In 2018, clinics and hospitals were hit with numerous attacks leading to significant data breaches and interruptions in medical services. An attacker with access to medical records can do much more than hold the data for ransom or sell it on the black market. In this paper, we show how an attacker can use deep-learning to add or remove evidence of medical conditions from volumetric (3D) medical scans. An attacker may perform this act in order to stop a political candidate, sabotage research, commit insurance fraud, perform an act of terrorism, or even commit murder. We implement the attack using a 3D conditional GAN and show how the framework (CT-GAN) can be automated. Although the body is complex and 3D medical scans are very large, CT-GAN achieves realistic results which can be executed in milliseconds. To evaluate the attack, we focused on injecting and removing lung cancer from CT scans. We show how three expert radiologists and a state-of-the-art deep learning AI are highly susceptible to the attack. We also explore the attack surface of a modern radiology network and demonstrate one attack vector: we intercepted and manipulated CT scans in an active hospital network with a covert penetration test. Demo video: this https URL Source code: this https URL
Many works have proposed methods for detecting forgeries in medical images @cite_49 , but none have focused on the attack itself. The most common methods of image forgery are: copying content from one image to another (image splicing), duplicating content within the same image to cover up or add something (copy-move), and enhancing an image to give it a different feel (image retouching) @cite_21 .
@cite_21 @cite_49
2163470764 2020132033 2154651279 2779804704
Usually digital image forgeries are created by copy-pasting a portion of an image onto some other image. While doing so, it is often necessary to resize the pasted portion of the image to suit the sampling grid of the host image. The resampling operation changes certain characteristics of the pasted portion, which when detected serves as a clue of tampering. In this paper, we present deterministic techniques to detect resampling, and localize the portion of the image that has been tampered with. Two of the techniques are in pixel domain and two others in frequency domain. We study the efficacy of our techniques against JPEG compression and subsequent resampling of the entire tampered image. Copy-move forgery is one of the most common type of tampering in digital images. Copy-moves are parts of the image that are copied and pasted onto another part of the same image. Detection methods in general use block-matching methods, which first divide the image into overlapping blocks and then extract features from each block, assuming similar blocks will yield similar features. In this paper we present a block-based approach which exploits texture as feature to be extracted from blocks. Our goal is to study if texture is well suited for the specific application, and to compare performance of several texture descriptors. Tests have been made on both uncompressed and JPEG compressed images. As the advent and growing popularity of image editing software, digital images can be manipulated easily without leaving obvious visual clues. If the tampered images are abused, it may lead to potential social, legal or private consequences. To this end, it’s very necessary and also challenging to find effective methods to detect digital image forgeries. In this paper, a fast method to detect image copy-move forgery is proposed based on the SURF (Speed up Robust Features) descriptors, which are invariant to rotation, scaling etc. Results of experiments indicate that the proposed method is valid in detecting the image region duplication and quite robust to additive noise and blurring. Authenticating digital images is increasingly becoming important because digital images carry important information and due to their use in different areas such as courts of law as essential pieces of evidence. Nowadays, authenticating digital images is difficult because manipulating them has become easy as a result of powerful image processing software and human knowledge. The importance and relevance of digital image forensics has attracted various researchers to establish different techniques for detection in image forensics. The core category of image forensics is passive image forgery detection. One of the most important passive forgeries that affect the originality of the image is copy-move digital image forgery, which involves copying one part of the image onto another area of the same image. Various methods have been proposed to detect copy-move forgery that uses different types of transformations. The goal of this paper is to determine which copy-move forgery detection methods are best for different image attributes such as JPEG compression, scaling, rotation. The advantages and drawbacks of each method are also highlighted. Thus, the current state-of-the-art image forgery detection techniques are discussed along with their advantages and drawbacks.