Service Level Agreements for 5G and Beyond: Overview, Challenges and Enablers of 5G-Healthcare Systems

Brave New Healthcare: A Narrative Review of Digital Healthcare in American Medicine

The digital revolution has had a profound effect on American and global healthcare, which was accelerated by the pandemic and telehealth applications. Digital health also includes popular and more esoteric forms of wearable monitoring systems and interscatter and other wireless technologies that facilitate their telemetry. The rise in artificial intelligence (AI) and machine learning (ML) may serve to improve interpretation from imaging technologies to electrocardiography or electroencephalographic tracings, and new ML techniques may allow these systems to scan data to discern and contextualize patterns that may have evaded human physicians. The necessity of virtual care during the pandemic has morphed into new treatment paradigms, which have gained patient acceptance but still raise issues with respect to privacy laws and credentialing. Augmented and virtual reality tools can facilitate surgical planning and "hands-on" clinical training activities. Patients are working with new frontiers in digital health in the form of "Dr. Google" and patient support websites to learn or share medical information. Patient-facing digital health information is both a blessing and curse, in that it can be a boon to health-literate patients who seek to be more active in their own care. On the other hand, digital health information can lead to false conclusions, catastrophizing, misunderstandings, and "cyberchondria." The role of blockchain, familiar from cryptocurrency, may play a role in future healthcare information and would serve as a disruptive, decentralizing, and potentially beneficial change. These important changes are both exciting and perplexing as clinicians and their patients learn to navigate this new system and how we address the questions it raises, such as medical privacy in a digital age. The goal of this review is to explore the vast range of digital health and how it may impact the healthcare system.

Application of 5G network combined with AI robots in personalized nursing in China: A literature review

The medical and healthcare industry is currently developing into digitization. Attributed to the rapid development of advanced technologies such as the 5G network, cloud computing, artificial intelligence (AI), and big data, and their wide applications in the medical industry, the medical model is shifting into an intelligent one. By combining the 5G network with cloud healthcare platforms and AI, nursing robots can effectively improve the overall medical efficacy. Meanwhile, patients can enjoy personalized medical services, the supply and the sharing of medical and healthcare services are promoted, and the digital transformation of the healthcare industry is accelerated. In this paper, the application and practice of 5G network technology in the medical industry are introduced, including telecare, 5G first-aid remote medical service, and remote robot applications. Also, by combining application characteristics of AI and development requirements of smart healthcare, the overall planning, intelligence, and personalization of the 5G network in the medical industry, as well as opportunities and challenges of its application in the field of nursing are discussed. This paper provides references to the development and application of 5G network technology in the field of medical service.

A Lightweight authentication scheme for IoT against Rogue Base Station Attacks

Internet of Things (IoT) devices supporting intelligent cloud applications such as healthcare for hospitals rely on connecting with local base stations and access points to provide rich data analysis and real-time services to users. Devices authenticate with local base stations and perform handover operations to connect with access points with higher signal strength. Attackers disguise as valid base stations and access points using publicly accessible SSID information connect with local IoT devices during the handover process and give rise to data integrity and privacy concerns. This paper proposes a lightweight authentication scheme for private blockchain-based networks for securing devices from rogue base stations during the handover process. An authentication certificate is designed for base stations and machines in local clusters using SHA256 and modulo operations for enabling quick handover operations. The keys assigned to each device and base station joining the network are hashed, and their sizes are reduced using modulo operations. Furthermore, the compressed key size forms a certificate, which is used by the machines and the base stations to authenticate mutually. In comparison with existing studies, the performance analysis of the proposed scheme is based on the transmission of three messages required for completing the authentication process. Evaluation based on the Communication Overhead demonstrates a minimum improvement of 99.30% fewer bytes exchanged during the handover process and 89.58% reduced Storage Overhead compared with existing studies.

Magic of 5G Technology and Optimization Methods Applied to Biomedical Devices: A Survey

Wireless networks have gained significant attention and importance in healthcare as various medical devices such as mobile devices, sensors, and remote monitoring equipment must be connected to communication networks. In order to provide advanced medical treatments to patients, high-performance technologies such as the emerging fifth generation/sixth generation (5G/6G) are required for transferring data to and from medical devices and in addition to their major components developed with improved optimization methods which are substantially needed and embedded in them. Providing intelligent system design is a challenging task in medical applications, as it affects the whole behaviors of medical devices. A critical review of the medical devices and the various optimization methods employed are presented in this paper, to pave the way for designers to develop an apparatus that is applicable in the healthcare industry under 5G technology and future 6G wireless networks.

Communication Requirements in 5G-Enabled Healthcare Applications: Review and Considerations

Fifth generation (5G) mobile communication technology can enable novel healthcare applications and augment existing ones. However, 5G-enabled healthcare applications demand diverse technical requirements for radio communication. Knowledge of these requirements is important for developers, network providers, and regulatory authorities in the healthcare sector to facilitate safe and effective healthcare. In this paper, we review, identify, describe, and compare the requirements for communication key performance indicators in relevant healthcare use cases, including remote robotic-assisted surgery, connected ambulance, wearable and implantable devices, and service robotics for assisted living, with a focus on quantitative requirements. We also compare 5G-healthcare requirements with the current state of 5G capabilities. Finally, we identify gaps in the existing literature and highlight considerations for this space.

Service Level Agreements for 5G-Enabled Healthcare Systems: Challenges and Considerations

5G and Beyond 5G (B5G) communication networks, with their characteristics of increasing speed, connectivity, reliability, availability and capacity while reducing latency, have the potential to transform the healthcare sector by opening possibilities for novel healthcare use cases and applications. Service level agreements (SLAs) can help enable these new healthcare use cases by documenting the communication requirements, performance standards, and roles and responsibilities of the stakeholders involved in providing safe and effective 5G-enabled healthcare to patients. However, the peculiarities and nuances of 5G implementations give rise to gaps in this area that should be addressed to streamline the implementation of 5G technology in healthcare. This magazine article highlights the key challenges and describes open research questions related to SLAs for 5G-healthcare systems. Addressing the research challenges in this space will help in developing robust SLAs that can ensure that device manufacturers, network service providers, users, and regulatory authorities share a common framework to safely integrate 5G & B5G technology in healthcare.

Smart healthcare IoT applications based on fog computing: architecture, applications and challenges

The history of human development has proven that medical and healthcare applications for humanity always are the main driving force behind the development of science and technology. The advent of Cloud technology for the first time allows providing systems infrastructure as a service, platform as a service and software as a service. Cloud technology has dominated healthcare information systems for decades now. However, one limitation of cloud-based applications is the high service response time. In some emergency scenarios, the control and monitoring of patient status, decision-making with related resources are limited such as hospital, ambulance, doctor, medical conditions in seconds and has a direct impact on the life of patients. To solve these challenges, optimal computing technologies have been proposed such as cloud computing, edge computing, and fog computing technologies. In this article, we make a comparison between computing technologies. Then, we present a common architectural framework based on fog computing for Internet of Health Things (Fog-IoHT) applications. Besides, we also indicate possible applications and challenges in integrating fog computing into IoT Healthcare applications. The analysis results indicated that there is huge potential for IoHT applications based on fog computing. We hope, this study will be an important guide for the future development of fog-based Healthcare IoT applications.