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

Digital watermarking: a state-of-the-art review

Digital watermarking is the art of embedding data, called a watermark, into a multimedia object such that the watermark can be detected or extracted later without impairing the object. Concealment of secret messages inside a natural language, known as steganography, has been in existence as early as the 16th century. However, the increase in electronic/digital information transmission and distribution has resulted in the spread of watermarking from ordinary text to multimedia transmission. In this paper, we review various approaches and methods that have been used to conceal and preserve messages. Examples of real-world applications are also discussed.SANPAD, Telkom, Cisco, Aria Technologies, THRIPDepartment of HE and Training approved lis

Reversible and imperceptible watermarking approach for ensuring the integrity and authenticity of brain MR images

The digital medical workflow has many circumstances in which the image data can be manipulated both within the secured Hospital Information Systems (HIS) and outside, as images are viewed, extracted and exchanged. This potentially grows ethical and legal concerns regarding modifying images details that are crucial in medical examinations. Digital watermarking is recognised as a robust technique for enhancing trust within medical imaging by detecting alterations applied to medical images. Despite its efficiency, digital watermarking has not been widely used in medical imaging. Existing watermarking approaches often suffer from validation of their appropriateness to medical domains. Particularly, several research gaps have been identified: (i) essential requirements for the watermarking of medical images are not well defined; (ii) no standard approach can be found in the literature to evaluate the imperceptibility of watermarked images; and (iii) no study has been conducted before to test digital watermarking in a medical imaging workflow. This research aims to investigate digital watermarking to designing, analysing and applying it to medical images to confirm manipulations can be detected and tracked. In addressing these gaps, a number of original contributions have been presented. A new reversible and imperceptible watermarking approach is presented to detect manipulations of brain Magnetic Resonance (MR) images based on Difference Expansion (DE) technique. Experimental results show that the proposed method, whilst fully reversible, can also realise a watermarked image with low degradation for reasonable and controllable embedding capacity. This is fulfilled by encoding the data into smooth regions (blocks that have least differences between their pixels values) inside the Region of Interest (ROI) part of medical images and also through the elimination of the large location map (location of pixels used for encoding the data) required at extraction to retrieve the encoded data. This compares favourably to outcomes reported under current state-of-art techniques in terms of visual image quality of watermarked images. This was also evaluated through conducting a novel visual assessment based on relative Visual Grading Analysis (relative VGA) to define a perceptual threshold in which modifications become noticeable to radiographers. The proposed approach is then integrated into medical systems to verify its validity and applicability in a real application scenario of medical imaging where medical images are generated, exchanged and archived. This enhanced security measure, therefore, enables the detection of image manipulations, by an imperceptible and reversible watermarking approach, that may establish increased trust in the digital medical imaging workflow

Digital watermarking in medical images

This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University, 05/12/2005.This thesis addresses authenticity and integrity of medical images using watermarking. Hospital Information Systems (HIS), Radiology Information Systems (RIS) and Picture Archiving and Communication Systems (P ACS) now form the information infrastructure for today's healthcare as these provide new ways to store, access and distribute medical data that also involve some security risk. Watermarking can be seen as an additional tool for security measures. As the medical tradition is very strict with the quality of biomedical images, the watermarking method must be reversible or if not, region of Interest (ROI) needs to be defined and left intact. Watermarking should also serve as an integrity control and should be able to authenticate the medical image. Three watermarking techniques were proposed. First, Strict Authentication Watermarking (SAW) embeds the digital signature of the image in the ROI and the image can be reverted back to its original value bit by bit if required. Second, Strict Authentication Watermarking with JPEG Compression (SAW-JPEG) uses the same principal as SAW, but is able to survive some degree of JPEG compression. Third, Authentication Watermarking with Tamper Detection and Recovery (AW-TDR) is able to localise tampering, whilst simultaneously reconstructing the original image

Digital watermarking in medical images

This thesis addresses authenticity and integrity of medical images using watermarking. Hospital Information Systems (HIS), Radiology Information Systems (RIS) and Picture Archiving and Communication Systems (P ACS) now form the information infrastructure for today's healthcare as these provide new ways to store, access and distribute medical data that also involve some security risk. Watermarking can be seen as an additional tool for security measures. As the medical tradition is very strict with the quality of biomedical images, the watermarking method must be reversible or if not, region of Interest (ROI) needs to be defined and left intact. Watermarking should also serve as an integrity control and should be able to authenticate the medical image. Three watermarking techniques were proposed. First, Strict Authentication Watermarking (SAW) embeds the digital signature of the image in the ROI and the image can be reverted back to its original value bit by bit if required. Second, Strict Authentication Watermarking with JPEG Compression (SAW-JPEG) uses the same principal as SAW, but is able to survive some degree of JPEG compression. Third, Authentication Watermarking with Tamper Detection and Recovery (AW-TDR) is able to localise tampering, whilst simultaneously reconstructing the original image.EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Preserving data integrity of encoded medical images: the LAR compression framework

International audienceThrough the development of medical imaging systems and their integration into a complete information system, the need for advanced joint coding and network services becomes predominant. PACS (Picture Archiving and Communication System) aims to acquire, store and compress, retrieve, present and distribute medical images. These systems have to be accessible via the Internet or wireless channels. Thus protection processes against transmission errors have to be added to get a powerful joint source-channel coding tool. Moreover, these sensitive data require confidentiality and privacy for both archiving and transmission purposes, leading to use cryptography and data embedding solutions. This chapter introduces data integrity protection and developed dedicated tools of content protection and secure bitstream transmission for medical encoded image purposes. In particular, the LAR image coding method is defined together with advanced securization services

Journal of Telecommunications and Information Technology, 2014, nr 2

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The State of the Parties (Seventh Edition)

Continuing a three-decade tradition, The State of the Parties 7th edition brings together leading experts to evaluate change and continuity in American electoral politics. Political parties in America have never been more contentious and divided than they are right now. Even splits within the parties themselves have the power to elevate relatively unknown candidates to power and topple established incumbents. With sections devoted to polarization and the electorate, polarization and political elites, tea party politics, super PACS, and partisan resources and partisan activities, the contributors survey the American political landscape. They pay special attention to polarization between and within the parties in the aftermath of the 2012 election, demographic changes to America\u27s political parties, the effects of new media and campaign finance laws on national and local electoral results, the Tea Party\u27s rise and, as always, the implications of all these factors on future policymaking and electoral prospects. The State of the Parties 7th edition offers an indispensable guide to American politics for scholars, students, and practitioners.https://ideaexchange.uakron.edu/state_of_the_parties7/1000/thumbnail.jp