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Security check-up: How Cullman Regional Medical Center uses Darktrace to secure its patient data

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26
Oct 2022
26
Oct 2022
Discover how Cullman Regional Medical Center secures its invaluable services and avoids potentially life-threatening cyber-attacks with Darktrace's Self-Learning AI and the Cyber AI Analyst.

Cullman Regional Medical Center strives to improve the health of our community by providing excellent medical resources. We have over 50 providers offering a wide range of specialized care across our offices in Cullman and Hartselle, Alabama. 

To deliver the best services possible, we rely on technology. Staff members record medical histories in digital files. Guests interact with us through online portals. Medical IoT devices collect patient data. Yet the same digital adoptions that make healthcare more efficient also present vulnerabilities that threat actors can exploit to gain access to our digital systems. 

Another major concern comes from insider threat, whether malicious or accidental. Data security depends on user compliance, which can be hard to enforce and monitor. Even unintentionally, medical professionals can introduce risk simply by bringing personal devices, such as smart phones or watches, into the network.  

In late 2020, the FBI, CISA, and HHS issued a warning after the number of cyber-attacks targeting the healthcare sector reached record highs. The agencies cautioned that cybercriminals could exploit malware like TrickBot to harvest credentials, hijack resources to mine crypto-currencies, exfiltrate data, and deploy ransomware. 

The attacks targeting the healthcare sector have gone up in frequency and complexity. While protecting our digital infrastructure and patient data has become increasingly difficult, it remains vitally important. That’s why we deployed Darktrace.

High stakes healthcare security

The consequences of cyber-attacks in medicine can be devastating. Lost or stolen medical records can damage a hospital’s reputation and cost millions of dollars. According to a Ponemon Institute study, the financial cost of a data breach in the healthcare sector can cost two to three times more than a breach in any other industry.  

Beyond reputational or financial harm, cyber-attacks against hospitals and clinics can be lethal. They can force ambulances to be re-routed, surgeries to be postponed, and treatment options to be scaled back. In 2021, over 45 million patients were impacted by cyber-attacks on healthcare centers, and almost 25% of Health Delivery Organizations found that cyber-attacks increased patient mortality rates.

Darktrace protects our digital infrastructure to avoid these consequences. Its Self-Learning AI learns our organization— from the laptops and servers to the IoT devices to the users themselves— to recognize what constitutes our “pattern of life.” The AI then uses this information to identify the subtle behaviors that indicate a cyber-attack. Once an attack is detected, Autonomous Response reacts with surgical precision to neutralize it without disrupting our normal digital activity.  

Darktrace is always on and can detect and respond to attacks within seconds, providing another layer of security for our hospital and clinics. Darktrace’s approach, based on understanding our organization to create bespoke security, allows the AI to spot threats that slip by traditional security tools, which rely on rules and signatures. In this way, Darktrace can detect insider threats, too.  

Finally, not only does Darktrace protect us by stopping cyber-attacks, but it also serves as a deterrent to threat actors by making us a harder target. 

Protection in action

Darktrace has successfully helped us monitor and protect our digital estate. We have used it to examine suspicious traffic and troubleshoot access related problems. Darktrace’s Cyber AI Analyst investigates attacks and translates its findings into understandable explanations displayed in a single screen.  

Darktrace has proven its value to us on multiple occasions. The same day that one of our clinic managers installed a new file transfer protocol, Darktrace identified traffic going out over an unencrypted port. With its visibility and understanding of our cyber landscape, Darktrace detected this abnormal action and responded at machine-speed. It protected us from exposing personal patient data.

Another time, Darktrace noticed someone on our guest network running a network snooping tool, triggering us to remove their computer from the network. While it was only on our guest network, the threat actor could have been targeting the patients that were using it. Darktrace protected them, helping us live up to our goal of serving our guests with compassion and respect.

Keeping our organization healthy

We do not have a large enough IT staff to constantly monitor all traffic across our digital estate, so Darktrace supplements and augments our team. The AI continuously monitors our cyber landscape and responds to attacks without disrupting our normal digital activities. Moreover, it works at all times of the day, even when I am not online. By handling the maintenance of our security, Darktrace buys my team time to work on other projects. 

The cyber security of our organization is crucial for the safety of our patients and practitioners. Since deploying Darktrace, my team feels reassured that our security posture can handle any attacks that come our way. Darktrace is a valuable tool in our security stack. 

