A Security-Enhanced and Ultralightweight Communication Protocol for Internet of Medical Things

With the emergence, development, and maturity of various Internet technologies, the healthcare industry is also trying to integrate with these technologies to provide more convenient healthcare services to patients by establishing telemedicine to develop and continuously improve the public healthcare system. Various protocols were proposed in the recent past to provide attack resistance in addition to computational efficiency; however, several such protocols were proved inefficient or prone to one or more attacks. Some of these protocols lack user anonymity and privacy. Keeping in consideration the flaws of existing protocols, in this article, we propose an efficient and secure protocol based on extremely lightweight symmetric key operations. In addition, we provide formal and informal analyses to demonstrate the protocol's security. Moreover, to measure the efficiency of the proposed protocol, we conducted a real-time experiment, which confirms that the proposed protocol completes an authentication round in 117.1071 ms with an exchange of four messages and 2592 bits among the three participating entities. Finally, by comparing it with other protocols, we show that the proposed protocol has significant security advantages and performance benefits.