A Tsetlin Machine-driven Intrusion Detection System for Next-Generation IoMT Security
Rahul Jaiswal, Per-Arne Andersen, Linga Reddy Cenkeramaddi, Lei Jiao, Ole-Christoffer Granmo

TL;DR
This paper introduces a Tsetlin Machine-based intrusion detection system for IoMT networks, demonstrating high accuracy and interpretability in detecting cyberattacks on medical devices.
Contribution
It presents a novel TM-based IDS that models attack patterns with propositional logic, outperforming traditional ML classifiers on IoMT cybersecurity datasets.
Findings
Achieved 99.5% accuracy in binary classification
Attained 90.7% accuracy in multi-class classification
Provided interpretable insights via clause heatmaps
Abstract
The rapid adoption of the Internet of Medical Things (IoMT) is transforming healthcare by enabling seamless connectivity among medical devices, systems, and services. However, it also introduces serious cybersecurity and patient safety concerns as attackers increasingly exploit new methods and emerging vulnerabilities to infiltrate IoMT networks. This paper proposes a novel Tsetlin Machine (TM)-based Intrusion Detection System (IDS) for detecting a wide range of cyberattacks targeting IoMT networks. The TM is a rule-based and interpretable machine learning (ML) approach that models attack patterns using propositional logic. Extensive experiments conducted on the CICIoMT-2024 dataset, which includes multiple IoMT protocols and cyberattack types, demonstrate that the proposed TM-based IDS outperforms traditional ML classifiers. The proposed model achieves an accuracy of 99.5\% in binary…
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