The sharing of pathological data is of utmost importance in various applications such as remote diagnosis, graded diagnosis, illness treatment, and specialist system development. However, ensuring reliable, secure, privacy-preserving, and efficient sharing of pathological data pose significant challenges. This paper presents a novel solution that leverages blockchain technology to ensure reliability in pathological data sharing. Additionally, it employs conditional proxy re-encryption (C-PRE) and public key encryption with equality test technology to control the scope and preserve the privacy of shared data. To assess the practicality of our solution, we have implemented a prototype system using Hyperledger Fabric and conducted evaluations with various metrics. We also compared the solution with relevant schemes. The results demonstrate that the proposed solution effectively meets the requirements for pathological data sharing and is practical in production scenarios.

Enclaves, such as those enabled by Intel SGX, offer a hardware primitive for shielding user-level applications from the OS. While enclaves are a useful starting point, code running in the enclave requires additional checks whenever control or data is transferred to/from the untrusted OS. The enclave-OS interface on SGX, however, can be extremely large if we wish to run existing unmodified binaries inside enclaves. This article presents Ratel , a dynamic binary translation engine running inside SGX enclaves on Linux. Ratel offers complete interposition , the ability to interpose on all executed instructions in the enclave and monitor all interactions with the OS. Instruction-level interposition offers a general foundation for implementing a large variety of inline security monitors in thefuture. We take a principled approach in explaining why complete interposition on SGX is challenging. We draw attention to five design decisions in SGX that create fundamental trade-offs between performance and ensuring complete interposition, and we explain how to resolve them in the favor of complete interposition. To illustrate the utility of the Ratel framework, we present the first attempt to offer binary compatibility with existing software on SGX. We report that Ratel offers binary compatibility with over 200 programs we tested, including micro-benchmarks and real applications, such as Linux shell utilities. Runtimes for two programming languages, namely, Python and R, tested with standard benchmarks work out-of-the-box on Ratel without any specialized handling.