CN109785978A - The method and system of remote assistance medical imaging diagnosis is realized with wechat - Google Patents
The method and system of remote assistance medical imaging diagnosis is realized with wechat Download PDFInfo
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Abstract
The method and system of remote assistance medical imaging diagnosis is realized with wechat, belongs to Internet information technique and digital medical image technical field.It does not need to carry out any transformation to original equipment, only need to install a lower-cost system and wechat based on the method for the present invention, selection image is sent by dicom standard when needing to request to assist, request target expert is assisted in selection, image and relevant information will be pushed in the wechat of expert, expert opens, read image data, return to diagnostic comments, diagnostic comments can be adhered directly onto reporting system, whole process seamless interfacing, diagnostic imaging doctor and expert are on the desktop computer and mobile phone of oneself work, do not change job site, without other task equipments, cost is very low, efficiency is very high, it is very convenient to use, it is significant to the raising effect of basic medical unit and doctor's diagnostic imaging quality and visual medical level.
Description
Technical field
The invention belongs to Internet information technique and digital medical image technical fields, and in particular to be realized with wechat remote
The method and system of journey assistance medical imaging diagnosis
Background technique
Since a limited number of medical experts can not be largely assigned to basic medical unit, develop tele-medicine just
As the effective way for promoting social medical capabilities.Medical image is a kind of main diagnostic measures, is most widely used, but its
Check cost is not low.The quality of diagnosis for improving medical image can be saved for patient sees a doctor spending, reduces inspection and strange land repeatedly
The wave number run quickly back and forth.Remote assistance medical imaging diagnosis becomes the technology that this epoch people make great efforts exploitation.
There are many methods to may be implemented the remote diagnosis of medical image, but it is at high cost, implement the problems such as difficult, inconvenient to use
It is common to exist.For example to dispose a set of telemedicine image system very big to the burden of a small hospital, needs to prop up but more
The often infirmary held.Scanning film, which uploads to Consultation Center, asks expert consultation, and interface is done between hospital and realizes image intercommunication,
Image uploads to Cloud Server, and expert has access to from Cloud Server, then provides image opinion, i.e., usually said image cloud, this
A little modes can realize the remote diagnosis of image, but use inconvenient, implementation hardly possible.Although having Patent publication No is CN
A kind of " DICOM of " a kind of cloud/digital film and cloud diagosis system of medical image " of 106295149 B, CN106548010A
" the medical information teleengineering support side based on treasured APP in the palm of the method and device of image remote browse ", CN105354410A
Method ", " a kind of remote medical consultation with specialists method based on distributed PACS " of CN101887491A and document number CN204515772U's
Technical solutions such as " DICOM remote medical consultation with specialists devices ", but base doctor and expert using remote image hold a consultation it is still inconvenient or
System and data can not achieve seamless interfacing either and cannot merge with routine work or cost is too high and can not afford.
DICOM international standard is almost received and is applied by all manufacturers in field of medical imaging.As long as medical image relates to
And it docks another manufacturer or all be unable to do without dicom standard using the image of the equipment generation of another manufacturer.Wechat is one
Extremely successful product and platform just has more than 800,000,000 people frequently using at present.But it is modern to realize remote assistance with wechat not yet
The method and system of DICOM medical imaging diagnosis.
Summary of the invention
It is an object of the invention to overcome above-mentioned the deficiencies in the prior art, meets the urgent need of patient and doctor, provide
Doctor can use on the working top of oneself for a kind of method and system for realizing remote assistance medical imaging diagnosis with wechat
The system of oneself routine work can request the expert of distal end to support immediately when needing, as long as and expert also have time with
When everywhere, instruct base doctor with the handset Wechat of oneself.
The present invention realizes that the method for remote assistance medical imaging diagnosis is as follows with wechat:
1, using Medical Devices, the medical system for meeting dicom standard, 1 or multiple key frame images is selected, are pressed
Dicom standard sends one and provides the service of DICOM Storage SCP and DICOM Commitment SCP, which receives
To when commitment verifying, an image receive process are completed, and press the Image Checklist of commitment confirmation request, one by one
Verification completes commitment communications protocol process, DICOM image is switched to jpeg format one by one.
