According to the picture archiving and communication system that have not introducing of the security mechanism yet, putting forward a security mechanism plan that based on digital watermarking and digital signature technology. Digital watermarking technology could authenticate the copyright of medical image effectively, and digital signature technology could authenticate the identity of sender and receiver. The PACS that introduced digital watermarking and digital signature technology could protect the interests for both hospitals and patients effectively in arbitration time, and became an important relying on for the development of remote medical.