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BDLT-IoMT—a novel architecture: SVM machine learning for robust and secure data processing in Internet of Medical Things with blockchain cybersecurity

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The integration of artificial intelligence (AI) has caused information and communication technology (ICT) to undergo a number of recent rapid fluctuations. These changes have primarily affected the areas of management, end-to-end device interconnectivity, resource organization, communication, networking, and application-related aspects of ICT. Owing to the complex structure of applicational connectedness, evaluating each of the aforementioned opportunities concurrently reflects the idea of heterogeneity. The association of multiple end devices, particularly in interoperable space, integrity, privacy protection, security, provenance, and the massive volume of everyday media data generated in the modern healthcare setting could also provide significant issues. To address these issues, decentralized, secure, economical resource optimization, and intelligent network activities and organization are necessary. Blockchain technology plays a crucial role in providing distributed storage data organization, sharing, and exchange for automated decision-making, privacy, and security in AI-enabled machine learning (ML) models. However, machine learning models—support vector machine, in particular—have a significant impact on the growth of distributed consortium networks and the exchange of information among connected nodes, resolving issues with resource management, scalability, and data processing. By resolving the three main problems of seamless data integrity, peer-to-peer communication between nodes, and infrastructure security, we provide a novel interoperable technique in this proposed architecture. The approach is unique, as demonstrated by the simulation-based results, which display huge differences of 1.37%, 1.56%, and 1.87%, respectively. The background for the evaluation consists of the following three areas: (i) infrastructure security to protect automated decision-making; (ii) integrity between smooth data sharing and exchange; and (iii) network resource optimization to enable smooth communication across heterogeneous devices.
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Vol.:(0123456789)
The Journal of Supercomputing (2025) 81:271
https://doi.org/10.1007/s11227-024-06782-7
BDLT‑IoMT—a novel architecture: SVM machine learning
forrobust andsecure data processing inInternet ofMedical
Things withblockchain cybersecurity
AbdullahAyubKhan1· AsifAliLaghari2· AbdullahM.Baqasah6· RexBacarra4·
RoobaeaAlroobaea3· MajedAlsafyani3· JamilAbedalrahimJamilAlsayaydeh5
Accepted: 27 November 2024
© The Author(s) 2024
Abstract
The integration of artificial intelligence (AI) has caused information and commu-
nication technology (ICT) to undergo a number of recent rapid fluctuations. These
changes have primarily affected the areas of management, end-to-end device inter-
connectivity, resource organization, communication, networking, and application-
related aspects of ICT. Owing to the complex structure of applicational connected-
ness, evaluating each of the aforementioned opportunities concurrently reflects the
idea of heterogeneity. The association of multiple end devices, particularly in inter-
operable space, integrity, privacy protection, security, provenance, and the massive
volume of everyday media data generated in the modern healthcare setting could
also provide significant issues. To address these issues, decentralized, secure, eco-
nomical resource optimization, and intelligent network activities and organization
are necessary. Blockchain technology plays a crucial role in providing distributed
storage data organization, sharing, and exchange for automated decision-making,
privacy, and security in AI-enabled machine learning (ML) models. However,
machine learning models—support vector machine, in particular—have a signifi-
cant impact on the growth of distributed consortium networks and the exchange of
information among connected nodes, resolving issues with resource management,
scalability, and data processing. By resolving the three main problems of seam-
less data integrity, peer-to-peer communication between nodes, and infrastructure
security, we provide a novel interoperable technique in this proposed architecture.
The approach is unique, as demonstrated by the simulation-based results, which dis-
play huge differences of 1.37%, 1.56%, and 1.87%, respectively. The background
for the evaluation consists of the following three areas: (i) infrastructure security to
protect automated decision-making; (ii) integrity between smooth data sharing and
exchange; and (iii) network resource optimization to enable smooth communication
across heterogeneous devices.
Extended author information available on the last page of the article
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A.A.Khan et al.
271 Page 2 of 22
Keywords Internet of Medical Things (IoMT)· Internet of Things (IoT)· Machine
learning (ML)· Support vector machine (SVM)· Blockchain· Cybersecurity
1 Introduction
The innovations brought about by the convergence of the Internet of Things (IoT)
with the healthcare sector have resulted in a sharp increase in interest in the Internet
of Medical Things (IoMT) over the past ten years. The cyber-physical system (CPS)
is essential for balancing this equation since it offers a multi-dimensional scheme
that primarily takes into account the industrial prospects across the network [1, 2].
Create a budget-friendly atmosphere for electronic healthcare systems as a result.
In fact, cyber-physical systems can be used in pharma, pharmaceutical, telehealth,
and other healthcare applicational environments [13]. Here is a highlighted list of
popular run-time programs [4, 5]: (i) HealthTap; (iv) MyChart; (v) Pocket Phar-
macist; (ii) Medisafe Medication; and (iii) Teladoc Health. But in terms of appli-
cational connectivity, telemediation, virtual diagnosis and cost-effectiveness, and
stakeholder registration verification and validation, the evolution of cyber-physical
systems in the healthcare sector makes a significant impact. Moreover, this technol-
ogy integrates digital-to-analog and analog-to-digital components, as well as logical
and physical systems working together to manage intercommunication transmission
[4, 6]. Actuators, wireless network sensors, and networking modules are all part of
the cyber-physical system network, which aids in the management of suitable auto-
mation, particularly in the healthcare platforms [5, 6].