Preferably, 1 or multiple key frame images are selected, respectively adjusting window position (WC:Window Center), window width
Film is arranged by DICOM film printing agreement in the display parameters such as (WW:Window Width), display curve, position, scaling,
The image regulated is added to can, printing film provides the service of DICOM print SCP to one, which receives
To after data, the data having in the can of data are therefrom extracted, unloading is jpeg format image.
2, the patient information in site name and DICOM image is assisted in conjunction with request, the picture and text for generating html format disappear
Graphic message is pushed to the target expert that request is assisted, target expert reads by wechat service number and its service system by breath
Graphic message edits diagnostic comments, by wechat push function, diagnostic comments is fed back to request collaborationist, request collaborationist
By the shear plate of diagnostic comments deposit windows system, and DICOM structured report (SR) is generated, to the DICOM for issuing image
Equipment or system send SR.
Preferably, remote assistance requesting site send expert diagnosis opinion, and send result SR report after, to image work
It stands and sends the available message informing of diagnosis content (the Study Content Notification of a dicom standard
Service Class).The message notifies other applications that can carry out image and read after being commonly used in diagnosis imaging data receiver
It reads, reads image used herein as expert and complete to return to diagnostic comments.
It is further preferred that the service for providing DICOM Storage SCP and DICOM Commitment SCP receives
After commitment checking request, the image pointed out in the commitment information content is operated by DICOM WADO standard post
Upload images onto DICOM web service；When expert's reading text and graph information, grasped by correlation get in DICOM WADO standard
Make to obtain raw video data, image more information is checked in adjusting.
The present invention realizes that the system of remote assistance medical imaging diagnosis is as follows with wechat:
Conversion module, messaging service module, wechat public platform, which are extracted, including dicom standard service module, data services mould
Block, DICOM web service and graphic message management services module, dicom standard support module, interface service module,
In:
Dicom standard service module supports DICOM Storage SCP, DICOM Commitment SCP, DICOM
Print SCP, DICOM C-ECHO SERVICE, for from doctor from image workstation verify message (C-ECHO), receive from
The DICOM image that image workstation is sent, authentication image message commitment receive the printing film data of image workstation
(C-Print)；
Data extract conversion module, have data for that will receive to extract in the film printing data being connected to from Print SCP
Data in can, unloading format are jpeg image；According to the Image Checklist in commitment message, find corresponding
DICOM format image is switched to the image of jpeg format by DICOM image；
Optionally, DICOM Storage SCP receives image and uploads to DICOM web by DICOM WADO agreement
Service server passes through DICOM protocol Web Services (WS) HTTP Post (WADO-WS) or RESTful
Service (RS) HTTP Post (WADO-RS), the POST method of HTTP complete DICOM number by way of soap protocol
According to upload operation.
Messaging service module, for generating image data graphic message, by the text of the jpeg format transferred from above-mentioned steps
Part and relevant information are combined into the file of html format；The graphic message of above-mentioned generation is pushed to wechat public service mould
Block；It receives message to be parsed, be defined by wechat development interface, remove template content, leave actual information；Driving interface clothes
Business module, is pushed to doctor workstation for the expert diagnosis opinion received；
Wechat public platform service module, is linked into from the window menu of wechat public platform service number, and main menu includes:
My message, experts database, diagnosis are sought help；Major function includes: user's registration, login, technocracy, selection, pushed information, reads
Graphic message, expert opinion editor etc. are read, specifically includes: the Doctor's role that user divides specialist role and application to assist, user
Need registration, administrator authentication, login；Experts database management；Graphic message and diagnostic comments push；Graphic message is read, diagnosis
Opinion editor；
Further, it supports DICOM WADO http GET operation to read DICOM raw video, and supports to be based on HTML5
DICOM image check analysis；
Further support wechat takes pictures to upload, with above-mentioned image graphic message together as the reference of diagnosis；
Apply for the doctor of diagnostic assistance after sending image graphic message, before expert opinion return, with wechat photograph function or originally
The link of photograph funcall that module includes, taking pictures related data and uploads.
DICOM web service and graphic message management services module, for providing based on WEB in dicom standard
The image store and access service of Service agreement；Image picture and text message management server, management method are to upload graphic message
File stores on the server and establishes index and access address link, backward reference link；Graphic message uploads and downloading
Using webservice and soap protocol.
Dicom standard support module calls DICOM protocol function for other modules, negotiate substantially including DICOM association,
DICOM Storage SCU, DICOM SR are generated and parsing, DICOM N-Event, DICOM WADO.
