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In order to enhance the security of exchanged medical images in telemedicine, we propose in this paper a blind and robust approach for medical image protection. This approach consists in embedding patient information and image acquisition data in the image. This imperceptible integration must generate the least possible distortion. The watermarked image must present the same clinical reading as the original image. The proposed approach is applied in the frequency domain. For this purpose, four transforms were used: discrete wavelets transform, non-subsampled contourlet transform, non-subsampled shearlet transform and discreet cosine transform. All these transforms was combined with Schur decomposition and the watermark bits were integrated in the upper triangular matrix. To obtain a satisfactory compromise between robustness and imperceptibility, the integration was performed in the medium frequencies of the image. Imperceptibility and robustness experimental results shows that the proposed methods maintain a high quality of watermarked images and are remarkably robust against several conventional attacks. Keywords Medical image Á Digital watermarking Á Discrete wavelet transform Á Non-subsampled contourlet transform Á Non-subsampled shearlet transform Á Discreet cosine transform Á Schur decomposition

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