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    Area of Science:

    • Biomedical Engineering
    • Cybersecurity in Healthcare
    • Internet of Things (IoT)

    Background:

    • Remote Patient Monitoring (RPM) via Electronic Healthcare (E-health) facilitates proactive patient care and early detection of health issues like arrhythmias.
    • Vulnerabilities in IoT wearable device security, such as pacemakers, pose risks of cyberattacks, potentially corrupting data and hindering patient care.
    • Ensuring secure communication is critical for the reliability and effectiveness of E-health services.

    Purpose of the Study:

    • To address the security challenges in wearable IoT devices used for healthcare.
    • To propose and evaluate a Lightweight Key Agreement (LKA) based authentication scheme for secure Device-to-Device (D2D) communication in E-health.
    • To enhance the reliability of healthcare services by securing wearable devices.

    Main Methods:

    • Development of a Lightweight Key Agreement (LKA) scheme utilizing a Network Key Manager for edge-based key generation and device validation.
    • Implementation of certificate-based authentication for devices, reducing network communication overhead.
    • Utilizing E-health mobile devices for storing authentication certificates for seamless future validation.

    Main Results:

    • The LKA scheme demonstrated reduced operation time and costs for key generation compared to existing methods.
    • Lower communication costs were incurred during the execution of the LKA device authentication protocol.
    • The LKA scheme exhibited reduced latency compared to three other existing schemes.

    Conclusions:

    • The proposed LKA scheme effectively enhances the security of wearable devices in remote patient monitoring.
    • The scheme offers significant improvements in efficiency, reducing key generation time, communication costs, and latency.
    • This contributes to more reliable and secure electronic healthcare services, mitigating risks associated with cyberattacks on IoT medical devices.