Controlled Authentication Semi-Quantum Key Agreement Protocol for the Internet of Medical Things
Yefeng He, Liaoyuan Shen, Yichi Zhang
pp. 129-153 · 10.2478/qic-2026-0007
On this page
Abstract
In the Internet of Medical Things (IoMT), sensors automatically collect data and transmit it to hospital servers, where doctors provide professional medical advice. The emergence of IoMT has significantly reduced the burden on chronic-disease patients and improved their life security. However, the transmission of patients’ medical data still faces serious confidentiality and integrity risks. This paper proposes a novel healthcare-system architecture that integrates a controlled-authentication semi-quantum key-negotiation (SQKN) protocol, leveraging the unconditional security of quantum cryptography to mitigate potential data attacks. The hospital server acts as a trusted controller that supervises every protocol run and authenticates all participants, which effectively thwarts man-in-the-middle and identity-spoofing attacks. The semi-quantum design further minimizes the quantum-device burden on patients’ side. Experimental simulation under realistic noise (QBER ≈ 0.03 at 0.02/0.04 noise level, 3 000 shots) shows the protocol keeps the quantum-bit error rate below 3 %, while the overall key-generation efficiency reaches 92 %, demonstrating that the scheme resists known attacks and maintains high quantum efficiency for safeguarding IoMT data security.
Open accessCC BY-NC-ND 4.0
Keywords
- quantum key agreement
- W states
- semi-quantum key agreement
- identity authentication
Suggested citation
Yefeng He, Liaoyuan Shen, Yichi Zhang (2026). Controlled Authentication Semi-Quantum Key Agreement Protocol for the Internet of Medical Things. Quantum Information & Computation, 26(1), 129-153. https://doi.org/10.2478/qic-2026-0007
References (51)
- A. Ghubaish, T. Salman, M. Zolanvari, et al. (2022). “Recent advances in the internet-of-medical-things (IoMT) systems security,” IEEE Internet Things J., 8(11), 8707–8718. DOI:10.1109/JIOT.2020.3045653DOI: 10.1109/JIOT.2020.3045653Google Scholar
- S. Razdan and S. Sharma (2022). “Internet of medical things (IoMT): Overview, emerging technologies, and case studies,” IETE Tech Rev., 39(4), 775–788. DOI:10.1080/02564602.2021.1927863DOI: 10.1080/02564602.2021.1927863Google Scholar
- D. Koutras, G. Stergiopoulos, T. Dasaklis, et al. (2020). “Security in IoMT communications: A survey,” Sensors, 20(17), 4828. DOI:10.3390/s20174828DOI: 10.3390/s20174828Google Scholar
- W. K. Wootters and W. H. Zurek (1982). “A single quantum cannot be cloned,” Nature, 299(5886), 802–803. DOI: 10.1038/299802a0DOI: 10.1038/299802a0Google Scholar
- C. H. Bennett and G. Brassard (1984). “Quantum cryptography: Public key distribution and coin tossing,” in Proceedings of the IEEE International Conference on Computers, Systems and Signal Processing (IEEE), pp. 175–179. DOI: https://doi.org/10.1016/j.tcs.2014.05.025DOI: 10.1016/j.tcs.2014.05.025Google Scholar
- Y. Cao, Y. Zhao, Q. Wang, et al. (2022). “The evolution of quantum key distribution networks: On the road to the qinternet,” IEEE Commun. Surv. Tut., 24(2), 839–894. DOI:10.1109/COMST.2022.3144219DOI: 10.1109/COMST.2022.3144219Google Scholar