INSIDE THE SOC
Darktrace cyber analysts are world-class experts in threat intelligence, threat hunting and incident response, and provide 24/7 SOC support to thousands of Darktrace customers around the globe. Inside the SOC is exclusively authored by these experts, providing analysis of cyber incidents and threat trends, based on real-world experience in the field.
AUTHOR
ABOUT ThE AUTHOR
Sean Simpson
Executive Director of IT, Cullman Regional Medical Center (Guest Contributor)
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Lost in Translation: Darktrace Blocks Non-English Phishing Campaign Concealing Hidden Payloads

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15
May 2024

Email – the vector of choice for threat actors

In times of unprecedented globalization and internationalization, the enormous number of emails sent and received by organizations every day has opened the door for threat actors looking to gain unauthorized access to target networks.

Now, increasingly global organizations not only need to safeguard their email environments against phishing campaigns targeting their employees in their own language, but they also need to be able to detect malicious emails sent in foreign languages too [1].

Why are non-English language phishing emails more popular?

Many traditional email security vendors rely on pre-trained English language models which, while function adequately against malicious emails composed in English, would struggle in the face of emails composed in other languages. It should, therefore, come as no surprise that this limitation is becoming increasingly taken advantage of by attackers.  

Darktrace/Email™, on the other hand, focuses on behavioral analysis and its Self-Learning AI understands what is considered ‘normal’ for every user within an organization’s email environment, bypassing any limitations that would come from relying on language-trained models [1].

In March 2024, Darktrace observed anomalous emails on a customer’s network that were sent from email addresses belonging to an international fast-food chain. Despite this seeming legitimacy, Darktrace promptly identified them as phishing emails that contained malicious payloads, preventing a potentially disruptive network compromise.

Attack Overview and Darktrace Coverage

On March 3, 2024, Darktrace observed one of the customer’s employees receiving an email which would turn out to be the first of more than 50 malicious emails sent by attackers over the course of three days.

The Sender

Darktrace/Email immediately understood that the sender never had any previous correspondence with the organization or its employees, and therefore treated the emails with caution from the onset. Not only was Darktrace able to detect this new sender, but it also identified that the emails had been sent from a domain located in China and contained an attachment with a Chinese file name.

The phishing emails detected by Darktrace sent from a domain in China and containing an attachment with a Chinese file name.
Figure 1: The phishing emails detected by Darktrace sent from a domain in China and containing an attachment with a Chinese file name.

Darktrace further detected that the phishing emails had been sent in a synchronized fashion between March 3 and March 5. Eight unique senders were observed sending a total of 55 emails to 55 separate recipients within the customer’s email environment. The format of the addresses used to send these suspicious emails was “12345@fastflavor-shack[.]cn”*. The domain “fastflavor-shack[.]cn” is the legitimate domain of the Chinese division of an international fast-food company, and the numerical username contained five numbers, with the final three digits changing which likely represented different stores.

*(To maintain anonymity, the pseudonym “Fast Flavor Shack” and its fictitious domain, “fastflavor-shack[.]cn”, have been used in this blog to represent the actual fast-food company and the domains identified by Darktrace throughout this incident.)

The use of legitimate domains for malicious activities become commonplace in recent years, with attackers attempting to leverage the trust endpoint users have for reputable organizations or services, in order to achieve their nefarious goals. One similar example was observed when Darktrace detected an attacker attempting to carry out a phishing attack using the cloud storage service Dropbox.

As these emails were sent from a legitimate domain associated with a trusted organization and seemed to be coming from the correct connection source, they were verified by Sender Policy Framework (SPF) and were able to evade the customer’s native email security measures. Darktrace/Email; however, recognized that these emails were actually sent from a user located in Singapore, not China.

Darktrace/Email identified that the email had been sent by a user who had logged in from Singapore, despite the connection source being in China.
Figure 2: Darktrace/Email identified that the email had been sent by a user who had logged in from Singapore, despite the connection source being in China.

The Emails

Darktrace/Email autonomously analyzed the suspicious emails and identified that they were likely phishing emails containing a malicious multistage payload.

Darktrace/Email identifying the presence of a malicious phishing link and a multistage payload.
Figure 3: Darktrace/Email identifying the presence of a malicious phishing link and a multistage payload.

