SVIoT: A Secure Visual-IoT Framework for Smart Healthcare.

The advancement of the Internet of Things (IoT) has transfigured the overlay of the physical world by superimposing digital information in various sectors, including smart cities, industry, healthcare, etc. Among the various shared information, visual data are an insensible part of smart cities, especially in healthcare. As a result, visual-IoT research is gathering momentum. In visual-IoT, visual sensors, such as cameras, collect critical multimedia information about industries, healthcare, shopping, autonomous vehicles, crowd management, etc. In healthcare, patient-related data are captured and then transmitted via insecure transmission lines. The security of this data are of paramount importance. Besides the fact that visual data requires a large bandwidth, the gap between communication and computation is an additional challenge for visual IoT system development. In this paper, we present SVIoT, a Secure Visual-IoT framework, which addresses the issues of both data security and resource constraints in IoT-based healthcare. This was achieved by proposing a novel reversible data hiding (RDH) scheme based on One Dimensional Neighborhood Mean Interpolation (ODNMI). The use of ODNMI reduces the computational complexity and storage/bandwidth requirements by 50 percent. We upscaled the original image from M × N to M ± 2N, dissimilar to conventional interpolation methods, wherein images are upscaled to 2M × 2N. We made use of an innovative mechanism, Left Data Shifting (LDS), before embedding data in the cover image. Before embedding the data, we encrypted it using an AES-128 encryption algorithm to offer additional security. The use of LDS ensures better perceptual quality at a relatively high payload. We achieved an average PSNR of 43 dB for a payload of 1.5 bpp (bits per pixel). In addition, we embedded a fragile watermark in the cover image to ensure authentication of the received content.

Secure Patient Data Transfer Using Information Embedding and Hyperchaos.

Health 4.0 is an extension of the Industry standard 4.0 which is aimed at the virtualization of health-care services. It employs core technologies and services for integrated management of electronic health records (EHRs), captured through various sensors. The EHR is processed and transmitted to distant experts for better diagnosis and improved healthcare delivery. However, for the successful implementation of Heath 4.0 many challenges do exist. One of the critical issues that needs attention is the security of EHRs in smart health systems. In this work, we have developed a new interpolation scheme capable of providing better quality cover media and supporting reversible EHR embedding. The scheme provides a double layer of security to the EHR by firstly using hyperchaos to encrypt the EHR. The encrypted EHR is reversibly embedded in the cover images produced by the proposed interpolation scheme. The proposed interpolation module has been found to provide better quality interpolated images. The proposed system provides an average peak signal to noise ratio (PSNR) of 52.38 dB for a high payload of 0.75 bits per pixel. In addition to embedding EHR, a fragile watermark (WM) is also encrypted using the hyperchaos embedded into the cover image for tamper detection and authentication of the received EHR. Experimental investigations reveal that our scheme provides improved performance for high contrast medical images (MI) when compared to various techniques for evaluation parameters like imperceptibility, reversibility, payload, and computational complexity. Given the attributes of the scheme, it can be used for enhancing the security of EHR in health 4.0.

Hiding clinical information in medical images: A new high capacity and reversible data hiding technique.

A new high capacity and reversible data hiding scheme for e-healthcare applications has been presented in this paper. Pixel to Block (PTB) conversion technique has been used as an effective and computationally efficient alternative to interpolation for the cover image generation to ensure reversibility of medical images. A fragile watermark and Block Checksum (computed for each 4×4 block) have been embedded in the cover image for facilitating tamper detection and tamper localization, and hence content authentication at receiver. The EPR, watermark data and checksum data has been embedded using Intermediate Significant Bit Substitution (ISBS) to avoid commonly used LSB removal/replacement attack. Non-linear dynamics of chaos have been put to use for encrypting the Electronic Patient Record (EPR)/clinical data and watermark data for improving the security of data embedded. The scheme has been evaluated for perceptual imperceptibility and tamper detection capability by subjecting it to various image processing and geometric attacks. Experimental results reveal that the proposed system besides being completely reversible is capable of providing high quality watermarked images for fairly high payload. Further, it has been observed that the proposed technique is able to detect and localise the tamper. A comparison of the observed results with that of some state-of-art schemes show that our scheme performs better.

