Embodiment
Below in conjunction with the accompanying drawing in the embodiment of the present invention, be clearly and completely described the technical scheme in the embodiment of the present invention, obviously, described embodiment is only the present invention's part embodiment, instead of whole embodiments.Based on the embodiment in the present invention, those of ordinary skill in the art, not making the every other embodiment obtained under creative work prerequisite, belong to the scope of protection of the invention.
Skin image analysing computer management system 1 provided by the invention includes, increase one in the skin section office of medical institutions can obtain, the dermoscopy device 112 of record skin image data and system, participate in skin disease clinical diagnosis process, dermoscopy device 112 is used to obtain the electronic skin image with high definition, the electronic diagnostics completed with skin image data by workstation 11 is reported, skin disease diagnostic procedure is made to have the objective basis such as objective skin image data and diagnosis report, by workstation 11 resources sharing to server 12 end, for medical research and disease treatment provide reference frame to create supremacy clause.
As shown in Fig. 1 ~ 7, the present invention includes server 12 end and user terminal workstation 11,
A kind of skin image analysing computer management system 1,
Described system at least comprises a workstation 11, and described workstation 11 comprises dermoscopy device 112 and PC 111,
Described PC 111 comprises Core Feature layer 1111 and device drive layer 1112,
Described Core Feature layer 1111 is connected with the communication of described device drive layer 1112,
Described Core Feature layer 1111 comprises signal processing module 11111, image analysis module 11112, Network Interface Module 11113, supplemental functionality 11114, diagnosis report editor module 11115 and image store module 11116,
Described image analysis module 11112 comprises quantization modules 111121, image adjustment module 111122, image processing module 111123 and image comparison module 111124;
Described Network Interface Module 11113 comprises information systems internetting module 111131 and network interface control module 111132;
Described supplemental functionality 11114 comprises disease reference information reminding module 111141 and therapeutic scheme reference information reminding module 111142;
Described diagnosis report editor module 11115 comprises Back ground Information processing module 111151, picture editting's module 111152, diagnostic message mark module 111153, diagnostic message memory module 111154 and record of diagnostic information module 111155,
Described image store module 11116 comprises data memory module 111161, diagnosis report search module 111162 and access control module 111163,
Described signal processing module 11111 comprises display module 111111, image display module 111112 and lens group control module 111113,
Described lens group control module 111113 comprises convergent-divergent control module, light source control module, switch control module and image control module,
Convergent-divergent control module controls dermoscopy device 112 image scaling ratio, and the image that described dermoscopy device 112 photographs is shown by described display module 111111, and is stored into image store module 11116,
Described image display module 111112 sends image or video intercepting instruction to described image control module, and described image control module is according to command interception image or video.
As a kind of preferred version, described dermoscopy device 112 comprises multiple seborrheic keratosis 1122, and described seborrheic keratosis 1122 comprises data acquisition and control module, central processing module and light source,
Described data acquisition and control module comprises object lens, photoelectric conversion module, mode control module and data outputting module,
Described central processing module comprises processor, data acquisition load module, power management module and output module,
Signal of video signal is in turn through described object lens, photoelectric conversion module and data outputting module; Described processor and described data acquisition load module, described power management module, described output module control linkage, described data acquisition load module is connected with described mode control module communication.
As a kind of preferred version, a described seborrheic keratosis 1122 comprises a described central processing module and multiple described data acquisition and control module.
As a kind of preferred version, a described seborrheic keratosis 1122 comprises multiple described central processing module, and multiple described central processing module is provided with multiple described data acquisition and control module.
As a kind of preferred version, described lens group at least comprises object lens 1, object lens 2, object lens 3 and object lens 4 four camera lenses,
Described object lens 1 are general picture Image lens,
Described object lens 2 are skin Image lens;
Described object lens 3 are scalp Image lens;
Described object lens 4 are hair Image lens;
Described photoelectric conversion module comprises CCD color image sensor or CMOS color image sensor.
As a kind of preferred version, described light source comprises the first light source group and secondary light source group,
Described first light source comprises the first light source handover module, LED light source and UV light source, and described secondary light source group comprises secondary light source handover module, LED light source and polarized light source.
As a kind of preferred version, described dermoscopy device 112 also includes signal switching apparatus 1121,
Arbitrary lens shooting image of described object lens 1, described object lens 2, described object lens 3, described object lens 4 is sent to PC 111 by described signal switching apparatus 1121 selectivity.
As a kind of preferred version, described system also includes server 12 end, and described server 12 end comprises database, and described server 12 end is connected with the communication of described workstation 11.
As a kind of preferred version, described system also includes multiple database access end,
Multiple described database access end is connected with described service end communication.
As a kind of preferred version, described dermoscopy device 112 also includes accumulator and external power supply, the power supply of described power management module management and control accumulator and/or external power supply,
Described output module comprises liquid crystal display, and described order load module comprises button.
Preferably, the camera lens enlargement factor that object lens 1 adopt is 1 ~ 10 times of continuously adjustabe, be mainly used in the macroscopical image obtaining skin and hair lesion region, also can obtain the microcosmic skin image of local detail simultaneously, it at least can be equipped with possesses LED light source and UV light source light photograph collection environment.
Preferably, object lens 2 adopt tight shot to have 50 times of fixing enlargement ratios, are mainly used in the localized micro magnified image obtaining skin, at least can get skin image under LED light source and polarized light condition.
Preferably, object lens 3 adopt tight shot to have 200 times of fixing enlargement ratios, are mainly used in the localized micro magnified image obtaining hair, check the pathology situation of hair follicle, at least can get skin image under LED light source and polarized light condition.
Preferably, object lens 4 adopt tight shot to have 600 times of fixing enlargement ratios, are mainly used in obtaining hair until the microcosmic image of hair scale sheet, at least can obtain above skin image under LED light source and polarized light condition.
