Mask-Resilient Multi-Biometric Authentication for Healthcare
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Abstract
The fast integration of digital healthcare platforms, including telemedicine and electronic health records, has created a significant need for secure, contactless authentication methods. Traditional login methods such as passwords and PINs are increasingly insufficient for ensuring the security of sensitive patient data. This paper presents a robust, lightweight Healthcare Authentication System that five biometric modules to address major challenges in facial recognition: spoofing attacks, liveness detection, and facial occlusion due to mask-wearing. The system leverages RetinaFace for face detection, a MobileNetV2 model for mask classification, a lightweight CNN for blink-based liveness verification, and MiniFASNet for spoof detection. For identity matching, the system utilizes InceptionResNetV1 with ArcFace loss, enabling effective recognition of both masked and unmasked faces through a dual-embedding strategy. Each module was evaluated using benchmark datasets: CASIA-FASD for spoofing, RMFD for mask detection, open/closed eye datasets for blink detection, and VGGFace2 (with synthetic masking) for recognition. The system achieved 91% accuracy in blink detection, 85% in spoof detection, 97% in mask classification, and 96% in face recognition. The complete pipeline achieved 88% overall accuracy on the evaluated dataset. The proposed solution offers a practical and scalable approach for secure biometric authentication in healthcare environments, particularly in clinical settings where hygiene, user accessibility, and anti-spoof measures are essential. This work provides a foundation for future research in offline biometric verification, depth-based spoof detection, and multilingual interface design, contributing toward more inclusive and secure healthcare technologies. While we do not fine-tune model backbones, our contribution lies in a clinically viable integration strategy that combines blink-based liveness, anti-spoofing, mask detection, and face verification under a fixed operating point with identity-disjoint evaluation, achieving 88% end-to-end accuracy on public-dataset inputs.
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References
[1] Z. A. Bahman, “Biometrics in healthcare as a technological contribution to mitigate patient identification errors: A review,” International Journal of Development Research, pp. 64930–64937, 2024, doi: 10.37118/ijdr.27834.02.2024.
[2] Pew Research Center, “Pew Research Center,” 2024. [Online]. Available: https://www.pewresearch.org/
[3] Y. Atoum, Y. Liu, A. Jourabloo, and X. Liu, “Face anti-spoofing using patch and depth-based CNNs,” 2017 IEEE International Joint Conference on Biometrics (IJCB), pp. 319–328, 2017, doi: 10.1109/btas.2017.8272713.
[4] D. N. Nishanth and G. Mallikarjuna Rao, “Liveness detection based on human eye blinking for photo attacks,” International Journal of Engineering and Advanced Technology, vol. 9, no. 1, pp. 4074–4077, 2019, doi: 10.35940/ijeat.a1314.109119.
[5] M. Ngan, P. Grother, and K. Hanaoka, “Ongoing face recognition vendor test (FRVT) part 6A,” NIST Interagency Report, 2020, doi: 10.6028/NIST.IR.8311.
[6] D. Montero, M. Nieto, P. Leskovsky, and N. Aginako, “Boosting masked face recognition with multi-task ArcFace,” arXiv preprint, 2022, doi: 10.1109/SITIS57111.2022.00042.
[7] S. Shuhui and M. Xiaochen, “Dual-proxy modeling for masked face recognition,” Procedia Computer Science, vol. 208, pp. 145–151, 2022, doi: 10.1016/j.procs.2022.10.022.
[8] Y. Himeur et al., “Face mask detection in smart cities using deep and transfer learning: Lessons learned from the COVID-19 pandemic,” Systems, vol. 11, no. 2, pp. 107, 2023, doi: 10.3390/systems11020107.
[9] M. I. Razzak, M. Imran, and G. Xu, “Big data analytics for preventive medicine,” Neural Computing and Applications, vol. 32, no. 9, pp. 4417–4451, 2019, doi: 10.1007/s00521-019-04095-y.