Interface service module for the opinion from expert feedback to be pushed to image workstation, and notifies expert opinion
It arrived；Specific function includes setting shear plate content, by windows API, the diagnostic comments text that expert is returned
It stores in shear plate；Diagnostic comments text generation DICOM structured report (SR, the Structured that expert returns
Report), SR report is sent to image workstation by dicom standard Storage agreement；Remote assistance website works to image
It stands and sends the available message informing of diagnosis content (the Study Content Notification of a dicom standard
Service Class)。
Graphic message in the present invention refers to that including writings and image, the picture and text edited and stored with html format are comprehensive
Close information；Wherein image may include medical inspection image, case history scanned picture, inspection application etc..Module in the present invention and
Unit, the form that quantity both can be single exist, and form that can also be multiple exists, and the present invention is defined not to this.This
Step label and module, element numerals in invention do not represent the sequencing of process.
Beneficial effects of the present invention: do not need to carry out any transformation to original equipment, it is only necessary to install one it is lower-cost
System and wechat based on the method for the present invention, selection image is sent by dicom standard when needing to request to assist, and request is assisted in selection
Target expert, image and relevant information will be pushed in the wechat of expert, and expert opens, reads image data, return to diagnosis
Opinion, diagnostic comments can be adhered directly onto reporting system, whole process seamless interfacing, and diagnostic imaging doctor and expert are certainly
On the desktop computer and mobile phone of oneself work, do not change job site, does not have to other task equipments, cost is very low, efficiency is very high, makes
With very convenient, the raising of basic medical unit and doctor's diagnostic imaging quality and visual medical level is acted on significant.
Detailed description of the invention
The basic schematic diagram of Fig. 1 embodiment method.
Fig. 2 is the business and data flowchart of embodiment.
Fig. 3 is the system function module figure of embodiment.
Specific embodiment
See the embodiment of FIG. 1 to FIG. 3.
See Fig. 1, according to the following steps:
S100, the image workstation of hospital image doctor or image documentation equipment (meet dicom standard medical imaging device or
Medical Imaging System) on to need to ask expert assistance diagnosis imaging issue dicom standard communication request；It is marked using DICOM
Quasi- agreement DICOM Store SCU, DICOM Commit SCU, DICOM Print SCU.
S110, the image data for receiving dicom standard is communicated with dicom standard, the image information received is converted to
Combined imaging graphic message, in wechat service number, selection expert orients graphic message push；The DICOM agreement used includes
The parsing of DICOM data, DICOM Store SCP, DICOM Commit SCP, DICOM Print SCP, DICOM WADO.
S120, Tencent wechat server.
S130, expert instruct wechat end: expert receives request in same wechat service number and assists message and image integration
Graphic message opens browsing, analysis image；DICOM WADO WEB Service is selected, is obtained by http get original
DICOM image data carries out going deep into adjusting analysis.
S140, reading and analysis request image data, compilation instructions opinion in wechat are pushed away instruction orientation with wechat
It is sent to diagnostic imaging and assists requesting party.
S150, the diagnostic imaging opinion for receiving expert feedback, by dicom standard or windows mechanism by feedback opinion
It is sent to assistance request work station, image doctor refers to expert's intention, forms last diagnostic report；Use DICOM in dicom standard
Notification, DICOM Store SCU, DICOM SR are generated, the shear plate of winows.
See Fig. 2, according to the following steps:
S200, the operation host of the hospital equipment for meeting dicom standard or system (such as CT, DR, MRI), post-processing work
It stands, PACS terminal etc., is referred to as image workstation；When encountering the case for needing to seek help, image on image workstation, selection
Target image initiates dicom standard communication to remote assistance website, into below step.
Remote assistance website refers to the computer of operation the method for the present invention software, and image workstation also can be used as remote
Journey assists website；According to dicom protocol, there are three primary interface parameters for remote assistance website: application example (AE
Title, Application Entity title), IP address, port (port)；Image workstation increases a node, setting
One node name, such as [Remote Assist] below also with free flow journey for this title, and add above three parameter
Enter into node attribute.
S202, step DICOM Print SCU: optional step, image workstation select key frame (helpful to making a definite diagnosis
Image), it selects a kind of lattice to put the film format of selection image enough, adjusts the image of each frame selection to suitable printing film
Effect sends film printing task to Remote Assist website.
