B-DCT based Watermarking Algorithm for Patient Data Protection in IoMT

Internet of Medical Things (IoMT) is the connection between medical devices and information systems to share, collect, process, store, and integrate patient and health data using network technologies. X-Rays, MR, MRI, and CT scans are the most frequently used patient medical image data. These images usually include patient information in one of the corners of the image. In this research work, to protect patient information, a new robust and secure watermarking algorithm developed for a selected region of interest (ROI) of medical images. First ROI selected from the medical image, then selected part divided equal blocks and applied Discrete Cosine Transformation (DCT) algorithm to embed a watermark into the selected coefficients. Several geometric and removal attacks are applied to the watermarked multimedia element such as lossy image compression, the addition of Gaussian noise, denoising, filtering, median filtering, sharpening, contrast enhancement, JPEG compression, and rotation. Experimental results show very promising results in PSNR and similarity ratio (SR) values after blocked DCT (B-DCT) based embedding algorithm against the Discrete Wavelet Transformation (DWT), Least Significant Bits (LSB) and DCT algorithms.