In order to solve the security problems associated with medical information and improve the robustness of watermarking algorithms for medical images, a unique approach to watermarking based on block operations is presented. This study considers the medical images as the cover image, with the watermark logo considered secret information that needs to be protected over the wireless transmission in telemedicine. In the embedding phase, input with the discrete fractional Fourier transform is first applied to the input, and then level 2 wavelet decomposition is carried out to determine the optimal sub-band tree. For each tree node on level 2, the approximated and detailed coefficient is determined through the feature analysis perspective. The novelty of the adopted methodology is its simplified transformation and embedding process. Upon receiving a complex matrix, it separates the real part from imaginary part where block transformation is carried out for embedding the watermark pixels. In the extraction phase, just a reverse operation is performed. The watermarking evaluation is performed by simulating various image processing attacks on watermarked medical images. The simulation outcome demonstrates the effectiveness of that proposed watermarking scheme against various attacks. The proposed watermarking technique is robust under various attacks based on image statistics such as PSNR, BER, and the correlation coefficient.
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