Search Results (307)

The state monitoring of power load equipment plays a crucial role in ensuring its normal operation. However, in densely deployed environments, the target equipment often exhibits low clarity, making real-time warnings challenging. In this study, a load equipment segmentation and assessment method based on multi-source tensor feature fusion (LSA-MT) is proposed. First, a lightweight residual block based on the attention mechanism is introduced into the backbone network to emphasize key features of load devices and enhance target segmentation efficiency. Second, a 3D edge detail feature perception module is designed to facilitate multi-scale feature fusion while preserving boundary detail features of different devices, thereby improving local recognition accuracy. Finally, tensor decomposition and reorganization are employed to guide visual feature reconstruction in conjunction with equipment monitoring images, while tensor mapping of equipment monitoring data is utilized for automated fault classification. The experimental results demonstrate that LSE-MT produces visually clearer segmentations compared to models such as the classic UNet++ and the more recent EGE-UNet when segmenting multiple load devices, achieving Dice and mIoU scores of 92.48 and 92.90, respectively. Regarding classification across the four datasets, the average accuracy can reach 92.92%. These findings fully demonstrate the effectiveness of the LSA-MT method in load equipment fault alarms and grid operation and maintenance. Full article

Integrating deep learning (DL) with the Internet of Medical Things (IoMT) is a paradigm shift in modern healthcare, offering enormous opportunities for patient care, diagnostics, and treatment. Implementing DL with IoMT has the potential to deliver better diagnosis, treatment, and patient management. However, the practical implementation has challenges, including data quality, privacy, interoperability, and limited computational resources. This survey article provides a conceptual IoMT framework for healthcare, synthesizes and identifies the state-of-the-art solutions that tackle the challenges of the current applications of DL, and analyzes existing limitations and potential future developments. Through an analysis of case studies and real-world implementations, this work provides insights into best practices and lessons learned, including the importance of robust data preprocessing, integration with legacy systems, and human-centric design. Finally, we outline future research directions, emphasizing the development of transparent, scalable, and privacy-preserving DL models to realize the full potential of IoMT in healthcare. This survey aims to serve as a foundational reference for researchers and practitioners seeking to navigate the challenges and harness the opportunities in this rapidly evolving field. Full article

Medical image segmentation is a challenging task due to limited annotated data, complex lesion boundaries, and the inherent variability in medical images. These challenges make accurate and robust segmentation crucial for clinical applications. In this study, we propose the Uncertainty-Driven Auxiliary Mean Teacher (UDAMT) model, a novel semi-supervised framework specifically designed for skin lesion segmentation. Our approach employs a dual-headed teacher–student architecture with an uncertainty-guided mechanism, enhancing feature learning and boundary precision. Extensive experiments on the ISIC 2016, ISIC 2017, and ISIC 2018 datasets demonstrate that UDAMT achieves significant improvements over state-of-the-art methods, with increases of 1.17 percentage points in the Dice coefficient and 1.31 percentage points in mean Intersection over Union (mIoU) under low-label settings (5% labeled data). Furthermore, UDAMT requires 12.9 M parameters, which is slightly higher than the baseline model (12.5 M) but significantly lower than MT (14.8 M) and UAMT (15.2 M). It also achieves an inference time of 25.7 ms per image, ensuring computational efficiency. Ablation studies validate the contributions of each component, and cross-dataset evaluations on the PH2 benchmark confirm robustness to small lesions. This work provides a scalable and efficient solution for semi-supervised medical image segmentation, balancing accuracy, efficiency, and clinical applicability. Full article

The global Internet of Medical Things (IoMT) market is growing at a Compound Annual Growth Rate (CAGR) of 17.8%, a testament to the increasing demand for IoMT in the health sector. However, more IoMT devices mean an increase in the volume and velocity of data received by healthcare decision-makers, leading many to develop Distributed Decision Support Systems (DDSSs) to help them make accurate and timely decisions. This research is a systematic review of DDSSs in healthcare using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. The study explores how advanced technologies such as Artificial Intelligence (AI), IoMT, and blockchain enhance clinical decision-making processes. It highlights key innovations in DDSSs, including hybrid imaging techniques for comprehensive disease characterization. It also examines the role of Case-Based Reasoning (CBR) frameworks in improving personalized treatment strategies for chronic diseases like diabetes mellitus. It also presents challenges of applying DDSSs in the healthcare sector, such as security and privacy, system integration, and interoperability issues. Finally, it discusses open issues as future research directions in the field of DDSSs in the healthcare sector, including data structure standardization, alert fatigue for healthcare workers using DDSSs, and the lack of adherence of emerging technologies like blockchain to medical regulations. Full article

