CN107887018A - Preoperative evaluation system and preoperative evaluation method - Google Patents

Preoperative evaluation system and preoperative evaluation method Download PDF

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Publication number
CN107887018A
CN107887018A CN201610873604.6A CN201610873604A CN107887018A CN 107887018 A CN107887018 A CN 107887018A CN 201610873604 A CN201610873604 A CN 201610873604A CN 107887018 A CN107887018 A CN 107887018A
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module
service end
computer model
client
dimensional
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CN107887018B (en
Inventor
吕冬
刘翔
徐风光
卢凌霄
张翼飞
乐承筠
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Minimally Invasive Investment Holdings Ltd
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Shanghai Microport Medical Group Co Ltd
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Abstract

The invention provides a preoperative evaluation system and a preoperative evaluation method, the preoperative evaluation system comprises a server and a client, the server comprises a first input module, an image processing module and a first output module which are sequentially communicated, the client comprises a second input module, an image evaluation module and a second output module which are sequentially communicated, the client transmits image data of a focus part of a human body to the first input module of the server through the second output module, the server obtains a first three-dimensional focus part computer model through the image processing module and according to the image data of the focus part of the human body, and sends the first three-dimensional focus part computer model to the second input module of the client through the first output module, and the client evaluates the first three-dimensional focus part computer model through the image evaluation module, and feeding back the first evaluation result to the server through a second output module.

Description

Preoperative evaluation system and preoperative evaluation method
Technical field
The present invention relates to technical field of medical instruments, more particularly to a kind of preoperative evaluation system and preoperative evaluation method.
Background technology
In conventional diagnostic and operation, the doctor in charge mainly passes through two dimensional image data, such as x-ray, CT, MRI or ultrasound To understand the essential characteristic of focus, such as position, size, shape, surrounding tissue, so as to carry out the Design of operation plan, Then the three dimensional impression formed in the brain according to the doctor in charge is performed the operation.Such way so that most of operation is depended on The experience of the Yu doctor in charge and operation qualification, therefore, the reproducibility and systematicness of operation plan are poor.
Specifically,, will after radiologist performs data scanning and basic measurement assessment in the preoperative in evaluation process CT/MRI/ ultrasounds film and measurement data transfer the doctor in charge to, then are finally completed by the doctor in charge according to resulting data The planning of imaging evaluation and implant.Problem is, even if including the shadow of some angles on the film that the doctor in charge obtains Picture, the doctor in charge still can not make to rotate and observe at any angle as needed when watching film, and therefore, intuitive is low, Especially in some specific operations such as endoscope-assistant surgery, if the guidance of 3D models can not be obtained, the doctor in charge certainly will be influenceed in art The judgement and decision-making of situation, so as to influence the success rate of operation.
The content of the invention
It is an object of the invention to provide a kind of preoperative evaluation system and preoperative evaluation method, to solve in the prior art The doctor in charge can not intuitively watch the problem of diseased region anatomical structure.
To achieve the above object and other related purposes, the invention provides a kind of preoperative evaluation system, including:
One service end, including the first input module, image processing module and the first output module of connection are communicated successively;With And
One client, including the second input module, image quided module and the second output module of connection are communicated successively;
Wherein, the client and the service end communication, the client is by the second output module by body foci Position image data is transmitted to first input module of the service end;The service end passes through the image processing module And handled to obtain the first three-dimensional lesions position computer model according to body foci position image data, and pass through described One output module sends the described first three-dimensional lesions position computer model to the second input module of the client;It is described Client is assessed the described first three-dimensional lesions position computer model by the image quided module, and by described First assessment result is fed back to the service end by the second output module.
Preferably, in described preoperative evaluation system, the first three-dimensional lesions position computer model is reduced form Computer model, and the service end is also located by the image processing module and according to body foci position image data Reason obtains the second three-dimensional lesions position computer model, and the second three-dimensional lesions position computer model is complete type computer Model, the reduced form computer model are converted to by the complete type computer model.
Preferably, in described preoperative evaluation system, when first assessment result is positive result, the clothes Business end is sent the described second three-dimensional lesions position computer model to the client by first output module.
Preferably, in described preoperative evaluation system, when first assessment result is passive result, the clothes Business end handles to obtain the three-dimensional lesions position computer model of new first again according to body foci position image data.
Preferably, in described preoperative evaluation system, the service end also includes the first man-machine interactive module, respectively with First input module, image processing module and the communication connection of the first output module;It is man-machine that the client also includes second Interactive module, communicate connect with second input module, image quided module and the second output module respectively;
The image processing module receives the control instruction from the described first man-machine interactive module, to perform three-dimensional focus The establishment of position computer model;The image quided module receives the first instruction from the second human-computer interaction module, To produce first assessment result.
