Search Results (248)

The Internet of Medical Things (IoMT) is revolutionizing healthcare by enabling continuous patient monitoring, early diagnosis, and personalized treatments. However, the het-erogeneity of IoMT devices and the lack of standardized protocols introduce serious security vulnerabilities. To address these challenges, we propose a hybrid BiLSTM-DNN intrusion detection system, named HBiLD-IDS, that combines Bidirectional Long Short-Term Memory (BiLSTM) networks with Deep Neural Networks (DNNs), leveraging both temporal dependencies in network traffic and hierarchical feature extraction. The model is trained and evaluated on the CICIoMT2024 dataset, which accurately reflects the diversity of devices and attack vectors encountered in connected healthcare environments. The dataset undergoes rigorous preprocessing, including data cleaning, feature selection through correlation analysis and recursive elimination, and feature normalization. Compared to existing IDS models, our approach significantly enhances detection accuracy and generalization capacity in the face of complex and evolving attack patterns. Experimental results show that the proposed IDS model achieves a classification accuracy of 98.81% across 19 attack types confirming its robustness and scalability. This approach represents a promising solution for strengthening the security posture of IoMT networks against emerging cyber threats. Full article

Malware evolution presents growing security threats for resource-constrained Internet of Medical Things (IoMT) devices. Conventional federated learning (FL) often suffers from slow convergence, high communication overhead, and fairness issues in dynamic IoMT environments. In this paper, we propose FedGCL, a secure and efficient FL framework integrating contrastive graph representation learning for enhanced feature discrimination, a Jain-index-based fairness-aware aggregation mechanism, an adaptive synchronization scheduler to optimize communication rounds, and secure aggregation via homomorphic encryption within a Trusted Execution Environment. We evaluate FedGCL on four benchmark malware datasets (Drebin, Malgenome, Kronodroid, and TUANDROMD) using 5 to 15 graph neural network clients over 20 communication rounds. Our experiments demonstrate that FedGCL achieves 96.3% global accuracy within three rounds and converges to 98.9% by round twenty—reducing required training rounds by 45% compared to FedAvg—while incurring only approximately 10% additional computational overhead. By preserving patient data privacy at the edge, FedGCL enhances system resilience without sacrificing model performance. These results indicate FedGCL’s promise as a secure, efficient, and fair federated malware detection solution for IoMT ecosystems. Full article

Healthcare data rapidly increases, and patients seek customized, effective healthcare services. Big data and machine learning (ML) enabled smart healthcare systems hold revolutionary potential. Unlike previous reviews that separately address AI or big data, this work synthesizes their convergence through real-world case studies, cross-domain ML applications, and a critical discussion on ethical integration in smart diagnostics. The review focuses on the role of big data analysis and ML towards better diagnosis, improved efficiency of operations, and individualized care for patients. It explores the principal challenges of data heterogeneity, privacy, computational complexity, and advanced methods such as federated learning (FL) and edge computing. Applications in real-world settings, such as disease prediction, medical imaging, drug discovery, and remote monitoring, illustrate how ML methods, such as deep learning (DL) and natural language processing (NLP), enhance clinical decision-making. A comparison of ML models highlights their value in dealing with large and heterogeneous healthcare datasets. In addition, the use of nascent technologies such as wearables and Internet of Medical Things (IoMT) is examined for their role in supporting real-time data-driven delivery of healthcare. The paper emphasizes the pragmatic application of intelligent systems by highlighting case studies that reflect up to 95% diagnostic accuracy and cost savings. The review ends with future directions that seek to develop scalable, ethical, and interpretable AI-powered healthcare systems. It bridges the gap between ML algorithms and smart diagnostics, offering critical perspectives for clinicians, data scientists, and policymakers. Full article