SCP indicates DICOM service class serves end (Service Class Provider)；
SCU indicates DICOM service class client (Service Class User)；
S204, step DICOM Storage, Commit SCU: optional step, alternative between S202 and S204, image
Work station selects key frame (to helpful image is made a definite diagnosis), sends image to Remote Assist website；Selected image is whole
After being sent completely, the example UID of selected image creates storage commitment message by DIOCM, to Remote Assist
Website sends commitment message.
S202 is selected, when DICOM Print mode realizes that remote diagnosis is sought help, transmission image is softcopy image, expert
It is seen that image regulated, printing effect；And it selects S204 step to send image mode and realizes that remote diagnosis is asked
When helping, what is sent first is raw image data, is turned when being converted to graphic message by the default parameters of DICOM image, expert sees
To graphic message be also jpeg format, be not adjustable, but optionally have sent initial data to WEB server, doctor can be into
One step reads original DICOM image data；According to These characteristics, doctor selects above two side according to actual needs at that time
One of formula.
S208, step DICOM Print SCP: receiving the film printing data sent from image workstation, completes DICOM
Print management communication process.
S210, step DICOM Storage, commit SCP: receiving the image data sent from image workstation, completes
DICOM storage process；An image receive process are completed when receiving commitment, and true by commitment requirement
The Image Checklist recognized, is checked one by one, completes commitment communications protocol process, and actuation step S222.
S220, film image extract: receiving the data conversion storage in film image box in S208 into jpeg image, make for S226
With.
S222, DICOM image turn jpeg image: by the image UID table in commitment message package, turning DICOM one by one
Image is jpeg format, is used for S226.
S226, image graphic message is generated: S220 or S222 is received and switch to the file and related letter of jpeg format
Breath is combined into the file of html format, relevant information include at least the site information that request is assisted and current patient gender,
The information such as age, it is single-row to be easier to read although patient information is also contained in inside image, request the site information assisted can
Using as fixed configurations, when use, takes out application.
A kind of application of embodiment, the template of graphic message need Tencent to put on record, can only generate and disappear by fixed format
Breath；Another application mode is that graphic message format can flexibly define at any time, uploads to WADO web after generating graphic message
Service server, the access address on the server independently form the pure words message of wechat, after also needing to meet certainly and putting on record
Fixed format；The graphic message of generation is stored in the file of fixed position fixed name, such as: " my Wen Dang requests association
Help .xml ".
S230, wechat public platform selection request object: initial phase creates information service public platform, remote assistance station
Point one WeChat ID of binding, participates in the Experts ' Attention service number that guidance is assisted, and register account number, by administrator authentication, shape
At formal experts database, for the website selection for needing to assist；Application stage logs into system into public platform, selects it
In 1 or with several experts.
A wechat public platform, expert's quantity can be used in more image workstations (including Different hospital, different department etc.)
It can also be very much；Platform can be instructed with forming region or training image mutual assistance by so using.
Optionally, a kind of application mode of simplification be remote assistance website binding WeChat ID on directly select a connection
People does not need wechat public platform into next step as requested expert.
Wechat public platform is wechat public platform to personal, enterprise and tissue offer business service and subscriber management capabilities
New service platform, wherein service number provides more powerful business service and subscriber management capabilities to enterprise and tissue, helps to look forward to
Industry fast implements completely new public platform service platform.The method of the present invention uses the service number in wechat public platform, and including one
A service system, function at least account registration, login, WeChat ID binding, expert's table and select expert, the message that I receives,
The upload of data photograph, diagnostic comments editor；Public platform service system is referred to as in this specification.
S232, graphic message push: when entering from wechat public platform, expert interface is selected to add [request is assisted], either
[consultation of doctors] button；Clicked the button after choosing expert, above ready graphic message file pass through selected special of wechat push
Family's (wechat public platform registers user), specific implementation develops document with reference to Tencent's wechat public platform, and PUSH message has two
Item, one is notification message, in public message table；The second is graphic message.
When directly selecting informational linkage people, selection sends file operation, ready graphic message file will send above
To the contact person of selection.
S234, expert, which are received, assists request message and graphic message: the path selected according to previous step, expert receive association
Help the mode of request and graphic message also there are two types of, one is received in public platform assistance request, click to enter link correspond to
Graphic message, or enter public platform public platform service system, open the graphic message received；The second is in contact person's message window
Mouth receives graphic message link, directly opens.
