Embodiment one:
Different inspection equipment or different inspection methods, corresponding different inspect-type, common inspect-type include:
Digital X-ray image (DR), x-ray tomography scan (CT), mammography (MG), ultrasound image (US), nuclear-magnetism inspection (MR)
Deng.In the embodiment of the present invention, after doctor is that measured carries out some type of medical imaging, system checks this time and generates
Image saved, and for these images distribute an inspection ID.When being checked, can will be checked according to the general character of inspection
Image is divided into one or more sequences, such as the image of same position is attributed to a sequence, and the image of same exposure parameter is returned
Belonging to is a sequence, and the image of same shooting direction is attributed to a sequence.It may include one or more image in one sequence.
It is four layer models by the image data tissue of a measured in the embodiment of the present invention, as shown in Figure 1, first layer is measured,
The inspection that the second layer is carried out for the measured, third layer are sequence, and the 4th layer is image.One measured is in hospital diagnosis
A plurality of types of inspections can be carried out, therefore, a measured may include multiple inspections, and each check has an inspection ID,
One inspection may include multiple sequences, and a sequence may include multiple images.
In the embodiment of the present invention, the structure of image diagosis system is as shown in Figure 2 a, comprising: detection module 11, attribute obtain
Module 12, matching module 13, loading module 14, display setup module 15, human-computer interaction module 16 and memory module 17.
Human-computer interaction module 16 is used to provide man-machine interactive interface for user, is used to provide a user display interface and inspection
Survey the operation of user.
Detection module 11 is used to detect the image mark that user (such as doctor) determines.In a particular embodiment, Yong Hutong
It crosses human-computer interaction module 16 and selects or inputs image mark, image is identified for being directed toward image data, can by image mark
Obtain complete image data.In the present embodiment, image is identified as the inspection ID in a record in image database, such as schemes
Shown in 2b, in the display interface of human-computer interaction module 16, the image data record in image database, every note are shown to user
Record may include several data segments, for example, measured's name, age, gender, inspect-type, check point, sequence number, image number
Deng.When certain record is chosen by user, which is in highlight.
Attribute obtains module 12 and is used for after the image mark that detection module 11 detects that user determines, obtains the image number
According to inspection attribute, check that attribute is the inspection information of the corresponding image data of image mark, check that attribute can be entirely
Portion checks the set of information, is also possible to the set that part checks information.
Matching module 13 is used for after the image mark that detection module 11 detects that user determines, is matched according to display protocol
Condition selects display protocol.Agreement matching condition may include one or more fields, and in a particular embodiment, agreement matches item
Part may include subscriber identity information, display device attribute, diagosis quantity, check at least one of attribute and diagosis mode,
Certainly, in other embodiments, agreement matching condition also may include other fields, and the content of each field can be set in advance
It is fixed, it can also be determined according to system configuration and/or user's operation, to generate current agreement matching condition.In the present embodiment,
Several display protocols are pre-defined, every kind of display protocol corresponds to a kind of diagosis scene, and diagosis scene refers to by target image, shadow
As the display environment that the factors such as display parameters, diagosis tool determine, target image, image display parameters, appointing in diagosis tool
One difference constitutes different diagosis scenes.It is that will match according to the method that display protocol matching condition selects display protocol
Condition is passed in display protocol, and display protocol carries out operation, Suo Youyun according to the configuration information of itself and the matching condition of input
Result is calculated when being true, then successful match.
Loading module 14 is used to be determined according to display protocol and needs image data to be loaded and carry out from memory module 17
Load.Needing whole image datas to be loaded may include the image data determining by image mark, can also include and this
Image identifies related image data, such as history inspection and/or crucial image data.
Display setup module 15 is used to be arranged according to display protocol the display state of load image and presses on diagosis interface
According to the display status display image of setting, the display state of setting load image includes the layout that display window is arranged, image
Layout and the image currently shown.The exhibition method of the display interface of diagosis system uses two-layer model, as shown in figure 3, first
Layer is window sequence, and the second layer is imaging window.In a specific embodiment, display setup module includes that layout setting is single
Member, binding unit, current display setting device and parameter set unit, layout setting unit are used for according to the rule in display protocol
Surely setting window sequence is laid out the image layout with each window sequence;Binding unit is used to need to window sequence binding to be loaded
The sequence of image data;Current display setting device is used to be arranged the current display image of window sequence;Parameter set unit is used
In setting image display parameters.After the display state for showing the setting load image of setup module 15, human-computer interaction module 16 is shown
The image of load.
