Medical images are being managed more by PACS in general medical institutions. It is important to protect patients from being invaded their privacy related to the images. It is also necessary to confirm the ownership, the right of property of the medical images and notice whether the data are modified. In this paper, we propose a robust watermarking against RST attacks in medical images on the PACS. The proposed scheme modifies and improves Log-Polar Mapping and Fourier Mellin Transform in order to realize and recover serious image degradation and watermark data loss caused by the conversion between cartesian coordinate and log-polar coordinate. We used the radius and theta Look Up Table to solve the realization of the Fourier Mellin Transform, and inserted a watermark into 2D-DFT magnitudes using Spread Spectrum. Experimental results shows that this method are robust to rotation attack