S236, browsing analysis image and medical record information: S234 opens image graphic message, Medical Technologist's reading image and disease
People is for information about.
Further, the image in graphic message has irretrievably lost a large amount of letters in DICOM original image
It ceases, other windows except the current window of DICOM image can not show, therefore S204 step selectively uses DICOM
The original image of DICOM is uploaded to WADO WEB Service server by WADO agreement, and public platform service system presses DICOM
DICOM reading image plug-in unit of the standard development based on HTML5 is serviced by DICOM WADO agreement from WADO WEB Service
Device obtains (HTTP GET) initial data, and analysis expert DICOM initial data image can more accurately provide diagnostic comments.Have
DICOM image diagosis software and DICOM WADO agreement transmitting software are closed, those of ordinary skill in the art can be according to dicom standard
Code is write, or using open source system or the above-mentioned professional standard function of plug-in unit realization of using can be disclosed.
S238, wechat take pictures: request assistance side is in wechat public platform service system, to except the upper image data uploaded
Except other data carry out photograph upload, when wechat public platform service system reading text and graph message, can upload with reference to requesting party
Other data；The data of upload of can taking pictures includes: case history, other audit reports etc.；Papery data can be shone, can also be clapped
Information is checked according to the various case histories found on application assistance side's doctor workstation display screen, it can be to avoid a large amount of in system docking
Difficulty realizes information sharing when necessary.
S240, compilation instructions opinion: the case where according to S236 reading text and graph message, instruction is write；Edit tool makes
With wechat contact person's message editing window or the diagnostic comments editor of wechat public platform service system.
S250, wechat push: after expert edits complete diagnostic comments, point, which is sent, passes through wechat push function for diagnostic comments
Feed back request assistance side.
S252, wechat message sink: request assistance side receives specially in wechat public platform service system or contact person's message
Diagnostic comments are pushed to image workstation by the diagnostic comments of family's feedback, driving event.
S254, setting shear plate content: optional step, by windows API, the diagnostic comments text that expert is returned
It stores in shear plate, if requesting party's wechat public platform service system and image workstation are operated on uniform machinery, doctor
Raw directly paste just copies to expert opinion in diagnosis report.
S256, SR report: optional step, the diagnostic comments text generation DICOM structured report returned with expert are generated
(SR, Structured Report), those of ordinary skill in the art can define according to dicom standard and complete this function.
S260, it sends SR report: the SR that S256 is generated is sent to image workstation by dicom standard Storage agreement
Report, image workstation receive, open report, copy to diagnosis report with reference to or by content.
According to DIOCM standard, equally there are three parameters for the communication interface description of image workstation: title (AE title),
IP address, port port, wherein title can arbitrarily take, and IP address is the location the IP location of image workstation, and port is image work
The port Storage SCP stood；It is DICOM Implicit VR that DICOM, which communicates grammer (0002,0010) default definition,
Little Endian Transfer Syntax grammer, i.e. (0002,0010)=1.2.840.10008.1.2.
S262, DICOM completion notice: optional step, remote assistance website send a dicom standard to image workstation
The available message informing of diagnosis content (Study Content Notification Service Class), the message is usual
For notifying other applications that can carry out image reading after diagnosis imaging data receiver, it is complete that image is read used herein as expert
At return diagnostic comments.
S280, WS/RS HTTP POST: pass through DICOM protocol Web Services (WS) HTTP Post (WADO-WS)
Or RESTful Service (RS) HTTP Post (WADO-RS), the POST method of HTTP, come complete by way of soap protocol
At the upload operation of DICOM data.
S282, WADO WEB Service: image store and access based on WEB Service agreement in dicom standard
Server；It is simultaneously also optional image picture and text message management server, management method is to upload graphic message file, is being serviced
Index and access address link, backward reference link are stored and established on device.
S284, WS/RS HTTP GET: it is adopted by DICOM agreement URI based using HTTP Get (WADO-URI)
It is the GET method of HTTP, the interaction of DICOM data is completed by way of URL configuration parameter, or uses Web
Services (WS) HTTP Get (WADO-WS) or RESTful Service (RS) HTTP Get (WADO-RS), HTTP's
POST method completes the access operation of DICOM data by way of soap protocol.
