Abstract

Implementation of tele-training for trainee surgeons has been slow to date as current standards of video transmission do not meet requirements for security, speed and clarity for such videos. The aim of this paper is to increase security by providing enhanced authentication as well as improving the overall throughput of the system. The proposed solution consists of a dual encryption algorithm based on Elliptical curve cryptography and 2k-RSA which enhances security through entropy and also performance through the processing time. It reduces the key size of the algorithm to reduce encryption and decryption time. Furthermore, two-factor authentication using biometrics and a secure One-Time Password (OTP) are used for authentication. Results show that the proposed algorithm reduces processing time by 33% for encryption and 43% for decryption compared to the current best solution, while entropy increased by 11% during encryption.

Highlights

  • Training material in the medical field is often based on authentic records of treatments, in the area of surgery where video recordings permit the detailed study of surgical processes through ‘pause’ and ‘replay’ functions, augmenting and to some extent replacing physical presence in the operating theatre

  • We propose a new method for enhancing the RSA algorithm by using a 2k-RSA algorithm with Security card (Seca)

  • The combination of different existing solutions led to the creation of a greatly improved surgical tele-training system

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Summary

Introduction

Training material in the medical field is often based on authentic records of treatments, in the area of surgery where video recordings permit the detailed study of surgical processes through ‘pause’ and ‘replay’ functions, augmenting and to some extent replacing physical presence in the operating theatre. There are limitations in terms of the number of trainee-surgeons experts can train at a time. Such processes require trainees to be physically present making the training time-consuming and costly. Recent experimentation with augmented reality in the operating theatre has led to advancements in the development of sophisticated video recordings that permit virtual cooperation between a local surgeon and an expert (Suthakorn, 2012). The resulting recordings, if augmented with teaching comments, become appropriate self-study training material allowing trainee surgeons to become theoretically proficient in carrying out procedures prior to a significantly reduced period of hands-on training (McLaughlin, 2001; Suthakorn, 2012)

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