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Recent Advances in the Internet of Medical Things (IoMT) Systems Security (2302.04439v1)

Published 9 Feb 2023 in cs.CR

Abstract: The rapid evolutions in micro-computing, mini-hardware manufacturing, and machine to machine (M2M) communications have enabled novel Internet of Things (IoT) solutions to reshape many networking applications. Healthcare systems are among these applications that have been revolutionized with IoT, introducing an IoT branch known as the Internet of Medical Things (IoMT) systems. IoMT systems allow remote monitoring of patients with chronic diseases. Thus, it can provide timely patients' diagnostic that can save their life in case of emergencies. However, security in these critical systems is a major challenge facing their wide utilization. In this paper, we present state-of-the-art techniques to secure IoMT systems' data during collection, transmission, and storage. We comprehensively overview IoMT systems' potential attacks, including physical and network attacks. Our findings reveal that most security techniques do not consider various types of attacks. Hence, we propose a security framework that combines several security techniques. The framework covers IoMT security requirements and can mitigate most of its known attacks.

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Authors (6)
  1. Ali Ghubaish (7 papers)
  2. Tara Salman (12 papers)
  3. Maede Zolanvari (11 papers)
  4. Devrim Unal (5 papers)
  5. Abdulla Al-Ali (5 papers)
  6. Raj Jain (35 papers)
Citations (177)

Summary

Recent Advances in the Internet of Medical Things (IoMT) Systems Security

The paper "Recent Advances in the Internet of Medical Things (IoMT) Systems Security" examines the burgeoning field of IoMT within the broader IoT domain, focusing particularly on security challenges and solutions. Led by Ali Ghubaish et al., the paper scrutinizes the threats to IoMT systems and proposes a comprehensive security framework to address these concerns effectively.

Overview of IoMT Systems

The authors present a detailed analysis of IoMT systems, highlighting the vital role these systems play in healthcare by enabling remote monitoring of patients and reducing healthcare costs. As a rapidly expanding field, IoMT is poised to constitute a significant portion of the IoT market. The devices range from Implantable Medical Devices (IMDs) to Internet of Wearable Devices (IoWDs), each with unique capabilities and requirements, thereby influencing distinct security needs.

Security Challenges and Existing Solutions

Security in IoMT systems is a primary concern, as these systems handle highly sensitive patient data. The paper identifies three stages where data vulnerability is prominent: collection, transit, and storage. The authors categorize potential threats at these stages into physical and network attacks, underscoring the critical need to protect the integrity, confidentiality, and availability of data.

Current security solutions include symmetric and asymmetric cryptography, as well as non-cryptographic techniques. Symmetric key algorithms offer efficient data handling but necessitate secure key management, while asymmetric keys, such as ECC, offer robust solutions at the cost of increased computational demands. Keyless methods, including biometric recognition and token-based security, provide additional layers of security without relying on stored keys, which can be vulnerable to exposure.

Proposed Security Framework

The authors propose a multi-layered security framework that integrates several security methodologies to effectively mitigate threats. This framework encapsulates:

  1. Data Collection Security: Employing two-factor authentication techniques such as ECC and biometric data to ensure robust access controls.
  2. Data in Transit Security: Utilizing protocols like CoAP and TLS 1.3, coupled with certificateless cryptography, to safeguard data integrity and confidentiality between system layers.
  3. Data Storage Security: Implementing AI-enhanced intrusion detection systems, which can anticipate and respond to threats like DDoS attacks and unauthorized access attempts.

Implications and Future Directions

The proposed security framework has significant implications for enhancing the trustworthiness and deployment of IoMT systems. It addresses not only current security challenges but also provides a scalable approach to future-proof IoMT systems against emergent threats. By advocating for an integration of existing cryptographic and non-cryptographic techniques, the framework offers a comprehensive approach accommodating the specific constraints of IoMT devices.

Future research should focus on refining these security measures, especially in optimizing AI techniques for anomaly detection and overcoming the latency issues in blockchain implementations. Additionally, developing adaptive security mechanisms that evolve with the changing threat landscape remains crucial.

In conclusion, this paper paves the way for more resilient IoMT environments by offering a holistic security strategy. It effectively combines established methodologies with innovative solutions, ensuring that IoMT systems can maintain their operational integrity while safeguarding user data against a myriad of potential threats.

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