Healthcare professionals require advanced image processing software to enhance the quality of clinical decisions. However, any investment in sophisticated local applications would dramatically increase healthcare costs. To address this issue, medical providers are interested in adopting cloud technology. In spite of its multiple advantages, outsourcing computations to an external provider arises several challenges. In fact, security is the major factor hindering the widespread acceptance of this new concept. Recently, various solutions have been suggested to fulfill healthcare demands. Though, ensuring privacy and high performance needs more improvements to meet the healthcare sector requirements. To this end, we propose a framework based on segmentation approach to secure cloud-based medical image processing in the healthcare system.