Explainable Hybrid Feature Selection for Intrusion Detection in Internet of Medical Things Environments

Internet of Medical Things (IoMT) networks are hard to protect: devices are heterogeneous, computing resources are scarce, and traffic must be analyzed in real time. We present an intrusion detection system that addresses these constraints through feature selection. A Pearson correlation filter first removes redundant attributes; a hybrid strategy then combines model-based feature importance with SHAP attribution to pick a compact subset, on which we train Random Forest and LightGBM classifiers. SHAP and LIME explain what each retained feature contributes to the decisions. On CIC-IoMT 2024 and CIC-IDS 2017, the method cuts the feature space by up to 88% - from 40 to as few as 5 features - and accuracy and F1-score stay within a few points of models trained on all features. Compact, interpretable detectors of this kind are practical candidates for deployment on resource-limited medical networks.

Privacy-Preserving Federated Temporal Graph Learning with Digital Twin--Guided Adaptive Deception for Cyber-Resilient IoMT

The rapid proliferation of IoT and IoMT devices introduces critical cybersecurity vulnerabilities in healthcare and industrial environments where resource-constrained devices operate under strict latency and data-privacy regulations. This paper presents the Federated Temporal Graph Convolutional Network with Advantage Actor-Critic (Federated TGCN-A2C), a privacy-preserving defense architecture integrating four mechanisms: a PyG-based Temporal GCN using GCNConv layers with global mean pooling and a learned anomaly gate for flow-level threat classification; LSTM-based Digital Twins generating per-device anomaly scores gating the classifier via learned sigmoid coupling; a Federated A2C agent selecting among ALLOW, ISOLATE, and HONEYPOT-REDIRECT actions based on a seven-dimensional state capturing confidence, entropy, anomaly magnitude, and traffic composition; and an enhanced honeypot layer converting suspicious traffic into threat intelligence with adaptive thresholds. Federated aggregation employs EMA-smoothed per-client validation losses as inverse-weighted FedAvg coefficients to stabilize global model updates under non-IID distributions, with cosine-annealed learning rates per round. Evaluated on CICDDoS 2019 and TON-IoT benchmarks, the framework achieves 99.48% and 99.61% test accuracy with weighted-F1 scores of 0.9948 and 0.9961, converging within 25 and 10 federated rounds, outperforming Fed-Inforce-Fusion by 0.21 percentage points while covering three additional attack categories. All sixteen CICDDoS 2019 classes achieve F1 of at least 0.9237 and all ten TON-IoT classes achieve F1 of at least 0.9488, including the severely imbalanced MITM category. Post-hoc explainability via SHAP, LIME, Grad-CAM, and counterfactual analysis confirms decisions are grounded in semantically meaningful flow features, supporting regulatory accountability in clinical deployments.

Securing the Future of IoMT in the Post-Quantum Era: An Edge-Native Federated Learning Approach

Internet of Medical Things (IoMT) devices operate under strict resource constraints while handling highly sensitive health data, making security and privacy critical concerns. Federated learning (FL) further complicates this landscape, as model updates exchanged during training may unintentionally expose private medical information. Emerging quantum computing capabilities threaten the long-term viability of conventional lightweight cryptographic mechanisms, motivating the integration of Post-Quantum Cryptography (PQC) into IoMT systems. This article discusses key enabling technologies for quantum-resilient IoMT, including post-quantum key establishment, lightweight encryption, and edge-native orchestration. We propose a scalable Kubernetes-based framework that integrates PQC into FL-enabled IoMT environments and validate it on a Raspberry Pi testbed. Results demonstrate that distributed cryptographic processing significantly reduces latency compared to sequential designs while maintaining feasible resource overhead. The primary contribution of this work lies in the design and validation of a secure orchestration and communication framework for FL-enabled IoMT systems. We conclude by outlining future directions toward energy-aware architectures, intelligent security optimization, and resilient next-generation Intelligent Internet of Medical Things (IIoMT) ecosystems.