Preferably, in described preoperative evaluation system, the service end also includes surgery planning module, respectively with it is described Image processing module and the first man-machine interactive module communication connection;The client also includes surgery planning evaluation module, with institute State the connection of the second human-computer interaction module communication;
Wherein, the client by the second output module to described by the second human-computer interaction module selective Service end sends surgery planning request, and the service end is based on the described second three-dimensional lesions position by the surgery planning module Computer model creates an operation plan and sent to the client;The client passes through the surgery planning evaluation module The operation plan is assessed, and the second assessment result is fed back to by the service end by second output module; And the surgery planning evaluation module receives the second instruction from the second human-computer interaction module, is commented with producing described second Estimate result.
Preferably, in described preoperative evaluation system, when second assessment result is passive result, the clothes The surgery planning module at business end plans new operation plan again.
Preferably, in described preoperative evaluation system, the service end is by the image processing module and according to institute The combination of any one of operation plan, body foci position image data or both is stated, creates surgical assist tool Three dimensional tool computer model.
Preferably, in described preoperative evaluation system, when second assessment result is positive result, the clothes Business end is sent the three dimensional tool computer model to the client by the first output module.
Preferably, in described preoperative evaluation system, the data file size of the reduced form computer model is less than The data file size of the complete type computer model.
Preferably, in described preoperative evaluation system, the people of the service end according to image documentation equipment scanning acquisition Body lesions position image data creates the three-dimensional lesions position computer model.
Preferably, in described preoperative evaluation system, the client and service end pass through wired and or wireless network Communication.
Preferably, in described preoperative evaluation system, the preoperative evaluation system also includes:
One 3D printing terminal device, it is connected with the client and/or service end communication;
It is three-dimensional to create lesions position according to the described second three-dimensional lesions position computer model for the 3D printing terminal device Physical model.
To achieve the above object and other related purposes, the invention provides a kind of preoperative evaluation method, including:
Handled according to body foci position image data to obtain the first three-dimensional lesions position computer model by a service end; And
The described first three-dimensional lesions position computer model is assessed by a client, to produce the first assessment result And feed back to the service end.
Preferably, in described preoperative evaluation method, in addition to:
Handled according to body foci position image data to obtain the second three-dimensional lesions position computer mould by the service end Type, wherein, the first three-dimensional lesions position computer model is reduced form computer model, the second three-dimensional lesions position Computer model is complete type computer model, and the reduced form computer model is changed by the complete type computer model Arrive.
Preferably, in described preoperative evaluation method, in addition to:
When first assessment result is positive result, the service end according to body foci position image data at Reason obtains the second three-dimensional lesions position computer model, and the described second three-dimensional lesions position computer model is sent to client End;When first assessment result is passive result, the service end is located again according to body foci position image data Reason obtains the three-dimensional lesions position computer model of new first.
Preferably, in described preoperative evaluation method, the preoperative evaluation method also includes:
The client optionally sends surgery planning request to the service end;The service end is according to the operation Planning request and the second three-dimensional lesions position computer model create an operation plan, and the operation plan is sent To client;The client is assessed the operation plan, to produce the second assessment result and feed back to the service End;
Wherein, when second assessment result is passive result, the service end plans new operation plan again; When second assessment result is positive result, the service end is according to the operation plan, the body foci position The combination of any one of image data or both, create the three dimensional tool computer model of surgical assist tool and by described three Dimension instrument computer model is sent to the client.
Preferably, in described preoperative evaluation method, the client and service end pass through wired and or wireless network Communication.
Preferably, in described preoperative evaluation method, when first assessment result is positive result, the clothes Business end or client pass through a 3D printing terminal device and create lesions position three-dimensional entity model.
Preferably, in described preoperative evaluation method, before three-dimensional lesions position computer model is created, the clothes Business end is assessed body foci position image data, to produce the 3rd assessment result;
When the 3rd assessment result is positive result, the service end creates the three-dimensional lesions position computer Model;When the 3rd assessment result is passive result, the service end receives human body lesions position image data again.
In summary, preoperative evaluation system and preoperative evaluation method provided by the invention have advantages below:
Firstth, technical scheme can provide in the preoperative assesses the three-dimensional lesions position meter after confirming through client Calculation machine model compared with prior art, is not only convenient for the dissection knot that operative doctor intuitively watches lesions position to operative doctor Structure, and because three-dimensional lesions position computer model is confirmed by client, therefore, three-dimensional lesions position computer mould The accuracy of type is high.
Secondth, technical scheme is avoided subsequently because three-dimensional lesions position computer model is without client assessment Repetition modeling problem caused by confirming, improves the efficiency of lesions position three-dimensional modeling, and then saves the preoperative evaluation time, Improve preoperative evaluation efficiency.
3rd, in technical scheme, by service end by the first of reduced form the three-dimensional lesions position computer model It is sent to client to be assessed, compared to the second three-dimensional lesions position computer model for sending complete type, due to reduced form The data file size of computer model is less than the data file size of complete type computer model, so system takes resource Few, data transmission efficiency is high, and then preoperative evaluation efficiency is also high.