S290, wechat server: being provided by wechat and the server of operator Tencent deployment operation.
See Fig. 3, the basic schematic diagram of the method for the present invention illustrates that the present invention realizes that the medical image of remote assistance is examined with wechat
The basic principle of disconnected method, as shown in figure 3, including the following contents:
M30, dicom standard service module, it is minimum support DICOM Storage SCP, DICOM Commitmet SCP,
DICOM Print SCP, DICOM C-ECHO SERVICE, service interface parameter are application entity title (AE), IP address (fortune
The address of row machine), listening port (Port)；The function of the module is first is that from doctor from the image workstation (model of non-this patent
Farmland) verifying message (C-ECHO), convenient for image workstation, node, test network are set；It is sent second is that receiving from image workstation
DICOM image and image receive verifying message commitment；Third is that receiving the printing film data of image workstation
(C-Print)；Above-mentioned communication process is completed, the data received are temporarily saved；The module is also the entrance of present system, doctor
Birthday normal image need of work remote assistance sends selection data to this module when diagnosing, and application system originally does not need to appoint
What is modified, it is only necessary to be added a DICOM communication node, configuration scope be belonged in DIOCM standard, for example add a connection on mobile phone
It is that people is the same.
M31, data extract conversion module: first is that receiving to extract in the film printing data being connected to from Print SCP has data
Can in data, unloading format be jpeg image；Second is that according to the Image Checklist in commitment message, find pair
DICOM format image, is switched to the image of jpeg format by the DICOM image answered；By above-mentioned newly-generated image and DICOM
In (0010, xxxx) group, (0018, xxxx) group, (0020, xxxx) group, (0028, xxxx) group information go to M32 module.
Optionally, DICOM Storage SCP receives image and uploads to DICOM web by DICOM WADO agreement
Service server passes through DICOM protocol Web Services (WS) HTTP Post (WADO-WS) or RESTful
Service (RS) HTTP Post (WADO-RS), the POST method of HTTP complete DICOM number by way of soap protocol
According to upload operation.
M32, messaging service: first is that generate image data graphic message, by the file of the jpeg format transferred from M31, with
And relevant information is combined into the file of html format, relevant information includes at least the site information that request is assisted, and current disease
The information such as gender, the age of people request the site information assisted to be stored in disk as fixed configurations, and when use, which takes out, to be applied；
Second is that the graphic message of above-mentioned generation is pushed to wechat public service module；It is parsed third is that receiving message, by wechat
Development interface definition, removes template content, leaves actual information；Fourth is that driving interface service module, the expert diagnosis that will be received
Opinion is pushed to doctor workstation.
M33, wechat public platform service: it is linked into from the window menu of wechat public platform service number, main menu includes:
My message, experts database, diagnosis are sought help；Major function includes: user's registration, login, technocracy, selection, pushed information, reads
Graphic message, expert opinion editor etc. are read, specifically includes:
The Experts ' Attention service number that guidance is assisted is participated in, and registers account number, by administrator authentication, is formed formal special
Family library, is used as specialist role in systems, for the website selection for needing to assist；Application stage logs into public platform
System, selection wherein 1 or with several experts；
Diagnostic imaging assists requesting party to also need registration, audit, log in, as image Doctor's role.
One wechat public platform support has more image Doctor's roles, and expert's quantity can also be very much, can be with forming region
Or the image mutual assistance of training instruct platform.
The push of wechat graphic message is to complete the network implementations of diagnostic assistance, and applicant is pushed away after generating graphic message by wechat
Send function to be pushed to expert side, expert's reading data, after forming diagnostic comments, by wechat push function by diagnostic comments feed back to
Request assistance side.
Optionally, a kind of application mode of simplification be remote assistance website binding WeChat ID on directly select a connection
People does not need wechat public platform into next step as requested expert.
Present system uses the service number in wechat public platform, the first to file wechat service number in deployment, according to wechat
Public platform exploitation document is disposed.
Specialist role is dealt into diagnostic imaging and assists after requesting, and opens image graphic message, reading image and the related letter of patient
Breath.
