Introducing keytagging, a novel technique for the protection of medical image-based tests

This paper introduces keytagging, a novel technique to protect medical image-based tests by implementing image authentication, integrity control and location of tampered areas, private captioning with role-based access control, traceability and copyright protection. It relies on the association of tags (binary data strings) to stable, semistable or volatile features of the image, whose access keys (called keytags) depend on both the image and the tag content. Unlike watermarking, this technique can associate information to the most stable features of the image without distortion. Thus, this method preserves the clinical content of the image without the need for assessment, prevents eavesdropping and collusion attacks, and obtains a substantial capacity-robustness tradeoff with simple operations. The evaluation of this technique, involving images of different sizes from various acquisition modalities and image modifications that are typical in the medical context, demonstrates that all the aforementioned security measures can be implemented simultaneously and that the algorithm presents good scalability. In addition to this, keytags can be protected with standard Cryptographic Message Syntax and the keytagging process can be easily combined with JPEG2000 compression since both share the same wavelet transform. This reduces the delays for associating keytags and retrieving the corresponding tags to implement the aforementioned measures to only ¿30 and ¿90. ms respectively. As a result, keytags can be seamlessly integrated within DICOM, reducing delays and bandwidth when the image test is updated and shared in secure architectures where different users cooperate, e.g. physicians who interpret the test, clinicians caring for the patient and researchers

Design of a secure architecture for the exchange of biomedical information in m-Health scenarios

