Deepfake videos in the healthcare field, subject of criminalistic analysis

Authors

Keywords:

deepfake, digital evidence, telemedicine, forensics, Medical law, digital examination

Abstract

The rapid development of generative neural networks has given rise to the phenomenon of deepfakes— synthetic audio and video recordings that are virtually indistinguishable from the real thing. In the medical field, such substitutions can confuse patients and doctors, mask medical errors, falsify telemedicine consultations, and create false evidence. This article provides a forensic analysis of deepfake videos and explores the legal and technological challenges of detecting them. Based on a comparative analysis of legislation and modern digital forensics methods, the article examines visual, audiovisual, and digital indicators of falsification, threats to the reliability of evidence, and the medical sector's need for new authentication protocols. It also argues for the need for international harmonization of labeling requirements, the development of specialized datasets for medical purposes, the implementation of blockchain technologies in the evidence chain, and interdisciplinary training of experts.

References

1. Advisory Committee on Evidence Rules. Agenda for committee meeting, April 19, 2024. Washington: Judicial Conference of the USA, 2024. În: https://www.uscourts.gov/sites/default/files/2024-04_agenda_book_for_evidence_rules_meeting_final.pdf (accesat la 15.12.2025).

2. Advisory Committee on Evidence Rules. Agenda for committee meeting, May 2, 2025. Washington: Judicial Conference of the USA, 2025. În: https://www.uscourts.gov/sites/default/files/document/2025-05_evidence_rules_committee_agenda_book_final.pdf (accesat la 15.12.2025).

3. Amped Software. Deepfake forensics is much more than deepfake detection! În: Amped Blog, 2025. În: https://blog.ampedsoftware.com/2025/04/deepfakeforensics-is-much-more-than-deepfake-detection/ (accesat la 15.12.2025).

4. Babic B. et al. A general framework for governing marketed AI/ML medical devices. În: npj Digital Medicine, 2025,art. 328. În: https://www.nature.com/articles/s41746-025-01717-9 (accesat la 15.12.2025).

5. Bodrov N.F., Lebedeva A.K. Analysis of judicial practice in establishing circumstances in cases of unlawful distribution of generative content created using artificial intelligence technologies. În: Legal Research, 2024. În: https://cyberleninka.ru/article/n/analiz-sudebnoy-praktiki-ustanovleniya-obstoyatelstv-v-sluchayah-protivopravnogo-rasprostraneniya-generativnogo-kontenta-sozdannogo (accesat la 15.12.2025).

6. Ciftci U., Demir I., Yin L. FakeCatcher: Detecting synthetic portrait videos using biological signals. În: arXiv, 2020. În: https://arxiv.org/abs/1901.02212 (accesat la 15.12.2025).

7. Council of Europe. Convention on Cybercrime (Budapest Convention), 2001. În: https://www.coe.int/en/web/cybercrime/the-budapest-convention (accesat la 15.12.2025).

8. Council of Europe. CyberEast+: Stakeholders from the Republic of Moldova analyze the benefits of common tools for incident/evidence handlingand digital forensics, 2025. În: https://www.coe.int/en/web/cybercrime/-/cybereast-stakeholders-from-the-republic-of-moldova-analyse-the-benefits-of-common-tools-for-incident/evidence-handling-and-digital-forensics (accesat la 15.12.2025).

9. Council of Europe. European Convention on Human Rights, Article 8 - Right to respect for private and family life.Strasbourg, 1950. În: https://www.coe.int/en/web/human-rights-convention/private-life (accesat la 15.12.2025).

10. Delfino R. Deepfakes on trial 2.0: a revised proposal for a new federal rule of evidence to mitigate deepfake deceptions in court. Advisory Committee on Evidence Rules (USA), 2025. În: https://www.uscourts.gov/sites/default/files/2025-04/25-ev-a_suggestion_from_prof._rebecca_delfino_-_rule_901.pdf (accesat la 15.12.2025). https://doi.org/10.2139/ssrn.5188767

11. Dolhansky B. et al. The DeepFake Detection Challenge (DFDC) dataset. În: arXiv, 2020. În: https://arxiv.org/abs/2006.07397 (accesat la 15.12.2025).

12. European Parliament. EU AI Act: first regulation on artificial intelligence. În: Parliament News, 2023. În: https://www.europarl.europa.eu/topics/en/article/20230601STO93804/eu-aiact-first-regulation-on-artificial-intelligence (accesat la 15.12.2025).

13. Ismail I., Ariffin K.A.Z., Houck M.M. The admissibility of digital evidence from open-source forensic tools: development of a framework for legal acceptance. În: PLOS ONE, 2025. În: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0331683 (accesat la 15.12.2025). https://doi.org/10.1371/journal.pone.0331683

14. Kochetova A. Deepfakes and responsibility for their distribution: what you need to know. În: LegalAcademy, 2024. În: https://legalacademy.ru/sphere/post/dipfeiki-i-otvetstvennost-za-ihrasprostranenie-chto-vazhno-znat (accesat la 15.12.2025).

15. Li S. et al. Toward Medical Deepfake Detection: a comprehensive dataset and novel method. În: arXiv, 2025. În:https://arxiv.org/abs/2509.15711 (accesat la 15.12.2025).