In general, IoT requires integral support of cyber-physical systems in a health-
care environment, which is considered a complex prospect where the external
operations are performed on cyber applications, as shown in Fig.1. Undoubtedly,
this integrated manner not only provides information and communication technol-
ogy (ICT) progressive. On the other side, it also helps in more positive fluctua-
tion in the acquisition of data transmission, management, organization, preserva-
tion, and optimization. On the other end, cybersecurity is considered in terms of
major challenging issues, where vulnerability can be measured, such as intrusion
hazards, malicious attacks, or attempts of malicious insiders [4, 6]. These days,
the experts of CPS are highly concerned about the privacy and security of the
Fig. 1 Current environment of data processing using cyber-physical systems and Internet of Things
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BDLT‑IoMT—a novel architecture: SVM machine learning forrobust… Page 3 of 22 271
technology, especially in collaborative prospects with electronic healthcare. How-
ever, the intrusion detection system (IDS) performs a vital role, where intrusion
detection is one of the key applications that maximize the integrity of the system.
Recently, most of the IDS has been employed for effective and efficient preven-
tion of malicious attacks [6, 7]. The working operation is to classify anomalies,
where IDS is categorized into two parts, such as identifying misuse predictions
and analysis of anomaly occurrence in the running environment. In both aspects,
the feature of similarities in terms of malicious attacks examination, which helps
in misuse prediction and evaluation. Nowadays, every auditable information
requires an authenticated dataset, which needs to be associated with it in order
to examine the impact of intrusions [68]. In fact, a misuse detector generates a
minimized effect in the function point. However, the detector has different types
of challenging prospects, like working with another line of defense, identifying
intrusions that are unable to be adopted in the evaluation of security procedures,
and no role of safeguard integration.
On the other end, the detection of anomalies in IDS is constructed to evaluate a
routine profile behavior with a categorized one, where marching the usual behavior
and separate unusual activities, such as malicious attacks [79]. Comparatively, IDS-
enabled anomaly detection performs better but is not accurate enough to say that it
finds unknown malicious activity with a hundred percent ratio. However, this tech-
nology interconnects a broad range of ubiquitous devices, where the management
of computational resources fluctuates, along with the cycle of battery consumption,
transmission protocols, software connectivity, and operation of deliverance [8, 9].
Such type of device heterogeneity makes this system more limited, including the
placement of security challenges, and the design of the surface raises the rate of
attacks in the recent environment. Whereas the adaptation of blockchain technology
makes these differences more lesser in terms of providing a distributed environment
with node heterogeneity connectivity [8, 10]. Due to this, the system can fetch over-
all vulnerability occurrences and resist them for future endorsement.
In the recent healthcare environment, machine learning (ML) techniques have
been presented for examining patterns from collected data, and then effectively
identifying and detecting points of interest in terms of cybercriminal activities effec-
tively [10, 11]. However, it affects, while loading a large number of datasets, where
the efficiency scale and their point of revealed prospects cannot be accomplished the
mark, including a low performance for identifying malicious attacks when nodes
of the network are in distributed mode. On the other side, deep learning (DL) mod-
els stimulate such identification patterns in a complex way, but the results count
as sophisticatedly [11, 12]. Although the complex network of DL requires more
computation power, experts can rely on the generated results due to its reliability
and efficiency. In fact, the experts of AI majorly focus on the investigation of the
malicious ubiquitous; in order to provide a novel design that fulfills a trustworthi-
ness environment, which supports cybercrime-enabled behavioral profiling analysis
[1315]. In addition, node reputation is evaluated as another prospect that needs to
be resolved while applying a list of attacks detection and recognition because it vio-
lates the Euclidean distance measurement between profiles.
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1.1 Research motivation andobjectives
This study examines all of these difficult possibilities, but it primarily focuses on
creating a secure infrastructure for IoMT. To ensure privacy, security, and auto-
mated decision-making using blockchain and machine learning, data must be stored,
shared, and organized in a distributed node-to-node environment. This paper pro-
poses a novel concept for a distributed consortium network in which member nodes
build intercommunication. The ML-enabled SVM algorithm has a significant impact
on this process. SVM’s primary responsibility during interconnectivity is to handle
crucial situations including data processing, resource management, scalability, and
security. This article thus discusses three important issues that arise in the current
e-healthcare interoperable environment: peer-to-peer communication between nodes
connected to the same network, easy data protection and confidentiality mainte-
nance, and the general security of the health infrastructure. Through the proposed
architecture, this study offers a novel, interoperable method to preserve these. The
main contribution of this research is expounded upon in the following definition of
the research objectives and contributions argument:
A list of research gaps that are assessed throughout the problem-solving process
is provided in this publication. These gaps have been compiled from a variety of
reputable academic research publisher sources, including IEEE, ACM, Elsevier,
Springer, Wiley, and Taylor & Francis.
