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Review of security challenges in healthcare internet of things

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Abstract

The area of computer science and electronics have merged into one of the most notable technologies called the internet of things (IoT). A wide range of applications offered by IoT, including smart agricultural, smart transportation, smart home, and healthcare. In recent times, the market for IoT in healthcare service has increased exponentially. At the same time, security issues in the system also increase this situation threatening the health and safety of patients. Medical device usage in the hospital like Implantable Medical Devices, Radio Frequency Identification tags, and wearable devices are prone to a severe security vulnerability. This scenario is emphasizing the importance of providing privacy and confidentiality of a patient’s medical information. Therefore, this paper attempts to review security issues present on the Internet of Medical Things (IoMT). Also, this work reviews the solution of various security issues presented in the exiting works. Accordingly, the review revealed that the solution of device-level security issues is desirable. At the same time, moderate level focus only happened in communication level security. In this work, various security issues presented in IoMTs analyzed and different risk factors of security attacks on IoMTs identified. The empirical result shows DDoS in IoMTs dangerous compare with other security issues with 95.00% risk factor and authentication issue in wireless insulin pump 55.00% risk factor. The proposed risk assessment helps to identify the highest impact, causing security attacks in various IoMTs.

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References

  1. Hatzivasilis, G., Soultatos, O., Ioannidis, S., Verikoukis, C., Demetriou, G., & Tsatsoulis, C. (2019, May). Review of security and privacy for the Internet of Medical Things (IoMT). In 2019 15th international conference on distributed computing in sensor systems (DCOSS) (pp. 457-464). IEEE.

  2. Singh, A. (2019). The Internet of Things (IoT) and cyber security. Available at SSRN 3399641.

  3. Leloglu, E. (2016). A review of security concerns in Internet of Things. Journal of Computer and Communications, 5(1), 121–136.

    Article  Google Scholar 

  4. Kaur, H., Atif, M., & Chauhan, R. (2020). An internet of healthcare things (IoHT)-based healthcare monitoring system. In Advances in intelligent computing and communication (pp. 475–482). Springer, Singapore.

  5. Yang, Q., Mai, S., Zhao, Y., Wang, Z., Zhang, C., & Wang, Z. (2014, August). An on-chip security guard based on zero-power authentication for implantable medical devices. In 2014 IEEE 57th international midwest symposium on circuits and systems (MWSCAS) (pp. 531–534). IEEE.

  6. Halperin, D., Heydt-Benjamin, T. S., Fu, K., Kohno, T., & Maisel, W. H. (2008). Security and privacy for implantable medical devices. IEEE Pervasive Computing, 7(1), 30–39.

    Article  Google Scholar 

  7. Radcliffe J (2011). Hacking medical devices for fun and insulin: Breaking the human SCADA system. In Black Hat conference presentation slides.

  8. Xu, T., Wendt, J. B., & Potkonjak, M. (2014, September). Matched digital PUFs for low power security in implantable medical devices. In 2014 IEEE international conference on healthcare informatics (pp. 33–38). IEEE.

  9. Li, C., Raghunathan, A., & Jha, N. K. (2011, June). Hijacking an insulin pump: Security attacks and defenses for a diabetes therapy system. In 2011 IEEE 13th international conference on e-health networking, applications and services (pp. 150–156). IEEE.

  10. Hanna, S., Rolles, R., Molina-Markham, A., Poosankam, P., Blocki, J., Fu, K., & Song, D. (2011, August). Take two software updates and see me in the morning: The case for software security evaluations of medical devices. In HealthSec.

  11. Daniluk, K., & Niewiadomska-Szynkiewicz, E. (2012, September). Energy-efficient security in implantable medical devices. In 2012 federated conference on computer science and information systems (FedCSIS) (pp. 773–778). IEEE.

  12. Hosseini-Khayat, S. (2011, March). A lightweight security protocol for ultra-low power ASIC implementation for wireless implantable medical devices. In 2011 5th international symposium on medical information and communication technology (pp. 6–9). IEEE.

  13. Xu, F., Qin, Z., Tan, C. C., Wang, B., & Li, Q. (2011, April). IMDGuard: Securing implantable medical devices with the external wearable guardian. In 2011 proceedings IEEE INFOCOM (pp. 1862–1870). IEEE.

