Enhancing Security in Medical Image Informatics with Various Attacks

The objective of the work is to provide security to the medical images by embedding medical data (EPR-Electronic Patient Record) along with the image to reduce the bandwidth during communication. Reversible watermarking and Digital Signature itself will provide high security. This application mainly used in tele-surgery (Medical Expert to Medical Expert Communication). Only the authorized medical experts can explore the patients’ image because of Kerberos. The proposed work is mainly to restrict the unauthorized access to get the patients'data. So medical image authentication may be achieved without biometric recognition such as finger prints and eye stamps etc. The EPR itself contains the patients’ entire history, so after the extraction process Medical expert can able to identify the patient and also the disease information. In future we can embed the EPR inside the medical image after it got encrypted to achieve more security. To increase the authentication, Medical Expert biometric information can be embedded inside the image in the future. Experiments were conducted using more than 500 (512×512) image archives in various modalities from the NIH (National Institute of Health) and Aycan sample digital images downloaded from the internet and tests are conducted. Almost in all images with greater than 15000 bits embedding size and got PSNR of 60.4 dB to 78.9 dB with low distortion in received image because of compression, not because of watermarking and average NPCR (Number of Pixels Change Rate) is 98.9 %.