BDMFA

Forensic-enabling attestation technique for Internet of Medical Things

Journal Article (2025)
Author(s)

Mohamed A. El-Zawawy (Cairo University)

Harsha Vasudev (Università degli Studi di Padova)

M. Conti (Università degli Studi di Padova, TU Delft - Cyber Security)

Research Group
Cyber Security
DOI related publication
https://doi.org/10.1016/j.iot.2024.101464
More Info
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Publication Year
2025
Language
English
Research Group
Cyber Security
Volume number
29
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Abstract

The Internet of Medical Things (IoMT) is getting extreme attraction as it motivates unprecedented growth in the healthcare industry. Security breaches in IoMT can lead to threatening patients’ lives. For IoMT, existing medical remote attestation techniques (EMRATs) have limitations such as neglecting operational symptoms of compromised systems, like inconsistent medical sensor readings. Moreover, EMRATs do not enable medical-forensic-based attestation history and are inefficient for mutual attestation between a doctor network and a sensor network monitoring a patient. This mutual attestation guarantees safe remote surgeries. In this paper for IoMT, we present a novel remote attestation protocol, BDMFA (Blockchain-supported and Deep learning Medical Forensic-enabling Attestation), to overcome the limitations of EMRATs. BDMFA utilizes deep learning and Blockchain to learn from sensor readings and store attestation history. We prove that BDMFA is resilient to a higher number of attacks than that resisted by EMRATs. Moreover, we present a proof-of-concept implementation for BDMFA using SMART (Secure and Minimal Architecture for Root of Trust). We proved the practical feasibility of BDMFA by implementing it using Omnetpp equipped with Castalia. For a system with 50 patient-sensors and 25 doctor-terminals, BDMFA needed only 2.6 s to complete attestation and less communication cost than that needed for related state-of-the-art protocols by 28.4%. For larger systems, we carried comparative analysis confirming that our proposed protocol BDMFA requires less cost and is more scalable and efficient than related protocols.

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