Achieving Efficient and Privacy-Preserving Dynamic Skyline Query in Online Medical Diagnosis

Wireless body area network (WBAN) and big data techniques indubitably enable the online medical diagnosis system to be more practical. In the system, to make a more accurate diagnosis, doctors wish to obtain some archived medical data records, which are similar to the sensed patient data, to learn from the prior diagnoses. As a practically useful similarity search, the dynamic skyline query can provide doctors with similar data records having all possible relative weights of attributes. Driven by the powerful cloud, the data owner often outsources encrypted data and the corresponding services, e.g., dynamic skyline query services here, to a third-party cloud. As a result, it is required to perform the dynamic skyline query over encrypted data. However, existing schemes are either insecure or inefficient. To address the issue, in this article, we propose an efficient and privacy-preserving dynamic skyline query scheme and use it in an online medical diagnosis system. Specifically, based on symmetric homomorphic encryption (SHE), we present a set of efficient and secure protocols to achieve various operations, such as less than comparison, equality test, and dominance determination, without leaking any sensitive information to the cloud. With these secure protocols, we carefully design our dynamic skyline query scheme to attain full security and high efficiency at the same time. Detailed security analysis shows that our proposed scheme is indeed privacy-preserving. With extensive experimental evaluations, we show that our proposed scheme outperforms the alternative scheme by two orders of magnitude in the computational cost and at least $8.1\times $ in the communication cost.