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El-Moneim Kabel SA, El-Banby GM, Abou Elazm LA, El-Shafai W, El-Bahnasawy NA, El-Samie FEA, Elazm AA, Siam AI, Abdelhamed MA. Securing Internet-of-Medical-Things networks using cancellable ECG recognition. Sci Rep 2024; 14:10871. [PMID: 38740777 DOI: 10.1038/s41598-024-54830-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Accepted: 02/16/2024] [Indexed: 05/16/2024] Open
Abstract
Reinforcement of the Internet of Medical Things (IoMT) network security has become extremely significant as these networks enable both patients and healthcare providers to communicate with each other by exchanging medical signals, data, and vital reports in a safe way. To ensure the safe transmission of sensitive information, robust and secure access mechanisms are paramount. Vulnerabilities in these networks, particularly at the access points, could expose patients to significant risks. Among the possible security measures, biometric authentication is becoming a more feasible choice, with a focus on leveraging regularly-monitored biomedical signals like Electrocardiogram (ECG) signals due to their unique characteristics. A notable challenge within all biometric authentication systems is the risk of losing original biometric traits, if hackers successfully compromise the biometric template storage space. Current research endorses replacement of the original biometrics used in access control with cancellable templates. These are produced using encryption or non-invertible transformation, which improves security by enabling the biometric templates to be changed in case an unwanted access is detected. This study presents a comprehensive framework for ECG-based recognition with cancellable templates. This framework may be used for accessing IoMT networks. An innovative methodology is introduced through non-invertible modification of ECG signals using blind signal separation and lightweight encryption. The basic idea here depends on the assumption that if the ECG signal and an auxiliary audio signal for the same person are subjected to a separation algorithm, the algorithm will yield two uncorrelated components through the minimization of a correlation cost function. Hence, the obtained outputs from the separation algorithm will be distorted versions of the ECG as well as the audio signals. The distorted versions of the ECG signals can be treated with a lightweight encryption stage and used as cancellable templates. Security enhancement is achieved through the utilization of the lightweight encryption stage based on a user-specific pattern and XOR operation, thereby reducing the processing burden associated with conventional encryption methods. The proposed framework efficacy is demonstrated through its application on the ECG-ID and MIT-BIH datasets, yielding promising results. The experimental evaluation reveals an Equal Error Rate (EER) of 0.134 on the ECG-ID dataset and 0.4 on the MIT-BIH dataset, alongside an exceptionally large Area under the Receiver Operating Characteristic curve (AROC) of 99.96% for both datasets. These results underscore the framework potential in securing IoMT networks through cancellable biometrics, offering a hybrid security model that combines the strengths of non-invertible transformations and lightweight encryption.
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Affiliation(s)
| | - Ghada M El-Banby
- Department of Industrial Electronics and Control Engineering, Faculty of Electronic Engineering, Menoufia University, Menouf, 32952, Egypt.
| | - Lamiaa A Abou Elazm
- Department of Microelectronics, Electronics Research Institute, Nozha, Egypt
| | - Walid El-Shafai
- Department of Electronics and Electrical Communications Engineering, Faculty of Electronic Engineering, Menoufia University, Menouf, 32952, Egypt
| | - Nirmeen A El-Bahnasawy
- Department of Computer Science and Engineering, Faculty of Electronic Engineering, Menoufia University, Menouf, 32952, Egypt
| | - Fathi E Abd El-Samie
- Department of Electronics and Electrical Communications Engineering, Faculty of Electronic Engineering, Menoufia University, Menouf, 32952, Egypt
| | - Atef Abou Elazm
- Department of Electronics and Electrical Communications Engineering, Faculty of Electronic Engineering, Menoufia University, Menouf, 32952, Egypt
| | - Ali I Siam
- Department of Embedded Network Systems Technology, Faculty of Artificial Intelligence, Kafrelsheikh University, Kafr El-Shaikh, Egypt
| | - Mohamed A Abdelhamed
- Department of Communications and Computers Engineering, Higher Institute of Engineering, El Shorouk Academy, El Shorouk City, 11837, Egypt
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Mitchell ARJ, Ahlert D, Brown C, Birge M, Gibbs A. Electrocardiogram-based biometrics for user identification - Using your heartbeat as a digital key. J Electrocardiol 2023; 80:1-6. [PMID: 37058746 DOI: 10.1016/j.jelectrocard.2023.04.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2022] [Revised: 02/22/2023] [Accepted: 04/04/2023] [Indexed: 04/16/2023]
Abstract
External biometrics such as thumbprint and facial recognition have become standard tools for securing our digital devices and protecting our data. These systems, however, are potentially prone to copying and cybercrime access. Researchers have therefore explored internal biometrics, such as the electrical patterns within an electrocardiogram (ECG). The heart's electrical signals carry sufficient distinctiveness to allow the ECG to be used as an internal biometric for user authentication and identification. Using the ECG in this way has many potential advantages and limitations. This article reviews the history of ECG biometrics and explores some of the technical and security considerations. It also explores current and future uses of the ECG as an internal biometric.
