In the last few years, advanced software for processing medical images has gained a great interest in modern medicine. In fact, it provides valuable clinical information, and hence, can significantly improve diagnosis and treatment. Nevertheless, implementing these imaging tools often requires an important capital budget in both IT applications and hardware. This solution can unfortunately cause a dramatic increase in operational expenses and medical costs. To mitigate this problem, medical providers are shifting their interest onto using cloud computing, particularly the Software-as-a-Service (SaaS) model, instead of in-house data centres. In this case, healthcare professionals rely on remote applications delivered by an external provider to process patients' digital records. Interestingly, in this paradigm, consumers are billed based on software utilization. Besides, cloud computing promises to offer a better Quality of Service (QoS), including availability, elasticity, trust, response time, security assurance, etc. Regardless of its significant financial benefits, the transition to the cloud environment gives rise to security and privacy problems, especially in the healthcare domain. Recently, various security measures
Nowadays, modern healthcare providers create massive medical images every day because of the recent progress in imaging tools. This is generally due to the increasing number of patients demanding medical services. This has resulted in a continuous demand of a large storage space. Unfortunately, healthcare domains still use local data centers for storing medical data and managing business processes. This has significant negative impacts on operating costs associated with licensing fees and maintenance. To overcome these challenges, healthcare organizations are interested in adopting cloud storage rather than on-premise hosted solutions. This is mainly justified by the scalability, cost savings and availability of cloud services. The primary objective of this model is to outsource data and delegate IT computations to an external party. The latter delivers needed storage systems via the Internet to fulfill client's demands. Even though this model provides significant cost advantages, using cloud storage raises security challenges. To this aim, this article describes several solutions which were proposed to ensure data protection. The existing implementations suffer from many limitations. The authors propose a framework to secure the storage of medical images over cloud computing. In this regard, they use multi-region segmentation and watermarking techniques to maintain both confidentiality and integrity. In addition, they rely on an ABAC model to ensure access control to cloud storage. This solution mainly includes four functions, i.e., (1) split data for privacy protection, (2) authentication for medical dataset accessing, (3) integrity checking, and (4) access control to enforce security measures. Hence, the proposal is an appropriate solution to meet privacy requirements.
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