Summary of the invention
Because the above-mentioned defect of prior art, technical matters to be solved by this invention is to provide a kind of many people synchronous digitalization section diagosis and consultation of doctors system and method, by setting up multiple client terminal device connected by network, realize many people and diagosis is carried out to the digitizing pathological section in digitizing pathological section data storehouse simultaneously, and can hold a consultation.
For achieving the above object, the invention provides a kind of many people synchronous digitalization section diagosis and consultation system, it is characterized in that, comprise server and multiple client terminal device be connected by network, described server has the digitizing pathological section data storehouse storing digitizing pathological section, described multiple client terminal device is connected to described server by network;
Each described client terminal device comprises input and output module; Described input and output module for the user that inputs described client terminal device to the operational order of described digitizing pathological section with export the processing unit of described server or the processing unit of described client terminal device according to the described digitizing pathological section after described operational order process.
Further, each described client terminal device also comprises memory module, for depositing described digitizing pathological section.
Further, also comprise rights of using identification module, judge whether to allow described application user to use described client terminal device for described processing unit for the information receiving application user;
Described authority recognition module receives the information of described application user by the input and output module of described client terminal device and exports the result of described judgement; Or described authority recognition module comprises input and output unit, described authority recognition module receives the information of described application user by described input and output unit and exports the result of described judgement;
The information of described application user comprises facial image, fingerprint image and/or account and password; Described input and output unit comprises keyboard and display.
Further, the described operational order to described digitizing pathological section comprises the navigation commands for browsing described digitizing pathological section and the tab command for marking described digitizing pathological section;
Described navigation commands comprises display, amplifies, reduces, rotates, moves and scale;
Described tab command comprises use arrow, rectangle, ellipse and/or polygonal figure and marks described digitizing pathological section and use word and/or figure and/or sound to annotate and comment on described digitizing pathological section;
Described operational order also comprises amendment, deletion, the display of the content to described annotations and comments and hides.
Further, case information corresponding to described digitizing pathological section is also stored in described digitizing pathological section data storehouse;
Described input and output module also for input described user to the second operational order of described case information and export described processing unit according to the described case information after described second operational order process;
Described second operational order comprises checks case information described in described case information, use word and/or figure and/or sound-editing and uses word and/or figure and/or sound to work out electric doctor's advice.
Further, the described input and output module of described client terminal device also pushes order for inputting, and described processing unit is ordered according to described promotions and the content of the described digitizing pathological section after described process, described annotations and comments and/or described case information and other described client terminal device shared.
Further, the described input and output module of described client terminal device also for inputting the user of described client terminal device to the described digitizing pathological section shared, the content of described annotations and comments and/or the decision-making order of described case information, and
Export described processing unit according to the content of the described shared described digitizing pathological section after described decision-making command process, described annotations and comments and/or described case information;
Described decision-making order comprises puts question to and ballot.
Further, described input and output module is touch display screen; Or
Described input and output module comprises load module and output module, and described load module is one or more in keyboard and mouse, pointer, touch display screen, and described output module is one or more in display screen, touch display screen.
Further, described output unit also comprises and broadcasts record device, one or more in printer.
Further, the number of described client terminal device is 3 or 5; When carrying out three grades of pathological digital slices consultation of doctors, the number of described client terminal device is 3; When carrying out the consultation of doctors of Pyatyi pathological digital slices, the number of described client terminal device is 5.
