Organizations: Kyushu University, Fukuoka, Japan · The University of Electro-Communications, Tokyo, Japan · Beijing University of Posts and Telecommunications, Beijing, China
Today, advances in medical technology extensively utilize 3D volume data for accurate and efficient diagnostics. However, sharing these data across networks in telemedicine poses significant security risks of data tampering and unauthorized copying. To address these challenges, this paper proposes a novel reversible-zero watermarking approach, termed Vol-Mark, for medical volume data to protect their ownership and authenticity in telemedicine. The proposed Vol-Mark method offers two key benefits: 1) it designs a volume data feature extractor that leverages contrastive learning to efficiently extract discriminative and stable volumetric features, ensuring robustness against 3D attacks; 2) it introduces the cubic difference expansion (c-DE) technique, which leverages the 3D integer wavelet transform to embed watermark bits into neighboring voxels within cubes at low-frequency coefficients. The voxel differences within each cube are expanded to create embedding space, and a majority voting mechanism is employed during extraction to enhance reliability. The embedding process incurs low distortion and supports lossless removal, thereby preserving the integrity and diagnostic accuracy of medical volume data. Through these two benefits, Vol-Mark enables both integrity verification and ownership verification. Integrity verification is first performed, and ownership verification through hypothesis testing is further conducted to enhance reliability, particularly under data tampering or watermark removal attacks. Comprehensive experimental results show the effectiveness of the proposed method and its superior robustness against conventional, geometric, and hybrid attacks on medical volume data. In particular, through multiple tasks evaluations, Vol-Mark consistently achieves an ACC above 0.90 in most attack scenarios, outperforming existing methods by a clear margin.
The release of public 3D medical image segmentation (MIS) datasets accelerates clinical research but simultaneously heightens risks of unauthorized AI model training. While Unlearnable Examples (UE) offer protection by injecting imperceptible perturbations to prevent effective model learning, existing methods primarily target 2D scenarios. They neglect the volumetric spatial correlations and inter-slice anatomical consistency inherent in 3D medical volumes, which serve as critical learning priors for 3D segmentation networks. To bridge this gap, we propose VoxShield, a UE framework that explicitly targets the volumetric inductive biases of 3D networks. Our core insight is that by systematically dismantling the cross-slice continuity that 3D architectures rely on, we can fundamentally impair their spatial aggregation process. Specifically, we introduce an Inter-Slice Frequency Consistency Disruption mechanism that maximizes the spectral divergence between adjacent slices, injecting structural incoherence along the z-axis. Complementing this structural attack, a Semantic Prediction Disruption module is incorporated. By maximizing the ℓ1 divergence between clean and perturbed logits, it forces the injected noise to penetrate the entire network and corrupt the final semantic mapping. Experiments on BraTS19 and FLARE21 demonstrate that VoxShield successfully degrades 3D segmentation performance, reducing the DSC from 80.0% to near 0.0% and from 88.6% to 6.8%, respectively. All protections are achieved with minimal perturbation (ε=4/255) to preserve high visual fidelity. The code is available at https://github.com/KK266299/VoxShield.
Although DINOv3 has demonstrated remarkable semantic discrimination in natural imagery, its direct application to volumetric medical segmentation is hindered by inherent dimension and domain disparities. To resolve these issues, we propose DINO-Med3D, a two-stage progressive framework that repurpose the pre-trained DINOv3 encoder for 3D medical tasks. In the first stage, we mitigate the dimension gap by introducing a multi-slice embedding module that incorporates pseudo-3D context, while simultaneously employing a segmentation proxy task to adapt representations learned from natural scenes to the medical domain. Subsequently, we further enhance volumetric understanding by adding lightweight 3D adapters into the frozen backbone to enforce global inter-slice continuity. Finally, to compensate for the spatial information loss inherent in the embedding process, we design a parallel detail recovery stream to explicitly preserve high-frequency boundary cues. Extensive experiments on five public datasets demonstrate that our approach successfully adapts DINOv3 to the medical domain and significantly outperforms state-of-the-art baselines.
We introduce TCAM-Diff, a novel 3D medical image generation model that reduces the memory requirements to encode and generate high-resolution 3D data. This model utilizes a decoder-only autoencoder method to learn triplane representation from dense volume and leverages generalization operations to prevent overfitting. Subsequently, it uses a triplane-aware cross-attention diffusion model to learn and integrate these features effectively. Furthermore, the features generated by the diffusion model can be rapidly transformed into 3D volumes using a pre-trained decoder module. Our experiments on three different scales of medical datasets, BrainTumour 128 x 128 x 128, Pancreas 256 x 256 x 256, and Colon 512 x 512 x 512, demonstrate outstanding results. We utilized MSE and SSIM to assess reconstruction quality and leveraged the Wasserstein Generative Adversarial Network (W-GAN) critic to assess generative quality. Comparisons with existing approaches show that our method gives better reconstruction and generation results than other encoder-decoder methods with similar-sized latent spaces.