Security in IoMT Communications: A Survey

Koutras, Dimitris; Stergiopoulos, George; Dasaklis, Thomas K.; Kotzanikolaou, Panayiotis; Glynos, Dimitris; Douligeris, Christos

doi:10.3390/s20174828

Cited by 106 publications

(54 citation statements)

References 167 publications

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“…However, these technical challenges are being overcome due to the emergence of wearable, cheap, and technically sophisticated sensing technology for health monitoring [ 41 , 42 , 43 ]. Breakthroughs, tested in the smart health domain, have occurred in wireless technology for data-intensive applications [ 44 ], power harvesting [ 45 ], security [ 46 ], analytics [ 47 ], rapid prototyping and manufacturing [ 48 ], and materials [ 49 ]. The likelihood that easily deployed, cheap, and reliable pressure sensors systems for clinical use will emerge has thus drastically increased during the last few years, even if several challenges remain.…”

Section: Introductionmentioning

confidence: 99%

A Scoping Review of Pressure Measurements in Prosthetic Sockets of Transfemoral Amputees during Ambulation: Key Considerations for Sensor Design

Asplund

Zeybek

2021

Sensors

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Sensor systems to measure pressure at the stump–socket interface of transfemoral amputees are receiving increasing attention as they allow monitoring to evaluate patient comfort and socket fit. However, transfemoral amputees have many unique characteristics, and it is unclear whether existing research on sensor systems take these sufficiently into account or if it is conducted in ways likely to lead to substantial breakthroughs. This investigation addresses these concerns through a scoping review to profile research regarding sensors in transfemoral sockets with the aim of advancing and improving prosthetic socket design, comfort and fit for transfemoral amputees. Publications found from searching four scientific databases were screened, and 17 papers were found relating to the aim of this review. After quality assessment, 12 articles were finally selected for analysis. Three main contributions are provided: a de facto methodology for experimental studies on the implications of intra-socket pressure sensor use for transfemoral amputees; the suggestion that associated sensor design breakthroughs would be more likely if pressure sensors were developed in close combination with other types of sensors and in closer cooperation with those in possession of an in-depth domain knowledge in prosthetics; and that this research would be facilitated by increased interdisciplinary cooperation and open research data generation.

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Section: Introductionmentioning

confidence: 99%

A Scoping Review of Pressure Measurements in Prosthetic Sockets of Transfemoral Amputees during Ambulation: Key Considerations for Sensor Design

Asplund

Zeybek

2021

Sensors

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“…We hope that this survey will provide a comprehensive understanding of this important research topic and its key aspects and help researchers to develop new or improve current IoMT risk assessment methodologies. [2], [10] Physical and electronic access to the IoMT, both devices, their data and the underlying network, must be strictly controlled. The security controls listed below were gathered by major vendor publications [79], relevant standards [100] [45] [14] and research papers in the area [34].…”

Section: Discussionmentioning

confidence: 99%

“…Some of them focus on device functionality or contain typical non-connected medical devices, like GMDN's classification [9]. In [10], the authors present a classification, which includes only interconnected medical devices placing them into four main categories:…”

Section: Introductionmentioning

confidence: 99%

Risk Assessment Methodologies for the Internet of Medical Things: A Survey and Comparative Appraisal

et al. 2021

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The Internet of Medical Things (IoMT) has revolutionized health care services by providing significant benefits in terms of patient well being and relevant costs. Traditional risk assessment methodologies, however, cannot be effectively applied in the IoMT context since IoMT devices form part of a distributed and trustless environment and naturally support functionalities that favor reliability and usability instead of security. In this work we present a survey of risk assessment and mitigation methodologies for IoMT. For conducting the survey, we assess two streams of literature. First, we systematically review and classify the current scientific research in IoMT risk assessment methodologies. Second, we review existing standards/best practices for IoMT security assessment and mitigation in order to i) provide a comparative assessment of these standards/best practices on the basis of predefined criteria (scope and/or coverage, maturity level, and relevant risk methodology applied) and ii) identify common themes for IoMT security controls. Based on the analysis, we provide various IoMT research and implementation gaps along with a road map of fruitful areas for future research. The paper could be of significant value to security assessment researchers and policymakers/stakeholders in the health care industry.

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“…The first review paper [ 1 ] focuses on the security issues in the Internet of Medical Things (IoMT) communications. The IoMT is an interconnected infrastructure of medical systems, sensors, and services that enables wireless and remote medical devices to securely communicate over the Internet, in order to allow medical data analysis and to support real-time, remote patient monitoring and treatment.…”

mentioning

confidence: 99%

“…In addition, data integrity and the confidentiality and availability of the medical data should be ensured. The authors of [ 1 ] present a taxonomy of IoMT-specific communication protocols as well as their inherent security characteristics, weaknesses, and relevant attacks. In addition, real case attack scenarios against medical devices are discussed and, based on these use case scenarios, a suitability assessment of the aforementioned communication protocols is provided.…”

mentioning

confidence: 99%