El paradigma de m-Salud (salud móvil) aboga por la integración masiva de las más avanzadas tecnologías de comunicación, red móvil y sensores en aplicaciones y sistemas de salud, para fomentar el despliegue de un nuevo modelo de atención clínica centrada en el usuario/paciente. Este modelo tiene por objetivos el empoderamiento de los usuarios en la gestión de su propia salud (p.ej. aumentando sus conocimientos, promocionando estilos de vida saludable y previniendo enfermedades), la prestación de una mejor tele-asistencia sanitaria en el hogar para ancianos y pacientes crónicos y una notable disminución del gasto de los Sistemas de Salud gracias a la reducción del número y la duración de las hospitalizaciones. No obstante, estas ventajas, atribuidas a las aplicaciones de m-Salud, suelen venir acompañadas del requisito de un alto grado de disponibilidad de la información biomédica de sus usuarios para garantizar una alta calidad de servicio, p.ej. fusionar varias señales de un usuario para obtener un diagnóstico más preciso. La consecuencia negativa de cumplir esta demanda es el aumento directo de las superficies potencialmente vulnerables a ataques, lo que sitúa a la seguridad (y a la privacidad) del modelo de m-Salud como factor crítico para su éxito. Como requisito no funcional de las aplicaciones de m-Salud, la seguridad ha recibido menos atención que otros requisitos técnicos que eran más urgentes en etapas de desarrollo previas, tales como la robustez, la eficiencia, la interoperabilidad o la usabilidad. Otro factor importante que ha contribuido a retrasar la implementación de políticas de seguridad sólidas es que garantizar un determinado nivel de seguridad implica unos costes que pueden ser muy relevantes en varias dimensiones, en especial en la económica (p.ej. sobrecostes por la inclusión de hardware extra para la autenticación de usuarios), en el rendimiento (p.ej. reducción de la eficiencia y de la interoperabilidad debido a la integración de elementos de seguridad) y en la usabilidad (p.ej. configuración más complicada de dispositivos y aplicaciones de salud debido a las nuevas opciones de seguridad). Por tanto, las soluciones de seguridad que persigan satisfacer a todos los actores del contexto de m-Salud (usuarios, pacientes, personal médico, personal técnico, legisladores, fabricantes de dispositivos y equipos, etc.) deben ser robustas y al mismo tiempo minimizar sus costes asociados. Esta Tesis detalla una propuesta de seguridad, compuesta por cuatro grandes bloques interconectados, para dotar de seguridad a las arquitecturas de m-Salud con unos costes reducidos. El primer bloque define un esquema global que proporciona unos niveles de seguridad e interoperabilidad acordes con las características de las distintas aplicaciones de m-Salud. Este esquema está compuesto por tres capas diferenciadas, diseñadas a la medidas de los dominios de m-Salud y de sus restricciones, incluyendo medidas de seguridad adecuadas para la defensa contra las amenazas asociadas a sus aplicaciones de m-Salud. El segundo bloque establece la extensión de seguridad de aquellos protocolos estándar que permiten la adquisición, el intercambio y/o la administración de información biomédica -- por tanto, usados por muchas aplicaciones de m-Salud -- pero no reúnen los niveles de seguridad detallados en el esquema previo. Estas extensiones se concretan para los estándares biomédicos ISO/IEEE 11073 PHD y SCP-ECG. El tercer bloque propone nuevas formas de fortalecer la seguridad de los tests biomédicos, que constituyen el elemento esencial de muchas aplicaciones de m-Salud de carácter clínico, mediante codificaciones novedosas. Finalmente el cuarto bloque, que se sitúa en paralelo a los anteriores, selecciona herramientas genéricas de seguridad (elementos de autenticación y criptográficos) cuya integración en los otros bloques resulta idónea, y desarrolla nuevas herramientas de seguridad, basadas en señal -- embedding y keytagging --, para reforzar la protección de los test biomédicos.The paradigm of m-Health (mobile health) advocates for the massive integration of advanced mobile communications, network and sensor technologies in healthcare applications and systems to foster the deployment of a new, user/patient-centered healthcare model enabling the empowerment of users in the management of their health (e.g. by increasing their health literacy, promoting healthy lifestyles and the prevention of diseases), a better home-based healthcare delivery for elderly and chronic patients and important savings for healthcare systems due to the reduction of hospitalizations in number and duration. It is a fact that many m-Health applications demand high availability of biomedical information from their users (for further accurate analysis, e.g. by fusion of various signals) to guarantee high quality of service, which on the other hand entails increasing the potential surfaces for attacks. Therefore, it is not surprising that security (and privacy) is commonly included among the most important barriers for the success of m-Health. As a non-functional requirement for m-Health applications, security has received less attention than other technical issues that were more pressing at earlier development stages, such as reliability, eficiency, interoperability or usability. Another fact that has contributed to delaying the enforcement of robust security policies is that guaranteeing a certain security level implies costs that can be very relevant and that span along diferent dimensions. These include budgeting (e.g. the demand of extra hardware for user authentication), performance (e.g. lower eficiency and interoperability due to the addition of security elements) and usability (e.g. cumbersome configuration of devices and applications due to security options). Therefore, security solutions that aim to satisfy all the stakeholders in the m-Health context (users/patients, medical staff, technical staff, systems and devices manufacturers, regulators, etc.) shall be robust and, at the same time, minimize their associated costs. This Thesis details a proposal, composed of four interrelated blocks, to integrate appropriate levels of security in m-Health architectures in a cost-efcient manner. The first block designes a global scheme that provides different security and interoperability levels accordingto how critical are the m-Health applications to be implemented. This consists ofthree layers tailored to the m-Health domains and their constraints, whose security countermeasures defend against the threats of their associated m-Health applications. Next, the second block addresses the security extension of those standard protocols that enable the acquisition, exchange and/or management of biomedical information | thus, used by many m-Health applications | but do not meet the security levels described in the former scheme. These extensions are materialized for the biomedical standards ISO/IEEE 11073 PHD and SCP-ECG. Then, the third block proposes new ways of enhancing the security of biomedical standards, which are the centerpiece of many clinical m-Health applications, by means of novel codings. Finally the fourth block, with is parallel to the others, selects generic security methods (for user authentication and cryptographic protection) whose integration in the other blocks results optimal, and also develops novel signal-based methods (embedding and keytagging) for strengthening the security of biomedical tests. The layer-based extensions of the standards ISO/IEEE 11073 PHD and SCP-ECG can be considered as robust, cost-eficient and respectful with their original features and contents. The former adds no attributes to its data information model, four new frames to the service model |and extends four with new sub-frames|, and only one new sub-state to the communication model. Furthermore, a lightweight architecture consisting of a personal health device mounting a 9 MHz processor and an aggregator mounting a 1 GHz processor is enough to transmit a 3-lead electrocardiogram in real-time implementing the top security layer. The extra requirements associated to this extension are an initial configuration of the health device and the aggregator, tokens for identification/authentication of users if these devices are to be shared and the implementation of certain IHE profiles in the aggregator to enable the integration of measurements in healthcare systems. As regards to the extension of SCP-ECG, it only adds a new section with selected security elements and syntax in order to protect the rest of file contents and provide proper role-based access control. The overhead introduced in the protected SCP-ECG is typically 2{13 % of the regular file size, and the extra delays to protect a newly generated SCP-ECG file and to access it for interpretation are respectively a 2{10 % and a 5 % of the regular delays. As regards to the signal-based security techniques developed, the embedding method is the basis for the proposal of a generic coding for tests composed of biomedical signals, periodic measurements and contextual information. This has been adjusted and evaluated with electrocardiogram and electroencephalogram-based tests, proving the objective clinical quality of the coded tests, the capacity of the coding-access system to operate in real-time (overall delays of 2 s for electrocardiograms and 3.3 s for electroencephalograms) and its high usability. Despite of the embedding of security and metadata to enable m-Health services, the compression ratios obtained by this coding range from ' 3 in real-time transmission to ' 5 in offline operation. Complementarily, keytagging permits associating information to images (and other signals) by means of keys in a secure and non-distorting fashion, which has been availed to implement security measures such as image authentication, integrity control and location of tampered areas, private captioning with role-based access control, traceability and copyright protection. The tests conducted indicate a remarkable robustness-capacity tradeoff that permits implementing all this measures simultaneously, and the compatibility of keytagging with JPEG2000 compression, maintaining this tradeoff while setting the overall keytagging delay in only ' 120 ms for any image size | evidencing the scalability of this technique. As a general conclusion, it has been demonstrated and illustrated with examples that there are various, complementary and structured manners to contribute in the implementation of suitable security levels for m-Health architectures with a moderate cost in budget, performance, interoperability and usability. The m-Health landscape is evolving permanently along all their dimensions, and this Thesis aims to do so with its security. Furthermore, the lessons learned herein may offer further guidance for the elaboration of more comprehensive and updated security schemes, for the extension of other biomedical standards featuring low emphasis on security or privacy, and for the improvement of the state of the art regarding signal-based protection methods and applications

