Abstract

Medical images can be constructed in two-dimensional (2D) or three-dimensional (3D) view imaging to be applied in disease detection and diagnosis inside the body, such as cancer/tumor, heart, or lung-related diseases. These images may contain patients’ privacy information and clinical diagnosis records. Hence, these images need to ensure authorization demands among hospitals, medical service organizations, or physicians in a picture archiving and communication system. This study presents an intelligent symmetric cryptography with a chaotic map and quantum-based key generator (KG) for medical image encryption and decryption. Overall scheme processes include (1) random cipher code generation, (2) training gray relational analysis (GRA)-based encryptor and decryptor, and (3) decrypted image evaluation. The hybrid chaotic map and quantum-based KG are used to increase the chaotic complexity and unpredictable levels to produce cipher codes for changing pixel values (substitution method) in a 2D image by 256 key-space cipher codes. The first and second GRA models are used to train the cipher codes to achieve an encryptor and a decryptor, respectively. Through the methodology validation using a chest X-ray database, the structural similarity index measurement is employed to evaluate the decryption quality between the plain image and decrypted image. The encrypted images show a visual uncorrelation with the plain images, and experimental results indicate higher confidences against the passive eavesdropper.

Highlights

  • Digital medical images are widely used multimedia or video data for human diagnostic and treatment applications in digital health, including X‐ray radiography, ultrasonography/elastography, endoscopy, photoacoustic imaging, and magnetic resonance imaging

  • Data integrity, and data availability for information communication, this study proposes an intelligent symmetric cryptography for the infosecurity of digital medical images in a picture archiving and communication system (PACS)

  • A gray relational analysis (GRA)‐based encryptor and decryptor were established for application in medical image infosecurity in a small-scale PACS

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Summary

Introduction

Digital medical images are widely used multimedia or video data for human diagnostic and treatment applications in digital health, including X‐ray radiography, ultrasonography/elastography, endoscopy, photoacoustic imaging, and magnetic resonance imaging. With the combined chaotic map and quantum-based KG, pseudorandom numbers are produced [32,33,34], and nonrepeat and non‐order 256 cipher codes are randomly selected as the key-space of size 256 These cipher codes can be used to train an image encryptor and an image decryptor using two gray relational analysis (GRA) models [35,36,37] as two pairs of training data: (1) the ordered sequence numbers (OSNs) (0–255) referring to the nonOSNs for image encryptions and (2) the non-OSNs referring to the OSNs (0–255) for image decryptions.

Methodology
Quantum based Key Generator
Grey Relational Analysis based Encryptor and Decryptor
Experimental Setup
Parameters Setting for Key Generator
Image Encryptor and Decryptor Training
Findings
Conclusion

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