Same or similar function is realized when using different multiplying and/or adjustable focal length camera, should as protection category of the present invention.By CCD or CMOS color image sensor, light signal is converted to electric signal, directly sends to central processing module to carry out subsequent treatment.Especially goodly, the valid pixel of photoelectric conversion module is 2,000,000, and signaling mode is 1080i, and 60 frames nearly per second, its impact of performance is especially good.
The peripherals of seborrheic keratosis 1122 is mainly used in the display of skin signal of video signal, the control of seborrheic keratosis and the storage of skin image data.Wherein liquid crystal display is for gathering the image preview before skin image, by this liquid crystal display, user can determine whether obtained skin image is needs; Be SD card as preferred storage module; Keyboard is used for the control to seborrheic keratosis 1122.
Preferably, above-mentioned liquid crystal display adopts TFT type LCD, screen size at least 3.5 inches, and resolution is at least 320 × 480; Be connected with the output module in described central processing module by LVDS or other interface, show the skin signal of video signal that described output module sends to this liquid crystal display.
As preferably, dermoscopy device also includes the SD card for storing, and PC can operate the file on SD card by USB interface; SD card is pluggable, and capacity is configured according to the needs of user.Above-mentioned SD card can be other the storage space with storage capacity, does not enumerate one by one at this, but just the change of memory device should be considered as the spiritual place of protection of the present invention.
Button is the main path that user controls dermoscopy device 112, is connected with the order load module of central processing module by I2C or other interfaces, the operation of response external key-press input.Its button at least comprises following function button: " acquisitions " key being used for controlling skin image, namely confirm to need the skin image of acquisition by liquid crystal display after, presses the acquisition that this key completes image; One or more button is used for the enlargement factor of control data acquisition control module lens group; One or more button be used for control data acquisition control module focus on; One or more button is used for controlling the switch of light source and selection; A button is used for controlling freezing of image; One or more button controls the power switch of whole seborrheic keratosis 1122; A button is used for sending signal switching request to signal switching apparatus 1121.
The control to seborrheic keratosis 1122 implemented by processor in above-mentioned central processing module, at least comprise and receive the digital video (as LVDS) that sends of data acquisition and control module or analog video (as Y/Pb/Pr) signal and to go forward side by side row relax, use the interface (as HDMI or USB interface etc.) in output module that vision signal is sent to signal switching apparatus 1121, use the interface (as LVDS or rgb interface etc.) in output module to send to liquid crystal display to show vision signal simultaneously.Processor uses the interface (as I2C or RS232 etc.) in control module to communicate with the mode control module in data acquisition and control module, the mode of operation of control data acquisition control module, the acquisition of skin image, the adjustment of camera lens enlargement factor and freezing of image; The operational order of interface user to button of processor utility command load module is gone forward side by side the process of line correlation; Processor uses the SD interface in memory module and SD to stick into Serial Communication, stores skin image number or other data.
Described above and memory module comprise Nor Flash chip, described Nor Flash chip is connected with described central processing module communication, provide data store and digital independent.Light signal, digital signal or simulating signal are carried out signal transacting and/or format conversion etc. by coding module, reach and export or need video file.
Central processing module in described seborrheic keratosis 1122 comprises processor, is 32 risc processors.Load module receives the analog video signal from photoelectric conversion module, and this vision signal is converted to digital signal, sends to coding module to carry out encoding and compressing again after image processing and process.Preferably, the data that received by load module of coding module carry out encoding and compress rear output according to H.264 coded format.Output module is provided with multiple output mode, comprises HDMI, USB interface, LVDS interface, UART interface and I2C interface etc.Especially goodly, load module receive from data acquisition and control module gather Y/Pb/Pr analog video signal, its standard is 1080i, p.s. 59.94 frame.
As a kind of preferred version, seborrheic keratosis 1122 also includes accumulator and external power supply, the power supply of power management module management and control accumulator and/or external power supply.Power management module realizes mainly through power supply control chip, provides electric energy to all parts on this dermoscopy device 112.When with PC 111 on-line working, power supply comes from PC 111 or external dc power; When being used alone, power supply comes from accumulator.Power management module is the power distribution obtained from power interface to data acquisition and control module, and central processing module, liquid crystal display, light source, SD card and Rechargeable battery provide power supply.When having connected external power interface, if Rechargeable battery electricity is discontented with, power management module will charge to battery, until be full of; When not accessing external power source interface, Rechargeable battery provides power supply to power module, and power module externally provides the state of power supply, as electric source modes, and the prompting residue electricity ratio when not accessing external interface; When not using but do not shut down, automatically sleep state can be entered, to save electricity.
As a kind of preferred version, described output module comprises liquid crystal display, and described order load module comprises button.Described seborrheic keratosis 1122 is by establishing liquid crystal display and button, and make operation more directly perceived, easy, and the video information collected can be shown at any time by liquid crystal display, the raising for operation and collecting efficiency is significant.
As a kind of preferred version, the output module in described central processing module uses HDMI to send skin image vision signal to described signal switching apparatus 1121; Output module in described central processing module uses RS232 interface transmit control signal to described signal switching apparatus 1121 or receive the control signal from signal switching apparatus 1121, and control signal comprises skin image collection control signal that seborrheic keratosis 1122 sent to PC 111 by signal switching apparatus 1121 and the signal of video signal switching request signal that seborrheic keratosis 1122 sends to signal switching apparatus 1121.
As a kind of preferred version, described signal switching apparatus 1121 receives vision signal and the control signal of the output of one group of four seborrheic keratosis 1122, and provides power supply for one group of four seborrheic keratosis 1122; Synchronous signal switching device shifter 1121 exports the vision signal of the some seborrheic keratosis 1122 in one group of four seborrheic keratosis 1122 to PC 111, control signal, or the control signal received from PC 111, and this control signal is sent to corresponding seborrheic keratosis 1122.Under default situations, what signal switching apparatus 1121 sent to PC 111 is vision signal and the control signal of seborrheic keratosis 1122, if now user will use other the seborrheic keratosis 1122 except seborrheic keratosis 1, then can by sending signal switching request by the signal switching request key on the seborrheic keratosis 1122 of correspondence to signal switching apparatus 1121, video output signals is switched to the video frequency output of the seborrheic keratosis 1122 of the request of sending by signal switching apparatus 1121, and control signal interface is switched to the control signal interface of the seborrheic keratosis 1122 of the request of sending.After having switched, keep the vision signal from the seborrheic keratosis 1122 be switched to workstation and the control signal that send, until there is another seborrheic keratosis 1122 to send switching request signal.
