State-of-the-art Survey of Data Hiding in ECG Signal

With the development of new communication technologies, the number of biomedical data that is transmitted is constantly increasing. This is sensitive data and therefore it is very important to preserve privacy when transmitting it. For this purpose, techniques for data hiding in biomedical signals are used. This is a comprehensive survey of research papers that covers the latest techniques for data hiding in ECG signal and old techniques that are not covered by the latest surveys. We show an overview of the methodology, robustness, and imperceptibility of the techniques

Literature Survey on Biomedical Steganography

The word “steganography” comes from the Greek origin “concealed writing”. With escalating significance on security, fraud, Steganography is gaining its value due to exponential growth and transmission of   secret information through multimedia like internet. In other words, it can be stated as invisible communication. In biomedical steganography, the secret communication is accomplished, where a patient’s information is embedded into a biomedical signal (ECG, EEG, PPG) or image which is taken as a cover signal or image. This survey analysis various steganography techniques used for biomedical signal or image

COVID-19 Diagnosis Using Spectral and Statistical Analysis of Cough Recordings Based on the Combination of SVD and DWT

تستخدم الإشارات الصوتية التي يولدها جسم الإنسان بشكل روتيني من قبل التخصصين في البحوث والتطبيقات الصحية  للمساعدة في تشخيص بعض  الامراض أو تقييم تقدم المرض. وبالنظر إلى التقنيات الجديدة ، من الممكن في الوقت الحاضر جمع الأصوات التي يولدها الإنسان ، مثل السعال. ويمكن بعد ذلك اعتماد تقنيات التعلم الآلي المستندة إلى الصوت من أجل التحليل التلقائي للبيانات التي تم جمعها مما يوفر معلومات قيمة غنية من إشارة السعال واستخراج الميزات الفعالة من فترة زمنية محدودة الطول تتغير كدالة للوقت. في هذا البحث يتم اقتراح وتقديم خوارزمية  للكشف عن COVID-19 وتشخيصه من خلال معالجة السعال الذي يتم جمعه من المرضى الذين يعانون من الأعراض الأكثر شيوعًا لهذا الوباء. تعتمد الطريقة المقترحة على اعتماد مزيج من تحليل القيمة المفردة (SVD) وتحويل المويجات المنفصل (DWT).  وقد أدى الجمع بين هاتين التقنيتين لمعالجة الإشارات إلى اتباع نهج جيد للتعرف على السعال ، حيث يولد ويستخدم الحد الأدنى من الميزات الفعالة. وفي هذه الخوارزمية المقترحة يتم تطبيق الترددات المتوسطة (mean and median)، والمعروفة بأنها أكثر الميزات المفيدة في مجال التردد ، لإنشاء مقياس إحصائي فعال لمقارنة النتائج. بالإضافة إلى الحصول على معدل كشف وتمييز عاليين ، تتميز الخوارزمية المقترحة بكفاءتها حيث يتم تحقيق تخفيض 200 مرة، من حيث عدد العمليات. على الرغم من حقيقة أن أعراض الأشخاص المصابين وغير المصابين في الدراسة بها الكثير من أوجه التشابه ، فإن نتائج التشخيص التي تم الحصول عليها من تطبيق نهجنا تُظهر معدل تشخيص مرتفعًا، والذي تم إثباته من خلال مطابقتها مع اختبارات PCR ذات الصلة. نعتقد أنه يمكن تحقيق أداء أفضل من خلال توسيع مجموعة البيانات ، مع تضمين الأشخاص الأصحاء.Healthcare professionals routinely use audio signals, generated by the human body, to help diagnose disease or assess its progression. With new technologies, it is now possible to collect human-generated sounds, such as coughing. Audio-based machine learning technologies can be adopted for automatic analysis of collected data. Valuable and rich information can be obtained from the cough signal and extracting effective characteristics from a finite duration time interval that changes as a function of time. This article presents a proposed approach to the detection and diagnosis of COVID-19 through the processing of cough collected from patients suffering from the most common symptoms of this pandemic. The proposed method is based on adopting a combination of Singular Value Decomposition (SVD), and Discrete Wavelet Transform (DWT). The combination of these two signal processing techniques is gaining lots of interest in the field of speaker and speech recognition. As a cough recognition approach, we found it well-performing, as it generates and utilizes an efficient minimum number of features. Mean and median frequencies, which are known to be the most useful features in the frequency domain, are applied to generate an effective statistical measure to compare the results. The hybrid structure of DWT and SVD, adopted in this approach adds to its efficiency, where a 200 times reduction, in terms of the number of operations, is achieved. Despite the fact that symptoms of the infected and non-infected people used in the study are having lots of similarities, diagnosis results obtained from the application of the proposed approach show high diagnosis rate, which is proved through the matching with relevant PCR tests.  The proposed approach is open for more improvements with its performance further assured by enlarging the dataset, while including healthy people

