHT applications and present possible solutions to achieving the proposed architecture. Finally, we discuss challenges, open issues, and future research directions. We hope that the results of this study will serve as essential guidelines for further research in the human healthcare domain. Full article

Internet of Health Things plays a vital role in day-to-day life by providing electronic healthcare services and has the capacity to increase the quality of patient care. Internet of Health Things (IoHT) devices and applications have been growing rapidly in recent years, becoming extensively vulnerable to cyber-attacks since the devices are small and heterogeneous. In addition, it is doubly significant when IoHT involves devices used in healthcare domain. Consequently, it is essential to develop a resilient cyber-attack detection system in the Internet of Health Things environment for mitigating the security risks and preventing Internet of Health Things devices from becoming exposed to cyber-attacks. Artificial intelligence plays a primary role in anomaly detection. In this paper, a deep neural network-based cyber-attack detection system is built by employing artificial intelligence on latest ECU-IoHT dataset to uncover cyber-attacks in Internet of Health Things environment. The proposed deep neural network system achieves average higher performance accuracy of 99.85%, an average area under receiver operator characteristic curve 0.99 and the false positive rate is 0.01. It is evident from the experimental result that the proposed system attains higher detection rate than the existing methods. Full article

Internet of Things (IoT) devices have drawn significant attention over the last few years due to their significant contribution to every domain of life, but the major application of these devices has been witnessed in the healthcare sector. IoT devices have changed the complexion of healthcare set-up, however, the major limitation of such devices is susceptibility to many cyberattacks due to the use of embedded operating systems, the nature of communication, insufficient software updates, and the nature of backend resources. Similarly, they transfer a huge amount of sensitive data via sensors and actuators. Therefore, the security of Internet of Health Things (IoHT) devices remains a prime concern as these devices are prone to various cyberattacks, which can lead to compromising and violating the security of IoT devices. Therefore, IoT devices need to be authenticated before they join the network or communicate within a network, and the applied method of authentication must be robust and reliable. This authentication method has to be evaluated before being implemented for the authentication of IoT devices/equipment in a healthcare environment. In this study, an evaluation framework is introduced to provide a reliable and secure authentication mechanism based on authentication features. The proposed framework evaluates and selects the most appropriate authentication scheme/method based on evaluating authentication features using a hybrid multicriteria decision-making approach. It completes this in two steps: in the first step, the analytic hierarchy process (AHP) method is applied for assigning criteria weights; and in the second step, the technique for order preference by similarity to ideal solution (TOPSIS) approach selects the best authentication solution for IoHT devices based upon identified authentication features. This is the first attempt to present a features-based authentication model for selecting the improved authentication solution employed in IoHT devices. Full article

The potential of the Internet of Health Things (IoHT), also identified in the literature as the Internet of Medical Things (IoMT), is enormous, since it can generate expressive impacts on healthcare devices, such as the capnograph. When applied to mechanical ventilation, it provides essential healthcare to the patient and helps save lives. This survey elaborates on a deep review of related literature about the most robust and effective innovative healthcare solutions using modern technologies, such as the Internet of Things (IoT), cloud computing, Blynk, Bluetooth Low Energy, Robotics, and embedded systems. It emphasizes that IoT-based wearable and smart devices that work as integrated systems can be a faster response to other pandemic crises, respiratory diseases, and other problems that may occur in the future. It may also extend the performance of e-Health platforms used as monitoring systems. Therefore, this paper considers the state of the art to substantiate research about sensors, highlighting the relevance of new studies, strategies, approaches, and novelties in the field. Full article

Advances in wearable device technology pave the way for wireless health monitoring for medical and non-medical applications. In this work, we present a wearable heart rate monitoring platform communicating in the sub-6GHz 5G ISM band. The proposed device is composed of an Aluminium Nitride (AlN) piezoelectric sensor, a patch antenna, and a custom printed circuit board (PCB) for data acquisition and transmission. The experimental results show that the presented system can acquire heart rate together with diastolic and systolic duration, which are related to heart relaxation and contraction, respectively, from the posterior tibial artery. The overall system dimension is 20 mm by 40 mm, and the total weight is 20 g, making this device suitable for daily utilization. Furthermore, the system allows the simultaneous monitoring of multiple subjects, or a single patient from multiple body locations by using only one reader. The promising results demonstrate that the proposed system is applicable to the Internet of Healthcare Things (IoHT), and particularly Integrated Clinical Environment (ICE) applications. Full article

