Security in <scp>IoMT</scp>‐driven smart healthcare: A comprehensive review and open challenges

Garg, Neha; Wazid, Mohammad; Singh, Jaskaran; Singh, Devesh Pratap; Das, Ashok Kumar

doi:10.1002/spy2.235

Cited by 21 publications

(10 citation statements)

References 56 publications

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“…An overview of the current major solutions in the field of security and privacy is also described in the review, 9 highlighting circular economy issues in IoMT. After describing security threats, a comprehensive review 10 presents a comparative analysis of existing security protocols in IoMT environments. These are the authentication, access control, intrusion detection, and key management protocols.…”

Section: Identification Of Security Issues and Risks Associated With ...mentioning

confidence: 99%

Internet of Medical Things Security Frameworks for Risk Assessment and Management: A Scoping Review

Svandova,

Smutny

2024

JMDH

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Background The massive expansion of the Internet of medical things (IoMT) technology brings many opportunities for improving healthcare. At the same time, their use increases security risks, brings security and privacy concerns, and threatens the functioning of healthcare facilities or healthcare provision. Purpose This scoping review aims to identify progress in designing risk assessment and management frameworks for IoMT security. The frameworks found are divided into two groups according to whether frameworks address the technological design of risk management or assess technological measures to ensure the security of the IoMT environment. Furthermore, the article intends to find out whether frameworks also include an assessment of organisational measures related to IoMT security. Methods This review was prepared using PRISMA ScR guidelines. Relevant studies were searched in the citation databases Web of Science and Scopus. The search was limited to articles published in English between 2018 and 17 September 2023. The initial search yielded 1341 articles, of which 44 (3.3%) were included in the scoping review. A qualitative content analysis focused on selected security perspectives and progress in the given area was carried out. Results Thirty-two articles describe the design of risk assessment and management frameworks. Twelve articles describe the design of frameworks for assessing the security of IoMT devices and possibly offer a comparison of different IoMT alternatives. A description of the included articles was prepared from the selected security perspectives. Conclusion The review shows the need to create comprehensive or holistic frameworks for operational security and privacy risk management at all layers of the IoMT architecture. It includes the design of specific technological solutions and frameworks for continuously assessing the overall level of information security and privacy of the IoMT environment. Unfortunately, none of the found frameworks offer an assessment of organizational measures even though the importance of the organization measures was highlighted in articles. Another area of interest for researchers could be the design of a general risk management database for IoMT, which would include potential IoMT-related risks connected to a particular device.

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Section: Identification Of Security Issues and Risks Associated With ...mentioning

confidence: 99%

Internet of Medical Things Security Frameworks for Risk Assessment and Management: A Scoping Review

Svandova,

Smutny

2024

JMDH

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“…A stolen physical smart device attack is a security threat where adversaries can steal or compromise the physical smart devices used in SHS. Smart devices are implanted and worn by patients or attached to healthcare equipment to collect healthcare data [97]. These devices can be lost or stolen by attackers who may decide to re-program and redeploy them to access the smart healthcare network and extract sensitive patient data undetected [92][97] [98].…”

Section: Stolen Physical Smart Device Attackmentioning

confidence: 99%

Cybersecurity for Sustainable Smart Healthcare: State of the Art, Taxonomy, Mechanisms, and Essential Roles

Ali,

M. Mijwil

2024

Mesopotamian Journal of CyberSecurity

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Cutting-edge technologies have been widely employed in healthcare delivery, resulting in transformative advances and promising enhanced patient care, operational efficiency, and resource usage. However, the proliferation of networked devices and data-driven systems has created new cybersecurity threats that jeopardize the integrity, confidentiality, and availability of critical healthcare data. This review paper offers a comprehensive evaluation of the current state of cybersecurity in the context of smart healthcare, presenting a structured taxonomy of its existing cyber threats, mechanisms and essential roles. This study explored cybersecurity and smart healthcare systems (SHSs). It identified and discussed the most pressing cyber threats and attacks that SHSs face, including fake base stations, medjacking, and Sybil attacks. This study examined the security measures deployed to combat cyber threats and attacks in SHSs. These measures include cryptographic-based techniques, digital watermarking, digital steganography, and many others. Patient data protection, the prevention of data breaches, and the maintenance of SHS integrity and availability are some of the roles of cybersecurity in ensuring sustainable smart healthcare. The long-term viability of smart healthcare depends on the constant assessment of cyber risks that harm healthcare providers, patients, and professionals. This review aims to inform policymakers, healthcare practitioners, and technology stakeholders about the critical imperatives and best practices for fostering a secure and resilient smart healthcare ecosystem by synthesizing insights from multidisciplinary perspectives, such as cybersecurity, healthcare management, and sustainability research. Understanding the most recent cybersecurity measures is critical for controlling escalating cyber threats and attacks on SHSs and networks and encouraging intelligent healthcare delivery.

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“…Healthcare 5.0 suffers from different issues and challenges i.e., "managing huge data volumes, absence of standards, data security threats, regulatory difficulties", etc [9]. Different information security related attacks, i.e., "replay, manin-the-middle (MiTM), impersonation, malware injection, Denial-of-Service (DoS)", etc., are possible in healthcare 5.0 [10].…”

Section: B Security Challenges In Healthcare 50mentioning

confidence: 99%

“…In order to increase life expectancy and to enjoy a meaningful life, timely and precise disease detection, assessment, and medication are crucial. illnesses [9], [13]. However, such features were missing in the earlier versions of the healthcare system.…”

Section: Treatment and Detection Of Diseasesmentioning

confidence: 99%

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Healthcare 5.0 Security Framework: Applications, Issues and Future Research Directions

et al. 2022

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Healthcare 5.0 is a system that can be deployed to provide various healthcare services. It does these services by utilising a new generation of information technologies, such as Internet of Things (IoT), Artificial Intelligence (AI), Big data analytics, blockchain and cloud computing. Due to the introduction of healthcare 5.0, the paradigm has been now changed. It is disease-centered to patientcentered care where it provides healthcare services and supports to the people. However, there are several security issues and challenges in healthcare 5.0 which may cause the leakage or alteration of sensitive healthcare data. This demands that we need a robust framework in order to secure the data of healthcare 5.0, which can facilitate different security related procedures like authentication, access control, key management and intrusion detection. Therefore, in this review article, we propose the design of a secure generalized healthcare 5.0 framework. The details of various applications of healthcare 5.0 along with the security requirements and threat model of healthcare 5.0 are provided. Next, we discuss about the existing security mechanisms in healthcare 5.0 along with their performance comparison. Some future research directions are finally discussed for the researchers working in healthcare 5.0 domain.INDEX TERMS Healthcare 5.0, Internet of Things (IoT), artificial intelligence, cyber security, blockchain.

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Security in IoMT‐driven smart healthcare: A comprehensive review and open challenges

Cited by 21 publications

References 56 publications

Internet of Medical Things Security Frameworks for Risk Assessment and Management: A Scoping Review

Internet of Medical Things Security Frameworks for Risk Assessment and Management: A Scoping Review

Cybersecurity for Sustainable Smart Healthcare: State of the Art, Taxonomy, Mechanisms, and Essential Roles

Healthcare 5.0 Security Framework: Applications, Issues and Future Research Directions

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