AI-Enabled Framework for Fog Computing Driven E-Healthcare Applications

Sensors (Basel). 2021 Dec 1;21(23):8039. doi: 10.3390/s21238039.

Abstract

Artificial Intelligence (AI) is the revolutionary paradigm to empower sixth generation (6G) edge computing based e-healthcare for everyone. Thus, this research aims to promote an AI-based cost-effective and efficient healthcare application. The cyber physical system (CPS) is a key player in the internet world where humans and their personal devices such as cell phones, laptops, wearables, etc., facilitate the healthcare environment. The data extracting, examining and monitoring strategies from sensors and actuators in the entire medical landscape are facilitated by cloud-enabled technologies for absorbing and accepting the entire emerging wave of revolution. The efficient and accurate examination of voluminous data from the sensor devices poses restrictions in terms of bandwidth, delay and energy. Due to the heterogeneous nature of the Internet of Medical Things (IoMT), the driven healthcare system must be smart, interoperable, convergent, and reliable to provide pervasive and cost-effective healthcare platforms. Unfortunately, because of higher power consumption and lesser packet delivery rate, achieving interoperable, convergent, and reliable transmission is challenging in connected healthcare. In such a scenario, this paper has fourfold major contributions. The first contribution is the development of a single chip wearable electrocardiogram (ECG) with the support of an analog front end (AFE) chip model (i.e., ADS1292R) for gathering the ECG data to examine the health status of elderly or chronic patients with the IoT-based cyber physical system (CPS). The second proposes a fuzzy-based sustainable, interoperable, and reliable algorithm (FSIRA), which is an intelligent and self-adaptive decision-making approach to prioritize emergency and critical patients in association with the selected parameters for improving healthcare quality at reasonable costs. The third is the proposal of a specific cloud-based architecture for mobile and connected healthcare. The fourth is the identification of the right balance between reliability, packet loss ratio, convergence, latency, interoperability, and throughput to support an adaptive IoMT driven connected healthcare. It is examined and observed that our proposed approaches outperform the conventional techniques by providing high reliability, high convergence, interoperability, and a better foundation to analyze and interpret the accuracy in systems from a medical health aspect. As for the IoMT, an enabled healthcare cloud is the key ingredient on which to focus, as it also faces the big hurdle of less bandwidth, more delay and energy drain. Thus, we propose the mathematical trade-offs between bandwidth, interoperability, reliability, delay, and energy dissipation for IoMT-oriented smart healthcare over a 6G platform.

Keywords: 6G; AI; analytic hierarchy process; cyber physical system; e-health; fog computing; interoperability.

MeSH terms

  • Aged
  • Artificial Intelligence
  • Delivery of Health Care
  • Humans
  • Internet of Things*
  • Reproducibility of Results
  • Telemedicine*