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ROB Segmentation-Based Selective Encryption with Random Pattern Fragmentation for Spine X-ray Images

  • Journal of The Korea Society of Computer and Information
  • Abbr : JKSCI
  • 2026, 31(8), pp.73~85
  • Publisher : The Korean Society Of Computer And Information
  • Research Area : Engineering > Computer Science
  • Received : May 26, 2026
  • Accepted : July 23, 2026
  • Published : August 31, 2026

Cheolhun Hwang 1 Geon-Yun Shin 2

1가천대학교
2한경국립대학교

Accredited

ABSTRACT

This study proposes a region-of-background (ROB)-oriented selective encryption framework for protecting the PixelData of de-identified Digital Imaging and Communications in Medicine (DICOM) spine X-ray images. A convolutional neural network (CNN) detects the ROB, and its complementary region is defined as the region of interest (ROI). AES-256-GCM is applied to the ROI, AES-128-GCM to the ROB, and random pattern fragmentation (RPF) with 64×64 blocks is used to obscure regional boundaries. The framework was evaluated using 1,200 cervical, lumbar anteroposterior, and lumbar lateral images from the Cervical Spine X-ray Atlas and BUU-LSPINE datasets. The ROB segmentation model achieved a Dice similarity coefficient of 95.67(±0.43)% and an ROI-to-ROB error rate of 1.17(±0.25)%. The encrypted images showed an NPCR of approximately 99.61%, entropy values close to 8.0, and mean absolute adjacent-pixel correlations of 0.00245–0.00253. The mean processing time was 36.27 ms/MP, and all reconstructed images achieved a 100% SHA-256 hash match. The results suggest that the proposed framework may reduce computational burden while maintaining statistical security indicators comparable to previous methods. This study was limited to de-identified two-dimensional spine X-ray images and operational ROB reference masks; DICOM header de-identification and practical key-management implementation were beyond its scope.

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