Optimization of medical image steganography using n-decomposition genetic algorithm

Protecting patients' confidential information is a critical concern in medical image steganography. The Least Significant Bits (LSB) technique has been widely used for secure communication. However, it is susceptible to imperceptibility and security risks due to the direct manipulation of pixels, and ASCII patterns present limitations. Consequently, sensitive medical information is subject to loss or alteration. Despite attempts to optimize LSB, these issues persist due to (1) the formulation of the optimization suffering from non-valid implicit constraints, causing inflexibility in reaching optimal embedding, (2) lacking convergence in the searching process, where the message length significantly affects the size of the solution space, and (3) issues of application customizability where different data require more flexibility in controlling the embedding process. To overcome these limitations, this study proposes a technique known as an n-decomposition genetic algorithm. This algorithm uses a variable-length search to identify the best location to embed the secret message by incorporating constraints to avoid local minimum traps. The methodology consists of five main phases: (1) initial investigation, (2) formulating an embedding scheme, (3) constructing a decomposition scheme, (4) integrating the schemes' design into the proposed technique, and (5) evaluating the proposed technique's performance based on parameters using medical datasets from kaggle.com. The proposed technique showed resistance to statistical analysis evaluated using Reversible Statistical (RS) analysis and histogram. It also demonstrated its superiority in imperceptibility and security measured by MSE and PSNR to Chest and Retina datasets (0.0557, 0.0550) and (60.6696, 60.7287), respectively. Still, compared to the results obtained by the proposed technique, the benchmark outperforms the Brain dataset due to the homogeneous nature of the images and the extensive black background. This research has contributed to genetic-based decomposition in medical image steganography and provides a technique that offers improved security without compromising efficiency and convergence. However, further validation is required to determine its effectiveness in real-world applications

A Comprehensive Review on Medical Image Steganography Based on LSB Technique and Potential Challenges

The rapid development of telemedicine services and the requirements for exchanging medical information between physicians, consultants, and health institutions have made the protection of patients’ information an important priority for any future e-health system. The protection of medical information, including the cover (i.e. medical image), has a specificity that slightly differs from the requirements for protecting other information. It is necessary to preserve the cover greatly due to its importance on the reception side as medical staff use this information to provide a diagnosis to save a patient's life. If the cover is tampered with, this leads to failure in achieving the goal of telemedicine. Therefore, this work provides an investigation of information security techniques in medical imaging, focusing on security goals. Encrypting a message before hiding them gives an extra layer of security, and thus, will provide an excellent solution to protect the sensitive information of patients during the sharing of medical information. Medical image steganography is a special case of image steganography, while Digital Imaging and Communications in Medicine (DICOM) is the backbone of all medical imaging divisions, whereby it is most broadly used to store and transmit medical images. The main objective of this study is to provide a general idea of what Least Significant Bit-based (LSB) steganography techniques have achieved in medical images