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

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.