Further, present invention also offers a kind of many people synchronous digitalization section diagosis and consultation of doctors method, for aforesaid many people synchronous digitalization section diagosis and consultation system, it is characterized in that, comprising:
Step one, multiple described user of application are respectively to the described information of applying for user of described rights of using identification module input, and described processing unit judges whether to allow the described user of application to use described client terminal device and approve to be judged as to allow the described of the described client terminal device of use to apply for that user is the described user of described client terminal device;
The described user of step 2, described client terminal device inputs described navigation commands by described input and output module, reads described digitizing pathological section; And the described user of described client terminal device inputs described tab command by described input and output module, to described digitizing pathological section mark and/or annotations and comments; And the described user of described client terminal device, by described second operational order of described input and output module input, checks described case information, edits described case information and/or establishment electric doctor's advice;
The described user of step 3, described client terminal device is by the described propelling movement order of described input and output module input, described processing unit is shared according to the content of the described digitizing pathological section after described operational order and/or the second operational order process, described annotations and comments and/or described case information and other described client terminal device, enters step 4;
The described user of step 4, client terminal device described in each inputs described decision-making order by the described input and output module of described client terminal device, puts question to the content of described shared described digitizing pathological section, described annotations and comments and/or described case information and votes; If do not have the described user of described client terminal device to input to put question to and the ratio of the middle affirmative vote of all described ballot is not less than 2/3, then enter step 5, otherwise described user's repeating said steps two and three of client terminal device described in each;
Step 5, to export through the described shared described digitizing pathological section of described step 4, the content of described annotations and comments and/or described case information.
Many people synchronous digitalization of the present invention section diagosis and system and method for holding a consultation allow multiple user (expert) by different client terminal devices to same high-resolution digital cut into slices carry out different piece (on, under, left, right) or the browsing and observation of different scale (enlargement factor), find comprehensively to reach and analyze data, avoid being observed by single leading digital slices medical image causing mistaken diagnosis, give expert thus and freely observe authority, break away from tradition and to look at device altogether based on the section of biological microscope, enlargement factor can only be carried out to actual slice by a people, viewing area is selected, sections observation is easily by the skilled operation degree of operator, the defect of the factor impacts such as subjective judgement, and allow the operations such as different expert marks same medical image, marker annotations, mark storage.In addition, the present invention can carry out right of priority setting (three grades or the setting of Pyatyi priority) to client terminal device according to demand, the client that such as high-level doctor is corresponding has highest priority, after high-level doctor confirms medical diagnosis, its place display screen can be copied on the display screen of other clients, jointly hold a consultation to carry out and carry out teaching-guiding; And will hold a consultation or teaching process complete documentation by video, audio recording systems, so that from now on for the teaching of typical pathologic case or the review verification of pathological diagnosis accident.Finally, the present invention adopts teleconsultation method to make a definite diagnosis section rub, first find rub, then describe rub, then propose rub, carry out rub discussion again, just carry out doubtful point ballot if at sixes and sevens, finally record voting results, final formation section confirmed result, diagnostic result of cutting into slices more accurately and reliably can be obtained thus, and inquire about when voting results can be filed in order to needing in the future jointly with section diagnostic result.
Be described further below with reference to the technique effect of accompanying drawing to design of the present invention, concrete structure and generation, to understand object of the present invention, characteristic sum effect fully.
Embodiment
Many people synchronous digitalization section diagosis of the present invention comprises server and multiple client terminal device be connected by network with consultation system, server has the digitizing pathological section data storehouse storing digitizing pathological section, each client terminal device is connected to server by network, the digitizing pathological section in digitizing pathological section data storehouse can be read thus, and can mark digitizing pathological section and the digitizing pathological section after mark is saved in digitizing pathological section data storehouse together.The case information corresponding to digitizing pathological section can also be comprised in digitizing pathological section data storehouse, the case information of the digitizing pathological section in digitizing pathological section data storehouse can be read thus, and can right case information edit and by editor after case information be saved in together in digitizing pathological section data storehouse.
As shown in Figure 1, in a preferred embodiment, many people synchronous digitalization of the present invention section diagosis and consultation system comprise server 10 and multiple client terminal device 21,22 ..., 2n, server 10 has the digitizing pathological section data storehouse storing digitizing pathological section, client terminal device 21,22 ..., 2n be used for for n user simultaneously, user be here participation pathological digital slices hold a consultation expert.The number of client terminal device can be selected like this: when carrying out three grades of pathological digital slices consultation of doctors, the number of client terminal device is 3, i.e. n=3; When carrying out the consultation of doctors of Pyatyi pathological digital slices, the number of client terminal device is 5, i.e. n=5.
