A new image steganography method with optimum pixel similarity for data hiding in medical images.

Steganography is one of the approaches used in data hiding. Image steganography, is a type of steganography that the image is used as a covering object. Data hiding capacity and image quality of the cover object are important factors in image steganography. Because the deterioration of image quality can be noticed by the human vision system, it attracts the attention of attackers. Therefore, the purpose of this study is increasing the amount of data to be hidden and stego image is to ensure high image quality. In the study, a new optimization-based method has been proposed by making use of the similarities of the pixels. In order to test the performance of the proposed method has been used visual quality analysis metrics such as MSE, RMSE, PSNR, SSIM and UQI. As a cover object; different sizes medical images have been used that obtained from the open access Dicom library database. Doctor comments in different capacities have been hidden to the medical images. Experimental results show that the average PSNR value is 66.5374, 59.4420 and 56.3936, respectively, when 1000 characters, 5000 characters and 10,000 characters data is hidden in 512 × 512 images. In addition, the average PSNR value is 60.4308, 53.3529 and 47.4113, respectively, when 1000 characters, 5000 characters and 10,000 characters data is hidden in 256 × 256 images. 10,000 characters of data have not been hidden in 256 × 256 images without using data compression techniques with classical similarity based LSB method. In the proposed method, 10,000 characters of data have been hidden in 256 × 256 size images without using data compression techniques.