Implementation of Cybersecurity systems in Teleradiology Services- Best Practices
Main Article Content
Abstract
Teleradiology services provides access to healthcare services by allowing radiologists to interpret medical images remotely particularly in rural or underserved regions, while enabling faster diagnostics and treatment. In the last twenty years, the increased internet penetration and digital infrastructure, technological advancements such as Radiology Information System, Picture Archiving and Communication Systems and application of deep learning algorithms in imaging technology has resulted in the significant growth in this field but has also engendered a significant cybersecurity concern. It is important for providers and users to be constantly vigilant and to implement strong information security practices to protect against cyber-threats and to ensure the confidentiality, integrity, and availability of patient data. With cyber threats evolving at an alarming rate, every employee plays a crucial role in protecting an organization from potential attacks. Employees are often the first line of defense, acting as gatekeepers against breaches, phishing scams, and other malicious activities. Therefore, regular employee training is a crucial aspect of the successful implementation of cybersecurity systems. This article provides an overview of the best practices that an ideal cybersecurity system of a teleradiology service provider should follow. An ideal cybersecurity workflow in a teleradiology reporting system should include risk assessment, policy and procedure development, network security through firewalls, data and image encryption, regular employee training, incidence response plan and continuous monitoring and evaluation of the cybersecurity system. A deep understanding of the topic is integral in ensuring the safe, secure and successful implementation of teleradiology in healthcare.
Article Details
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References
2. Chandramohan A, Krothapalli V, Augustin A, Kandagaddala M, Thomas HM, Sudarsanam TD, et al. Teleradiology and technology innovations in radiology: status in India and its role in increasing access to primary health care. The Lancet Regional Health - Southeast Asia. Apr 2023 https://doi.org/10.1016/j.lansea.2023.100195,
3. Burute N, Jankharia B. Teleradiology: The Indian perspective. Indian J Radiol Imaging. 2009; 19(1):16–8.
4. Markets and Markets. Teleradiology Market by Product and service (Services, Hardware, Software (PACS, RIS)), Imaging Technique (MRI, CT, X-ray, Ultrasound, Mammograpy, Nuclear Imaging), End User (Hospitals, Diagnostic Centers & Laboratories) & Region- Global Forecast to 2026. Available at https://www.marketsandmarkets.com/Market-Reports/teleradiology-market-8937290.html Accessed 24 December 2024.
5. Medical Buyer. Available at https://www.medicalbuyer.co.in/india-teleradiology-market-to-hit-usd-2-43-billion/ Accessed 24 December 2024.
6. Nguyen XV, Petscavage-Thomas JM, Straus CM, Ikuta I. Cybersecurity in radiology: Cautionary Tales, Proactive Prevention, and What to do When You Get Hacked. Current Problems in Diagnostic Radiology. Jul 2024, https://doi.org/10.1067/j.cpradiol.2024.07.010
7. Ackcent Cybersecurity. Why the Healthcare Industry Is a Prime Target for Cyberattacks Ackcent Cybersecurity May 15, 2023 https://ackcent.com/why-the-healthcare-industry-is-a-prime-target-for-cyberattacks/
8. Cybersecurity Healthcare. Enhancing Security with Healthcare Data Encryption Solutions. February 8, 2024 https://www.cit-net.com/enhancing-security-with-healthcare-data-encryption-solutions /.
9. Kelley, K: What is Cybersecurity and Why It is Important? Nov 17, 2024 https://www.simplilearn.com/tutorials/cyber-security-tutorial/what-is-cyber- security#:~:text=Cybersecurity%20is%20the%20protection%20to,data%20breaches%2C%20and%20financial%20losses
10. Ang A: 1.9 million cyberattacks against Indian healthcare recorded in 2022, Healthcare IT News, December 05, 2022 https://www.healthcareitnews.com/news/asia/19-million-cyberattacks-against-indian-healthcare-recorded-2022
11. Indian healthcare sector faces 6,953 cyberattacks weekly, outpacing global rates: Check Point threat intelligence report, Express Computer. Jun 28, 2024. https://www.expresscomputer.in/news/indian-healthcare-sector-faces-6953-cyberattacks-weekly-outpacing-global-rates-check-point-threat-intelligence-report/113528/
12. Seon. Available at https://seon.io/resources/global-cybercrime-report/ Accessed 24 December 2024.
13. Gandhi P, Pahwa S. All India Institute of Medical Sciences (AIIMS), Delhi: Cyberattack Puts Digitalisation Under Scanner. JIM [Internet]. Apr 2024. Available from: https://jim.imibh.edu.in/pages/table-of-contents/fulltext/?id=72&title=All+India+Institute+of+Medical+Sciences+(AIIMS),+Delhi:+Cyberattack+Puts+Digitalisation+Under+Scanner
14. Lessing, M. Case Study: WannaCry Ransomware Available from: https://www.sdxcentral.com/security/definitions/what-is-ransomware/case-study-wannacry-ransomware/ Accessed 24 December 2024.
