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A Kyber-Based Lightweight Cloud-Assisted Authentication Scheme for Medical IoT.

He Yan1, Zhenyu Wang1, Liuming Lin1

  • 1School of Cyberspace Security, Xi'an University of Posts and Telecommunications, Xi'an 710121, China.

Sensors (Basel, Switzerland)
|April 14, 2026
PubMed
Summary

This study introduces a secure authentication protocol for the Medical Internet of Things (MIoT) to protect sensitive health data. The new method offers post-quantum security and reduces communication overhead for wearable devices.

Keywords:
Kyber algorithmfuzzy commitmentlightweight authenticationmedical Internet of Things (MIoT)post-quantum cryptography (PQC)

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Area of Science:

  • Cybersecurity
  • Healthcare Technology
  • Applied Cryptography

Background:

  • The Medical Internet of Things (MIoT) integrates wearable devices, wireless communication, and cloud services for smart healthcare.
  • MIoT systems face significant security risks, including device impersonation and sensitive data theft via public channels.
  • Existing authentication schemes are vulnerable to quantum attacks and have high communication overhead.

Purpose of the Study:

  • To propose a novel multi-factor identity authentication protocol for MIoT devices.
  • To enhance security against quantum attacks and protect user privacy.
  • To reduce communication overhead in MIoT data transmission.

Main Methods:

  • Integration of lattice-based Kyber key encapsulation for post-quantum key agreement.
  • Utilization of a fuzzy commitment mechanism to secure biological templates.
  • Employment of hash functions and lightweight error correction codes to minimize communication overhead.
  • Rigorous security proof in the Real-or-Random model.

Main Results:

  • The proposed protocol achieves post-quantum security and robust privacy protection.
  • It effectively secures biological templates and enables secure key agreement.
  • The scheme significantly reduces terminal communication overhead compared to existing solutions.
  • Security analysis confirms compliance with wireless network security requirements.

Conclusions:

  • The developed multi-factor authentication protocol addresses the security and overhead limitations of current MIoT schemes.
  • It offers a balanced approach, providing strong security including post-quantum resistance while minimizing communication costs.
  • This contributes to more secure and efficient smart healthcare systems.