"BDLT-IoMT" is a suggested secure architecture for the Internet of Medi-
cal Things (IoMT) that combines ML and blockchain DLT. Furthermore, one
of the main functions of this suggested architecture is that blockchain is essen-
tial for supplying training data for machine learning models, like support vector
machines (SVMs), which in particular seek to arrange, distribute, and trade data
from dispersed storage in order to ensure security, protection, and automation in
decision-making.
To facilitate communication between participating nodes and handle both tech-
nologies simultaneously, a consortium network is created with the goal of offer-
ing a channel for data processing, resource management, scalability, and secu-
rity.
As a result, the suggested design offers peer-to-peer communication between
nodes, seamless data integrity, and infrastructure security while addressing
issues with platform interoperability.
A list of issues related to the deployment of distributed applications (DApps) is
provided, together with a justification statement and an explanation of potential
remedies.
1.2 Outline ofthis research work
The further description of this paper is aligned and presented as follows: In Sect.2,
the detailed argument based on exiting blockchain applications running, infra-
structural weakness, and protocols, along with the provisional statement of IoMT
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integrations are discussed. However, Sect.3 presents the working objective of the
proposed study, along with the activities of executions. The brief discussion of the
proposed architectural simulations and results in Sect.4, whereas a list of imple-
mentation, deployment, and further research gaps that have emerged in the organiza-
tion of this work in Sect.5. At the end, this paper concludes with the well-defined
statement of conclusion in Sect.6.
2 Related work
Recently, most of the running systems of e-healthcare considered as highly con-
sumed energy resources due to the association of IoT and connectivity. Undoubtedly,
it fulfills a basic form of industrial healthcare ecosystem but requires more in-depth
investigation to overcome it. Considering the ad hoc nature of this technology is
one of the reasons that the emergent list of threats needs to be captured and esti-
mated in real time, including botnets [16]. This may be raised while collaborating
edge devices with the host IoT devices for designing successful cyber-physical sys-
tems for making cybersecurity prospects that minimize transmission overhead and
energy consumption. However, the existing proposal received on the development
of an effective trust-based e-healthcare platform that follows the concept of autono-
mous vehicular network [16, 17]. It is one of the first trusted proposal received by
the technology in 2021, which aim to assist associative methods of AI for auton-
omous driving vehicles, where assisted data can be exploited for calculating the
exact trust values. After the integration of reinforcement learning, these healthcare-
based autonomous driving vehicles stimulate a self-warning alert and report vul-
nerabilities. However, further details regarding the technological developments are
addressed in the next subsections as follows:
2.1 Existing blockchain applications, infrastructure, andprotocols
These days, the development of blockchain distributed ledger technology (BDLT)
creates new paradigms, especially the topology of healthcare network management
which has changed, including stakeholder registration, adding new data, and updat-
ing records in a decentralized manner [18, 19]. Undoubtedly, blockchain enhances
information security and privacy procedures, integrity, confidentiality, trustwor-
thiness, provenance, transparency, and platform interoperability. While distributed
nodes are connected like patients are interconnected in the designed ecosystem net-
works via ubiquitous devices. However, the bibliometric analysis of blockchain in
the health industry is quite limited. It is because a rate of growing bodies examines a
potential fluctuation received by this collaborative technology. During the investiga-
tion, we found a lack of technical improvement received by the blockchain-enabled
healthcare technology, majorly because of the high theoretical description available
compared to real-time implementation. However, Table1 presents an investigational
report that highlights what factors still emerge as current research gaps, which can
be transformed into future developments and maybe research trends. The evaluation
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A.A.Khan et al.
271 Page 6 of 22
Table 1 Current research gaps on the Internet of Medical Things environment and the role of blockchain
List of
Refer-
ences
Major research gaps analysis A list of research contributions Targeted research objectives Answered research question
[20] Platform interoperability limitation Proposal of modular architectural design Multi-stakeholder authentication This paper addressed a multi-stakeholder
registration verification and validation
of protocols like ECMQV-MAC
[21] Limitation in sizing of node during
transmission
Cross-platform-based node intercon-
nectivity
Distributed storage management using
Filecoin
The author of this paper presented a
solution for IoMT data management,
where the role of AI-enabled ML-based
artificial neural network is mentioned
[22] Distributed channels design for inter-
communication, including implicit
and explicit
Two intercommunication channels are
designed, on-chain and off-chain over
consortium network
A novel proposal is presented, named
CARE
This paper proposed a carbon-aware com-
puting environment for blockchain-ena-
bled Internet of Medical Things-based
data organization and optimization
[23] Hash calculating and hashing organiza-
tion problem
Presented a list of most occurrence
attacks in the current IoMT environ-
ment
Revolutionaries AI in IoMT for more
sophisticated developments
In this paper, the author highlighted a
list of cyberattacks that involved in AI-
enabled IoMT environment, along with
a discussion of countermeasures
[24] Technological integration requirement
and fulfillment is addressed
Resource management and allocation
hierarchy is proposed
Maintaining heterogeneous node-to-
node data sharing and exchange
The role of federated learning in health-
care is discussed, where the integra-
tion of blockchain impacts the IoMT
platform in terms of data management,
privacy, and security throughout distrib-
uted environments
[25]Efficient transaction processor’s schedul-
ing hierarchy and management related
challenges
A secure node-to-node interconnectivity
is proposed
Collaborative approach of blockchain
and cryptography
This paper presents enhanced IoMT data
communication for smart healthcare
platforms using blockchain and crypto-
graphic algorithms, especially hashing
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metrics of this table are mentioned as follows: (i) a list of references, (ii) a major
research gaps analysis, (iii) a list of research contributions, (iv) targeted research
objectives, and (v) answered research questions.
