SoK: Security and Privacy Risks of Healthcare AI

Abstract: The integration of AI and ML into healthcare systems holds great promise for enhancing patient care and care delivery efficiency; however, it also exposes sensitive data and system integrity to potential cyberattacks. Current security and privacy (S&P) research on healthcare AI is highly unbalanced in terms of healthcare deployment scenarios and threat models, and has a disconnected focus with the biomedical research community. This hinders a comprehensive understanding of the risks that healthcare AI entails. To address this gap, this paper takes a thorough examination of existing healthcare AI S&P research, providing a unified framework that allows the identification of under-explored areas. Our survey presents a systematic overview of healthcare AI attacks and defenses, and points out challenges and research opportunities for each AI-driven healthcare application domain. Through our experimental analysis of different threat models and feasibility studies on under-explored adversarial attacks, we provide compelling insights into the pressing need for cybersecurity research in the rapidly evolving field of healthcare AI.