A dual adaptive watermarking scheme in contourlet domain for DICOM images

<p>Abstract</p> <p>Background</p> <p>Nowadays, medical imaging equipments produce digital form of medical images. In a modern health care environment, new systems such as PACS (picture archiving and communication systems), use the digital form of medical image too. The digital form of medical images has lots of advantages over its analog form such as ease in storage and transmission. Medical images in digital form must be stored in a secured environment to preserve patient privacy. It is also important to detect modifications on the image. These objectives are obtained by watermarking in medical image.</p> <p>Methods</p> <p>In this paper, we present a dual and oblivious (blind) watermarking scheme in the contourlet domain. Because of importance of ROI (region of interest) in interpretation by medical doctors rather than RONI (region of non-interest), we propose an adaptive dual watermarking scheme with different embedding strength in ROI and RONI. We embed watermark bits in singular value vectors of the embedded blocks within lowpass subband in contourlet domain.</p> <p>Results</p> <p>The values of PSNR (peak signal-to-noise ratio) and SSIM (structural similarity measure) index of ROI for proposed DICOM (digital imaging and communications in medicine) images in this paper are respectively larger than 64 and 0.997. These values confirm that our algorithm has good transparency. Because of different embedding strength, BER (bit error rate) values of signature watermark are less than BER values of caption watermark. Our results show that watermarked images in contourlet domain have greater robustness against attacks than wavelet domain. In addition, the qualitative analysis of our method shows it has good invisibility.</p> <p>Conclusions</p> <p>The proposed contourlet-based watermarking algorithm in this paper uses an automatically selection for ROI and embeds the watermark in the singular values of contourlet subbands that makes the algorithm more efficient, and robust against noise attacks than other transform domains. The embedded watermark bits can be extracted without the original image, the proposed method has high PSNR and SSIM, and the watermarked image has high transparency and can still conform to the DICOM format.</p

High imperceptibility and robustness watermarking scheme for brain MRI using Slantlet transform coupled with enhanced knight tour algorithm

This research introduces a novel and robust watermarking scheme for medical Brain MRI DICOM images, addressing the challenge of maintaining high imperceptibility and robustness simultaneously. The scheme ensures privacy control, content authentication, and protection against the detachment of vital Electronic Patient Record information. To enhance imperceptibility, a Dynamic Visibility Threshold parameter leveraging the Human Visual System is introduced. Embeddable Zones and Non-Embeddable Zones are defined to enhance robustness, and an enhanced Knight Tour algorithm based on Slantlet Transform shuffles the embedding sequence for added security. The scheme achieves remarkable results with a Peak Signal-to-Noise Ratio (PSNR) evaluation surpassing contemporary techniques. Extensive experimentation demonstrates resilience to various attacks, with low Bit Error Rate (BER) and high Normalized Cross-Correlation (NCC) values. The proposed technique outperforms existing methods, emphasizing its superior performance and effectiveness in medical image watermarking

Robust watermarking algorithm for medical volume data in internet of medical things

The advancement of 5G technology, big data and cloud storage has promoted the rapid development of the Internet of Medical Things (IoMT). Based on the strict security requirements and high level of accuracy required for disease diagnosis and pathological analysis, 3D medical volume data have been created in large numbers. The IoMT facilitates the rapid transfer of medical information and also makes the protection of pathological information and privacy information of patients increasingly prominent. To solve the security problem, a robust zero-watermarking algorithm based on 3D hyperchaos and 3D dual-tree complex wavelet transform is proposed according to the selected feature of medical volume data. The feature combines human visual features with improved perceptual hashing techniques. It is a robust and efficient binary sequence. When implementing the proposed algorithm, the watermark is first scrambled with 3D hyperchaos to enhance security. Then, 3D DTCWT-DCT transformation is applied to medical volume data, and the low-frequency coefficients that can represent the features are selected and binarized to generate the secret key to complete the watermark embedding and extraction. Zero embedding and blind extraction ensure that the original medical volume data is not altered in any form, which meets the special requirements for diagnosis. Simulation results show that the algorithm is robust and can effectively resist common attacks and geometric attacks. It used fewer robust features to effectively bound medical volume data and watermark information, saved bandwidth, and satisfied the security of transmission and storage of medical volume data in the Internet of medical things. In particular, compared with state-of-the-art technology, the proposed algorithm improves the average NC value by 46.67% under geometric attacks

Computer-aided diagnosis tool for the detection of cancerous nodules in X-ray images

This thesis involves development of a computer-aided diagnosis (CAD) tool for the detection of cancerous nodules in X-ray images. Both cancerous and non-cancerous regions appear with little distinction on an X-ray image. For accurate detection of cancerous nodules, we need to differentiate the cancerous nodules from the non-cancerous. We developed an artificial neural network to differentiate them. Artificial neural networks (ANN) find a large application in the area of medical imaging. They work in a manner rather similar to the brain and have good decision making criteria when trained appropriately. We trained the neural network by the backpropagation algorithm and tested it with different images from a database of thoracic radiographs (chest X-rays) of dogs from the LSU Veterinary Medical Center. If we give X-ray images directly as input to the ANN, it incurs substantial complexity and training time for the network to process the images. A pre-processing stage involving some image enhancement techniques helps to solve the problem to a certain extent. The CAD tool developed in this thesis works in two stages. We pre-process the digitized images (by contrast enhancement, thresholding, filtering, and blob analysis) obtained after scanning the X-rays and then separate the suspected nodule areas (SNA) from the image by a segmentation process. We then input enhanced SNAs to the backpropagation-trained ANN. When given these enhanced SNAs, the neural network recognition accuracy, compared to unprocessed images as inputs, improved from 70% to 83.33%

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