2.2 Security hierarchy inMedical Internet ofThings (IoMT) andtherole
ofmachine learning
Recent developments have shown that healthcare data management systems encoun-
ter problems like data availability, central storage, grant access, and operational
controls. But not fulfill the requirements of advanced digital technology, including
integrity, traceability, provenance, data transparency, immutability, flexible access
controls, audit, trustworthiness, and privacy protection. However, the revolution of
BDLT resolves the mentioned challenges, but there is a need to specify resource
usage due to high computing requirements for managing a distributed environ-
ment; this technology suffers in terms of balancing the allocation of computational
resources [2629]. Undoubtedly, blockchain technology establishes confidence in
the health hierarchy for data organization by enabling the tracking of changes from
a collection of data sources and related forms. Current case studies elaborate on the
importance of blockchain as a range of diverse fulfillment of health applications.
The need is to address critical the concept of rescheduling the limited capability of
computational resource optimization so that blockchain can be adapted successfully
in every domain of the health industry. To overcome these challenging prospects,
this paper investigates the factors affecting of possible adaptation of blockchain
and their role in cost-efficient data management and organization is highlighted as
follows:
Use of Hyperledger technology
Design cost-effective function in smart contracts
Customize consensus mechanisms
Define blockchain protocols
Association of NuCypher Re-Encryption mechanism
Immutable storage and connectivity
Specify communication channels
3 Research material andmethodology
3.1 Problem description, formation, andnotations
With the use of SVM, we can handle the issues of data processing, resource man-
agement (especially computational cost), and scalability, as shown in Fig.2; due to
this, we design a function that follows the mentioned constraints, such as the calcu-
lation of the distance of data points, reflect false negative and false positive values,
and the margin data values. Here we explain this in a mathematical manner:
f(a)=wA+b
1
; for all false positive.
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A.A.Khan et al.
271 Page 8 of 22
f(b)=wB+b
1
; for all false negative. Where two constraints are taken
together, we can achieve to simplify the calculation of both constraints into 1. Let us
assume the negative value y = 1 and the positive value y = 1, as mentioned in Table2.
In order to evaluate every point in terms of classifying correctly, the equation is
designed as follows:
To maintain computational resources, the total cost of data processing is scheduled
with this equation as follows:
where
(
a2
w
a1
w
)∕w
Here a2 and a1 are the variables that define positive data processing hierarchy
and loss function in accordance with the designed resource limitations as follows:
y∗(2∗(f(a)+f(b))=1
For positive data processing, y must be equal to 1. Here, we define the possi-
bilities of memory scalability during processing as follows:
1∗(wa1+b)=1
;where
wa1=1b
;
By adding both equations together to achieve data optimization, along with
organization and management (as shown in Fig.3), we present the equation as
follows:
Hence, the maximum scalability that the proposed architecture can be handled
is defined as follows:
However, the minimization of memory scalability is integrated and illustrated
as follows:
Effective data classification, especially in binary classification tasks, is the
SVM model’s primary strength. When combined with blockchain, the model
benefits from the additional security, transparency, and trust it provides, fortify-
ing and improving the dependability of the entire data pipeline from training to
deployment. The security and verifiability of the decisions and updates made by
SVM-based systems are additionally ensured by the decentralized and immutable
nature of blockchain.
y(
w
(AB)+b
)
1
(
a2
a1
)∗(
w
w
)
1b
(−b
1))∕
(
1b
)
+
(
b
+1
)
w
=2
w
=f(a
)
max
(w��,b�� )=
2
w
such that y(w(AB)+b)��
1
min
(w��,b�� )=
w
2
+(Sum of value c
)
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3.2 Proposed architecture andworking sequences
A proposed distributed application (DApp) for Fig.3 serves as a mediator between
several stakeholders and the BDLT infrastructure. Maintaining privacy security pro-
cedures when Internet of Medical Things (IoMT) transactions are planned for trans-
mission in an economical way, which is chosen by the system’s patients, is the main
goal of such an implementation. But in order to ensure seamless transmission, this
suggested BDLT-IoMT created a consortium network, with an administrator tasked
with looking into any instances of fault tolerance that may arise during the process-
ing cycle. Conversely, as illustrated in Fig.3, two distinct channels—referred to as
off-chain and on-chain—are suggested in order to rearrange the list of explicit and
implicit transactions.
