CN109920555A - A kind of remote medical consultation with specialists method and system based on C/S framework - Google Patents
A kind of remote medical consultation with specialists method and system based on C/S framework Download PDFInfo
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- CN109920555A CN109920555A CN201910128036.0A CN201910128036A CN109920555A CN 109920555 A CN109920555 A CN 109920555A CN 201910128036 A CN201910128036 A CN 201910128036A CN 109920555 A CN109920555 A CN 109920555A
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Abstract
The invention discloses a kind of remote medical consultation with specialists method and system based on C/S framework, by by the medical image that the needs when consultation of doctors or pathological image data compression and being uploaded to the server cluster, other clients are re-downloaded and are decompressed, and to after decompression medical image or pathological image data carry out browsing and three-dimensional reconstruction, web service technology is avoided for the second-compressed problem of image data, it ensure that integrality of the image data when the participant that holds a consultation checks, reduce the case where contrast declines between different human body tissue in the image as caused by data compression.
Description
Technical field
The present invention relates to technical field of long-distance medical, more particularly to a kind of remote medical consultation with specialists method based on C/S framework and
System.
Background technique
C/S framework, that is, Client/Server (client/server) structure is known software systems system knot
Structure reduces the communication-cost of system, needs to install client by the way that task is reasonably allocated to the end Client and the end Server
Operation can be just managed.The program at client and server end is different, and the program of user is mainly in client, server end master
Data management, data sharing, data and system maintenance and con current control etc. are provided, client-side program mainly completes the tool of user
The business of body.C/S framework exploitation be easier, it is easy to operate, but application program upgrading and client-side program maintenance more
It is difficult.
Tele-consultation System is with one kind constructed by instant messaging technology based on medical data transmission for mostly cooperateing with
Consultation system serves primarily in medical practitioner.
Existing Tele-consultation System, when carrying out the medical data such as display and processing of image data, pathological image data,
It is to send data to server, data is showed into each client by way of webpage by server, in the process of display
In, there are the second-compresseds of image data, have loss for bit wide, the tonal range etc. of image, are not suitable for carrying out clinical special
Industry read tablet is not particularly suitable for carrying out read tablet using professional read tablet display.
Summary of the invention
The present invention solves the technical problem of how to avoid in teleconference web service technology for image number
According to second-compressed problem, guarantee image data hold a consultation participant check when integrality.
In order to solve the above technical problems, the technical solution adopted by the present invention is that: a kind of long-range meeting based on C/S framework is provided
Method is examined, this method comprises:
Client receives medical image or pathological image data compression after operational order and is uploaded to server cluster；
The client initiates the consultation of doctors, establishes virtual conference room；
Consultation of doctors notice is sent to other clients by communication server by the client；
The client can be used as background program operation, and when running background has automatic data communication and transmitting/receiving file etc.
Function；
Other described clients are downloaded from the server cluster after receiving the consultation of doctors notice and decompress the medicine
Image or pathological image data, no matter other clients are in background operation state or front stage operation state；
The all clients are browsed, annotated to the medical image or pathological image data, marked and Three-dimensional Gravity
It builds；
Other described clients notify to enter the virtual conference room according to the consultation of doctors, participate in holding a consultation；
Wherein, audio-video dialogue and instant messaging can be carried out by communication server between all clients, such
Communication can carry out simultaneously in the consultation of doctors to medical image or pathological image.
Wherein, consultation of doctors notice is sent to other described clients by communication server and specifically wrapped by client described in step
It includes:
The client initiates the user that consultation of doctors markers summary participates in the consultation of doctors, user after other described clients log in,
Consultation of doctors notice will be received by communication server.
Wherein, other clients described in step are downloaded and are decompressed from the server cluster after receiving the consultation of doctors notice
The medical image or pathological image data specifically include:
Other described clients after receiving consultation of doctors notice, from the server cluster download the medical image or
Pathological image data are simultaneously stored in the local storage space of the user client；
Other described clients in downloading data and when saving, will encryption storage, the authority of encryption is meeting belonging to data
Discuss information；
The medical image or pathological image data are decrypted and decompressed to other described clients, and the data obtained after decompression are deposited
It is stored in memory, is only used for meeting associated user and is used under Entered state.
