ECMO: An Efficient and Confidential Outsourcing Protocol for Medical Data

Cloud computing has significantly advanced medical data storage capabilities, enabling healthcare institutions to outsource data management. However, this shift introduces critical security and privacy risks, as sensitive patient information is stored on untrusted third-party servers. Existing crypt...

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Main Authors: Xiangyi Meng, Yuefeng Du, Cong Wang
Format: Article
Language:English
Published: IEEE 2025-01-01
Series:IEEE Open Journal of the Computer Society
Subjects:
Online Access:https://ieeexplore.ieee.org/document/10767272/
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author Xiangyi Meng
Yuefeng Du
Cong Wang
author_facet Xiangyi Meng
Yuefeng Du
Cong Wang
author_sort Xiangyi Meng
collection DOAJ
description Cloud computing has significantly advanced medical data storage capabilities, enabling healthcare institutions to outsource data management. However, this shift introduces critical security and privacy risks, as sensitive patient information is stored on untrusted third-party servers. Existing cryptographic solutions, such as searchable encryption, offer some security guarantees but struggle with challenges like leakage-based attacks, high computational overhead, and limited scalability. To address these limitations in medical data outsourcing, we present ECMO, a novel protocol that combines an ordered additive secret sharing algorithm with a unique index permutation method. This approach efficiently outsources medical data while safeguarding both the data itself and access patterns from potential leakage. Our experimental results demonstrate ECMO&#x0027;s efficiency and scalability, with a single store operation containing 500 keywords taking only <inline-formula><tex-math notation="LaTeX">$42.5 \;\mu s$</tex-math></inline-formula> on average.
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issn 2644-1268
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publishDate 2025-01-01
publisher IEEE
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series IEEE Open Journal of the Computer Society
spelling doaj-art-7f1ef7dbf0a248118f8e70a4777f24772025-01-10T00:03:31ZengIEEEIEEE Open Journal of the Computer Society2644-12682025-01-016374810.1109/OJCS.2024.350611410767272ECMO: An Efficient and Confidential Outsourcing Protocol for Medical DataXiangyi Meng0https://orcid.org/0000-0003-0863-473XYuefeng Du1https://orcid.org/0000-0003-1091-6832Cong Wang2https://orcid.org/0000-0003-0547-315XCity University of Hong Kong, Hong Kong, ChinaCity University of Hong Kong, Hong Kong, ChinaCity University of Hong Kong, Hong Kong, ChinaCloud computing has significantly advanced medical data storage capabilities, enabling healthcare institutions to outsource data management. However, this shift introduces critical security and privacy risks, as sensitive patient information is stored on untrusted third-party servers. Existing cryptographic solutions, such as searchable encryption, offer some security guarantees but struggle with challenges like leakage-based attacks, high computational overhead, and limited scalability. To address these limitations in medical data outsourcing, we present ECMO, a novel protocol that combines an ordered additive secret sharing algorithm with a unique index permutation method. This approach efficiently outsources medical data while safeguarding both the data itself and access patterns from potential leakage. Our experimental results demonstrate ECMO&#x0027;s efficiency and scalability, with a single store operation containing 500 keywords taking only <inline-formula><tex-math notation="LaTeX">$42.5 \;\mu s$</tex-math></inline-formula> on average.https://ieeexplore.ieee.org/document/10767272/Additive secret sharingcloud storageindex permutationmedical data outsourcing
spellingShingle Xiangyi Meng
Yuefeng Du
Cong Wang
ECMO: An Efficient and Confidential Outsourcing Protocol for Medical Data
IEEE Open Journal of the Computer Society
Additive secret sharing
cloud storage
index permutation
medical data outsourcing
title ECMO: An Efficient and Confidential Outsourcing Protocol for Medical Data
title_full ECMO: An Efficient and Confidential Outsourcing Protocol for Medical Data
title_fullStr ECMO: An Efficient and Confidential Outsourcing Protocol for Medical Data
title_full_unstemmed ECMO: An Efficient and Confidential Outsourcing Protocol for Medical Data
title_short ECMO: An Efficient and Confidential Outsourcing Protocol for Medical Data
title_sort ecmo an efficient and confidential outsourcing protocol for medical data
topic Additive secret sharing
cloud storage
index permutation
medical data outsourcing
url https://ieeexplore.ieee.org/document/10767272/
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AT yuefengdu ecmoanefficientandconfidentialoutsourcingprotocolformedicaldata
AT congwang ecmoanefficientandconfidentialoutsourcingprotocolformedicaldata