A Novel Fragmented Approach for Securing Medical Health Records in Multimodal Medical Images
Bibliographic record
Abstract
Medical health records hold personal medical information and should only be accessed by authorized medical personnel or concerned patients. The importance of medical health records privacy is increasing as these records are shared in cloud environments. In this paper, we propose an enhanced system for securing patient data (Medical Health Records) embedded in multiple medical images in fragments for secure transmission and public sharing on the cloud or other environments. To protect the patient’s privacy, Medical Records are first encrypted, and then the ciphertext is broken into several fragments based on the number of multimodal medical images of a patient. A key generator randomly selects medical images from the multimodal image data to embed the encrypted patient health record segment using a modified least significant bit embedding process. The proposed technique enables an extra layer of security as even if files fall into the wrong hands and a fragment of the file is decrypted, it will not present any understandable information until all fragments from other medical images are extracted and combined in the correct order. The experiments are performed using multimodal 3255 MRI scans of 21 patients. The robustness of the proposed method was measured using different metrics such as PSNR, MSE, and SSIM. The results show that the proposed system is robust and that image quality is also maintained. To further study the stego image quality, a deep learning-based classification was applied to the images, and the results show that the diagnosis using stego medical images and performance remains unaffected even after embedding the encrypted data.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".