Artificial intelligence (AI) has already played a significant role in the healthcare sector, particularly in image-based medical diagnosis. Deep learning models have produced satisfactory and useful results for accurate decision-making. Among the various types of medical images, magnetic resonance imaging (MRI) is frequently utilized in deep learning applications to analyze detailed structures and organs in the body, using advanced intelligent software. However, challenges related to performance and data privacy often arise when using medical data from patients and healthcare institutions. To address these issues, new approaches have emerged, such as federated learning. This technique ensures the secure exchange of sensitive patient and institutional data. It enables machine learning or deep learning algorithms to establish a client–server relationship, whereby specific parameters are securely shared between models while maintaining the integrity of the learning tasks being executed. Federated learning has been successfully applied in medical settings, including diagnostic applications involving medical images such as MRI data. This research introduces an analytical intelligence system based on an Internet of Medical Things (IoMT) framework that employs federated learning to provide a safe and effective diagnostic solution for brain tumor identification. By utilizing specific brain MRI datasets, the model enables multiple local capsule networks (CapsNet) to achieve improved classification results. The average accuracy rate of the CapsNet model exceeds 97%. The precision rate indicates that the CapsNet model performs well in accurately predicting true classes. Additionally, the recall findings suggest that this model is effective in detecting the target classes of meningiomas, pituitary tumors, and gliomas. The integration of these components into an analytical intelligence system that supports the work of healthcare personnel is the main contribution of this work. Evaluations have shown that this approach is effective for diagnosing brain tumors while ensuring data privacy and security. Moreover, it represents a valuable tool for enhancing the efficiency of the medical diagnostic process. Full article

The Internet of Medical Things (IoMT) is revolutionizing healthcare by integrating smart diagnostic devices with cloud computing and real-time data analytics. The emergence of infectious diseases, including COVID-19, underscores the need for rapid and decentralized diagnostics to facilitate early intervention. Traditional centralized laboratory testing introduces delays, limiting timely medical responses. While point-of-care molecular diagnostic (POC-MD) systems offer an alternative, challenges remain in cost, accessibility, and network inefficiencies. This study proposes an IoMT-based architecture for fully automated POC-MD devices, leveraging WebSockets for optimized communication, enhancing microfluidic cartridge efficiency, and integrating a hardware-based emulator for real-time validation. The system incorporates DNA extraction and real-time polymerase chain reaction functionalities into modular, networked components, improving flexibility and scalability. Although the system itself has not yet undergone clinical validation, it builds upon the core cartridge and detection architecture of a previously validated cartridge-based platform for Chlamydia trachomatis and Neisseria gonorrhoeae (CT/NG). These pathogens were selected due to their global prevalence, high asymptomatic transmission rates, and clinical importance in reproductive health. In a previous clinical study involving 510 patient specimens, the system demonstrated high concordance with a commercial assay with limits of detection below 10 copies/μL, supporting the feasibility of this architecture for point-of-care molecular diagnostics. By addressing existing limitations, this system establishes a new standard for next-generation diagnostics, ensuring rapid, reliable, and accessible disease detection. Full article

An increasing number of scholars are raising concerns about the sustainability of digital health, calling for action to prevent its harmful effects on the environment. At this point, however, the comprehensive appraisal of emerging technology in the health sector remains theoretically challenging, and highly difficult to implement in practice and in ecological design. Indeed, background factors such as the rapid evolution of technology or effectiveness–efficiency tradeoffs complicate the task of distinguishing the benefits of digital health from its drawbacks, rendering early Health Technology Sustainability Assessment (HTSA) extremely complex. Within this context, the aim of this article is to draw attention to the pragmatism that should be adopted when anticipating the sustainability of technological innovation in the medical field, while simultaneously proposing an assessment framework grounded in a structural and conceptual dissection of the fundamental purpose of smart technologies and the Internet of Medical Things (IoMT). Building on this, we demonstrate how our framework can be strategically applied through a rapid back-of-the-envelope assessment of the economic and ecological balance when introducing IoMT prototypes for treating a specific condition, based on a preliminary simulation of a defined clinical outcome. In this manner, the article presents evidence that challenges two primary hypotheses, and also encourages reflection on the central role of information and its interpretation when addressing key barriers in the HTSA of digital health. Thereby, it contributes to advancing cost–benefit and cost-effectiveness evaluation tools that support eco design strategies and guide informed decision-making regarding the integration of sustainable IoMT systems into healthcare. Full article

The rapid integration of the Internet of Medical Things (IoMT) into healthcare systems raises urgent demands for secure communication mechanisms capable of protecting sensitive patient data. Quantum key agreement (QKA), a collaborative approach to key generation based on quantum principles, provides an attractive alternative to traditional quantum key distribution (QKD), as it eliminates dependence on a trusted authority and ensures equal participation from all users. QKA demonstrates particular suitability for IoMT’s decentralized medical networks by eliminating trusted authority dependence while ensuring equitable participation among all participants. This addresses fundamental challenges where centralized trust models introduce vulnerabilities and asymmetric access patterns that compromise egalitarian principles essential for medical data sharing. However, practical QKA applications in IoMT remain limited, particularly for schemes that avoid complex entanglement operations and authenticated classical channels. Among the few QKA protocols employing Grover’s search algorithm (GSA), existing proposals potentially suffer from limitations in fairness and security. In this paper, the author proposes an improved GSA-based QKA protocol that ensures fairness, security, and correctness without requiring an authenticated classical communication channel. The proposed scheme guarantees that each participant’s input equally contributes to the final key, preventing manipulation by any user subgroup. The scheme combines Grover’s algorithm with the decoy photon technique to ensure secure quantum transmission. Security analysis confirms resistance to external attacks, including intercept-resend, entanglement probes, and device-level exploits, as well as insider threats such as parameter manipulation. Fairness is achieved through a symmetric protocol design rooted in quantum mechanical principles. Efficiency evaluation shows a theoretical efficiency of approximately 25%, while eliminating the need for quantum memory. These results position the proposed protocol as a practical and scalable solution for future secure quantum communication systems, particularly within distributed IoMT environments. Full article

