CN110223787A - A kind of visualization medicine remote assistant diagnostic platform to be cooperated online based on multi-user - Google Patents

A kind of visualization medicine remote assistant diagnostic platform to be cooperated online based on multi-user Download PDF

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Publication number
CN110223787A
CN110223787A CN201910382639.3A CN201910382639A CN110223787A CN 110223787 A CN110223787 A CN 110223787A CN 201910382639 A CN201910382639 A CN 201910382639A CN 110223787 A CN110223787 A CN 110223787A
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CN
China
Prior art keywords
user
server
remote
visualization
terminal
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Pending
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CN201910382639.3A
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Chinese (zh)
Inventor
邓卓夫
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Northeastern University China
CERNET Corp
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Northeastern University China
CERNET Corp
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Priority to CN201910382639.3A priority Critical patent/CN110223787A/en
Publication of CN110223787A publication Critical patent/CN110223787A/en
Pending legal-status Critical Current

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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H30/00ICT specially adapted for the handling or processing of medical images
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H80/00ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L65/00Network arrangements, protocols or services for supporting real-time applications in data packet communication
    • H04L65/1066Session management
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L65/00Network arrangements, protocols or services for supporting real-time applications in data packet communication
    • H04L65/40Support for services or applications
    • H04L65/403Arrangements for multi-party communication, e.g. for conferences
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L65/00Network arrangements, protocols or services for supporting real-time applications in data packet communication
    • H04L65/60Network streaming of media packets
    • H04L65/75Media network packet handling
    • H04L65/765Media network packet handling intermediate
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04LTRANSMISSION OF DIGITAL INFORMATION, e.g. TELEGRAPHIC COMMUNICATION
    • H04L67/00Network arrangements or protocols for supporting network services or applications
    • H04L67/01Protocols
    • H04L67/06Protocols specially adapted for file transfer, e.g. file transfer protocol [FTP]

Abstract

The present invention discloses a kind of visualization medicine remote assistant diagnostic platform to cooperate online based on multi-user, realizes step are as follows: 1) user terminal and service end data Screen sharing;2) remote multi-subscriber interaction is shared;3) operating right remote user switches online;In step 1), user terminal and service end data Screen sharing are as follows: 101) server completes two dimension or 3 D medical data render;102) server is completed to rendering video in window screenshotss;103) JPEG compression is carried out to screenshotss image;104) Terminal Server Client is sent images to the interval 100ms.Platform of the present invention supports the visualized datas such as the CT of doctor's displaying live view patient, makes diagnosis;Support that concrete analysis is held a consultation and can carried out to patient's lesion on multidigit expert's line to be discussed and the operation of some surgical simulations simultaneously, the rehabilitation programme of patient is instructed to the full extent, the doctor for being in different regions in all parts of the country can be allowed to participate in jointly, realize the shared of optimal medical resource.

