Hospitals are increasingly under pressure because of the growing volume of imaging tests carried out, but also because of the sophistication of the attacks by the cybercriminal. Conventional security systems are unable to meet today's challenges to patient records and radiological data. In this research, these challenges are addressed directly by designing an advanced defence system that is specifically designed for medical imaging archiving and communication systems in radiology departments. Architected an extensive protective architecture with seven layers that are interconnected. It's a combination of cutting-edge encryption techniques capable of resisting the powerful future quantum computer, authentication processes that validate every access attempt on the fly, data patterns that are learned, suspicious activity recognized, blockchain technology that makes data impossible to tamper with, and predictive algorithms that foresee threats before they happen. Our system is proactive, identifying and neutralising threats at an early stage, instead of reacting to attacks as they happen. Real-world validation took place within five different hospital networks, covering two years, and thus subjected the framework to the real conditions of operation and to real cyber threats. The results of the system's performance were outstanding – the system had a rate of 99.9% accuracy in detecting malicious activities and a rate of 0.15% False Alarms. The overhead for security operations was just 23 milliseconds, not affecting clinical workflow. Most impressively, there was a 67% reduction in the number of attempts to break in onto the network unauthorisedly, due to the formidable defence measures that they faced.Our framework thwarted 847 real tests against it, ranging from sophisticated persistent intrusions and previously unknown software vulnerabilities to attempts by ransomware to encrypt patient information – all during testing. The system ensured complete compliance with healthcare privacy laws from various jurisdictions, aligning with the American HIPAA regulations, the European GDPR and the new quantum-security protocols. In essence, this is a paradigm shift in medical imaging security, offering healthcare institutions proactive and intelligent protection that safeguards patient privacy and institutional integrity in the face of future threats.
Wang Lei, Jasni Mohamad Zain, Nur Atiqah Sia Abdullah, Marina Yusoff · 7 authors
The proliferation of Internet of Medical Things devices within the predictive healthcare paradigm necessitates robust, privacy-centric collaborative learning frameworks to detect and mitigate rapid clinical deterioration. Traditional federated learning methodologies, while attempting to preserve patient data locality, are fundamentally constrained by multi-round gradient synchronization protocols, imposing prohibitive communication latency and remaining susceptible to false negatives under extreme non-independent and identically distributed conditions. To address these challenges, this study introduces the Feature-Augmented Analytic Federated (FaFL) Architecture, which fundamentally replaces iterative gradient synchronization with a single-round closed-form computational paradigm. By instituting a proactive feature mixing mechanism via a decoupled zero-knowledge proof global buffer, the proposed framework empowers local grassroots nodes to neutralize extreme clinical heterogeneity in a single phase. The architecture employs a closed-form analytic solution combined with a trace-weighted absolute aggregation protocol to rigorously guarantee stochastic convergence and absolute cryptographic resilience without requiring recursive parameter exchanges. Extensive empirical evaluations against existing baselines under severe Dirichlet non-independent and identically distributed conditions and Byzantine poisoning attacks demonstrate that the framework fundamentally eradicates high false-negative rates in resource-constrained clinics. Consequently, the proposed architecture robustly guarantees generalization stability, substantially outperforms existing paradigms in predictive fidelity and computational efficiency, and establishes a new operational standard for mission-critical clinical networks.
Internet of Things (IoT) technologies in the healthcare industry, also known as the Internet of Medical Things (IoMT), have proven to greatly improve patient monitoring, diagnostics, and clinical decision-making. The increasing prevalence of resource-challenged medical devices, wireless connectivity, and cloud services, however, has brought new risks around security and privacy concerns that can now directly impact patient safety and data integrity. In this paper, a thorough study of 41 peer-reviewed research papers from January 2018 through May 2025 revealed the current state of security vulnerabilities and resilience strategies in healthcare IoT systems. It provides a comprehensive analysis of security threats at the device, network, and application levels such as unauthorized access, malware and ransomware, data breaches, and denial-of-service attacks delivered in a systematic manner. This contrasts with existing surveys, which consider single security mechanisms and improve upon various multi-layered security means such as AI-enabled anomaly detection, blockchain-based authentication and auditability, low-compute cryptographic techniques, and privacy-preserving methods such as federated learning. The outcomes also show that although emerging technologies add a great deal of security and trust capabilities, issues on scalability, interoperability, deployment, and regulations are not yet fully addressed. This review highlights important knowledge gaps and offers structured knowledge and future directions for research to address the design of secure, resilient, and practically deployable IoMT architectures for real-world healthcare environments.