CN109273072A - A kind of medical method of tele-medicine - Google Patents
A kind of medical method of tele-medicine Download PDFInfo
- Publication number
- CN109273072A CN109273072A CN201810966431.1A CN201810966431A CN109273072A CN 109273072 A CN109273072 A CN 109273072A CN 201810966431 A CN201810966431 A CN 201810966431A CN 109273072 A CN109273072 A CN 109273072A
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- China
- Prior art keywords
- image
- eye fundus
- fundus image
- operator
- tele
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Classifications
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H30/00—ICT specially adapted for the handling or processing of medical images
- G16H30/20—ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
- A61B3/12—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for looking at the eye fundus, e.g. ophthalmoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
- A61B3/14—Arrangements specially adapted for eye photography
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- G06T7/00—Image analysis
- G06T7/0002—Inspection of images, e.g. flaw detection
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- G06T2207/00—Indexing scheme for image analysis or image enhancement
- G06T2207/30—Subject of image; Context of image processing
- G06T2207/30004—Biomedical image processing
- G06T2207/30041—Eye; Retina; Ophthalmic
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
- G06T2207/00—Indexing scheme for image analysis or image enhancement
- G06T2207/30—Subject of image; Context of image processing
- G06T2207/30168—Image quality inspection
Abstract
The present invention provides a kind of medical method of tele-medicine, a kind of medical method of tele-medicine, which is characterized in that specifically includes the following steps: the eye fundus image of the first step, shops or the operator of clinic using instrument shooting patient；Second step, operator upload eye fundus image；Third step detects the eye fundus image quality of upload, if picture quality is unqualified, operator is reminded to re-start shooting；4th step, remote doctor transfer the eye fundus image uploaded, make diagnosis according to image, and diagnostic result is saved in system；The diagnostic result that 5th step, operator transfer, and feed back to patient.The invention has the benefit that evaluation can be made to the eye fundus image of operator's shooting in time, remind fundus photograph captured by operator whether qualified, it avoids uploading underproof eye fundus image, reduces the ineffective labor of remote doctor, greatly improve remote diagnosis efficiency.
Description
Technical field
The present invention relates to field of medical technology, more particularly to a kind of medical method of tele-medicine.
Background technique
The basic procedure of distance medical diagnosis at present is shot the eye fundus image photo of clients, operator by operator
Member is uploaded by long-range diagosis system, and remote doctor is diagnosed according to the photo of upload, and diagnostic result is saved in
In system, then by operator diagnostic result is fed back into clients.
Link is diagnosed in remote doctor, doctor needs the fundus photograph image uploaded according to operator to diagnose, but
Often cause not diagnosing since the picture quality of upload is unqualified.There are many underproof reasons of eye fundus image, including
Focusing is not allowed, it is too strong with insufficient, optic disk malposition etc. to expose.These photos by doctor be determined as it is unqualified after need to operate
Person re-starts upload of taking pictures, but often ultimately causes medical because time delay causes clients to leave and can not take pictures again
It is unsuccessful.
Summary of the invention
In view of the above-mentioned problems, a kind of method the present invention is intended to provide tele-medicine is gone to a doctor.
The purpose of the present invention is realized using following technical scheme:
It provides the technology of the present invention to solve the problems, such as: overcoming above-mentioned the deficiencies in the prior art, it is medical to provide a kind of tele-medicine
Method, which is characterized in that specifically includes the following steps:
The first step, shops or the operator of clinic shoot the eye fundus image of patient using instrument；
Second step, operator upload eye fundus image；
Third step detects the eye fundus image quality of upload, if picture quality is unqualified, reminds operator
Re-start shooting；
4th step, remote doctor transfer the eye fundus image uploaded, make diagnosis according to image, and diagnostic result is saved
Into system；
The diagnostic result that 5th step, operator transfer, and feed back to patient.
