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The Internet of Medical Things (IoMT) is transforming healthcare by increasing accuracy, reliability, and scalability through smart, connected medical devices that enable real-time monitoring and accurate diagnosis. However, due to their resource limitations and diverse features, IoMT networks face significant privacy and security challenges, including vulnerabilities to cyber threats such as man-in-the-middle, DoS, remote hijacking, and replay. The healthcare ecosystem faces critical risks from IoMT vulnerabilities, threatening human lives and system integrity. To address evolving cyber-attacks, intrusion detection systems (IDS) have become essential, with machine learning (ML) techniques proving highly effective. This study presents a low-cost, high-accuracy ML-based attack detection framework for securing IoMT devices. Eight ML models, including Decision Tree, Support Vector Machine, Naive Bayes, Gradient Boosting, K-Nearest Neighbor, Random Forest, and XGBoost, were evaluated on the IoT-Healthcare security dataset. XGBoost emerged as the top performer, achieving 99.98% accuracy in just 233 ms.
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DOI: 10.1109/iraset64571.2025.11008243
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