Wherein, after the consultation of doctors starts, the client is labeled the medical image or pathological image data, and leads to
It crosses the communication server and markup information is sent to other described clients；
Other described clients are locally generated the label of same attribute after receiving the markup information and show.
Wherein, the client is to the medical image or pathological image data by tinting or shape tag is marked
Note.
Wherein, client described in step by medical image or pathological image data compression and is uploaded to the server cluster
It specifically includes:
The client classifies medical image or pathological image data according to disease, then compresses, encrypts and uploads；
The server cluster is stored according to disease classification or meeting classification or mode classification.
Wherein, the client selection does not upload the medical image or pathological image data, but as needed in institute
It states and searches corresponding medical image or pathological image data on server cluster and select, as number used in this meeting
According to, and selection information is sent to other described clients by the communication server.
To solve the above-mentioned problems, the present invention also provides a kind of Tele-consultation System based on C/S framework, the systems
Include:
Communication server, server cluster and the multiple visitors connected respectively with the communication server, server cluster
Family end,
The client establishes virtual conference room, simultaneously by medical image or pathological image data compression for initiating the consultation of doctors
It is uploaded to the server cluster, while consultation of doctors notice is sent to by other clients by the communication server；
Described in other described clients are used to after receiving the consultation of doctors notice download and decompress from the server cluster
Medical image or pathological image data, and browsing and three-dimensional reconstruction are carried out to the medical image or pathological image data, simultaneously
Into the virtual conference room, the consultation of doctors is participated in.
Wherein, the client includes desktop client end, and the desktop client end is beaten automatically after entering virtual consulting room
The medical image downloaded, pathological image data are opened, and opens camera, microphone.
Wherein, the desktop client end is also used to after entering virtual consulting room, browsing medical image, pathological image, simultaneously
Image or image can be handled, be delineated and marked on shown image, and handle result, delineate and mark
Note is synchronized to other indoor desktop client ends of virtually holding a consultation.
Wherein, the client further includes mobile client, the mobile client respectively with the communication server, clothes
Business device cluster connection, for into virtual consulting room, and watching the client in real time after receiving the consultation of doctors notice
The medical image or pathological image data of browsing.
The beneficial effects of the present invention are: being in contrast to the prior art, the present invention is based on the remote medical consultation with specialists sides of C/S framework
Method and system, it will the medical image or pathological image data compression that need when examining simultaneously are uploaded to the server cluster, at it
Re-download and decompress in his client, and to after decompression medical image or pathological image data carry out browsing and Three-dimensional Gravity
It builds, avoids web service technology for the second-compressed problem of image data, ensure that image data is looked into consultation of doctors participant
Integrality when seeing reduces the case where contrast declines between different human body tissue in the image as caused by data compression.
Detailed description of the invention
Fig. 1 is the flow chart of one embodiment of remote diagnosis method the present invention is based on C/S framework；
Fig. 2 is the specific flow chart of step S40 in one embodiment of remote diagnosis method the present invention is based on C/S framework；
Fig. 3 is the specific flow chart of step S10 in one embodiment of remote diagnosis method the present invention is based on C/S framework；
Fig. 4 is the structural block diagram of one embodiment of remote diagnosis system the present invention is based on C/S framework.
Specific embodiment
To make those skilled in the art more fully understand technical solution provided by the present invention, with reference to the accompanying drawing and have
Body embodiment is standby to a kind of remote medical consultation with specialists method, system based on C/S framework provided by the present invention.