Internet of Medical Things (IoMT) technology has emerged from the introduction of the Internet of Things in the healthcare sector. However, the resource-constrained characteristics and heterogeneity of IoMT networks make these networks susceptible to various types of threats. Thus, it is necessary to develop novel security solutions (e.g., efficient and accurate Anomaly-based Intrusion Detection Systems), considering the inherent limitations of IoMT networks, before these networks reach their full potential in the market. In this paper, we propose an AIDS specifically designed for resource-constrained devices within IoMT networks. The proposed lightweight AIDS leverages novelty detection and outlier detection algorithms instead of conventional classification algorithms to achieve (a) enhanced detection performance against both known and unknown attack patterns and (b) minimal computational costs. Full article

Advancements in electronics and sensor technologies are driving the deployment of ubiquitous sensor networks across various applications, including asset monitoring, security, and networking. At the same time, ensuring the integrity and confidentiality of data collected by sensor nodes is crucial to prevent unauthorized access or modification. However, the limited resources f low-power sensor networks present significant challenges for securing innovative Internet-of-Medical Things (IoMT) applications in complex environments. These miniature sensing systems, essential for diverse healthcare applications, grapple with constrained computational power and energy budgets. To address this challenge, this study proposes a dynamic power management strategy within a resource-constrained FPGA-based cryptoprocessor core for secure IoMT networks. The sensor node design comprises two main modules: an 8-bit reduced instruction set computer (RISC) and a cryptographic engine. These modules collaboratively manage their power consumption during the operational stages of data acquisition, encryption, transmission, and sleep mode activation. The cryptographic engine employs a pseudorandom number generator to generate a keystream for data encryption, utilizing direct sequence spread spectrum (DSSS) encoding to ensure secure communication. The experimental results demonstrate the effectiveness of the proposed dynamic power management strategy within the resource-constrained cryptoprocessor core. The sensor node achieves an average power consumption of 0.1 mW while utilizing 2414 logic cells and 5292 registers. A comparative analysis with other state-of-the-art lightweight sensor nodes highlights the advantages of our dynamic power management approach within the cryptoprocessor sensing system. Full article

The proliferation of wearable sensors and mobile devices has fueled advancements in human activity recognition (HAR), with growing importance placed on both accuracy and privacy preservation. In this paper, the author proposes a federated learning framework for HAR, leveraging a hybrid Long Short-Term Memory (LSTM) and Gated Recurrent Unit (GRU) model to enhance feature extraction and classification in decentralized environments. Utilizing three public datasets—UCI-HAR, HARTH, and HAR7+—which contain diverse sensor data collected from free-living activities, the proposed system is designed to address the inherent privacy risks associated with centralized data processing by deploying Federated Averaging for local model training. To optimize recognition accuracy, the author introduces a dual-feature extraction mechanism, combining convolutional blocks for capturing local patterns and a hybrid LSTM-GRU structure to detect complex temporal dependencies. Furthermore, the author integrates an attention mechanism to focus on significant global relationships within the data. The proposed system is evaluated on the three public datasets—UCI-HAR, HARTH, and HAR7+—achieving superior performance compared to recent works in terms of F1-score and recognition accuracy. The results demonstrate that the proposed approach not only provides high classification accuracy but also ensures privacy preservation, making it a scalable and reliable solution for real-world HAR applications in decentralized and privacy-conscious environments. This work showcases the potential of federated learning in transforming human activity recognition, combining advanced feature extraction methodologies and privacy-respecting frameworks to deliver robust, real-time activity classification. Full article

The Internet of Medical Things (IoMT) is revolutionizing healthcare by enabling advanced patient care through interconnected medical devices and systems. However, its critical role and sensitive data make it a prime target for cyber threats, requiring the implementation of effective security solutions. This paper presents a novel intrusion detection system (IDS) specifically designed for IoMT networks. The proposed IDS leverages machine learning (ML) and deep learning (DL) techniques, employing a stacking ensemble method to enhance detection accuracy by integrating the strengths of multiple classifiers. To ensure real-time performance, the IDS is implemented within a Kappa Architecture framework, enabling continuous processing of IoMT data streams. The system effectively detects and classifies a wide range of cyberattacks, including ARP spoofing, DoS, Smurf, and Port Scan, achieving an outstanding detection accuracy of 0.991 in binary classification and 0.993 in multi-class classification. This research highlights the potential of combining advanced ML and DL methods with ensemble learning to address the unique cybersecurity challenges of IoMT systems, providing a reliable and scalable solution for safeguarding healthcare services. Full article

