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arXiv:2604.15584

A Framework for Post Quantum Migration in IoT-Based Healthcare Systems

Asif Alif, Khondokar Fida Hasan, Basker Palaniswamy, Md Morshedul Islam

Published Apr 16, 2026• 0 citations
arXivHTMLPDF

Abstract

Smart healthcare industry is increasingly relying on Internet of Things (IoT) devices to improve patient care and operational efficiency. However, the cryptographic algorithms that enable fundamental security and are widely used in these cyber systems are vulnerable to attacks by emerging quantum computers - known as Quantum Threat. This paper examines the quantum threat to healthcare IoT across the four layers of the IoT architecture: physical, network, perception, and application. It proposes a comprehensive migration framework integrating a phased hybrid approach with crypto-agility to transition healthcare IoT systems to quantum-safe cryptography. This framework prioritises resource-constrained devices, emphasises interoperability, and considers the challenges of vendor readiness and infrastructure upgrades. This paper contributes a detailed, phased migration plan specifically tailored to the unique security needs and resource limitations of IoT-based healthcare systems.

DOI
10.48550/arxiv.2604.15584

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Smart healthcare industry is increasingly relying on Internet of Things (IoT) devices to improve patient care and operational efficiency. However, the cryptographic algorithms that enable fundamental security and are widely used in these cyber systems are vulnerable to attacks by emerging quantum computers - known as Quantum Threat. This paper examines the quantum threat to healthcare IoT across the four layers of the IoT architecture: physical, network, perception, and application. It proposes a comprehensive migration framework integrating a phased hybrid approach with crypto-agility to transition healthcare IoT systems to quantum-safe cryptography. This framework prioritises resource-constrained devices, emphasises interoperability, and considers the challenges of vendor readiness and infrastructure upgrades. This paper contributes a detailed, phased migration plan specifically tailored to the unique security needs and resource limitations of IoT-based healthcare systems.
Smart healthcare industry is increasingly relying on Internet of Things (IoT) devices to improve patient care and operational efficiency. However, the cryptographic algorithms that enable fundamental security and are widely used in these cyber systems are vulnerable to attacks by emerging quantum computers - known as Quantum Threat. This paper examines the quantum threat to healthcare IoT across the four layers of the IoT architecture: physical, network, perception, and application. It proposes a comprehensive migration framework integrating a phased hybrid approach with crypto-agility to transition healthcare IoT systems to quantum-safe cryptography. This framework prioritises resource-constrained devices, emphasises interoperability, and considers the challenges of vendor readiness and infrastructure upgrades. This paper contributes a detailed, phased migration plan specifically tailored to the unique security needs and resource limitations of IoT-based healthcare systems.
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The increasing ubiquity of Internet of Things (IoT) devices has necessitated robust security measures, especially with the impending threat of quantum computing to conventional cryptographic protocols.In this study, we address the imperative of selecting an optimized post-quantum cryptographic algorithm tailored for implementation on resource-constrained IoT devices while ensuring compliance with stringent security standards.This research employs a comprehensive evaluation framework that considers the unique constraints of IoT devices, including limited computational capabilities and memory resources.Furthermore, our assessment accounts for the diverse security requirements stipulated by prevailing standards to guarantee resilience against both classical and quantum threats.Through a systematic analysis of various post-quantum cryptographic algorithms, encompassing factors such as computational efficiency and resistance to quantum attacks, this study identifies a select set of algorithms that exhibit promising suitability for IoT device deployment.The evaluation considers renowned standards, including NIST's Post-Quantum Cryptography Standardization initiative to align with industry best practices and interoperability.The findings presented in this study offer guidance to IoT device manufacturers, system architects, and security practitioners in making informed decisions regarding the adoption of post-quantum cryptographic algorithms.The selected algorithms not only demonstrate adeptness in mitigating quantum threats but also address resource constraints inherent in IoT environments, ensuring a secure foundation for the rapidly expanding ecosystem of interconnected devices.
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The Internet of Things (IoT) has grown rapidly, transforming various aspects of daily life into intelligent systems capable of collecting and exchanging data in real time. At the same time, advances in quantum computing have given rise to powerful quantum computers capable of processing complex tasks at unprecedented speed. This disparity between the limited resources of IoT devices and the capabilities of quantum computers poses significant security challenges. Quantum computers introduce new vulnerabilities that threaten IoT systems, particularly in critical applications such as connected healthcare, industrial networks, smart infrastructure, and secure embedded systems. This study reviews the existing literature on post-quantum cryptography (PQC) applied to IoT devices. It analyzes the characteristics and security requirements of IoT environments, current security technologies, and unresolved issues. It highlights the growing threat of post-quantum attacks and the need to adapt security strategies. Finally, the study explores post-quantum code-based cryptosystems as solutions to enhance the security of resource-constrained IoT applications and ensure their resilience against future challenges.
The Internet of Things (IoT) has transformed healthcare, facilitating remote patient monitoring, enhanced medication adherence, and chronic disease management. However, this interconnected ecosystem faces significant vulnerabilities with the advent of quantum computing, which threatens to break existing encryption standards protecting sensitive patient data in IoT-enabled medical devices. This chapter examines the quantum threat to healthcare IoT security, highlighting the potential impacts of compromised encryption, including privacy breaches, device failures, and manipulated medical records. It introduces post-quantum cryptography (PQC) and quantum-resistant techniques like quantum key distribution (QKD), addressing their application in resource-constrained healthcare IoT devices such as pacemakers, monitoring tools, and telemedicine systems. The chapter further explores the challenges of integrating these solutions and reviews global efforts in mitigating quantum risks, offering insights into suitable PQC primitives for various healthcare use cases.