A Novel Framework for Threat Analysis of Machine Learning-based Smart Healthcare Systems

Smart healthcare systems (SHSs) are providing fast and efficient disease treatment leveraging wireless body sensor networks (WBSNs) and implantable medical devices (IMDs)-based internet of medical things (IoMT). In addition, IoMT-based SHSs are enabling automated medication, allowing communication among myriad healthcare sensor devices. However, adversaries can launch various attacks on the communication network and the hardware/firmware to introduce false data or cause data unavailability to the automatic medication system endangering the patient's life. In this paper, we propose SHChecker, a novel threat analysis framework that integrates machine learning and formal analysis capabilities to identify potential attacks and corresponding effects on an IoMT-based SHS. Our framework can provide us with all potential attack vectors, each representing a set of sensor measurements to be altered, for an SHS given a specific set of attack attributes, allowing us to realize the system's resiliency, thus the insight to enhance the robustness of the model. We implement SHChecker on a synthetic and a real dataset, which affirms that our framework can reveal potential attack vectors in an IoMT system. This is a novel effort to formally analyze supervised and unsupervised machine learning models for black-box SHS threat analysis.