Comprehensive security framework for the communication and storage of medical images

David Slik; Mike Montour; Tym Altman

doi:10.1117/12.480475

19 May 2003 Comprehensive security framework for the communication and storage of medical images

David Slik, Mike Montour, Tym Altman

Proceedings Volume 5033, Medical Imaging 2003: PACS and Integrated Medical Information Systems: Design and Evaluation; (2003) https://doi.org/10.1117/12.480475
Event: Medical Imaging 2003, 2003, San Diego, California, United States

Abstract

Confidentiality, integrity verification and access control of medical imagery and associated metadata is critical for the successful deployment of integrated healthcare networks that extend beyond the department level. As medical imagery continues to become widely accessed across multiple administrative domains and geographically distributed locations, image data should be able to travel and be stored on untrusted infrastructure, including public networks and server equipment operated by external entities. Given these challenges associated with protecting large-scale distributed networks, measures must be taken to protect patient identifiable information while guarding against tampering, denial of service attacks, and providing robust audit mechanisms. The proposed framework outlines a series of security practices for the protection of medical images, incorporating Transport Layer Security (TLS), public and secret key cryptography, certificate management and a token based trusted computing base. It outlines measures that can be utilized to protect information stored within databases, online and nearline storage, and during transport over trusted and untrusted networks. In addition, it provides a framework for ensuring end-to-end integrity of image data from acquisition to viewing, and presents a potential solution to the challenges associated with access control across multiple administrative domains and institution user bases.

Citation Download Citation

David Slik, Mike Montour, and Tym Altman "Comprehensive security framework for the communication and storage of medical images", Proc. SPIE 5033, Medical Imaging 2003: PACS and Integrated Medical Information Systems: Design and Evaluation, (19 May 2003); https://doi.org/10.1117/12.480475

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