A Review on the Security Vulnerabilities of the IoMT against Malware Attacks and DDoS
Lily Dzamesi, Nelly Elsayed

TL;DR
This review highlights the security vulnerabilities of IoMT devices against malware and DDoS attacks, emphasizing the need for lightweight security solutions and standard protocols to safeguard healthcare data and services.
Contribution
It provides a comprehensive analysis of recent IoMT security vulnerabilities and explores emerging mitigation strategies like machine learning, blockchain, and edge computing.
Findings
Inadequate encryption and weak authentication are primary vulnerabilities.
Emerging solutions include machine learning, blockchain, and edge computing.
Standardized lightweight security protocols are urgently needed.
Abstract
The Internet of Medical Things (IoMT) has transformed the healthcare industry by connecting medical devices in monitoring treatment outcomes of patients. This increased connectivity has resulted to significant security vulnerabilities in the case of malware and Distributed Denial of Service (DDoS) attacks. This literature review examines the vulnerabilities of IoMT devices, focusing on critical threats and exploring mitigation strategies. We conducted a comprehensive search across leading databases such as ACM Digital Library, IEEE Xplore, and Elsevier to analyze peer-reviewed studies published within the last five years (from 2019 to 2024). The review shows that inadequate encryption protocols, weak authentication methods, and irregular firmware updates are the main causes of risks associated with IoMT devices. We have identified emerging solutions like machine learning algorithms,…
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