Importance of Watermark Lossless Compression in Digital Medical Image Watermarking

Large size data requires more storage space, communication time, communication bandwidth and degrades host image quality when it is embedded into it as watermark. Lossless compression reduces data size better than lossless one but with permanent loss of important part of data. Data lossless compression reduces data size contrast to lossy one without any data loss. Medical image data is very sensitive and needs lossless compression otherwise it will result in erroneous input for the health recovery process. This paper focuses on Ultrasound medical image region of interest(ROI) lossless compression as watermark using different techniques; PNG, GIF, JPG, JPEG2000 and Lempel Ziv Welsh (LZW). LZW technique was found 86% better than other tabulated techniques. Compression ratio and more bytes reduction were the parameters considered for the selection of better compression technique. In this work LZW has been used successfully for watermark lossless compression to watermark medical images in teleradiology to ensure less payload encapsulation into images to preserve their perceptual and diagnostic qualities unchanged. On the other side in teleradiology the extracted lossless decompressed watermarks ensure the images authentication and their lossless recoveries in case of any tamper occurrences

9/7 LIFT Reconfigurable Architecture Implementation for Image Authentication

Considering the information system medical images are the most sensitive and critical types of data. Transferring medical images over the internet requires the use of authentication algorithms that are resistant to attacks. Another aspect is confidentiality for secure storage and transfer of medical images. The proposed study presents an embedding technique to improve the security of medical images. As a part of preprocessing that involves removing the high-frequency components, Gaussian filters are used. To get LL band features CDF9/7 wavelet is employed. In a similar way, for the cover image, the LL band features are obtained. In order to get the 1st level of encryption the technique of alpha blending is used. It combines the LL band features of the secret image and cover images whereas LH, HL, and HH bands are applied to Inverse CDF 9/7. The resulting encrypted image along with the key obtained through LH, HL, and HH bands is transferred. The produced key adds an extra layer of protection, and similarly, the receiver does the reverse action to acquire the original secret image. The PSNR acquired from the suggested technique is compared to PSNR obtained from existing techniques to validate the results. Performance is quantified in terms of PSNR. A Spartan 6 FPGA board is used to synthesize the complete architecture in order to compare hardware consumption

A QR Code Based Zero-Watermarking Scheme for Authentication of Medical Images in Teleradiology Cloud

Healthcare institutions adapt cloud based archiving of medical images and patient records to share them efficiently. Controlled access to these records and authentication of images must be enforced to mitigate fraudulent activities and medical errors. This paper presents a zero-watermarking scheme implemented in the composite Contourlet Transform (CT)—Singular Value Decomposition (SVD) domain for unambiguous authentication of medical images. Further, a framework is proposed for accessing patient records based on the watermarking scheme. The patient identification details and a link to patient data encoded into a Quick Response (QR) code serves as the watermark. In the proposed scheme, the medical image is not subjected to degradations due to watermarking. Patient authentication and authorized access to patient data are realized on combining a Secret Share with the Master Share constructed from invariant features of the medical image. The Hu’s invariant image moments are exploited in creating the Master Share. The proposed system is evaluated with Checkmark software and is found to be robust to both geometric and non geometric attacks

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 Survey on Recent Reversible Watermarking Techniques

Watermarking is a technique to protect the copyright of digital media such as image, text, music and movie. Reversible watermarking is a technique in which watermark can be removed to completely restore the original image. Reversible watermarking of digital content allows full extraction of the watermark along with the complete restoration of the original image. For the last few years, reversible watermarking techniques are gaining popularity due to its applications in important and sensitive areas like military communication, healthcare, and law-enforcement. Due to the rapid evolution of reversible watermarking techniques, a latest review of recent research in this field is highly desirable. In this survey, the performances of different latest reversible watermarking techniques are discussed on the basis of various characteristics of watermarking

Robust watermarking for magnetic resonance images with automatic region of interest detection