4th, in technical scheme, surgery planning request that the service end is sent according to client is based on the Two three-dimensional lesions position computer models, which create operation plan and send to client to assess, to be confirmed, in this way, entering for operative doctor Row preoperative evaluation and surgery planning provide further reference and foundation.
5th, in technical scheme, the service end can also be according to operation plan, body foci position image The combination of any one of data or both, the three dimensional tool computer model of surgical assist tool is created, simplifies auxiliary surgical The process of too development is helped, saves the construction cycle.
Brief description of the drawings
Fig. 1 is the flow chart of the preoperative evaluation method of one embodiment of the invention;
Fig. 2 is the structured flowchart of the preoperative evaluation system of one embodiment of the invention.
Description of symbols in figure is as follows:
100- preoperative evaluation methods;
200- preoperative evaluation systems;
210- service ends;
The input modules of 211- first;212- image processing modules;The output modules of 213- first;214- the first human-computer interaction moulds Block;215- surgery planning modules;
220- clients;
The input modules of 221- second;222- image quided modules;The output modules of 223- second;224- the second human-computer interaction moulds Block;225- surgery planning evaluation modules;
230-3D printing terminal equipment;
240- network-sides;
110-1,110,120,130,140,150- steps.
Embodiment
The present invention core concept be, using information transmission of the internet between operative doctor and support staff (such as The scan data of lesions position, modeling data etc.), link up interaction and result interaction provides a kind of integrated system, and utilize 3D technology carries out stereo reconstruction to two dimensional image, realizes three-dimensional, visualization and the materialization of diseased region anatomical structure, for doctor Raw preoperative evaluation and surgery planning offer accurately refers to and foundation.
Inventor, which studies, to be found, 3D technology and Internet technology can preferably solve technology to be solved by this invention and ask Topic, therefore, the invention provides a kind of preoperative evaluation system based on internet and 3D technology.
Specifically, 3D technology includes 3D printing technique and 3D virtual technologies.3D printing technique is to be based on computer three A kind of emerging forming technique that dimension word forming technique and the continuous printing technique of multilayer grow up, its principle are used mould Type carries out layered shaping layering processing, the mode of superposition shaping realizes increasing material manufacturing.The technology can make arbitrarily complicated shape Geometrical model, greatly reduce the manufacture difficulty for complicated product, substantially increase production efficiency and formed precision. 3D virtual technologies are also known as clever mirror technology, are the man-machine boundaries of computer advanced of the feature based on the property immersed, interactivity and imagination Face.It fully utilize computer graphics, emulation technology, multimedia technology, artificial intelligence technology, computer networking technology, Parallel processing technique and multi-sensor technology, the sensory functions such as the vision of people, the sense of hearing, tactile are simulated, enable a person to be immersed in meter In the virtual word of calculation machine generation, and real-time, interactive can be carried out therewith by the natural mode such as language, gesture, create one The Multi information space of getting married of kind.
Still further aspect, Internet technology is since last century is born, quick, the real-time, multimedia interactive that has by it Etc. advantage, applied by increasing establishment.Brought in Internet technology to fields such as traditional media, commercial affairs, education While dramatic change, Internet technology also begins to progressively permeate to medical field.At present, Internet technology is in medical field Using being mainly reflected in online registration, health supervision, mobile APP etc., be rarely applied to preoperative evaluation and surgery planning.
To make the purpose of the present invention, advantages and features clearer, below in conjunction with 1~2 pair of art proposed by the present invention of accompanying drawing Preceding assessment system and preoperative evaluation method are described in further detail.It should be noted that accompanying drawing is using very simplified form And non-accurately ratio is used, only for the purpose of facilitating and clarifying the purpose of the embodiments of the invention.
As used in the specification and the appended claims, singulative "a", "an" and "the" includes Plural reference, in addition to non-content explicitly points out in addition.Such as used in the specification and the appended claims, term "or" Typically used with the implication including "and/or", in addition to non-content explicitly points out in addition.
It is the flow chart of the preoperative evaluation method of one embodiment of the invention with reference to figure 1 and Fig. 2, Fig. 1, Fig. 2 is the present invention one The structured flowchart of the preoperative evaluation system of embodiment.The preoperative evaluation method 100 of the present embodiment is real using preoperative evaluation system 200 Preoperative evaluation is applied, the preoperative evaluation system 200 includes the service end 210 and client 220 mutually communicated, the preoperative evaluation Method 100 comprises the following steps:
Step 110 is to be handled to obtain the first three-dimensional lesions position according to body foci position image data by service end 210 Computer model.Body foci position image data is scanned by image documentation equipment and obtained, such as CT, X-ray, MRI or ultrasound side Formula scans the electronic data to be formed.The electronic data that the image documentation equipment scanning obtains can import the application program of service end 210 In, so as to handle to obtain the first three-dimensional lesions position computer model.
