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Edge-assisted post-quantum authentication protocol for IoMT: a privacy-preserving and lightweight approach
Munazza Bibi1, Wazir Zada Khan2,3, Qazi Emad Ul Haq4,5
1Department of Computer Science, University of Wah, Wah Cantt, 47010, Pakistan.
Scientific Reports
|July 6, 2026
Summary
This study introduces a secure authentication scheme for the Internet of Medical Things (IoMT) using post-quantum cryptography to protect against quantum computing threats. The lightweight system ensures privacy and efficiency for connected healthcare devices.
Area of Science:
- Cybersecurity
- Cryptography
- Healthcare Technology
Background:
- The Internet of Medical Things (IoMT) offers transformative healthcare delivery but faces significant security vulnerabilities, particularly from quantum computing.
- Existing security measures are insufficient against advanced threats, necessitating novel cryptographic approaches.
Purpose of the Study:
- To propose a lightweight, privacy-preserving authentication scheme for edge-based IoMT environments.
- To enhance security resilience against quantum attacks using NIST-standardized post-quantum primitives.
- To ensure secure session key establishment, message integrity, authentication, and non-repudiation.
Main Methods:
- Integration of CRYSTALS-Kyber Key Encapsulation Mechanism (KEM) for secure key establishment.
- Utilization of CRYSTALS-Dilithium for digital signatures to ensure message integrity and authentication.
- Formal security verification using the AVISPA tool under the Dolev-Yao model and BAN logic.
- Implementation of a two-phase process: Registration and Authentication involving patients, devices with PUFs, specialists, edge nodes, and cloud servers.
Main Results:
- The proposed scheme provides mutual authentication among all participating entities, ensuring secure access to sensitive health information.
- Formal verification confirmed that all security goals (authenticity, secrecy) are achieved, with no attacks detected.
- Performance evaluations demonstrated computational efficiency, making the scheme suitable for resource-constrained IoMT devices.
Conclusions:
- The developed authentication framework effectively addresses the security challenges posed by quantum computing in IoMT environments.
- The integration of post-quantum cryptography enhances the cryptographic robustness of edge-based IoMT systems.
- The scheme aligns with the goal of securing Internet of Things (IoT) ecosystems with advanced cryptosystems.
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