- M. Mehic, M. Niemiec, S. Rass, et al. (2020). “Quantum key distribution: A networking perspective,” ACM Comput. Surv., 53(5), 1–41. DOI:10.1145/3402192DOI: 10.1145/3402192Google Scholar
- W. Z. Liu, Y. Z. Zhang, Y. Z. Zhen, et al. (2022). “Toward a photonic demonstration of device-independent quantum key distribution,” Phys. Rev. Lett., 129(5), 050502. DOI: 10.1103/PhysRevLett.129.050502DOI: 10.1103/PhysRevLett.129.050502Google Scholar
- S. Lin, X. Zhang, G. D. Guo, et al. (2021). “Multiparty quantum key agreement,” Phys. Rev. A, 104(4), 042421. DOI: 10.1103/PhysRevA.104.042421DOI: 10.1103/PhysRevA.104.042421Google Scholar
- L. Li and Z. Li (2020). “A verifiable multiparty quantum key agreement based on bivariate polynomial,” Inf. Sci., 521, 343–349. DOI: https://doi.org/10.1016/j.ins.2020.02.057DOI: 10.1016/j.ins.2020.02.057Google Scholar
- A. Shen, X. Y. Cao, Y. Wang, et al. (2023). “Experimental quantum secret sharing based on phase encoding of coherent states,” Sci China Phys. Mech. Astron., 66(6), 260311.DOI: 10.1007/s11433-023-2105-7Google Scholar
- Y. Tian, J. Li, X. B. Chen, et al. (2021). “An efficient semi-quantum secret sharing protocol of specific bits,” Quantum Inf. Process., 20(6), 217.DOI: 10.1007/s11128-021-03157-2Google Scholar
- Q. Liao, H. Liu, L. Zhu, et al. (2021). “Quantum secret sharing using discretely modulated coherent states,” Phys. Rev. A, 103(3), 032410. DOI: 10.1103/PhysRevA.103.032410DOI: 10.1103/PhysRevA.103.032410Google Scholar
- N. R. Zhou, Q. D. Xu, N. S. Du, et al. (2021). “Semi-quantum private comparison protocol of size relation with d-dimensional Bell states,” Quantum Inf. Process., 20, 1–15.DOI: 10.1007/s11128-021-03056-6Google Scholar
- L. Z. Jiang (2020). “Semi-quantum private comparison based on Bell states,” Quantum Inf. Process., 19(6), 180.DOI: 10.1007/s11128-020-02674-wGoogle Scholar
- L. Yan, S. Zhang, Y. Chang, et al. (2021). “Semi-quantum private comparison protocol with three-particle G-like states,” Quantum Inf. Process., 20, 1–16.DOI: 10.1007/s11128-020-02960-7Google Scholar
- N. Zhou, G. Zeng and J. Xiong (2004). “Quantum key agreement protocol,” Electron. Lett., 40(18), 1. DOI: 10.1049/el:20045183DOI: 10.1049/el:20045183Google Scholar
- T. J. Xu, Y. Chen, M. J. Geng, et al. (2022). “Single-state multi-party semi-quantum key agreement protocol based on multi-particle GHZ entangled states,” Quantum Inf. Process., 21(7), 266.DOI: 10.1007/s11128-022-03615-5Google Scholar
- H. Yang, S. Lu, Q. Zhou, et al. (2024). “Efficient single-state multi-party quantum key agreement,” Quantum Inf. Process., 23(4), 150.DOI: 10.1007/s11128-024-04350-9Google Scholar
- A. Elhadad, S. Abbas, H. Abulkasim, et al. (2020). “Improving the security of multi-party quantum key agreement with five-qubit Brown states,” Comput. Commun., 159, 155–160.DOI: 10.1016/j.comcom.2020.05.021Google Scholar
- Y. F. He and W. P. Ma (2016). “Two-party quantum key agreement against collective noise,” Quantum Inf. Process., 15(12), 5023–5035.DOI: 10.1007/s11128-016-1436-3Google Scholar
- Y. F. He, Y. R. Yue and M. Di (2022). “Two-party mutual authentication quantum key agreement protocol,” Int. J. Theor. Phys., 61(1), 145.DOI: 10.1007/s10773-022-05125-7Google Scholar