Step 120 is is assessed the described first three-dimensional lesions position computer model by client 220, to produce the One assessment result simultaneously feeds back to service end 210.Similarly, the described first three-dimensional lesions position computer model can import client In 220 application program, the described first three-dimensional lesions position computer model is shown by the application program of the client 220.
In preferred scheme, the service end 210 handles to obtain the second three-dimensional disease always according to body foci position image data Stove position computer model, particularly, the first three-dimensional lesions position computer model are reduced form computer model, described Second three-dimensional lesions position computer model is complete type computer model, and the reduced form computer model is by the complete type Computer model is converted to.
In the present embodiment, the data file size of the reduced form computer model is less than the number of complete type computer model According to file size.
In preferred version, when first assessment result is positive result, i.e. the first assessment result is the knot of affirmative During fruit, the service end 210 sends the described second three-dimensional lesions position computer model to client 220.When described first When assessment result is passive result, i.e. when the first assessment result is the result of negative, the service end 210 is according to body foci Position image data handles to obtain the three-dimensional lesions position computer model of new first again.
Preferably, when first assessment result is positive result, appoint in the service end 210 and client 220 One three-dimensional entity model that lesions position is created by 3D printing terminal device 230 of meaning, specifically, the 3D printing terminal is set Standby 230 create lesions position three-dimensional entity model based on the second three-dimensional lesions position computer model.
Further, the preoperative evaluation method 100 also includes step 130, step 140 and step 150, and step 130 is institute State client 220 and optionally send surgery planning request to service end 210, step 140 is the service end 210 according to described Surgery planning is asked and the second three-dimensional lesions position computer model creates an operation plan, and by the operation plan Send to client 220, step 150 is that the client 220 is assessed the operation plan, and knot is assessed to produce second Fruit simultaneously feeds back to service end 210.
Wherein, when second assessment result is passive result, the service end 210 plans new operation side again Case, when second assessment result is positive result, the service end 210 is according to operation plan and (or) body foci portion Position image data, the three dimensional tool computer model of surgical assist tool is created, and the three dimensional tool computer model is sent out Deliver to client 220.
In the present embodiment, when second assessment result is positive result, the client 220 receives service end The 210 three dimensional tool computer models sent back, the three dimensional tool computer model can be in company with three-dimensional lesions position computer moulds Type together 3D printing.
When creating operation plan, the service end 210 is based on the second three-dimensional lesions position computer model, and operation is cut Position, direction, angle and the depth of mouthful (or excision), and implant type selecting, placement location, focus are simulated to line, implant The surgical parameters such as position physical attribute are planned, to obtain the operation plan related to lesions position.Preferably, the service The state (such as length, direction, angle) of preoperative and postoperative organ (or tissue) can also be carried out contrast and form comparison report by end 210 Accuse, and client 220 is fed back to together with operation plan.Specifically by taking knee joint as an example, the service end 210 can be based on the two or three Lesions position computer model is tieed up, creates the lower limb line of force and dissection axis, and then is easy to the requirement according to operative doctor, planning is cut Bone scheme.Osteotomy scheme includes being not limited to Leg length, inclination angle, swing angle, osteotomy thickness, prosthese model etc..Also, the service The size before and after osteotomy can also be compared for end 210, so that operative doctor refers to.
Further, the operation plan of the present embodiment can be that professional person is based on the second three-dimensional lesions position computer model And value establishment is incorporated experience into, and can be exported by the similar electronic report of lantern slide to client 220, the operation plan Can be that completion is automatically analyzed by special planning software.For example, after three-dimensional lesions cardiac computer model is created, by In operative doctor only it should be understood that the structure of diseased heart, such as ventricular rupture position, ventricular septal defect position and size, thus, Without surgery planning.
Further, (specifically the first three-dimensional lesions position is being created before three-dimensional lesions position computer model is created Before computer model, and (or) before the second three-dimensional lesions position computer model of establishment), the preoperative evaluation method 100 Also include step 110-1, specially service end 210 is assessed body foci position image data, is assessed to produce the 3rd As a result.When the 3rd assessment result is positive result, the service end 210 creates the three-dimensional lesions position computer Model.When the 3rd assessment result is passive result, the service end 210 receives human body lesions position image number again According to.Specifically, in scanning, if the interval of tomography is excessive, or scanned human body carries metal chaff interference etc., these The precision subsequently modeled can be influenceed, if in the presence of these situations, shows that body foci position image data does not meet modeling and wanted Ask and rescaned, it is necessary to reject.
Alternatively, the physical attribute parameter such as the shape, size, position of the client 220 according to lesions position is to described First three-dimensional lesions position computer model is assessed, such as when shape, size, position of lesions position etc. are completely reappeared When, the client 220 produces the first positive assessment result.
