IMDfence: Architecting a Secure Protocol for Implantable Medical Devices

Over the past decade, focus on the security and privacy aspects of implantable medical devices (IMDs) has intensified, driven by the multitude of cybersecurity vulnerabilities found in various existing devices. However, due to their strict computational, energy and physical constraints, conventional security protocols are not directly applicable to IMDs. Custom-tailored schemes have been proposed instead which, however, fail to cover the full spectrum of security features that modern IMDs and their ecosystems so critically require. In this paper we propose IMDfence, a security protocol for IMD ecosystems that provides a comprehensive yet practical security portfolio, which includes availability, non-repudiation, access control, entity authentication, remote monitoring and system scalability. The protocol also allows emergency access that results in the graceful degradation of offered services without compromising security and patient safety. The performance of the security protocol as well as its feasibility and impact on modern IMDs are extensively analyzed and evaluated. We find that IMDfence achieves the above security requirements at a mere less than 7% increase in total IMD energy consumption, and less than 14 ms and 9 kB increase in system delay and memory footprint, respectively

ASCP-IoMT: AI-Enabled Lightweight Secure Communication Protocol for Internet of Medical Things

The Internet of Medical Things (IoMT) is a unification of smart healthcare devices, tools, and software, which connect various patients and other users to the healthcare information system through the networking technology. It further reduces unnecessary hospital visits and the burden on healthcare systems by connecting the patients to their healthcare experts (i.e., doctors) and allows secure transmission of healthcare data over an insecure channel (e.g., the Internet). Since Artificial Intelligence (AI) has a great impact on the performance and usability of an information system, it is important to include its modules in a healthcare information system, which will be very helpful for the prediction of some phenomena, such as chances of getting a heart attack and possibility of a tumor, from the collected and analysed healthcare data. To mitigate these issues, in this paper, a new AI-enabled lightweight, secure communication scheme for an IoMT environment has been designed and named as ASCP-IoMT, in short. The security analysis of ASCP-IoMT is performed in different ways, such as an informal way and a formal way (through the random oracle model). ASCP-IoMT performs better than other similar schemes and provides superior security with extra functionality features as compared those for the existing state of art solutions. A practical implementation of ASCP-IoMT is also performed in order to measure its impact on various network performance parameters. The end to end delay values of ASCP-IoMT are 0.01587, 0.07440 and 0.17097 seconds and the throughput values of ASCP-IoMT are 5.05, 10.88 and 16.41 bits per second (bps) under the different considered cases, respectively. For AI-based Big data analytics phase, the values of computation time (seconds) for decision tree, support vector machine (SVM), and logistic regression are measured as 0.19, 0.23, and 0.27, respectively. Moreover, the different values of accuracy for decision tree, SVM and logistic regression are 84.24%, 87.57%, and 85.20%, respectively. From these values, it is clear that decision tree method requires less time than the other considered techniques, whereas accuracy is high in case of SVM

A Tutorial and Future Research for Building a Blockchain-Based Secure Communication Scheme for Internet of Intelligent Things

The Internet of Intelligent Things (IoIT) communication environment can be utilized in various types of applications (for example, intelligent battlefields, smart healthcare systems, the industrial internet, home automation, and many more). Communications that happen in such environments can have different types of security and privacy issues, which can be resolved through the utilization of blockchain. In this paper, we propose a tutorial that aims in desiging a generalized blockchain-based secure authentication key management scheme for the IoIT environment. Moreover, some issues with using blockchain for a communication environment are discussed as future research directions. The details of different types of blockchain are also provided. Some of the widely-accepted consensus algorithms are then discussed. Next, we discuss different types of applications in blockchain-based IoIT communication environments. The details of the associated system models are provided, such as, the network and attack models for the blockchain-based IoIT communication environment, which are helpful in designing a security protocol for such an environment. A practical demonstration of the proposed generalized scheme is provided in order to measure the impact of the scheme on the performance of the essential parameters. Finally, some of the future research challenges in the blockchain-based IoIT communication environment are highlighted, which will also be helpful to the researchers

E-SAP: Efficient-Strong Authentication Protocol for Healthcare Applications Using Wireless Medical Sensor Networks

A wireless medical sensor network (WMSN) can sense humans’ physiological signs without sacrificing patient comfort and transmit patient vital signs to health professionals’ hand-held devices. The patient physiological data are highly sensitive and WMSNs are extremely vulnerable to many attacks. Therefore, it must be ensured that patients’ medical signs are not exposed to unauthorized users. Consequently, strong user authentication is the main concern for the success and large scale deployment of WMSNs. In this regard, this paper presents an efficient, strong authentication protocol, named E-SAP, for healthcare application using WMSNs. The proposed E-SAP includes: (1) a two-factor (i.e., password and smartcard) professional authentication; (2) mutual authentication between the professional and the medical sensor; (3) symmetric encryption/decryption for providing message confidentiality; (4) establishment of a secure session key at the end of authentication; and (5) professionals can change their password. Further, the proposed protocol requires three message exchanges between the professional, medical sensor node and gateway node, and achieves efficiency (i.e., low computation and communication cost). Through the formal analysis, security analysis and performance analysis, we demonstrate that E-SAP is more secure against many practical attacks, and allows a tradeoff between the security and the performance cost for healthcare application using WMSNs