- C. Shukla, K. Thapliyal and A. Pathak (2017). “Semi-quantum communication: Protocols for key agreement, controlled secure direct communication, and dialogue,” Quantum Inf. Process., 16, 295. DOI: https://doi.org/10.1007/s11128-017-1736-2DOI: 10.1007/s11128-017-1736-2Google Scholar
- A. Dutta and A. Pathak (2023). “Collective attack free controlled quantum key agreement without quantum memory,” arXiv preprint arXiv:2308.05470. DOI: https://doi.org/10.1088/1402-4896/adaa30DOI: 10.1088/1402-4896/adaa30Google Scholar
- Y. F. He, Y. B. Pang and M. Di (2022). “Mutual authentication quantum key agreement protocol based on Bell states,” Quantum Inf. Process., 21, 290.DOI: 10.1007/s11128-022-03640-4Google Scholar
- Y. F. He, X. Y. Liang and M. Y. Cai (2024). “Two-party mutual authentication semi-quantum key agreement protocol based on Bell states,” Acta Opt. Sin., 05, 261–268.Google Scholar
- M. Boyer, D. Kenigsberg and T. Mor (2007). “Quantum key distribution with classical Bob,” in 2007 First International Conference on Quantum, Nano, and Micro Technologies (IEEE), pp. 10-10. DOI: https://doi.org/10.1103/PhysRevLett.99.140501DOI: 10.1109/ICQNM.2007.18Google Scholar
- Y. F. He, Y. B. Pang, M. Di, et al. (2023). “Four-party semi-quantum key agreement protocol based on four-particle cluster states,” Acta Opt. Sin., 43(20), 271–277.Google Scholar
- Y.F. He, J.Q. Fan and Y.C. Zhang (2025). “Controlled quantum authentication confidential communication protocol for smart healthcare,” Sci. Rep., 15.DOI: 10.1038/s41598-025-02448-3Google Scholar
- D. Damodaran, S. Damodaran, N. Dharini, et al. (2024). “Towards a novel privacy-preserving distributed multiparty data outsourcing scheme for cloud computing with quantum key distribution,” arXiv.Google Scholar
- W. Dür, G. Vidal and J. I. Cirac (2000). “Three qubits can be entangled in two inequivalent ways,” Phys. Rev. A, 62(6), 062314. DOI: https://doi.org/10.1103/PhysRevA.62.062314DOI: 10.1103/PhysRevA.62.062314Google Scholar
- R. Hamzehofi, M. Ashrafpour and D. Afshar (2025). “Genuine entanglement and quantum coherence of amultipartite W state in non-inertial fiames,” Eur. Phys. J. Plus, 140 (10), 986.DOI: 10.1140/epjp/s13360-025-06942-5Google Scholar
- Y.Liu (2023). “Decoherence-free subspace and entanglement sudden death of multi-photonpolarization states in fiber channels,” Commun. Theor. Phys., 75 (4), 045104.DOI: 10.1088/1572-9494/acbaedGoogle Scholar
- C. Peikert (2016). “A Decade of Lattice Cryptography,” Found. Trends Theor. Comput. Sci., 10, 283–424. DOI: https://doi.org/10.1561/0400000074DOI: 10.1561/0400000074Google Scholar
- Q. Y. Cai (2006). “Eavesdropping on the two-way quantum communication protocols with invisible photons,” Phys. Lett. A, 351(1-2), 23–25. DOI: https://doi.org/10.1016/j.physleta.2005.10.050DOI: 10.1016/j.physleta.2005.10.050Google Scholar
- N. R. Zhou, K. N. Zhu and Y. Q. Wang (2020). “Three-party semi-quantum key agreement protocol,” Int. J. Theor. Phys., 59, 663–676.DOI: 10.1007/s10773-019-04288-0Google Scholar
- L. Y. Chen, L. H. Gong and N. R. Zhou (2020). “Two semi-quantum key distribution protocols with G-like states,” Int. J. Theor. Phys., 59, 1884–1896.DOI: 10.1007/s10773-020-04456-7Google Scholar