[10] A. Holzinger, C. Biemann, C. S. Pattichis, and D. B. Kell, “What do we need to build explainable AI systems for the medical domain?” arXiv preprint arXiv:1712.09923, 2017. [Online]. Available: https://arxiv.org/abs/1712.09923
[11] Z. Qin et al., “A survey of identity recognition via data fusion and feature learning,” Information Fusion, 2022, doi: 10.1016/j.inffus.2022.10.032.
[12] Z. Yu et al., “Searching central difference convolutional networks for face anti-spoofing,” arXiv preprint, 2020, doi: 10.1109/CVPR42600.2020.00534.
[13] M. Sandler, A. Howard, M. Zhu, A. Zhmoginov, and L.-C. Chen, “MobileNetV2: Inverted Residuals and Linear Bottlenecks,” 2018 IEEE/CVF Conference on Computer Vision and Pattern Recognition, Salt Lake City, UT, USA, pp. 4510–4520, 2018, doi: 10.1109/CVPR.2018.00474.
[14] C. Szegedy, S. Ioffe, V. Vanhoucke, and A. Alemi, “Inception-v4, Inception-ResNet and the impact of residual connections on learning,” in AAAI'17: Proceedings of the Thirty-First AAAI Conference on Artificial Intelligence, vol. 31, no. 1, pp. 4278–4284, 2017.
[15] J. Deng, J. Guo, N. Xue, and S. Zafeiriou, “ArcFace: Additive Angular Margin Loss for Deep Face Recognition,” 2019 IEEE/CVF Conference on Computer Vision and Pattern Recognition (CVPR), Long Beach, CA, USA, pp. 4685–4694, 2019, doi: 10.1109/CVPR.2019.00482.
[16] Z. Wang, B. Huang, G. Wang, P. Yi, and K. Jiang, “Masked face recognition dataset and application,” IEEE Transactions on Biometrics, Behavior, and Identity Science, vol. 5, no. 2, pp. 298–304, April 2023, doi: 10.1109/TBIOM.2023.3242085.
[17] A. Cabani, K. Hammoudi, H. Benhabiles, and M. Melkemi, “MaskedFace-Net – A dataset of correctly/incorrectly masked face images in the context of COVID-19,” Smart Health, vol. 19, pp. 100144, 2021, doi: 10.1016/j.smhl.2020.100144.
[18] N. D. Lane et al., “DeepX: A Software Accelerator for Low-Power Deep Learning Inference on Mobile Devices,” 2016 15th ACM/IEEE International Conference on Information Processing in Sensor Networks (IPSN), Vienna, Austria, pp. 1–12, 2016, doi: 10.1109/IPSN.2016.7460664.
[19] J. Deng, J. Guo, E. Ververas, I. Kotsia, and S. Zafeiriou, “RetinaFace: Single-shot multi-level face localisation in the wild,” 2020 IEEE/CVF Conference on Computer Vision and Pattern Recognition (CVPR), Seattle, WA, USA, pp. 5202–5211, 2020, doi: 10.1109/CVPR42600.2020.00525.
[20] X. Zhang, X. Zhou, M. Lin, and J. Sun, “ShuffleNet: An extremely efficient convolutional neural network for mobile devices,” 2018 IEEE/CVF Conference on Computer Vision and Pattern Recognition, Salt Lake City, UT, USA, pp. 6848–6856, 2018, doi: 10.1109/CVPR.2018.00716.
[21] P. Chitrapu, M. K. Morampudi, and H. K. Kalluri, “A secure and explainable multimodal biometric system using trust adaptive fusion for face and fingerprint,” Scientific Reports, vol. 16, p. 14244, 2026, doi: 10.1038/s41598-026-43252-x.
[22] A. Al Abdulwahid, “Privacy-aware continuous federated biometric authentication (PACFBA) using federated deep learning: A novel usable security framework,” Scientific Reports, 2026, doi: 10.1038/s41598-026-55046-2.