Paperless Transfer of Medical Images: Storing Patient Data in Medical Images

Abstract

Medical images have become an integral part ofpatient diagnosis in recent years. With the introduction of HealthInformation Management Systems (HIMS) used for the storageand sharing of patient data, as well as the use of the PictureArchiving and Communication Systems (PACS) formanipulating and storage of CT Scans, X-rays, MRIs and othermedical images, the security of patient data has become a seriousconcern for medical professionals. The secure transfer of theseimages along with patient data is necessary for maintainingconfidentiality as required by the Data Protection Act, 2011 inTrinidad and Tobago and similar legislation worldwide. Tofacilitate this secure transfer, different digital watermarking andsteganography techniques have been proposed to safely hideinformation in these digital images. This paper focuses on theamount of data that can be embedded into typical medical imageswithout compromising visual quality. In addition, ExploitingModification Direction (EMD) is selected as the method of choicefor hiding information in medical images and it is compared tothe commonly used Least Significant Bit (LSB) method.Preliminary results show that by using EMD there little to nodistortion even at the highest embedding capacity