Medical Images Sharing System Based on Blockchain and Smart Contract of Credit Scores

Huanrong Tang, Ning Tong, Jian-quan Ouyang
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引用次数: 20

Abstract

At present, medical images account for nearly 70% of medical diagnostic data, which is an important basis for disease diagnosis. However, medical data leakage incidents have occurred in more than 90% medical institutions, the protection of patients’ medical data is of great urgency. At present, all types of medical institutions involved in the medical imaging business use the PACS to archive, manage, and use the collected medical images, but only sharing the managed video resources within the organization. This method applies only the traditional data protection strategy and cannot guarantee a stronger protection for patients’ private information. And patients have no control over medical information at the time of treatment. For this reason, this paper proposes a method of secure sharing of medical images based on smart contracts of block chain and credit scores. Through a blockchain based on distributed, reliable database of recording image sharing process, we realize a cross-organizational, cross-regional, trustworthy, and supervisory medical image sharing system. And the establishment of smart contracts based on credit scores of patients and medical institutions guarantee intelligent sharing by rules and conditions. Compared with traditional PACS, the method proposed in this paper extends its scope of application on the basis of PACS, increases its robustness, and provides new ideas for more extensive, multi-level, safe and reliable medical images sharing.
基于区块链和信用评分智能合约的医学图像共享系统
目前,医学影像占医学诊断数据的近70%,是疾病诊断的重要依据。然而,90%以上的医疗机构都发生过医疗数据泄露事件,对患者医疗数据的保护迫在眉睫。目前,从事医学影像业务的各类医疗机构均采用PACS对采集到的医学影像进行归档、管理和使用,但所管理的视频资源仅在组织内部共享。该方法仅采用传统的数据保护策略,无法保证对患者隐私信息的更强保护。而且患者在接受治疗时无法控制医疗信息。为此,本文提出了一种基于区块链智能合约和信用评分的医学图像安全共享方法。通过基于区块链的分布式、可靠的记录图像共享过程数据库,实现跨组织、跨区域、可信、监管的医学图像共享系统。建立基于患者和医疗机构信用评分的智能合约,保证了规则和条件的智能共享。与传统的PACS相比,本文提出的方法在PACS的基础上扩展了其应用范围,增强了其鲁棒性,为更广泛、多层次、安全可靠的医学图像共享提供了新的思路。
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