Evidence map›Paper›PMID 42038257›Full record

ArticleResearch (Washington, D.C.)2026

Explainable Deep Reinforcement Learning for Anomaly Detection in IoT-Enabled Metaverse Healthcare: Toward Trustworthy Cyber Threat Intelligence.

Jing Yang, Xu Xu, Muhammad Attique Khan, Ghassen Ben Brahim, Jamel Baili, Lip Yee Por, Congsheng Li

Abstract read
In one paragraph

Article in Research (Washington, D.C.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Jing YangCenter of Research for Cyber Security and Network (CSNET), Faculty of Computer Science and Information Technology, Universiti Malaya, Kuala Lumpur 50603, Malaysia.ORCID https://orcid.org/0000-0002-8132-8395
Xu XuSchool of Computer Science and Engineering, Northeastern University, Shenyang 110004, China.
Muhammad Attique KhanCenter of AI, Prince Mohammad Bin Fahd University, Al-Khobar, Saudi Arabia.
Ghassen Ben BrahimCenter of AI, Prince Mohammad Bin Fahd University, Al-Khobar, Saudi Arabia.
Jamel BailiDepartment of Computer Engineering, College of Computer Science, King Khalid University, Abha 61413, Saudi Arabia.
Lip Yee PorCenter of Research for Cyber Security and Network (CSNET), Faculty of Computer Science and Information Technology, Universiti Malaya, Kuala Lumpur 50603, Malaysia.
Congsheng LiChina Telecommunication Technology Laboratory, China Academy of Information and Communications Technology, Beijing 100191, China.ORCID https://orcid.org/0000-0002-7658-1943

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The dynamic metaverse paradigm integrates emerging technologies and offers transformative opportunities to enhance consumer healthcare applications through immersive, connected experiences. However, this paradigm faces substantial cybersecurity challenges, such as distributed denial-of-service attacks, probing, and port scanning. This undermines the trustworthiness and resilience of healthcare analytics frameworks. To address these threats, intrusion detection systems that support proactive anomaly detection are essential for securing metaverse-based healthcare applications. Conventional anomaly detection techniques face challenges such as low interpretability, suboptimal feature selection, class imbalance, and inefficient hyperparameter tuning. These challenges limit their reliability in practical cyber threat intelligence settings. To solve these challenges, this paper presents an anomaly-detection framework for Internet of Things-enabled metaverse healthcare environments. The proposed framework leverages an off-policy proximal policy optimization (PPO) algorithm that incorporates SHapley Additive exPlanations-based feature selection and class-specific reward adjustments to address imbalance. The reinforcement learning-based off-policy PPO enables adaptive, sample-efficient learning by leveraging prior experience during policy updates. The hyperparameters of the model are optimized using the Bayesian Optimization Hyperband algorithm to accelerate training and enhance performance. This optimization technique combines Bayesian search with the Hyperband method to improve efficiency and convergence during model tuning. The performance of our model is evaluated on NSL-KDD, MAWI, and CICIoT2023 datasets. The results depict that the model outperformed its contemporaries with state-of-the-art results where accuracy, F-measure, G-means, and area under the curve reached 88.005%, 87.271%, 87.986%, and 0.870; 92.184%, 88.992%, 89.738%, and 0.873; and 89.368%, 88.312%, 89.039%, and 0.836, respectively. The results confirm the effectiveness of the framework in cyber threat scenarios. They also show their potential for explainable, trustworthy intelligence in metaverse healthcare.

Identifiers

PMID42038257
PMCPMC13103463

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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.