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The existing medical image privacy solutions cannot completely solve the security problems created by applying the metaverse healthcare system. A robust zero-watermarking scheme based on the Swin Transformer is proposed in this paper to improve the security of medical images in the metaverse healthcare system. This scheme uses a pretrained Swin Transformer to extract deep features from the original medical images with a good generalization performance and multiscale, and binary feature vectors are generated by using the mean hashing algorithm. Then, the logistic chaotic encryption algorithm boosts the security of the watermarking image by encrypting it. Finally, an encrypted watermarking image is XORed with the binary feature vector to create a zero-watermarking, and the validity of the proposed scheme is verified through experimentation. According to the results of the experiments, the proposed …