Description

A kind of visualization medicine remote assistant diagnostic platform to be cooperated online based on multi-user
Technical field
The present invention relates to a kind of medicine remote diagnosis platform, specially a kind of visualization doctor to be cooperated online based on multi-user Learn remote assistant diagnostic platform.
Background technique
The medical level for promoting poverty-stricken area or low developed area is always one of focus of work of Party and government.Money The factor that gold, traffic, resource match a series of unequal numerous complicateds, which causes, to be in people's the difficulty of getting medical service in these areas, cures the disease Difficulty has seriously affected the quality of life of the local common people.Meanwhile with the continuous improvement of people's living standards, to Health Services It is required that it is also higher and higher, and veteran professor medical expert is also limited, and focuses mostly in big city.Poverty-stricken area or The common people of low developed area can not often leave work position and go meet the needs of patient to all parts of the country.Especially many diseases People needs treatment in time, if the rehabilitation of patient can be seriously affected even by devoting a tremendous amount of time traffic in other respects etc. Threaten their life.These problems not only save patient just in this way there is an urgent need to doctor or the remote assistance of hospital Doctor's spending, it is often more important that won the time for their life security, therefore the means such as tele-medicine auxiliary diagnosis gradually by It is well known.
The status of China's tele-medicine is concentrated be deployed between hospital and hospital at present, and often hospital, junior is to medical centre It is proposed consultation of doctors application, medical centre determines the time, carries out remote medical consultation with specialists by modes such as phone or mails, and to the feelings of patient Condition establishes electronic health record.Although the mode of this tele-medicine auxiliary diagnosis solves the problems, such as, but with developed country Tele-medicine auxiliary diagnosis development level is compared, poor in terms of real-time, the availability of medical data, the accuracy for the treatment of. It is total to improve remote medical specialist that traditional Remote medical diagnosis platform only supports multi-user voice and visual straightforward procedure With work quality of diagnosis, often it is difficult to realize strange land multi-user and cooperates jointly to same data, such as hand is passed through to three-dimensional data Gesture or mouse interact.
Summary of the invention
For poverty-stricken area in the prior art or low developed area medical treatment real-time, the availability of medical data, The deficiencies of poor in terms of the accuracy for the treatment of, the problem to be solved in the present invention is to provide one kind can very good solution remotely cure at present Treatment system there are the problem of, realize the visualization medicine remote assistant diagnostic platform that visually cooperates online based on multi-user.
In order to solve the above technical problems, the technical solution adopted by the present invention is that:
A kind of visualization medicine remote assistant diagnostic platform to be cooperated online based on multi-user of the present invention, passes through following steps It realizes:
1) user terminal and service end data Screen sharing;
2) remote multi-subscriber interaction is shared;
3) operating right remote user switches online.
In step 1), user terminal and service end data Screen sharing are as follows:
101) server completes two dimension or 3 D medical data render;
102) server is completed to rendering video in window screenshotss;
103) JPEG compression is carried out to screenshotss image;
104) Terminal Server Client is sent images to the interval 100ms.
In step 2), remote multi-subscriber interaction is shared are as follows:
201) terminal monitoring has the mouse or gesture motion of current control authority user;
202) consensus standard behavior description is converted by interactive action;
203) server-side will be sent to by the interbehavior of consensus standard behavior description;
204) server-side renders picture material according to user mutual behavior again;
205) it executes step 1 and realizes that the long-range multi-terminal user of picture is shared.
In step 3), operating right remote user switches online are as follows:
301) first to automatically become control authority user into a discussion user in group;
302) other users FTP client FTP stops acquisition user behavior action message, it is prevented to upload to server-side completion Remote rendering;
303) other users application operating right, after current control authority user agrees to, terminal acquires its action behavior Information;
304) step 1) and step 2) are repeated.
The invention has the following beneficial effects and advantage:
1. platform of the present invention supports doctor to browse the visualized datas such as the CT of patient in real time, diagnosis is made;It supports simultaneously It holds a consultation on multidigit expert's line and concrete analysis discussion and the operation of some surgical simulations can be carried out to patient's lesion, utmostly On instruct the rehabilitation programme of patient;The platform is the system platform tool under wide area network, can allow and be in all parts of the country differently The doctor in area participates in jointly, realizes the shared of optimal medical resource.
2. the present invention realizes different location different terminals to the collaborative interactive technology of same data, development support is local high The data center of performance rendering is responsible for different terminals telemedicine data two dimension or multiple terminals is supported in three-dimensional rendering work, design Synchronous collaboration algorithm realizes the discussion of multi-expert online interaction formula, realizes visualization medicine remote collaboration in conjunction with other multimedia means Auxiliary diagnosis platform, compared with conventional method or platform, it is horizontal that the present invention is obviously improved online multi-expert Cooperative diagnosis.