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Affiliation(s)
| | | | - Chris Brown
- The Allan Lab, Jersey General Hospital, Jersey
| | - Max Birge
- The Allan Lab, Jersey General Hospital, Jersey
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Rahman MM, Rivolta MW, Badilini F, Sassi R. A Systematic Survey of Data Augmentation of ECG Signals for AI Applications. SENSORS (BASEL, SWITZERLAND) 2023; 23:s23115237. [PMID: 37299964 DOI: 10.3390/s23115237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 05/23/2023] [Accepted: 05/27/2023] [Indexed: 06/12/2023]
Abstract
AI techniques have recently been put under the spotlight for analyzing electrocardiograms (ECGs). However, the performance of AI-based models relies on the accumulation of large-scale labeled datasets, which is challenging. To increase the performance of AI-based models, data augmentation (DA) strategies have been developed recently. The study presented a comprehensive systematic literature review of DA for ECG signals. We conducted a systematic search and categorized the selected documents by AI application, number of leads involved, DA method, classifier, performance improvements after DA, and datasets employed. With such information, this study provided a better understanding of the potential of ECG augmentation in enhancing the performance of AI-based ECG applications. This study adhered to the rigorous PRISMA guidelines for systematic reviews. To ensure comprehensive coverage, publications between 2013 and 2023 were searched across multiple databases, including IEEE Explore, PubMed, and Web of Science. The records were meticulously reviewed to determine their relevance to the study's objective, and those that met the inclusion criteria were selected for further analysis. Consequently, 119 papers were deemed relevant for further review. Overall, this study shed light on the potential of DA to advance the field of ECG diagnosis and monitoring.
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Affiliation(s)
- Md Moklesur Rahman
- Dipartimento di Informatica, Università degli Studi di Milano, 20133 Milan, Italy
| | | | - Fabio Badilini
- School of Nursing, University of California, San Francisco, CA 94143, USA
- AMPS-LLC, New York, NY 10025, USA
| | - Roberto Sassi
- Dipartimento di Informatica, Università degli Studi di Milano, 20133 Milan, Italy
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Advanced Time-Frequency Methods for ECG Waves Recognition. Diagnostics (Basel) 2023; 13:diagnostics13020308. [PMID: 36673118 PMCID: PMC9858079 DOI: 10.3390/diagnostics13020308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2022] [Revised: 01/07/2023] [Accepted: 01/10/2023] [Indexed: 01/18/2023] Open
Abstract
ECG wave recognition is one of the new topics where only one of the ECG beat waves (P-QRS-T) was used to detect heart diseases. Normal, tachycardia, and bradycardia heart rhythm are hard to detect using either time-domain or frequency-domain features solely, and a time-frequency analysis is required to extract representative features. This paper studies the performance of two different spectrum representations, iris-spectrogram and scalogram, for different ECG beat waves in terms of recognition of normal, tachycardia, and bradycardia classes. These two different spectra are then sent to two different deep convolutional neural networks (CNN), i.e., Resnet101 and ShuffleNet, for deep feature extraction and classification. The results show that the best accuracy for detection of beats rhythm was using ResNet101 and scalogram of T-wave with an accuracy of 98.3%, while accuracy was 94.4% for detection using iris-spectrogram using also ResNet101 and QRS-Wave. Finally, based on these results we note that using deep features from time-frequency representation using one wave of ECG beat we can accurately detect basic rhythms such as normal, tachycardia, and bradycardia.