StegIbiza: New Method for Information Hiding in Club Music

In this paper a new method for information hiding in club music is introduced. The method called StegIbiza is based on using the music tempo as a carrier. The tempo is modulated by hidden messages with a 3-value coding scheme, which is an adoption of Morse code for StegIbiza. The evaluation of the system was performed for several music samples (with and without StegIbiza enabled) on a selected group of testers who had a music background. Finally, for the worst case scenario, none of them could identify any differences in the audio with a 1% margin of changed tempo.Comment: 5 pages, 4 figures, 1 tabl

Secure steganography, compression and diagnoses of electrocardiograms in wireless body sensor networks

Submission of this completed form results in your thesis/project being lodged online at the RMIT Research Repository. Further information about the RMIT Research Repository is available at http://researchbank.rmit.edu.au Please complete abstract and keywords below for cataloguing and indexing your thesis/project. Abstract (Minimum 200 words, maximum 500 words) The usage of e-health applications is increasing in the modern era. Remote cardiac patients monitoring application is an important example of these e-health applications. Diagnosing cardiac disease in time is of crucial importance to save many patients lives. More than 3.5 million Australians suffer from long-term cardiac diseases. Therefore, in an ideal situation, a continuous cardiac monitoring system should be provided for this large number of patients. However, health-care providers lack the technology required to achieve this objective. Cloud services can be utilized to fill the technology gap for health-care providers. However, three main problems prevent health-care providers from using cloud services. Privacy, performance and accuracy of diagnoses. In this thesis we are addressing these three problems. To provide strong privacy protection services, two steganography techniques are proposed. Both techniques could achieve promising results in terms of security and distortion measurement. The differences between original and resultant watermarked ECG signals were less then 1%. Accordingly, the resultant ECG signal can be still used for diagnoses purposes, and only authorized persons who have the required security information, can extract the hidden secret data in the ECG signal. Consequently, to solve the performance problem of storing huge amount of data concerning ECG into the cloud, two types of compression techniques are introduced: Fractal based lossy compression technique and Gaussian based lossless compression technique. This thesis proves that, fractal models can be efficiently used in ECG lossy compression. Moreover, the proposed fractal technique is a multi-processing ready technique that is suitable to be implemented inside a cloud to make use of its multi processing capability. A high compression ratio could be achieved with low distortion effects. The Gaussian lossless compression technique is proposed to provide a high compression ratio. Moreover, because the compressed files are stored in the cloud, its services should be able to provide automatic diagnosis capability. Therefore, cloud services should be able to diagnose compressed ECG files without undergoing a decompression stage to reduce additional processing overhead. Accordingly, the proposed Gaussian compression provides the ability to diagnose the resultant compressed file. Subsequently, to make use of this homomorphic feature of the proposed Gaussian compression algorithm, in this thesis we have introduced a new diagnoses technique that can be used to detect life-threatening cardiac diseases such as Ventricular Tachycardia and Ventricular Fibrillation. The proposed technique is applied directly to the compressed ECG files without going through the decompression stage. The proposed technique could achieve high accuracy results near to 100% for detecting Ventricular Arrhythmia and 96% for detecting Left Bundle Branch Block. Finally, we believe that in this thesis, the first steps towards encouraging health-care providers to use cloud services have been taken. However, this journey is still long

Design of a secure architecture for the exchange of biomedical information in m-Health scenarios

