Secure and Resilient IoMT Node Deployment: Enhancing Privacy and Threat Mitigation with 3D Voronoi Diagrams and a PSO-GA Hybrid Algorithm in Healthcare Networks

The Internet of Medical Things (IoMT) is transforming healthcare by enabling real-time monitoring, diagnostics, and secure data-driven decision-making. However, IoMT networks are vulnerable to adversarial attacks, data breaches, and privacy threats, making secure and optimized node deployment a critical challenge. This paper presents a novel framework integrating 3D Voronoi diagrams and K-means clustering with a hybrid Particle Swarm Optimization-Genetic Algorithm (PSOGA) to optimize IoMT node placement while enhancing security and resilience. Initially, K-means clustering distributes nodes, followed by spatial partitioning with 3D Voronoi diagrams. The PSO-GA hybrid algorithm then iteratively refines node positions, balancing rapid convergence with global exploration to achieve optimal configurations that improve coverage, energy efficiency, and secure data exchange. Additionally, the proposed approach integrates risk assessment techniques and privacypreserving mechanisms to mitigate adversarial threats, ensuring robustness against poisoning and evasion attacks. By dynamically adapting to changing healthcare environments, the framework enhances network resiliency while aligning with AI security and privacy-by-design principles. Experimental results validate the algorithm's scalability and effectiveness, making it a promising solution for real-world IoMT applications in secure medical monitoring, diagnostics, and AI-driven threat intelligence.