Medical images contain sensitive diagnostic and therapeutic information about patients. The confidentiality of medical images is crucial, particularly in telehealth. Data encryption is a vital method for protecting such sensitive information. One of the most common methods for ensuring information security is data encryption, and image encryption is a common process for protecting visual data.
This paper presents a novel encryption scheme for DICOM medical images, integrating chaotic logistic systems, discrete wavelet transforms, and biometric fingerprint data. The method generates dynamic, interdependent security keys by combining DICOM image data with fingerprint information. Pixels confusion phase is achieved through a block-based strategy and a multi-level map structure, while diffusion phase employs a threshold-based strategy based on chaotic logistic systems. The encryption of DICOM images is accomplished with very low computational complexity. The proposed method demonstrates a significant trade-off between computational complexity and security performance with its simplicity of implementation.
We tested the scheme on standard DICOM images, assessing security through entropy, key sensitivity, key space, correlation, and histogram analyses. Comparative studies under identical conditions revealed superior performance of our scheme over existing methods.
In the presented scheme, dynamic security keys are generated for each input medical image based on DICOM and fingerprint information. Our scheme's dynamic security keys, tailored to each medical image, offer a balance between computational efficiency and robust security. The simplicity of implementation, coupled with rigorous evaluation, confirms the method's effectiveness against security threats, making it a promising solution for medical image encryption in telehealth.