Referring to Fig. 1, the present invention is based on one embodiments of remote diagnosis method of C/S framework, this method comprises:
S10, client is received by medical image or pathological image data compression, encryption after operational order, and is uploaded to institute
State server cluster；
S20, client initiate the consultation of doctors, establish virtual conference room；
Consultation of doctors notice is sent to other clients by communication server by S30, client；
Wherein, client can be used as the operation of system background program, and when running background has automatic data communication and file
The functions such as transmitting-receiving；
S40, other clients run on system background, download medicine from server cluster automatically after receiving consultation of doctors notice
Image or pathological image data；
Certainly, in other embodiments, other clients can also run on system foreground；
User logs in client, and client is made to switch to system front stage operation；
Client is according to the user logged in, to server encryption key request, when server judges that the user belongs to this
When meeting, key is issued, when the user enters consulting room, client is decrypted using key and loads data；
S50, all clients are browsed, annotated to medical image or pathological image data, marked and three-dimensional reconstruction；
S60, other clients enter the virtual conference room according to notice is examined, and participate in the consultation of doctors.
Wherein, audio-video dialogue and instant messaging can be carried out by communication server between all clients, such
Communication can carry out simultaneously in the consultation of doctors to medical image or pathological image
The embodiment is by the medical image needed when holding a consultation or pathological image data compression and is uploaded to the server
Cluster is re-downloaded and is decompressed in other clients, and to after decompression medical image or pathological image data browse
And three-dimensional reconstruction, web service technology is avoided for the second-compressed problem of image data, ensure that image data is being held a consultation
Integrality when participant checks reduces contrast decline between different human body tissue in the image as caused by data compression
Situation.
Furthermore, it is possible to know, above-mentioned steps only give a kind of optional sequence of steps, and client can also be initiated first
The consultation of doctors, establishes virtual conference room, and consultation of doctors notice is sent to other clients by communication server, then by medical image or disease
Reason Image Data Compression is simultaneously uploaded to the server cluster.
Optionally, consultation of doctors notice is sent to other clients by communication server and specifically included by step S30 client:
Client initiates the user that consultation of doctors markers summary participates in the consultation of doctors, and user will pass through communication server after other clients log in
Receive consultation of doctors notice.
Referring to Fig. 2, optional, other clients of step S40 after receiving consultation of doctors notice from server cluster downloading and
Decompression medical image or pathological image data specifically include:
S41, other clients download medical image or pathological image data after receiving consultation of doctors notice, from server cluster
And it is stored in the local storage space of user client；
Wherein, other described clients are in downloading data and when saving, will encryption storage, the authority of encryption is belonging to data
Conferencing information；
S42, other clients decompress medical image or pathological image data；
Specifically, medical image or pathological image data are decrypted and decompressed to other clients, the data obtained after decompression are deposited
It is stored in memory, is only used for meeting associated user and is used under Entered state.
After the consultation of doctors starts, further comprise the steps of:
S70, client are labeled medical image or pathological image data, and will be marked by the communication server
Information is sent to other clients；
S80, other clients are locally generated the label of same attribute after receiving markup information and show.
Wherein, client is to medical image or pathological image data by tinting or shape tag is labeled.
Referring to Fig. 3, step S10 client is by medical image or pathological image data compression and is uploaded to the server
Cluster specifically includes:
Medical image or pathological image data are classified according to disease, then compress, encrypt and upload by S11, client；
S12, server cluster are stored according to disease classification or meeting classification or mode classification.
In step slo, client is received medical image or pathological image data compression after operational order and is uploaded to
In the server cluster, client, which is also an option that, does not upload medical image or pathological image data, but exists as needed
Corresponding medical image or pathological image data are searched on server cluster and are selected, as data used in this meeting,
And selection information is sent to other described clients by the communication server.
In addition, the retrieval and selection of data can be carried out by number when initiating other consultation of doctors.
Referring to Fig. 4, the system includes: communication garment the present invention is based on one embodiment of remote diagnosis system of C/S framework
Be engaged in device 10, server cluster 20 and respectively with communication server 10, server cluster 20 connect multiple client (30,31,
32。。。)。
Client 30 for initiate the consultation of doctors, establish virtual conference room, by medical image or pathological image data compression and on
Server cluster 20 is reached, while consultation of doctors notice is sent to by other clients (31,32,33 by communication server 10.)；
Other clients (31,32,33.) for doctor to be downloaded and decompressed from server cluster 20 after receiving consultation of doctors notice
Image or pathological image data are learned, and browsing and three-dimensional reconstruction are carried out to medical image or pathological image data, while entering empty
Quasi- meeting room, participates in the consultation of doctors.