In addition, the first three-dimensional lesions position computer model can be exported by following form to client 220:(a)、 Picture data files, such as the picture of jpg, bmp, gif form;(b), the electronic data file of PDF format, that is, pdf document Upper record has the first three-dimensional lesions position computer model.However, the present invention including but not limited to by picture data files or The electronic data file of PDF format sends to client 220, other modes that can reduce transmitting data file size and can also fitted With, so, can lift scheme assess efficiency.
In addition, the second three-dimensional lesions position computer model can export to client 220 in the following way:Numeral Model data file, it can import in three-dimensional computer software and check the second three-dimensional lesions position computer model, or import 3D Printed in printing terminal equipment 340 with 3D solid;Or virtual reality data file, it can be identified by virtual reality device E-file, to observe the second three-dimensional lesions position computer model by virtual reality device, the virtual reality device can To be electronic equipment that 3D glasses, 3D TVs etc. possess 3D display function.
In the present embodiment, the service end 210 mainly using as Mimics, 3-Matic, SolidWorks, UG, The software processings such as AutoCAD obtain three-dimensional lesions position computer model.But the present invention includes being not limited to this A little computer softwares, other computer softwares with identical functions are equally applicable to the present invention.For example, the service end 210 Based on Mimics softwares the bidimensional image data at body foci position be filtered, split, grow etc. with processing, so as to establish three Tie up lesions position (such as knee joint) computer model.In preferred scheme, after three-dimensional lesions position computer model is tentatively created, The service end 210 also enters edlin to three-dimensional lesions position computer model, makes model surface smooth, and it is special to meet physiology dissection Sign, such as based on 3-Matic softwares, and preferably meet the technical requirements of 3D printing.
Smoothness of the technical requirements of 3D printing for example including three-dimensional lesions position computer model surface, the complexity of structure Degree etc..The complexity of three-dimensional lesions position computer model structure is, for example, minimum wall thickness (MINI W.), the outer outstanding angle of the minimum of ridge, mould Maximum horizontal support span of type structure etc., if three-dimensional lesions position computer model does not meet the technical requirements of 3D printing, It is difficult to print three-dimensional entity model by 3D printing terminal device, or the three-dimensional entity model after printing is easily broken off or lost Very.
In one embodiment of the invention, the service end 210 and client 220 are led to by wired or wireless network News, specifically, the preoperative evaluation system 200 also includes the network-side with client 220 and (or) the communication connection of service end 210 240, the network-side 240 is used to make the connection online of preoperative evaluation system 200, to be communicated by network with extraneous, realizes data Transmission and shared.The network-side 240 can be a server.It should be appreciated that the network-side 240 is except being server Outside, other electronic equipments for possessing network storage function on an equal basis be can also be.
In one embodiment, the biography of data is realized between the service end 210 and client 220 by network-side 240 It is defeated and shared.In other embodiments, the service end 210 and client 220 are directly communicated by internal bus, now, institute It is an integrated equipment to state preoperative evaluation system 200, and at least one and network-side wherein in service end 210 and client 220 240 communication connections, realize the connection online of preoperative evaluation system 200.
If not integrated equipment, the service end 210 and client 220 in server, are led to by shared data storage Cross and access the server and can obtain the data of other side.Alternatively, the client 220 directly receives image department in medical institutions The body foci position image data that personnel send, then, body foci position image data is uploaded to by the client 220 Server, the service end 210 directly download from a server body foci position image data and handled.
If integrated equipment, body foci position image data is directly uploaded to service by medical institutions image department personnel Device, afterwards, the client 220 directly download from a server these body foci position image datas, then, pass through inside Body foci position image data is sent to service end 210 by bus.
In the above-described embodiments, for the ease of reading, the destination folder of corresponding patient is set with the server, with Store the body foci position image data of the patient.The destination folder both can be by image department personnel setting, can also be by User of service's setting of preoperative evaluation system 200, to this present invention, there is no particular limitation.The preoperative evaluation system 200 is logical Follow-up processing can be carried out by crossing the body foci position image data read in destination folder.
In preferable scheme, have and if only if first assessment result and the second assessment result are positive result When, the service end 210 sends the second three-dimensional lesions position computer model and three dimensional tool computer model to client End 220.
Further, the present embodiment additionally provides the preoperative evaluation system 200 for realizing above-mentioned preoperative evaluation method 100, The structure of the preoperative evaluation system 200 of the present embodiment is as shown in Figure 2.For brevity, in described below, with network-side 240 Simultaneous communications Connection Service end 210 and client 220, and Connection Service end 210 is communicated as showing using 3D printing terminal device 230 Meaning, but should not be as limit.
As shown in Fig. 2 the service end 210 includes communicating the first input module 211, the image processing module of connection successively 212 and first output module 213, the client 220 include communicating the second input module 221, the image quided of connection successively The output module 223 of module 222 and second.
Wherein, the client 220 is transmitted body foci position image data to service by the second output module 223 First input module 211 at end 210.According to body foci position illustrated in fig. 2, that second output module 223 exports Image data is uploaded to network-side 240 first, and afterwards, the service end 210 passes through the automatic network end 240 of the first input module 211 Download body foci position image data.
