CN104219269A - Synchronous remote consultation method and synchronous remote consultation system - Google Patents

Synchronous remote consultation method and synchronous remote consultation system Download PDF

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Publication number
CN104219269A
CN104219269A CN201310220027.7A CN201310220027A CN104219269A CN 104219269 A CN104219269 A CN 104219269A CN 201310220027 A CN201310220027 A CN 201310220027A CN 104219269 A CN104219269 A CN 104219269A
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consultation
user
client
image
operational order
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CN201310220027.7A
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周强强
罗朝辉
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Shanghai United Imaging Healthcare Co Ltd
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Shanghai United Imaging Healthcare Co Ltd
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Priority to CN201310220027.7A priority Critical patent/CN104219269A/en
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Abstract

The invention provides a synchronous remote consultation method and a synchronous remote consultation system. The synchronous remote consultation method includes steps of enabling an optional user to create a consultation group at a client, and adding at least one user into the consultation group; enabling a master control user to locally operate medical images, transmitting operating commands to a server via the internet, enabling the server to receive the operating commands and forwarding the operating commands to controlled users via the internet according to user ID (identification); enabling the controlled users to receive the operating commands and locally parse the operating commands according to communication protocols and synchronously executing operation of the master control user at the client. One of the users is the master control user, and the other users are the controlled users. The synchronous remote consultation method and the synchronous remote consultation system have the advantages that the server is used as a relay station for transmitting and packaging text messages of the operating commands, so that the dependency on the broadband performance of networks is low, the problem of image distortion can be solved, and synchronous remote consultation can be implemented by multiple platforms across operating systems.

