Using digital watermarking to enhance security in wireless medical image transmission

This is the published version of the article. Copyright 2010 Mary Ann Liebert Inc.During the last few years, wireless networks have been increasingly used both inside hospitals and in patients’ homes to transmit medical information. In general, wireless networks suffer from decreased security. However, digital watermarking can be used to secure medical information. In this study, we focused on combining wireless transmission and digital watermarking technologies to better secure the transmission of medical images within and outside the hospital. Methods: We utilized an integrated system comprising the wireless network and the digital watermarking module to conduct a series of tests. Results: The test results were evaluated by medical consultants. They concluded that the images suffered no visible quality degradation and maintained their diagnostic integrity. Discussion: The proposed integrated system presented reasonable stability, and its performance was comparable to that of a fixed network. This system can enhance security during the transmission of medical images through a wireless channel.The General Secretariat for Research and Technology of the Hellenic Ministry of Development and the British Council

Hybrid multiple watermarking technique for securing medical images of modalities MRI, CT scan, and X-ray

In order to contribute to the security of sharing and transferring medical images, we had presented a multiple watermarking technique for multiple protections; it was based on the combination of three transformations: the discrete wavelet transform (DWT), the fast Walsh-Hadamard transform (FWHT) and, the singular value decomposition (SVD). In this paper, three watermark images of sizes 512x 512 were inserted into a single medical image of various modalities such as magnetic resonance imaging (MRI), computed tomography (CT), and X-Radiation (X-ray). After applying DWT up to the third level on the original image, the high-resolution sub-bands were being selected subsequently to apply FWHT and then SVD. The singular values of the three watermark images were inserted into the singular values of the cover medical image. The experimental results showed the effectiveness of the proposed method in terms of quality and robustness compared to other reported techniques cited in the literature

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

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

A Study And Analysis Of Watermarking Algorithms For Medical Images

Digital watermarking techniques hide digital data into digital images imperceptibly for different purposes and applications such as copyright protection, authentication, and data hiding. Teknik-teknik pembenaman tera air menyembunyikan data digit ke dalam imej-imej digit untuk pelbagai keperluan dan aplikasi seperti perlindungan hak cipta, pengesahan, dan penyembunyian data

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

A dual adaptive watermarking scheme in contourlet domain for DICOM images

<p>Abstract</p> <p>Background</p> <p>Nowadays, medical imaging equipments produce digital form of medical images. In a modern health care environment, new systems such as PACS (picture archiving and communication systems), use the digital form of medical image too. The digital form of medical images has lots of advantages over its analog form such as ease in storage and transmission. Medical images in digital form must be stored in a secured environment to preserve patient privacy. It is also important to detect modifications on the image. These objectives are obtained by watermarking in medical image.</p> <p>Methods</p> <p>In this paper, we present a dual and oblivious (blind) watermarking scheme in the contourlet domain. Because of importance of ROI (region of interest) in interpretation by medical doctors rather than RONI (region of non-interest), we propose an adaptive dual watermarking scheme with different embedding strength in ROI and RONI. We embed watermark bits in singular value vectors of the embedded blocks within lowpass subband in contourlet domain.</p> <p>Results</p> <p>The values of PSNR (peak signal-to-noise ratio) and SSIM (structural similarity measure) index of ROI for proposed DICOM (digital imaging and communications in medicine) images in this paper are respectively larger than 64 and 0.997. These values confirm that our algorithm has good transparency. Because of different embedding strength, BER (bit error rate) values of signature watermark are less than BER values of caption watermark. Our results show that watermarked images in contourlet domain have greater robustness against attacks than wavelet domain. In addition, the qualitative analysis of our method shows it has good invisibility.</p> <p>Conclusions</p> <p>The proposed contourlet-based watermarking algorithm in this paper uses an automatically selection for ROI and embeds the watermark in the singular values of contourlet subbands that makes the algorithm more efficient, and robust against noise attacks than other transform domains. The embedded watermark bits can be extracted without the original image, the proposed method has high PSNR and SSIM, and the watermarked image has high transparency and can still conform to the DICOM format.</p

Importance of Watermark Lossless Compression in Digital Medical Image Watermarking

Large size data requires more storage space, communication time, communication bandwidth and degrades host image quality when it is embedded into it as watermark. Lossless compression reduces data size better than lossless one but with permanent loss of important part of data. Data lossless compression reduces data size contrast to lossy one without any data loss. Medical image data is very sensitive and needs lossless compression otherwise it will result in erroneous input for the health recovery process. This paper focuses on Ultrasound medical image region of interest(ROI) lossless compression as watermark using different techniques; PNG, GIF, JPG, JPEG2000 and Lempel Ziv Welsh (LZW). LZW technique was found 86% better than other tabulated techniques. Compression ratio and more bytes reduction were the parameters considered for the selection of better compression technique. In this work LZW has been used successfully for watermark lossless compression to watermark medical images in teleradiology to ensure less payload encapsulation into images to preserve their perceptual and diagnostic qualities unchanged. On the other side in teleradiology the extracted lossless decompressed watermarks ensure the images authentication and their lossless recoveries in case of any tamper occurrences

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