Further, the image in graphic message has irretrievably lost a large amount of letters in DICOM original image
It ceases, other windows except the current window of DICOM image can not show, if expert, which needs to adjust, reads more detailed image
Information, this functional module support WS/RS HTTP GET: passing through DICOM agreement URI based using HTTP Get (WADO-
URI) using the GET method of HTTP, the interaction of DICOM data is completed by way of URL configuration parameter, or uses Web
Services (WS) HTTP Get (WADO-WS) or RESTful Service (RS) HTTP Get (WADO-RS) obtains DICOM
Original image, and the DICOM image based on HTML5 is supported to check analysis.
Further support wechat takes pictures to upload, with above-mentioned image graphic message together as the reference of diagnosis；
Apply for the doctor of diagnostic assistance after sending image graphic message, before expert opinion return, with wechat photograph function or originally
The photograph funcall link that module includes, related data of taking pictures upload.
Diagnostic comments editor, for writing instruction after expert's reading text and graph message.
Request assistance side receives the diagnostic comments of expert feedback in wechat public platform service system or contact person's message, drives
Diagnostic comments are pushed to image workstation by dynamic event.
M34, DICOM web service and graphic message management service: one is to provide based on WEB in dicom standard
The image store and access service of Service agreement；Second is that image picture and text message management server, management method is upper blit
Literary message file stores on the server and establishes index and access address link, backward reference link；Graphic message uploads
Webservice and soap protocol are used with downloading.
M35, dicom standard support module: calling DICOM protocol function for other modules, substantially includes DICOM association association
Quotient, DICOM Storage SCU, DICOM SR is generated and parsing, DICOM N-Event, DICOM WADO.
M39, interface service: the opinion from expert feedback is pushed to image workstation, and expert opinion is notified to arrive
It reaches；Specific function is one, setting shear plate content is stored the diagnostic comments text of expert's return by windows API
Into shear plate, if requesting party's wechat public platform service system and image workstation are operated on uniform machinery, Yi Shengzhi
Stickup is connect just to copy in diagnosis report expert opinion；Second is that generating SR report, the diagnostic comments text returned with expert is raw
At DICOM structured report (SR, Structured Report), by dicom standard Storage agreement to image workstation
SR report is sent, image workstation receives, opens report, copies to diagnosis report with reference to or by content；Third is that remote assistance station
Point sends the available message informing of diagnosis content (the Study Content of a dicom standard to image workstation
Notification Service Class), which notifies other applications after being commonly used in diagnosis imaging data receiver
Image reading can be carried out, image is read used herein as expert and completes to return to diagnostic comments.
The foregoing is merely one embodiment of the present of invention, for explaining only the invention, the present invention can not be limited with this, all
Within the scope of thought and method of the invention, any modification, the improvement made be should be included within the scope of the present invention.
Claims (8)
1. a kind of method for realizing remote assistance medical imaging diagnosis with wechat, it is characterised in that:
(1), using Medical Devices, the medical system for meeting dicom standard, 1 or multiple key frame images are selected, by DICOM
Standard sends one and provides the service of DICOM Storage SCP and DICOM Commitment SCP, which receives
When commitment is verified, an image receive process are completed, and press the Image Checklist of commitment confirmation request, one by one core
It is right, commitment communications protocol process is completed, DICOM image is switched into jpeg format one by one.
(2), the patient information in site name and DICOM image is assisted in conjunction with request, generates the graphic message of html format,
By wechat service number and its service system, graphic message is pushed to the target expert that request is assisted, target expert reads figure
Literary message edits diagnostic comments, by wechat push function, diagnostic comments is fed back to request collaborationist, request collaborationist will
Diagnostic comments are stored in the shear plate of windows system, and generate DICOM structured report (SR), set to the DICOM for issuing image
Standby or system sends SR.
2. the method for realizing remote assistance medical imaging diagnosis with wechat as described in claim 1, it is characterised in that: selection 1
It opens or multiple key frame images, difference adjusting window position (WC:Window Center), is shown window width (WW:Window Width)
The display parameters such as curve, position, scaling are arranged film, the image regulated are added to glue by DICOM film printing agreement
Film magazine, printing film provides the service of DICOM print SCP to one, and after which receives data, therefrom extracting has number
According to can in data, unloading be jpeg format image.
3. the method for realizing remote assistance medical imaging diagnosis with wechat as described in claim 1, it is characterised in that: long-range association
It helps requesting site to send expert diagnosis opinion, and after sending result SR report, sends dicom standard to image workstation
The available message informing of diagnosis content (Study Content Notification Service Class).