The invention has the benefit that evaluation can be made to the eye fundus image of operator's shooting in time, operator institute is reminded
Whether the fundus photograph of shooting is qualified, avoids uploading underproof eye fundus image, reduces the ineffective labor of remote doctor, mention significantly
High-altitude diagnosis efficiency.
Optionally, the eye fundus image quality of upload is detected, is specifically carried out using following steps:
The first step, input image to be detected；
Second step gives a mark to each index of eye fundus image；
Third step calculates gross score according to each index；
4th step generates picture quality comment according to gross score, determines whether image is whole qualified.
Optionally, pretreatment and format checking are carried out to image before giving a mark to each index of eye fundus image, it is described right
Image is pre-processed specifically:
Picture size is normalized in the first step；
Second step, the area-of-interest for extracting image.
Optionally, it gives a mark to each index of eye fundus image, specifically uses following steps:
The first step calculates image averaging comentropy AIE；
Second step calculates image averaging physics degree grade APCL；
Third step calculates mean picture brightness nBrightRtn；
4th step calculates image definition nSharpRtn；
5th step checks blood vessel number nVesselRtn；
6th step checks whether comprising optic disk nDiskRtn, the nDiskRtn=1 if comprising optic disk, if not including optic disk,
Then nDiskRtn=0.
Optionally, gross score is calculated according to each index, specifically: gross score=AIE+APCL+nBrightRtn+
nSharpRtn+nVesselRtn+nDiskRtn。
Detailed description of the invention
The present invention will be further described with reference to the accompanying drawings, but the embodiment in attached drawing is not constituted to any limit of the invention
System, for those of ordinary skill in the art, without creative efforts, can also obtain according to the following drawings
Other attached drawings.
Fig. 1 is flow diagram of the invention；
Fig. 2 is that eye fundus image quality of the present invention carries out testing process schematic diagram.
Appended drawing reference:
The operator of shops or clinic shoots the eye fundus image 101 of patient using instrument；Operator is by eyeground
Image uploads 102；The eye fundus image quality of upload is detected, if picture quality is unqualified, reminds operator's weight
Newly carry out shooting 103；Remote doctor transfers the eye fundus image uploaded, makes diagnosis according to image, and diagnostic result is saved
Into system 104；The diagnostic result that operator transfers, and feed back to patient 105.
Specific embodiment
The invention will be further described with the following Examples.
It will the present invention is described in further detail in conjunction with the accompanying drawings and embodiments referring to Fig. 1, below the present embodiment.It is logical
Crossing description detailed enough, these implement example, so that skilled artisans appreciate that the and practice present invention.It is not departing from
In the case where the spirit and scope of the invention, logic, realize and others change can be made to implementation.Therefore, below
Detailed description is not taken in a limiting sense, and the scope of the present invention is only defined solely by the appended claims.
The present invention provides a kind of medical method of tele-medicine, which is characterized in that specifically includes the following steps:
The first step, shops or the operator of clinic shoot the eye fundus image 101 of patient using instrument；
Eye fundus image is uploaded 102 by second step, operator；
Third step detects the eye fundus image quality of upload, if picture quality is unqualified, reminds operator
Re-start shooting 103；
4th step, remote doctor transfer the eye fundus image uploaded, make diagnosis according to image, and diagnostic result is saved
Into system 104；
The diagnostic result that 5th step, operator transfer, and feed back to patient 105.
The present embodiment can make evaluation to the eye fundus image of operator's shooting in time, and eyeground captured by operator is reminded to shine
Whether piece is qualified, avoids uploading underproof eye fundus image, reduces the ineffective labor of remote doctor, greatly improves remote diagnosis effect
Rate.
Referring to fig. 2, simulation human eye detects the eye fundus image quality of upload, is specifically carried out using following steps:
The first step, input image to be detected；
Second step gives a mark to each index of eye fundus image；Such as the evaluation to clarity, image more fuzzy score more
Low, more clear then score is higher.If image is excessively fuzzy, some small lesion points will be can't see, and cause to fail to pinpoint a disease in diagnosis,
In another example rich blood vessel degree, if blood vessel number is not abundant enough, it will cause remote doctors to be based on insufficient grounds, it is difficult to be diagnosed.