Security Issues in Healthcare Applications Using Wireless Medical Sensor Networks: A Survey

Healthcare applications are considered as promising fields for wireless sensor networks, where patients can be monitored using wireless medical sensor networks (WMSNs). Current WMSN healthcare research trends focus on patient reliable communication, patient mobility, and energy-efficient routing, as a few examples. However, deploying new technologies in healthcare applications without considering security makes patient privacy vulnerable. Moreover, the physiological data of an individual are highly sensitive. Therefore, security is a paramount requirement of healthcare applications, especially in the case of patient privacy, if the patient has an embarrassing disease. This paper discusses the security and privacy issues in healthcare application using WMSNs. We highlight some popular healthcare projects using wireless medical sensor networks, and discuss their security. Our aim is to instigate discussion on these critical issues since the success of healthcare application depends directly on patient security and privacy, for ethic as well as legal reasons. In addition, we discuss the issues with existing security mechanisms, and sketch out the important security requirements for such applications. In addition, the paper reviews existing schemes that have been recently proposed to provide security solutions in wireless healthcare scenarios. Finally, the paper ends up with a summary of open security research issues that need to be explored for future healthcare applications using WMSNs

An Empirical Analysis of Security and Privacy in Health and Medical Systems

Healthcare reform, regulation, and adoption of technology such as wearables are substantially changing both the quality of care and how we receive it. For example, health and fitness devices contain sensors that collect data, wireless interfaces to transmit data, and cloud infrastructures to aggregate, analyze, and share data. FDA-defined class III devices such as pacemakers will soon share these capabilities. While technological growth in health care is clearly beneficial, it also brings new security and privacy challenges for systems, users, and regulators. We group these concepts under health and medical systems to connect and emphasize their importance to healthcare. Challenges include how to keep user health data private, how to limit and protect access to data, and how to securely store and transmit data while maintaining interoperability with other systems. The most critical challenge unique to healthcare is how to balance security and privacy with safety and utility concerns. Specifically, a life-critical medical device must fail-open (i.e., work regardless) in the event of an active threat or attack. This dissertation examines some of these challenges and introduces new systems that not only improve security and privacy but also enhance workflow and usability. Usability is important in this context because a secure system that inhibits workflow is often improperly used or circumvented. We present this concern and our solution in its respective chapter. Each chapter of this dissertation presents a unique challenge, or unanswered question, and solution based on empirical analysis. We present a survey of related work in embedded health and medical systems. The academic and regulatory communities greatly scrutinize the security and privacy of these devices because of their primary function of providing critical care. What we find is that securing embedded health and medical systems is hard, done incorrectly, and is analogous to non-embedded health and medical systems such as hospital servers, terminals, and personally owned mobile devices. A policy called bring your own device (BYOD) allows the use and integration of mobile devices in the workplace. We perform an analysis of Apple iMessage which both implicates BYOD in healthcare and secure messaging protocols used by health and medical systems. We analyze direct memory access engines, a special-purpose piece of hardware to transfer data into and out of main memory, and show that we can chain together memory transfers to perform arbitrary computation. This result potentially affects all computing systems used for healthcare. We also examine HTML5 web workers as they provide stealthy computation and covert communication. This finding is relevant to web applications such as personal and electronic health record portals. We design and implement two novel and secure health and medical systems. One is a wearable device that addresses the problem of authenticating a user (e.g., physician) to a terminal in a usable way. The other is a light-weight and low-cost wireless device we call Beacon+. This device extends the design of Apple's iBeacon specification with unspoofable, temporal, and authenticated advertisements; of which, enables secure location sensing applications that could improve numerous healthcare processes

IoMT Malware Detection Approaches: Analysis and Research Challenges

The advancement in Information and Communications Technology (ICT) has changed the entire paradigm of computing. Because of such advancement, we have new types of computing and communication environments, for example, Internet of Things (IoT) that is a collection of smart IoT devices. The Internet of Medical Things (IoMT) is a specific type of IoT communication environment which deals with communication through the smart healthcare (medical) devices. Though IoT communication environment facilitates and supports our day-to-day activities, but at the same time it has also certain drawbacks as it suffers from several security and privacy issues, such as replay, man-in-the-middle, impersonation, privileged-insider, remote hijacking, password guessing and denial of service (DoS) attacks, and malware attacks. Among these attacks, the attacks which are performed through the malware botnet (i.e., Mirai) are the malignant attacks. The existence of malware botnets leads to attacks on confidentiality, integrity, authenticity and availability of the data and other resources of the system. In presence of such attacks, the sensitive data of IoT communication may be disclosed, altered or even may not be available to the authorized users. Therefore, it becomes essential to protect the IoT/IoMT environment from malware attacks. In this review paper, we first perform the study of various types of malware attacks, and their symptoms. We also discuss some architectures of IoT environment along with their applications. Next, a taxonomy of security protocols in IoT environment is provided. Moreover, we conduct a comparative study on various existing schemes for malware detection and prevention in IoT environment. Finally, some future research challenges and directions of malware detection in IoT/IoMT environment are highlighted