Blockchain-Based Distributed Patient-Centric Image Management System

In recent years, many researchers have focused on developing a feasible solution for storing and exchanging medical images in the field of health care. Current practices are deployed on cloud-based centralized data centers, which increase maintenance costs, require massive storage space, and raise privacy concerns about sharing information over a network. Therefore, it is important to design a framework to enable sharing and storing of big medical data efficiently within a trustless environment. In the present paper, we propose a novel proof-of-concept design for a distributed patient-centric image management (PCIM) system that is aimed to ensure safety and control of patient private data without using a centralized infrastructure. In this system, we employed an emerging Ethereum blockchain and a distributed file system technology called InterPlanetary File System (IPFS). Then, we implemented an Ethereum smart contract called the patientcentric access control protocol to enable a distributed and trustworthy access control policy. IPFS provides the means for decentralized storage of medical images with global accessibility. We describe how the PCIM system architecture facilitates the distributed and secured patient-centric data access across multiple entities such as hospitals, patients, and image requestors. Finally, we deployed a smart contract prototype on an Ethereum testnet blockchain and evaluated the proposed framework within the Windows environment. The evaluation results demonstrated that the proposed scheme is efficient and feasible.