ROI-based reversible watermarking scheme for ensuring the integrity and authenticity of DICOM MR images

Reversible and imperceptible watermarking is recognized as a robust approach to confirm the integrity and authenticity of medical images and to verify that alterations can be detected and tracked back. In this paper, a novel blind reversible watermarking approach is presented to detect intentional and unintentional changes within brain Magnetic Resonance (MR) images. The scheme segments images into two parts; the Region of Interest (ROI) and the Region of Non Interest (RONI). Watermark data is encoded into the ROI using reversible watermarking based on the Difference Expansion (DE) technique. Experimental results show that the proposed method, whilst fully reversible, can also realize a watermarked image with low degradation for reasonable and controllable embedding capacity. This is fulfilled by concealing the data into ‘smooth’ regions inside the ROI and through the elimination of the large location map required for extracting the watermark and retrieving the original image. Our scheme delivers highly imperceptible watermarked images, at 92.18-99.94dB Peak Signal to Noise Ratio (PSNR) evaluated through implementing a clinical trial based on relative Visual Grading Analysis (relative VGA). This trial defines the level of modification that can be applied to medical images without perceptual distortion. This compares favorably to outcomes reported under current state-of-art techniques. Integrity and authenticity of medical images are also ensured through detecting subsequent changes enacted on the watermarked images. This enhanced security measure, therefore, enables the detection of image manipulations, by an imperceptible approach, that may establish increased trust in the digital medical workflow

Integration of digital watermarking technique into medical imaging systems

This paper presents the process of integrating digital watermarking technique into medical imaging workflow to evaluate, validate and verify its applicability and appropriateness to medical domains. This is significant to ensure the ability of the proposed approach to tackle security threats that may face medical images during routine medical practices. This work considers two key objectives within the aim of defining a secure and practical digital medical imaging system: current digital medical workflows are deeply analyzed to define security limitations in Picture Archiving and Communication Systems (PACS) of medical imaging; the proposed watermarking approach is then theoretically tested and validated in its ability to operate in a real-world scenario (e.g. PACS). These have been undertaken through identified case studies related to manipulations of medical images within PACS workflow during acquisition, viewing, exchanging and archiving. This work assures the achievement of the identified particular requirements of digital watermarking when applied to digital medical images and also provides robust controls within medical imaging pipelines to detect modifications that may be applied to medical images during viewing, storing and transmitting

A Study And Analysis Of Watermarking Algorithms For Medical Images

Digital watermarking techniques hide digital data into digital images imperceptibly for different purposes and applications such as copyright protection, authentication, and data hiding. Teknik-teknik pembenaman tera air menyembunyikan data digit ke dalam imej-imej digit untuk pelbagai keperluan dan aplikasi seperti perlindungan hak cipta, pengesahan, dan penyembunyian data

Reversible and imperceptible watermarking approach for ensuring the integrity and authenticity of brain MR images

The digital medical workflow has many circumstances in which the image data can be manipulated both within the secured Hospital Information Systems (HIS) and outside, as images are viewed, extracted and exchanged. This potentially grows ethical and legal concerns regarding modifying images details that are crucial in medical examinations. Digital watermarking is recognised as a robust technique for enhancing trust within medical imaging by detecting alterations applied to medical images. Despite its efficiency, digital watermarking has not been widely used in medical imaging. Existing watermarking approaches often suffer from validation of their appropriateness to medical domains. Particularly, several research gaps have been identified: (i) essential requirements for the watermarking of medical images are not well defined; (ii) no standard approach can be found in the literature to evaluate the imperceptibility of watermarked images; and (iii) no study has been conducted before to test digital watermarking in a medical imaging workflow. This research aims to investigate digital watermarking to designing, analysing and applying it to medical images to confirm manipulations can be detected and tracked. In addressing these gaps, a number of original contributions have been presented. A new reversible and imperceptible watermarking approach is presented to detect manipulations of brain Magnetic Resonance (MR) images based on Difference Expansion (DE) technique. Experimental results show that the proposed method, whilst fully reversible, can also realise a watermarked image with low degradation for reasonable and controllable embedding capacity. This is fulfilled by encoding the data into smooth regions (blocks that have least differences between their pixels values) inside the Region of Interest (ROI) part of medical images and also through the elimination of the large location map (location of pixels used for encoding the data) required at extraction to retrieve the encoded data. This compares favourably to outcomes reported under current state-of-art techniques in terms of visual image quality of watermarked images. This was also evaluated through conducting a novel visual assessment based on relative Visual Grading Analysis (relative VGA) to define a perceptual threshold in which modifications become noticeable to radiographers. The proposed approach is then integrated into medical systems to verify its validity and applicability in a real application scenario of medical imaging where medical images are generated, exchanged and archived. This enhanced security measure, therefore, enables the detection of image manipulations, by an imperceptible and reversible watermarking approach, that may establish increased trust in the digital medical imaging workflow