After first input module 211 downloads body foci position image data, the service end 210 by image at Reason module 212 simultaneously handles to obtain the first three-dimensional lesions position computer model according to body foci position image data, and Described first three-dimensional lesions position computer model is sent to the second input of client 220 by the first output module 213 Module 221.According to disclosed in Fig. 2, first output module 213 is first by the first three-dimensional lesions position computer model Network-side 240 is reached, then, the client 220 downloads the first three-dimensional disease by the automatic network end 240 of the second input module 221 Stove position computer model.
After second input module 221 downloads the first three-dimensional lesions position computer model, the client 220 passes through Image quided module 222 is assessed the described first three-dimensional lesions position computer model, and passes through the second output module 223 First assessment result is fed back into service end 210.
In addition, the image processing module 212 handles to obtain the described 2nd 3 always according to body foci position image data Tie up lesions position computer model.In addition, when first assessment result is positive result, first output module 213 send the second three-dimensional lesions position computer model to the second input module 221 of client 220.And when described first When assessment result is passive result, the image processing module 212 is handled again according to body foci position image data To the first new three-dimensional lesions position computer model.
Then, the image processing module 212 handles to obtain three-dimensional lesions position according to body foci position image data During computer model, the foundation of the three-dimensional lesions position computer model will be completed by the automatic computing of computer software, and it is transported Calculation method includes filtering, segmentation, growth etc., and operational parameter is previously set by background work personnel, so as to rebuild three-dimensional focus portion Position (such as heart) computer model.Alternatively, using 3-Matic softwares to three-dimensional lesions position (such as structural heart disease patient Cardia) computer model enters edlin, and model is clearly shown the feature of diseased region, while meet that 3D printing is given birth to The demand of production.When three-dimensional lesions position computer model passes through model evaluation step, after confirming meet demand, lower single order can be entered Section.
In an embodiment of the present invention, the output module 223 of the first output module 213 and second, to provide download, The interface of high in the clouds importing/export function, in order to which external equipment reads the data in preoperative evaluation system 200, or it is easy to read Take the data of external equipment.The external equipment includes but is not limited to USB flash disk, mobile hard disk.
With continued reference to Fig. 2, the service end 210 also includes the first man-machine interactive module 214, the first human-computer interaction mould Block 214 connects with the first input module 211, the communication of the output module 213 of image processing module 212 and first respectively.Described first Human-computer interaction module 214 is used to control the data transfer between modules, and the image processing module 212 receives and comes from first The control instruction of human-computer interaction module 214, to perform the establishment of three-dimensional lesions position computer model.
The client 220 also includes the second human-computer interaction module 224, the second human-computer interaction module 224 respectively with Second input module 221, the communication connection of the output module 223 of image quided module 222 and second.The second human-computer interaction module 224 are used to control the data transfer between modules, and the image quided module receives 222 and comes from the second human-computer interaction module 224 the first instruction, to produce first assessment result.
Further, the service end 210 also includes surgery planning module 215, the surgery planning module 215 respectively with shadow As the communication connection of 212 and first man-machine interactive module 214 of processing module.At the same time, the client 220 also includes operation rule Draw evaluation module 225, the human-computer interaction module 224 of the surgery planning evaluation module 225 and second communication connection.
The establishment of the operation plan is automatically performed by the planning software installed in surgery planning module 215, or, by special Industry personage creates complete based on experience value on that module, and there is no particular limitation by the present invention.
Wherein, the client 220 by the second human-computer interaction module 224 optionally through the second output module 223 Surgery planning request is sent to service end 210, after the service end 210 receives surgery planning request, passes through surgery planning module 215 create art scheme based on the described second three-dimensional lesions position computer model and send to client 220.The client 220 are assessed the operation plan by surgery planning evaluation module 225, and by the second output module 223 by second Assessment result feeds back to service end 210.Here, the surgery planning evaluation module 225, which receives, comes from the second human-computer interaction module 224 the second instruction, to produce second assessment result.
And then when second assessment result is passive result, the surgery planning module 215 is planned new again Operation plan.When second assessment result is positive result, first output module 213 is by three dimensional tool computer Model is sent to client 220.
In the present embodiment, second output module 223 receives the 3rd instruction from the second human-computer interaction module 224, To export the specific electronic data file about three-dimensional lesions position computer model, such as the picture described in above-mentioned embodiment Data file, mathematical model data file, virtual reality data file etc..Or first output module 213 is received and come from 4th instruction of the first man-machine interactive module 214, to export the specific electron number about three-dimensional lesions position computer model According to file.
