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Secure and Enhanced Cyber-Threat Detection in IoMT Using Locally Deployed Large Language Models
Saadullah Farooq Abbasi1, Muhammad Bilal2, Xuefei Ding1
1Department of Electronic, Electrical and Systems Engineering, University of Birmingham, Birmingham B15 2TT, United Kingdom.
Studies in Health Technology and Informatics
|May 23, 2026
Summary
This study introduces a locally deployed Llama 3.1 large language model (LLM) for enhanced cybersecurity in the Internet of Medical Things (IoMT). It identifies more cyberthreats than existing tools while protecting patient privacy.
Area of Science:
- Cybersecurity
- Health Informatics
- Artificial Intelligence
Background:
- The Internet of Medical Things (IoMT) is rapidly expanding, integrating advanced technologies like image processing and large language models (LLMs).
- Processing patient-identifiable information (PII) in cloud environments presents significant security and compliance challenges.
- Current threat detection tools offer basic protection but fail to identify complex vulnerabilities, and cloud-based LLMs compromise data privacy.
Purpose of the Study:
- To propose a novel, locally deployed, and cost-efficient LLM solution for enhancing IoMT cybersecurity.
- To improve the detection of complex cyberthreats and provide mitigation strategies.
- To address the privacy concerns associated with cloud-based LLM approaches.
Main Methods:
- Implementation of a locally deployed Llama 3.1 LLM (8B parameters) for cybersecurity threat analysis.
- Comparison of the local LLM's detection capabilities against existing tools like SPYDERISK.
- Evaluation of the model's effectiveness in identifying additional cyberthreats and recommending mitigation strategies.
Main Results:
- The locally deployed Llama 3.1 model successfully identified 12 additional cyberthreats beyond those detected by SPYDERISK.
- The enhanced detection coverage significantly improved the overall security posture for IoMT environments.
- The privacy-preserving nature of local deployment was maintained throughout the threat detection process.
Conclusions:
- Local deployment of Llama 3.1 offers a superior and privacy-preserving method for IoMT cybersecurity.
- This approach effectively addresses the limitations of existing tools and cloud-based LLM solutions.
- The study demonstrates the potential of localized LLMs for robust threat identification and mitigation in sensitive healthcare settings.
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