El paradigma de m-Salud (salud móvil) aboga por la integración masiva de las más avanzadas tecnologías de comunicación, red móvil y sensores en aplicaciones y sistemas de salud, para fomentar el despliegue de un nuevo modelo de atención clínica centrada en el usuario/paciente. Este modelo tiene por objetivos el empoderamiento de los usuarios en la gestión de su propia salud (p.ej. aumentando sus conocimientos, promocionando estilos de vida saludable y previniendo enfermedades), la prestación de una mejor tele-asistencia sanitaria en el hogar para ancianos y pacientes crónicos y una notable disminución del gasto de los Sistemas de Salud gracias a la reducción del número y la duración de las hospitalizaciones. No obstante, estas ventajas, atribuidas a las aplicaciones de m-Salud, suelen venir acompañadas del requisito de un alto grado de disponibilidad de la información biomédica de sus usuarios para garantizar una alta calidad de servicio, p.ej. fusionar varias señales de un usuario para obtener un diagnóstico más preciso. La consecuencia negativa de cumplir esta demanda es el aumento directo de las superficies potencialmente vulnerables a ataques, lo que sitúa a la seguridad (y a la privacidad) del modelo de m-Salud como factor crítico para su éxito. Como requisito no funcional de las aplicaciones de m-Salud, la seguridad ha recibido menos atención que otros requisitos técnicos que eran más urgentes en etapas de desarrollo previas, tales como la robustez, la eficiencia, la interoperabilidad o la usabilidad. Otro factor importante que ha contribuido a retrasar la implementación de políticas de seguridad sólidas es que garantizar un determinado nivel de seguridad implica unos costes que pueden ser muy relevantes en varias dimensiones, en especial en la económica (p.ej. sobrecostes por la inclusión de hardware extra para la autenticación de usuarios), en el rendimiento (p.ej. reducción de la eficiencia y de la interoperabilidad debido a la integración de elementos de seguridad) y en la usabilidad (p.ej. configuración más complicada de dispositivos y aplicaciones de salud debido a las nuevas opciones de seguridad). Por tanto, las soluciones de seguridad que persigan satisfacer a todos los actores del contexto de m-Salud (usuarios, pacientes, personal médico, personal técnico, legisladores, fabricantes de dispositivos y equipos, etc.) deben ser robustas y al mismo tiempo minimizar sus costes asociados. Esta Tesis detalla una propuesta de seguridad, compuesta por cuatro grandes bloques interconectados, para dotar de seguridad a las arquitecturas de m-Salud con unos costes reducidos. El primer bloque define un esquema global que proporciona unos niveles de seguridad e interoperabilidad acordes con las características de las distintas aplicaciones de m-Salud. Este esquema está compuesto por tres capas diferenciadas, diseñadas a la medidas de los dominios de m-Salud y de sus restricciones, incluyendo medidas de seguridad adecuadas para la defensa contra las amenazas asociadas a sus aplicaciones de m-Salud. El segundo bloque establece la extensión de seguridad de aquellos protocolos estándar que permiten la adquisición, el intercambio y/o la administración de información biomédica -- por tanto, usados por muchas aplicaciones de m-Salud -- pero no reúnen los niveles de seguridad detallados en el esquema previo. Estas extensiones se concretan para los estándares biomédicos ISO/IEEE 11073 PHD y SCP-ECG. El tercer bloque propone nuevas formas de fortalecer la seguridad de los tests biomédicos, que constituyen el elemento esencial de muchas aplicaciones de m-Salud de carácter clínico, mediante codificaciones novedosas. Finalmente el cuarto bloque, que se sitúa en paralelo a los anteriores, selecciona herramientas genéricas de seguridad (elementos de autenticación y criptográficos) cuya integración en los otros bloques resulta idónea, y desarrolla nuevas herramientas de seguridad, basadas en señal -- embedding y keytagging --, para reforzar la protección de los test biomédicos.The paradigm of m-Health (mobile health) advocates for the massive integration of advanced mobile communications, network and sensor technologies in healthcare applications and systems to foster the deployment of a new, user/patient-centered healthcare model enabling the empowerment of users in the management of their health (e.g. by increasing their health literacy, promoting healthy lifestyles and the prevention of diseases), a better home-based healthcare delivery for elderly and chronic patients and important savings for healthcare systems due to the reduction of hospitalizations in number and duration. It is a fact that many m-Health applications demand high availability of biomedical information from their users (for further accurate analysis, e.g. by fusion of various signals) to guarantee high quality of service, which on the other hand entails increasing the potential surfaces for attacks. Therefore, it is not surprising that security (and privacy) is commonly included among the most important barriers for the success of m-Health. As a non-functional requirement for m-Health applications, security has received less attention than other technical issues that were more pressing at earlier development stages, such as reliability, eficiency, interoperability or usability. Another fact that has contributed to delaying the enforcement of robust security policies is that guaranteeing a certain security level implies costs that can be very relevant and that span along diferent dimensions. These include budgeting (e.g. the