It is known that, it initiates the consultation of doctors and is not limited solely to client 30, any client (31,32,33.) can root
The consultation of doctors is initiated according to needs, and is drawn in Fig. 4 in order to simplify, only illustrate three clients, in actual use, number clients
Amount can according to need setting.
The remote diagnosis system based on C/S framework, it will the medical image needed when examining or pathological image data compression
And it is uploaded to the server cluster, it re-downloads and decompresses in other clients, and to the medical image or disease after decompression
Reason image data carries out browsing and three-dimensional reconstruction, avoids web service technology for the second-compressed problem of image data, protects
Integrality of the image data when the participant that holds a consultation checks has been demonstrate,proved, different human body in the image as caused by data compression is reduced
The case where contrast declines between tissue.
Wherein, client (30,31,32.) long-distance video, remote image guidance, long-range disease can be carried out for users to use
The business such as reason guidance, multiple server clusters 20 can also construct distributed file storage system, store large capacity medical image
With pathological image data.
Server cluster refers to get up many server centereds carries out same service together, In the view of client just as
It is only one server.Cluster can use multiple computers and carry out parallel computations to obtain very high calculating speed,
It can be backuped with multiple computers, so that any one machine is broken whole system and still can operate normally.
Optionally, client (30,31,32.) it include desktop client end, desktop client end is entering virtual consulting room
Afterwards, the medical image downloaded, pathological image data are automatically opened, and opens camera, microphone, optionally, desktop client
End is also used to after entering virtual consulting room, browses medical image, pathological image, and can be handled (such as image or image
Segmentation, toning etc.), delineated and marked on shown image, and handle result, delineate with mark can be synchronous
To other indoor desktop client ends of virtually holding a consultation.
The desktop client end of this consultation system can be read, browse medical image, such as the number of CT, MR, PET, ultrasound mode
According to.
The three-dimensional reconstruction of data refers to that by slice of data such as CT, MR, using computerized algorithm, combination forms three-dimensional data,
And the display of 3 D stereo is realized using light quantum mechanics, MIP method etc..
Optionally, client (30,31,32.) it further include mobile client, mobile client is respectively and communication server
10, server cluster 20 connects, for into virtual consulting room, and watching desktop client end in real time after receiving consultation of doctors notice
The medical image or pathological image data browsed.
The desktop client end of this consultation system and mobile client, the audio-video that can be carried out between user and user are led in real time
News.The desktop client end of this consultation system, refers to the client software under the windows platform of Microsoft, mobile client
End, refers to the client software under Android, ios platform.Using mobile client and use the use at desktop client end
Family, the equal indistinction such as user property, account in system, a user can both log in desktop client end, can also step on
Both record mobile client, but cannot log in simultaneously.The data that each meeting uploads are to number to upload according to disease, the volume
It number can be the number such as IDC, disease is divided into different parents, subclass and has specific number value.It, will after having carried out multiple meeting
Gradually form the database classified by disease.Wherein, International Classification of Diseases (international Classification of
Diseases, ICD), it is certain features according to disease, disease classifies according to rule, and with the method for coding come table
The system shown.
In the remote diagnosis system one specific application scenarios the present invention is based on C/S framework:
Existing five people of user A, B, C, D, E, wherein A, B, C use desktop client end, and D, E use mobile client.
Five users are succeeded in registration by way of cell-phone number, identifying code and typing individual master data such as name, affiliated
Hospital etc..
User's A initiating conference, typing session topic, and tetra- people of B, C, D, E is invited in systems, A selects the multiple of local
This meeting is added in medical image data, pathological image data, can also be by way of IDC number or disease title in distributed text
Corresponding image data is searched in part storage system and is selected, as data used in this meeting.
