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Recovering DC coefficients in block-based DCT.

It is a common approach for JPEG and MPEG encryption systems to provide higher protection for dc coefficients and less protection for ac coefficients. Some authors have employed a cryptographic encryption algorithm for the dc coefficients and left the ac coefficients to techniques based on random permutation lists which are known to be weak against known-plaintext and chosen-ciphertext attacks. In this paper we show that in block-based DCT, it is possible to recover dc coefficients from ac coefficients with reasonable image quality and show the insecurity of image encryption methods which rely on the encryption of dc values using a cryptoalgorithm. The method proposed in this paper combines dc recovery from ac coefficients and the fact that ac coefficients can be recovered using a chosen ciphertext attack. We demonstrate that a method proposed by Tang to encrypt and decrypt MPEG video can be completely broken.

Algorithms↗

Tailored reversible watermarking schemes for authentication of electronic clinical atlas.

It is accepted that digital watermarking is quite relevant in medical imaging. However, due to the special nature of clinical practice, it is often required that watermarking not introduce irreversible distortions to medical images. The electronic clinical atlas has such a need of "lossless" watermarking. We present two tailored reversible watermarking schemes for the clinical atlas by exploiting its inherent characteristics. We have implemented the schemes and our experimental results look very promising.

Algorithms↗

The digital revolution.

Digital image technology has advanced considerably in recent years and it has never been simpler to capture digital images or send them around the world. This new technology can bring tremendous benefits to healthcare but, if used inappropriately, will compromise patient confidentiality and increase the risk of litigation to the health providers. It is now time to assess the risks and agree safeguards which will promote the safe use of digital technology in the healthcare environment.

Computer Security↗

Functional characteristics of commercial ambulatory electronic prescribing systems: a field study.

OBJECTIVE: To compare the functional capabilities being offered by commercial ambulatory electronic prescribing systems with a set of expert panel recommendations. DESIGN: A descriptive field study of ten commercially available ambulatory electronic prescribing systems, each of which had established a significant market presence. Data were collected from vendors by telephone interview and at sites where the systems were functioning through direct observation of the systems and through personal interviews with prescribers and technical staff. MEASUREMENTS: The capabilities of electronic prescribing systems were compared with 60 expert panel recommendations for capabilities that would improve patient safety, health outcomes, or patients' costs. Each recommended capability was judged as having been implemented fully, partially, or not at all by each system to which the recommendation applied. Vendors' claims about capabilities were compared with the capabilities found in the site visits. RESULTS: On average, the systems fully implemented 50% of the recommended capabilities, with individual systems ranging from 26% to 64% implementation. Only 15% of the recommended capabilities were not implemented by any system. Prescribing systems that were part of electronic health records (EHRs) tended to implement more recommendations. Vendors' claims about their systems' capabilities had a 96% sensitivity and a 72% specificity when site visit findings were considered the gold standard. CONCLUSIONS: The commercial electronic prescribing marketplace may not be selecting for capabilities that would most benefit patients. Electronic prescribing standards should include minimal functional capabilities, and certification of adherence to standards may need to take place where systems are installed and operating.

Ambulatory Care Information Systems↗

Hiding an image with a light-scattering medium and use of a contrast-discrimination method for readout.

Hiding image data with a material such as a light-scattering medium is useful as an initial stage of data protection, because the hidden image can be detected only by observation with a specific technique. A light-scattering medium is used to hide the image data, and a low-temporal-coherence interferometer performs the readout processing. A new readout method for detecting pixel values of the image is proposed to overcome spatial variation of the light intensity and distortion of the interference fringes. The introduction of spatial coding further improves the performance by overcoming spatial variations of the light-scattering medium and variations in the reflectance of given pixels.

Computer Security↗

Implementation of information security and confidentiality policies, procedures, and standards.

The article describes one approach to developing and implementing a security program in response to the birth and growth of a computer-based patient record in a large teaching hospital. The discussion emphasizes the importance of the collaborative effort between the hospital and school of medicine in establishing one policy and set of standards because information is shared and electronically transferred between both institutions. The hospital's approach is summarized in five major steps: survey and literature search, development of key components or recommendations, institutional approval of the recommendations, feasibility analysis and projected time frame for implementation, and implementation of the recommendations with resolution of impediments to implementation.

Computer Security↗

The knowledge model of MedFrame/CADIAG-IV.

The medical consultation system MedFrame/CADIAG-IV is a successor of the prior CADIAG projects. It is the result of a complete redesign to account for today's demands on state-of-the-art software. Its knowledge representation and inference process are based on fuzzy set theory and fuzzy logic. Fuzzy sets are used for conversions from measured numeric values and observational data into symbolic ones. Medical relationships between findings, diseases, and therapies, the rules, are represented by fuzzy relations, that express positive or negative associations. Findings, diseases, and therapies are organised in hierarchies.

Artificial Intelligence↗