Fig. 2 Working cycle of data processing and memory management
Table 2 Notations Symbols Elaboration
f(a) Function that evaluates data processing sequences
A False positive
f(b) Function that evaluates data processing schedul-
ing for minimize resource consumption
B False negative
b’ Bias value
W Weight
y Output constraint
y’ Change in output constraint
w’ Change in weight
a Fluctuation receives
w’’ Final weight update
b’’ Final bias update
c Constant variable
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The BDLT-IoMT architecture, which combines blockchain technology with AI-
enabled machine learning to avoid cyberattacks, is presented in this section and is
illustrated in Fig. 4. Three sections cover the explanation of this proposed work:
(i) ML-enabled SVM association and implementation; (ii) blockchain infrastructure
solution; and (iii) IoT connectivity to facilitate health transactions. The first section
of our proposed work relies heavily on ML-enabled SVM. Here, we performed data
scheduling, resource management, and scalability tasks so that real-time captured
data could be extracted, examined, filtered, aggregated, analyzed, and stored in an
immutable blockchain that was predefined, like InterPlanetary File Storage (IPFS),
as illustrated in Fig.3. As a result of its implementation, the suggested BDLT-IoMT
is able to meet the following three main restrictions (as shown in Fig.4): infrastruc-
ture security (i) to protect automated decision-making; integrity (ii) to allow for
smooth data sharing and exchange; and network resource optimization (iii) to enable
smooth communication between disparate devices.
But as Fig.5 illustrates, the technology behind blockchain is broken down into
nine distinct sub-components: node interconnectivity, REST API, intercommunica-
tion channels, states, chaincode, consensus mechanism, proof-of-work (PoW) inte-
gration, and digital signature. The transaction processor manages every step of the
BDLT hierarchy that has been described. Node interconnectivity offers a framework
for connecting various nodes based on block size, where blocks are derived from
transaction data, size, public key, hashing (n 1) SHA-256, and hashing (n). REST
API, on the other hand, plans transactions as they are completed, as mentioned in
Table3. Conversely, as was already said, intercommunication can be divided into
two categories: on-chain and off-chain. The BDLT infrastructure (predefined) man-
ages each individual transaction’s state when a new transaction is listed.
Table 3 provides a concise description of the consensus policy and chaincode
working objective along the digital signature procedure.
4 Simulations andresults
The originality of the proposed work is discussed in this section with regard to the
presentation of simulations and their distinct outcomes. To test the overall infra-
structural security with regard to data preservation, we have divided the simulations
Fig. 3 Cycle for achieving data optimization and memory hierarchy
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into six distinct scenarios. These include the working cycle of BDLT-IoMT evalua-
tion—false positive (Tests 1 and 2), BDLT-IoMT evaluation—false negative (Tests
1 and 2), the working cycle of BDLT-IoMT resource management (Test 1), the
working cycle of BDLT-IoMT resource management (Test 2), and the overall infra-
structural security test with regard to data protection throughout. Prior to commenc-
ing these tests, the following prerequisite must be satisfied:
System requirement—13th generation core i7 vPro processor is used, along with
the 3.0GHz clock speed.
32GB main memory is installed with the connectivity of 1TB SSD.
Integrated/shared GPU is mandatory.
10–100Mbps Network bandwidth is required.
Software requirement—JavaScript installation, Truffle, Ganache, visual studio
code, and additional plugins to support JavaScript program execution is manda-
to r y.
Figure 6 illustrates the simulation result of the proposed BDLT-IoMT working
cycle in terms of data processing. This scheduled test is based on both perspectives,
Fig. 4 Proposed BDLT-IoMT architecture
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271 Page 12 of 22
like false positive—Test 1 (as shown in Fig. 6a) and false negative—Test 1 (as
shown in Fig.6b), where the metric of evaluation is the fluctuation received in the
data processing cycle with respect to scheduling data per second (s). However, the
analytics of false positive is the sum of 277 cycles per 3511 s, which is equal to
0.0788 cycles of data investigated per second. The uniqueness of these results shows
that the proposed BDLT-IoMT is processing data better as compared to the previ-
ously published methods [3033].
Figure 7 shows the result of the proposed BDLT-IoMT simulations, which are
based on the data processing cycle and related hierarchy. The test is conducted on
two points of manner, like false positive—Test 2 (as shown in Fig.7a) and false neg-
ative—Test 2 (as shown in Fig.7b), where the metric of evaluation is the fluctuation
received in the data processing cycle with respect to scheduling data per second (s).
However, the analytics of false positive is the sum of 256 cycles per 2503s, which is
equal to 0.1022 cycles of data investigated per second. (Where the meaning of 2 is
the second test, P is the false positive, and N is the true negative.)