Data instance is being locally selected with A, after selecting multiple data, client uses Lempel-Ziv-Markov
Chain algorithm compresses data automatically, boil down to single data packet, and the data packet is uploaded to distributed document storage
System.
The upload procedure of client where A carries out on program backstage, sends a message to communication server after the completion of upload,
As the desktop client end where communication server notifies B, C, the desktop client end of B, C upon receipt of a notification, will be automatically from services
Distributed file storage system downloading data packet on device cluster simultaneously unzips it.
When meeting starts, A, B, C enter virtual consulting room by desktop client end, and client, which will automatically turn on, to be downloaded
Medical image, pathological image data, and open camera, microphone.
D, E will receive notice of meeting in mobile client, and enter virtual meeting by mobile client after meeting starts
Consulting room opens camera, the microphone of mobile phone.
A, B, C can be delineated and be marked on shown image on the basis of browsing medical image, pathological image
Note, and the content delineated and marked can be synchronized to the indoor full complement that virtually holds a consultation, and by taking A is delineated as an example, delineate completion
Afterwards, the content delineated will be broadcasted by communication server, and B, C desktop client end, will be automatically in locals after receiving broadcast data
On the medical image or pathological picture of display carry out it is identical with A delineates, also, this delineate can by modes such as color, labels,
Inform that B, C are delineated by A.
In entire conference process, D, E can be exchanged by video with voice with other people in consulting room, and may be viewed by A,
B, the browsing image window of C, the content watching image and delineating.
Wherein, LZMA, (abbreviation of Lempel-Ziv-Markov chain-Algorithm), be a Deflate and
Compression algorithm after the improvement of LZ77 algorithm and optimization, developer are Igor Pavlov, are applied to 7-Zip for the first time within 2001 and pressed
It is a data compression algorithm being developed since 2001 in contracting tool.It uses the dictionary encoding machine for being similar to LZ77
System, compression ratio ratio bzip2 is high in a general case, and the variable dictionary maximum for compression is up to 4GB.
This consultation system solves in existing remote medical consultation with specialists scheme, when carrying out browsing image by the webpage of B/S framework,
Web service technology ensure that image data is complete when the participant that holds a consultation checks for the second-compressed problem of image data
Property, reduce the case where contrast declines between different human body tissue in the image as caused by data compression.In addition, guaranteeing table
While face client data is complete, the convenience of mobile client has been taken into account, has realized shifting in such a way that live table is shared
Dynamic client user participates in the overall process to consultation of doctors process.This consultation system is used towards extensive medical image and pathological data
Distributed file storage system, client can be with breaking point uploading or downloading file, the storages by distributed file storage system
System deployment is on server cluster, still can be with continued operation without losing number even if certain nodes in system disconnect
According to preferably collect, store, protection image data.
Mode the above is only the implementation of the present invention is not intended to limit the scope of the invention, all to utilize this
Equivalent structure or equivalent flow shift made by description of the invention and accompanying drawing content, it is relevant to be applied directly or indirectly in other
Technical field is included within the scope of the present invention.
Claims (11)
1. a kind of remote medical consultation with specialists method based on C/S framework, which is characterized in that
Client receives medical image or pathological image data compression after operational order and is uploaded to server cluster；
The client initiates the consultation of doctors, establishes virtual conference room；
Consultation of doctors notice is sent to other clients by communication server by the client；
The client can be used as background program operation, and when running background has the function such as automatic data communication and transmitting/receiving file
Energy；
Other described clients are downloaded from the server cluster after receiving the consultation of doctors notice and decompress the medical image
Or pathological image data, no matter other clients are in background operation state or front stage operation state；
The all clients are browsed, annotated to the medical image or pathological image data, marked and three-dimensional reconstruction；
Other described clients notify to enter the virtual conference room according to the consultation of doctors, participate in holding a consultation；
Wherein, audio-video dialogue and instant messaging can be carried out by communication server between all clients, such communication
It can be carried out simultaneously in the consultation of doctors to medical image or pathological image.
