Hybrid RAG-empowered Multi-modal LLM for Secure Data Management in Internet of Medical Things: A Diffusion-based Contract Approach

Secure data management and effective data sharing have become paramount in the rapidly evolving healthcare landscape, especially with the growing integration of the Internet of Medical Things (IoMT). The rise of generative artificial intelligence has further elevated Multi-modal Large Language Models (MLLMs) as essential tools for managing and optimizing healthcare data in IoMT. MLLMs can support multi-modal inputs and generate diverse types of content by leveraging large-scale training on vast amounts of multi-modal data. However, critical challenges persist in developing medical MLLMs, including security and freshness issues of healthcare data, affecting the output quality of MLLMs. To this end, in this paper, we propose a hybrid Retrieval-Augmented Generation (RAG)-empowered medical MLLM framework for healthcare data management. This framework leverages a hierarchical cross-chain architecture to facilitate secure data training. Moreover, it enhances the output quality of MLLMs through hybrid RAG, which employs multi-modal metrics to filter various unimodal RAG results and incorporates these retrieval results as additional inputs to MLLMs. Additionally, we employ age of information to indirectly evaluate the data freshness impact of MLLMs and utilize contract theory to incentivize healthcare data holders to share their fresh data, mitigating information asymmetry during data sharing. Finally, we utilize a generative diffusion model-based deep reinforcement learning algorithm to identify the optimal contract for efficient data sharing. Numerical results demonstrate the effectiveness of the proposed schemes, which achieve secure and efficient healthcare data management.