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

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

ROI-based reversible watermarking scheme for ensuring the integrity and authenticity of DICOM MR images

Reversible and imperceptible watermarking is recognized as a robust approach to confirm the integrity and authenticity of medical images and to verify that alterations can be detected and tracked back. In this paper, a novel blind reversible watermarking approach is presented to detect intentional and unintentional changes within brain Magnetic Resonance (MR) images. The scheme segments images into two parts; the Region of Interest (ROI) and the Region of Non Interest (RONI). Watermark data is encoded into the ROI using reversible watermarking based on the Difference Expansion (DE) technique. Experimental results show that the proposed method, whilst fully reversible, can also realize a watermarked image with low degradation for reasonable and controllable embedding capacity. This is fulfilled by concealing the data into ‘smooth’ regions inside the ROI and through the elimination of the large location map required for extracting the watermark and retrieving the original image. Our scheme delivers highly imperceptible watermarked images, at 92.18-99.94dB Peak Signal to Noise Ratio (PSNR) evaluated through implementing a clinical trial based on relative Visual Grading Analysis (relative VGA). This trial defines the level of modification that can be applied to medical images without perceptual distortion. This compares favorably to outcomes reported under current state-of-art techniques. Integrity and authenticity of medical images are also ensured through detecting subsequent changes enacted on the watermarked images. This enhanced security measure, therefore, enables the detection of image manipulations, by an imperceptible approach, that may establish increased trust in the digital medical workflow

Design a system for an approved video copyright over cloud based on biometric iris and random walk generator using watermark technique

Copyright is a tool for preventing anyone forged to copy an electronic work from another person and claim that electronic work is referred to him. Since the identity of the person is always determined by his name and biometrics, there is a concern to handle this information, to preserve the copyright. In this paper, a new idea for copyright technology is used to prove video copyright, by using blind watermarking technique, the ownership information is hidden inside video frames using linear congruential generator (LCG) for adapted the locations of vector features extracted from the name and biometric image of the owner instead of hidden the watermark in the Pseudo Noise sequences or any other feature extraction technique. When providing the watermarked vector, a statistical operation is used to increase randomization state for the amplifier factors of LCG function. LCG provides random positions where the owner's information is stored inside the video. The proposed method is not difficult to execute and can present an adaptable imperceptibility and robustness performance. The output results show the robustness of this approach based on the average PSNR of frames for the embedded in 50 frames is around 47.5 dB while the watermark remains undetectable. MSSIM values with range (0.83 to 0.99)

Study on high Performance and Effective Watermarking Scheme using Hybrid Transform (DCT-DWT)

Nowadays healthcare infrastructure depends on Hospital Information Systems (HIS), Radiology Information Systems (RIS),Picture archiving and Communication Systems (PACS) as these provide new ways to store, access and distribute medical data . It eliminates the security risk. Conversely, these developments have introduced new risks for unsuitable deployment of medical information flowing in open networks, provided the effortlessness with which digital content can be manipulated. It is renowned that the integrity and confidentiality of medical data is a serious topic for ethical and legal reasons. Medical images need to be kept intact in any condition and prior to any operation as well need to be checked for integrity and verification. Watermarking is a budding technology that is capable of assisting this aim. In recent times, frequency domain watermarking algorithms have gained immense importance due to their widespread use. Subsequently, the watermark embedding and extraction are performed in frequency domain using the presented scheme. The proposed watermarking scheme, the watermark extraction compared with the original image for calculating SSIM.The effectiveness of the proposed watermarking scheme is demonstrated with the aid of experimental results

QAM-DWT-SVD Based Watermarking Scheme for Medical Images

This paper presents a new semi-blind image watermarking system for medical applications. The new scheme utilizes Singular Value Decomposition (SVD) and Discrete Wavelet Transform (DWT) to embed a textual data into original medical images. In particular, text characters are encoded by a Quadrature Amplitude Modulation (QAM-16). In order to increase the security of the system and protect then the watermark from several attacks, the embedded data is submitted to Arnold Transform before inserting it into the host medical image. To evaluate the performances of the scheme, several medical images have been used in the experiments. Simulation results show that the proposed watermarking system ensures good imperceptibility and high robustness against several attacks