15. Chen, P.-H., Bodak, R., Gandhi, N.S. Ransomware Recovery and Imaging Operations: Lessons Learned and Planning Considerations. J Digit Imaging, 2021; 34: 731–740. https://doi.org/10.1007/s10278-021-00466-x
16. Namoca E: Ransomware Attack on the University of Vermont Health Network March 4, 2021 https://westoahu.hawaii.edu/cyber/ics-cybersecurity/ics-weekly-summaries/ransomware-attack-on-the-university-of-vermont-health-network/
17. Eichelberg M, Kleber K, Kämmerer M. Cybersecurity in PACS and Medical Imaging: an Overview. J Digit Imaging, 2020 Dec; 33(6):1527–42.
18. Özmen MN, Dicle O, Şenol U, Aydıngöz Ü. TSR guidelines for the practice of teleradiology: 2021 update. Diagn Interv Radiol., Jul 2021; 27(4):504–10.
19. Ruotsalainen P. Privacy and security in teleradiology. European Journal of Radiology, Jan 2010; 73(1):31–5.
20. Kalyanpur A, Nair HTS, Mathur N. Teleradiology Service is Indispensable in the Indian Healthcare Sector. International Journal of Health Technology and Innovation, 2023; 2(2):1-3.
21. Liu D. and Zhang J. Y. Case Study of Security in Teleradiology Reporting System for Management of Data from Multiple Enterprises, 2011; 2(4).
22. Databrackets, Available from: https://databrackets.com/cybersecurity-and-compliance-best-practices-for-radiology/ Accessed 24 December 2024.
23. Enhancing Security with Healthcare Data Encryption Solutions Cybersecurity, Healthcare February 8, 2024 Available from: https://www.cit-net.com/enhancing-security-with-healthcare-data-encryption-solutions/ Accessed 24 December 2024.
24. Zafar S. R. Data Security in Teleradiology: The Power of Homomorphic Encryption 2023. https://www.linkedin.com/pulse/unlocking-data-security-teleradiology-power-encryption-zafar/
25. Frontegg, Available from: https://frontegg.com/guides/rbac Accessed 24 December 2024.
26. Hady AA, Ghubaish A, Salman T, Unal D, Jain R: Intrusion Detection System for Healthcare Systems Using Medical and Network Data: A Comparison Study. IEEE Access, 2020; 8:106576–84.
27. Akram F, Liu D, Zhao P, Kryvinska N, Abbas S, Rizwan M. Trustworthy Intrusion Detection in E-Healthcare Systems. Front Public Health, 2021; 9:788347
28. BasuMallick C: Top 10 Endpoint Detection and Response Tools in 2022, 2022. https://www.spiceworks.com/it-security/endpoint-security/articles/best-edr-tools/
29. Medtrainer, Available from: https://medtrainer.com/blog/healthcare-incident-response-plan/ Accessed 24 December 2024.
30. Check point, Available from: https://www.checkpoint.com/cyber-hub/cyber-security/what-is-incident-response/the-6-phases-of-an-incident-response-plan/#:~:text=An%20incident%20response%20plan%20is,security%20incidents%20within%20an%20organization, Accessed 24 December 2024.
31. DrKumo, Available from: https://drkumo.com/tips-for-cybersecurity-for-healthcare-providers/, Accessed 24 December 2024.
32. RSI Security, Cybersecurity Best Practices for Telemedicine, 2020. https://blog.rsisecurity.com/cybersecurity-best-practices-for-telemedicine/,
33. Alder S: What is ISO/IEC 27001 in Healthcare? Feb 6, 2024. https://www.hipaajournal.com/iso-iec-27001-in- healthcare/#:~:text=ISO%2FIEC%2027001%20in%20healthcare%20is%20a%20standard%20for%20managing,an%20information%20security%20management%20system,
34. Singh M. and Musyuni P: Digital Health Laws and Regulations India 2024. 2024. https://iclg.com/practice-areas/digital-health-laws-and-regulations/india,
35. Crowdstrike, Available from: https://www.crowdstrike.com/en-us/cybersecurity-101/cloud-security/cloud-security-audit/ Accessed 24 December 2024.
36. Kelly BS, Quinn C, Belton N, Lawlor A, Killeen RP, Burrell J: Cybersecurity considerations for radiology departments involved with artificial intelligence. Eur Radiol, Dec 2023; 33(12):8833–41,
37. Haleem, A., Javaid, M., Singh, R.P., Suman, R., Rab, S.: Blockchain technology applications in healthcare: An overview. International Journal of Intelligent Networks 2, 130–139, 2021; https://doi.org/10.1016/j.ijin.2021.09.005
38. Kshetri, N: Blockchain and Electronic Healthcare Records [Cybertrust]. Computer 51, 2018; 59–63, https://doi.org/10.1109/MC.2018.2880021
39. Kaspersky, What is Cloud Security? Available from: https://www.kaspersky.com/resource-center/definitions/what-is-cloud-security, Accessed 24 December 2024.