Protection of medical images and patient related information in healthcare: Using an intelligent and reversible watermarking technique

This work presents an intelligent technique based on reversible watermarking for protecting patient and medical related information. In the proposed technique ‘IRW-Med’, the concept of companding function is exploited for reducing embedding distortion, while Integer Wavelet Transform (IWT) is used as an embedding domain for achieving reversibility. Histogram processing is employed to avoid underflow/overflow. In addition, the learning capabilities of Genetic Programming (GP) are exploited for intelligent wavelet coefficient selection. In this context, GP is used to evolve models that not only make an optimal tradeoff between imperceptibility and capacity of the watermark, but also exploit the wavelet coefficient hidden dependencies and information related to the type of sub band. The novelty of the proposed IRW-Med technique lies in its ability to generate a model that can find optimal wavelet coefficients for embedding, and also acts as a companding factor for watermark embedding. The proposed IRW-Med is thus able to embed watermark with low distortion, take out the hidden information, and also recovers the original image. The proposed IRW-Med technique is effective with respect to capacity and imperceptibility and effectiveness is demonstrated through experimental comparisons with existing techniques using standard images as well as a publically available medical image dataset

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

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

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

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

Efficiency of LSB steganography on medical information

The development of the medical field had led to the transformation of communication from paper information into the digital form. Medical information security had become a great concern as the medical field is moving towards the digital world and hence patient information, disease diagnosis and so on are all being stored in the digital image. Therefore, to improve the medical information security, securing of patient information and the increasing requirements for communication to be transferred between patients, client, medical practitioners, and sponsors is essential to be secured. The core aim of this research is to make available a complete knowledge about the research trends on LSB Steganography Technique, which are applied to securing medical information such as text, image, audio, video and graphics and also discuss the efficiency of the LSB technique. The survey findings show that LSB steganography technique is efficient in securing medical information from intruder

Alpha Channel Fragile Watermarking for Color Image Integrity Protection

This paper presents a fragile watermarking algorithm`m for the protection of the integrity of color images with alpha channel. The system is able to identify modified areas with very high probability, even with small color or transparency changes. The main characteristic of the algorithm is the embedding of the watermark by modifying the alpha channel, leaving the color channels untouched and introducing a very small error with respect to the host image. As a consequence, the resulting watermarked images have a very high peak signal-to-noise ratio. The security of the algorithm is based on a secret key defining the embedding space in which the watermark is inserted by means of the Karhunen–Loève transform (KLT) and a genetic algorithm (GA). Its high sensitivity to modifications is shown, proving the security of the whole system

Data hiding techniques in steganography using fibonacci sequence and knight tour algorithm

The foremost priority in the information and communication technology era, is achieving an efficient and accurate steganography system for hiding information. The developed system of hiding the secret message must capable of not giving any clue to the adversaries about the hidden data. In this regard, enhancing the security and capacity by maintaining the Peak Signal-to-Noise Ratio (PSNR) of the steganography system is the main issue to be addressed. This study proposed an improved for embedding secret message into an image. This newly developed method is demonstrated to increase the security and capacity to resolve the existing problems. A binary text image is used to represent the secret message instead of normal text. Three stages implementations are used to select the pixel before random embedding to select block of (64 × 64) pixels, follows by the Knight Tour algorithm to select sub-block of (8 × 8) pixels, and finally by the random pixels selection. For secret embedding, Fibonacci sequence is implemented to decomposition pixel from 8 bitplane to 12 bitplane. The proposed method is distributed over the entire image to maintain high level of security against any kind of attack. Gray images from the standard dataset (USC-SIPI) including Lena, Peppers, Baboon, and Cameraman are implemented for benchmarking. The results show good PSNR value with high capacity and these findings verified the worthiness of the proposed method. High complexities of pixels distribution and replacement of bits will ensure better security and robust imperceptibility compared to the existing systems in the literature