The overall infrastructural security test is presented in Fig.8, where evaluation
is conducted twice to investigate the successful deployment of the proposed BDLT-
IoMT, which mainly highlights the role of blockchain-enabling technology for data
preservation prospects. The examination metric of this simulation is the sum of the
cycle of resource management used with respect to data management and preserva-
tion slots delivered per second(s).
Decentralized machine learning environments, where preserving data integrity is
crucial, were considered in the simulation. This represents real-world applications
where data provenance and tamper resistance (as guaranteed by blockchain) are cru-
cial, including those in the financial, legal, or medical records sectors. By ensuring
that the simulations account for constraints, real-world scenarios, and data complex-
ities, we believe that the results can be safely extended to real-world settings. We
demonstrate that the simulated results translate well into broader, real-world con-
texts with our plans for field testing and matching simulation conditions with real
applications.
However, Fig.9 illustrates the simulation test of the complete cycle of compu-
tational resource consumption (Test 1), where the investigation metrics is the sum
of fluctuation received in resource management during scheduling data and related
hierarchy with respect to time (s). Whereas the total number of fluctuations received
is 221 cycles in the 1500s, which is a total of 0.1473 cycle/s. On the other side, the
result of Fig.10 (Test 2) is the sum of fluctuations received, is 243 cycles in 727s,
which is a total of 0.3342 cycle/s.
Fig. 5 Steps of BDLT
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Table 3 Pseudocode of the proposed BDLT-IoMT
Regulatory and Compliances:
Administrator manages the occurrence of fault tolerance;
Immutable preservation structure is associated(as IPFS is integrated);
Initial Declarations:
data scheduling,
dS();
resource management,
rM();
scalability,
sC();
captured data,
cD();
extract,
eX();
examine,
eY();
filter,
fI();
aggregate,
aG();
analysis,
aY();
preserved,
pS();
stakeholder registration,
sR();
Blockchain timestamp, [run];
Method Execution: int main:[File->chaincode.js]
if user != sR();
then, enroll in sR();
if user != sR();
then,verify request dS(), rM(), sC();
and validate IoMT-based transaction according to cD(), eX(), eY(), fI(), aG(), and aY();
blockchain timestamp [run];
and maintain pS(IPFS);
else state change, share, exchange, and reschedule,
stop,
programs terminate;
else state change, share, exchange, and reschedule,
stop,
programs terminate;
Consensus Policy = PoW;
Consensus procedure = 51% vote required;
Digital signature->Authentication/approval = True;
User = Read/Request ->Patient/Consultant;
Verification = True;
Validation = True;
Storage = IPFS;
Other stakeholders = Read/Write->Hospital/Administrator;
Output:dS(), rM(), sC(), pS(), sR();
Content courtesy of Springer Nature, terms of use apply. Rights reserved.
A.A.Khan et al.
271 Page 14 of 22
The combined outcomes of Tests 1 and 2 across the board for all three environ-
ments are displayed in this scenario, including enhanced infrastructure security,
higher network resource consumption, and higher integrity of smooth data transfer
by up to 1.87%, 1.37%, and 1.56%, respectively.
Overall infrastructural security test is conducted via the proposed BDLT-
IoMT, as shown in Fig.8, where evaluation is scheduled only once to investigate
the successful deployment of the work, which mainly highlights the pop-up of the
use of blockchain technology in the data protection scenario. Whereas the evalu-
ation criteria are mentioned as the sum of the cycle of resource management used
with respect to data management and preservation slots delivered per second(s),
where 266 cycles are managed in 683s (Fig.11).
However, the list of state-of-the-art publications is mentioned that are used as
the comparative analysis as follows [3035]:
A blockchain-based federated learning mechanism for the privacy preservation
of healthcare IoT data;
A blockchain-based federated artificial intelligence system of intrusion detection
for IoT healthcare system;
An original research article on a blockchain-based secure Internet of Medical
Things framework for smart healthcare;
Efficient personal health records sharing on the Internet of Medical Things using
searchable symmetric encryption, blockchain, and IPFS; and
Blockchain-based AI model for industrial healthcare applications
Tables4 and 5 present a report of comparative analysis between the proposed
BDLT-IoMT and other state-of-the-art methods, where the context of evaluation
is addressed as follows: (i) data processing cycle, (ii) computational cost, (iii)
memory scalability, (iv) trustworthiness environment, and (v) overall efficiency
and accuracy.
Fig. 6 Working cycle of BDLT-IoMT (Test 1), where the metrix is the fluctuation receives in data pro-
cessing cycle and scheduling data per second, a test of false positive, and b test of false negative
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BDLT‑IoMT—a novel architecture: SVM machine learning forrobust… Page 15 of 22 271
5 List oflimitations inimplementation, deployment, andthecurrent
research gaps
In this section, we present a report that is based on a critical investigation raised dur-
ing the implementation of this proposed BDLT-IoMT, where the major prospects of
design and deployment are highlighted. In addition, this paper tries to provide a pos-
sible solution to the mentioned problems, which need to be fulfilled near future and
most probably require technological maturity.