There has been a significant increase in multistage payload attacks in recent years, whereby a malicious email attempts to elicit recipients to follow a series of steps, such as clicking a link or scanning a QR code, before delivering a malicious payload or attempting to harvest credentials [2].

In this case, the malicious actor had embedded a suspicious link into a QR code inside a Microsoft Word document which was then attached to the email in order to direct targets to a malicious domain. While this attempt to utilize a malicious QR code may have bypassed traditional email security tools that do not scan for QR codes, Darktrace was able to identify the presence of the QR code and scan its destination, revealing it to be a suspicious domain that had never previously been seen on the network, “sssafjeuihiolsw[.]bond”.

Suspicious link embedded in QR Code, which was detected and extracted by Darktrace.
Figure 4: Suspicious link embedded in QR Code, which was detected and extracted by Darktrace.

At the time of the attack, there was no open-source intelligence (OSINT) on the domain in question as it had only been registered earlier the same day. This is significant as newly registered domains are typically much more likely to bypass gateways until traditional security tools have enough intelligence to determine that these domains are malicious, by which point a malicious actor may likely have already gained access to internal systems [4]. Despite this, Darktrace’s Self-Learning AI enabled it to recognize the activity surrounding these unusual emails as suspicious and indicative of a malicious phishing campaign, without needing to rely on existing threat intelligence.

The most commonly used sender name line for the observed phishing emails was “财务部”, meaning “finance department”, and Darktrace observed subject lines including “The document has been delivered”, “Income Tax Return Notice” and “The file has been released”, all written in Chinese.  The emails also contained an attachment named “通知文件.docx” (“Notification document”), further indicating that they had been crafted to pass for emails related to financial transaction documents.

 Darktrace/Email took autonomous mitigative action against the suspicious emails by holding the message from recipient inboxes.
Figure 5: Darktrace/Email took autonomous mitigative action against the suspicious emails by holding the message from recipient inboxes.

Conclusion

Although this phishing attack was ultimately thwarted by Darktrace/Email, it serves to demonstrate the potential risks of relying on solely language-trained models to detect suspicious email activity. Darktrace’s behavioral and contextual learning-based detection ensures that any deviations in expected email activity, be that a new sender, unusual locations or unexpected attachments or link, are promptly identified and actioned to disrupt the attacks at the earliest opportunity.

In this example, attackers attempted to use non-English language phishing emails containing a multistage payload hidden behind a QR code. As traditional email security measures typically rely on pre-trained language models or the signature-based detection of blacklisted senders or known malicious endpoints, this multistage approach would likely bypass native protection.  

Darktrace/Email, meanwhile, is able to autonomously scan attachments and detect QR codes within them, whilst also identifying the embedded links. This ensured that the customer’s email environment was protected against this phishing threat, preventing potential financial and reputation damage.

Credit to: Rajendra Rushanth, Cyber Analyst, Steven Haworth, Head of Threat Modelling, Email

Appendices  

List of Indicators of Compromise (IoCs)  

IoC – Type – Description

sssafjeuihiolsw[.]bond – Domain Name – Suspicious Link Domain

通知文件.docx – File - Payload  

References

[1] https://darktrace.com/blog/stopping-phishing-attacks-in-enter-language  

[2] https://darktrace.com/blog/attacks-are-getting-personal

[3] https://darktrace.com/blog/phishing-with-qr-codes-how-darktrace-detected-and-blocked-the-bait

[4] https://darktrace.com/blog/the-domain-game-how-email-attackers-are-buying-their-way-into-inboxes

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Rajendra Rushanth
Cyber Analyst

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The State of AI in Cybersecurity: The Impact of AI on Cybersecurity Solutions

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13
May 2024

About the AI Cybersecurity Report

Darktrace surveyed 1,800 CISOs, security leaders, administrators, and practitioners from industries around the globe. Our research was conducted to understand how the adoption of new AI-powered offensive and defensive cybersecurity technologies are being managed by organizations.

This blog continues the conversation from “The State of AI in Cybersecurity: Unveiling Global Insights from 1,800 Security Practitioners” which was an overview of the entire report. This blog will focus on one aspect of the overarching report, the impact of AI on cybersecurity solutions.

To access the full report, click here.

The effects of AI on cybersecurity solutions

Overwhelming alert volumes, high false positive rates, and endlessly innovative threat actors keep security teams scrambling. Defenders have been forced to take a reactive approach, struggling to keep pace with an ever-evolving threat landscape. It is hard to find time to address long-term objectives or revamp operational processes when you are always engaged in hand-to-hand combat.                  

