ROI–Based Tamper Detection And Recovery For Medical Images Using Reversible Watermarking Technique.

Digital image watermarking is proposed to overcome the problems of security, capacity and cost in health care management systems

Watermarking scheme using slantlet transform and enhanced knight tour algorithm for medical images

Digital watermarking has been employed as an alternative solution to protect the medical healthcare system with a layer of protection applied directly on top of data stored. Medical image that is highly sensitive to the image processing and cannot tolerate any visual degradation has become the focus of digital watermarking. However, since watermarking introduces some changes on medical images, it is a challenge for medical image watermarking to maintain high imperceptibility and robustness at the same time. Research to date has tended to focus on the embedding method instead of the sequence of embedding of the watermarking itself. Also, although watermarking has been introduced into medical images as a layer of protection, it still cannot prevent a knowledgeable hacker from retrieving the watermark. Therefore, this research proposes a robust watermarking scheme with high imperceptibility for medical images to increase the effectiveness of the medical healthcare system in terms of perceptibility, embedding technique, embedding region and embedding sequence of the watermarking scheme. To increase imperceptibility of a watermark, this research introduces Dynamic Visibility Threshold, a new parameter that increases visual quality in terms of imperceptibility. It is a unique number which differs for each host image using descriptive statistics. In addition, two new concepts of embedding region, namely Embeddable zone (EBD) and Non-Embeddable zone (NEBD) to function as a non-parametric decision region to complicate the estimate of the detection function are also proposed. The sequence of embedding is shuffled using enhanced Knight Tour algorithm based on Slantlet Transform to increase the complexity of the watermarking scheme. A significant result from the Peak Signal-to-Noise Ratio (PSNR) evaluation showing approximately 270 dB was obtained, suggesting that this proposed medical image watermarking technique outperforms other contemporary techniques in the same working domain. Based on the experimental result using the standard dataset, all host images are resilient to Salt and Pepper Noise, Speckle Noise, Poisson Noise, Rotation and Sharpen Filter with minimum Bit Error Rate (BER) of 0.0426 and Normalized Cross-Correlation (NCC) value of as high as 1. Since quartile theory is used, this experiment has shown that among all three quartiles, the Third Quartile performs the best in functioning as Dynamic Visibility Threshold (DVT) with 0 for BER and 1 for NCC evaluation

a blockchain based proposal for protecting healthcare systems through formal methods

Abstract Blockchain technology is one of the most important and disruptive technologies in the world. Multiple industries are adopting the blockchain technology to innovate the way they work. One of the industries that are looking to adopt the blockchain is the healthcare industry. In fact, the protection of the private information stored in hospital database is a critical issue. In this paper we propose a method aimed to protect information exchanged in hospital networks, with particular regard to magnetic resonance images. As required from blockchain technology, each host network must validate the transiting data network: we exploit formal equivalence checking to perform this validation, by modeling magnetic resonance images in terms of automata by exploiting radiomic features

radiomic features for medical images tamper detection by equivalence checking

Abstract Digital medical images are very easy to be modified for illegal purposes. An attacker may perform this act in order to stop a political candidate, sabotage research, commit insurance fraud, perform an act of terrorism, or even commit murder. Between the machine that performs medical scans and the radiologist monitor, medical images pass through different devices: in this chain an attacker can perform its malicious action. In this paper we propose a method aimed to avoid medical images modifications by means of equivalence checking. Magnetic images are represented as finite state automata and equivalence checking is exploited to check whether the medical resource have been subject to illegal modifications

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

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

Medical Image Watermarking Technique for Accurate Tamper Detection in ROI and Exact Recovery of ROI

In telemedicine while transferring medical images tampers may be introduced. Before making any diagnostic decisions, the integrity of region of interest (ROI) of the received medical image must be verified to avoid misdiagnosis. In this paper, we propose a novel fragile block based medical image watermarking technique to avoid embedding distortion inside ROI, verify integrity of ROI, detect accurately the tampered blocks inside ROI, and recover the original ROI with zero loss. In this proposed method, the medical image is segmented into three sets of pixels: ROI pixels, region of noninterest (RONI) pixels, and border pixels. Then, authentication data and information of ROI are embedded in border pixels. Recovery data of ROI is embedded into RONI. Results of experiments conducted on a number of medical images reveal that the proposed method produces high quality watermarked medical images, identifies the presence of tampers inside ROI with 100% accuracy, and recovers the original ROI without any loss

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