Explainable Hybrid Feature Selection for Intrusion Detection in Internet of Medical Things Environments

Internet of Medical Things (IoMT) networks are hard to protect: devices are heterogeneous, computing resources are scarce, and traffic must be analyzed in real time. We present an intrusion detection system that addresses these constraints through feature selection. A Pearson correlation filter first removes redundant attributes; a hybrid strategy then combines model-based feature importance with SHAP attribution to pick a compact subset, on which we train Random Forest and LightGBM classifiers. SHAP and LIME explain what each retained feature contributes to the decisions. On CIC-IoMT 2024 and CIC-IDS 2017, the method cuts the feature space by up to 88% - from 40 to as few as 5 features - and accuracy and F1-score stay within a few points of models trained on all features. Compact, interpretable detectors of this kind are practical candidates for deployment on resource-limited medical networks.

Clinical Pathways as Safety Specifications for Physical AI in Hospital Wards

Ensuring safety in Physical AI systems operating in real-world environments is a critical challenge, particularly in hospital wards where vulnerable patients, clinical staff, medical devices, and assistive robots coexist. In this paper, we reinterpret Clinical Pathways as explicit runtime safety specifications for embodied medical AI. We propose a conceptual robotic architecture that integrates wearable sensors, smart medical devices, and assistive robotic components into a unified framework for real-time safety monitoring. At its core, a Runtime Safety Monitor (RSM) evaluates multimodal physiological and system-level signals against clinically defined constraints derived from the prescribed care process. Rather than relying solely on statistical anomaly detection, the proposed approach combines temporal prediction, uncertainty-aware reasoning, and constraint-based verification to identify safety violations. The RSM targets three classes of events: physiological deviations from prescribed care, hardware and communication failures, and potential data tampering or misuse. This work contributes to Safe Physical AI by operationalizing domain-specific clinical knowledge as enforceable safety constraints, bridging learning-based perception and runtime safety monitoring to assist nursing staff in real-world hospital wards.