The following decade will witness a surge in remote health-monitoring systems that are based on body-worn monitoring devices. These Medical Cyber Physical Systems (MCPS) will be capable of transmitting the acquired data to a private or public cloud for storage and processing. Machine learning algorithms running in the cloud and processing this data can provide decision support to healthcare professionals. There is no doubt that the security and privacy of the medical data is one of the most important concerns in designing an MCPS. In this paper, we depict the general architecture of an MCPS consisting of four layers: data acquisition, data aggregation, cloud processing, and action. Due to the differences in hardware and communication capabilities of each layer, different encryption schemes must be used to guarantee data privacy within that layer. We survey conventional and emerging encryption schemes based on their ability to provide secure storage, data sharing, and secure computation. Our detailed experimental evaluation of each scheme shows that while the emerging encryption schemes enable exciting new features such as secure sharing and secure computation, they introduce several orders-of-magnitude computational and storage overhead. We conclude our paper by outlining future research directions to improve the usability of the emerging encryption schemes in an MCPS.
We demonstrate that FHE could be used to securely transfer and analyze ambulatory health monitoring data. We present a unique concept that could represent a disruptive type of technology with broad applications to multiple monitoring devices. Future work will focus on performance optimizations to accelerate expansion to these other applications.
Personal health monitoring tools, such as commercially available wireless ECG patches, can significantly reduce healthcare costs by allowing patient monitoring outside the healthcare organizations. These tools transmit the acquired medical data into the cloud, which could provide an invaluable diagnosis tool for healthcare professionals. Despite the potential of such systems to revolutionize the medical field, the adoption of medical cloud computing in general has been slow due to the strict privacy regulations on patient health information. We present a novel medical cloud computing approach that eliminates privacy concerns associated with the cloud provider. Our approach capitalizes on Fully Homomorphic Encryption (FHE), which enables computations on private health information without actually observing the underlying data. For a feasibility study, we present a working implementation of a long-term cardiac health monitoring application using a well-established open source FHE library.
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