ArticleScientific reports2025
Enhancing reliability and security in cloud-based telesurgery systems leveraging swarm-evoked distributed federated learning framework to mitigate multiple attacks.
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.
What it found
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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.
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.
Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Telesurgery in prostate cancer: a systematic review of clinical applications and future directions.Prostate cancer and prostatic diseases · 2026Pooled it
- Quantum-resilient cross-trust evaluation for zero trust 5G security.Scientific reports · 2026Article
- Federated Learning in Edge Computing: Vulnerabilities, Attacks, and Defenses-A Survey.Sensors (Basel, Switzerland) · 2026Review
- Quantum-entangled neuro-symbolic swarm federation for privacy-preserving IoMT-driven multimodal healthcare.Scientific reports · 2025Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
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.
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Registered trials
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.