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ELEKTRA: ELEKTRokardiomatrix application to biometric identification with convolutional neural networks. Neurocomputing 2022. [DOI: 10.1016/j.neucom.2022.07.059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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The Identification of ECG Signals Using Wavelet Transform and WOA-PNN. SENSORS 2022; 22:s22124343. [PMID: 35746123 PMCID: PMC9229289 DOI: 10.3390/s22124343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/24/2022] [Revised: 05/27/2022] [Accepted: 06/04/2022] [Indexed: 11/17/2022]
Abstract
Electrocardiogram (ECG) signal identification technology is rapidly replacing traditional fingerprint, face, iris and other recognition technologies, avoiding the vulnerability of traditional recognition technologies. This paper proposes an ECG signal identification method based on the wavelet transform algorithm and the probabilistic neural network by whale optimization algorithm (WOA-PNN). Firstly, Q, R and S waves are detected by wavelet transform, and the P and T waves are detected by local windowed wavelet transform. The characteristic values are constructed by the detected time points, and the ECG data dimension is smaller than that of the non-reference detection. Secondly, combined with the probabilistic neural network, the mean impact value algorithm is used to screen the characteristic values, the characteristic values with low influence are eliminated, and the input and complexity of the model are simplified. Finally, a WOA-PNN combined classification method is proposed to intelligently optimize the hyper parameters in the probabilistic neural network algorithm to improve the model accuracy. According to the simulation verification on three databases, ECG-ID, MIT-BIH Normal Sinus Rhythm and MIT-BIH Arrhythmia, the identification accuracy of a single ECG cycle is 96.97%, and the identification accuracy of three ECG cycles is 99.43%.
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Chee KJ, Ramli DA. Electrocardiogram Biometrics Using Transformer's Self-Attention Mechanism for Sequence Pair Feature Extractor and Flexible Enrollment Scope Identification. SENSORS 2022; 22:s22093446. [PMID: 35591136 PMCID: PMC9100332 DOI: 10.3390/s22093446] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Revised: 04/21/2022] [Accepted: 04/26/2022] [Indexed: 11/16/2022]
Abstract
The existing electrocardiogram (ECG) biometrics do not perform well when ECG changes after the enrollment phase because the feature extraction is not able to relate ECG collected during enrollment and ECG collected during classification. In this research, we propose the sequence pair feature extractor, inspired by Bidirectional Encoder Representations from Transformers (BERT)'s sentence pair task, to obtain a dynamic representation of a pair of ECGs. We also propose using the self-attention mechanism of the transformer to draw an inter-identity relationship when performing ECG identification tasks. The model was trained once with datasets built from 10 ECG databases, and then, it was applied to six other ECG databases without retraining. We emphasize the significance of the time separation between enrollment and classification when presenting the results. The model scored 96.20%, 100.0%, 99.91%, 96.09%, 96.35%, and 98.10% identification accuracy on MIT-BIH Atrial Fibrillation Database (AFDB), Combined measurement of ECG, Breathing and Seismocardiograms (CEBSDB), MIT-BIH Normal Sinus Rhythm Database (NSRDB), MIT-BIH ST Change Database (STDB), ECG-ID Database (ECGIDDB), and PTB Diagnostic ECG Database (PTBDB), respectively, over a short time separation. The model scored 92.70% and 64.16% identification accuracy on ECGIDDB and PTBDB, respectively, over a long time separation, which is a significant improvement compared to state-of-the-art methods.
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Abstract
With the increasing demand for security and privacy, identity recognition based on the unique biometric features of ECG signals is gaining more and more attention. This paper proposes a feature reuse residual network (FRRNet) model to address the problem that the recognition accuracy of conventional ECG identification methods decreases with the increase in the number of testing samples at different moments or in different heartbeat cycles. The residual module of the proposed FRRNet model uses the adding layers of max pooling (MP) and average pooling (AP), and the proposed model splices the deep network with the shallow network to reduce noise extraction and enhance feature reuse. The FRRNet model is tested on 20 and 47 subjects under the MIT-BIH dataset, and its recognition accuracy is 99.32% and 100%, respectively. Additionally, the FRRNet model is tested on 50 and 87 subjects under the PhysioNet/Computing in Cardiology Challenge 2017 (CinC_2017) dataset, and its recognition accuracy is 94.52% and 93.51%, respectively. A total of 20 subjects are taken from the MIT-BIH and the CinC_2017 datasets for testing, and the recognition accuracy is 98.97%. The experimental results show that the FRRNet model proposed in this paper has high recognition accuracy, and the recognition accuracy is not greatly affected when the number of individuals increases.