WAVELET BASED DATA HIDING OF DEM IN THE CONTEXT OF REALTIME 3D VISUALIZATION (Visualisation 3D Temps-Réel à Distance de MNT par Insertion de Données Cachées Basée Ondelettes)

The use of aerial photographs, satellite images, scanned maps and digital elevation models necessitates the setting up of strategies for the storage and visualization of these data. In order to obtain a three dimensional visualization it is necessary to drape the images, called textures, onto the terrain geometry, called Digital Elevation Model (DEM). Practically, all these information are stored in three different files: DEM, texture and position/projection of the data in a geo-referential system. In this paper we propose to stock all these information in a single file for the purpose of synchronization. For this we have developed a wavelet-based embedding method for hiding the data in a colored image. The texture images containing hidden DEM data can then be sent from the server to a client in order to effect 3D visualization of terrains. The embedding method is integrable with the JPEG2000 coder to accommodate compression and multi-resolution visualization. Résumé L'utilisation de photographies aériennes, d'images satellites, de cartes scannées et de modèles numériques de terrains amène à mettre en place des stratégies de stockage et de visualisation de ces données. Afin d'obtenir une visualisation en trois dimensions, il est nécessaire de lier ces images appelées textures avec la géométrie du terrain nommée Modèle Numérique de Terrain (MNT). Ces informations sont en pratiques stockées dans trois fichiers différents : MNT, texture, position et projection des données dans un système géo-référencé. Dans cet article, nous proposons de stocker toutes ces informations dans un seul fichier afin de les synchroniser. Nous avons développé pour cela une méthode d'insertion de données cachées basée ondelettes dans une image couleur. Les images de texture contenant les données MNT cachées peuvent ensuite être envoyées du serveur au client afin d'effectuer une visualisation 3D de terrains. Afin de combiner une visualisation en multirésolution et une compression, l'insertion des données cachées est intégrable dans le codeur JPEG 2000