Medical image watermarking requires special considerations compared to ordinary watermarking methods. The first issue is the detection of an important area of the image called the Region of Interest (ROI) prior to starting the watermarking process. Most existing ROI detection procedures use manual-based methods, while in automated methods the robustness against intentional or unintentional attacks has not been considered extensively. The second issue is the robustness of the embedded watermark against different attacks. A common drawback of existing watermarking methods is their weakness against salt and pepper noise. The research carried out in this thesis addresses these issues of having automatic ROI detection for magnetic resonance images that are robust against attacks particularly the salt and pepper noise and designing a new watermarking method that can withstand high density salt and pepper noise. In the ROI detection part, combinations of several algorithms such as morphological reconstruction, adaptive thresholding and labelling are utilized. The noise-filtering algorithm and window size correction block are then introduced for further enhancement. The performance of the proposed ROI detection is evaluated by computing the Comparative Accuracy (CA). In the watermarking part, a combination of spatial method, channel coding and noise filtering schemes are used to increase the robustness against salt and pepper noise. The quality of watermarked image is evaluated using Peak Signal-to-Noise Ratio (PSNR) and Structural Similarity Index (SSIM), and the accuracy of the extracted watermark is assessed in terms of Bit Error Rate (BER). Based on experiments, the CA under eight different attacks (speckle noise, average filter, median filter, Wiener filter, Gaussian filter, sharpening filter, motion, and salt and pepper noise) is between 97.8% and 100%. The CA under different densities of salt and pepper noise (10%-90%) is in the range of 75.13% to 98.99%. In the watermarking part, the performance of the proposed method under different densities of salt and pepper noise measured by total PSNR, ROI PSNR, total SSIM and ROI SSIM has improved in the ranges of 3.48-23.03 (dB), 3.5-23.05 (dB), 0-0.4620 and 0-0.5335 to 21.75-42.08 (dB), 20.55-40.83 (dB), 0.5775-0.8874 and 0.4104-0.9742 respectively. In addition, the BER is reduced to the range of 0.02% to 41.7%. To conclude, the proposed method has managed to significantly improve the performance of existing medical image watermarking methods

Computer Methods and Programs in Biomedicine XXX (2013) XXX‐XXX 1 Effective Management of Medical Information through ROI-Lossless Fragile Image Watermarking Technique

In this article, we have proposed a blind, fragile and Region of Interest (ROI) lossless medical image watermarking (MIW) technique, providing an all-in-one solution tool to various medical data distribution and management issues like security, content authentication, safe archiving, controlled access retrieval and captioning etc. The proposed scheme combines lossless data compression and encryption technique to embed electronic health record (EHR)/DICOM metadata, image hash, indexing keyword, doctor identification code and tamper localization information in the medical images. Extensive experiments (both subjective and objective) were carried out to evaluate performance of the proposed MIW technique. The findings offer suggestive evidence that the proposed MIW scheme is an effective all-in-one solution tool to various issues of medical information management domain. Moreover, given its relative simplicity, the proposed scheme can be applied to the medical images to serve in many medical applications concerned with privacy protection, safety, and management etc. Keywords

Digital watermarking : applicability for developing trust in medical imaging workflows state of the art review

Medical images can be intentionally or unintentionally manipulated both within the secure medical system environment and outside, as images are viewed, extracted and transmitted. Many organisations have invested heavily in Picture Archiving and Communication Systems (PACS), which are intended to facilitate data security. However, it is common for images, and records, to be extracted from these for a wide range of accepted practices, such as external second opinion, transmission to another care provider, patient data request, etc. Therefore, confirming trust within medical imaging workflows has become essential. Digital watermarking has been recognised as a promising approach for ensuring the authenticity and integrity of medical images. Authenticity refers to the ability to identify the information origin and prove that the data relates to the right patient. Integrity means the capacity to ensure that the information has not been altered without authorisation. This paper presents a survey of medical images watermarking and offers an evident scene for concerned researchers by analysing the robustness and limitations of various existing approaches. This includes studying the security levels of medical images within PACS system, clarifying the requirements of medical images watermarking and defining the purposes of watermarking approaches when applied to medical images

Towards a low complexity scheme for medical images in scalable video coding

Medical imaging has become of vital importance for diagnosing diseases and conducting noninvasive procedures. Advances in eHealth applications are challenged by the fact that Digital Imaging and Communications in Medicine (DICOM) requires high-resolution images, thereby increasing their size and the associated computational complexity, particularly when these images are communicated over IP and wireless networks. Therefore, medical research requires an efficient coding technique to achieve high-quality and low-complexity images with error-resilient features. In this study, we propose an improved coding scheme that exploits the content features of encoded videos with low complexity combined with flexible macroblock ordering for error resilience. We identify the homogeneous region in which the search for optimal macroblock modes is early terminated. For non-homogeneous regions, the integration of smaller blocks is employed only if the vector difference is less than the threshold. Results confirm that the proposed technique achieves a considerable performance improvement compared with existing schemes in terms of reducing the computational complexity without compromising the bit-rate and peak signal-to-noise ratio. © 2013 IEEE

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