Description

A kind of method and system of synchronous remote medical consultation with specialists
Technical field
The present invention relates to the communications field of tele-medicine, particularly relate to a kind of method and system of synchronous remote medical consultation with specialists.
Background technology
B/S framework and browser/server framework.It is the rise along with Internet technology, to a kind of change of C/S framework or the framework of improvement.Under this framework, user job interface is realized by WWW browser, and few partial transaction logic realizes at front end (Browser), but major affairs logic realizes at server end (Server), forms so-called three-decker.
Medical image filing and communication system (Picture Archiving and Communication Systems, PACS) be one be specifically designed to transmit, store, the computer network of ADM image.The Main Function of PACS is: 1) utilize digital image data storehouse to replace traditional film storehouse, and filed by image, digitlization memory image, manages without film; 2) utilize DICOM3.0 (Digital Imaging and Communication in Medicine, medical digital image and communication standard) that various for full institute medical imaging equipment is unified into a net; 3) achieve the unified management of medical image, facilitate calling of image; 4) for image processing and computer-aided diagnosis (Image Processing and Computer Aided Diagnoses).
Radiology information system (Radiology Information System, RIS) comprises all text message records from patient enters dept. of radiology, the routine work management of dept. of radiology, the statistics of case and the needs of scientific research.RIS work station comprises: registration work station, image workstation, diagnostic workstation, director's work station and database server.The effect of RIS is to provide all kinds of medical informations of patient, the check result of store and management patient, carries out scientific management and statistics to medical information.
In prior art, mainly contain two kinds of remote medical consultation with specialists methods.One is by being that " share desktop " reaches simultaneous operation, the method has following shortcoming: 1) long-range " share desktop " needs to transmit a large amount of data, common way reduces resolution, and the easy like this serious distortion causing image, is difficult to the Accurate Diagnosis of medical science; 2) very high for network bandwidth requirement, in the situation that bandwidth is not high, remote access is smooth not, and picture time delay is serious; 3) in fact only on the machine of a user, run RIS diagnostic workstation, be difficult to support two or more multi-user simultaneous operation, be difficult to realize cross operating system and cross-platform.Two is receive consultation of doctors request by collaborative user and corresponding DICOM image is downloaded to this locality, and after making diagnosis report within a certain period of time, postbacked by report the test to the user of consultation of doctors request, the method time delay is serious, cannot reach the object of the synchronous consultation of doctors.
Summary of the invention
The invention provides a kind of method and system of synchronous remote medical consultation with specialists, in order to solve in existing remote medical consultation with specialists technology the problem needing to transmit great amount of images data, image transmitting has certain distortion rate, network bandwidth dependence strong, picture time delay situation is serious.
The present invention provides a kind of method of synchronous remote medical consultation with specialists for solving the problems of the technologies described above, comprise the steps:
Any one user creates consultation of doctors group in client, and at least one user adds described consultation of doctors group, and one of them user is main controlling user, and other user is controlled users;
Described main controlling user carries out the operation of medical image in this locality, and operational order is sent to server by internet, and described server receives described operational order, and is broadcasted the message of described operational order to described controlled users by internet according to user ID;
Described controlled users receives and resolves described operational order according to communication protocol, and the operation of main controlling user described in the client executing of various places, realizes the diagnostic operation synchronous with main controlling user.
Further, before described main controlling user carries out image manipulation, first consultation of doctors patient is selected at local client, then send to server and check medical image order, check described in server forwards that medical image order is to described controlled users, all for patient image informations are downloaded to local client and show image according to the inspection messages in managing medical information server by all users in described consultation of doctors group from PACS.
Further, the form of described medical image is DICOM, JPEG or BMP form.
Further, described main controlling user and described controlled users can any switching laws, and current have and only have a main controlling user.
Further, described operational order comprise specify display interface layout, add primitive information, movement or editor's pel, window width and window level adjustment, translation or zoomed image, image rotating or to image mirrors operation, load image, cancel the display and control of/redo operation, pseudo-color processing and/or four angle informations.
Further, described communication protocol comprises No. ID of all clients, the type of described operational order and the parameter list of described operational order.
Further, user carries out consultation of doctors interchange by voice module and/or video module.
In order to solve the problems of the technologies described above, the present invention also provides a kind of system of synchronous remote medical consultation with specialists, and described system comprises server, PACS module, managing medical information module and at least two clients,
Described client comprises a master control client, sends described operational order;
With at least one controlled client, receive described operational order; And by the server that internet is connected with described master control client and controlled client, forward described operational order.
Further, described master control client and controlled client can switch mutually, and current have and only have a master control client.
Further, it is characterized in that, described system also comprises voice module and/or video module.
Compared with prior art, the present invention has the following advantages: be 1) independently based on the remote medical consultation with specialists of B/S framework for each client, can download image respectively from PACS; 2) what transmit between client is the text message of encapsulation operation order, does not comprise view data, low to network bandwidth dependence; 3) for the increase of number of users, significant decline is not shone into overall performance; 4) can support that multi-platform multiple operating system is accessed, as panel computer, mobile phone, Windows, MAC and Linux etc.