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Li N, Zhu L, Ma W, Wang Y, He F, Zheng A, Zhang X. The Identification of ECG Signals Using WT-UKF and IPSO-SVM. SENSORS (BASEL, SWITZERLAND) 2022; 22:1962. [PMID: 35271105 PMCID: PMC8915117 DOI: 10.3390/s22051962] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Revised: 02/17/2022] [Accepted: 02/28/2022] [Indexed: 06/14/2023]
Abstract
The biometric identification method is a current research hotspot in the pattern recognition field. Due to the advantages of electrocardiogram (ECG) signals, which are difficult to replicate and easy to obtain, ECG-based identity identification has become a new direction in biometric recognition research. In order to improve the accuracy of ECG signal identification, this paper proposes an ECG identification method based on a multi-scale wavelet transform combined with the unscented Kalman filter (WT-UKF) algorithm and the improved particle swarm optimization-support vector machine (IPSO-SVM). First, the WT-UKF algorithm can effectively eliminate the noise components and preserve the characteristics of ECG signals when denoising the ECG data. Then, the wavelet positioning method is used to detect the feature points of the denoised signals, and the obtained feature points are combined with multiple feature vectors to characterize the ECG signals, thus reducing the data dimension in identity identification. Finally, SVM is used for ECG signal identification, and the improved particle swarm optimization (IPSO) algorithm is used for parameter optimization in SVM. According to the analysis of simulation experiments, compared with the traditional WT denoising, the WT-UKF method proposed in this paper improves the accuracy of feature point detection and increases the final recognition rate by 1.5%. The highest recognition accuracy of a single individual in the entire ECG identification system achieves 100%, and the average recognition accuracy can reach 95.17%.
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Affiliation(s)
- Ning Li
- School of Electrical Engineering, Xi’an University of Technology, Xi’an 710048, China; (L.Z.); (W.M.); (Y.W.); (F.H.)
| | - Longhui Zhu
- School of Electrical Engineering, Xi’an University of Technology, Xi’an 710048, China; (L.Z.); (W.M.); (Y.W.); (F.H.)
| | - Wentao Ma
- School of Electrical Engineering, Xi’an University of Technology, Xi’an 710048, China; (L.Z.); (W.M.); (Y.W.); (F.H.)
| | - Yelin Wang
- School of Electrical Engineering, Xi’an University of Technology, Xi’an 710048, China; (L.Z.); (W.M.); (Y.W.); (F.H.)
| | - Fuxing He
- School of Electrical Engineering, Xi’an University of Technology, Xi’an 710048, China; (L.Z.); (W.M.); (Y.W.); (F.H.)
| | - Aixiang Zheng
- School of Humanities and Foreign Languages, Xi’an University of Technology, Xi’an 710048, China;
| | - Xiaoping Zhang
- Department of Electronic, Electrical, and Systems Engineering, School of Engineering, University of Birmingham, Birmingham B15 2TT, UK;
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ECG Authentication Based on Non-Linear Normalization under Various Physiological Conditions. SENSORS 2021; 21:s21216966. [PMID: 34770273 PMCID: PMC8587891 DOI: 10.3390/s21216966] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Revised: 10/15/2021] [Accepted: 10/16/2021] [Indexed: 11/24/2022]
Abstract
The development and use of wearable devices require high levels of security and have sparked interest in biometric authentication research. Among the available approaches, electrocardiogram (ECG) technology is attracting attention because of its strengths in spoofing. However, morphological changes of ECG, which are affected by physical and psychological factors, can make authentication difficult. In this paper, we propose authentication using non-linear normalization of ECG beats that is robust to changes in ECG waveforms according to heart rate fluctuations in various daily activities. We performed a non-linear normalization method through the analysis of ECG alongside heart rate, evaluating similarities and authenticating the performance of our new method compared to existing methods. Compared with beats before normalization, the average similarity of the proposed method increased 23.7% in the resting state and 43% in the non-resting state. After learning in the resting state, authentication performance reached 99.05% accuracy for the resting state and 88.14% for the non-resting state. The proposed method can be applicable to an ECG-based authentication system under various physiological conditions.
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Abstract
The COVID-19 outbreak is an international problem and has affected people and students all over the world. When lockdowns were imposed internationally, learning management systems began to be used more than in the previous period. These systems have been used also for traditional forms of learning and not only for online learning. This pandemic has highlighted the need for online learning systems in the educational environment, but it is very important for these systems to be secure and to verify the authenticity of the students when they access a course or evaluation questions. In this period, everything is moving towards the digital world, with students that are connected from a distance to online systems. All activities in the educational environment will soon be performed digitally on learning management systems, which includes also the evaluation process of the students. In this paper, we propose a secure learning management system that uses the student’s behavior to identify if they are an authentic student or not. This system can support the teacher’s activities in the learning process and verify the authenticity of the students logged on to the system. This paper is aimed at learning management system developers, who can use the proposed algorithms in their developed platforms, and also at teachers, who should understand the importance of the identification of students on these platforms.
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