Widespread proliferation of interconnected healthcare equipment, accompanying software, operating systems, and networks in the Internet of Medical Things (IoMT) raises the risk of security compromise as the bulk of IoMT devices are not built to withstand internet attacks. In this work, we have developed a cyber-attack and anomaly detection model based on recursive feature elimination (RFE) and multilayer perceptron (MLP). The RFE approach selected optimal features using logistic regression (LR) and extreme gradient boosting regression (XGBRegressor) kernel functions. MLP parameters were adjusted by using a hyperparameter optimization and 10-fold cross-validation approach was performed for performance evaluations. The developed model was performed on various IoMT cybersecurity datasets, and attained the best accuracy rates of 99.99%, 99.94%, 98.12%, and 96.2%, using Edith Cowan University- Internet of Health Things (ECU-IoHT), Intensive Care Unit (ICU Dataset), Telemetry data, Operating systems’ data, and Network data from the testbed IoT/IIoT network (TON-IoT), and Washington University in St. Louis enhanced healthcare monitoring system (WUSTL-EHMS) datasets, respectively. The proposed method has the ability to counter cyber attacks in healthcare applications.
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The polymerase chain reaction (PCR) test is not only time-intensive but also a contact method that puts healthcare personnel at risk. Thus, contactless and fast detection tests are more valuable. Cough sound is an important indicator of COVID-19, and in this paper, a novel explainable scheme is developed for cough sound-based COVID-19 detection. In the presented work, the cough sound is initially segmented into overlapping parts, and each segment is labeled as the input audio, which may contain other sounds. The deep Yet Another Mobile Network (YAMNet) model is considered in this work. After labeling, the segments labeled as cough are cropped and concatenated to reconstruct the pure cough sounds. Then, four fractal dimensions (FD) calculation methods are employed to acquire the FD coefficients on the cough sound with an overlapped sliding window that forms a matrix. The constructed matrixes are then used to form the fractal dimension images. Finally, a pretrained vision transformer (ViT) model is used to classify the constructed images into COVID-19, healthy and symptomatic classes. In this work, we demonstrate the performance of the ViT on cough sound-based COVID-19, and a visual explainability of the inner workings of the ViT model is shown. Three publically available cough sound datasets, namely COUGHVID, VIRUFY, and COSWARA, are used in this study. We have obtained 98.45%, 98.15%, and 97.59% accuracy for COUGHVID, VIRUFY, and COSWARA datasets, respectively. Our developed model obtained the highest performance compared to the state-of-the-art methods and is ready to be tested in real-world applications.
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