Non-ubiquitous digital watermarking for record indexing and integrity protection of medical images

Two novel non-ubiquitous digital watermarking schemes are proposed and evaluated in parallel (one in the spatial domain and one in the wavelet domain) for the purpose of record indexing and integrity protection of medical images. A fingerprint of the regions of interest (ROI) in a medical image is generated using the MD5 message-digest algorithm [R. Rivest, April 1992], and it is embedded along with the medical record information into the non-ROI parts of the image. Our experiments show that with both schemes, a payload of 420 bits of information can be achieved watermarking clinical cytogenetic images, without affecting image content in the ROI nor incurring perceptible differences between original and watermarked images. Furthermore, the resulting watermarked images can survive common image processing operations such as cropping, JPEG compression, sharpening, and their combinations.