A New Evaluation Method for Medical Image Information Hiding Techniques

Medical image scans and associated electronic medical records (EMR) could be stored locally or transmitted for use in autodiagnosis and remote healthcare in teleradiology. Hence, they require security against unauthorised access and modification. Among other means of providing this security, information hiding (IH) techniques have gained relevance especially for open networks that are prone to active attacks. However, the evaluation of the suitability of these IH algorithms in terms of preserving medical image diagnostic features is currently limited to signal processing parameters. This paper re-interprets existing evaluation parameters and provides a new framework that allows dynamic selection of medical image IH (watermarking and steganography) security algorithms. Specifically, criteria that capture medical statistics used in the diagnosis and monitoring of patients were incorporated. These criteria and framework were validated on the Pneumonia Chest Xray dataset (used in a Kaggle Competition) using three selected IH algorithms that offer privacy and image tamper detection.