Biblio

To contribute to medical data security, we propose the application of a modified algorithm on elliptical curves (ECC), initially proposed for text encryption. We implement this algorithm by eliminating the sender-receiver lookup table and grouping the pixel values into pairs to form points on a predefined elliptical curve. Simulation results show that the proposed algorithm offers the best compromise between the quality and the speed of cipher / decipher, especially for large images. A comparative study between ECC and AlGamel showed that the proposed algorithm offers better performance and its application, on medical images, is promising. Medical images contain many pieces of information and are often large. If the cryptographic operation is performed on every single pixel it will take more time. So, working on groups of pixels will be strongly recommended to save time and space.

A vast volume of digital electronic health records is exchanged across the open network in this modern era. Cross all the existing security methods, encryption is a dependable method of data security. This study discusses an encryption technique for digital medical images that uses chaos combined with deoxyribonucleic acid (DNA). In fact, Rossler's and Lorenz's chaotic systems along with DNA encoding are used in the suggested medical image cryptographic system. Chaos is used to create a random key stream. The DNA encoding rules are then used to encode the key and the input original image. A hardware design of the proposed scheme is implemented on the Zedboard development kit. The experimental findings show that the proposed cryptosystem has strong security while maintaining acceptable hardware performances.

Advances in deep neural networks (DNNs) have shown tremendous promise in the medical domain. However, the deep learning tools that are helping the domain, can also be used against it. Given the prevalence of fraud in the healthcare domain, it is important to consider the adversarial use of DNNs in manipulating sensitive data that is crucial to patient healthcare. In this work, we present the design and implementation of a DNN-based image translation attack on biomedical imagery. More specifically, we propose Jekyll, a neural style transfer framework that takes as input a biomedical image of a patient and translates it to a new image that indicates an attacker-chosen disease condition. The potential for fraudulent claims based on such generated `fake' medical images is significant, and we demonstrate successful attacks on both X-rays and retinal fundus image modalities. We show that these attacks manage to mislead both medical professionals and algorithmic detection schemes. Lastly, we also investigate defensive measures based on machine learning to detect images generated by Jekyll.

The transmission of medical image data in an open network environment is subject to privacy issues including patient privacy and data leakage. In the past, image encryption and information-hiding technology have been used to solve such security problems. But these methodologies, in general, suffered from difficulties in retrieving original images. We present in this paper an algorithm to protect key regions in medical images. First, coefficient of variation is used to locate the key regions, a.k.a. the lesion areas, of an image; other areas are then processed in blocks and analyzed for texture complexity. Next, our reversible data-hiding algorithm is used to embed the contents from the lesion areas into a high-texture area, and the Arnold transformation is performed to protect the original lesion information. In addition to this, we use the ciphertext of the basic information about the image and the decryption parameter to generate the Quick Response (QR) Code to replace the original key regions. Consequently, only authorized customers can obtain the encryption key to extract information from encrypted images. Experimental results show that our algorithm can not only restore the original image without information loss, but also safely transfer the medical image copyright and patient-sensitive information.