Each client terminal device 21,22 ..., 2n is connected to each other by network and is connected to server 10 by network.Here network can be cable network also can be wireless network, or wired with wireless combinational network.Each client terminal device comprises a main frame, input/output module and rights of using identification module, as client terminal device 21 comprises main frame 210, input/output module 211 and rights of using identification module 212, client terminal device 22 comprises main frame 220, input/output module 221 and rights of using identification module 222,, client terminal device 2n comprises main frame 2n0, input/output module 2n1 and rights of using identification module 2n2.Main frame 210,220 ..., 2n0 comprises processing unit and memory module, client terminal device 21,22 ..., 2n obtain digitizing pathological section (and case information) can leave in its memory module, for processing unit processes, the digitizing pathological section (and case information) after process also can leave in this memory module.
Wherein, input and output module can be that existing input function has output function again, as touch display screen; Also can be made up of with the output module with output function the load module with input function, load module wherein can be one or more in keyboard and mouse, pointer, touch display screen, and output module can be one or more in display screen, touch display screen.As shown in Figure 2, for the client terminal device 21 that user 1 is used, input and output module 211 wherein comprises keyboard and mouse 2111, pointer 2112, touch display screen 2113, printer 2114 and broadcasts records device 2115.Thus, the digitizing pathological section (and case information) that user 1 is obtained from digitizing pathological section data storehouse by main frame 210 can be displayed on touch display screen 2113, user 1 carries out screen operator by keyboard and mouse 2111 and pointer 2112 to this digitizing pathological section (and case information), such as, browse, mark, push, decision-making etc.In the present embodiment, these operations are performed by the processing unit in main frame 210, will introduce below particularly.The work of user 1 during the whole consultation of doctors can record device 2115 record by broadcasting, as teaching in the future and investigation data.In addition, user 1 can by printer 2114 will hold a consultation result export, such as printing papery report.
It should be noted that, main frame in client terminal device is not necessary, user can also be performed by the processing unit in server the operation of digitizing pathological section (and case information) by the input and output module of client terminal device, as long as the order of needs is sent to server by user, after processing unit in server is finished, result is sent to the input and output module of the client terminal device of user, checks for user.Treated digitizing pathological section (and case information) can be kept in the memory module of server, or is directly saved in this digitizing pathological section data storehouse.
In addition, the main frame of each client terminal device is also connected with a rights of using identification module, for selecting the user of this client terminal device.It can be the device of entity, such as comprise keyboard and display screen, application uses the application user of this client terminal device can be required to input account and password on the keyboard of this rights of using identification module before use client terminal device, the information such as " passed through " in this display screen display after the processing unit of the main frame of client terminal device judges to approve with by this application user accreditation as user, it can bring into use this client terminal device thus; Or the information that processing unit such as " does not pass through " in this display screen display after judgement is not approved, then this application user can not use this client terminal device.The information that the described processing unit of confession of application user input judges can also be facial image, fingerprint image, voiceprint, electronic signature etc., correspondingly, the input block of rights of using identification module should be camera, scanner, phonographic recorder, pointer etc.In addition, the input block of rights of using identification module and output unit do not need for himself is all, it can use the input and output module of client terminal device, all keyboards as shown in Figure 2 and mouse 2111, pointer 2112, touch display screen 2113.In addition, rights of using identification module can also be virtual bench, namely the program worked out, on its main frame being stored in client terminal device or on server, application user inputs its information by the input and output module of client terminal device and judges for the processing unit of main frame or server, and the result of judgement is shown to the input and output module of client terminal device.
In addition, rights of using identification module can also identify academic title, the rank of user, each client terminal device can be followed and be carried out right of priority setting (three grades or the setting of Pyatyi priority) according to demand thus, and the client that such as high-level doctor is corresponding has highest priority.Confirm medical diagnosis by it in the consultation of doctors after, its place display screen can be copied on the display screen in other client terminal devices, jointly hold a consultation to carry out and carry out teaching-guiding.
The main frame of each client terminal device can also configure the hardware such as CD-ROM drive, USB, card reader, to facilitate multiple digitizing client to read section medical image data and patient medical information at local synchronization, or in local storing medical image mark or consultation of doctors result.