Accompanying drawing explanation
Figure 1 shows that the schematic flow sheet of an embodiment of the synchronous remote medical consultation with specialists method of the present invention;
Figure 2 shows that the structural representation of an embodiment of the synchronous Tele-consultation System of the present invention.
Embodiment
Set forth a lot of detail in the following description so that fully understand the present invention.But the present invention can be much different from alternate manner described here to implement, those skilled in the art can when without prejudice to doing similar popularization when intension of the present invention, therefore the present invention is by the restriction of following public concrete enforcement.
Secondly, the present invention utilizes schematic diagram to be described in detail, and when describing the embodiment of the present invention in detail, for ease of illustrating, described schematic diagram is example, and it should not limit the scope of protection of the invention at this.
The present invention solves the problems of the technologies described above a kind of method proposing synchronous remote medical consultation with specialists, and shown in the schematic flow sheet of an embodiment of remote medical consultation with specialists method as synchronous in Fig. 1 the present invention, described step is as follows:
First, step S10 is performed: any one user creates consultation of doctors group in client, and at least one user adds described consultation of doctors group, and one of them user is main controlling user, and other users are controlled users.It should be noted that, the user in same consultation of doctors group synchronously can carry out remote medical consultation with specialists, and same user can only add a consultation of doctors group.Described main controlling user is carried out operational processes to the image information of consultation of doctors patient and sends operational order in remote medical consultation with specialists, and described controlled users synchronously performs the operation of described main controlling user; Can any switching laws between described main controlling user and described controlled users, current have and only have a main controlling user to operate described medical image.
Then, perform step S20: described main controlling user carries out image manipulation at local client, and operational order is sent to server by internet, described server receives described operational order, and is broadcasted the message of described operational order to described controlled users by internet according to the ID of user.In the present embodiment, after described main controlling user sets up consultation of doctors group, first consultation of doctors patient is selected from local client, and check medical image order to server transmission, check described in described server broadcast that the message of medical image order is to described controlled users, all for patient image informations are downloaded to local client and show image according to the inspection messages in managing medical information server by all users in described consultation of doctors group from PACS; Then described main controlling user operates at the medical image of client to described consultation of doctors patient, and operational order is sent to server by internet, and server broadcasts the message of described operational order to described controlled users according to user ID.Described operational order comprise specify display interface layout, add primitive information, movement or editor's pel, the adjustment of window width and window position, translation or zoomed image, image rotating or to image mirrors operation, load image, cancel the display and control of/redo operation, pseudo-color processing and/or four angle informations, described operational order can be the combination of above-mentioned various operation, forms knockdown operational order.Further, the consultation of doctors can also be carried out by voice module and/or video module between each user in the present embodiment and exchange, improve the validity of remote medical consultation with specialists.
It should be noted that, in the present embodiment, after main controlling user sends described medical image viewing command, described medical image is downloaded from PACS, and after controlled users receives the medical image viewing command of the main controlling user of server broadcast, download described medical image by PACS immediately, generally speaking, all clients are almost download image information simultaneously.Describedly check that medical image order comprises the inspection number (Accession Number or StudyInstanceUID) needing to check medical image, can corresponding inspection message be obtained from medical information management server according to inspection user and be associated to PACS.The form of described medical image can be the multiple formats such as DICOM, JPEG or BMP, is preferably dicom standard in the present embodiment.Download from PACS the problem of dtmf distortion DTMF that view data avoids image transmitting in prior art voluntarily by client, improve the accuracy of diagnosis.Described operational order is the operation text message of encapsulation, do not comprise view data, greatly reduce the volume of transmitted data in consultation of doctors process, decrease the dependency degree of user to bandwidth performance, even if number of users increases, also can not cause significant decline to overall performance, whole consultation of doctors process can synchronously be carried out glibly; Described server act as the effect of terminal, reduces the work load of server, carries out forwarding operational order by user ID to controlled users, and operational order can be avoided to repeat to send to described main controlling user, improves operating efficiency.The present invention utilizes B/S tactic pattern, whole consultation of doctors process is carried out in the internet context, achieves synchronous remote medical consultation with specialists.
Finally, step S30 is performed: described controlled users receives and resolves described operational order in this locality according to communication protocol, then performs the operation of described main controlling user at client synchronization.Wherein, described communication protocol comprises the parameter list of the ID users of client, the type of operational order and operational order.The ID users of described client is unique sign of each user in consultation of doctors group, and server, by user ID identification main controlling user and controlled users, is avoided repeating to send to main controlling user when forwarding operational order.Operational order type in described communication protocol comprises the operation of medical image diagnosis needs on all working station, such as display interface layout, add the adjustment (comprising default window width and window level), load image (comprising page turning and movie) etc. of primitive information, movement or editor's pel, window width and window position, so main controlling user can carry out combined operation, be dissimilar operational order by the operational order type in communication protocol by combined operation command analysis, be convenient to the execution of subsequent step.