Memory module 17 is for saving image database, system configuration and display protocol.
In further improved embodiment, diagosis system further includes for according to display protocol and the currently active image
The tool setup module 18 of diagosis tool is set, and diagosis tool includes toolbar and mouse tool.
In the specific embodiment having, diagosis system further includes crucial image processing module, and crucial image processing module is used
In increasing the image that user specifies or deleting key signature according to the instruction of user, so that loading module 14 can be marked according to key
Remember and determines whether there is crucial image in image data.
Based on above-mentioned image diagosis system, in one embodiment, medical image diagosis method as shown in figure 4, include with
Lower step:
Step 20, determine that image identifies.When user needs to consult certain image, user can choose the mark of the image data
Know, such as chooses certain to check ID to choose image to identify by mouse click in the list shown in Fig. 2 b.Or man-machine
Input needs the inspection ID of the image data of diagosis on interactive interface, so that it is determined that the image of diagosis is needed to identify.System detection
The operation of module real-time detection user determines image mark depending on the user's operation.
Step 21, the inspection attribute of image data is obtained.After determination needs image to identify, attribute obtains module and obtains shadow
As the inspection attribute of data, in the present embodiment, check that attribute may include the information such as measured's name, inspect-type, check point,
It may also include the information such as age, gender.
Step 22, display protocol is matched.Matching module determines agreement matching condition, root according to system configuration and user's operation
Suitable display protocol is selected according to agreement matching condition.Display protocol pre-designed can store in a storage module, display association
View have it is multiple, for different diagosis scenes.Agreement matching condition can design according to the demand of user.In one embodiment,
Agreement matching condition includes subscriber identity information and display device attribute, and in a further embodiment, agreement matching condition is also wrapped
It includes diagosis quantity, check at least one of attribute and diagosis mode.Subscriber identity information, that is, user logs in defeated when diagosis system
The identity information entered, display device attribute includes display screen quantity, can further include display device model (different factory
Family has different models), display device attribute can be obtained from system, after showing that equipment determines, show device attribute
It determines.It checks that attribute includes inspect-type and check point, has been learnt in step 21.Diagosis mode can be symmetrical display,
Asymmetric display or tiling display, different users has different hobbies, and in diagosis system, user is settable oneself to be read
The diagosis mode of default can also be used in tablet mode, and when determining agreement matching condition, diagosis mode can be according to subscriber identity information
It determines.In the embodiment having, user is allowed to change diagosis mode in diagosis.The image that diagosis quantity is chosen according to user
Mark determines that, when user has selected an image mark, diagosis quantity is 1, and user can add diagosis quantity, when again user selects
When having selected another image mark, diagosis quantity becomes 2, and so on.When diagosis quantity and/or diagosis mode are changed,
Suitable display protocol is inquired and selected again to matching module.
Step 23, determining needs image data to be loaded and loads.In this step, loading module determines first needs to add
Then the image data of load again loads need image data to be loaded.Image data to be loaded is needed to can be user
The corresponding image data of determining image mark in step 20, is also possible to history inspection and/or the pass of the image data
Key image data.History inspection refers to the image data checked before or after the patient.After image data is formed, the image
Data may be checked by different doctors, be discussed, during diagosis, doctor has done key signature to some images, have key
The image of label is crucial image.Image, which identifies, can crucial image in corresponding image data, in history inspection
There can be crucial image.It, can be according to complete in the determining image data of the regulation load of display protocol when there is crucial image
Portion only loads crucial image therein.In a specific embodiment, the method such as Fig. 5 for needing image data to be loaded is determined
It is shown, comprising the following steps:
Step 231, loading module obtains the inspection attribute of image data.