As previously mentioned, input and output module is for inputting the operational order of user to digitizing pathological section (and case information), and these orders comprise particularly:
One, to the operational order of digitizing pathological section.
The navigation commands that this part order comprises for browsing digitizing pathological section and the tab command for reference numerals pathological section.
Wherein, navigation commands comprises display, amplifies, reduces, rotates, moves and scale, according to these orders, processing unit by the display of digitizing pathological section on a display screen, it is done to stepless zooming, done rotate at any angle, by it up and down, left and right do mobile, show rulers is for measurement thereon.
Tab command comprises mark and annotations and comments, according to these orders, processing unit display arrow, rectangle, ellipse and/or polygonal figure make marks at digitizing pathological section with these figures for user, and processing unit display annotations and comments hurdle supplies user's typing word and/or figure and/or sound to annotate and comment on digitizing pathological section on annotations and comments hurdle.The content of annotations and comments can be annotation to digitizing pathological section or feature wherein and description, and the content of annotations and comments can be set up, navigate.The data such as length, area that tab command also comprises the feature in digitizing pathological section are measured and show result.
This part is ordered the amendment of the content also comprised annotations and comments, deletion, display, hides and preserve, and this part orders the preservation also comprised the digitizing pathological section through above-mentioned process.As previously mentioned, can be kept in the memory module of server or main frame.
Two, to the operational order of case information corresponding to digitizing pathological section.
This part order comprises to be checked, edits and work out electric doctor's advice, according to these orders, processing unit by case information display on a display screen, case information is set to can edit pattern for user's word and/or figure and/or this case information of sound-editing, display electric doctor's advice template is for user's word and/or figure and/or sound establishment electric doctor's advice.Electric doctor's advice comprises diagnostic message.
This part orders the preservation also comprised the case information through above-mentioned process.As previously mentioned, can be kept in the memory module of server or main frame.
Three, order is pushed.
According to propelling movement order, the content of the digitizing pathological section after process, annotations and comments and/or case information are pushed to other client terminal device to share with them by processing unit.Here propelling movement can be directly above-mentioned file/information is sent to other client terminal devices, and also can be that above-mentioned file/information is sent to server, other client terminal devices download to this locality from server again.
Four, decision-making order.
Decision-making order comprises puts question to and ballot.According to enquirement order, hurdle is putd question in processing unit display, is puing question in hurdle the query of content and/or the case information inputted digitizing pathological section, annotations and comments for user; According to ballot order, processing unit display ballot hurdle, votes for (agreeing) or vote against (making difficulties) to the process of digitizing pathological section, the content of annotations and comments and/or case information in ballot hurdle for user.
Decision-making order can also comprise discussion, and according to discussion order, hurdle, such as conversation area are discussed in processing unit display, for user, the suggestion inputting the query to above-mentioned proposition in hurdle are being discussed.Usually, if do not have user to send put question to order, then ballot order can directly be used; If have user to send put question to order, then preferably this user or other users should send and order is discussed, and after discussion terminates, use ballot order.In addition, when can not agree for the content discussed, also can use ballot order to the content discussed, the suggestion such as affirmative vote being not less than 2/3 is defined as the result discussed.
Processing unit can also according to the result of ballot, the result of the automatically display consultation of doctors, such as, when affirmative vote is not less than 2/3, this is confirmed as the result of the consultation of doctors by digitizing pathological section, the content of annotations and comments and/or the case information of voting; Otherwise requirement continues the consultation of doctors, such as, repeat enquirement, discussion, the content of editing annotations and comments and/or case information and ballot, until confirm the result of holding a consultation.
In order to user more easily uses mentioned order, in the present embodiment, apply digitizing client software in many people synchronous digitalization section diagosis of the present invention and consultation system, be loaded on each main frame and click application for user.In other embodiments, it also can load on the server as the application program of multiple entry, for many people simultaneously.This digitizing client software comprises multiple application module, corresponding above-mentioned all kinds of orders, it is in particular: medical image browses the software modules such as module, case information module, medical image mark module, medical imaging diagnosis information module, the mutual display module of multi-client, multi-client consultation of doctors result decision-making module, face/fingerprint identification module, consultation of doctors result print module.
