Key result
ECG-derived inter-pulse intervals fail standard randomness tests, questioning their use as cryptographic generators.
Inter-pulse intervals derived from heartbeats lack sufficient randomness to be used as secure pseudo-random number generators for medical device cryptography.
Questions reliability of IPI-based encryption in cardiac devices; leaves open validation of alternative randomness sources.
The proliferation of wearable and implantable medical devices has given rise to an interest in developing security schemes suitable for these systems and the environment in which they operate. One area that has received much attention lately is the use of (human) biological signals as the basis for biometric authentication, identification and the generation of cryptographic keys. The heart signal (e.g., as recorded in an electrocardiogram) has been used by several researchers in the last few years. Specifically, the so-called Inter-Pulse Intervals (IPIs), which is the time between two consecutive heartbeats, have been repeatedly pointed out as a potentially good source of entropy and are at the core of various recent authentication protocols. In this work, we report the results of a large-scale statistical study to determine whether such an assumption is (or not) upheld. For this, we have analyzed 19 public datasets of heart signals from the Physionet repository, spanning electrocardiograms from 1353 subjects sampled at different frequencies and with lengths that vary between a few minutes and several hours. We believe this is the largest dataset on this topic analyzed in the literature. We have then applied a standard battery of randomness tests to the extracted IPIs. Under the algorithms described in this paper and after analyzing these 19 public ECG datasets, our results raise doubts about the use of IPI values as a good source of randomness for cryptographic purposes. This has repercussions both in the security of some of the protocols proposed up to now and also in the design of future IPI-based schemes.
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Ortiz‐Martin et al. (2018) studied Heart signals (healthy and pathological) (n=1,353). Inter-Pulse Intervals (IPI) derived from electrocardiogram signals was evaluated on Pass rates on standard randomness tests (ENT and NIST STS statistical suites). Inter-pulse intervals derived from electrocardiogram signals fail to consistently pass standard randomness tests, casting doubt on their suitability as pseudo-random number generators in cryptography.
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