4. the method for realizing remote assistance medical imaging diagnosis with wechat as claimed in claim 3, it is characterised in that: provide
It, will after the service of DICOM Storage SCP and DICOM Commitment SCP receives commitment checking request
The image pointed out in the commitment information content uploads images onto DICOM web by DICOM WADO standard post operation
service；When expert's reading text and graph information, raw video data are obtained by correlation get operation in DICOM WADO standard, are adjusted
Section checks image more information.
5. a kind of system for realizing remote assistance medical imaging diagnosis with wechat, it is characterised in that service mould including dicom standard
Block, data extract conversion module, messaging service module, wechat public platform service module, DICOM web service and picture and text and disappear
Cease management services module, dicom standard support module, interface service module, in which:
Dicom standard service module supports DICOM Storage SCP, DICOM Commitment SCP, DICOM Print
SCP, DICOM C-ECHO SERVICE are received for verifying message (C-ECHO) from doctor from image workstation from image work
Make the DICOM image that station is sent, authentication image message commitment receives the printing film data (C- of image workstation
Print)；
Data extract conversion module, for will receive the film for extracting in the film printing data being connected to and having data from Print SCP
Data in box, unloading format are jpeg image；According to the Image Checklist in commitment message, corresponding DICOM is found
DICOM format image is switched to the image of jpeg format by image；
Messaging service module, for generating image data graphic message, by the file of the jpeg format transferred from above-mentioned steps, with
And relevant information is combined into the file of html format；The graphic message of above-mentioned generation is pushed to wechat public service module；It connects
It receives message to be parsed, be defined by wechat development interface, remove template content, leave actual information；Driving interface services mould
The expert diagnosis opinion received is pushed to doctor workstation by block；
Wechat public platform service module, is linked into from the window menu of wechat public platform service number, and main menu includes: mine
Message, experts database, diagnosis are sought help；Major function includes: user's registration, login, technocracy, selection, pushed information, reading figure
Literary message, expert opinion editor etc., specifically include: the Doctor's role that user divides specialist role and application to assist, and user needs
Registration, administrator authentication, login；Experts database management；Graphic message and diagnostic comments push；Graphic message is read, diagnostic comments
Editor；
DICOM web service and graphic message management services module, for providing based on WEB in dicom standard
The image store and access service of Service agreement；Image picture and text message management server, management method are to upload graphic message
File stores on the server and establishes index and access address link, backward reference link；Graphic message uploads and downloading
Using webservice and soap protocol；
Dicom standard support module calls DICOM protocol function for other modules, substantially includes DICOM association negotiation, DICOM
Storage SCU, DICOM SR are generated and parsing, DICOM N-Event, DICOM WADO；
Interface service module for the opinion from expert feedback to be pushed to image workstation, and notifies expert opinion to arrive
It reaches；Specific function includes setting shear plate content, and by windows API, the diagnostic comments text that expert is returned is stored
Into shear plate；The diagnostic comments text generation DICOM structured report (SR, Structured Report) that expert returns leads to
It crosses dicom standard Storage agreement and sends SR report to image workstation；Remote assistance website sends one to image workstation
The available message informing of the diagnosis content of dicom standard (Study Content Notification Service Class).
6. the system for realizing remote assistance medical imaging diagnosis with wechat as claimed in claim 5, it is characterised in that: DICOM
Storage SCP receives image and uploads to DICOM web service server by DICOM WADO agreement, that is, passes through
DICOM protocol Web Services (WS) HTTP Post (WADO-WS) or RESTful Service (RS) HTTP Post
(WADO-RS), the POST method of HTTP completes the upload operation of DICOM data by way of soap protocol.
7. the system for realizing remote assistance medical imaging diagnosis with wechat as claimed in claim 6, it is characterised in that: support
DICOM raw video is read in DICOM WADO http GET operation, and the DICOM image based on HTML5 is supported to check analysis.
8. the system for realizing remote assistance medical imaging diagnosis with wechat as claimed in claim 7, it is characterised in that: support micro-
Letter, which takes pictures, to be uploaded, with above-mentioned image graphic message together as the reference of diagnosis；The doctor of application diagnostic assistance exists
After sending image graphic message, before expert opinion return, the photograph function tune that is included with wechat photograph function or this module
With link, taking pictures related data and is uploaded.
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