Comparative study of several operation modes of AES algorithm for encryption ECG biomedical signal

Biomedical signal processing provides a cross-disciplinary international forum through which research on signal and images measurement and analysis in clinical medicine as well as biological sciences is shared. Electrocardiography (ECG) signal is more frequently used for diagnosis of cardiovascular diseases. However, the ECG signals contain sensitive private health information as well as details that serve to individually distinguish patients. For this reason, the information must be encrypted prior to transmission across public media so as to prevent unauthorized access by adversaries. In this paper, the proposed the use of the Advanced Encryption Standard algorithm (AES), which is one of a symmetric key block cipher with lightweight properties for enhances confidentiality, integrity and authentication in ECG signal transmission. However, some of the challenges arising from the use of this algorithm are computational overhead and level of security, which occur when handling more complex.The AES algorithm has different operation modes using three different key sizes which can be utilized in encrypting the whole sample of ECG biomedical signal in electronic healthcare. The experiments in this research, exhibit comparative study of using five modes of operation in AES algorithm, which are coupled with three key sizes based on the execution time and security level for the encryption of ECG biomedical signals in electronic healthcare application. Thus, we reported that the CBC mode of the AES algorithm is suitable to be applied of security purpose