An enhanced reversible patient data hiding algorithm for E-healthcare

A prediction error based reversible data hiding scheme in encrypted image using block marking and cover image pre-processing

A drastic change in communication is happening with digitization. Technological advancements will escalate its pace further. The human health care systems have improved with technology, remodeling the traditional way of treatments. There has been a peak increase in the rate of telehealth and e-health care services during the coronavirus disease 2019 (COVID-19) pandemic. These implications make reversible data hiding (RDH) a hot topic in research, especially for medical image transmission. Recovering the transmitted medical image (MI) at the receiver side is challenging, as an incorrect MI can lead to the wrong diagnosis. Hence, in this paper, we propose a MSB prediction error-based RDH scheme in an encrypted image with high embedding capacity, which recovers the original image with a peak signal-to-noise ratio (PSNR) of ∞ dB and structural similarity index (SSIM) value of 1. We scan the MI from the first pixel on the top left corner using the snake scan approach in dual modes: i) performing a rightward direction scan and ii) performing a downward direction scan to identify the best optimal embedding rate for an image. Banking upon the prediction error strategy, multiple MSBs are utilized for embedding the encrypted PHR data. The experimental studies on test images project a high embedding rate with more than 3 bpp for 16-bit high-quality DICOM images and more than 1 bpp for most natural images. The outcomes are much more promising compared to other similar state-of-the-art RDH methods.