3. the present invention is different from traditional tele-medicine auxiliary diagnosis platform, the innovative remote multi-subscriber that provides exists The function of line synchronisation greatly facilitates discussion of the expert to medicine two dimension or three-dimensional data, improves remote medical consultation with specialists Quality has highly important application value.
Detailed description of the invention
Fig. 1 is that servers' data of the present invention renders schematic diagram;
Fig. 2 is finger gesture treatment process figure of the present invention;
Fig. 3 is tele-conferencing system treatment process figure of the present invention;
Fig. 4 is remote collaboration synchronous effect figure (one) of the present invention;
Fig. 5 is remote collaboration synchronous effect figure (two) of the present invention.
Specific embodiment
The present invention is further elaborated with reference to the accompanying drawings of the specification.
A kind of visualization medicine remote assistant diagnostic platform to be cooperated online based on multi-user of the present invention, passes through following steps It realizes:
1) user terminal and service end data Screen sharing;
2) remote multi-subscriber interaction is shared;
3) operating right remote user switches online.
In step 1), user terminal and service end data Screen sharing are as follows:
101) server completes two dimension or 3 D medical data render;
102) server is completed to rendering video in window screenshotss;
103) JPEG compression is carried out to screenshotss image;
104) Terminal Server Client is sent images to the interval 100ms.
In step 2), remote multi-subscriber interaction is shared are as follows:
201) terminal monitoring has the mouse or gesture motion of current control authority user;
202) consensus standard behavior description is converted by interactive action;
203) server-side will be sent to by the interbehavior of consensus standard behavior description;
204) server-side renders picture material according to user mutual behavior again;
205) it executes step 1 and realizes that the long-range multi-terminal user of picture is shared.
In step 3), operating right remote user switches online are as follows:
301) first to automatically become control authority user into a discussion user in group;
302) other users FTP client FTP stops acquisition user behavior action message, can not upload to server-side and complete far Journey rendering;
303) other users application operating right, after current control authority user agrees to, terminal acquires its action behavior Information;
304) step 1) and step 2) are repeated.
Data render used in the tele-conferencing system that the present invention designs all is completed in server end, only after final rendering Screenshot be sent to all user terminals, thus can realize more light-weighted movement in the case where not distinguishes data type End.
As shown in Figure 1, all data renders are completed in server end in order to reach Real-Time Sharing, server is by screenshot It is compressed, is transmitted after compression, prove that the transmission frequency at the interval 100ms can achieve best experience effect into a series of experiments is crossed Fruit.
Picture compression uses vtkZLibDataCompressor.Zlib is general compression library, provides a set of in- Memory compression and decompression function, and the integrality (integrity) for the data that solution presses out can be detected, VtkZLibDataCompressor be vtkDataCompressor a specific implementation class use zlib carry out compression and Decompression.
One powerful visualization system not only needs powerful data-handling capacity, also to there is easy-to-use interaction function Energy.Traditional vtk can be monitored from mouse, the message of the external equipments such as outside such as keyboard, and the present invention is become by the end iPad At interactive component, for acquiring user gesture, the parameter of control visualization process is obtained, and by the parameter instruction service of passing back to Device end achievees the purpose that real-time, interactive.
Gesture design is divided into two parts altogether, and first part is the end iPad (illustration), in Cocoa, the touching of representative The class of object is UITouch, will produce corresponding event after user touches screen, all relevant UITouch objects all can It is packaged in event UIEvent, is distributed by UIResponse and specific object is transferred to handle.
When one or more fingers touch screen, touching message is sent.
When one or more fingers move on the screen, sends and refer to touching message more.
When one or more fingers frame out, sliding message is sent.
When touching the cancellation of sequence system event as such as phone incoming call, sends interaction and cancel message.
Another part is the interaction device in server-side, they are packaged by window again after remotely obtaining event argument from iOS Instruction set, is sent to the interaction device processing of server end, and specific control process flow chart is as shown in Figure 2.
Server-side by maintaining an array to refer to touch event to handle more, and 8 parameters are respectively intended to indicate that x-axis is sat altogether Cursor position, y-axis coordinate position, if pin ctrl, if pin shift, key value, number of repetition, symbolic code, pointer draws Rope.
Tele-conferencing system is critical function of the invention, and the thought totally realized is that all data renders are all servicing Device end is completed, and only the screenshot after final rendering is sent to the end of iPad, thus can be the not distinguishes data type the case where Under, realize more light-weighted mobile terminal.All gestures and partial function all pass through instruction set and are sent to server end, service Device is made accordingly.Flow chart is as shown in Figure 3
In receiving thread, preceding 30 byte is first received first, is parsed instruction name, and the data length that parsing comes, is led to It crosses data length and has received remaining data.If instruction name is SCREENSHOTSEND, data packet is divided to two sections, first part It is the size after decompression, second is truthful data.It is decompressed using vtk, updates UI in main thread later, be worth noting Be that autorelease object cannot be guaranteed when discharge, so not necessarily just being released immediately in the place that reference count is 0 It puts, so automatic release pond, which is added, solves Memory Leaks.Remote collaboration synchronous effect figure is as shown in Figure 4,5.

