Search Results (304)

Wireless Body Area Networks (WBANs) have become an essential component of modern Internet of Medical Things (IoMT) healthcare systems, enabling continuous monitoring of patient physiological signals through wearable sensors. Despite their advantages, WBAN environments remain highly prone to cyber threats, privacy breaches, and single points of failure. To address these risks, this work proposes a Hybrid Multi-Metric Anomaly Detection (HM-MAD) framework deployed on the NodeMCU-32S platform with BLE 5.0 connectivity for secure continuous glucose monitoring (CGM) data transmission. The detection model simultaneously analyses physiological signals, system-level parameters, and network-level communication metrics, enabling the reliable identification of multiple cyberattacks. The proposed system focuses on securing data transmission against relay attacks, where attackers induce communication delay without modifying payloads, potentially leading to false glucose readings, improper insulin dosage delivery, unauthorized control or denial-of-service. The Convolutional Neural Network (CNN) and Bi-Directional Long Short Term Memory (BiLSTM) model classifies attack types including timing manipulation, replay attacks, power glitches, firmware tampering, and sensor spoofing. Experimental evaluation demonstrates that the proposed CNN + BiLSTM framework achieves 94.6% detection accuracy with an average inference latency of 15 ms, representing a 50% latency reduction compared to Transformer-based intrusion detection models (30 ms), while simultaneously reducing computational overhead by 28% in terms of floating-point operations and memory utilization. These results indicate that the HM-MAD framework provides an effective and scalable solution for protecting resource-constrained IoMT healthcare systems against emerging cyber threats. Full article

Intelligent sensors and Internet of Medical Things (IoMT) platforms are rapidly changing smart healthcare by enabling continuous capture of physiological, behavioral, and clinical events outside conventional hospital settings. Yet the value of connected sensing depends on more than signal acquisition alone. A practical remote-monitoring ecosystem must also convert sensor alerts, clinician-facing summaries, and historical electronic clinical records (ECRs) into ranked evidence that supports care decisions. This study reframes a large-AI clinical retrieval model as the intelligence layer of an edge–cloud IoMT architecture. The proposed framework combines Transformer-Based Sequence (TBS) encoding, BioBERT-driven representation learning, explicit retrieval, and domain-guided re-ranking to connect sensor-originated narratives, patient records, and clinician queries. The empirical evaluation is conducted on Medical Information Mart for Intensive Care III (MIMIC-III) and i2b2, two de-identified clinical text benchmarks that approximate the documentation layer of real-world remote patient monitoring. Compared with strong baselines, including DeepBio, UniT2T, Web4IR, A2A-API, CoLTiD, VLRG, ColBERT, DeepSDH, BiRex, and DL4BTM, the proposed model achieves the best overall performance, reaching F1/Pre/NDCG scores of 0.8399/0.8338/0.5235 on MIMIC-III and 0.8090/0.8100/0.5129 on i2b2. Ablation experiments confirm the importance of exploratory data adaptation, critical feature modeling, critical token learning, cross-disciplinary supervision, and data-driven regularization. Parameter sensitivity analysis shows stable behavior for beta values greater than or equal to 1, with the strongest results at beta = 5. The study concludes that large-AI retrieval can strengthen the clinical interpretation layer required for IoMT-enabled remote monitoring, while future work should validate the approach on live multimodal sensor streams and privacy-preserving deployments. Full article

This study investigates data augmentation as a strategy for addressing dataset scarcity in Internet of Medical Things (IoMT) cybersecurity and improving intrusion-detection system performance. Four augmentation methods—Rule-Based, Tabular Variational Autoencoder (TVAE), Conditional Tabular Generative Adversarial Network (CTGAN), and Gaussian Copula—were applied to two publicly available IoMT datasets (ECU-IoHT and WUSTL-EHMS) to generate augmented training data with differing class distributions and feature characteristics. Eleven machine learning algorithms were evaluated using Matthews Correlation Coefficient (MCC), F1-score, accuracy, and error-based metrics. Results showed consistent performance improvements across all evaluated models relative to the baseline datasets. The Rule-Based method produced the strongest overall results, achieving the highest MCC (0.9757), F1-score (99.19%), and accuracy (99.18%) with LightGBM, alongside low false-positive and false-negative rates. Among the generative approaches, TVAE delivered the strongest overall practical performance (F1-score = 96.94%, accuracy = 96.92%), while CTGAN achieved a marginally higher MCC (0.9047) and also produced competitive results with balanced class representation. Gaussian Copula generated the weakest overall outcomes, primarily due to highly skewed class distributions. Traditional models, such as Logistic Regression and Naive Bayes, recorded the largest relative gains, indicating that augmentation can substantially improve simpler classifiers in data-scarce environments. Overall, the findings demonstrate that augmentation quality depends not only on dataset expansion, but also on preserving class balance, feature diversity, and realistic traffic relationships. These results provide practical guidance for strengthening IoMT intrusion-detection systems in healthcare environments. Full article

