Security during remote transmission has been an important concern for researchers in recent years. In this paper, a hierarchical encryption multi-image encryption scheme for people with different security levels is designed, and a multi-image encryption (MIE) algorithm with row and column confusion and closed-loop bi-directional diffusion is adopted in the paper. While ensuring secure communication of medical image information, people with different security levels have different levels of decryption keys, and differentiated visual effects can be obtained by using the strong sensitivity of chaotic keys. The highest security level can obtain decrypted images without watermarks, and at the same time, patient information and copyright attribution can be verified by obtaining watermark images. The experimental results show that the scheme is sufficiently secure as an MIE scheme with visualized differences and the encryption and decryption efficiency is significantly improved compared to other works.
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