Blockchain and Federated Learning for Secure IoT Healthcare: A Literature Review

by Rachel Kim – Technology Editor

A new framework combining blockchain technology and federated learning is being developed to address growing privacy and security concerns within the Internet of Medical Things (IoMT), researchers announced this week. The Federated Blockchain-IoT Framework for Sustainable Healthcare Systems (FBCI-SHS) aims to secure health monitoring systems and improve data privacy, a critical issue as IoMT networks rapidly expand.

The increasing use of IoMT devices – sensors and other connected technologies used to monitor patient health – generates vast amounts of sensitive data. Consolidating this data for machine learning analysis, while beneficial for proactive healthcare and early disease detection, raises significant concerns about patient privacy, data ownership, and regulatory compliance. Federated learning (FL) offers a potential solution by allowing models to be trained on decentralized datasets without directly exchanging patient information. However, FL systems still require robust security measures.

Researchers propose integrating blockchain technology with FL to enhance security and trust. Blockchain’s decentralized and immutable ledger can provide a secure and transparent record of data access and model updates. According to a recent study published in Nature, the FBCI-SHS architecture leverages both technologies to tackle privacy, security, and regulatory challenges within IoMT. The system allows local participants to maintain control over patient data, ensuring confidentiality while still contributing to global learning models.

The FBCI-SHS framework as well incorporates an Intrusion Detection System (IDS) designed to monitor healthcare networks for malicious activity. This allows doctors to track patient vitals via medical sensors and anticipate potential health issues, enabling preventative care. Initial testing indicates the system achieves 98.73% data privacy and security, with 97% efficiency in intrusion detection and disease prediction.

The convergence of blockchain and federated learning is gaining traction across various sectors, not just healthcare. A recent analysis published in Springer highlights the robustness, transparency, and decentralization offered by this combination, making it suitable for privacy-sensitive applications in precision farming and other data-intensive industries. Researchers at the ACM have categorized various IoT domains, emphasizing the unique challenges each faces and how FL and blockchain can offer tailored solutions.

Several studies have explored specific applications of this technology. Researchers have investigated using blockchain for secure data storage in cloud environments, employing secret sharing and collaborative blockchain techniques. Others are focusing on lightweight blockchain solutions for resource-constrained IoT networks, and on post-quantum blockchain approaches to enhance cyber defense. Further research is exploring the use of blockchain-based systems for secure data sharing, anonymous data access, and energy-efficient data aggregation in IoT networks.

Despite the promise, challenges remain. Researchers continue to refine consensus algorithms for blockchain-structured IoT networks and address issues related to task scheduling in fog-cloud blockchain systems. The development of efficient revocable access control mechanisms and optimized resource allocation strategies are also ongoing areas of investigation. As of late October 2025, researchers continue to explore the mathematical foundations and practical implementations of model aggregation in federated learning, alongside the integration of distributed ledger technologies.

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