The rapid integration of the Internet of Medical Things (IoMT) is transforming healthcare through real-time monitoring, AI-driven diagnostics, and remote treatment. However, the growing reliance on IoMT devices, such as robotic surgical systems, life-support equipment, and wearable health monitors, has expanded the attack surface, exposing healthcare systems to cybersecurity risks like data breaches, device manipulation, and potentially life-threatening disruptions. While 6G networks offer significant benefits for healthcare, such as ultra-low latency, extensive connectivity, and AI-native capabilities, as highlighted in the ITU 6G (IMT-2030) framework, they are expected to introduce new and potentially more severe security challenges. These advancements put critical medical systems at greater risk, highlighting the need for more robust security measures. This study leverages AI techniques to systematically identify security vulnerabilities within 6G-enabled healthcare environments. Additionally, the proposed approach strengthens AI-driven security through use of multiple XAI techniques cross-validated against each other. Drawing on the insights provided by XAI, we tailor our mitigation strategies to the ITU-defined 6G usage scenarios, with a focus on their applicability to medical IoT networks. We propose that these strategies will effectively address potential vulnerabilities and enhance the security of medical systems leveraging IoT and 6G networks. Full article

The Internet of Medical Things (IoMT) creates interconnected networks of smart medical devices, utilizing extensive medical data collection to improve patient outcomes, streamline resource management, and guarantee comprehensive life-cycle security. However, the private nature of medical data, coupled with strict compliance requirements, has resulted in the separation of information repositories in the IoMT network, severely hindering protected inter-domain data cooperation. Although current blockchain-based federated learning (BFL) approaches aim to resolve these issues, two persistent security weaknesses remain: privacy leakage and poisoning attacks. This study proposes a privacy-preserving poisoning-resistant blockchain-based federated learning (PPBFL) scheme for secure IoMT data sharing. Specifically, we design an active protection framework that uses a lightweight $(t,n)$-threshold secret sharing scheme to protect devices’ privacy and prevent coordination edge nodes from colluding. Then, we design a privacy-guaranteed cosine similarity verification protocol integrated with secure multi-party computation techniques to identify and neutralize malicious gradients uploaded by malicious devices. Furthermore, we deploy an intelligent aggregation system through blockchain smart contracts, removing centralized coordination dependencies while guaranteeing auditable computational validity. Our formal security analysis confirms the PPBFL scheme’s theoretical robustness. Comprehensive evaluations across multiple datasets validate the framework’s operational efficiency and defensive capabilities. Full article

The rise of the Internet of Medical Things (IoMT) has enhanced healthcare delivery but also exposed critical cybersecurity vulnerabilities. Detecting attacks in such environments demands accurate, interpretable, and cost-efficient models. This paper addresses the critical challenges in network security, particularly in IoMT, through advanced machine learning (ML) approaches. We propose a high-performance cybersecurity framework leveraging a carefully fine-tuned XGBoost classifier to detect malicious attacks with superior predictive accuracy while maintaining interpretability. Our comprehensive evaluation compares the proposed model with a well-regularized Logistic Regression baseline using key performance metrics. Additionally, we analyze the security-cost trade-off in designing ML systems for threat detection and employ SHAP (SHapley Additive exPlanations) to identify key features driving predictions. We further introduce a late fusion approach based on max voting that effectively combines the strengths of both models. Results demonstrate that while XGBoost achieves higher accuracy (0.97) and recall (1.00) compared to Logistic Regression, our late fusion model provides a more balanced performance with improved precision (0.98) and reduced false negatives, making it particularly suitable for security-sensitive applications. This work contributes to developing robust, interpretable, and efficient ML solutions for addressing evolving cybersecurity challenges in networked environments. Full article