  14. Camara, C., Peris-Lopez, P., & Tapiador, J. E. (2015). Security and privacy issues in implantable medical devices: A comprehensive survey. Journal of Biomedical Informatics, 55, 272–289.

    Article  Google Scholar 

  15. Wang, Y., Attebury, G., & Ramamurthy, B. (2006). A survey of security issues in wireless sensor networks. IEEE Communications Surveys and Tutorial, 8, 2–23.

    Article  Google Scholar 

  16. Stachel, J. R., Sejdić, E., Ogirala, A., & Mickle, M. H. (2013, May). The impact of the Internet of Things on implanted medical devices, including pacemakers and ICDs. In 2013 IEEE international instrumentation and measurement technology conference (I2MTC) (pp. 839–844). IEEE.

  17. Babar, S., Stango, A., Prasad, N., Sen, J., & Prasad, R. (2011, February). Proposed embedded security framework for internet of things (IoT). In 2011 2nd international conference on wireless communication, vehicular technology, information theory and aerospace and electronics systems technology (Wireless VITAE) (pp. 1–5). IEEE.

  18. Santos, A., Macedo, J., Costa, A., & Nicolau, M. J. (2014). Internet of things and smart objects for M-health monitoring and control. Procedia Technology, 16, 1351–1360.

    Article  Google Scholar 

  19. Rajagopalan, H., & Rahmat-Samii, Y. (2010, July). On-body RFID tag design for human monitoring applications. In 2010 IEEE antennas and propagation society international symposium (pp. 1–4). IEEE.

  20. Kumar, V. (2015). Ontology based public healthcare system in Internet of Things (IoT). Procedia Computer Science, 50, 99–102.

    Article  Google Scholar 

  21. Katagi, M., & Moriai, S. (2008). Lightweight cryptography for the internet of things. In Sony corporation (pp 7–10).

  22. Nikolaevskiy, I., Korzun, D., & Gurtov, A. (2014, June). Security for medical sensor networks in mobile health systems. In Proceeding of IEEE international symposium on a world of wireless, mobile and multimedia networks 2014 (pp. 1–6). IEEE.

  23. Somasundaram, R., & Thirugnanam, M. (2017). Review on communication security issues in IoT medical devices. In Internet of things (IoT) (pp. 189–210). CRC Press.

  24. Alladi, T., Chamola, V., Sikdar, B., & Choo, K. K. R. (2020). Consumer IoT: Security vulnerability case studies and solutions. IEEE Consumer Electronics Magazine, 9(2), 17–25.

    Article  Google Scholar 

  25. Alsubaei, F., Abuhussein, A., Shandilya, V., & Shiva, S. (2019). IoMT-SAF: Internet of medical things security assessment framework. Internet of Things, 8, 100123.

    Article  Google Scholar 

  26. Atzori, L., Iera, A., & Morabito, G. (2010). The internet of things: A survey. Computer Networks, 54(15), 2787–2805.

    Article  Google Scholar 

  27. Olivier, F., Carlos, G., & Florent, N. (2015). New security architecture for IoT network. Procedia Computer Science, 20, 1028–1033.

    Article  Google Scholar 

  28. Valera, A. J. J., Zamora, M. A., & Skarmeta, A. F. (2010, January). An architecture based on internet of things to support mobility and security in medical environments. In 2010 7th IEEE consumer communications and networking conference (pp. 1–5). IEEE.

  29. Amendola, S., Lodato, R., Manzari, S., Occhiuzzi, C., & Marrocco, G. (2014). RFID technology for IoT-based personal healthcare in smart spaces. IEEE Internet of Things Journal, 1(2), 144–152.

    Article  Google Scholar 

  30. Burleson, W., Clark, S. S., Ransford, B., & Fu, K. (2012). Design challenges for secure implantable medical devices. In Proceedings of the 49th annual design automation conference (pp. 12–17). ACM.

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Correspondence to Mythili Thirugnanam.

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Somasundaram, R., Thirugnanam, M. Review of security challenges in healthcare internet of things. Wireless Netw 27, 5503–5509 (2021). https://doi.org/10.1007/s11276-020-02340-0

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  • DOI: https://doi.org/10.1007/s11276-020-02340-0

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