The importance of image security in the field of medical imaging is challenging. Several research works have been conducted to secure medical healthcare images. Encryption, not risking loss of data, is the right solution for image confidentiality. Due to data size limitations, redundancy, and capacity, traditional encryption techniques cannot be applied directly to e-health data, especially when patient data are transferred over the open channels. Therefore, patients may lose the privacy of data contents since images are different from the text because of their two particular factors of loss of data and confidentiality.Researchers have identified such security threats and have proposed several image encryption techniques to mitigate the security problem. However, the study has found that the existing proposed techniques still face application-specific several security problems. Therefore, this paper presents an efficient, lightweight encryption algorithm to develop a secure image encryption technique for the healthcare industry. The proposed lightweight encryption technique employs two permutation techniques to secure medical images. The proposed technique is analyzed, evaluated, and then compared to conventionally encrypted ones in security and execution time. Numerous test images have been used to determine the performance of the proposed algorithm. Several experiments show that the proposed algorithm for image cryptosystems provides better efficiency than conventional techniques.INDEX TERMS Internet of Medical Things, medical image encryption, lightweight encryption.

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Reversible data hiding (RDH) techniques recover the original cover image after data extraction. Thus, they have gained popularity in e-healthcare, law forensics, and military applications. However, histogram shifting using a reversible data embedding technique suffers from low embedding capacity and high variability. This work proposes a technique in which the distribution obtained from the cover image determines the pixels that attain a peak or zero distribution. Afterward, adjacent histogram bins of the peak point are shifted, and data embedding is performed using the least significant bit (LSB) technique in the peak pixels. Furthermore, the robustness and embedding capacity are improved using the proposed dynamic block-wise reversible embedding strategy. Besides, the secret data are encrypted before embedding to further strengthen security. The experimental evaluation suggests that the proposed work attains superior stego images with a peak signal-to-noise ratio (PSNR) of more than 58 dB for 0.9 bits per pixel (BPP). Additionally, the results of the two-sample t-test and the Kolmogorov–Smirnov test reveal that the proposed work is resistant to attacks.

The ever-escalating attacks on the internet network are due to rapid technological growth. In order to surmount such challenges, multi-layer security algorithms were developed by hybridizing cryptography and steganography techniques. Consequently, the overall memory size became enormous while hybridizing these techniques. On the other side, the least significant bit (LSB) and modified LSB replacing approaches could provide the variability as detected by steganalysis technique, most found to be susceptible to attack too due to numerous reasons. To overcome these issues, in this paper a lightweight and optimized data hiding algorithm is proposed which consume less memory, provide less variability, and robust against histogram attacks. The proposed steganography system was achieved in two stages. First, data was encrypted using lightweight BORON cipher that only consumed less memory as compared to conventional algorithm such as 3DES, AES. Second, the encrypted data was hidden in the complemented or noncomplemented form to obtain minimal variability. The performance of the proposed technique was evaluated in terms of avalanche effect, visual quality, embedding capacity and peak signal to noise ratio (PSNR). The results revealed that the lightweight BORON cipher could produce approximate same avalanche effect as the AES algorithm produced. Furthermore, the value of PSNR had shown much improvement in comparison to optimization algorithm GA.

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