Knee Osteoarthritis (KOA) is a leading contributor to global physical disability, where delayed diagnosis often results in irreversible joint damage and socio-economic cost. Early diagnosis remains challenging due to subtle radiographic biomarkers and limited access to specialized expertise, particularly in distributed healthcare settings. Within the evolving landscape of the Future Internet, characterized by Internet of Medical Things (IoMT), edge–cloud computing, and intelligent digital health infrastructures, there is an increasing demand for scalable, low-latency, and explainable AI-driven diagnostic solutions. In this work, we propose a Dual-Stream Wavelet Fusion Network (DS-WFN) alongside a distributed edge-cloud architectural roadmap tailored for deployment in distributed and edge-enabled healthcare ecosystems. The framework integrates a spatial morphological stream with a spectral wavelet stream, augmented by an Adaptive Wavelet Selection Mechanism (AWSM). The AWSM dynamically selects optimal frequency bases (Haar, Symlet, Daubechies) to preserve fine-grained diagnostic features typically lost in conventional CNN architectures. An Adaptive Spatial Alignment (ASA) module further ensures efficient fusion of heterogeneous representations, enabling robust feature integration across computational nodes. Experimental results across a five-fold patient-isolated cross-validation protocol demonstrate that the DS-WFN achieves a mean classification accuracy of 76.3% (95% CI: 71.6–80.8%) and a macro-averaged F1-score of 0.747 (95% CI: 0.697–0.795), consistently outperforming single-stream baselines while preventing patient-level data leakage. Furthermore, Grad-CAM visualizations provide interpretable outputs aligned with clinical diagnostic criteria, supporting trustworthy AI integration into digital healthcare workflows. Furthermore, we disclose a methodological framework for edge-based implementation, highlighting how localized inference ensures data sovereignty and real-time clinical support. By combining multiscale signal processing with deep learning under a Future Internet paradigm, this work contributes a scalable, explainable, and edge-ready diagnostic framework for early KOA detection, enabling intelligent, connected, and resource-efficient healthcare services. Full article

Artificial Intelligence of Things (AIoT) is transforming Internet of Things (IoT) systems from cloud-centric data processing into distributed intelligence across device, edge, fog, and cloud tiers. However, existing reviews often emphasize specific computational layers, learning paradigms, or application domains rather than the cross-domain problem of Artificial Intelligence (AI) workload placement under real deployment constraints. This paper presents a structured integrative review of AI workload placement in AIoT, based on a multi-stage literature search, two-stage screening process, and thematic synthesis of 132 sources. The review does not propose a new physical architecture; instead, it develops a terminology-harmonized and AI-centric perspective for assessing where AI functions should reside according to latency, privacy, bandwidth, power, scalability, resilience, and model complexity. Evidence is synthesized across Industrial Internet of Things (IIoT), smart cities, Internet of Medical Things (IoMT), and smart agriculture. The findings show that placement drivers are domain-dependent: deterministic response and reliability dominate IIoT, interoperability and scale shape smart cities, privacy and human oversight constrain IoMT, and energy scarcity and intermittent connectivity define agriculture. The review concludes that robust AIoT requires hybrid multi-layer architectures combining Tiny Machine Learning (TinyML), edge/fog coordination, cloud-scale optimization, and Federated Learning (FL) where appropriate. Full article

Internet of Medical Things (IoMT) devices are inherently vulnerable to cyberattacks, typically due to their limited processing power and memory capacity. Their widespread use in healthcare poses a significant security risk, threatening patient data privacy and the continuity of services. This study examines the effects of data imbalance correction and balancing strategies on the performance of machine and deep learning models using openly available IoMT datasets. In this context, four different balancing methods—RandomUnderSampler, SMOTE, Borderline-SMOTE, and ADASYN—were applied to three open-access IoMT datasets: ECU-IoHT, WUSTL, and CICIoMT2024. Performance analyses were conducted using five machine learning algorithms (AdaBoost, Logistic Regression, Random Forest, XGBoost, and K-Nearest Neighbor (KNN)) and two deep learning algorithms (Convolutional Neural Networks (CNN) and Deep Neural Networks (DNN)). In the highly imbalanced binary setting of the CICIoMT2024 dataset, the combination of RandomUnderSampler and SMOTE under the balanced-training/original-testing scenario produced the strongest improvement in the binary CICIoMT2024 setting, increasing the F1-Score from the unbalanced baseline to 99.87% for Random Forest and 99.86% for XGBoost across repeated runs. However, the benefit of balancing was not universal. In datasets with stronger class separability, such as ECU-IoHT, and in several multi-class settings, the effect of balancing was limited or, in some cases, inferior to the unbalanced baseline. These findings indicate that balancing is most effective under specific conditions, particularly in highly imbalanced binary tasks, and should be validated using class-sensitive metrics rather than overall performance alone. Full article