Operational order parameter list in described communication protocol is the difference difference to some extent according to operational order, comprises unique sign (SOP InstanceUID) of the image to current operation and unique sign (Series InstanceUID) of sequence; Also comprise result parameter image manipulation being comprised to operation, such as the ratio etc. of the value of window width and window position, the angle of rotation or convergent-divergent; Primitive operation is comprised to whole attributes of graphics primitive object, described action type is specialized, be convenient to the operation that described controlled users synchronously performs main controlling user, to reach the object of synchronous remote medical consultation with specialists.
The present embodiment is for RIS diagnostic workstation.
User A enters RIS diagnostic workstation at client browser, and select consultation of doctors pattern and create consultation of doctors group, user B adds described consultation of doctors group by client browser, and in the present embodiment, acquiescence creates the user A of consultation of doctors group is main controlling user, and user B is controlled users.
Then, user A selects the patient that holds a consultation from the RIS diagnostic workstation of local client, first click and check medical image and check medical image order by internet to server transmission, server checks medical image order according to user ID described in user B forwarding, all users in consultation of doctors group obtain corresponding inspection message according to the Accession Number of user from medical information management server from client and are associated to PACS, user A and user B downloads the DICOM image of this patient according to the WADO agreement of DICOM from PACS, load and displays image information at local client.Then the image of user A to consultation of doctors patient carries out switching selection the 3rd width image from the first width figure, and draw pel, the switching of this series and selection operation are encapsulated as operational order and send to server, described operational order is transmitted to user B according to user ID by described server.
Controlled users resolves according to the operational order type (handover operation and selection operation) of communication protocol and operational order parameter list (piece image is switched to the 3rd width image) operational order received, and performs switching, selection operation.
Then, user B and user A switches main controlling user, user B is main controlling user, user A is controlled users, the image of user B to consultation of doctors patient carries out the operation of amplification 150%, and this operational order is sent to server, described operational order is forwarded to user A according to user ID by described server, user A resolves according to the operational order type (amplifieroperation) of communication protocol and operational order parameter (150%) operational order received, and perform the operation of amplification 150%, reach the object of the synchronous consultation of doctors.
In order to solve the problems of the technologies described above, the present invention also provides a kind of synchronous Tele-consultation System, shown in the structural representation of an embodiment of Tele-consultation System as synchronous in Fig. 2 the present invention, described synchronous Tele-consultation System 10 comprises master control client 11, at least one controlled client 12, server 13, PACS module 14 and managing medical information module 15.Described master control client 11 is for sending described operational order, and described controlled client 12 is for receiving and performing the operational order of described master control client; Described server 13 is connected with described master control client 11 and controlled client 12 by internet, forwards described operational order to described controlled client 12.Described PACS module 14 for transmitting, the network data base of store and management medical image, described medical information management server 15 is for providing all kinds of medical informations of patient, the check result of store and management patient, medical information managed and adds up, being associated with described PACS module 14 by the inspection number of medical image.When consultation of doctors group starts before the image manipulation of remote medical consultation with specialists, in group, all clients are downloaded the image information of consultation of doctors patient by WADO or WebSocket agreement from described PACS module 14 and show in master control client 11 and controlled client 12.Described synchronous Tele-consultation System 10 can also comprise video module and/voice module, is exchanged the carrying out of effectively improving remote medical consultation with specialists by voice and video.
Particularly, for RIS diagnostic workstation system.Described system comprises server, client browser, RIS server and PACS server.Client is under consultation of doctors pattern, select consultation of doctors patient and to be sent to server by internet to check medical image order, viewing command forwards in RIS server by described server, described RIS server is associated to PACS server according to the inspection of patient number, described client downloads all image informations of consultation of doctors patient according to WADO agreement from PACS server, described master control client transmit operation order is to described server, described controlled client receives the operational order that described server forwards, resolve described operational order according to communication protocol and perform simultaneous operation, realize the diagnostic operation synchronous with main controlling user.
Although the present invention with preferred embodiment openly as above; but it is not for limiting the present invention; any those skilled in the art without departing from the spirit and scope of the present invention; the Method and Technology content of above-mentioned announcement can be utilized to make possible variation and amendment to technical solution of the present invention; therefore; every content not departing from technical solution of the present invention; the any simple modification done above embodiment according to technical spirit of the present invention, equivalent variations and modification, all belong to the protection range of technical solution of the present invention.

