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PUFchain 3.0: Hardware-Assisted Distributed Ledger for Robust Authentication in Healthcare Cyber-Physical Systems.

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Summary

This study introduces a novel hardware-assisted solution using PUF, blockchain, and Tangle for secure smart healthcare systems. It ensures device and data security in healthcare cyber-physical systems (H-CPSs) with minimal resource usage.

Keywords:
Tangleblockchainhardware-assisted security (HAS)healthcare cyber–physical systems (H-CPS)masked authentication messaging (MAM)physical unclonable function (PUF)security-by-design (SbD)smart healthcare

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Area of Science:

  • Cybersecurity
  • Distributed Ledger Technology
  • Healthcare Informatics

Background:

  • The increasing adoption of Internet-of-Medical Things (IoMT) in healthcare has led to massive technological transformations, including telemedicine and remote health.
  • The integration of IoMT with AI and big data in healthcare systems raises critical security and privacy concerns for cyber-physical systems (H-CPSs).

Purpose of the Study:

  • To present a novel hardware-assisted distributed ledger-based solution for simultaneous device and data security in smart healthcare.
  • To integrate Physical Unclonable Functions (PUF), blockchain, and IOTA Tangle for a Security-by-Design (SbD) approach in H-CPSs.

Main Methods:

  • Developed an architecture integrating PUF, blockchain, and IOTA Tangle for H-CPS security.
  • Stored PUF keys for a patient's Body Area Network (BAN) on the blockchain for global access, storage, and sharing.
  • Utilized IOTA Tangle's Masked Authentication Messaging (MAM) protocol for secure communication and data sharing.

Main Results:

  • The proposed approach enables secure data sharing from wearable and implantable medical devices via PUF verification.
  • Healthcare entities can securely communicate with patients and retrieve BAN PUF keys from the blockchain using MAM.
  • Experimental analysis confirmed the integration of PUF, blockchain, and Tangle, providing decentralized access control with minimal energy, storage, and response time.

Conclusions:

  • The novel architecture successfully integrates PUF, blockchain, and Tangle to enhance security and privacy in smart healthcare systems.
  • This solution offers a decentralized access control mechanism for H-CPSs, addressing the security challenges posed by IoMT adoption.
  • The approach demonstrates efficient resource utilization, making it suitable for energy-constrained healthcare environments.