Certificateless Proxy Re-Encryption Scheme for the Internet of Medical Things

With the rapid development of the Internet of Medical Things (IoMT), the data generated and collected by various sensors and medical devices are gradually increasing. How to realize flexible, efficient, and secure data sharing while ensuring data confidentiality and patient privacy has become a critical research challenge. The traditional Public Key Infrastructure (PKI) must deal with the complicated certificate management problem. An identity-based cryptosystem has the inherent key-escrow risk. These concerns make them unsuitable for resource-constrained and dynamic IoMT environments. To address it, this paper introduces a cloud data sharing protocol for IoMT using a Certificateless Proxy Re-encryption (CL-PRE) scheme that integrates an efficient access-list-based user revocation mechanism. In our system, a patient’s data can be encrypted and securely stored in a semi-trusted third party like the cloud server. When the patient wants to grant the access to designated users, e.g., doctors or medical institutions, a delegated proxy server will re-encrypt the ciphertext to a new one, which is decryptable by the designators. The proxy server also learns nothing during the re-encryption process, so as to maintain the end-to-end confidentiality. As for the security, the authors formally prove that the proposed CL-PRE mechanism for IoMT achieves Type-I and Type-II indistinguishability against adaptive chosen-identity and chosen-ciphertext attacks (IND-PrID-CCA) under the Decisional Bilinear Diffie–Hellman (DBDH) assumption. Moreover, the functional and computational comparisons with previous studies reveal the qualitative advantage of simultaneously achieving certificateless properties and user revocation, and the quantitative advantage of an optimized encryption cost (requiring only one bilinear pairing and two scalar multiplications), making it a theoretically efficient solution for resource-constrained IoMT devices.