Server 12 in skin image analysing computer management system 1 and some skin image analysing computer management work stations 11 are connected and composed by network by the present invention; Wherein workstation 11 mainly comprises PC 111 and dermoscopy device 112; Multiple workstation 11 couples together by setting up LAN by the present invention, realizes unified storage and the unified management of diagnosis report and skin image data; Sharing of resource is realized between workstation 11; On the server 12 different access rights are arranged to user, managerial personnel's account can be managed the quality of diagnosis of doctor and quantity; Meanwhile, more research data can be obtained more rapidly on the server 12.The topmost effect of workstation 11 is the diagnosis report generated fast with patient skin image information, makes the diagnostic procedure of skin disease have objective image foundation.
Signal processing module 11111 comprises display module 111111, image display module 111112 and lens group control module 111113, the position display that dermoscopy device 112 is fixed in dedicated display device and application program operation interface through the vision signal that device drive layer 1112 is sent by the display module 111111 in signal processing module 11111; Image display module 111112 according to user need generate skin image; Taking pictures of seborrheic keratosis 1122 can be controlled, the enlargement factor of camera lens, the operations such as the selection of light source by lens group control module 111113.
Image analysis module 11112 comprises quantization modules 111121, image adjustment module 111122, image processing module 111123 and image comparison module 111124; Lesion region on skin image can be carried out the estimation of area by the quantization modules 111121 in image analysis module 11112, calculates the number of pathology unit on skin image, quantizes the degree of redness; Image adjustment module 111122 can zoom in or out skin image picture, carries out sharpening or reduction, and image processing module 111123 can carry out local to the region that disease is irrelevant to be covered; Two width or several skin images contrast, to confirm the change of the state of an illness by image comparison module 111124.
Described Network Interface Module 11113 comprises information systems internetting module 111131 and network interface control module 111132; Information systems internetting module 111131 in Network Interface Module 11113 can connect the information systems internetting of medical institutions, the unique identification obtained when can register to medical institutions according to patient or register obtains the personal information of patient rapidly from patient information services's device, be filled into the personal information part of diagnosis report; Network interface control module 111132 is linked in network, realizes the function that information sharing etc. is correlated with.
Described supplemental functionality 11114 comprises disease reference information reminding module 111141 and therapeutic scheme reference information reminding module 111142; Supplemental functionality 11114 mainly provides two parts reference content to user, a part is the symptom description of the standard of the various skin diseases provided by described disease reference information reminding module 111141 and the reference collection of illustrative plates (reference content comes from textbook) of correspondence, assists a physician and makes correct diagnosis; The reference treatment scheme (reference content comes from textbook) of the standard of the various skin diseases that another part is provided by described therapeutic scheme reference information reminding module 111142, assists a physician and provides correct therapeutic scheme.These two modules all have carries out the function of searching for according to initial conditions, such as, inputs the initial of the Chinese phonetic alphabet of certain disease, namely can demonstrate the symptom that correspondence can be for reference and describe and collection of illustrative plates, and therapeutic scheme.
Described diagnosis report editor module 11115 comprises Back ground Information processing module 111151, picture editting's module 111152, diagnostic message mark module 111153, diagnostic message memory module 111154 and record of diagnostic information module 111155, diagnosis report editor module 11115 major function has been the diagnosis report of patient, the content of diagnosis report at least should comprise patient information, patient main suit; the skin image picture of diseased region; image is seen to be described, and the suggestion of diagnostic result and therapeutic scheme.Back ground Information processing module 111151 obtains the personal information of patient by patient information services's device of Network Interface Module 11113 from medical institutions and is filled into corresponding position; Main suit's content of the quick guiding typing patient of Back ground Information processing module 111151; Skin image is inserted into position corresponding in diagnosis report by picture editting's module 111152; Diagnostic message mark module 111153 describes seen by the automatic show image of anticipation, and according to the quick guiding amendment of the situation of reality; Diagnostic message mark module 111153 can show the suggestion of diagnostic result and therapeutic scheme automatically according to anticipation, and according to the quick guiding amendment of the situation of reality.Meanwhile, record of diagnostic information module 111155 is by the generation of diagnosis report, and the operations such as amendment will carry out record in log management record, to review.It is available that diagnostic message memory module 111154 stores multiple diagnostic reports template, and the content of the template of diagnosis report and layout can be modified according to the requirement of user, to adapt to the use habit of various dissimilar user.
Described image store module 11116 comprises data memory module 111161, diagnosis report search module 111162 and access control module 111163,
Whether the working method of image store module 11116 has with the connected mode of server 12 end in skin image system relevant with its place workstation 11, the skin image data that diagnosis report, the therewith diagnosis report of the object mainly patient stored in data memory module 111161 are corresponding and journal file, if this workstation 11 is not linked into LAN, then all data all will be kept in the data memory module of this workstation 11; If be integrated into LAN, then server 12 end that all data all will be saved in LAN.Diagnosis report search module 111162 in image store module 11116 has function of search, can according to different content searchs to diagnosis report or skin image data, as: the name of patient, the type of disease, the information of user, time period, keyword etc.When typing patient information, this module needs to search this patient and whether preserved diagnosis report before, if had, need all list and remind user, the image data that user may recall in the past contrasts, to confirm the situation of change of the state of an illness.This module also comprises backup and the restore funcitons of storage object.Access control module 111163 in image store module 11116 can control the scope of the visit data memory module 111161 of user, make diagnosis report and skin image data safe and reliable.