Preserving Trustworthiness and Confidentiality for Online Multimedia

Technology advancements in areas of mobile computing, social networks, and cloud computing have rapidly changed the way we communicate and interact. The wide adoption of media-oriented mobile devices such as smartphones and tablets enables people to capture information in various media formats, and offers them a rich platform for media consumption. The proliferation of online services and social networks makes it possible to store personal multimedia collection online and share them with family and friends anytime anywhere. Considering the increasing impact of digital multimedia and the trend of cloud computing, this dissertation explores the problem of how to evaluate trustworthiness and preserve confidentiality of online multimedia data. The dissertation consists of two parts. The first part examines the problem of evaluating trustworthiness of multimedia data distributed online. Given the digital nature of multimedia data, editing and tampering of the multimedia content becomes very easy. Therefore, it is important to analyze and reveal the processing history of a multimedia document in order to evaluate its trustworthiness. We propose a new forensic technique called ``Forensic Hash", which draws synergy between two related research areas of image hashing and non-reference multimedia forensics. A forensic hash is a compact signature capturing important information from the original multimedia document to assist forensic analysis and reveal processing history of a multimedia document under question. Our proposed technique is shown to have the advantage of being compact and offering efficient and accurate analysis to forensic questions that cannot be easily answered by convention forensic techniques. The answers that we obtain from the forensic hash provide valuable information on the trustworthiness of online multimedia data. The second part of this dissertation addresses the confidentiality issue of multimedia data stored with online services. The emerging cloud computing paradigm makes it attractive to store private multimedia data online for easy access and sharing. However, the potential of cloud services cannot be fully reached unless the issue of how to preserve confidentiality of sensitive data stored in the cloud is addressed. In this dissertation, we explore techniques that enable confidentiality-preserving search of encrypted multimedia, which can play a critical role in secure online multimedia services. Techniques from image processing, information retrieval, and cryptography are jointly and strategically applied to allow efficient rank-ordered search over encrypted multimedia database and at the same time preserve data confidentiality against malicious intruders and service providers. We demonstrate high efficiency and accuracy of the proposed techniques and provide a quantitative comparative study with conventional techniques based on heavy-weight cryptography primitives

Recent Advances in Signal Processing

The signal processing task is a very critical issue in the majority of new technological inventions and challenges in a variety of applications in both science and engineering fields. Classical signal processing techniques have largely worked with mathematical models that are linear, local, stationary, and Gaussian. They have always favored closed-form tractability over real-world accuracy. These constraints were imposed by the lack of powerful computing tools. During the last few decades, signal processing theories, developments, and applications have matured rapidly and now include tools from many areas of mathematics, computer science, physics, and engineering. This book is targeted primarily toward both students and researchers who want to be exposed to a wide variety of signal processing techniques and algorithms. It includes 27 chapters that can be categorized into five different areas depending on the application at hand. These five categories are ordered to address image processing, speech processing, communication systems, time-series analysis, and educational packages respectively. The book has the advantage of providing a collection of applications that are completely independent and self-contained; thus, the interested reader can choose any chapter and skip to another without losing continuity

New Public-Key Authentication Watermarking for JBIG2 Resistant to Parity Attacks

Abstract. An authentication watermark is a hidden data inserted into an image that allows detecting any alteration made in the image. AWTs (Authentication Watermarking Techniques) normally make use of secret- or public-key cryptographic cipher to compute the authentication signature of the image, and inserts it into the image itself. Many previous public-key AWTs for uncompressed binary images can be attacked by an image adulterating technique named “parity attack. ” JBIG2 is an international standard for compressing bi-level images (both lossy and lossless). The creation of secure AWTs for compressed binary images is an important practical problem. However, it seems that no AWT for JBIG2 resistant to parity attacks has ever been proposed. This paper proposes a new data-hiding method to embed information in the text region of JBIG2 files. Then, we use this technique to design a new AWT for JBIG2-encoded images resistant to parity attacks. Both the secret- and public-key versions of the proposed AWT are completely immune against parity attacks. Moreover, watermarked images are visually pleasant, without visible salt and pepper noise. Image authenticity verification can be performed in either JBIG2 file itself or in the binary image obtained by decoding the JBIG2 file.