Evidence map›Paper›PMID 40715332›Full record

ArticleScientific reports2025

Enhancing reliability and security in cloud-based telesurgery systems leveraging swarm-evoked distributed federated learning framework to mitigate multiple attacks.

S Punitha, K S Preetha

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

S PunithaSchool of Electronics Engineering, Vellore Institute of Technology, Vellore, India.
K S PreethaSchool of Electronics Engineering, Vellore Institute of Technology, Vellore, India. kspreetha@vit.ac.in.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Advances in robotic surgery are being driven by the convergence of technologies such as artificial intelligence (AI), 5G/6G wireless communication, the Internet of Things (IoT), and edge computing, enhancing clinical precision, speed, and real-time decision-making. However, the practical deployment of telesurgery and tele-mentoring remains constrained due to increasing cybersecurity threats, posing significant challenges to patient safety and system reliability. To address these issues, a distributed framework based on federated learning is proposed, integrating Optimized Gated Transformer Networks (OGTN) with layered chaotic encryption schemes to mitigate multiple unknown cyberattacks while preserving data privacy and integrity. The framework was implemented using TensorFlow Federated Learning Libraries (FLL) and evaluated on the UNSW-NB15 dataset. Performance was assessed using metrics including precision, accuracy, F1-score, recall, and security strength, and compared with existing approaches. In addition, structured and unstructured security assessments, including evaluations based on National Institute of Standards and Technology (NIST) recommendations, were performed to validate robustness. The proposed framework demonstrated superior performance in terms of diagnostic accuracy and cybersecurity resilience relative to conventional models. These results suggest that the framework is a viable candidate for integration into teleoperated healthcare systems, offering improved security and operational efficiency in robotic surgery applications.

Indexed as

5G/6G wireless communicationArtificial intelligenceInternet of surgical thingsInternet of thingsOptimized gated transformer networksTelesurgery

Identifiers

PMID40715332
PMCPMC12297296

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.