Ensuring integrity and security of medical image transmission in IoMT using highly imperceptible and robust watermarking approach
Abstract With the technological revolution, the Internet of medical things (IoMT) has developed to be of immense benefit. In IoMT, medical images and patients’ data are widely transmitted through private/public network. An ideal transmission should not jeopardize the security, confidentiality, authe...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2025-07-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-025-11023-9 |
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| author | Priyanka Singh K. Jyothsna Devi Tousif Khan Nizami Choudhary Shyam Prakash Hiren Kumar Thakkar Syed Abid Hussain Saurav Mallik |
| author_facet | Priyanka Singh K. Jyothsna Devi Tousif Khan Nizami Choudhary Shyam Prakash Hiren Kumar Thakkar Syed Abid Hussain Saurav Mallik |
| author_sort | Priyanka Singh |
| collection | DOAJ |
| description | Abstract With the technological revolution, the Internet of medical things (IoMT) has developed to be of immense benefit. In IoMT, medical images and patients’ data are widely transmitted through private/public network. An ideal transmission should not jeopardize the security, confidentiality, authenticity, authorization, or integrity of medical data/images. To ensure effective transmission and address the aforementioned issues, this paper proposes a blind region based medical image watermarking approach where a medical image is partitioned into region of interest (ROI) and region of non-interest (RONI). To ensure ROI intergrity, localized tamper detection and recovery bits (LTDRB) are generated. For precise diagnosis, patient’s electronic health record (EHR) and LTDRB are embedded in RoNI using hybrid DWT-SVD. No embedding is done in RoI to maintain its integrity and high visual quality. To ensure the security and confidentiality of EHR, a novel encryption scheme using Magic Square technique with low computational cost is proposed . Experimental results demonstrates that the proposed scheme provides high imperceptibility (Avg. PSNR>55 dB, SSIM $$\approx$$ ≈ 1 and BER $$\approx 0$$ ≈ 0 ), robustness, security at low computational cost and high accuracy in tamper detection and recovery. A comparative study with some of the latest related research shows that the proposed scheme provides imperceptibility and robustness at par. However, the proposed scheme shows superior performance by providing higher EHR security at low computational cost and higher accuracy in ROI tamper detection and recovery, which other schemes have overlooked. |
| format | Article |
| id | doaj-art-1590c54a08b641ba9ddbd37d7caaa2a3 |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-1590c54a08b641ba9ddbd37d7caaa2a32025-08-20T03:42:38ZengNature PortfolioScientific Reports2045-23222025-07-0115112610.1038/s41598-025-11023-9Ensuring integrity and security of medical image transmission in IoMT using highly imperceptible and robust watermarking approachPriyanka Singh0K. Jyothsna Devi1Tousif Khan Nizami2Choudhary Shyam Prakash3Hiren Kumar Thakkar4Syed Abid Hussain5Saurav Mallik6Department of Computer Science and Engineering, SRM University-A.P.Department of Computer Science and Engineering, Prasad V. Potluri Siddhartha Institute of TechnologyDepartment of Electrical & Electronics Engineering, School of Engineering and Sciences, SRM University APDepartment of Computer Science and Engineering, National Institute of TechnologyDepartment of Computer Science and Engineering, School of Technology, Pandit Deendayal Energy UniversityDepartment of Computer Science and Engineering, Bakhtar UniversityDepartment of Environmental Health, Harvard T H Chan School of Public HealthAbstract With the technological revolution, the Internet of medical things (IoMT) has developed to be of immense benefit. In IoMT, medical images and patients’ data are widely transmitted through private/public network. An ideal transmission should not jeopardize the security, confidentiality, authenticity, authorization, or integrity of medical data/images. To ensure effective transmission and address the aforementioned issues, this paper proposes a blind region based medical image watermarking approach where a medical image is partitioned into region of interest (ROI) and region of non-interest (RONI). To ensure ROI intergrity, localized tamper detection and recovery bits (LTDRB) are generated. For precise diagnosis, patient’s electronic health record (EHR) and LTDRB are embedded in RoNI using hybrid DWT-SVD. No embedding is done in RoI to maintain its integrity and high visual quality. To ensure the security and confidentiality of EHR, a novel encryption scheme using Magic Square technique with low computational cost is proposed . Experimental results demonstrates that the proposed scheme provides high imperceptibility (Avg. PSNR>55 dB, SSIM $$\approx$$ ≈ 1 and BER $$\approx 0$$ ≈ 0 ), robustness, security at low computational cost and high accuracy in tamper detection and recovery. A comparative study with some of the latest related research shows that the proposed scheme provides imperceptibility and robustness at par. However, the proposed scheme shows superior performance by providing higher EHR security at low computational cost and higher accuracy in ROI tamper detection and recovery, which other schemes have overlooked.https://doi.org/10.1038/s41598-025-11023-9 |
| spellingShingle | Priyanka Singh K. Jyothsna Devi Tousif Khan Nizami Choudhary Shyam Prakash Hiren Kumar Thakkar Syed Abid Hussain Saurav Mallik Ensuring integrity and security of medical image transmission in IoMT using highly imperceptible and robust watermarking approach Scientific Reports |
| title | Ensuring integrity and security of medical image transmission in IoMT using highly imperceptible and robust watermarking approach |
| title_full | Ensuring integrity and security of medical image transmission in IoMT using highly imperceptible and robust watermarking approach |
| title_fullStr | Ensuring integrity and security of medical image transmission in IoMT using highly imperceptible and robust watermarking approach |
| title_full_unstemmed | Ensuring integrity and security of medical image transmission in IoMT using highly imperceptible and robust watermarking approach |
| title_short | Ensuring integrity and security of medical image transmission in IoMT using highly imperceptible and robust watermarking approach |
| title_sort | ensuring integrity and security of medical image transmission in iomt using highly imperceptible and robust watermarking approach |
| url | https://doi.org/10.1038/s41598-025-11023-9 |
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