Fig. 7 Working cycle of BDLT-IoMT (Test w), where the metrix is the fluctuation receives in data pro-
cessing cycle and scheduling data per second, a test of false positive, and b test of false negative
Fig. 8 Overall infrastructural security solution using blockchain-enabling technology for data preserva-
tion prospects
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A.A.Khan et al.
271 Page 16 of 22
5.1 Seamless e‑healthcare data collection andmanagement
Due to the high demand of healthcare, the usage of interoperable platform is going
on peak day-to-day and their integration-seamless information share and exchange
between hospital-to-hospital or hospital-to-patient and vice versa, within consor-
tium network, and even cross-border transactions. In this whole scenario, an effort
is underway while initiate streamline healthcare data exchange because the cur-
rent architecture is based on centralized system, which is not feasible to handle and
transmit transactions in a distributed environment [36, 37]. Blockchain is the only
solution that enhance interoperable effectiveness and provide improve integration
Fig. 9 Working cycle of BDLT-IoMT for resource management Test 1
Fig. 10 Working cycle of BDLT-IoMT for resource management Test 2
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BDLT‑IoMT—a novel architecture: SVM machine learning forrobust… Page 17 of 22 271
between nodes. In addition, it provides a greater consistency in terms of platform
standardization and related protocols, which directly effects on the design of cost-
efficiency, where patient cannot be retested. However, the involvement of regula-
tory and compliances by the government, the ecosystem perform actively in techno-
logical supplies, quality assessment, experience, and monitoring. Furthermore, this
blockchain-enabled solution not only answers the seamless data exchange problem
but also addressed a list improvement in healthcare domain, which is highlighted as
follows:
Digital transformation-frictionless secure data sharing can be leverage.
Platform interdependency-provide ease workforce data management.
Data exchange-provide framework for share data in a standard manner.
International border law-provide interoperability between explicit node intercon-
nectivity within easier and more efficient manner.
5.2 Fine‑grained stakeholder authentication andprivacy
Recently, different methods are introduced that addresses secure data access and
controls. However, fine-grained is one of them, which not only provide a control-
ling scenario but ensure certain data accessibility and availability [36, 38]. In health-
care, we compare generalized data access and control scenario with coarse-grained
method, where fine-grained perform more sophisticated in terms of following
nuanced steps and variable operations for access enrollment purpose. Substantially,
this adaptation mainly ensures a list of limitation that are involved in the existing
healthcare environment as follows:
Fig. 11 Overall infrastructural security solution using blockchain-enabling technology for data protection
scenario
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A.A.Khan et al.
271 Page 18 of 22
Multi-data source storage, exchange, and access facility
Provide degree of access in accordance with the assigned roles
Mobile access and security facility
Ensuring third-party accessibility
5.3 Security loopholes andstorage cost‑effectiveness
A large number of healthcare applications are running on an outdated design, proto-
cols, compliances, or even operating systems, which drastically exacerbating secu-
rity and privacy challenges. A list of common vulnerability raises in the healthcare
environment is mentioned as follows [3942]:
Cryptographic attacks
Cybercrime like malicious insider attacks
Denial of service (DoS)
Distributed denial of service (DDoS)
Injection exploits
Malware
Web security exploits
Privilege escalation
Blockchain Hyperledger technology plays a significant role in address-
ing these issues by offering an affordable, effective, and adaptable architectural
Table 4 Report of systematic analysis (1)
Context of discussion State-of-the-art
method (1) [30]
State-of-the-art
method (2) [31]
State-of-the-art
method (3) [32]
Data processing cycle Yes Ye s Yes
Computational cost evaluation Yes No Ye s
Memory scalability N/A N/A N/A
Trustworthiness environment No Yes Ye s
Overall efficiency/accuracy + 88% + 90% + 90%
Table 5 Report of systematic analysis (2)
Context of discussion State-of-the-art
method (4) [33]
State-of-the-art
method (5) [34]
State-of-the-art
method (6) [35]
Data processing cycle Yes Ye s Yes
Computational cost evaluation No No No
Memory scalability No No N/A
Trustworthiness environment Yes Ye s Yes
Overall efficiency/accuracy + 80% + 85% + 90%
Content courtesy of Springer Nature, terms of use apply. Rights reserved.
BDLT‑IoMT—a novel architecture: SVM machine learning forrobust… Page 19 of 22 271
environment for transforming seamless, interoperable healthcare data, or even
managing cross-border information exchanges within the designated computing
resources.