The first man-machine interactive module 214 includes the first input keyboard and the first display, the first input keyboard For receiving the first signal of extraneous input, to control image processing, surgery planning, input and output etc. to operate, described second is aobvious Show that device is used for display data, computer model etc..Similarly, the second human-computer interaction module 224 includes the second input keyboard And second display, the second input keyboard can equally receive the secondary signal of extraneous input, to control image quided, operation Planning appraisal, input and output etc. operate, and the second display can the data such as real-time display computer model, operation plan.Knot Close for Fig. 2, the image quided module 222 receives the first instruction from the second input input through keyboard, produces actively or disappears First assessment result of pole.The surgery planning module 225 receives the second instruction from the second input keyboard, produce it is passive or The second positive assessment result.
Further, the client 220 also establishes essential information and the progress of patient by the second human-computer interaction module 224 Storage.The data such as name of the essential information of the patient including patient, sex, medical history, the state of an illness, focus.It is preoperative with reference to Fig. 2, Second human-computer interaction module 224 newly-built case in assessment system 200, and input the basic of patient in the preoperative is passed through by operative doctor Information, the output of the data file of computer model are required and surgery planning is asked etc..It is to be understood that the preoperative evaluation system Management software is installed on 200, newly-built case and relevant information can be inputted in the management software.Pass through answering for management software With being advantageous to carry out systematized management to the preoperative evaluation situation of each patient so that preoperative evaluation safety and reliability It is high.
In order to more intuitively disclose technical scheme, and beneficial effects of the present invention are highlighted, people in the present embodiment Communication between machine interactive module, image processing module, image quided module, surgery planning module, surgery planning evaluation module Relation is only to enumerate, and is not construed as the limitation to technical solution of the present invention.
In summary, preoperative evaluation system and preoperative evaluation method provided by the invention have advantages below:
Firstth, technical scheme can provide in the preoperative assesses the three-dimensional lesions position meter after confirming through client Calculation machine model compared with prior art, is not only convenient for the dissection knot that operative doctor intuitively watches lesions position to operative doctor Structure, and because three-dimensional lesions position computer model is confirmed by client, therefore, three-dimensional lesions position computer mould The accuracy of type is high.
Secondth, technical scheme is avoided subsequently because three-dimensional lesions position computer model is without client assessment Repetition modeling problem caused by confirming, improves the efficiency of lesions position three-dimensional modeling, and then saves the preoperative evaluation time, Improve preoperative evaluation efficiency.
3rd, in technical scheme, by service end by the first of reduced form the three-dimensional lesions position computer model It is sent to client to be assessed, compared to the second three-dimensional lesions position computer model for sending complete type, due to reduced form The data file size of computer model file is less than the data file size of complete type computer model file, so system accounts for Few with resource, data transmission efficiency is high, and then preoperative evaluation efficiency is also high.
4th, in technical scheme, surgery planning request that the service end is sent according to client is based on the Two three-dimensional lesions position computer models, which create operation plan and send to client to assess, to be confirmed, in this way, entering for operative doctor Row preoperative evaluation and surgery planning provide further reference and foundation.
5th, in technical scheme, the service end can also be according to operation plan, body foci position image The combination of any one of data or both, the three dimensional tool computer model of surgical assist tool is created, simplifies auxiliary surgical The process of too development is helped, saves the construction cycle.
Foregoing description is only the description to present pre-ferred embodiments, not to any restriction of the scope of the invention, this hair Any change, the modification that the those of ordinary skill in bright field does according to the disclosure above content, belong to the protection of claims Scope.

Claims (20)

  1. A kind of 1. preoperative evaluation system, it is characterised in that including:
    One service end, including the first input module, image processing module and the first output module of connection are communicated successively;And
    One client, including the second input module, image quided module and the second output module of connection are communicated successively;
    Wherein, the client and the service end communication, the client is by the second output module by body foci position Image data is transmitted to first input module of the service end;The service end passes through the image processing module and root Handle to obtain the first three-dimensional lesions position computer model according to body foci position image data, and it is defeated by described first Go out module to send the described first three-dimensional lesions position computer model to the second input module of the client;The client End is assessed the described first three-dimensional lesions position computer model by the image quided module, and passes through described second First assessment result is fed back to the service end by output module.
  2. 2. preoperative evaluation system as claimed in claim 1, it is characterised in that the first three-dimensional lesions position computer model For reduced form computer model, and the service end is by the image processing module and according to body foci position image Data also handle to obtain the second three-dimensional lesions position computer model, and the second three-dimensional lesions position computer model is complete Type computer model, the reduced form computer model are converted to by the complete type computer model.
  3. 3. preoperative evaluation system as claimed in claim 2, it is characterised in that when first assessment result is positive result When, the service end is sent the described second three-dimensional lesions position computer model to the visitor by first output module Family end.
  4. 4. preoperative evaluation system as claimed in claim 2, it is characterised in that when first assessment result is passive result When, the service end handles to obtain the three-dimensional lesions position calculating of new first again according to body foci position image data Machine model.