Haemoglobin (Hb) concentration is a key biomarker for several diseases. Traditional laboratory methods often have limitations due to their time-consuming nature, the need for skilled personnel, or the use of high-cost instrumentation. This work presents a sensing strategy for developing new point-of-care tests (POCTs) for Hb detection via a proof of concept. The proposed sensing approach is implemented using plasmonic plastic optical fiber (POF) sensor chips that integrate an electropolymerized molecularly imprinted polymer (eMIP) film on the plasmonic surface for Hb-selective detection. The developed sensor system demonstrates an ultra-low detection limit of 80 fM in buffer, about five orders of magnitude lower than that of other comparable Hb sensors. Selectivity tests against common interfering proteins, such as bovine serum albumin (BSA) and immunoglobulin G (IgG), confirmed high specificity towards the target analyte. Moreover, the sensor’s performance was tested using a whole-blood sample, yielding results consistent with those of standard haematology analysis. The proposed sensor system, based on simple equipment, provides a quick (about 10 min) and cost-effective (about 10 euros per chip) label-free diagnostic tool for POCTs in real-world scenarios, such as finger-prick sampling, offering a less invasive alternative to traditional laboratory methods, towards devices useful for Internet of Medical Things (IoMT). Full article

With the rapid advancement of the Internet of Medical Things (IoMT), the efficient transmission and management of large-scale medical images in bandwidth- and resource-constrained networks remain critical challenges. This paper proposes a high-payload data hiding method in Absolute Moment Block Truncation Coding (AMBTC)-compressed medical images based on block classification. Image blocks are categorized into flat, smooth, and complex types according to the difference between high and low values, and adaptive embedding and extraction strategies are applied to each type. The proposed method integrates secret data into the compression framework, thereby enhancing efficiency while maintaining visual quality. Experimental results demonstrate an average efficiency of 59% and an average PSNR of approximately 30 dB. Furthermore, visual and structural evaluations indicate that the proposed method effectively preserves textures and boundaries. These results confirm the feasibility of integrating high-payload data hiding into AMBTC compression for efficient medical image storage and transmission in IoMT environments. Full article

The Internet of Medical Things (IoMT) has become integral to modern healthcare, yet its always-connected and resource-constrained nature enlarges the attack surface and complicates timely intrusion detection. This study presents a deployment-oriented, two-stage anomaly-detection pipeline. First, Principal Component Analysis (PCA) is employed to reduce the dimensionality of network traffic data, capturing the most significant variance. Subsequently, a One-Class Support Vector Machine (OC-SVM) is trained exclusively on these principal components of normal traffic. This approach prioritizes computational efficiency for resource-constrained IoMT devices while maintaining high model robustness. By modeling the principal components of normal behavior, our method achieves state-of-the-art performance across diverse attack families. We adopt a uniform protocol across four public IoMT corpora—BoT-IoT, CICIoMT2024, ECU-IoHT, and IoMT-TrafficData. The model’s hyperparameters, including the optimal number of principal components determined by explained variance, are tuned via randomized search. Despite using no attack labels during training, the proposed PCA-enhanced detector achieves state-of-the-art performance across diverse attack families: on BoT-IoT we obtain 99.92% F1-score (99.84% accuracy), on CICIoMT2024 we obtain 99.88% F1-score (99.77% accuracy), on ECU-IoHT 99.25% F1-score (98.58% accuracy), and on IoMT-TrafficData 99.19% F1-score (98.66% accuracy). The compact model size, enabled by PCA, makes the approach highly amenable to edge or gateway deployment in clinical networks, while the normal-only training paradigm improves robustness to zero-day threats. The results demonstrate that modeling the principal components of routine network behavior is a highly effective and efficient strategy for reliable, low-latency threat detection in realistic IoMT settings. Full article