Claims (10)

1. a method for synchronous remote medical consultation with specialists, is characterized in that, comprises the steps:
A) any one user creates consultation of doctors group in client, and at least one user adds described consultation of doctors group; One of them user is main controlling user, and other user is controlled users;
B) described main controlling user carries out the operation of medical image in this locality, and operational order is sent to server by internet, described server receives described operational order, and is broadcasted the message of described operational order to described controlled users by internet according to user ID;
C) described controlled users receives and resolves described operational order according to communication protocol, and the operation of main controlling user described in the client executing of various places, realizes the diagnostic operation synchronous with main controlling user.
2. the method for synchronous remote medical consultation with specialists as claimed in claim 1, it is characterized in that, before described main controlling user carries out image manipulation, first consultation of doctors patient is selected at local client, then send to server and check medical image order, check described in server forwards that medical image order is to described controlled users, all for patient image informations are downloaded to local client and show image according to the inspection messages in managing medical information server by all users in described consultation of doctors group from PACS.
3. as the method for the synchronous remote medical consultation with specialists in claim 1 or 2 as described in any one, it is characterized in that, the form of described medical image is DICOM, JPEG or BMP form.
4. the method for remote medical consultation with specialists as claimed in claim 1 synchronous, is characterized in that, described main controlling user and described controlled users can any switching laws, and current have and only have a main controlling user.
5. the method for synchronous remote medical consultation with specialists as claimed in claim 1, it is characterized in that, described operational order comprise specify display interface layout, add primitive information, movement or editor's pel, window width and window level adjustment, translation or zoomed image, image rotating or to image mirrors operation, load image, cancel the display and control of/redo operation, pseudo-color processing and/or four angle informations.
6. the method for synchronous remote medical consultation with specialists as claimed in claim 1, it is characterized in that, described communication protocol comprises No. ID of all clients, the type of described operational order and the parameter list of described operational order.
7. the method for the synchronous remote medical consultation with specialists according to any one of claim 1 ~ 6, is characterized in that, user carries out the consultation of doctors by voice module and/or video module and exchanges.
8. one kind realizes the synchronous Tele-consultation System of method as claimed in claim 1, described system comprises server, PACS module, managing medical information module and at least two clients, it is characterized in that, described client comprises a master control client, sends described operational order;
With at least one controlled client, receive and perform described operational order; And by the server that internet is connected with described master control client and controlled client, forward described operational order.
9. synchronous Tele-consultation System as claimed in claim 8, it is characterized in that, described master control client and controlled client can switch mutually, and current have and only have a master control client.
10. synchronous Tele-consultation System as claimed in claim 8, it is characterized in that, described system also comprises voice module and/or video module.
CN201310220027.7A 2013-06-04 2013-06-04 Synchronous remote consultation method and synchronous remote consultation system Pending CN104219269A (en)

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CN104573362A (en) * 2015-01-06 2015-04-29 上海交通大学 Multi-user synchronous digital section reading and consultation system and method
CN104994333A (en) * 2015-05-29 2015-10-21 上海京颐科技股份有限公司 Medical image transfer device, client terminal, transmission system and transmission method thereof
CN106293929A (en) * 2015-06-11 2017-01-04 联想(北京)有限公司 A kind of data processing method and the first electronic equipment
CN106326675A (en) * 2016-09-05 2017-01-11 深圳市六联科技有限公司 Remote consultation system based on three-dimensional model
CN106446590A (en) * 2016-11-23 2017-02-22 武汉联影医疗科技有限公司 Announcement and notification generating method and system
CN106790500A (en) * 2016-12-15 2017-05-31 扬州立兴科技发展合伙企业(有限合伙) A kind of remote multi-person consultation system
CN108183941A (en) * 2017-12-20 2018-06-19 深圳安泰创新科技股份有限公司 Terminal medical imaging remote synchronization method, apparatus and computer readable storage medium
CN109065188A (en) * 2018-07-27 2018-12-21 广州秉理科技有限公司 A kind of remote pathological diagnosis consultation platform and its implementation
CN110247976A (en) * 2019-06-20 2019-09-17 青岛海信医疗设备股份有限公司 Medical image interactive approach and device
CN111857933A (en) * 2020-07-28 2020-10-30 中国人民解放军陆军工程大学 System and method for synchronizing remote states of virtual training system in cloud mode
CN114584580A (en) * 2022-01-27 2022-06-03 南京巨鲨显示科技有限公司 Nondestructive intelligent consultation method and system based on medical images

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CN104573362A (en) * 2015-01-06 2015-04-29 上海交通大学 Multi-user synchronous digital section reading and consultation system and method
CN104573362B (en) * 2015-01-06 2018-11-20 上海交通大学 More people's synchronous digitalization slice diagosis and consultation of doctors system and method
CN104994333A (en) * 2015-05-29 2015-10-21 上海京颐科技股份有限公司 Medical image transfer device, client terminal, transmission system and transmission method thereof
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CN106326675A (en) * 2016-09-05 2017-01-11 深圳市六联科技有限公司 Remote consultation system based on three-dimensional model
CN106446590A (en) * 2016-11-23 2017-02-22 武汉联影医疗科技有限公司 Announcement and notification generating method and system
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CN111857933A (en) * 2020-07-28 2020-10-30 中国人民解放军陆军工程大学 System and method for synchronizing remote states of virtual training system in cloud mode
CN114584580A (en) * 2022-01-27 2022-06-03 南京巨鲨显示科技有限公司 Nondestructive intelligent consultation method and system based on medical images

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Application publication date: 20141217