demand of extra hardware for user authentication), performance (e.g. lower eficiency and interoperability due to the addition of security elements) and usability (e.g. cumbersome configuration of devices and applications due to security options). Therefore, security solutions that aim to satisfy all the stakeholders in the m-Health context (users/patients, medical staff, technical staff, systems and devices manufacturers, regulators, etc.) shall be robust and, at the same time, minimize their associated costs. This Thesis details a proposal, composed of four interrelated blocks, to integrate appropriate levels of security in m-Health architectures in a cost-efcient manner. The first block designes a global scheme that provides different security and interoperability levels accordingto how critical are the m-Health applications to be implemented. This consists ofthree layers tailored to the m-Health domains and their constraints, whose security countermeasures defend against the threats of their associated m-Health applications. Next, the second block addresses the security extension of those standard protocols that enable the acquisition, exchange and/or management of biomedical information | thus, used by many m-Health applications | but do not meet the security levels described in the former scheme. These extensions are materialized for the biomedical standards ISO/IEEE 11073 PHD and SCP-ECG. Then, the third block proposes new ways of enhancing the security of biomedical standards, which are the centerpiece of many clinical m-Health applications, by means of novel codings. Finally the fourth block, with is parallel to the others, selects generic security methods (for user authentication and cryptographic protection) whose integration in the other blocks results optimal, and also develops novel signal-based methods (embedding and keytagging) for strengthening the security of biomedical tests. The layer-based extensions of the standards ISO/IEEE 11073 PHD and SCP-ECG can be considered as robust, cost-eficient and respectful with their original features and contents. The former adds no attributes to its data information model, four new frames to the service model |and extends four with new sub-frames|, and only one new sub-state to the communication model. Furthermore, a lightweight architecture consisting of a personal health device mounting a 9 MHz processor and an aggregator mounting a 1 GHz processor is enough to transmit a 3-lead electrocardiogram in real-time implementing the top security layer. The extra requirements associated to this extension are an initial configuration of the health device and the aggregator, tokens for identification/authentication of users if these devices are to be shared and the implementation of certain IHE profiles in the aggregator to enable the integration of measurements in healthcare systems. As regards to the extension of SCP-ECG, it only adds a new section with selected security elements and syntax in order to protect the rest of file contents and provide proper role-based access control. The overhead introduced in the protected SCP-ECG is typically 2{13 % of the regular file size, and the extra delays to protect a newly generated SCP-ECG file and to access it for interpretation are respectively a 2{10 % and a 5 % of the regular delays. As regards to the signal-based security techniques developed, the embedding method is the basis for the proposal of a generic coding for tests composed of biomedical signals, periodic measurements and contextual information. This has been adjusted and evaluated with electrocardiogram and electroencephalogram-based tests, proving the objective clinical quality of the coded tests, the capacity of the coding-access system to operate in real-time (overall delays of 2 s for electrocardiograms and 3.3 s for electroencephalograms) and its high usability. Despite of the embedding of security and metadata to enable m-Health services, the compression ratios obtained by this coding range from ' 3 in real-time transmission to ' 5 in offline operation. Complementarily, keytagging permits associating information to images (and other signals) by means of keys in a secure and non-distorting fashion, which has been availed to implement security measures such as image authentication, integrity control and location of tampered areas, private captioning with role-based access control, traceability and copyright protection. The tests conducted indicate a remarkable robustness-capacity tradeoff that permits implementing all this measures simultaneously, and the compatibility of keytagging with JPEG2000 compression, maintaining this tradeoff while setting the overall keytagging delay in only ' 120 ms for any image size | evidencing the scalability of this technique. As a general conclusion, it has been demonstrated and illustrated with examples that there are various, complementary and structured manners to contribute in the implementation of suitable security levels for m-Health architectures with a moderate cost in budget, performance, interoperability and usability. The m-Health landscape is evolving permanently along all their dimensions, and this Thesis aims to do so with its security. Furthermore, the lessons learned herein may offer further guidance for the elaboration of more comprehensive and updated security schemes, for the extension of other biomedical standards featuring low emphasis on security or privacy, and for the improvement of the state of the art regarding signal-based protection methods and applications