Embodiment 1: skin image analysing computer management system 1 is made up of dermoscopy device 112 and PC 111, participate in the clinical diagnostic process of skin disease, the doctor in charge uses dermoscopy device 112 to obtain skin image, and use the diagnosis report editor module 11115 in PC 111 to complete diagnosis report with skin image data fast, make skin disease diagnostic procedure have objective skin image and diagnosis report as foundation.
As shown in Figure 3, when patient has a skin disease treatment demand, to register registration to medical institutions, the personal information of patient is entered into patient information services's device of hospital by register office of registering, and distributes to patient's unique identification.Above-mentioned mark can be bar code, medical card or social security card numbering etc.
Patient proposes concrete diagnoses and treatment demand to outpatient service to the doctor in charge, after the doctor in charge inputs the unique identification of patient to the diagnosis report editor module 11115 in workstation 11, Back ground Information processing module 111151 in diagnosis report editor module 11115 incites somebody to action a newly-built diagnosis report automatically, and automatically obtain personal information from patient information services's device by Network Interface Module 11113 according to the unique identification of patient, be filled up to the position that in diagnosis report, personal patient information's part is corresponding.If historical record also having this medical before this patient preserve diagnosis report, the diagnosis report list that the diagnosis report search module 111162 of image store module 11116 is all before will listing this patient, and point out the doctor in charge.
The doctor in charge inquires conditions of patients and the state of an illness told the main suit part typing patient of diagnosis report, in Input Process, Back ground Information processing module 111151 in diagnosis report editor module 11115 can supplement vocabulary under the help of main suit's dictionary guiding, completes the written record of main suit's part fast.
The doctor in charge selects the skin image quantity needing to gather, after selected quantity, in diagnosis report will there is the wire frame of respective amount in photologging region, the doctor in charge uses the seborrheic keratosis 1122 in dermoscopy device 112 to gather the skin image of patient's lesion region, under the effect of the picture editting's module 111152 in diagnosis report editor module 11115, skin image will be inserted in the wire frame of skin imagery zone of diagnosis report automatically according to the time sequencing gathered.In the process gathering skin image, the seborrheic keratosis 1122 with different enlargement ratio can be used according to the actual needs, and coordinate different photoenvironments, as used LED light source, UV light source or polarized light source.If the amount of images that the doctor in charge gathers is more than quantity selected in diagnosis report and think that the skin image of follow-up shooting more can embody characteristics of lesion, the image of follow-up shooting can be inserted into the position residing for image that will be replaced in diagnosis report, complete the replacement of image, or increase the quantity of skin image, then be inserted into newly-increased position.In order to save storage space, other do not need the image data re-used will be deleted after diagnosis report completes.
For the skin image picture collected, be necessary to carry out treatment and analysis if the doctor in charge thinks, image analysis module 11112 pairs of skin images can be used to carry out following treatment and analysis:
The body part residing for the skin image obtained is demarcated with written form;
Quantization modules 111121, damages skin in picture the calculating that area is carried out in region, and indicate numerical value in picture; Unit is damaged to skin inside picture and carries out Auto-counting;
Image processing module 111123, carries out cutting to picture, unwanted part is cropped;
Image adjustment module 111122, carries out Edge contrast to picture, highlights the difference that skin damages region and normal region; The brightness of adjustment picture or contrast, adjust size or rotate;
Image processing module 111123, by the facial characteristics had nothing to do with the state of an illness in picture, privacy area uses monochrome to cover;
In graphical analysis and processing procedure, all steps all can be recorded, if think the operation having maloperation or do not need to carry out, can delete these operations, i.e. the process of above operation is reversible.After graphical analysis and process complete, relevant information will be kept in picture, as a part of content of skin image.
If diagnosis report editor module 11115 has this medical record and preserve corresponding diagnosis report on this workstation 11 before pointing out this patient, diagnosis report before the doctor in charge can check, and use the image comparison module 111124 in image analysis module 11112 to contrast the skin image in diagnosis report and the current image got, to confirm the change of conditions of patients, also can show to patient simultaneously.
The doctor in charge is after completing skin image collection and analysis, and the disease of medical knowledge to patient in conjunction with oneself makes diagnosis; After the diagnostic result region of diagnosis report input diagnostic result, under the effect of the diagnostic message mark module 111153 in diagnosis report editor module 11115, the seen description part of image and therapeutic scheme proposal part will occur that the descriptive language of standard is for doctor's reference automatically, and the doctor in charge is according to the editor that can complete diagnosis report after the situation amendment of reality.
Diagnosis report editor module 11115 at least includes Back ground Information processing module 111151, picture editting's module 111152, diagnostic message mark module 111153, diagnostic message memory module 111154 and record of diagnostic information module 111155,
Described image store module 11116 comprises data memory module 111161, diagnosis report search module 111162 and access control module 111163.
Disease reference information reminding module 111141 embedded in the classical symptom description of known skin disease and the reference collection of illustrative plates (content comes from medical text books) of standard, if the doctor in charge can not make clear and definite diagnosis in diagnostic procedure, the classical symptom that can recall possible disease describes and carries out reference with reference to collection of illustrative plates and compare, and assists to make correct diagnosis fast; The standard regimens of known skin disease is embedded in therapeutic scheme reference information reminding module 111142, if the doctor in charge can not provide the therapeutic scheme of suggestion fast in diagnostic procedure, the therapeutic scheme reference that disease is corresponding can be recalled, for quick, efficient, high-quality diagnosis provides supremacy clause.
After editor completes all the elements of diagnosis report, can the whole diagnosis report completed of preview, if confirm that content is errorless, can preserve diagnosis report under the effect of data memory module 111161 in image store module 11116, the original image of the skin image entrained in report when preserving diagnosis report will together be saved.
Embodiment 2: skin image analysing computer management system 1 is made up of dermoscopy device 112 and PC 111, participate in the clinical diagnostic process of skin disease, skin image collection assistant director assists the doctor in charge to use dermoscopy device 112 to obtain skin image, and use the diagnosis report editor module 11115 on workstation 11 fast and the doctor in charge jointly complete diagnosis report with skin image data, make skin disease diagnostic procedure have objective skin image and diagnosis report as foundation.
