IoT devices are sorely underutilized in the medical field, especially within machine learning for medicine, yet they offer unrivaled benefits. IoT devices are low-cost, energy-efficient, small and intelligent devices. In this paper, we propose a distributed federated learning framework for IoT devices, more specifically for IoMT (Internet of Medical Things), using blockchain to allow for a decentralized scheme improving privacy and efficiency over a centralized system; this allows us to move from the cloud-based architectures, that are prevalent, to the edge. The system is designed for three paradigms: 1) Training neural networks on IoT devices to allow for collaborative training of a shared model whilst decoupling the learning from the dataset to ensure privacy. Training is performed in an online manner simultaneously amongst all participants, allowing for the training of actual data that may not have been present in a dataset collected in the traditional way and dynamically adapt the system whilst it is being trained. 2) Training of an IoMT system in a fully private manner such as to mitigate the issue with confidentiality of medical data and to build robust, and potentially bespoke, models where not much, if any, data exists. 3) Distribution of the actual network training, something federated learning itself does not do, to allow hospitals, for example, to utilize their spare computing resources to train network models.

Federated Learning (FL) has emerged as a promising approach for privacy preservation, allowing sharing of the model parameters between users and the cloud server rather than the raw local data. FL approaches have been adopted as a cornerstone of distributed machine learning (ML) to solve several complex use cases. FL presents an interesting interplay between communication and ML performance when implemented over distributed wireless nodes. Both the dynamics of networking and learning play an important role. In this article, we investigate the performance of FL on an application that might be used to improve a remote healthcare system over ad hoc networks which employ CSMA/CA to schedule its transmissions. Our FL over CSMA/CA (FLCC) model is designed to eliminate untrusted devices and harness frequency reuse and spatial clustering techniques to improve the throughput required for coordinating a distributed implementation of FL in the wireless network. In our proposed model, frequency allocation is performed on the basis of spatial clustering performed using virtual cells. Each cell assigns a FL server and dedicated carrier frequencies to exchange the updated model's parameters within the cell. We present two metrics to evaluate the network performance: 1) probability of successful transmission while minimizing the interference, and 2) performance of distributed FL model in terms of accuracy and loss while considering the networking dynamics. We benchmark the proposed approach using a well-known MNIST dataset for performance evaluation. We demonstrate that the proposed approach outperforms the baseline FL algorithms in terms of explicitly defining the chosen users' criteria and achieving high accuracy in a robust network.

5G edge computing enabled Internet of Medical Things (IoMT) is an efficient technology to provide decentralized medical services while Device-to-device (D2D) communication is a promising paradigm for future 5G networks. To assure secure and reliable communication in 5G edge computing and D2D enabled IoMT systems, this paper presents an intelligent trust cloud management method. Firstly, an active training mechanism is proposed to construct the standard trust clouds. Secondly, individual trust clouds of the IoMT devices can be established through fuzzy trust inferring and recommending. Thirdly, a trust classification scheme is proposed to determine whether an IoMT device is malicious. Finally, a trust cloud update mechanism is presented to make the proposed trust management method adaptive and intelligent under an open wireless medium. Simulation results demonstrate that the proposed method can effectively address the trust uncertainty issue and improve the detection accuracy of malicious devices.