WatMIF: Multimodal Medical Image Fusion-Based Watermarking for Telehealth Applications

Over recent years, the volume of big data has drastically increased for medical applications. Such data are shared by cloud providers for storage and further processing. Medical images contain sensitive information, and these images are shared with healthcare workers, patients, and, in some scenarios, researchers for diagnostic and study purposes. However, the security of these images in the transfer process is extremely important, especially after the COVID-19 pandemic. This paper proposes a secure watermarking algorithm, termed WatMIF, based on multimodal medical image fusion. The proposed algorithm consists of three major parts: the encryption of the host media, the fusion of multimodal medical images, and the embedding and extraction of the fused mark. We encrypt the host media with a key-based encryption scheme. Then, a nonsubsampled contourlet transform (NSCT)-based fusion scheme is employed to fuse the magnetic resonance imaging (MRI) and computed tomography (CT) scan images to generate the fused mark image. Furthermore, the encrypted host media conceals the fused watermark using redundant discrete wavelet transform (RDWT) and randomised singular value decomposition (RSVD). Finally, denoising convolutional neural network (DnCNN) is used to improve the robustness of the WatMIF algorithm. The simulation experiments on two standard datasets were used to evaluate the algorithm in terms of invisibility, robustness, and security. When compared with the existing algorithms, the robustness is improved by 20.14%. Overall, the implementation of proposed watermarking for hiding fused marks and efficient encryption improved the identity verification, invisibility, robustness and security criteria in our WatMIF algorithm.