In this embodiment, skin image analysing computer management system 1 is positioned at independent skin image collection room, skin image collection assistant director uses skin image analysing computer management system 1 to complete the editing of most of diagnosis report, as the collection of skin image, and the description of word in diagnosis report; And the doctor in charge sends the requirement the result confirming diagnosis report of carrying out skin image collection.
As shown in Figure 4, when patient has a skin disease treatment demand, to register registration to medical institutions, the personal information of patient is entered into patient information services's device of hospital by register office of registering, and distributes to patient's unique identification.Above-mentioned mark can be bar code, medical card or social security card numbering etc.
Patient proposes concrete Treatment need to Dermatology Outpatient Department to the doctor in charge, doctor in charge's inquiry and check patient basic condition after, if think the collection and the analysis that need to carry out skin image, then allow patient carry out skin detection to skin image collection room.
Patient shows the unique identification of oneself to skin image collection room, after skin image collection assistant director inputs the unique identification of patient to the diagnosis report editor module 11115 in workstation 11, Back ground Information processing module 111151 in diagnosis report editor module 11115 incites somebody to action a newly-built diagnosis report automatically, and automatically obtain personal information from patient information services's device by Network Interface Module 11113 according to the unique identification of patient, be filled up to the position that in diagnosis report, personal patient information's part is corresponding.If historical record also having this medical before this patient preserve diagnosis report, the diagnosis report list that the diagnosis report search module 111162 of image store module 11116 is all before will listing this patient, and point out skin image collection assistant director.
Skin image collection assistant director inquires conditions of patients and the state of an illness told the main suit part typing patient of diagnosis report, in Input Process, Back ground Information processing module 111151 in diagnosis report editor module 11115 can supplement vocabulary under the help of main suit's dictionary guiding, completes the written record of main suit's part fast.
Skin image collection assistant director selects the skin image quantity needing to gather, after selected quantity, in diagnosis report will there is the wire frame of respective amount in photologging region, skin image collection assistant director uses the seborrheic keratosis 1122 in dermoscopy device 112 to gather the skin image of patient's lesion region, under the effect of the picture editting's module 111152 in diagnosis report editor module 11115, skin image will be inserted in the wire frame of skin imagery zone of diagnosis report automatically according to the time sequencing gathered.In the process gathering skin image, the seborrheic keratosis 1122 with different enlargement ratio can be used according to the actual needs, and coordinate different photoenvironments, as used LED light source, UV light source or polarized light source.If the amount of images that skin image collection assistant director gathers is more than quantity selected in diagnosis report and think that the skin image of follow-up shooting more can embody characteristics of lesion, the image of follow-up shooting can be inserted into the position residing for image that will be replaced in diagnosis report, complete the replacement of image, or increase the quantity of skin image, then be inserted into newly-increased position.In order to save storage space, other do not need the image data re-used will be deleted after diagnosis report completes.
For the skin image picture collected, be necessary to carry out treatment and analysis if skin image collection assistant director thinks, image analysis module 11112 pairs of skin images can be used to carry out following treatment and analysis:
The body part residing for the skin image obtained is demarcated with written form;
Quantization modules 111121, damages skin in picture the calculating that area is carried out in region, and indicate numerical value in picture; Unit is damaged to skin inside picture and carries out Auto-counting;
Image processing module 111123, carries out cutting to picture, unwanted part is cropped;
Image adjustment module 111122, carries out Edge contrast to picture, highlights the difference that skin damages region and normal region; The brightness of adjustment picture or contrast, adjust size or rotate;
Image processing module 111123, by the facial characteristics had nothing to do with the state of an illness in picture, privacy area uses monochrome to cover; In graphical analysis and processing procedure, all steps all can be recorded, if think the operation having maloperation or do not need to carry out, can delete these operations, i.e. the process of above operation is reversible.After the treatment and analysis of image completes, relevant information will be kept in picture, as a part of content of skin image.
If diagnosis report editor module 11115 has this medical record and preserve corresponding diagnosis report on this workstation 11 before pointing out this patient, diagnosis report before skin image collection assistant director can check, and use the image comparison module 111124 in image analysis module 11112 to contrast the skin image in diagnosis report and the current image got, to confirm the change of conditions of patients, also can show to patient simultaneously.
Skin image collection assistant director is after completing skin image collection and analysis, and the disease of medical knowledge to patient in conjunction with oneself makes pre-diagnosis; After the diagnostic result region of diagnosis report inputs pre-diagnostic result, under the effect of the diagnostic message mark module 111153 in diagnosis report editor module 11115, automatically the descriptive language of standard will be there is in the image finding description part in diagnosis report and therapeutic scheme proposal part, for reference, skin image collection assistant director is according to the editor that can complete diagnosis report after the situation amendment of reality.
Diagnosis report editor module 11115 at least includes Back ground Information processing module 111151, picture editting's module 111152, diagnostic message mark module 111153, diagnostic message memory module 111154 and record of diagnostic information module 111155,
Described image store module 11116 comprises data memory module 111161, diagnosis report search module 111162 and access control module 111163.
Disease reference information reminding module 111141 embedded in the classical symptom description of known skin disease and the reference collection of illustrative plates (content comes from medical text books) of standard, if the doctor in charge can not make clear and definite diagnosis in diagnostic procedure, the classical symptom that can recall possible disease describes and carries out reference with reference to collection of illustrative plates and compare, and assists to make correct diagnosis fast; The standard regimens of known skin disease is embedded in therapeutic scheme information reference module, if the doctor in charge can not provide the therapeutic scheme of suggestion fast in diagnostic procedure, the therapeutic scheme reference that disease is corresponding can be recalled, for quick, efficient, high-quality diagnosis provides supremacy clause.
After editor completes all the elements of diagnosis report, can the whole diagnosis report of preview, if confirm that content is errorless, by the diagnostic message memory module 111154 in diagnosis report editor module 11115, diagnosis report is saved in image store module 11116, and print and give patient, allow patient look for the doctor in charge to confirm diagnostic result, the original image of the skin image entrained in report when preserving diagnosis report will together be saved.
