Resumen
To protect the security of medical images and to improve the embedding ability of data in encrypted medical images, this paper proposes a permutation ordered binary (POB) number system-based hiding and authentication scheme for medical images, which includes three parts: image preprocessing, double hiding, and information extraction and lossless recovery. In the image preprocessing and double hiding phase, firstly, the region of significance (ROS) of the original medical image is segmented into a region of interest (ROI) and a region of non-interest (RONI). Then, the bit plane of the ROI and RONI are separated and cross-reorganization to obtain two new Share images. After the two new Share images are compressed, the images are encrypted to generate two encrypted shares. Finally, the embedding of secret data and attaching of authentication bits in each of these two encrypted shares was performed using the POB algorithm. In the information extraction and lossless recovery phase, the POBN algorithm is first used to extract the authentication bits to realize image tamper detection; then, the embedded secret message is extracted, and the original medical image is recovered. The method proposed in this research performs better in data embedding and lossless recovery, as demonstrated by experiments.