6 Conclusions
This paper explored the real-time trends in IoMT, wherein advanced digital tech-
nology plays a significant role. The goal is to offer a novel approach to the design
and development of healthcare apps that are interoperable and directly contrib-
ute to the advancements in the healthcare industry. Throughout the investiga-
tion process, this study uncovers a few difficult issues, particularly one pertain-
ing to interoperability, that have a significant impact on the present lifetime of
IoMT. In order to manage and safeguard the current IoMT functioning, includ-
ing data processing, organizing, optimizing, resource management, scalability,
and data exchange via distributed preservation (such as IPFS—InterPlanetary
File Storage System) to ensure automation in decision-making, along with the
security and privacy, this paper evaluated all such possibilities and proposed a
novel and secure architecture (named BDLT-IoMT). This architecture uses the
collaborative technique of blockchain with SVM. In order to protect automated
decision-making, the suggested BDLT-IoMT experiences significant changes in
infrastructure security, according to simulation data. Furthermore, in order to
enable smooth intercommunication among heterogeneous devices, the proposed
BDLT-IoMT guarantees integrity between seamless data sharing and exchanging
and network resource optimization. Nonetheless, the evaluation findings demon-
strate the importance of the work in the following ways: (i) increased network
resource consumption by 1.87%, improved infrastructure security by up to 1.37%,
and increased integrity of seamless data transfer by up to 1.56%.
Acknowledgements The authors extend their appreciation to Universiti Teknikal Malaysia Melaka
(UTeM) and to the Ministry of Higher Education of Malaysia (MOHE) for their support in this research;
and the authors extend their appreciation to Taif University, Saudi Arabia, for supporting this work
through project number (TU-DSPP-2024-229).
Author contributions All the authors contribute equally.
Data availability No datasets were generated or analyzed during the current study.
Declarations
Conflict of interest The authors declare there is no conflict of interest.
The authors declare no competing interests.
Ethics approval Not applicable.
Consent to publish Not applicable.
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A.A.Khan et al.
271 Page 20 of 22
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atives 4.0 International License, which permits any non-commercial use, sharing, distribution and repro-
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Authors and Aliations
AbdullahAyubKhan1· AsifAliLaghari2· AbdullahM.Baqasah6· RexBacarra4·
RoobaeaAlroobaea3· MajedAlsafyani3· JamilAbedalrahimJamilAlsayaydeh5
* Abdullah Ayub Khan
abdullah.khan00763@gmail.com; abdullahayub.bukc@bahria.edu.pk
* Jamil Abedalrahim Jamil Alsayaydeh
jamil@utem.edu.my
Asif Ali Laghari
asiflaghari@synu.edu.cn
1 Department ofComputer Science, Bahria University Karachi Campus, Karachi73500, Pakistan
2 Software Collage, Shenyang Normal University, Shenyang, China
3 Department ofComputer Science, College ofComputers andInformation Technology, Taif
University, P. O. Box11099, 21944Taif, SaudiArabia
4 Department ofGeneral Education andFoundation, Rabdan Academy, AbuDhabi,
UnitedArabEmirates
5 Department ofEngineering Technology, Fakulti Teknologi Dan Kejuruteraan Elektronik Dan
Komputer (FTKEK), Universiti Teknikal Malaysia Melaka (UTeM), 76100Melaka, Malaysia
6 Department ofInformation Technology, College ofComputers andInformation Technology,
Taif University, 21974Taif, SaudiArabia
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2.
3.
4.
5.
6.
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The Internet of Medical Things (IoMT) heralds a transformative era in healthcare, with the potential to revolutionize patient care, healthcare services, and medical research. As with all technological progressions, IoMT introduces a suite of complex challenges, predominantly centered on security. In particular, ensuring the integrity, confidentiality, and availability of health data in real-time communication stands paramount, given the sensitivity of the information and the ramifications of potential breaches or misuse. In light of these challenges, existing security frameworks, while commendable, exhibit limitations. Specifically, they often grapple with comprehensive anomaly detection, effective resistance to replay attacks, and robust protection against threats like man-in-the-middle attacks, eavesdropping, data tampering, and identity spoofing. The proposed framework integrates state-of-the-art encryption techniques, cutting-edge pattern recognition modules, and adaptive learning mechanisms. These components collaboratively ensure data integrity during transmission, provide robust resistance against conventional and novel attack vectors, and adapt to evolving threats through continuous learning. Moreover, the framework incorporates sophisticated checksum techniques and advanced behavioral analysis, further enhancing its protective capabilities. Our system demonstrated significant improvements in anomaly detection and attack resistance metrics, consistently outperforming benchmark solutions like MRMS and BACKM-EHA.
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This paper proposes a novel data communication model for the Internet of Medical Things (IoMT) powered smart healthcare applications based on blockchain and cryptography. The proposed model enhances the data communication security of IoMT applications through the distributed ledger technology of blockchain and encryption algorithms of cryptography. The model is designed to provide a secure and reliable channel for data transmission and storage between IoMT nodes and healthcare stakeholders. Moreover, the model is capable of detecting data manipulation and unauthorized access attempts. In addition, the messaging protocol of the proposed model is capable of reducing the communication overhead of the IoMT network. Finally, the proposed model is tested using a scenario of smart healthcare applications for the elderly, and the results show the effectiveness and reliability of the model for IoMT-powered smart healthcare applications.
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