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Artificial Intelligence in Health                                        Blockchain for health-care security



            relevant future directions, are given in sections 9 and 10,   distributed, immutable, open-source, public digital ledger
            respectively. The paper is concluded in section 11.  distributed among network peers. It is a ledger made up
                                                               of a chain of blocks. This ledger keeps a permanent record
            2. Related works and motivations                   of all transactions and interactions among participants

            Multiple studies on blockchain utilization in health-care   on the distributed and decentralized blockchain network.
            sector have been conducted. One of the papers  narrates   In addition, blockchain can be highly cost-effective in
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            the history of blockchain development, with a focus on   removing the requirement for a centralized authority to
            the technology of intelligent health-care management for   control and verify interactions and transactions between
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            assisting  patients.  Krishnamurthi  and  Shree   discussed   multiple users.  Every transaction in the blockchain is
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            several blockchain census algorithms and comparatively   cryptographically  signed and validated  by all  mining
            analyzed the algorithms. Another published study    nodes, which keep a copy of the whole ledger made up
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            presented a model to solve a confidentiality issue inherent   of chained blocks of all transactions.  This provides
            in wearable medical devices used to monitor and care for   unchangeable, secure, synchronized, and shareable time-
            patients, circumventing privacy intrusion and security   stamped documents.
            concerns stemming from the transfer and recording of   3.1. Types of blockchain
            medical data. A  new  framework  has  been  proposed  for
            modified blockchain models for internet of things devices   The three basic blockchain types are public permissionless,
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            and other privacy and security features.           consortium public permission, and private blockchains.
                                                               They differ in terms of who has access to, writes to, and
              Yazdinejad  et al.  proposed a new decentralized
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            authentication of patients in  a distributed  hospital   reads the data on the blockchain. Anyone can see the data
                                                               in a public chain, and anyone can join and contribute to
            network, by leveraging the blockchain. This proposed   both consensus and make changes to the core software
            model protects health-care networks for patients and   in principle. The public blockchain is commonly
            allied health professionals. After the analysis, the results   utilized in cryptocurrencies, and the two most popular
            of  the  simulations  showed  that  they  demonstrated  a   cryptocurrencies, Bitcoin and Ethereum as the main
            high performance in ensuring confidentiality of the   chain, are public permissionless blockchains. Only a few
            proposed structure among a distributed affiliated hospital   specified groups of companies can monitor and participate
            network. Another study  expounded the different types   in the consensus procedure on a consortium blockchain,
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            of blockchain, such as public, private, and consortium   which can be considered semi-centralized.  The private
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            blockchain,  with  elaborations  on  the  uses  of  different   blockchain network is distributed yet often centralized.
            algorithms in the health-care sector and the security
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            purposes. Sharma  et al.  proposed a framework for   Only specific nodes can join the network, and a central
            community interaction and developed a smartphone   authority frequently manages them.
            application to encrypt messages between researchers and   3.2. How blockchain empowers secure data sharing
            research groups.                                   in health-care system
              A survey conducted by Nguyen et al.  illustrated the   The technologies blockchain with deep learning can
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            contribution of blockchain and artificial intelligence (AI)   improve health-care systems.  Utilization of blockchain
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            in the health-care sector to combating COVID-19. Table 1   technology in health-care domains helps secure data
            summarizes the most important features and contributions   sharing and train deep learning models for diagnosing and
            of the previous studies. These studies highlight the huge   predicting diseases. Other problems include data privacy
            dependence of the next-generation health-care networks   concerns and compromised security in data flow between
            and applications on the use of the blockchain for security   businesses. Therefore, the information was shared across
            and user privacy.  Accordingly, this paper aims to   the organization based on external and internal policies.
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            comprehensively discuss the theoretical concept about the   In addition, some fascinating research focuses on safe
            most critical blockchain issues related to the health-care   health-care data brain stimulation and biomedical and
            sector, in addition to the impact of blockchain approaches   e-health data exchange for the central database built on
            and consensus algorithms in health-care application.  the private blockchain by authorized users. In addition,
                                                               to minimize risk, the remote patient monitoring system
            3. Blockchain technology                           uses  the  Ethereum  protocol.   Likewise,  other  authors
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            Blockchain is one of the most hyped disruptive innovations   recommended using encryption to store data from
            in recent years. It has garnered growing attention as a   publicly accessible organizations. Several writers created
            horizontal technology used in various sectors.  It is a   a blockchain-based framework for sharing data on cloud
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            Volume 1 Issue 2 (2024)                         31                               doi: 10.36922/aih.2580
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