Towards a Secure and Sustainable Internet of Medical Things (IoMT): Requirements, Design Challenges, Security Techniques, and Future Trends

Abstract

Recent advances in machine-to-machine (M2M) communications, mini-hardware manufacturing, and micro computing have led to the development of the Internet of Things (IoT). The IoT is integrated with medical devices in order to enable better treatment, cost-effective medical solutions, improved patient monitoring, and enhanced personalized healthcare. This has led to the development of more complex and heterogeneous Internet of Medical Things (IoMT) systems that have their own operating systems and protocols. Even though such pervasive and low-cost sensing devices can bring about enormous changes in the healthcare sector, these are prone to numerous security and privacy issues. Security is thus a major challenge in these critical systems, one that inhibits their widespread adoption. However, significant inroads have been made by the on-going research, which powers the IoMT applications by incorporating prevalent security measures. In this regard, this paper highlights the significance of implementing key security measures, and essential aspects of the IoMT that make it useful for interconnecting various internal and external working domains of healthcare. This paper presents state-of-the-art techniques for securing IoMT systems, in terms of data transmission, collection, and storage. Furthermore, the paper also explores various security requirements, inherent design challenges, and various security techniques that could make the IoMT more secure and sustainable. Finally, the paper gives a panoramic view of the current status of research in the field and outlines some future research directions in this area.

Harnessing Blockchain for Sustainable Procurement: Opportunities and Challenges

“…The rapid evolution of the Internet of Medical Things (IoMT) has brought forth a plethora of opportunities, particularly in enhancing patient care and streamlining medical processes. However, with these advancements come significant challenges, especially concerning security and sustainability (Bhushan et al, 2023). Addressing these challenges requires a multifaceted approach, encompassing technological, organizational, and regulatory strategies.…”

“…In addition to technological solutions, organizational strategies play a crucial role in overcoming IoMT challenges. Bhushan et al (2023) highlight the importance of fostering a culture of security awareness within healthcare institutions. This involves regular training sessions for medical staff, ensuring they are well-versed with the latest security protocols and understand the implications of data breaches.…”

“…Furthermore, as the global emphasis on sustainability continues to grow, blockchain's role in promoting green procurement practices is becoming increasingly evident. Bhushan et al (2023) discuss the potential of blockchain in ensuring energy-efficient medical processes, emphasizing its role in automating compliance checks and reducing the carbon footprint of medical institutions. The future of blockchain in procurement looks promising, with numerous innovations on the horizon.…”

A Deep Auto-Optimized Collaborative Learning (DACL) model for disease prognosis using AI-IoMT systems

“…The significant rise in the number of elderly and feeble people has made it necessary to offer ongoing healthcare and remote health monitoring to ensure that these aging inhabitants may live engaged and autonomous lives without the assistance of personal aides. Because of its broad spectrum of capabilities and potential application areas, the Internet of Things (IoT) 6 is a technology of opportunity which has attracted a lot of interest in the modern day. Through the integration of internet-connected gadgets with health care devices, the idea of the IoMT arose as a platform to offer cutting-edge remote medical treatment and telemedicine services 7 , 8 .…”

Heart failure patients monitoring using IoT-based remote monitoring system

“…The authors examined cybersecurity threats associated with IoMT architecture, as well as the security criteria essential for IoMT 14 . Several initiatives are discussed in 15 to enhance security requirements, address design challenges, and explore security techniques aimed at bolstering the security of IoMT.…”