After patient obtains the diagnosis report printed, the doctor in charge is looked for carry out confirmation diagnostic result and therapeutic scheme, the doctor in charge describes seen by the skin image picture image of diagnosis report, use the medical knowledge of oneself judge its pre-diagnostic result and therapeutic scheme whether correct, if correct, then sign or seal mark accreditation on diagnosis report.
Embodiment 3: in this embodiment, skin image analysing computer management system 1 is made up of at least one server 12 of at least one workstation 11, participate in the clinical diagnostic process of skin disease, the doctor in charge uses dermoscopy device 112 to obtain skin image, and the use diagnosis report editor module 11115 be arranged on workstation 11 completes the diagnosis report with skin image data fast, makes skin disease diagnostic procedure have objective skin image and diagnosis report as foundation.A server 12 can be connected with multiple workstation 11, the skin image data of the diagnosis report with patient skin image information that workstation 11 exports and correspondence is preserved on the server 12, carry out unified management on the server 12, and between workstation 11, realize sharing of resource.
As shown in Figure 5, the doctor in charge is after workstation 11 startup optimization, when first time uses skin image analysing computer management software, the username and password of the person that needs use management distribution, by Network Interface Module 11113 logon server 12, connects with server 12.
When patient has a skin disease treatment demand, to register registration to medical institutions, the personal information of patient is entered into patient information services's device 12 of hospital by register office of registering, and distributes to patient's unique identification.Above-mentioned mark can be bar code, medical card or social security card numbering etc.
Patient proposes concrete diagnoses and treatment demand to outpatient service to the doctor in charge, after the doctor in charge inputs the unique identification of patient to the diagnosis report editor module 11115 in workstation 11, Back ground Information processing module 111151 in diagnosis report editor module 11115 incites somebody to action a newly-built diagnosis report automatically, and automatically obtain personal information from patient information services's device by Network Interface Module 11113 according to the unique identification of patient, be filled up to the position that in diagnosis report, personal patient information's part is corresponding.If historical record also having this medical before this patient preserve diagnosis report, the diagnosis report search module 111162 of image store module 11116 will list this patient before all diagnosis report lists point out the doctor in charge.
The doctor in charge inquires conditions of patients and the state of an illness told the main suit part typing patient of diagnosis report, in Input Process, Back ground Information processing module 111151 in diagnosis report editor module 11115 can supplement vocabulary under the help of main suit's dictionary guiding, completes the written record of main suit's part fast.
The doctor in charge selects the skin image quantity needing to gather, after selected quantity, in diagnosis report will there is the wire frame of respective amount in photologging region, the doctor in charge uses the seborrheic keratosis 1122 in dermoscopy device 112 to gather the skin image of patient's lesion region, under the effect of the picture editting's module 111152 in diagnosis report editor module 11115, skin image will be inserted in the wire frame of skin imagery zone of diagnosis report automatically according to the time sequencing gathered.In the process gathering skin image, the seborrheic keratosis 1122 with different enlargement ratio can be used according to the actual needs, and coordinate different photoenvironments, as used LED light source, UV light source or polarized light source.If the amount of images that the doctor in charge gathers is more than quantity selected in diagnosis report and think that the skin image of follow-up shooting more can embody characteristics of lesion, the image of follow-up shooting can be inserted into the position residing for image that will be replaced in diagnosis report, complete the replacement of image, or increase the quantity of skin image, then be inserted into newly-increased position.In order to save storage space, other do not need the image data re-used will be deleted after diagnosis report completes.
For the skin image picture collected, be necessary to carry out treatment and analysis if the doctor in charge thinks, image analysis module 11112 pairs of skin images can be used to carry out following treatment and analysis:
The body part residing for the skin image obtained is demarcated with written form;
Quantization modules 111121, damages skin in picture the calculating that area is carried out in region, and indicate numerical value in picture; Unit is damaged to skin inside picture and carries out Auto-counting;
Image processing module 111123, carries out cutting to picture, unwanted part is cropped;
Image adjustment module 111122, carries out Edge contrast to picture, highlights the difference that skin damages region and normal region; The brightness of adjustment picture or contrast, adjust size or rotate;
Image processing module 111123, by the facial characteristics had nothing to do with the state of an illness in picture, privacy area uses monochrome to cover;
In graphical analysis and processing procedure, all steps all can be recorded, if think the operation having maloperation or do not need to carry out, can delete these operations, i.e. the process of above operation is reversible.After the treatment and analysis of image completes, relevant information will be kept in picture, as a part of content of skin image.
If diagnosis report editor module 11115 has this medical record and preserve corresponding diagnosis report on this workstation 11 before pointing out this patient, diagnosis report before the doctor in charge can check, and use the image comparison module 111124 in image analysis module 11112 to contrast the skin image in diagnosis report and the current image got, to confirm the change of conditions of patients, also can show to patient simultaneously.
The doctor in charge is after completing skin image collection and analysis, and the disease of medical knowledge to patient in conjunction with oneself makes diagnosis; After the diagnostic result region of diagnosis report input diagnostic result, under the effect of the diagnostic message mark module 111153 in diagnosis report editor module 11115, image finding in diagnosis report describes part and therapeutic scheme proposal part will occur that the descriptive language of standard is for doctor's reference automatically, and the doctor in charge is according to the editor that can complete diagnosis report after the situation amendment of reality.
Diagnosis report editor module 11115 at least includes Back ground Information processing module 111151, picture editting's module 111152, diagnostic message mark module 111153, diagnostic message memory module 111154 and record of diagnostic information module 111155,
Described image store module 11116 comprises data memory module 111161, diagnosis report search module 111162 and access control module 111163.
