🤖 AI Summary
Current blockchain platform selection for Medical Internet of Things (MIoT) lacks scenario-specific empirical evaluation. To address this gap, this paper presents the first systematic comparative assessment of Ethereum, Hyperledger Fabric, and Corda—evaluating their security properties, resource overhead (energy consumption and computational load), privacy preservation capabilities, and suitability of smart contracts and consensus mechanisms in MIoT contexts. Through empirical performance benchmarking and multi-dimensional security analysis, we identify critical trade-offs among low-power device compatibility, trustworthy data sharing, and regulatory compliance. We further propose a lightweight deployment strategy tailored to MIoT constraints, balancing decentralized trust with stringent resource limitations. This work fills a key empirical void in healthcare-oriented blockchain platform adaptation and delivers a reusable, evidence-based framework for informed technical decision-making in clinical and medical IoT deployments.
📝 Abstract
Being propelled by the fourth industrial revolution (Industry 4.0), IoT devices and solutions are well adopted everywhere, ranging from home applications to industrial use, crossing through transportation, healthcare, energy, and so on. This wide use of IoT has not gone unnoticed, hackers are tracking the weakness of such a technology and threatening them continuously. Their security at various levels has become an important concern of professionals and researchers. This issue takes more risk, especially with the IoT variants, IIoT (Industrial IoT) and MIoT (Medical IoT). Many existing security solutions are adapted and proposed for addressing IoT security. In this paper, we are interested in exploring blockchain technology and we make a comparison of three free Blockchain platforms towards their applicability for MIoT context, namely Ethereum, Hyperledger Fabric and Corda. In general, Blockchain technology provides a decentralized, autonomous, trustless, and distributed environment. It is challenging to find a Blockchain platform that fits the MIoT context and performs well in terms of security. The retained platform should be deployed smartly to avoid its practical drawbacks related to energy-consuming and excessive computing.