- A. Cabello (2000). “Quantum key distribution in the Holevo limit,” Phys. Rev. Lett., 85(26), 5635. DOI: https://doi.org/10.1103/PhysRevLett.85.5635DOI: 10.1103/PhysRevLett.85.5635Google Scholar
- X. Ma, J. Hur, Z. Li and H. Zhu (2021). “Quantum mutual authentication key agreement scheme using five-qubit entangle ment towards different realm architecture,” Int. J. Theor. Phys., 60(5), 1933–1948.DOI: 10.1007/s10773-021-04812-1Google Scholar
- L. Yan, S. Zhang, Y. Chang, et al. (2019). “Semi-quantum key agreement and private comparison protocols using Bell states,” Int. J. Theor. Phys., 58, 3852–3862.DOI: 10.1007/s10773-019-04252-yGoogle Scholar
- R. Loura, Á. J. Almeida, P. S. André, et al., “Noise and measurement errors in a practical two-state quantum bit commitment protocol,” Phys. Rev. A, 89, 052336 (2014). DOI: http://dx.doi.org/10.1103/PhysRevA.89.052336DOI: 10.1103/PhysRevA.89.052336Google Scholar
- A. Cabello, “N-particle N-level singlet states: Some properties and applications,” Phys. Rev. A, 66, 042314 (2002). DOI: https://doi.org/10.1103/physrevlett.89.100402DOI: 10.1103/PhysRevLett.89.100402Google Scholar
- J. Gao, L. Santos, G. Krishna, et al. (2023). “Scalable generation and detection of on-demand W states in nanophotonic circuits,” Nano Lett., 23(11), 5350–5357. DOI: https://doi.org/10.1021/acs.nanolett.3c01551DOI: 10.1021/acs.nanolett.3c01551Google Scholar
- H. Häffner, W. Hänsel, C. Roos, et al. (2005). “Scalable multiparticle entanglement of trapped ions,” Nature, 438, 643–646. DOI: https://doi.org/10.1038/nature04279DOI: 10.1038/nature04279Google Scholar
- Y. F. He, X. J. Wei, M. Di, et al. (2021). “Quantum key agreement with higher-dimensional Bell states,” Quantum Inf. Process., 20(4), 103.Google Scholar
- S. Hoque, A. Aydeger and E. Zeydan (2024). “Exploring post-quantum cryptography with quantum key distribution for sustainable mobile network architecture design,” Proc. 4th Workshop on Performance and Energy Efficiency in Concurrent and Distributed Systems, 9–16. DOI: https://doi.org/10.48550/arXiv.2404.10602DOI: 10.1145/3659997.3660033Google Scholar
- H. T. Li, Y. R. Zhang, X. J. Wang, et al. (2019). “Device-independent quantum key distribution based on entangled states,” Quantum Inf. Comput., 19(3), 221–238.Google Scholar
- T. K. Ng, W. K. Wong, C. S. Tsai, et al. (2021). “Quantum protocols for multi-party secure communication,” Phys. Lett. A, 383(12), 1631–1637.Google Scholar
- M. S. Zhan, S. K. Zhang, R. M. Lin, et al. (2023). “Quantum semi-communication protocols and their security analysis,” Quantum Inf. Comput., 21(6), 450–467.Google Scholar
- Chun-Wei Yang, Yu-Yun Huang, Jason Lin, et al. (2024). “ Efficient and secure semi-quantum private comparison protocol using three-particle GHZ-like states against participant attack,” Modern Physics Letters A,Vol.39,No.10,2450037. DOI: https://doi.org/10.1142/S0217732324500378DOI: 10.1142/S0217732324500378Google Scholar
- S. Prajapat, P Kumar and S. Kumar (2024). “A privacy preserving quantum authentication scheme for secure data sharing in wireless body area networks.” Cluster Computing, 1-17.DOI: 10.1007/s10586-024-04449-9Google Scholar