Sleep disorders, such as insomnia, obstructive sleep apnea (OSA), narcolepsy, REM sleep behavior disorder, and circadian rhythm disturbances, represent a rapidly expanding global health burden that is strongly associated with cardiovascular, metabolic, neurological, and psychiatric diseases. Advancements in wearable sensing technologies and Internet of Medical Things (IoMT) infrastructures have expanded the possibilities for continuous, home-based sleep assessment beyond conventional polysomnography laboratories. These Sleep Health Internet of Things (S-HIoT) systems combine multimodal physiological sensing (EEG, ECG, SpO₂, respiratory effort and actigraphy) with wireless communication and cloud-based analytics for automated sleep-stage classification and disorder detection. Nonetheless, the digitization of sleep medicine brings about significant cybersecurity concerns. The constant transmission of sensitive biomedical information makes S-HIoT networks open to anomalous traffic flows, signal manipulation, replay attacks, spoofing, and data integrity violation. Existing studies mostly focus on analyzing physiological signals and network intrusion detection independently, resulting in a systemic vulnerability of cyber–physical sleep monitoring ecosystems. With the aim of addressing this empirical deficiency, this review integrates emerging advances (2022–2026) in the AI-assisted categorization of sleep phases and IoMT anomaly detector designs on the finer analysis of CNN, LSTM/BiLSTM, Transformer-based systems, and a component part of federated schemes and the lightweight, edge-deployable intruder assessor models available. The aim of this study is to uncover a gap in the literature: integrated architectures to trade off audiences of faithfulness of physiological modeling with communication-layer security. To counter it, we present a single framework to include CNN-based spatial feature extraction, Bidirectional Long Short-Term Memory (BiLSTM)-based temporal models and Random Forest-based ensemble classification using a dual task-learning approach. We propose a multi-objective optimization framework to jointly optimize the performance of sleep-stage prediction and that of network anomaly detection. Performance on publicly available datasets (Sleep-EDF and CICIoMT2024) confirms that hybrid integration can be tailored to achieve high accuracy [99.8% sleep staging; 98.6% anomaly detection] whilst being characterized by low inference latency (<45 ms), which is promising for feasibility in real-time deployment in view of targeting edge devices. This work presents a comprehensive framework for developing secure, intelligent, and clinically robust digital sleep health ecosystems by bridging chronobiological signal modeling with cybersecurity mechanisms. Furthermore, it highlights future research directions, including explainable AI, federated secure learning, adversarial robustness, and energy-aware edge optimization. Full article

Distributed denial-of-service (DDoS) attacks pose a critical threat to the availability of the Internet of Medical Things (IoMT). This paper proposes an intrusion detection system (IDS) based on a hybrid neuro-fuzzy-inspired approach to identify DDoS attacks in IoMT environments. The architecture combines an ensemble of decision trees, a sigmoidal smoothing mechanism, and a multilayer neural meta-classifier, enabling the modeling of nonlinear relationships between legitimate and malicious traffic without requiring explicit fuzzy rules or a formal fuzzy inference mechanism. The evaluation was conducted using the public DoS/DDoS-MQTT-IoT dataset, which was extended by incorporating legitimate traffic generated by electrocardiography (ECG) monitoring devices to approximate real operational IoMT conditions. The model was validated using stratified cross-validation and bootstrap procedures. In the extended IoMT scenario including ECG traffic, the proposed approach achieved an area under the ROC curve (AUC) of 0.904 and an F1 score of 0.823. Finally, the IDS was integrated into an intrusion detection and prevention system (IDPS) capable of detecting anomalous traffic patterns within three seconds and automatically blocking malicious IP addresses after repeated detections. Full article

The Internet of Medical Things (IoMT) is becoming a vital part of modern healthcare, enabling ongoing patient monitoring and remote diagnosis. However, as more devices connect to the internet, healthcare systems become more vulnerable to serious security issues such as unauthorized access, patient data manipulation, and Man-in-the-Middle attacks. Conventional Intrusion Detection Systems (IDSs) often struggle with the unclear and uncertain characteristics of IoMT traffic, which leads to reduced detection accuracy and increased false alarms. To address these challenges, this paper proposes ML-FSID-FIS, a multi-level feature selection-based Intrusion Detection System that employs a fuzzy inference system (FIS) for classification in IoMT networks. The model combines multiple feature selection techniques into a three-stage multi-level feature selection strategy to improve detection efficiency and strengthen the security of IoMT networks. In the first stage, four feature selection techniques—Random Forest, XGBoost, ReliefF, and Mutual Information—are applied to identify the most relevant features. In the second stage, a frequency-based consensus strategy is utilized to extract consistently selected features from the four top-ranked sets. In the third stage, an ensemble refinement using bagging-based ranking is employed to rank the remaining features, resulting in the selection of the top five features. From these, three candidate 3-feature groups are formed and evaluated, and the best-performing group is selected as the final input set for the fuzzy logic classifier. The FIS produces a continuous risk score that is mapped to a binary decision using a validation-selected threshold. When the proposed method was tested on the WUSTL-EHMS-2020 dataset and compared with other recent work using the same dataset, it showed strong detection performance while maintaining a very low false positive rate of 0.3%. This study is distinguished by its integrated design, which combines a three-stage multi-level feature selection strategy with fuzzy logic-based intrusion classification to improve feature efficiency and support interpretable intrusion detection in IoMT. Full article