Hiding Electronic Patient Record (EPR) in medical images: A high capacity and computationally efficient technique for e-healthcare applications.

A high capacity and semi-reversible data hiding scheme based on Pixel Repetition Method (PRM) and hybrid edge detection for scalable medical images has been proposed in this paper. PRM has been used to scale up the small sized image (seed image) and hybrid edge detection ensures that no important edge information is missed. The scaled up version of seed image has been divided into 2×2 non overlapping blocks. In each block there is one seed pixel whose status decides the number of bits to be embedded in the remaining three pixels of that block. The Electronic Patient Record (EPR)/data have been embedded by using Least Significant and Intermediate Significant Bit Substitution (ISBS). The RC4 encryption has been used to add an additional security layer for embedded EPR/data. The proposed scheme has been tested for various medical and general images and compared with some state of art techniques in the field. The experimental results reveal that the proposed scheme besides being semi-reversible and computationally efficient is capable of handling high payload and as such can be used effectively for electronic healthcare applications.

Advances in medical image watermarking: a state of the art review.

Watermarking has been considered to be a potent and persuasive gizmo for its application in healthcare setups that work online, especially in the current COVID-19 scenario. The security and protection of medical image data from various manipulations that take place over the internet is a topic of concern that needs to be addressed. A detailed review of security and privacy protection using watermarking has been presented in this paper. Watermarking of medical images helps in the protection of image content, authentication of Electronic Patient Record (EPR), and integrity verification. At first, we discuss the various prerequisites of medical image watermarking systems, followed by the classification of Medical Image Watermarking Techniques (MIWT) that include state-of-the-art. We have classified MIWT's into four broader classes for providing better understanding of medical image watermarking. The existing schemes have been presented along with their cons so that the reader may be able to grasp the shortcomings of the technique in order to develop novel techniques proving the inevitability of the presented review. Further, various evaluation parameters along with potential challenges pertaining to medical image watermarking systems have been discussed to provide a deep insight into this research area.

IEFHAC: Image encryption framework based on hessenberg transform and chaotic theory for smart health.

Smart cities aim to improve the quality of life by utilizing technological advancements. One of the main areas of innovation includes the design, implementation, and management of data-intensive medical systems also known as big-data Smart Healthcare systems. Smart health systems need to be supported by highly efficient and resilient security frameworks. One of the important aspects that smart health systems need to provide, is timely access to high-resolution medical images, that form about 80% of the medical data. These images contain sensitive information about the patient and as such need to be secured completely. To prevent unauthorized access to medical images, the process of image encryption has become an imperative task for researchers all over the world. Chaos-based encryption has paved the way for the protection of sensitive data from being altered, modified, or hacked. In this paper, we present an Image Encryption Framework based on Hessenberg transform and Chaotic encryption (IEFHAC), for improving security and reducing computational time while encrypting patient data. IEFHAC uses two 1D-chaotic maps: Logistic map and Sine map for the confusion of data, while diffusion has been achieved by applying the Hessenberg household transform. The Sin and Logistic maps are used to regeneratively affect each other's output, as such dynamically changing the key parameters. The experimental analysis demonstrates that IEFHAC shows better results like NPCR ranging from 99.66 to 100%, UACI of 37.39%, lesser computational time of 0.36 s, and is more robust to statistical attacks.

An efficient image encryption scheme for healthcare applications.

