用数字孪生与自适应欺骗防御医疗物联网的隐私与安全威胁

The rapid proliferation of IoT and IoMT devices introduces critical cybersecurity vulnerabilities in healthcare and industrial environments where resource-constrained devices operate under strict latency and data-privacy regulations. This paper presents the Federated Temporal Graph Convolutional Network with Advantage Actor-Critic (Federated TGCN-A2C), a privacy-preserving defense architecture integrating four mechanisms: a PyG-based Temporal GCN using GCNConv layers with global mean pooling and a learned anomaly gate for flow-level threat classification; LSTM-based Digital Twins generating per-device anomaly scores gating the classifier via learned sigmoid coupling; a Federated A2C agent selecting among ALLOW, ISOLATE, and HONEYPOT-REDIRECT actions based on a seven-dimensional state capturing confidence, entropy, anomaly magnitude, and traffic composition; and an enhanced honeypot layer converting suspicious traffic into threat intelligence with adaptive thresholds. Federated aggregation employs EMA-smoothed per-client validation losses as inverse-weighted FedAvg coefficients to stabilize global model updates under non-IID distributions, with cosine-annealed learning rates per round. Evaluated on CICDDoS 2019 and TON-IoT benchmarks, the framework achieves 99.48% and 99.61% test accuracy with weighted-F1 scores of 0.9948 and 0.9961, converging within 25 and 10 federated rounds, outperforming Fed-Inforce-Fusion by 0.21 percentage points while covering three additional attack categories. All sixteen CICDDoS 2019 classes achieve F1 of at least 0.9237 and all ten TON-IoT classes achieve F1 of at least 0.9488, including the severely imbalanced MITM category. Post-hoc explainability via SHAP, LIME, Grad-CAM, and counterfactual analysis confirms decisions are grounded in semantically meaningful flow features, supporting regulatory accountability in clinical deployments.