Third step calculates gross score according to each index；
4th step generates picture quality comment according to gross score, determines whether image is whole qualified.
Pretreatment and format checking are carried out to image before giving a mark to each index of eye fundus image, it is described that image is carried out
Pretreatment specifically:
Picture size is normalized in the first step；
Second step, the area-of-interest for extracting image.
Preferably, it gives a mark to each index of eye fundus image, specifically uses following steps:
The first step calculates image averaging comentropy AIE；
Second step calculates image averaging physics degree grade APCL；
Third step calculates mean picture brightness nBrightRtn；
4th step calculates image definition nSharpRtn；
5th step checks blood vessel number nVesselRtn；
6th step checks whether comprising optic disk nDiskRtn, the nDiskRtn=1 if comprising optic disk, if not including optic disk,
Then nDiskRtn=0.
Gross score is calculated according to each index, specifically: gross score=AIE+APCL+nBrightRtn+nSharpRtn+
nVesselRtn+nDiskRtn。
Preferably, the eye fundus image quality of upload is detected, Testing index can be image exposure intensity, in image
Rich blood vessel degree, image yellow edge, image light leakage edge, in image in optic disk and macula lutea position, image overall offset degree
One or more.
Through the above description of the embodiments, those skilled in the art can be understood that it should be appreciated that can
To realize the embodiments described herein with hardware, software, firmware, middleware, code or its any appropriate combination.For hardware
It realizes, processor can be realized in one or more the following units: specific integrated circuit (ASIC), digital signal processor
(DSP), digital signal processing appts (DSPD), programmable logic device (PLD), field programmable gate array (FPGA), processing
Device, controller, microcontroller, microprocessor, other electronic units designed for realizing functions described herein or combinations thereof.
For software implementations, some or all of embodiment process can instruct relevant hardware to complete by computer program.
When realization, above procedure can be stored in computer-readable medium or as the one or more on computer-readable medium
Instruction or code are transmitted.Computer-readable medium includes computer storage media and communication media, wherein communication media packet
It includes convenient for from a place to any medium of another place transmission computer program.Storage medium can be computer can
Any usable medium of access.Computer-readable medium can include but is not limited to RAM, ROM, EEPROM, CD-ROM or other
Optical disc storage, magnetic disk storage medium or other magnetic storage apparatus or can be used in carry or store have instruction or data
The desired program code of structure type simultaneously can be by any other medium of computer access.
Above embodiments are provided just for the sake of the description purpose of the present invention, and are not intended to limit the scope of the invention.This
The range of invention is defined by the following claims.It does not depart from spirit and principles of the present invention and the various equivalent replacements made and repairs
Change, should all cover within the scope of the present invention.
Finally it should be noted that the above embodiments are merely illustrative of the technical solutions of the present invention, rather than the present invention is protected
The limitation of range is protected, although explaining in detail referring to preferred embodiment to the present invention, those skilled in the art are answered
Work as understanding, it can be with modification or equivalent replacement of the technical solution of the present invention are made, without departing from the reality of technical solution of the present invention
Matter and range.
Claims (5)
- A kind of method 1. tele-medicine is gone to a doctor, which is characterized in that specifically includes the following steps:The first step, shops or the operator of clinic shoot the eye fundus image of patient using instrument；Second step, operator upload eye fundus image；Third step detects the eye fundus image quality of upload, if picture quality is unqualified, reminds operator again It is shot；4th step, remote doctor transfer the eye fundus image uploaded, make diagnosis according to image, and diagnostic result is saved in and is In system；The diagnostic result that 5th step, operator transfer, and feed back to patient.
- 2. the medical method of tele-medicine according to claim 1, which is characterized in that examined to the eye fundus image quality of upload It surveys, is specifically carried out using following steps:The first step, input image to be detected；Second step gives a mark to each index of eye fundus image；Third step calculates gross score according to each index；4th step generates picture quality comment according to gross score, determines whether image is whole qualified.