Claims (4)

1. a kind of visualization medicine remote assistant diagnostic platform to be cooperated online based on multi-user, it is characterised in that pass through following step It is rapid to realize:
1) user terminal and service end data Screen sharing;
2) remote multi-subscriber interaction is shared;
3) operating right remote user switches online.
2. the visualization medicine remote assistant diagnostic platform according to claim 1 to be cooperated online based on multi-user, special It levies and is in step 1), user terminal and service end data Screen sharing are as follows:
101) server completes two dimension or 3 D medical data render;
102) server is completed to rendering video in window screenshotss;
103) JPEG compression is carried out to screenshotss image;
104) Terminal Server Client is sent images to the interval 100ms.
3. the visualization medicine remote assistant diagnostic platform according to claim 1 to be cooperated online based on multi-user, special Sign is in step 2) that remote multi-subscriber interaction is shared are as follows:
201) terminal monitoring has the mouse or gesture motion of current control authority user;
202) consensus standard behavior description is converted by interactive action;
203) server-side will be sent to by the interbehavior of consensus standard behavior description;
204) server-side renders picture material according to user mutual behavior again;
205) it executes step 1 and realizes that the long-range multi-terminal user of picture is shared.
4. the visualization medicine remote assistant diagnostic platform according to claim 1 to be cooperated online based on multi-user, special Sign is in step 3) that operating right remote user switches online are as follows:
301) first to automatically become control authority user into a discussion user in group;
302) other users FTP client FTP stops acquisition user behavior action message, prevents it from uploading to server-side and completes remotely Rendering;
303) other users application operating right, after current control authority user agrees to, terminal acquires its action behavior information;
304) step 1) and step 2) are repeated.
CN201910382639.3A 2019-05-09 2019-05-09 A kind of visualization medicine remote assistant diagnostic platform to be cooperated online based on multi-user Pending CN110223787A (en)

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202306552U (en) * 2011-06-24 2012-07-04 海纳医信(北京)软件科技有限责任公司 Remote real-time consultation system
CN103095828A (en) * 2013-01-14 2013-05-08 上海电力学院 Web three dimensional (3D) synchronous conference system based on rendering cloud and method of achieving synchronization
CN106295107A (en) * 2015-06-08 2017-01-04 浙江格林蓝德信息技术有限公司 A kind of medical image that realizes synchronizes the method and system of the consultation of doctors

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202306552U (en) * 2011-06-24 2012-07-04 海纳医信(北京)软件科技有限责任公司 Remote real-time consultation system
CN103095828A (en) * 2013-01-14 2013-05-08 上海电力学院 Web three dimensional (3D) synchronous conference system based on rendering cloud and method of achieving synchronization
CN106295107A (en) * 2015-06-08 2017-01-04 浙江格林蓝德信息技术有限公司 A kind of medical image that realizes synchronizes the method and system of the consultation of doctors

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