16. Linna Jr. D. Deepfakes in Court: How Judges Can Proactively Manage AIGenerated Evidence. În: University of Chicago Legal Forum, 2025. În: https://legal-forum.uchicago.edu/print-archive/deepfakes-court-how-judges-canproactively-manage-alleged-ai-generated-material (accesat la 15.12.2025). https://doi.org/10.2139/ssrn.4943841

17. Losey R. The problem of deepfakes and AIgenerated evidence. În: EDRM Blog, 2024. În: https://edrm.net/2024/04/the-problem-of-deepfakes-and-ai-generated-evidence (accesat la 15.12.2025).

18. Milmo D. Smudgy chins, weird hands, dodgy numbers: seven signs you're watching a deepfake. În: The Guardian, 01.07.2024. În: https://www.theguardian.com/technology/article/2024/jul/01/seven-signs-deepfake-artificial-intelligence-videos-photographs (accesat la 15.12.2025).

19. Mitchell A. Deepfaked evidence: what case law tells us about how the rules of authenticity need to change. În: Berkeley Technology Law Journal Blog, 2025. În: https://btlj.org/2025/06/deepfaked-evidence-what-case-law-tellsus-about-how-the-rules-of-authenticity-needs-to-change/ (accesat la 15.12.2025).

20.Moldova1. Authorities warn of fake video featuring Prime Minister Dorin Recean. 09.09.2025. În: https://www.moldpres.md/rus/politika/vlasti-preduprezhdayut-o-fejkovom-video-s-premer-ministrom-dorinom-rechanom (accesat la 15.12.2025).

21. National Center for State Courts. Artificial Intelligence Evidence in Jury Trials: a discussion of current law and emerging issues. NCSC webinar, 2025. În: https://www.ncsc.org/events (accesat la 15.12.2025).

22. National Conference of State Legislatures. Deceptive audio or visual media ("Deepfakes") 2024 legislation, 2024. În: https://www.ncsl.org/technologyand-communication/deceptive-audioor-visual-media-deepfakes-2024-legislation (accesat la 15.12.2025).

23. OECD. OECD AI Principles - valuesbased principles and policy recommendations, 2019 (actualizat 2024). În: https://oecd.ai/en/dashboards/aiprinciples/P11 (accesat la 15.12.2025).

24. Paravision. Paravision Deepfake Detection: HighTrust AI for Face Recognition and Liveness, 2025. În: https:// www.paravision.ai/products/paravision-deepfake-detection (accesat la 15.12.2025).

25. Ricci K. Exploitation of AI in the Healthcare Industry: Threats and Risk Management. În: Citrin Cooperman News & Insights, 03.09.2025. În: https://citrincooperman.com/In-Focus-Resource-Center/Exploitation-ofAI-in-the-Healthcare-Industry-Threats-and-Risk-Management (accesat la 15.12.2025).

26. Sandoval M.-P. et al. Threat of deepfakes to the criminal justice system: a systematic review. În: Crime Science, 2024. În: https://link.springer.com/article/10.1186/s40163-024-00239-1 (accesat la 15.12.2025).

27. Schjødt Law Firm. AI Act definition of deepfake and disclosure obligation, 2024. În: https://schjodt.com/news/deep-fakes-in-the-ai-act (accesat la 15.12.2025).

28. Seibold C. et al. Highquality deepfakes have a heart! În: Frontiers in Imaging, 2025. În: https://www.frontiersin.org/articles/10.3389/fimag.2025.1504551/full (accesat la 15.12.2025). https://doi.org/10.3389/fimag.2025.1504551

29. Singh S., Dhumane A. Unmasking digital deceptions: an integrative review of deepfake detection, multimedia forensics and cybersecurity challenges.În: MethodsX, 2025. În: https://www.sciencedirect.com/science/article/pii/S2215016125004765 (accesat la 15.12.2025). https://doi.org/10.1016/j.mex.2025.103632

30.Taylor Duma J. The evolving threat of deepfake telemedicine scams. În: Taylor Duma Insights, 2024. În: https://insights.taylorduma.com/the-evolving-threat-of-deepfake-telemedicinescams (accesat la 15.12.2025).

31. The BMJ. Trusted TV doctors "deepfaked" to promote health scams on social media. BMJ, 2024. În: https://bmjgroup.com/trusted-tv-doctors-deepfakedto-promote-health-scams-on-socialmedia/ (accesat la 15.12.2025).

32. VIDA. Deepfake Threatens Healthcare Services. În: VIDA Blog, 08.05.2024. În: https://vida.id/en/blog/beware-deepfake-threatens-healthcare-services (accesat la 15.12.2025).

33. XPHY. Secure healthcare & telemedicine with realtime deepfake detection: Deepfake Detector use cases. XPHY, 2025. În: https://x-phy.com/deepfake-detection/ (accesat la 15.12.2025)

Published

22.05.2026

Issue

Section

Articles

How to Cite

“Deepfake videos in the healthcare field, subject of criminalistic analysis” (2026) Scientific Annals of the "Ştefan cel Mare" Academy of the Ministry of Internal Affairs of the Republic of Moldova, (22), pp. 85–100. Available at: https://ojs.lux.md/anale-stiintifice/article/view/84 (Accessed: 3 June 2026).

Similar Articles

1-10 of 11

You may also start an advanced similarity search for this article.