Step 232, history inspection is judged whether there is.After display protocol determines, there is regulation for such in display protocol
Whether image needs to check history inspection, and loading module is according to the matching condition configured in display protocol and checks the quilt in attribute
Survey person's information (such as patient name), which is checked, whether there is the history inspection for meeting matching condition in database, such as can be according to association
View configuration loads nearest n times inspection, and n is more than or equal to 0, or according to protocol configuration, can load the history inspection of some type, than
Inspection as only loaded MR and CT type, thens follow the steps 233 if there is the history inspection for meeting matching condition, otherwise executes
Step 234.
Step 233, using the history inspection met as need image data to be loaded.It needs in image data to be loaded
Including history inspection user determining image data and meet matching condition.
Step 234, crucial image is judged whether there is.Loading module needs image data to be loaded according to key signature judgement
In whether include crucial image, it is no to then follow the steps 237 if so, then follow the steps 235.
Step 235, the setting in display protocol to crucial image is obtained, it can be to the display of crucial image in display protocol
Regulation is made, executes step 236 or step 237 according to the regulation of display protocol.Certainly, display protocol can not also be to crucial shadow
Regulation is made in the display of picture, executes step 237 in this case.
Step 236, crucial image is only loaded.It when only loading crucial image, can give top priority to what is the most important, be convenient for doctor's diagosis.It closes
Key image mechanism can neatly control image indication range, it is possible to reduce the interference to doctor is reduced and provided to network and system
The occupancy in source.
Step 237, whole image datas, the image data determined including user and the history inspection inquired are loaded.
Step 24, layout setting unit is laid out according to the regulation setting window sequence in display protocol.
Step 25, sequence is bound to window sequence.Binding unit obtains sequence properties from the image data of load, according to
The sequences match condition of each window sequence specified in display protocol, matches sequence properties from the image data of load and meets
The sequence matched is tied to corresponding window sequence by the sequence of sequences match condition, and a window sequence can bind one
Or multiple sequences.Sequence properties include image modality, photograph posture, image side position (Image Laterality) and serial number.Shadow
As type is for determining positioning picture and axle position;Image side position judges left and right side;Photograph posture (View Position) judgement
Photography direction, such as anteroposterior position, left lateral position.
Step 26, the image layout of each window sequence is arranged according to the regulation in display protocol for layout setting unit.
Step 27, the current display image of current display setting device setting window sequence.Current display setting device obtains
The image attributes of each image are taken, then the Image Matching of the current display image of each window sequence according to specified in display protocol
Condition matches the image that image attributes meet Image Matching condition from the image data of load, the image matched is set
It is set to the current display image of the window sequence.
Step 28, image display parameters are arranged in parameter set unit, and image display parameters include window width, window position ginseng
At least one of number, scaling parameter, translation parameters, are also possible to other display parameters.
Step 29, diagosis tool is set.Diagosis tool is carried out for post-processing to the image of display, such as to image
Area-of-interest is selected, measurement, editor, scaling processing etc., and tool setup module is according to display protocol and the currently active image
Diagosis tool is set, in terms of the setting of diagosis tool includes following two.
1) setting of toolbar.Multiple toolbars can be preset in a storage module, every kind of toolbar corresponds to a kind of shadow
As type, such as the toolbar of setting have: without figure, DX/DR/CR, CT/MR, US, MG/XA etc., unknown format, 3D-MPR, 3D-
CMPR, 3D-VR, multiframe, AVI, JPG, BMP etc..As shown in Figure 6 a it is the toolbar of 2D-DX, CR, DR, is as shown in Figure 6 b 3D-
The toolbar of CMPR.Tool setup module is according to the currently active image modality, to the currently active shadow in query display agreement
As the toolbar that type defined uses, the toolbar of defined is switched to the toolbar currently shown, so that work can be realized
Has the intelligence switching on column.By the processing of this step, the tool that may be used can be judged according to the type of the currently active image, and
The diagosis tool of selection is arranged according to certain rules, so as to remove the tool that can not be used, (such as DX type checking is not
Need to switch the tool of 3D view), make user when browsing different types of inspection image, can be able to conveniently find most common
Diagosis tool improves the ease for use of diagosis tool.
