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Anonymity and Privacy-Enhancing Mechanisms for AI-Based e-Health Systems
SCYTALE Group, Computer Engineering and Informatics Department, University of Patras, Patra, Greece.
SCYTALE Group, Computer Engineering and Informatics Department, University of Patras, Patra, Greece.
KTH, School of Electrical Engineering and Computer Science (EECS), Computer Science, Software and Computer systems, SCS.ORCID iD: 0000-0003-4494-6685
2026 (English)In: Transformative Cloud Computing, IoT and Extended Reality: Applications for Smart Cities, Education, Healthcare, Industry and Business / [ed] Carlos Rompante Cunha; Nishu Gupta; Srinivasa Kiran Gottapu, Springer Science and Business Media Deutschland GmbH , 2026, Vol. Part F1411, p. 257-273Chapter in book (Other academic)
Abstract [en]

Healthcare capabilities have evolved throughout the years by integrating advanced technologies such as Artificial Intelligence (AI), Machine Learning (ML), Deep Learning (DL), and Cloud Computing. These technologies allow real-time remote monitoring, enhance diagnostic accuracy, and optimize resource utilization in e-health structures. Nevertheless, AI-based healthcare services add various privacy concerns, particularly regarding the handling of sensitive patient data in compliance with global regulations, such as General Data Protection Regulation (GDPR) and Health Insurance Portability and Accountability Act (HIPAA). Privacy-preserving techniques, including Homomorphic Encryption (HE), Secure Multi-Party Computation (SMPC), Zero-Knowledge Proofs (ZKP), and Federated Learning (FL), have been proposed to mitigate sensitive data challenges (for data at transit and at rest), by enabling secure data processing without data disclosure to none trusted parties, such as cloud-based AI analytic tools. This chapter aims at assisting healthcare service developers to comprehend the AI-based e-health framework, its security characteristics, and common privacy-enhancing mechanisms. This is achieved, first, by providing an in-depth analysis of AI-based e-health systems, their privacy vulnerabilities and threat models. Second, it analyzes the privacy-enhancing and anonymity mechanisms, their applicability in AI-driven healthcare systems, and their advantages and disadvantages. Finally, some future directions are highlighted for implementing robust and privacy-preserving AI solutions.

Place, publisher, year, edition, pages
Springer Science and Business Media Deutschland GmbH , 2026. Vol. Part F1411, p. 257-273
Series
Signals and Communication Technology
Keywords [en]
Artificial intelligence (AI), e-Health systems, Federated learning (FL), Homomorphic encryption (HE), Privacy-enhancing cryptography, Secure multi-party computation (SMPC), Zero-knowledge proofs (ZKP)
National Category
Computer Sciences Computer Systems
Identifiers
URN: urn:nbn:se:kth:diva-377175DOI: 10.1007/978-3-032-03554-7_12Scopus ID: 2-s2.0-105029189025OAI: oai:DiVA.org:kth-377175DiVA, id: diva2:2041838
Note

Part of ISBN 9783032035530, 9783032035561, 9783032035547

QC 20260226

Available from: 2026-02-26 Created: 2026-02-26 Last updated: 2026-02-26Bibliographically approved

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Symeonidis, Iraklis

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