The impact of AI on the threat landscape will soon make yesterday’s approaches untenable. Cybersecurity vendors are racing to capitalize on buyer interest in AI by supplying solutions that promise to meet the need. But not all AI is created equal, and not all these solutions live up to the widespread hype.  

Do security professionals believe AI will impact their security operations?

Yes! 95% of cybersecurity professionals agree that AI-powered solutions will level up their organization’s defenses.                                                                

Not only is there strong agreement about the ability of AI-powered cybersecurity solutions to improve the speed and efficiency of prevention, detection, response, and recovery, but that agreement is nearly universal, with more than 95% alignment.

This AI-powered future is about much more than generative AI. While generative AI can help accelerate the data retrieval process within threat detection, create quick incident summaries, automate low-level tasks in security operations, and simulate phishing emails and other attack tactics, most of these use cases were ranked lower in their impact to security operations by survey participants.

There are many other types of AI, which can be applied to many other use cases:

Supervised machine learning: Applied more often than any other type of AI in cybersecurity. Trained on attack patterns and historical threat intelligence to recognize known attacks.

Natural language processing (NLP): Applies computational techniques to process and understand human language. It can be used in threat intelligence, incident investigation, and summarization.

Large language models (LLMs): Used in generative AI tools, this type of AI applies deep learning models trained on massively large data sets to understand, summarize, and generate new content. The integrity of the output depends upon the quality of the data on which the AI was trained.

Unsupervised machine learning: Continuously learns from raw, unstructured data to identify deviations that represent true anomalies. With the correct models, this AI can use anomaly-based detections to identify all kinds of cyber-attacks, including entirely unknown and novel ones.

What are the areas of cybersecurity AI will impact the most?

Improving threat detection is the #1 area within cybersecurity where AI is expected to have an impact.                                                                                  

The most frequent response to this question, improving threat detection capabilities in general, was top ranked by slightly more than half (57%) of respondents. This suggests security professionals hope that AI will rapidly analyze enormous numbers of validated threats within huge volumes of fast-flowing events and signals. And that it will ultimately prove a boon to front-line security analysts. They are not wrong.

Identifying exploitable vulnerabilities (mentioned by 50% of respondents) is also important. Strengthening vulnerability management by applying AI to continuously monitor the exposed attack surface for risks and high-impact vulnerabilities can give defenders an edge. If it prevents threats from ever reaching the network, AI will have a major downstream impact on incident prevalence and breach risk.

Where will defensive AI have the greatest impact on cybersecurity?

Cloud security (61%), data security (50%), and network security (46%) are the domains where defensive AI is expected to have the greatest impact.        

Respondents selected broader domains over specific technologies. In particular, they chose the areas experiencing a renaissance. Cloud is the future for most organizations,
and the effects of cloud adoption on data and networks are intertwined. All three domains are increasingly central to business operations, impacting everything everywhere.

Responses were remarkably consistent across demographics, geographies, and organization sizes, suggesting that nearly all survey participants are thinking about this similarly—that AI will likely have far-reaching applications across the broadest fields, as well as fewer, more specific applications within narrower categories.

Going forward, it will be paramount for organizations to augment their cloud and SaaS security with AI-powered anomaly detection, as threat actors sharpen their focus on these targets.

How will security teams stop AI-powered threats?            

Most security stakeholders (71%) are confident that AI-powered security solutions are better able to block AI-powered threats than traditional tools.

There is strong agreement that AI-powered solutions will be better at stopping AI-powered threats (71% of respondents are confident in this), and there’s also agreement (66%) that AI-powered solutions will be able to do so automatically. This implies significant faith in the ability of AI to detect threats both precisely and accurately, and also orchestrate the correct response actions.

There is also a high degree of confidence in the ability of security teams to implement and operate AI-powered solutions, with only 30% of respondents expressing doubt. This bodes well for the acceptance of AI-powered solutions, with stakeholders saying they’re prepared for the shift.

On the one hand, it is positive that cybersecurity stakeholders are beginning to understand the terms of this contest—that is, that only AI can be used to fight AI. On the other hand, there are persistent misunderstandings about what AI is, what it can do, and why choosing the right type of AI is so important. Only when those popular misconceptions have become far less widespread can our industry advance its effectiveness.  

To access the full report, click here.

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