SHIELD: Securing Healthcare IoT with Efficient Machine Learning Techniques for Anomaly Detection

The integration of IoT devices in healthcare introduces significant security and reliability challenges, increasing susceptibility to cyber threats and operational anomalies. This study proposes a machine learning-driven framework for (1) detecting malicious cyberattacks and (2) identifying faulty device anomalies, leveraging a dataset of 200,000 records. Eight machine learning models are evaluated across three learning approaches: supervised learning (XGBoost, K-Nearest Neigh-bors (K- NN)), semi-supervised learning (Generative Adversarial Networks (GAN), Variational Autoencoders (VAE)), and unsupervised learning (One-Class Support Vector Machine (SVM), Isolation Forest, Graph Neural Networks (GNN), and Long Short-Term Memory (LSTM) Autoencoders). The comprehensive evaluation was conducted across multiple metrics like F1-score, precision, recall, accuracy, ROC-AUC, computational efficiency. XGBoost achieved 99% accuracy with minimal computational overhead (0.04s) for anomaly detection, while Isolation Forest balanced precision and recall effectively. LSTM Autoencoders underperformed with lower accuracy and higher latency. For attack detection, KNN achieved near-perfect precision, recall, and F1-score with the lowest computational cost (0.05s), followed by VAE at 97% accuracy. GAN showed the highest computational cost with lowest accuracy and ROC-AUC. These findings enhance IoT-enabled healthcare security through effective anomaly detection strategies. By improving early detection of cyber threats and device failures, this framework has the potential to prevent data breaches, minimize system downtime, and ensure the continuous and safe operation of medical devices, ultimately safeguarding patient health and trust in IoT-driven healthcare solutions.