  5. 5. preoperative evaluation system as claimed in claim 4, it is characterised in that the service end also includes the first human-computer interaction mould Block, communicate connect with first input module, image processing module and the first output module respectively;The client also includes Second human-computer interaction module, communicate connect with second input module, image quided module and the second output module respectively;
    The image processing module receives the control instruction from the described first man-machine interactive module, to perform three-dimensional lesions position The establishment of computer model;The image quided module receives the first instruction from the second human-computer interaction module, with production Raw first assessment result.
  6. 6. preoperative evaluation system as claimed in claim 5, it is characterised in that the service end also includes surgery planning module, Connected respectively with the image processing module and the first man-machine interactive module communication;The client also includes surgery planning and assessed Module, it is connected with the second human-computer interaction module communication;
    Wherein, the client by the second output module to the service by the second human-computer interaction module selective End sends surgery planning request, and the service end is based on the described second three-dimensional lesions position by the surgery planning module and calculated The operation plan of machine model creation one is simultaneously sent to the client;The client is by the surgery planning evaluation module to institute State operation plan to be assessed, and the second assessment result is fed back to by the service end by second output module;And institute State surgery planning evaluation module and receive the second instruction from the second human-computer interaction module, knot is assessed to produce described second Fruit.
  7. 7. preoperative evaluation system as claimed in claim 6, it is characterised in that when second assessment result is passive result When, the surgery planning module of the service end plans new operation plan again.
  8. 8. preoperative evaluation system as claimed in claim 6, it is characterised in that the service end passes through the image processing module And according to the combination of any one of the operation plan, body foci position image data or both, create auxiliary surgical The three dimensional tool computer model of assistant engineer's tool.
  9. 9. preoperative evaluation system as claimed in claim 8, it is characterised in that when second assessment result is positive result When, the service end is sent the three dimensional tool computer model to the client by the first output module.
  10. 10. the preoperative evaluation system as described in any one in claim 2 to 9, it is characterised in that the reduced form computer The data file size of model is less than the data file size of the complete type computer model.
  11. 11. preoperative evaluation system as in one of claimed in any of claims 1 to 9, it is characterised in that the service end is according to shadow The body foci position image data obtained as device scan creates the three-dimensional lesions position computer model.
  12. 12. preoperative evaluation system as in one of claimed in any of claims 1 to 9, it is characterised in that the client and service End is communicated by wired and or wireless network.
  13. 13. the preoperative evaluation system as described in any one in claim 2 to 9, it is characterised in that the preoperative evaluation system Also include:
    One 3D printing terminal device, it is connected with the client and/or service end communication;
    The 3D printing terminal device creates lesions position 3D solid according to the described second three-dimensional lesions position computer model Model.
  14. A kind of 14. preoperative evaluation method, it is characterised in that including:
    Handled according to body foci position image data to obtain the first three-dimensional lesions position computer model by a service end;And
    The described first three-dimensional lesions position computer model is assessed by a client, to produce the first assessment result and anti- It is fed to the service end.
  15. 15. preoperative evaluation method as claimed in claim 14, it is characterised in that also include:
    Handled according to body foci position image data to obtain the second three-dimensional lesions position computer model by the service end, its In, the first three-dimensional lesions position computer model is reduced form computer model, and the second three-dimensional lesions position calculates Machine model is complete type computer model, and the reduced form computer model is converted to by the complete type computer model.
  16. 16. preoperative evaluation method as claimed in claim 15, it is characterised in that also include:
    When first assessment result is positive result, the service end is by the described second three-dimensional lesions position computer mould Type is sent to client;When first assessment result is passive result, the service end is according to body foci position shadow As data handle to obtain the three-dimensional lesions position computer model of new first again.
  17. 17. preoperative evaluation method as claimed in claim 16, it is characterised in that also include:
    The client optionally sends surgery planning request to the service end;The service end is according to the surgery planning Request and the second three-dimensional lesions position computer model create an operation plan, and the operation plan is sent to visitor Family end;The client is assessed the operation plan, to produce the second assessment result and feed back to the service end;
    Wherein, when second assessment result is passive result, the service end plans new operation plan again;Work as institute When to state the second assessment result be positive result, the service end is according to the operation plan, body foci position image The combination of any one of data or both, create the three dimensional tool computer model of surgical assist tool and by the three-dimensional work Tool computer model is sent to the client.
  18. 18. the preoperative evaluation method as described in any one in claim 14 to 17, it is characterised in that the client kimonos Business end is communicated by wired and or wireless network.
  19. 19. the preoperative evaluation method as described in any one in claim 14 to 17, it is characterised in that when the described first assessment When result is positive result, the service end or client create lesions position 3D solid by a 3D printing terminal device Model.
  20. 20. the preoperative evaluation method as described in any one in claim 14 to 17, it is characterised in that creating three-dimensional focus Before the computer model of position, the service end is assessed body foci position image data, and knot is assessed to produce the 3rd Fruit;
    When the 3rd assessment result is positive result, the service end creates the three-dimensional lesions position computer mould Type;When the 3rd assessment result is passive result, the service end receives human body lesions position image data again.
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