The integration of Internet of Medical Things (IoMT) technology has revolutionized healthcare, allowing rapid access to medical images and enhancing remote diagnostics in telemedicine. However, this advancement raises serious cybersecurity concerns, particularly regarding unauthorized access and data integrity. This paper presents a novel, user-friendly, visible watermarking scheme for medical images—Visual and User-Friendly Medical Image Watermarking Scheme (VUF-MIWS)—designed to secure medical image ownership while maintaining usability for diagnostic purposes. VUF-MIWS employs a unique combination of inpainting and data hiding techniques to embed hospital logos as visible watermarks, which can be removed seamlessly once image authenticity is verified, restoring the image to its original state. Experimental results demonstrate the scheme’s robust performance, with the watermarking process preserving critical diagnostic information with high fidelity. The method achieved Peak Signal-to-Noise Ratios (PSNR) above 70 dB and Structural Similarity Index Measures (SSIM) of 0.99 for inpainted images, indicating minimal loss of image quality. Additionally, VUF-MIWS effectively restored the ROI region of medical images post-watermark removal, as verified through test cases with restored watermarked regions matching the original images. These findings affirm VUF-MIWS’s suitability for secure telemedicine applications. Full article

The development of medical data and resources has become essential for enhancing patient outcomes and operational efficiency in an age when digital innovation in healthcare is becoming more important. The rapid growth of the Internet of Medical Things (IoMT) is changing healthcare data management, but it also brings serious issues like data privacy, malicious attacks, and service quality. In this study, we present EdgeGuard, a novel decentralized architecture that combines blockchain technology, federated learning, and edge computing to address those challenges and coordinate medical resources across IoMT networks. EdgeGuard uses a privacy-preserving federated learning approach to keep sensitive medical data local and to promote collaborative model training, solving essential issues. To prevent data modification and unauthorized access, it uses a blockchain-based access control and integrity verification system. EdgeGuard uses edge computing to improve system scalability and efficiency by offloading computational tasks from IoMT devices with limited resources. We have made several technological advances, including a lightweight blockchain consensus mechanism designed for IoMT networks, an adaptive edge resource allocation method based on reinforcement learning, and a federated learning algorithm optimized for medical data with differential privacy. We also create an access control system based on smart contracts and a secure multi-party computing protocol for model updates. EdgeGuard outperforms existing solutions in terms of computational performance, data value, and privacy protection across a wide range of real-world medical datasets. This work enhances safe, effective, and privacy-preserving medical data management in IoMT ecosystems while maintaining outstanding standards for data security and resource efficiency, enabling large-scale collaborative learning in healthcare. Full article

Globally, 77% of the elderly aged 65 and above suffer from multiple chronic ailments, according to recent research. However, several barriers within the healthcare system in the developing world hinder the adoption of home-based patient management, hence the need for the IoMT, whose application raises security concerns, particularly in authentication. Several authentication techniques have been proposed; however, they lack a balance of security and usability. This paper proposes a Naive Bayes based adaptive user authentication app that calculates the risk associated with a login attempt on an Android device for elderly users, using their health conditions, risk score, and available authenticators. This authentication technique guided by the MAPE-K_HMT framework makes use of embedded smartphone sensors. Results indicate a 100% and 98.6% accuracy in usable-security metrics, while cross-validation and normalization results also support the accuracy, efficiency, effectiveness, and usability of our model with room for scaling it up without computational costs and generalizing it beyond SSA. The post-deployment evaluation also confirms that users found the app usable and secure. A few areas need further refinement to improve the accuracy, usability, security, and acceptance but the model shows potential to improve users’ compliance with IoMT security, thereby promoting the attainment of SDG3. Full article

Falls pose a significant threat to the elderly population, often resulting in severe health complications such as fractures and other adverse outcomes, which can drastically lower their quality of life. The early detection of fall risks is crucial in mitigating the impact of such events. Various technologies have been developed to address this issue, including alert systems that notify users of imminent risks due to environmental factors or physiological changes. However, accurately detecting and distinguishing between normal activities, imminent fall risks, and actual falls remains a challenge. This study proposes a machine learning approach using the XGBoost algorithm to improve the fall detection accuracy among the elderly. A dataset comprising 2039 samples of data on the proximity to objects, spatial location changes, heart rate, blood oxygen saturation (SpO₂), blood sugar levels, and pressure applied by the user, categorized into normal, imminent fall risk, and fall classes, was utilized to train and test the model. The model was trained on 70% of the data, with 30% allocated for testing. Hyperparameter optimization was performed using a randomized search with cross-validation. Previous studies have reported an accuracy of 0.9667 for the same dataset. In contrast, this study achieved an accuracy of 1.0, demonstrating a significant improvement in the overall performance compared to earlier work. The confusion matrix demonstrates the model’s ability to distinguish between all three classes with no false positives. Additionally, sensitivity tests were conducted by varying the training sample sizes and randomizing the data splits, confirming the model’s robustness in different conditions. These results show that the proposed method was able to correctly sort all the samples in the training and tests, outperforming previous studies in detecting fall-related events, reducing the likelihood of false alarms, and enhancing resource allocation for elderly care. Full article

