Cryptography with optimal deep learning-based authentication scheme for preserving anonymity in telecare medical information system

The Telecare Medicine Information System (TMIS) revolutionizes healthcare delivery by integrating medical equipment and sensors, facilitating proactive and cost-effective services. Accessible online, TMIS empowers patients and practitioners to manage medical data efficiently, ensuring timely care provision and streamlined record maintenance. Recognizing security challenges inherent in this interconnected healthcare landscape, researchers have devised a two-factor authentication solution, increasingly leveraging password-based authentication via smart cards. This article presents the development of a tailored remote authentication system, the Deep Learning-Based Online Threat Detection with Key Agreement (DLOTDKA-MAP), designed specifically for TMIS. Comprising two critical phases, the DLOTDKA-MAP framework employs an Arithmetic Optimization Algorithm (AOA) and Deep Belief Network (DBN) model in real-time online threat detection, ensuring swift identification and mitigation of potential security threats. The subsequent phase employs Elliptic Curve Cryptography (ECC) with Schnorr's signature to establish secure data transmission among collaborating entities, preemptively addressing security breaches and ensuring mutual authentication. A comprehensive experimental study validates the presented DLOTDKA-MAP technique, showcasing its superiority over existing approaches and underscoring its role in advancing TMIS security infrastructure. Achieving remarkable performance values, includes an accuracy, precision, recall, and F1 score of 98.57%, this research significantly contributes to safeguarding the confidentiality and integrity of medical data within TMIS, particularly in a federated cloud environment.