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

Reversible difference expansion multi-layer data hiding technique for medical images

Maintaining the privacy and security of confidential information in data communication has always been a major concern. It is because the advancement of information technology is likely to be followed by an increase in cybercrime, such as illegal access to sensitive data. Several techniques were proposed to overcome that issue, for example, by hiding data in digital images. Reversible data hiding is an excellent approach for concealing private data due to its ability to be applied in various fields. However, it yields a limited payload and the quality of the image holding data (Stego image), and consequently, these two factors may not be addressed simultaneously. This paper addresses this problem by introducing a new non-complexity difference expansion (DE) and block-based reversible multi-layer data hiding technique constructed by exploring DE. Sensitive data are embedded into the difference values calculated between the original pixels in each block with relatively low complexity. To improve the payload capacity, confidential data are embedded in multiple layers of grayscale medical images while preserving their quality. The experiment results prove that the proposed technique has increased the payload with an average of 369999 bits and kept the peak signal to noise ratio (PSNR) to the average of 36.506 dB using medical images' adequate security the embedded private data. This proposed method has improved the performance, especially the secret size, without reducing much the quality. Therefore, it is suitable to use for relatively big payloads

Reversible data hiding method by extending reduced difference expansion

To keep hiding secret data in multimedia files, such as video, audio, and image considers essential for information security. Image, for instance, as the media aids data insertion securely. The use of insertion technique must ensure a reliable process on retaining data quality and capacity. However, a trade-off between the resulted image quality and the embedded payload capacity after the embedding process often occurs. Therefore, this research aims at extending the existing method of integrating confidential messages using the Reduced Difference Expansion (RDE), transform into a medical image by changing the base point, block size, and recalculating of difference. The results display that the proposed method enhances the quality of the stego image and capacity of the hidden message

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

Secure medical image watermarking based on reversible data hiding with Arnold's cat map

The process of restoring medical images to their original form after the extraction process in application watermarking is crucial for ensuring their authenticity. Inaccurate diagnoses can occur due to distortions in medical images from conventional data embedding applications. To address this issue, reversible data hiding (RDH) method has been proposed by several researchers in recent years to embed data in medical images. After the extraction process, images can be restored to their original form with a reversible data-hiding method. In the past few years, several RDH methods have been rapidly developed, which are based on the concept of difference expansion (DE). However, it is crucial to pay attention to the security of the medical image watermarking method, the embedded data with RDH method can be easily modified, accessed, and altered by unauthorized individuals if they know the employed method. This research suggests a new approach to secure the RDH method through the use of Chaotic Map-based Arnold's Cat Map algorithms on the medical images. Data embedding was performed on random medical images using a DE method. Four gray-scale medical image modalities were used to assess the proposed method's efficacy. In our approach, we can incorporate capacity up to 0.62 bpp while maintaining a visual quality up to 41.02 dB according to PSNR and 0.9900 according to SSIM. The results indicated that it can enhance the security of the RDH method while retaining the ability to embed data and preserving the visual appearance of the medical images

Pixel grouping of digital images for reversible data hiding

Pixel Grouping (PG) of digital images has been a key consideration in recent development of the Reversible Data Hiding (RDH) schemes. While a PG kernel with neighborhood pixels helps compute image groups for better embedding rate-distortion performance, only horizontal neighborhood pixel group of size 1×3 has so far been considered. In this paper, we formulate PG kernels of sizes 3×1, 2×3 and 3×2 and investigate their effect on the rate-distortion performance of a prominent PG-based RDH scheme. Specially, a kernel of size 3×2 (or 2×3) that creates a pair of pixel-trios having triangular shape and offers a greater possible correlation among the pixels. This kernel thus can be better utilized for improving a PG-based RDH scheme. Considering this, we develop and present an improved PG-based RDH scheme and the computational models of its key processes. Experimental results demonstrated that our proposed RDH scheme offers reasonably better  embedding rate-distortion performance than the original scheme

Reversible Image Watermarking Using Modified Quadratic Difference Expansion and Hybrid Optimization Technique

With increasing copyright violation cases, watermarking of digital images is a very popular solution for securing online media content. Since some sensitive applications require image recovery after watermark extraction, reversible watermarking is widely preferred. This article introduces a Modified Quadratic Difference Expansion (MQDE) and fractal encryption-based reversible watermarking for securing the copyrights of images. First, fractal encryption is applied to watermarks using Tromino's L-shaped theorem to improve security. In addition, Cuckoo Search-Grey Wolf Optimization (CSGWO) is enforced on the cover image to optimize block allocation for inserting an encrypted watermark such that it greatly increases its invisibility. While the developed MQDE technique helps to improve coverage and visual quality, the novel data-driven distortion control unit ensures optimal performance. The suggested approach provides the highest level of protection when retrieving the secret image and original cover image without losing the essential information, apart from improving transparency and capacity without much tradeoff. The simulation results of this approach are superior to existing methods in terms of embedding capacity. With an average PSNR of 67 dB, the method shows good imperceptibility in comparison to other schemes