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Security and privacy are major concerns in this modern world. Medical documentation of patient data needs to be transmitted between hospitals for medical experts opinions on critical cases which may cause threats to the data. Nowadays most of the hospitals use electronic methods to store and transmit data with basic security measures, but these methods are still vulnerable. There is no perfect solution that solves the security problems in any industry, especially healthcare. So, to cope with the arising need to increase the security of the data from being manipulated the proposed method uses a hybrid image encryption technique to hide the data in an image so it becomes difficult to sense the presence of data in the image while transmission. It combines Least Significant Bit (LSB) Algorithm using Arithmetic Division Operation along with Canny edge detection to embed the patient data in medical images. The image is subsequently encrypted using keys of six different chaotic maps sequentially to increase the integrity and robustness of the system. Finally, an encrypted image is converted into DNA sequence using DNA encoding rule to improve reliability. The experimentation is done on the Chest XRay image, Knee Magnetic Resonance Imaging (MRI) image, Neck MRI image, Lungs Computed Tomography (CT) Scan image datasets and patient medical data with 500 characters, 1000 characters and 1500 characters. And, it is evaluated based on time coefficient of encryption and decryption, histogram, entropy, similarity score (Mean Square Error), quality score (peak signal-to-noise ratio), motion activity index (number of changing pixel rate), unified average changing intensity, image similarity score (structure similarity index measurement) between original and encrypted images. Also, the proposed technique is compared with other recent state of arts methods for 500 characters embedding and performed better than those techniques. The proposed method is more stable and embeds comparatively more data than other recent works with lower Mean Square Error value of 4748.12 which is the main factor used to determine how well the data is hidden and cannot be interpreted easily. Also, it achieved a Peak Signal-Noise Ratio (PSNR) value of 71.34 dB, which is superior than other recent works, verifying that the image quality remains uncompromising even after being encrypted.
Selvakumar et al. (Tue,) studied this question.