Romanian Cyber Security Journal / Fall 2025, No. 2, Vol. 7

Role-Based Secure Telehealth in IoMT Ecosystems: Design Insights from NeuroPredict Platform

Lidia BĂJENARU, Virginia SĂNDULESCU, Cristian PETRACHE, Dragoș NICOLAU

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Abstract

This paper presents NeuroPredict, a modular cloud–edge platform designed for secure and scalable telehealth monitoring of the neurodegenerative diseases such as Alzheimer’s disease (AD), Parkinson’s disease (PD), and Multiple Sclerosis (MS), with a focus on the implemented security measures. The platform integrates IoMT devices, validated clinical questionnaires, and role-specific dashboards for patients, caregivers, and physicians. Its novelty lies in a multi-layered security framework that incorporates advanced encryption, token-based authentication, and dynamic session keys. This approach utilizes short-lived credentials to mitigate the risks of replay and hijacking attacks. The role-based access control enforces the least-privileged authorization. By combining hybrid edge-cloud analytics with strong security and usability, the NeuroPredict platform advances IoMT-based monitoring for the management of the neurodegenerative diseases.

Keywords

Security, Internet of Medical Things (IoMT), Telehealth, Neurodegenerative Diseases, Monitoring, Role-Based Access Control (RBAC), Cloud–Edge Architecture