Wherein, medical image browses module, can read medical image (i.e. digitizing pathological section), show, stepless zooming, Arbitrary Rotation, move up and down, the operation such as show rulers.
Case information module, can check case information, edit, the operation such as electric doctor's advice.
Medical image mark module, there is provided arrow, rectangle, ellipse, polygon to mark, annotate representation function, and the DATA REASONING such as length, area function, can arrange, navigate markup information, and can modify to marked content, delete, show or hide annotation etc.
Medical imaging diagnosis MIM message input module, can input diagnostic message for medical imaging diagnosis result and store.
The mutual display module of multi-client, mutually can push section medical image and display screen mark, annotation, conveniently consult the consultation of doctors between multi-client device.
Multi-client consultation of doctors result decision-making module, can vote to consultation of doctors result, conveniently carry out decision-making to disputable problem.
Face/fingerprint identification module, synchronously can carry out face/fingerprint recognition to several consultation of doctors personnel, guarantees that personnel on duty participate in the consultation of doctors, avoids mistaken diagnosis of assuming another's name.
As can be seen here, user opens the application module of this digitizing client software by clicking, namely processing unit can be allowed to perform corresponding operation, and this software the work habit meeting very much curative activity is set, its left-hand seat expertly using soon can be made.
Apply the concrete steps that many people synchronous digitalization of the present invention section diagosis and consultation system carry out work, namely the concrete steps of many people synchronous digitalization section diagosis of the present invention and consultation of doctors method are as follows:
Step one, multiple application user input its information respectively to rights of using identification module, and processing unit judges whether to allow this application user to use this client terminal device and approves that the application user being judged as this client terminal device of permission use is the user of this client terminal device;
The user of step 2, each client terminal device, by input navigation commands, reads digitizing pathological section; And input marking order, to digitizing pathological section mark and/or annotations and comments; And, input the second operational order, check case information, edit this case information and/or establishment electric doctor's advice;
The user of step 3, each client terminal device inputs and pushes order, processing unit is shared according to the content of the digitizing pathological section after its each command process inputted in step 2, annotations and comments and/or case information and other client terminal device, enters step 4;
The user of step 4, each client terminal device inputs decision-making order, puts question to the digitizing pathological section shared in step 3, the content of annotations and comments and/or case information and votes; If do not have user to input to put question to order and the ratio of the middle affirmative vote of all ballot is not less than 2/3, then enter step 5, otherwise each user repeats step 2 and three;
Step 5, export through the digitizing pathological section of step 4, the content of annotations and comments and/or case information, as consultation of doctors result.
Can find out, above-mentioned many people synchronous digitalization section diagosis and consultation of doctors process include three phases in fact, and namely digital slices observes the stage, the stage is shared in digital slices diagnosis and the digital slices diagnosis decision phase.
One, digital slices observes the stage:
In this stage, different users browses and observation same high-resolution digital section, finds comprehensively and analyzes data, and allow the operations such as different expert marks same medical image, marker annotations, mark storage to reach.
Two, the stage is shared in digital slices diagnosis:
In this stage, user place display screen can be copied on the display screen of other clients, to carry out the common consultation of doctors.
Three, the digital slices diagnosis decision phase:
This stage, teleconsultation method is adopted to make a definite diagnosis section rub, first find rub, then describe rub, then propose rub, carry out rub discussion again, just carry out doubtful point ballot if at sixes and sevens, finally record voting results, final formation section confirmed result.When certain doctor finds pathological section rub, by pointer rub marked and annotate, then formally propose rub to other doctors, and the section medical image of respective markers and annotation is pushed on the display screen of other clients, to carry out rub discussion.In discussion process, if fail unity of form conclusion, ballot request can be proposed by high-level doctor, device record voting results, and jointly file with section diagnostic result.
More than describe preferred embodiment of the present invention in detail.Should be appreciated that those of ordinary skill in the art just design according to the present invention can make many modifications and variations without the need to creative work.Therefore, all those skilled in the art, all should by the determined protection domain of claims under this invention's idea on the basis of existing technology by the available technical scheme of logical analysis, reasoning, or a limited experiment.