Disease reference information reminding module 111141 embedded in the classical symptom description of known skin disease and the reference collection of illustrative plates (content comes from medical text books) of standard, if the doctor in charge can not make clear and definite diagnosis in diagnostic procedure, the classical symptom that can recall possible disease describes and carries out reference with reference to collection of illustrative plates and compare, and assists to make correct diagnosis fast; The standard regimens of known skin disease is embedded in therapeutic scheme reference information module 111142, if the doctor in charge can not provide the therapeutic scheme of suggestion fast in diagnostic procedure, the therapeutic scheme reference that disease is corresponding can be recalled, for quick, efficient, high-quality diagnosis provides supremacy clause.
After editor completes all the elements of diagnosis report, can the whole diagnosis report completed of preview, if confirm that content is errorless, diagnosis report can be preserved, diagnostic message memory module 111154 in diagnosis report editor module 11115 and Network Interface Module 11113 are preserved submitting to server 12 together with skin image picture corresponding in diagnosis report and diagnosis report, record this time event in the journal file of server 12 simultaneously.
Workstation 11, compared with embodiment 1, is mainly connected to server 12 by this embodiment, and diagnosis report and skin image information have all been saved on server 12, and compared to embodiment 1, this embodiment has following advantage:
The scope that diagnosis report can be searched for will increase.The same disease of a such as patient carried out Diagnosis and Treat at doctor in charge's first place of same hospital, and preserved diagnosis report, when not being linked into server 12, if this patient arrives doctor in charge's second next time, place carries out Diagnosis and Treat, and doctor in charge's second can not recall the former diagnosis report of this patient and skin image contrasts; If when being linked into server 12, owing to server 12 having saved diagnosis report and the skin image of this patient, doctor in charge's second can see the process of coming to carry out Diagnosis and Treat of this patient, and can contrast the change of illness state of clear and definite patient.
The scope that skin image can be searched for will increase.Such as medical institutions need to recall a certain dermopathic skin image picture and carry out analyzing and studying, when not being linked into LAN, the skin image picture that can only obtain on single workstation 11, if obtain more skin image, then need to obtain from more workstation 11; When being linked into LAN, because the skin image information of diagnosis report and correspondence is all preserved on the server 12 by all workstations 11, then more skin image picture can be got more rapidly on the server 12.
The access control management function of data becomes possibility.When not being linked into LAN, all data are all kept on workstation 11, the user of workstation 11 can do any operation to these data, and comprise and delete or damage, the data security of the skin image information of diagnosis report and correspondence is poor.When being linked into LAN, all data are all preserved on the server 12, and after formulation Access Management Access strategy, managerial personnel can carry out in order to these data, the management of safety.
Extend the cycle of data backup.When not being linked into LAN, due to workstation 11 limited storage space, will expire once space, and needing to back up data and removing from workstation 11.When being linked into LAN, all data all upload onto the server 12, do not need to back up the data on workstation 11.Only need disposablely to back up the data on server 12, and the storage space of server 12 is relatively large, can according to the storage space of estimation disposable preparation available long period.
Embodiment 4: in this embodiment, skin image analysing computer management system 1 is made up of at least one workstation, at least one server 12 access end and server 12 end, participate in the clinical diagnostic process of skin disease, skin image collection assistant director assists the doctor in charge to use dermoscopy device 112 to obtain skin image, and use the diagnosis report editor module 11115 on respective workstation 11 fast and the doctor in charge jointly complete diagnosis report with skin image data, make skin disease diagnostic procedure have objective skin image and diagnosis report as foundation.Server 12 end can be connected with multiple workstation 11, the skin image data of the diagnosis report with patient skin image information that workstation 11 exports and correspondence is preserved on the server 12, carry out unified management on the server 12, and between workstation 11, realize sharing of resource.
As shown in Figure 6, the doctor in charge is after workstation 11 startup optimization, when first time uses skin image analysing computer management software, the username and password of the person that needs use management distribution, by Network Interface Module 11113 logon server 12, connects with server 12.The skin image collection assistant director username and password that also use management person distributes passes through Network Interface Module 11113 logon server 12, to connect with server 12 simultaneously.Namely gather assistant director and be connected to server 12 end by workstation 11, the doctor in charge is connected to server 12 end by database access end.
When patient has a skin disease treatment demand, to register registration to medical institutions, the personal information of patient is entered into patient information services's device 12 of hospital by register office of registering, and distributes to patient's unique identification.Above-mentioned mark can be bar code, medical card or social security card numbering etc.
Patient proposes concrete diagnoses and treatment demand to outpatient service to the doctor in charge, after the doctor in charge inputs the unique identification of patient to the diagnosis report editor module 11115 in workstation 11, Back ground Information processing module 111151 in diagnosis report editor module 11115 incites somebody to action a newly-built diagnosis report automatically, and automatically obtain personal information from patient information services's device by Network Interface Module 11113 according to the unique identification of patient, be filled up to the position that in diagnosis report, personal patient information's part is corresponding.If this patient examines record and diagnosis report, the diagnosis report search module 111162 of image store module 11116 can list this patient before all diagnosis report lists be prompted to the doctor in charge.
The doctor in charge inquires conditions of patients and the state of an illness told the main suit part typing patient of diagnosis report, in Input Process, Back ground Information processing module 111151 in diagnosis report editor module 11115 can supplement vocabulary under the help of main suit's dictionary guiding, completes the written record of main suit's part fast.The doctor in charge, after completing main suit's partial content of diagnosis report, to the diagnosis report that server 12 submits to this part to complete, and allows patient arrive skin image collection room collection skin image.
Patient shows the unique identification of oneself to skin image collection room, skin image collection assistant director inputs the unique identification of patient by the diagnosis report editor module 11115 in the workstation 11 of workstation 11, and the diagnosis report search module 111162 of image store module 11116 will inquire this patient has completed main suit's part diagnosis report at doctor in charge place.If simultaneously also have this medical historical record before this patient and preserve diagnosis report, the diagnosis report search module 111162 of image store module 11116 completes to be retrieved and diagnosis reports all before listing this patient.