Smart Rings (SRs) are user-friendly devices capable of measuring various health parameters, making them suitable for remote continuous monitoring in diverse clinical settings. Since the available evidence on the accuracy of SRs recording health data is highly heterogeneous, this systematic review, conducted in accordance with PRISMA guidelines, searched for articles evaluating the efficacy of SRs for sleep, respiratory, and cardiovascular monitoring across the PubMed, SCOPUS, and ProQuest databases. Meta-analyses were conducted for health outcomes evaluated in at least three studies with a comparable study population and design, and the same comparison device. Nineteen articles were included: eleven analyses focused on sleep quality, eight on cardiovascular parameters, and one on oxygen saturation. Studies analysing cardiovascular outcomes found a good accuracy of SRs in measuring heart rate (HR) with a mean bias of −0.4 bpms (limits of agreement (LoAs): −2.7; 1.8). The meta-analyses showed variability in SRs’ efficacy in monitoring total sleep time (mean bias: −21.3 min, LoAs: −69.9, 27.4) and REM duration (mean bias: −18.2 min, LoAs: −33.3, −3.1). The results highlighted the promising potential of SRs for HR monitoring. Further research is needed to clarify the reliability of SRs in monitoring sleep quality and their use directed to a broader range of health parameters. With further development, SRs could become valuable tools for healthcare professionals. Full article

The Internet of Medical Things (IoMT), an extension of the Internet of Things (IoT), is still in its early stages of development. Challenges that are inherent to IoT, persist in IoMT as well. The major focus is on data transmission within the healthcare domain due to its profound impact on health and public well-being. Issues such as latency, bandwidth constraints, and concerns regarding security and privacy are critical in IoMT owing to the sensitive nature of patient data, including patient identity and health status. Numerous forms of cyber-attacks pose threats to IoMT networks, making the reliable and secure transmission of critical medical data a challenging task. Several other situations, such as natural disasters, war, construction works, etc., can cause IoMT networks to become unavailable and fail to transmit the data. The first step in these situations is to recover from failure as quickly as possible, resume the data transfer, and detect the cause of faults, failures, and errors. Several solutions exist in the literature to make the IoMT resilient to failure. However, no single approach proposed in the literature can simultaneously protect the IoMT networks from various attacks, failures, and faults. This paper begins with a detailed description of IoMT and its applications. It considers the underlying requirements of resilience for IoMT networks, such as monitoring, control, diagnosis, and recovery. This paper comprehensively analyzes existing research efforts to provide IoMT network resilience against diverse causes. After investigating several research proposals, we identify that the combination of software-defined networks (SDNs), machine learning (ML), and microservices architecture (MSA) has the capabilities to fulfill the requirements for achieving resilience in the IoMT networks. It mainly focuses on the analysis of technologies, such as SDN, ML, and MSA, separately, for meeting the resilience requirements in the IoMT networks. SDN can be used for monitoring and control, and ML can be used for anomaly detection and diagnosis, whereas MSA can be used for bringing distributed functionality and recovery into the IoMT networks. This paper provides a case study that describes the remote patient monitoring (RPM) of a heart patient in IoMT networks. It covers the different failure scenarios in IoMT infrastructure. Finally, we provide a proposed methodology that elaborates how distributed functionality can be achieved during these failures using machine learning, software-defined networks, and microservices technologies. Full article

Maternal mortality (MM) is considered one of the major worldwide concerns. Despite the advances of artificial intelligence (AI) in healthcare, the lack of transparency in AI models leads to reluctance to adopt them. Employing explainable artificial intelligence (XAI) thus helps improve the transparency and effectiveness of AI-driven healthcare solutions. Accordingly, this article proposes a complete framework integrating an Internet of Medical Things (IoMT) architecture with an XAI-based deep learning model. The IoMT system continuously monitors pregnant women’s vital signs, while the XAI model analyzes the collected data to identify risk factors and generate actionable insights. Additionally, an efficient IoMT transmission model is developed to ensure reliable data transfer with the best-required system quality of service (QoS). Further analytics are performed on the data collected from different regions in a country to address high-risk cities. The experiments demonstrate the effectiveness of the proposed framework by achieving an accuracy of 80% for patients and 92.6% for regional risk prediction and providing interpretable explanations. The XAI-generated insights empower healthcare providers to make informed decisions and implement timely interventions. Furthermore, the IoMT transmission model ensures efficient and secure data transfer. Full article