Biblio

One of the most challenging issues facing Internet of Medical Things (IoMT) cyber defense is the complexity of their ecosystem coupled with the development of cyber-attacks. Medical equipments lack built-in security and are increasingly becoming connected. Moving beyond traditional security solutions becomes a necessity to protect patients and organizations. In order to effectively deal with the security risks of networked medical devices in such a complex and heterogeneous system, we need to measure security risks and prioritize mitigation actions. In this context, we propose a Fuzzy AHP-based method to assess security attributes of connected medical devices and compare different device models against a selected profile with regards to the user requirements. The proposal aims to empower user security awareness to make well-educated decisions.

In today's technological climate, users require fast automation and digitization of results for large amounts of data at record speeds. Especially in the field of medicine, where each patient is often asked to undergo many different examinations within one diagnosis or treatment. Each examination can help in the diagnosis or prediction of further disease progression. Furthermore, all produced data from these examinations must be stored somewhere and available to various medical practitioners for analysis who may be in geographically diverse locations. The current medical climate leans towards remote patient monitoring and AI-assisted diagnosis. To make this possible, medical data should ideally be secured and made accessible to many medical practitioners, which makes them prone to malicious entities. Medical information has inherent value to malicious entities due to its privacy-sensitive nature in a variety of ways. Furthermore, if access to data is distributively made available to AI algorithms (particularly neural networks) for further analysis/diagnosis, the danger to the data may increase (e.g., model poisoning with fake data introduction). In this paper, we propose a federated learning approach that uses decentralized learning with blockchain-based security and a proposition that accompanies that training intelligent systems using distributed and locally-stored data for the use of all patients. Our work in progress hopes to contribute to the latest trend of the Internet of Medical Things security and privacy.

Internet of Medical Things (IoMT) is the connection between medical devices and information systems to share, collect, process, store, and integrate patient and health data using network technologies. X-Rays, MR, MRI, and CT scans are the most frequently used patient medical image data. These images usually include patient information in one of the corners of the image. In this research work, to protect patient information, a new robust and secure watermarking algorithm developed for a selected region of interest (ROI) of medical images. First ROI selected from the medical image, then selected part divided equal blocks and applied Discrete Cosine Transformation (DCT) algorithm to embed a watermark into the selected coefficients. Several geometric and removal attacks are applied to the watermarked multimedia element such as lossy image compression, the addition of Gaussian noise, denoising, filtering, median filtering, sharpening, contrast enhancement, JPEG compression, and rotation. Experimental results show very promising results in PSNR and similarity ratio (SR) values after blocked DCT (B-DCT) based embedding algorithm against the Discrete Wavelet Transformation (DWT), Least Significant Bits (LSB) and DCT algorithms.

Nowadays, IoT has crossed all borders and become ubiquitous in everyday life. This emerging technology has a huge success in closing the gap between the digital and the real world. However, security and privacy become huge concerns especially in the medical field which prevent the healthcare industry from adopting it despite its benefits and potentials. This paper focuses on identifying potential security threats to the IoMT and presents the security mechanisms to remove any possible impediment from immune information security of IoMT. A summarized framework of the layered-security model is proposed followed by a specific assessment review of each layer.