Internet of Medical Things (IoMT) is a rapidly evolving field with the potential to bring significant changes to healthcare. While several surveys have examined the structure and operation of these systems, critical aspects such as interoperability, sustainability, security, runtime self-adaptation, and configurability are sometimes overlooked. Interoperability is essential for integrating data from various devices and platforms to provide a comprehensive view of a patient’s health. Sustainability addresses the environmental impact of IoMT technologies, crucial in the context of green computing. Security ensures the protection of sensitive patient data from breaches and manipulation. Runtime self-adaptation allows systems to adjust to changing patient conditions and environments. Configurability enables IoMT frameworks to monitor diverse patient conditions and manage different treatment paths. This article reviews current techniques addressing these aspects and highlights areas requiring further research. Full article

The development of cost-effective, rapid-response, and user-friendly biosensing platforms has become paramount importance for achieving precise biomarker quantification in early disease detection. Implementing timely diagnostic interventions through accurate biomarker analysis not only significantly improves treatment outcomes but also enables effective disease management strategies, ultimately leading to substantial reductions in patient mortality rates. These clinical imperatives have consequently driven the innovation of portable point-of-care (POC) diagnostic systems. Electrochemical biosensors are attractive in the early diagnosis of diseases due to their low cost, simple operation, and high sensitivity. This review examines prevalent material innovations in electrode functionalization for electrochemical biosensing platforms, with specific emphasis on their translational applications in early-stage disease detection. The analysis included three important early diagnostic biomarker types: proteins, nucleic acids, and small molecule metabolites. Furthermore, the work proposes novel research trajectories for next-generation biosensor development, advocating the synergistic integration of artificial intelligence-driven analytics, Internet of Medical Things (IoMT)-enabled diagnostic networks, and advanced micro/nanofabrication techniques. Full article

The advent of Tiny Machine Learning (TinyML) has unlocked the potential to deploy machine learning models on resource-constrained edge devices, revolutionizing real-time monitoring in Internet of Medical Things (IoMT) applications. This study introduces a novel approach to real-time electrocardiogram (ECG) anomaly detection by integrating TinyML with edge Artificial Intelligence (AI) on low-power embedded systems. We demonstrate the feasibility and effectiveness of deploying optimized models on edge devices, such as the Raspberry Pi and Arduino, to detect ECG anomalies, including arrhythmias. The proposed workflow encompasses data preprocessing, feature extraction, and model inference, all executed directly on the edge device, eliminating the need for cloud resources. To address the constraints of memory and power consumption in wearable devices, we applied advanced optimization techniques, including model pruning and quantization, achieving an optimal balance between accuracy and resource utilization. The optimized model achieved an accuracy of 92.3% while reducing the power consumption to 0.024 mW, enabling continuous, long-term health monitoring with minimal energy requirements. This work highlights the potential of TinyML to advance edge AI for real-time medical applications. Full article

To tackle the issue of unknown spoofing attacks in the Internet of Medical Things (IoMT), we put forward an iterative deep clustering model for blind RF fingerprint recognition. This model seamlessly combines a representation learning module and a clustering module, facilitating end—to—end training and optimization. Its parameters are updated according to an innovative loss function. Moreover, this model incorporates a noise—canceling self—encoder module to reduce noise and extract the noise—independent intrinsic fingerprints of devices. In comparison with other algorithms, the proposed model remarkably improves the blind recognition performance for the identification of unknown devices in the IoMT. Full article

The technological developments in the Internet of Things (IoT), data science, artificial intelligence, wearable sensors, remote monitoring, decision support systems, fog, and edge systems have transformed digital healthcare. Especially after the pandemic, there has been a rapid transformation of healthcare infrastructure from a conventional to a digital approach. Now, specifically, technologies such as the Internet of Things play a vital role in the transformation of the healthcare system. In this paper, an effort has been made to encompass the transformation of healthcare with a focus on the Internet of Medical Things (IoMT). In particular, it provides a detailed overview of the Internet of Medical Things whilst discussing the design goals and challenges, the resource constraints and limitations of the complex healthcare systems. The paper also provides a detailed account of the research initiatives as well as off-the-shelf wireless motes, internet-enabled sensors and open-source platforms. A thorough account of the next-generation digital healthcare technologies and future research opportunities is provided. This work not only covers the state-of-the-art but also offers critical insight into the digital healthcare challenges. The work attempts to summarise the extensive literature in the domain and present a new perspective on the internet of medical things, affiliate technologies and their role in healthcare. Full article