The Internet of Medical Things (IoMT) is a network of healthcare devices such as wearables, diagnostic equipment, and implantable devices, which are linked to the internet and can communicate with one another. Blockchain (BC) technology can design a secure, decentralized system to store and share medical data in an IoMT-based intelligent healthcare system. Patient records were stored in a tamper-proof and decentralized way using BC, which provides high privacy and security for the patients. Furthermore, BC enables efficient and secure sharing of healthcare data between patients and health professionals, enhancing healthcare quality. Therefore, in this paper, we develop an IoMT with a blockchain-based smart healthcare system using encryption with an optimal deep learning (BSHS-EODL) model. The presented BSHS-EODL method allows BC-assisted secured image transmission and diagnoses models for the IoMT environment. The proposed method includes data classification, data collection, and image encryption. Initially, the IoMT devices enable data collection processes, and the gathered images are stored in BC for security. Then, image encryption is applied for data encryption, and its key generation method can be performed via the dingo optimization algorithm (DOA). Finally, the BSHS-EODL technique performs disease diagnosis comprising SqueezeNet, Bayesian optimization (BO) based parameter tuning, and voting extreme learning machine (VELM). A comprehensive set of simulation analyses on medical datasets highlights the betterment of the BSHS-EODL method over existing techniques with a maximum accuracy of 98.51%, whereas the existing methods such as DBN, YOLO-GC, ResNet, VGG-19, and CDNN models have lower accuracies of 94.15%, 94.24%, 96.19%, 91.19%, and 95.29% respectively.
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