2) setting of mouse tool.The menu and left mouse button, middle key, right button that mouse tool finger mouse right button is opened
Double-click, the semanteme clicking, press, discharging, dragging, such as set ambition than measurement or translation, right mouse for left mouse button
Key is set as adjusting window or scaling etc..Tool setup module according to the currently active image modality, in query display agreement with it is current
Mouse tool corresponding to the image modality of activation, and according to the regulation setting left button of mouse of display protocol, right button, middle key
Operational semantics.
The image of selection can be showed user in an appropriate manner through the above steps, the display used including diagosis
Device, diagosis window layout show binding, image display parameters, diagosis mode, diagosis tool of image etc. in diagosis window, from
And realize the diagosis method based on diagosis scene.
Illustrate the application of above-mentioned diagosis method below.
Application examples one:
1. the specified mammography for loading some patient of user;
2. generating matching condition: load check quantity 1, inspect-type MG, using two pieces of diagosis screens, using symmetric mode
Formula.Match query is to suitable display protocol;
3. being carried out according to display protocol after matching arranged below:
A) all images of the inspection are loaded;
B) setting window sequence layout is 1 × 2, and there are two window sequences on each diagosis screen;
C) from reading left and right sides, photograph posture attribute in data is checked, left side skew back bit sequence is tied to the first diagosis
In the First ray window of screen, by left side, bit sequence is tied in the second window sequence of the first diagosis screen end to end, will be right
Side skew back bit sequence is tied in the First ray window of the second diagosis screen, and by right side, bit sequence is tied to the second diagosis end to end
In second window sequence of screen;
D) all sequences window is set as 1 × 1 imaging window layout;
E) all imaging windows show first image;
F) the window window position of all images is set as mammary gland window, is amplified to 1.2 times;
G) setting current mouse left button tool is translation, and right button tool is to adjust window.
Application examples two:
1. the specified plain chest film inspection for loading some patient of user;
2. generating matching condition: load check quantity 1, inspect-type DX, using one piece of diagosis screen, using symmetric mode
Formula, check point are chests.Match query is to suitable display protocol;
3. being carried out according to display protocol after matching arranged below:
A) all images of the inspection are loaded;
B) setting window sequence layout is 1 × 2, and there are two window sequences on diagosis screen;
C) from reading photography direction attribute in data is checked, normotopia image is placed in First ray window, such as Fig. 7 a institute
Show, side position image is placed in the second window sequence, as shown in Figure 7b;
D) all sequences window is set as 1 × 1 imaging window layout;
E) all imaging windows show first image;
F) the window window position of all images is set as lung window, is amplified to 1.3 times;
G) setting current mouse left button tool is ambition than measuring tool, and right button tool is to adjust window.
Application examples three:
1. the specified nuclear-magnetism inspection for loading some patient of user;
2. generating matching condition: load check quantity 1, inspect-type MR, using two pieces of diagosis screens, using symmetric mode
Formula, check point are heads.Match query is to suitable display protocol;
3. being carried out according to display protocol after matching arranged below:
A) all images of the inspection are loaded;
B) the crucial image of two history inspections of the patient: recent nuclear-magnetism inspection and recent CT is loaded
It checks;
C) setting window sequence layout is 2 × 2, and there are four window sequences on each diagosis screen;
D) from reading image modality attribute in data is checked, current check positioning figure is placed on the first of the first diagosis screen
In window sequence, and the other sequences of current check are sequentially placed into second and third and four window sequences of the first diagosis screen;
E) all sequences window of current check is set as 1 × 1 imaging window layout;
F) two axle position graphic sequences of the last history nuclear-magnetism inspection are placed on to the first He of the second diagosis screen
In second window sequence;
G) two axle position graphic sequences of the last history CT examination are placed on to the third and the of the second diagosis screen
In four window sequences;
H) display first crucial image in window sequence where history checks;
I) all imaging windows show first image;
J) the window window position of all images is set as bone window, narrows down to 0.7 times;
K) setting current mouse left button tool is three-dimensional lesion localization tool, and right button tool is to adjust window.