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A blockchain-based multi-authority hierarchical attribute encrypted data sharing scheme in the Internet of Medical
Hao Yuan1,2, Guofang Dong1,2, Leilei Zhao1,2
1School of Electrical and Information Technology, Yunnan Minzu University, Kunming, China.
Plos One
|May 27, 2026
Summary
This study introduces a novel blockchain-based encryption scheme for secure medical data sharing in the Internet of Medical Things (IoMT). It enhances data authenticity and mitigates risks associated with traditional encryption methods.
Area of Science:
- Cybersecurity
- Health Informatics
- Distributed Systems
Background:
- The Internet of Medical Things (IoMT) generates vast sensitive data, posing security challenges.
- Existing Ciphertext-Policy Attribute-Based Encryption (CP-ABE) schemes lack data source authentication and face single-point-of-failure risks.
- Hierarchical data management in IoMT requires robust and efficient encryption solutions.
Purpose of the Study:
- To propose a blockchain-based multi-authority hierarchical attribute-based encryption scheme for IoMT.
- To address limitations of existing CP-ABE schemes, including data source authentication and failure risks.
- To enhance secure and efficient sharing of sensitive medical data.
Main Methods:
- Integration of a Distributed Key Generation (DKG) protocol with threshold BLS signatures for collaborative authentication.
- Implementation of a dynamic update mechanism for secure collaborative key management.
- Optimization of encryption logic using hierarchical access trees, multi-authority collaboration, and proxy re-encryption (PRE) for efficient revocation.
Main Results:
- The scheme provides resistance to chosen-plaintext attacks (IND-CPA) and collusion attacks.
- The DKG protocol is proven valid, robust, confidential, and Sybil attack-resistant.
- Performance evaluation shows lower computational and storage overhead compared to existing solutions, with practical latency in large-scale tests.
Conclusions:
- The proposed blockchain-based CP-ABE scheme offers enhanced security and efficiency for IoMT data sharing.
- The system demonstrates feasibility for real-world IoMT applications with resource constraints and real-time needs.
- This approach effectively tackles data source authentication, hierarchical data management, and user revocation challenges.
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