The Internet of Health Things (IoHT) has emerged as an attractive networking paradigm in wireless communications, integrated devices and embedded system technologies. In the IoHT, real-time health data are collected through smart healthcare sensors and, in recent years, the IoHT has started to have an important role in the Internet of Things technology. Although the IoHT provides comfort in health monitoring, it also imposes security challenges in maintaining patient data confidentiality and privacy. To overcome such security issues, in this paper, a novel blockchain-based privacy-preserving authentication scheme is proposed as an approach for achieving efficient authentication of the patient without the involvement of a trusted entity. Moreover, a secure handover authentication mechanism that ensures avoiding the patient re-authentication in multi-doctor communication scenarios and revoking the possible malicious misbehavior of medical professionals in the IoHT communication with the patient is developed. The performance of the proposed authentication and handover scheme is analyzed concerning the existing state-of-the-art authentication schemes. The results of the performance analyses reveal that the proposed authentication scheme is resistant to different types of security attacks. Moreover, the results of analyses show that the proposed authentication scheme outperforms similar state-of-the-art authentication schemes in terms of having lower computational, communication and storage costs. Therefore, the novel authentication and handover scheme has proven practical applicability and represents a valuable contribution to improving the security of communication in IoHT networks. Full article

Privacy and security are unavoidable challenges in the future of smart health services and systems. Several approaches for preserving privacy have been provided in the Internet of Health Things (IoHT) applications. However, with the emergence of COVID-19, the healthcare centers needed to track, collect, and share more critical data such as the location of those infected and monitor social distancing. Unfortunately, the traditional privacy-preserving approaches failed to deal effectively with emergency circumstances. In the proposed research, we introduce a Tokens Shuffling Approach (TSA) to preserve collected data’s privacy, security, and reliability during the pandemic without the need to trust a third party or service providers. TSA depends on a smartphone application and the proposed protocol to collect and share data reliably and safely. TSA depends on a proposed algorithm for swapping the identities temporarily between cooperated users and then hiding the identities by employing fog nodes. The fog node manages the cooperation process between users in a specific area to improve the system’s performance. Finally, TSA uses blockchain to save data reliability, ensure data integrity, and facilitate access. The results prove that TSA performed better than traditional approaches regarding data privacy and the performance level. Further, we noticed that it adapted better during emergency circumstances. Moreover, TSA did not affect the accuracy of the collected data or its related statistics. On the contrary, TSA will not affect the quality of primary healthcare services. Full article

Large amounts of patient vital/physiological signs data are usually acquired in hospitals manually via centralized smart devices. The vital signs data are occasionally stored in spreadsheets and may not be part of the clinical cloud record; thus, it is very challenging for doctors to integrate and analyze the data. One possible remedy to overcome these limitations is the interconnection of medical devices through the internet using an intelligent and distributed platform such as the Internet of Things (IoT) or the Internet of Health Things (IoHT) and Artificial Intelligence/Machine Learning (AI/ML). These concepts permit the integration of data from different sources to enhance the diagnosis/prognosis of the patient’s health state. Over the last several decades, the growth of information technology (IT), such as the IoT/IoHT and AI, has grown quickly as a new study topic in many academic and business disciplines, notably in healthcare. Recent advancements in healthcare delivery have allowed more people to have access to high-quality care and improve their overall health. This research reports recent advances in AI and IoT in monitoring vital health signs. It investigates current research on AI and the IoT, as well as key enabling technologies, notably AI and sensors-enabled applications and successful deployments. This study also examines the essential issues that are frequently faced in AI and IoT-assisted vital health signs monitoring, as well as the special concerns that must be addressed to enhance these systems in healthcare, and it proposes potential future research directions. Full article