2. the remote medical consultation with specialists method according to claim 1 based on C/S framework, which is characterized in that client described in step
Consultation of doctors notice other described clients are sent to by communication server to specifically include:
The client initiates the user that consultation of doctors markers summary participates in the consultation of doctors, and user will lead to after other described clients log in
It crosses communication server and receives consultation of doctors notice.
3. the remote medical consultation with specialists method according to claim 1 based on C/S framework, which is characterized in that other visitors described in step
The medical image or pathological image data are downloaded and decompressed from the server cluster after receiving the consultation of doctors notice in family end
It specifically includes:
Other described clients download the medical image or pathology from the server cluster after receiving the consultation of doctors notice
Image data is simultaneously stored in the local storage space of the user client；
Other described clients in downloading data and when saving, will encryption storage, the authority of encryption is the letter of meeting belonging to data
Breath；
The medical image or pathological image data are decrypted and decompressed to other described clients, and the data obtained after decompression are stored in
In memory, it is only used for meeting associated user and is used under Entered state.
4. the remote medical consultation with specialists method according to claim 1 based on C/S framework, which is characterized in that after the consultation of doctors starts, institute
It states client to be labeled the medical image or pathological image data, and is sent out markup information by the communication server
Give other described clients；
Other described clients are locally generated the label of same attribute after receiving the markup information and show.
5. the remote medical consultation with specialists method according to claim 4 based on C/S framework, which is characterized in that the client is to institute
Medical image or pathological image data are stated by tinting or shape tag is labeled.
6. the remote medical consultation with specialists method according to claim 1 based on C/S framework, which is characterized in that client described in step
By medical image or pathological image data compression and it is uploaded to the server cluster and specifically includes:
The client classifies medical image or pathological image data according to disease, then compresses, encrypts and uploads；
The server cluster is stored according to disease classification or meeting classification or mode classification.
7. the remote medical consultation with specialists method according to claim 1 based on C/S framework, which is characterized in that the client selection
The medical image or pathological image data are not uploaded, but search corresponding medicine on the server cluster as needed
Image or pathological image data simultaneously select, and pass through the communication garment as data used in this meeting, and by selection information
Business device is sent to other described clients.
8. a kind of Tele-consultation System based on C/S framework, which is characterized in that the system comprises: communication server, server
Cluster and the multiple client connected respectively with the communication server, server cluster,
The client is established virtual conference room, by medical image or pathological image data compression and is uploaded for initiating the consultation of doctors
The extremely server cluster, while consultation of doctors notice is sent to by other clients by the communication server；
Other described clients are used to download and decompress the medicine from the server cluster after receiving the consultation of doctors notice
Image or pathological image data, and browsing and three-dimensional reconstruction are carried out to the medical image or pathological image data, enter simultaneously
The virtual conference room participates in the consultation of doctors.
9. the Tele-consultation System according to claim 8 based on C/S framework, which is characterized in that the client includes
Desktop client end, the desktop client end automatically open the medical image downloaded, pathological image after entering virtual consulting room
Data, and open camera, microphone.
10. the Tele-consultation System according to claim 9 based on C/S framework, which is characterized in that the desktop client end
It is also used to after entering virtual consulting room, browsing medical image, pathological image can simultaneously be handled image or image, in institute
Delineated and marked on the image of display, and handle result, delineate with mark be synchronized to virtually hold a consultation it is indoor
Other desktop client ends.
11. the Tele-consultation System according to claim 8 based on C/S framework, which is characterized in that the client is also wrapped
Include mobile client, the mobile client is connected with the communication server, server cluster respectively, for receive it is described
After consultation of doctors notice, into virtual consulting room, and the medical image or pathology figure that the client is browsing are watched in real time
As data.
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Cited By (1)
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| CN111899849A (en) * | 2020-06-28 | 2020-11-06 | 唐桥科技(杭州)有限公司 | Information sharing method, device, system, equipment and storage medium |
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