In recent years, there has been an enormous demand for the security of image multimedia in healthcare organizations. Many schemes have been developed for the security preservation of data in e-health systems however the schemes are not adaptive and cannot resist chosen and known-plaintext attacks. In this contribution, we present an adaptive framework aimed at preserving the security and confidentiality of images transmitted through an e-healthcare system. Our scheme utilizes the 3D-chaotic system to generate a keystream which is used to perform 8-bit and 2-bit permutations of the image. We perform pixel diffusion by a key-image generated using the Piecewise Linear Chaotic Map (PWLCM). We calculate an image parameter using the pixels of the image and perform criss-cross diffusion to enhance security. We evaluate the scheme's performance in terms of histogram analysis, information entropy analysis, statistical analysis, and differential analysis. Using the scheme, we obtain the average Number of Pixels Change Rate (NPCR) and Unified Average Changing Intensity (UACI) values for an image of size 256 × 256 equal to 99.5996 and 33.499 respectively. Furthermore, the average entropy is 7.9971 and the average Peak Signal to Noise Ratio (PSNR) is 7.4756. We further test the scheme on 50 chest X-Ray images of patients having COVID-19 and viral pneumonia and found the average values of variance, PSNR, entropy, and Structural Similarity Index (SSIM) to be 257.6268, 7.7389, 7.9971, and 0.0089 respectively. Furthermore, the scheme generates completely uniform histograms for medical images which reveals that the scheme can resist statistical attacks and can be applied as a security framework in AI-based healthcare.

Double layer security using crypto-stego techniques: a comprehensive review.

Recent advancement in the digital technology and internet has facilitated usage of multimedia objects for data communication. However, interchanging information through the internet raises several security concerns and needs to be addressed. Image steganography has gained huge attention from researchers for data security. Image steganography secures the data by imperceptibly embedding data bits into image pixels with a lesser probability of detection. Additionally, the encryption of data before embedding provides double-layer protection from the potential eavesdropper. Several steganography and cryptographic approaches have been developed so far to ensure data safety during transmission over a network. The purpose of this work is to succinctly review recent progress in the area of information security utilizing combination of cryptography and steganography (crypto-stego) methods for ensuring double layer security for covert communication. The paper highlights the pros and cons of the existing image steganography techniques and crypto-stego methods. Further, a detailed description of commonly using evaluations parameters for both steganography and cryptography, are given in this paper. Overall, this work is an attempt to create a better understanding of image steganography and its coupling with the encryption methods for developing state of art double layer security crypto-stego systems.

Efficient Security and Authentication for Edge-Based Internet of Medical Things.

Internet of Medical Things (IoMT)-driven smart health and emotional care is revolutionizing the healthcare industry by embracing several technologies related to multimodal physiological data collection, communication, intelligent automation, and efficient manufacturing. The authentication and secure exchange of electronic health records (EHRs), comprising of patient data collected using wearable sensors and laboratory investigations, is of paramount importance. In this article, we present a novel high payload and reversible EHR embedding framework to secure the patient information successfully and authenticate the received content. The proposed approach is based on novel left data mapping (LDM), pixel repetition method (PRM), RC4 encryption, and checksum computation. The input image of size [Formula: see text] is upscaled by using PRM that guarantees reversibility with lesser computational complexity. The binary secret data are encrypted using the RC4 encryption algorithm and then the encrypted data are grouped into 3-bit chunks and converted into decimal equivalents. Before embedding, these decimal digits are encoded by LDM. To embed the shifted data, the cover image is divided into [Formula: see text] blocks and then in each block, two digits are embedded into the counter diagonal pixels. For tamper detection and localization, a checksum digit computed from the block is embedded into one of the main diagonal pixels. A fragile logo is embedded into the cover images in addition to EHR to facilitate early tamper detection. The average peak signal to noise ratio (PSNR) of the stego-images obtained is 41.95 dB for a very high embedding capacity of 2.25 bits per pixel. Furthermore, the embedding time is less than 0.2 s. Experimental results reveal that our approach outperforms many state-of-the-art techniques in terms of payload, imperceptibility, computational complexity, and capability to detect and localize tamper. All the attributes affirm that the proposed scheme is a potential candidate for providing better security and authentication solutions for IoMT-based smart health.