The rise of the Internet of Medical Things (IoMT) has transformed healthcare through real-time monitoring and improved outcomes but also introduced critical security and privacy challenges. This paper presents a focused survey of Explainable AI (XAI) approaches for intrusion detection in IoMT, emphasizing methods that are lightweight, transparent, and deployable under resource constraints. We first clarify XAI terminology and taxonomy (global vs. local scope; ante hoc vs. post hoc; model-agnostic vs. model-specific) and then systematize recent works from the past five years across cybersecurity sub-domains relevant to eHealth. Representative pipelines span classical ML (e.g., LR, RF, SVM, and XGBoost) and deep models (e.g., DNNs and SRU/LSTM), with post hoc explainers, especially SHAP and LIME, dominating practice on benchmark datasets such as CICIDS2017, NSL-KDD, ToN-IoT, WUSTL-EHMS, and CICIoMT2024. Our comparative analysis highlights consistent gains from model ensembling and interpretable feature selection while uncovering key gaps: limited real-world validation, inconsistent explainability metrics, adversarial brittleness, and the computing cost of explanations at the edge. Full article

Morocco, facing a growing prevalence of chronic diseases such as diabetes, hypertension, and cardiovascular diseases, must overcome significant challenges to modernize its healthcare system. In this context, the integration of digital technologies, including telemedicine, the Internet of Medical Things (IoMT), Artificial Intelligence (AI), and healthcare system interoperability, represents a promising solution to improve the management of chronic diseases. This article examines how these technologies can be utilized to transform the Moroccan healthcare system into a more accessible, efficient, and patient-focused model of care. The paper reviews recent pilot projects and initiatives, focusing on infrastructure development, remote monitoring, AI and IoMT integration, public health campaigns, and national health programs aimed at improving access to treatment. Building on these observations, the paper explores the potential of an integrated digital health system for managing chronic diseases and proposes a national integrated care architecture that connects Morocco’s public and private healthcare providers. These insights highlight the significance of digital health in Morocco and provide a framework for improved, more patient-centered, and more efficient advanced healthcare. Future perspectives focus on developing an adapted digital transformation approach to further enhance chronic disease management. Full article

The Internet of Medical Things (IoMT) has become a core component of modern healthcare infrastructures, enabling continuous patient monitoring, remote diagnostics, and data-driven clinical decision-making. Despite these advances, authentication in IoMT environments remains a critical security challenge, intensified by strict resource constraints of medical devices and the emerging threat posed by quantum computing to classical cryptographic techniques. This systematic review investigates authentication mechanisms in IoMT from both post-quantum and system-level perspectives. A structured literature review was conducted using a PRISMA-informed methodology across major scientific databases, including IEEE Xplore, ACM Digital Library, SpringerLink, ScienceDirect, and MDPI. From an initial set of 95 records, 63 studies were selected for qualitative synthesis following screening and eligibility assessment. To organise existing research, this study introduces a multi-dimensional classification framework that categorises authentication solutions according to cryptographic paradigm (classical, hybrid, and post-quantum), deployment architecture, system objectives, and clinical operational constraints. The comparative synthesis demonstrates important trade-offs between security strength, latency, computational overhead, and energy consumption that are frequently underexplored in the existing literature. Furthermore, the analysis identifies key research gaps related to scalability in heterogeneous medical environments, trust establishment across administrative and clinical domains, usability under strict timing constraints, and resilience against quantum-capable adversaries. Based on these findings, future research directions are outlined toward adaptive, lightweight, and context-aware post-quantum authentication frameworks designed for real-world IoMT deployments. Limitations of this review include restriction to English-language publications and selected databases. This study received no external funding, and the review protocol was not formally registered. Full article