Digital watermarking in medical images

This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University, 05/12/2005.This thesis addresses authenticity and integrity of medical images using watermarking. Hospital Information Systems (HIS), Radiology Information Systems (RIS) and Picture Archiving and Communication Systems (P ACS) now form the information infrastructure for today's healthcare as these provide new ways to store, access and distribute medical data that also involve some security risk. Watermarking can be seen as an additional tool for security measures. As the medical tradition is very strict with the quality of biomedical images, the watermarking method must be reversible or if not, region of Interest (ROI) needs to be defined and left intact. Watermarking should also serve as an integrity control and should be able to authenticate the medical image. Three watermarking techniques were proposed. First, Strict Authentication Watermarking (SAW) embeds the digital signature of the image in the ROI and the image can be reverted back to its original value bit by bit if required. Second, Strict Authentication Watermarking with JPEG Compression (SAW-JPEG) uses the same principal as SAW, but is able to survive some degree of JPEG compression. Third, Authentication Watermarking with Tamper Detection and Recovery (AW-TDR) is able to localise tampering, whilst simultaneously reconstructing the original image

New Watermarking/Encryption Method for Medical Imaging FULL Protection in m-Health

In this paper, we present a new method for medical images security dedicated to m-Health based on a combination between a novel semi reversible watermarking approach robust to JPEG compression, a new proposed fragile watermarking and a new proposed encryption algorithm. The purpose of the combination of these three proposed algorithms (encryption, robust and fragile watermarking) is to ensure the full protection of medical image, its information and its report in terms of confidentiality and reliability (authentication and integrity). A hardware implementation to evaluate our system is done using the Texas instrument C6416 DSK card by converting m-files to C/C++ using MATLAB coder. Our m-health security system is then run on the android platform. Experimental results show that the proposed algorithm can achieve high security with good performance

Digital rights management techniques for H.264 video

This work aims to present a number of low-complexity digital rights management (DRM) methodologies for the H.264 standard. Initially, requirements to enforce DRM are analyzed and understood. Based on these requirements, a framework is constructed which puts forth different possibilities that can be explored to satisfy the objective. To implement computationally efficient DRM methods, watermarking and content based copy detection are then chosen as the preferred methodologies. The first approach is based on robust watermarking which modifies the DC residuals of 4×4 macroblocks within I-frames. Robust watermarks are appropriate for content protection and proving ownership. Experimental results show that the technique exhibits encouraging rate-distortion (R-D) characteristics while at the same time being computationally efficient. The problem of content authentication is addressed with the help of two methodologies: irreversible and reversible watermarks. The first approach utilizes the highest frequency coefficient within 4×4 blocks of the I-frames after CAVLC en- tropy encoding to embed a watermark. The technique was found to be very effect- ive in detecting tampering. The second approach applies the difference expansion (DE) method on IPCM macroblocks within P-frames to embed a high-capacity reversible watermark. Experiments prove the technique to be not only fragile and reversible but also exhibiting minimal variation in its R-D characteristics. The final methodology adopted to enforce DRM for H.264 video is based on the concept of signature generation and matching. Specific types of macroblocks within each predefined region of an I-, B- and P-frame are counted at regular intervals in a video clip and an ordinal matrix is constructed based on their count. The matrix is considered to be the signature of that video clip and is matched with longer video sequences to detect copies within them. Simulation results show that the matching methodology is capable of not only detecting copies but also its location within a longer video sequence. Performance analysis depict acceptable false positive and false negative rates and encouraging receiver operating charac- teristics. Finally, the time taken to match and locate copies is significantly low which makes it ideal for use in broadcast and streaming applications

Assessment of perceptual distortion boundary through applying reversible watermarking to brain MR images

The digital medical workflow faces many circumstances in which the images can be manipulated during viewing, extracting and exchanging. Reversible and imperceptible watermarking approaches have the potential to enhance trust within the medical imaging pipeline through ensuring the authenticity and integrity of the images to confirm that the changes can be detected and tracked. This study concentrates on the imperceptibility issue. Unlike reversibility, for which an objective assessment can be easily made, imperceptibility is a factor of human cognition that needs to be evaluated within the human context. By defining a perceptual boundary of detecting the modification, this study enables the formation of objective guidelines for the method of data encoding and level of image/pixel modification that translates to a specific watermark magnitude. This study implements a relative Visual Grading Analysis (VGA) evaluation of 117 brain MR images (8 original and 109 watermarked), modified by varying techniques and magnitude of image/pixel modification to determine where this perceptual boundary exists and relate the point at which change becomes noticeable to the objective measures of the image fidelity evaluation. The outcomes of the visual assessment were linked to the images Peak Signal to Noise Ratio (PSNR) values, thereby identifying the visual degradation threshold. The results suggest that, for watermarking applications, if a watermark is applied to the 512x512 pixel (16 bpp grayscale) images used in the study, a subsequent assessment of PSNR=82dB or greater would mean that there would be no reason to suspect that the watermark would be visually detectable. Keywords: Medical imaging; DICOM; Reversible Watermarking; Imperceptibility; Image Quality; Visual Grading Analysis

A Study And Analysis Of Watermarking Algorithms For Medical Images

Digital watermarking techniques hide digital data into digital images imperceptibly for different purposes and applications such as copyright protection, authentication, and data hiding. One of the objectives of health care management systems is to securely archive patients’ records. Moreover, these records may require very large media capacity to store, long time to transmit, and consequently incur higher cost. Classical encryption technology is an important tool that can be used to protect data transmitted over computer networks but it does not solve all digital data protection problems