- 3. the medical method of tele-medicine according to claim 2, which is characterized in that give a mark to each index of eye fundus image It is preceding that pretreatment and format checking are carried out to image, it is described that image is pre-processed specifically:Picture size is normalized in the first step；Second step, the area-of-interest for extracting image.
- 4. the medical method of tele-medicine according to claim 2, which is characterized in that beat each index of eye fundus image Point, specifically use following steps:The first step calculates image averaging comentropy AIE；Second step calculates image averaging physics degree grade APCL；Third step calculates mean picture brightness nBrightRtn；4th step calculates image definition nSharpRtn；5th step checks blood vessel number nVesselRtn；6th step checks whether comprising optic disk nDiskRtn, the nDiskRtn=1 if comprising optic disk, if not including optic disk, NDiskRtn=0.
- 5. the medical method of tele-medicine according to claim 4, which is characterized in that calculate gross score according to each index, have Body are as follows: gross score=AIE+APCL+nBrightRtn+nSharpRtn+nVesselRtn+nDiskRtn.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201810966431.1A CN109273072A (en) | 2018-08-23 | 2018-08-23 | A kind of medical method of tele-medicine |
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| CN201810966431.1A CN109273072A (en) | 2018-08-23 | 2018-08-23 | A kind of medical method of tele-medicine |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111833995A (en) * | 2019-04-18 | 2020-10-27 | 佳能医疗系统株式会社 | Medical information processing apparatus, medical information processing system, and medical information processing method |
| CN112508898A (en) * | 2020-11-30 | 2021-03-16 | 北京百度网讯科技有限公司 | Method and device for detecting fundus image and electronic equipment |
| CN113139935A (en) * | 2021-03-30 | 2021-07-20 | 宁波市眼科医院 | Slit-lamp picture quality monitoring system |
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| CN105528531A (en) * | 2016-03-14 | 2016-04-27 | 上海瑞一互联网科技有限公司 | Telemedicine system |
| CN107862678A (en) * | 2017-10-19 | 2018-03-30 | 宁波大学 | A kind of eye fundus image reference-free quality evaluation method |
| CN108272434A (en) * | 2017-12-07 | 2018-07-13 | 江威 | The method and device that eye fundus image is handled |
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2018
- 2018-08-23 CN CN201810966431.1A patent/CN109273072A/en active Pending
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN105528531A (en) * | 2016-03-14 | 2016-04-27 | 上海瑞一互联网科技有限公司 | Telemedicine system |
| CN107862678A (en) * | 2017-10-19 | 2018-03-30 | 宁波大学 | A kind of eye fundus image reference-free quality evaluation method |
| CN108272434A (en) * | 2017-12-07 | 2018-07-13 | 江威 | The method and device that eye fundus image is handled |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111833995A (en) * | 2019-04-18 | 2020-10-27 | 佳能医疗系统株式会社 | Medical information processing apparatus, medical information processing system, and medical information processing method |
| CN111833995B (en) * | 2019-04-18 | 2024-03-22 | 佳能医疗系统株式会社 | Medical information processing device, medical information processing system, and medical information processing method |
| CN112508898A (en) * | 2020-11-30 | 2021-03-16 | 北京百度网讯科技有限公司 | Method and device for detecting fundus image and electronic equipment |
| CN113139935A (en) * | 2021-03-30 | 2021-07-20 | 宁波市眼科医院 | Slit-lamp picture quality monitoring system |
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Effective date of registration: 20191129 Address after: Room 501, floor 5, building 53, No. 109, Jinghai Third Road, Beijing Economic and Technological Development Zone, Yanqing District, Beijing 102199 Applicant after: Beijing jiuchen intelligent medical equipment Co., Ltd Address before: 100020 7 floor, 7 floor, 705 and 706, Jinsong three District, Jinsong, Beijing Applicant before: Beijing great view Interconnect Technology Co., Ltd. |