Intelligent two-phase dual authentication framework for Internet of Medical Things

Abstract The Internet of Medical Things (IoMT) has revolutionized healthcare by bringing real-time monitoring and data-driven treatments. Nevertheless, the security of communication between IoMT devices and servers remains a huge problem because of the inherent sensitivity of the health data and sus...

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Main Authors: Muhammad Asif, Mohammad Abrar, Abdu Salam, Farhan Amin, Faizan Ullah, Sabir Shah, Hussain AlSalman
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-024-84713-5
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author Muhammad Asif
Mohammad Abrar
Abdu Salam
Farhan Amin
Faizan Ullah
Sabir Shah
Hussain AlSalman
author_facet Muhammad Asif
Mohammad Abrar
Abdu Salam
Farhan Amin
Faizan Ullah
Sabir Shah
Hussain AlSalman
author_sort Muhammad Asif
collection DOAJ
description Abstract The Internet of Medical Things (IoMT) has revolutionized healthcare by bringing real-time monitoring and data-driven treatments. Nevertheless, the security of communication between IoMT devices and servers remains a huge problem because of the inherent sensitivity of the health data and susceptibility to cyber threats. Current security solutions, including simple password-based authentication and standard Public Key Infrastructure (PKI) approaches, typically do not achieve an appropriate balance between security and low computational overhead, resulting in the possibility of performance bottlenecks and increased vulnerability to attacks. To overcome these limitations, we present an intelligent two-phase dual authentication framework that improves the security of sensor-to-server communication in IoMT environments. During the registration phase, our framework is based on Elliptic Curve Diffie-Hellman (ECDH) for rapid key exchange, and during real-time communication, our framework uses the Advanced Encryption Standard Galois Counter Mode (AES-GCM) to encrypt data securely. The efficiency of the proposed framework was rigorously tested through simulations that evaluated encryption-decryption time, computational cost, latency, and packet delivery ratio. The security resilience was also evaluated against man-in-the-middle, replay, and brute force attacks. The results show that encryption/decryption time is reduced by over 45%, overall computational cost by 45.38%, and latency by 28.42% over existing approaches. Furthermore, the framework achieved a high packet delivery ratio and strong defense against cyber threats for maintaining the confidentiality and integrity of the medical data across IoMT networks. However, the dual authentication approach doesn’t affect the functionality of medical IoT devices while enhancing IoMT security, which makes it an ideal integration option for existing healthcare systems.
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spelling doaj-art-f0d8819953ed448889c22883cd8cc0192025-01-19T12:24:04ZengNature PortfolioScientific Reports2045-23222025-01-0115111910.1038/s41598-024-84713-5Intelligent two-phase dual authentication framework for Internet of Medical ThingsMuhammad Asif0Mohammad Abrar1Abdu Salam2Farhan Amin3Faizan Ullah4Sabir Shah5Hussain AlSalman6Department of Computer Science, Bacha Khan UniversityFaculty of Computer Studies, Arab Open UniversityDepartment of Computer Science, Abdul Wali Khan UniversitySchool of Computer Science and Engineering, Yeungnam UniversityDepartment of Computer Science, Bacha Khan UniversityDepartment of Computer Science, University of BunerDepartment of Computer Science, College of Computer and Information Sciences, King Saud UniversityAbstract The Internet of Medical Things (IoMT) has revolutionized healthcare by bringing real-time monitoring and data-driven treatments. Nevertheless, the security of communication between IoMT devices and servers remains a huge problem because of the inherent sensitivity of the health data and susceptibility to cyber threats. Current security solutions, including simple password-based authentication and standard Public Key Infrastructure (PKI) approaches, typically do not achieve an appropriate balance between security and low computational overhead, resulting in the possibility of performance bottlenecks and increased vulnerability to attacks. To overcome these limitations, we present an intelligent two-phase dual authentication framework that improves the security of sensor-to-server communication in IoMT environments. During the registration phase, our framework is based on Elliptic Curve Diffie-Hellman (ECDH) for rapid key exchange, and during real-time communication, our framework uses the Advanced Encryption Standard Galois Counter Mode (AES-GCM) to encrypt data securely. The efficiency of the proposed framework was rigorously tested through simulations that evaluated encryption-decryption time, computational cost, latency, and packet delivery ratio. The security resilience was also evaluated against man-in-the-middle, replay, and brute force attacks. The results show that encryption/decryption time is reduced by over 45%, overall computational cost by 45.38%, and latency by 28.42% over existing approaches. Furthermore, the framework achieved a high packet delivery ratio and strong defense against cyber threats for maintaining the confidentiality and integrity of the medical data across IoMT networks. However, the dual authentication approach doesn’t affect the functionality of medical IoT devices while enhancing IoMT security, which makes it an ideal integration option for existing healthcare systems.https://doi.org/10.1038/s41598-024-84713-5Internet of medical thingsDual authentication FrameworkCybersecuritySensor-to-server communicationHealth Data ProtectionCryptographic robustness
spellingShingle Muhammad Asif
Mohammad Abrar
Abdu Salam
Farhan Amin
Faizan Ullah
Sabir Shah
Hussain AlSalman
Intelligent two-phase dual authentication framework for Internet of Medical Things
Scientific Reports
Internet of medical things
Dual authentication Framework
Cybersecurity
Sensor-to-server communication
Health Data Protection
Cryptographic robustness
title Intelligent two-phase dual authentication framework for Internet of Medical Things
title_full Intelligent two-phase dual authentication framework for Internet of Medical Things
title_fullStr Intelligent two-phase dual authentication framework for Internet of Medical Things
title_full_unstemmed Intelligent two-phase dual authentication framework for Internet of Medical Things
title_short Intelligent two-phase dual authentication framework for Internet of Medical Things
title_sort intelligent two phase dual authentication framework for internet of medical things
topic Internet of medical things
Dual authentication Framework
Cybersecurity
Sensor-to-server communication
Health Data Protection
Cryptographic robustness
url https://doi.org/10.1038/s41598-024-84713-5
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