A novel secure solution of using mixed reality in data transmission for bowel and jaw surgical telepresence: enhanced ri

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A novel secure solution of using mixed reality in data transmission for bowel and jaw surgical telepresence: enhanced rivest cipher RC6 block cipher Risto Donev 1 & Abeer Alsadoon 1 & P. W. C. Prasad 1 & Ahmed Dawoud 1 & Sami Haddad 2,3 & Ahmad Alrubaie 4 Received: 1 December 2019 / Revised: 11 August 2020 / Accepted: 17 September 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020

Abstract

Security threats are crucial challenges that deter Mixed reality (MR) communication in medical telepresence. This research aims to improve the security by reducing the chances of types of various attacks occurring during the real-time data transmission in surgical telepresence as well as reduce the time of the cryptographic algorithm and keep the quality of the media used. The proposed model consists of an enhanced RC6 algorithm in combination. Dynamic keys are generated from the RC6 algorithm mixed with RC4 to create dynamic S-box and permutation table, preventing various known attacks during the real-time data transmission. For every next session, a new key is created, avoiding possible reuse of the same key from the attacker. The results obtained from our proposed system are showing better performance compared to the state of art. The resistance to the tested attacks is measured throughout the entropy, Pick to Signal Noise Ratio (PSNR) is decreased for the encrypted image than the state of art, structural similarity index (SSIM) closer to zero. The execution time of the algorithm is decreased for an average of 20%. The proposed system is focusing on preventing the brute force attack occurred during the surgical telepresence data transmission. The paper proposes a framework that enhances the security related to data transmission during surgeries with acceptable performance. Keywords Mixed reality . Surgical Telepresence . Secure data transmission . Hybrid RC6 and Rubik’s cube algorithm . Brute force attack

* Abeer Alsadoon [email protected]

1

School of Computing and Mathematics, Charles Sturt University, Sydney, Australia

2

Department of Oral and Maxillofacial Services, Greater Western Sydney Area Health Services, Mount Druitt, Australia

3

Department of Oral and Maxillofacial Services, Central Coast Area Health, Gosford, Australia

4

Faculty of Medicine, University of New South Wales, Sydney, Australia

Multimedia Tools and Applications

1 Introduction Telepresence is not performed yet, as the traditional method of communication between the surgeon and remote site with the physical presence of the expert on the site and explains the surgery procedures on the spot. The main limitation of this method is the time needed for the surgeon to arrive at the remote place which may cost patient life. Using Mixed Reality for Surgical Telepresence (MRST) can solve this problem. Mixed Reality represents the coexistence between the virtual and physical world at the same time and their benefit in different domains. The expert can use this technology to communicate with the distant site via real-time tr