Skin image collection assistant director selects the skin image quantity needing to gather, after selected quantity, in diagnosis report will there is the wire frame of respective amount in photologging region, skin image collection assistant director uses the skin image of the lens group collection patient lesion region in dermoscopy device 112, under the effect of the picture editting's module 111152 in diagnosis report editor module 11115, skin image will be inserted in the wire frame of skin imagery zone of diagnosis report automatically according to the time sequencing gathered.In the process gathering skin image, the seborrheic keratosis 1122 with different enlargement ratio can be used according to the actual needs, and coordinate different photoenvironments, as used LED light source, UV light source or polarized light source.If the amount of images that skin image collection assistant director gathers is more than quantity selected in diagnosis report and think that the skin image of follow-up shooting more can embody characteristics of lesion, the image of follow-up shooting can be inserted into the position residing for image that will be replaced in diagnosis report, complete the replacement of image, or increase the quantity of skin image, then be inserted into newly-increased position.In order to save storage space, other do not need the image data re-used will be deleted after diagnosis report completes.
For the skin image picture collected, be necessary to carry out treatment and analysis by image analysis module if skin image collection assistant director thinks, image analysis module 11112 pairs of skin images can be used to carry out following treatment and analysis:
The body part residing for the skin image obtained is demarcated with written form;
Quantization modules 111121, damages skin in picture the calculating that area is carried out in region, and indicate numerical value in picture; Unit is damaged to skin inside picture and carries out Auto-counting;
Image processing module 111123, carries out cutting to picture, unwanted part is cropped;
Image adjustment module 111122, carries out Edge contrast to picture, highlights the difference that skin damages region and normal region; The brightness of adjustment picture or contrast, adjust size or rotate;
Image processing module 111123, by the facial characteristics had nothing to do with the state of an illness in picture, privacy area uses monochrome to cover; In graphical analysis and processing procedure, all steps all can be recorded, if think the operation having maloperation or do not need to carry out, can delete these operations, i.e. the process of above operation is reversible.After the treatment and analysis of image completes, relevant information will be kept in picture, as a part of content of skin image.
If diagnosis report editor module 11115 has this medical record and preserve corresponding diagnosis report on this workstation 11 before pointing out this patient, diagnosis report before skin image collection assistant director can check, and use the image comparison module 111124 in image analysis module 11112 to contrast the skin image in diagnosis report and the current image got, to confirm the change of conditions of patients, also can show to patient simultaneously.
Skin image collection assistant director is after completing skin image collection and analysis, and the disease of medical knowledge to patient in conjunction with oneself makes pre-diagnosis; After the diagnostic result region of diagnosis report inputs pre-diagnostic result, under the effect of the record of diagnostic information module 111155 in diagnosis report editor module 11115, automatically the descriptive language of standard will be there is in the image finding description part in diagnosis report and therapeutic scheme proposal part, for reference, skin image collection assistant director is according to the editor that can complete diagnosis report after the situation amendment of reality.
Diagnosis report editor module 11115 at least includes Back ground Information processing module 111151, picture editting's module 111152, diagnostic message mark module 111153, diagnostic message memory module 111154 and record of diagnostic information module 111155,
Described image store module 11116 comprises data memory module 111161, diagnosis report search module 111162 and access control module 111163.
Disease reference information reminding module 111141 embedded in the classical symptom description of known skin disease and the reference collection of illustrative plates (content comes from medical text books) of standard, if the doctor in charge can not make clear and definite diagnosis in diagnostic procedure, the classical symptom that can recall possible disease describes and carries out reference with reference to collection of illustrative plates and compare, and assists to make correct diagnosis fast; The standard regimens of known skin disease is embedded in therapeutic scheme reference information module 111142, if the doctor in charge can not provide the therapeutic scheme of suggestion fast in diagnostic procedure, the therapeutic scheme reference that disease is corresponding can be recalled, for quick, efficient, high-quality diagnosis provides supremacy clause.
After editor completes all the elements of diagnosis report, can the whole diagnosis report of preview, if confirm that content is errorless, completed diagnosis report can be uploaded onto the server 12 by the diagnostic message memory module 111154 in diagnosis report editor module 11115 and Network Interface Module 11113, the doctor in charge obtains diagnostic result and finally complete diagnosis report, the original image of the skin image entrained in report when uploading diagnosis report together will be uploaded to server 12 and preserve, and server 12 will record the daily record of this event simultaneously.
Patient shows the unique identification of oneself to doctor in charge place, after the doctor in charge inputs the unique identification of patient to the diagnosis report editor module 11115 in workstation 11, the diagnosis report search module 111162 of image store module 11116 by there will be skin image collection assistant director upload onto the server 12 diagnosis report, the doctor in charge according to the skin image in diagnosis report and image finding content the disease to patient diagnose, and confirm that whether the therapeutic scheme of suggestion is correct, when confirming diagnostic result and therapeutic scheme is errorless, carry out confirming and signing, form final diagnosis report, upload onto the server and 12 carry out and print giving patient.If the diagnostic result in discovery diagnosis report or therapeutic scheme incorrect, can change diagnosis report according to the judgement of oneself, carry out after completing confirming and signing, form final diagnosis report, upload onto the server and 12 carry out and print giving patient, server 12 will record the daily record of this event simultaneously.
This embodiment is compared with embodiment 2, mainly workstation 11 is connected to server 12, diagnosis report and skin image information have all been saved on server 12, compared to embodiment 2, the main advantage of this embodiment is, the editing process of diagnosis report has been worked in coordination with by the doctor in charge and skin image collection assistant director, and the doctor in charge confirms diagnostic result and therapeutic scheme, ensure that the security of medical diagnosis on disease and treatment; Skin image collection assistant director mainly gathers patient skin image, and edits the content of other parts, saves the time of the doctor in charge.Meanwhile, if the content of the diagnosis report of skin image collection assistant director output is wrong, the doctor in charge can correct in time.
The foregoing is only preferred embodiment of the present invention, not in order to limit the present invention, within the spirit and principles in the present invention all, any amendment done, equivalent replacement, improvement etc., all should be included within protection scope of the present invention.