An Optimized Medical Image Watermarking Approach for E-Health Applications

Background: In recent years, information and communication technologies have been widely used in the healthcare sector. This development enables E-Health applications to transmit medical data, as well as their sharing and remote access by healthcare professionals. However, due to their sensitivity, medical data in general, and medical images in particular, are vulnerable to a variety of illegitimate attacks. Therefore, suitable security and effective protection are necessary during transmission. Method: In consideration of these challenges, we put forth a security system relying on digital watermarking with the aim of ensuring the integrity and authenticity of medical images. The proposed approach is based on Integer Wavelet Transform as an embedding algorithm; furthermore, Particles Swarm Optimization was employed to select the optimal scaling factor, which allows the system to be compatible with different medical imaging modalities. Results: The experimental results demonstrate that the method provides a high imperceptibility and robustness for both secret watermark and watermarked images. In addition, the proposed scheme performs better for medical images compared with similar watermarking algorithms. Conclusion: As it is suitable for a lossless-data application, IWT is the best choice for medical images integrity. Furthermore, using the PSO algorithm enables the algorithm to be compatible with different medical imaging modalities

Optimization of medical image steganography using n-decomposition genetic algorithm

Protecting patients' confidential information is a critical concern in medical image steganography. The Least Significant Bits (LSB) technique has been widely used for secure communication. However, it is susceptible to imperceptibility and security risks due to the direct manipulation of pixels, and ASCII patterns present limitations. Consequently, sensitive medical information is subject to loss or alteration. Despite attempts to optimize LSB, these issues persist due to (1) the formulation of the optimization suffering from non-valid implicit constraints, causing inflexibility in reaching optimal embedding, (2) lacking convergence in the searching process, where the message length significantly affects the size of the solution space, and (3) issues of application customizability where different data require more flexibility in controlling the embedding process. To overcome these limitations, this study proposes a technique known as an n-decomposition genetic algorithm. This algorithm uses a variable-length search to identify the best location to embed the secret message by incorporating constraints to avoid local minimum traps. The methodology consists of five main phases: (1) initial investigation, (2) formulating an embedding scheme, (3) constructing a decomposition scheme, (4) integrating the schemes' design into the proposed technique, and (5) evaluating the proposed technique's performance based on parameters using medical datasets from kaggle.com. The proposed technique showed resistance to statistical analysis evaluated using Reversible Statistical (RS) analysis and histogram. It also demonstrated its superiority in imperceptibility and security measured by MSE and PSNR to Chest and Retina datasets (0.0557, 0.0550) and (60.6696, 60.7287), respectively. Still, compared to the results obtained by the proposed technique, the benchmark outperforms the Brain dataset due to the homogeneous nature of the images and the extensive black background. This research has contributed to genetic-based decomposition in medical image steganography and provides a technique that offers improved security without compromising efficiency and convergence. However, further validation is required to determine its effectiveness in real-world applications

A Comprehensive Review on Medical Image Steganography Based on LSB Technique and Potential Challenges

The rapid development of telemedicine services and the requirements for exchanging medical information between physicians, consultants, and health institutions have made the protection of patients’ information an important priority for any future e-health system. The protection of medical information, including the cover (i.e. medical image), has a specificity that slightly differs from the requirements for protecting other information. It is necessary to preserve the cover greatly due to its importance on the reception side as medical staff use this information to provide a diagnosis to save a patient's life. If the cover is tampered with, this leads to failure in achieving the goal of telemedicine. Therefore, this work provides an investigation of information security techniques in medical imaging, focusing on security goals. Encrypting a message before hiding them gives an extra layer of security, and thus, will provide an excellent solution to protect the sensitive information of patients during the sharing of medical information. Medical image steganography is a special case of image steganography, while Digital Imaging and Communications in Medicine (DICOM) is the backbone of all medical imaging divisions, whereby it is most broadly used to store and transmit medical images. The main objective of this study is to provide a general idea of what Least Significant Bit-based (LSB) steganography techniques have achieved in medical images

A Study of Data Security on E-Governance using Steganographic Optimization Algorithms

Steganography has been used massively in numerous fields to maintain the privacy and integrity of messages transferred via the internet. The need to secure the information has augmented with the increase in e-governance usage. The wide adoption of e-governance services also opens the doors to cybercriminals for fraudulent activities in cyberspace. To deal with these cybercrimes we need optimized and advanced steganographic techniques. Various advanced optimization techniques can be applied to steganography to obtain better results for the security of information. Various optimization techniques like particle swarm optimization and genetic algorithms with cryptography can be used to protect information for e-governance services. In this study, a comprehensive review of steganographic algorithms using optimization techniques is presented. A new perspective on using this technique to protect the information for e-governance is also presented. Deep Learning might be the area that can be used to automate the steganography process in combination with other method