Secure transmission of medical images in multi-cloud e-healthcare applications using data hiding scheme

In recent years, medical image transmission using a multi-cloud system has played a significant role in e Healthcare infrastructure. It allows medical practitioners to easily store, retrieve, and share patients' medical information across multiple stakeholders. However, multi-cloud image transmission may be vulnerable to multiple security breaches, such as authentication, confidentiality, and security issues. Motivated by these issues, this paper proposes a data-hiding scheme for secure medical image transmission in a multi-cloud environment. The proposed scheme ensures imperceptible robustness and watermark security at a low computational cost. Here, the medical image is divided into a number of shares using Neighbor Mean Interpolation (NMI). To achieve confidentiality, Electronic Patient Healthcare Record (EPHR) is encrypted using Double Scan Pixel Position Shuffling (DSPPS) approach. Then, the encrypted EPHR is divided into shares and embedded in the cover medical image shares. Finally, a minimum of 50% of watermarked image shares are utilized to retrieve the original medical image and encrypted EPHR, consequently reducing multi-cloud latency and computational burden. Experimental results show that the proposed scheme shows high imperceptibility, robustness, and watermark security at a low computational cost. Comparative analysis with some of the recent popular data hiding schemes shows that the proposed scheme has improved imperceptibility and robustness by 10%-15% (approximately) with higher watermark security at a low computational cost.