Zero-Trust Medical Image Sharing: A Secure and Decentralized Approach Using Blockchain and the IPFS Article Swipe
Ali Shahzad
,
Wenyu Chen
,
Yin Zhang⋆
,
Rajesh Kumar
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/sym17040551
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/sym17040551
The secure and efficient storage and sharing of medical images have become increasingly important due to rising security threats and performance limitations in existing healthcare systems. Centralized systems struggle to provide adequate privacy, rapid access, and reliable storage for sensitive medical images. This paper proposes a decentralized medical image-sharing framework to address these issues by integrating blockchain technology, the InterPlanetary File System (IPFS), and edge computing. Blockchain technology enforces secure patient-centric access control through smart contracts that enable patients to directly manage their data-sharing permissions. The IPFS provides decentralized and scalable storage for medical images and effectively resolves the storage limitations associated with blockchain. Edge computing enhances system responsiveness by significantly reducing latency through local data processing to ensure timely medical image access. Robust security is ensured by using elliptic curve cryptography (ECC) for secure key management and the Advanced Encryption Standard (AES) for encrypting medical images to protect against unauthorized access and data breaches. Additionally, the system includes real-time monitoring to promptly detect and respond to unauthorized access attempts to ensure continuous protection against potential security threats. System results demonstrate that the proposed framework achieves lower latency, higher throughput, and improved security compared to traditional centralized storage solutions, which makes our system suitable for practical deployment in modern healthcare settings.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/sym17040551
- https://www.mdpi.com/2073-8994/17/4/551/pdf?version=1743692963
- OA Status
- gold
- References
- 32
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4409197144
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4409197144Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/sym17040551Digital Object Identifier
- Title
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Zero-Trust Medical Image Sharing: A Secure and Decentralized Approach Using Blockchain and the IPFSWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-04-03Full publication date if available
- Authors
-
Ali Shahzad, Wenyu Chen, Yin Zhang⋆, Rajesh KumarList of authors in order
- Landing page
-
https://doi.org/10.3390/sym17040551Publisher landing page
- PDF URL
-
https://www.mdpi.com/2073-8994/17/4/551/pdf?version=1743692963Direct link to full text PDF
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-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
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-
https://www.mdpi.com/2073-8994/17/4/551/pdf?version=1743692963Direct OA link when available
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Blockchain, Computer science, Computer security, Zero (linguistics), Zero-knowledge proof, Image (mathematics), Theoretical computer science, Computer network, Cryptography, Computer vision, Philosophy, LinguisticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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32Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.access, | 34 |
| abstract_inverted_index.access. | 122 |
| abstract_inverted_index.address | 51 |
| abstract_inverted_index.against | 149, 174 |
| abstract_inverted_index.control | 72 |
| abstract_inverted_index.ensured | 126 |
| abstract_inverted_index.images. | 41 |
| abstract_inverted_index.latency | 112 |
| abstract_inverted_index.medical | 8, 40, 47, 93, 120, 145 |
| abstract_inverted_index.protect | 148 |
| abstract_inverted_index.provide | 30 |
| abstract_inverted_index.respond | 165 |
| abstract_inverted_index.results | 179 |
| abstract_inverted_index.sharing | 6 |
| abstract_inverted_index.storage | 4, 37, 91, 99, 197 |
| abstract_inverted_index.systems | 27 |
| abstract_inverted_index.threats | 18 |
| abstract_inverted_index.through | 73, 113 |
| abstract_inverted_index.Advanced | 139 |
| abstract_inverted_index.Standard | 141 |
| abstract_inverted_index.achieves | 185 |
| abstract_inverted_index.adequate | 31 |
| abstract_inverted_index.attempts | 169 |
| abstract_inverted_index.compared | 193 |
| abstract_inverted_index.directly | 80 |
| abstract_inverted_index.elliptic | 129 |
| abstract_inverted_index.enforces | 68 |
| abstract_inverted_index.enhances | 106 |
| abstract_inverted_index.existing | 23 |
| abstract_inverted_index.improved | 191 |
| abstract_inverted_index.includes | 158 |
| abstract_inverted_index.latency, | 187 |
| abstract_inverted_index.patients | 78 |
| abstract_inverted_index.privacy, | 32 |
| abstract_inverted_index.promptly | 162 |
| abstract_inverted_index.proposed | 183 |
| abstract_inverted_index.proposes | 44 |
| abstract_inverted_index.provides | 87 |
| abstract_inverted_index.reducing | 111 |
| abstract_inverted_index.reliable | 36 |
| abstract_inverted_index.resolves | 97 |
| abstract_inverted_index.scalable | 90 |
| abstract_inverted_index.security | 17, 124, 176, 192 |
| abstract_inverted_index.struggle | 28 |
| abstract_inverted_index.suitable | 203 |
| abstract_inverted_index.systems. | 25 |
| abstract_inverted_index.threats. | 177 |
| abstract_inverted_index.breaches. | 154 |
| abstract_inverted_index.computing | 105 |
| abstract_inverted_index.contracts | 75 |
| abstract_inverted_index.efficient | 3 |
| abstract_inverted_index.framework | 49, 184 |
| abstract_inverted_index.important | 13 |
| abstract_inverted_index.potential | 175 |
| abstract_inverted_index.practical | 205 |
| abstract_inverted_index.real-time | 159 |
| abstract_inverted_index.sensitive | 39 |
| abstract_inverted_index.settings. | 210 |
| abstract_inverted_index.Blockchain | 66 |
| abstract_inverted_index.Encryption | 140 |
| abstract_inverted_index.associated | 101 |
| abstract_inverted_index.blockchain | 56 |
| abstract_inverted_index.computing. | 65 |
| abstract_inverted_index.continuous | 172 |
| abstract_inverted_index.deployment | 206 |
| abstract_inverted_index.encrypting | 144 |
| abstract_inverted_index.healthcare | 24, 209 |
| abstract_inverted_index.management | 136 |
| abstract_inverted_index.monitoring | 160 |
| abstract_inverted_index.processing | 116 |
| abstract_inverted_index.protection | 173 |
| abstract_inverted_index.solutions, | 198 |
| abstract_inverted_index.technology | 67 |
| abstract_inverted_index.Centralized | 26 |
| abstract_inverted_index.blockchain. | 103 |
| abstract_inverted_index.centralized | 196 |
| abstract_inverted_index.demonstrate | 180 |
| abstract_inverted_index.effectively | 96 |
| abstract_inverted_index.integrating | 55 |
| abstract_inverted_index.limitations | 21, 100 |
| abstract_inverted_index.performance | 20 |
| abstract_inverted_index.technology, | 57 |
| abstract_inverted_index.throughput, | 189 |
| abstract_inverted_index.traditional | 195 |
| abstract_inverted_index.cryptography | 131 |
| abstract_inverted_index.data-sharing | 83 |
| abstract_inverted_index.increasingly | 12 |
| abstract_inverted_index.permissions. | 84 |
| abstract_inverted_index.unauthorized | 150, 167 |
| abstract_inverted_index.Additionally, | 155 |
| abstract_inverted_index.decentralized | 46, 88 |
| abstract_inverted_index.image-sharing | 48 |
| abstract_inverted_index.significantly | 110 |
| abstract_inverted_index.InterPlanetary | 59 |
| abstract_inverted_index.responsiveness | 108 |
| abstract_inverted_index.patient-centric | 70 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 4 |
| citation_normalized_percentile.value | 0.12548428 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |