CN110247976A

CN110247976A - Medical image interactive approach and device

Info

Publication number: CN110247976A
Application number: CN201910537493.5A
Authority: CN
Inventors: 秦晓红; 焦文; 张晓军
Original assignee: Qingdao Hisense Medical Equipment Co Ltd
Current assignee: Qingdao Hisense Medical Equipment Co Ltd
Priority date: 2019-06-20
Filing date: 2019-06-20
Publication date: 2019-09-17
Anticipated expiration: 2039-06-20
Also published as: CN110247976B

Abstract

The embodiment of the present invention provides a kind of medical image interactive approach and device, this method comprises: obtaining the room identification in the room that the first client enters, wherein can accommodate multiple client in same room；According to the room identification in the room, obtain the present image information in the room, the present image information includes the first identifier of the first medical image and the first medical image, and first medical image currently controls the image of display for other clients in the room；First medical image is synchronized to first client according to the first identifier.A kind of medical image interactive approach and device provided in an embodiment of the present invention can save system resource, improve collaboration speed, while also can guarantee the authenticity that medical image is shown.

Description

Medical image interactive approach and device

Technical field

The present embodiments relate to Medical Imaging Technology field more particularly to a kind of medical image interactive approaches and device.

Background technique

Tele-medicine is using the technologies such as telecommunication technique, image technology, new electronic technology and computer media, hair Large hospital Center Medical technology and equipment advantage is waved, provides Telemedicine letter to the weak area of medical condition and particular surroundings Breath service.By the transmission of the image file according to Dicom3.0 standard, the shadow of more civilian hospitals of different location will be located at Diagnostic center (such as Grade A hospital) is given as the image data of equipment (such as CT, MR) acquisition passes through network transmission, by diagnostic center Expert diagnose and provide as a result, realizing that synchronizing for more ground medical images is shared.

By Teleimaging Diagnosis System, patient's image data can be transmitted to higher level hospital Consultation Center by hospital, junior, Image diagosis is carried out by higher level hospital image expert, and carries out both sides' interaction, improves the accuracy and efficiency of diagnosis.Existing doctor It learns there are mainly two types of image interactive methods, scheme one is the mode of remote desktop and Application sharing, and equipment each side passes through biography The mode for passing image realizes interaction.This method needs to carry out medical image number in client each side by the way of teleconference According to exchange and transmission when, using the mode of screenshot, this transmission data be interface data, will lead to image in certain journey It is distorted on degree, not can guarantee the authenticity that DICOM image is shown.The cooperative module of the user terminal of scheme two and Cloud Server Cooperative information is connected to by WebSocket protocol communication, and all operations of the image processing module of the program are required by figure As processing server, image shows almost undistorted, but when needing to generate new picture, all collaborative partys require to give birth to again It is shown at image, more resources can be consumed, reduce collaboration speed.

In the prior art or medical image is shown can be distorted or need to repeatedly generate image, cause resource consumption compared with Greatly, therefore now a kind of medical image interactive approach is needed to solve the above problems.

Summary of the invention

The embodiment of the present invention provides a kind of medical image interactive approach and device, to solve to repeatedly generate figure in the prior art As the problem for causing resource consumption larger.

In a first aspect, the embodiment of the present invention provides a kind of medical image interactive approach, comprising:

Obtain the room identification in the room of the first client entrance, wherein multiple client can be accommodated in same room；

According to the room identification in the room, the present image information in the room, the present image packet are obtained The first identifier of the first medical image and the first medical image is included, first medical image is other visitors in the room Family end currently controls the image of display；

First medical image is synchronized to first client according to the first identifier.

In a kind of possible design, the method also includes:

According to the first identifier, the collaboration class instruction of first medical image is obtained；Wherein, the first medicine figure The collaboration class instruction of picture includes multiple operational orders arranged sequentially in time and the first identifier；

It is instructed to the collaboration class of the first medical image described in first client synchronization.

It is described before the room identification in the room that the first client of the acquisition enters in a kind of possible design Method further include:

The access information that management server is sent is received, the access information includes the mark and described the of the first client The log-on message of one client；

According to the first client mark and first client log-on message, the first client of Xiang Suoshu send into Enter room information, for first client confirmation；

The confirmation message that first client is sent is received, the confirmation message includes the entrance of first client The room identification and login room successful information in the first room.

Second aspect, the embodiment of the present invention provide a kind of medical image interactive approach, comprising:

The image display application instruction that the second client in room is sent is obtained, described image display application instruction includes The second identifier of second medical image, the room contents, which are received, multiple first clients, and second client is described more A client in a first client, the present image information in the room include the first medical image and the first medicine The first identifier of image, first medical image currently control the image of display for other clients in the room；

Second medical image is synchronized to all clients in the room according to the second identifier.

It is described that second medical image is synchronized to by the room according to the second identifier in a kind of possible design Between all clients, specifically include:

If knowing that the second medical image is located in history buffer image according to second identifier judgement, by described second Medical image is synchronized to all clients in the room；

Otherwise, show that application instruction generates second medical image according to described image, by second medical image It is synchronized to all clients in the room.

In a kind of possible design, if the third client for getting the room send for tertiary medicine image Collaboration class instruction, the method also includes:

The third mark of corresponding tertiary medicine image is obtained according to the instruction of the collaboration class of the tertiary medicine image；

It is identified according to the third by the collaboration class command synchronization of the tertiary medicine image to first object client, institute Stating first object client is that currently control shows the client of the tertiary medicine image in the room.

In a kind of possible design, corresponding the is obtained according to the instruction of the collaboration class of the tertiary medicine image described After the third mark of three medical images, the method also includes:

The mark that the second destination client currently controls display image, second target are obtained according to prefixed time interval Client is other clients in the room in addition to the first object client；

When the mark that second destination client currently controls display image is different from third mark, institute is obtained State the unsuccessful information of collaboration class command synchronization of the second destination client transmission；

It, will be described when the mark that second destination client currently controls display image is identical as the third mark The collaboration class command synchronization of tertiary medicine image is to second destination client.

The third aspect, the embodiment of the present invention provide a kind of medical image interactive device, comprising:

Module is obtained, the room identification in the room for obtaining the entrance of the first client, wherein can accommodate in same room Multiple client；

First processing module obtains the present image information in the room, institute for the room identification according to the room The first identifier that present image information includes the first medical image and the first medical image is stated, first medical image is institute State the image that other clients in room currently control display；

Second processing module, for first medical image to be synchronized to first client according to the first identifier End.

In a kind of possible design, the Second processing module is also used to:

Further include third processing module in a kind of possible design, the third processing module is used for:

Fourth aspect, the embodiment of the present invention provide a kind of medical image interactive device, comprising:

Module is obtained, for obtaining the image display application instruction of the transmission of the second client in room, described image is aobvious Show that application instruction includes the second identifier of the second medical image, the room contents, which are received, multiple first clients, and described second Client is a client in the multiple first client, and the present image information in the room includes the first medicine figure The first identifier of picture and the first medical image, first medical image are that other clients in the room currently control The image of display；

Synchronization module, for second medical image to be synchronized to all visitors in the room according to the second identifier Family end.

In a kind of possible design, the synchronization module is specifically used for:

In a kind of possible design, the synchronization module is specifically also used to:

In a kind of possible design, corresponding the is obtained according to the instruction of the collaboration class of the tertiary medicine image described After the third mark of three medical images, the synchronization module is specifically also used to:

5th aspect, the embodiment of the present invention provides a kind of medical image interaction device, comprising: at least one processor and deposits Reservoir；

The memory stores computer executed instructions；

At least one described processor executes the computer executed instructions of memory storage so that it is described at least one Processor executes such as described in any item medical image interactive approaches of first aspect, alternatively, making at least one described processor Execute such as the described in any item medical image interactive approaches of second aspect.

6th aspect, the embodiment of the present invention provide a kind of computer readable storage medium, the computer-readable storage medium It is stored with computer executed instructions in matter, when processor executes the computer executed instructions, realizes as first aspect is any Medical image interactive approach described in, alternatively, realizing such as the described in any item medical image interactive approaches of second aspect.

Medical image interactive approach and device provided in an embodiment of the present invention pass through the room mark in the room that client enters Know, so that image server gets the present image information in room, and passes through the medical image in present image information The medical image that other clients currently control display is synchronized to client by mark, and each width medical image is only needed the It is generated when primary display, after newly room is added in client, it is only necessary to corresponding medical image be synchronized to and be newly added Client is directly read by client, without regenerating, so as to economize on resources, improves collaboration speed.Meanwhile this Inventive embodiments are generated and are managed to image by image server is unified, client are then directly synchronized to, without carrying out The processing of interface data can also guarantee the authenticity that image is shown.

Detailed description of the invention

In order to more clearly explain the embodiment of the invention or the technical proposal in the existing technology, to embodiment or will show below There is attached drawing needed in technical description to be briefly described, it should be apparent that, the accompanying drawings in the following description is this hair Bright some embodiments for those of ordinary skill in the art without any creative labor, can be with It obtains other drawings based on these drawings.

Fig. 1 is the application scenarios schematic diagram of medical image interactive approach provided in an embodiment of the present invention；

Fig. 2 is the flow diagram one of medical image interactive approach provided in an embodiment of the present invention；

Fig. 3 is the flow diagram two of medical image interactive approach provided in an embodiment of the present invention；

Fig. 4 is the flow diagram three of medical image interactive approach provided in an embodiment of the present invention；

Fig. 5 is the structural schematic diagram of medical image interactive device provided in an embodiment of the present invention；

Fig. 6 is the structural schematic diagram for the medical image interactive device that further embodiment of this invention provides；

Fig. 7 is the hardware structural diagram of medical image interaction device provided in an embodiment of the present invention.

Specific embodiment

In order to make the object, technical scheme and advantages of the embodiment of the invention clearer, below in conjunction with the embodiment of the present invention In attached drawing, technical scheme in the embodiment of the invention is clearly and completely described, it is clear that described embodiment is A part of the embodiment of the present invention, instead of all the embodiments.Based on the embodiments of the present invention, those of ordinary skill in the art Every other embodiment obtained without making creative work, shall fall within the protection scope of the present invention.

The partial proper name occurred in the application is explained first, so as to preferably to the scheme of the application Understood.

DICOM: digital imaging and communications in medicine (Digital Imaging and Communications It inMedicine), is the international standard of medical image and relevant information, defining quality and being able to satisfy clinical needs can be used for counting According to the Medical Image Format of exchange.DICOM is not only a kind of storage format of medical image, and be different imaging systems not With the mode converted between form data.

Websocket: a kind of agreement carrying out full-duplex communication in the connection of single transmission control protocol enables to visitor Data exchange between family end and server becomes simpler, while allowing server actively to client push data.

BS:Browser/Server, a kind of browser and server framework, the core that system function is realized are concentrated It only needs to install a browser onto server, in client, various databases is installed on server, browser passes through this Structure can carry out data interaction with server.The framework can simplify the load of client, reduce the overall cost of client.

Fig. 1 is the application scenarios schematic diagram of medical image interactive approach provided in an embodiment of the present invention, as shown in Figure 1, this The system architecture design of inventive embodiments includes management server 11, picture servers 12, command server 13 and client 14, Wherein management server 11 be responsible for organizational structure management (management including hospital, department), user management (including client note Volume is logged in, is exited), (creation including room is added, exits and current state management, generate room identification for room management Deng), access authorization for resource management (including the management of DICOM data permission)；

Picture servers 12 are responsible for the storage of DICOM raw imaging data, DICOM raw imaging data conversion process and are gone through History cache management, and it is responsible for the image data after conversion in the management by synchronization of each client, image class synergistic function is completed, this is removed Except may call upon algorithm and DICOM data and generate the second medical image.

History buffer management that command server 13 is responsible for operational order and operational order data are in each client synchronization Order class system function is completed in management；

Client 14 is responsible for user collaborative operating interactive, cooperating classification and image and information display function.It is above-mentioned All coordinated managements are all managed as unit of room, and room is created for data collaborative mutual between multiple client The institutional framework built, room can generate corresponding room identification in creation, and the corresponding room identification in each room is unique , client 14 can enter corresponding room according to room identification.In same room with them, there can be multiple client 14, such as Shown in Fig. 1, including customer end A and customer end B.In each client other than the special circumstances such as net lag, in room The medical image of display be it is identical, the collaboration class instruction simultaneously for every width medical image is also consistent, i.e. same room Interior client can carry out interactive operation for same width medical image, to carry out the interaction of medical image.

Management server 11, picture servers 12 and command server 13 can be three independent servers, work as service When device has enough processing capacities, the function of other servers is also may be implemented in a server.For example, can have one it is comprehensive Hop server is integrated with the function of management server 11, picture servers 12 and command server 13, which can be into The management of row organizational structure, user management, room management and access authorization for resource management can also carry out image coordinated management and order association With management.For another example can also be in a server integrated management server 11, picture servers 12 and command server 13 Any two, remaining one is separate server.

Since picture is most consumption system resource always, in a kind of possible scheme, by picture servers 12 It individually sets up, and configures high performance hardware, meet the requirement of requirement and the picture storage, transmission of image procossing, and for pipe Reason server 11 and command server 13 can configure common hardware, reduce the cost of whole system cluster.Such as system cluster needs 8 servers are wanted, if picture servers 12 and command server 13 do not separate, 8 servers must require processing image Data, it is necessary to every high configuration, and if picture servers 12 and command server 13 separate, it can be using 5 high configuration 12, the 3 low configurations of conduct picture servers be used as command server 13, to reduce the hardware cost of system cluster.

How to be solved with technical solution of the specific embodiment to technical solution of the present invention and the application below above-mentioned Technical problem is described in detail.These specific embodiments can be combined with each other below, for the same or similar concept Or process may repeat no more in certain embodiments.Below in conjunction with attached drawing, the embodiment of the present invention is described.

Fig. 2 is the flow diagram one of medical image interactive approach provided in an embodiment of the present invention, as shown in Figure 2, comprising:

S21 obtains the room identification in the room that the first client enters, wherein multiple clients can be accommodated in same room End.

Room is the unit of image interactive, and the client in same room with them carries out interaction friendship to same medical image Stream.Room identification is for distinguishing different rooms, and when client application generates room, management server will create one Room, and room identification is distributed for the room of creation, when other clients want to enter into the room, corresponding room mark can be passed through Know to enter.

The form of room identification can be to be a variety of, for example, a kind of possible room identification be the form numbered, management service Device can be numbered for each room, the sequencing that the sequence of number can be created according to room, can also random number, still The number in each room is unique.When client wants enter some room, first it is to be understood that the room identification in the room, i.e., Room number.

For another example room identification can also be and be divided according to different department, when client application creates room, according to Department belonging to the medical image of exchange and interdynamic is wanted, to be applied, management server is according to the application of client, for creation Room distribution includes the room identification of the corresponding department in the room.If the same department is corresponding with multiple rooms, in the department Under, multiple rooms are numbered respectively.For example, having internal medicine Room 1, internal medicine Room 2 and internal medicine Room 3 under internal medicine, client is wanted One new room of application creation, the exchange of the related medical image for internal medicine, then management server can be according to client Application creates a new room under internal medicine, and creates corresponding room identification-internal medicine Room 4, etc. for the room.Room The concrete form of mark can be set according to actual needs, and above two mode is only two kinds of possible implementations, specifically Form is not specially limited herein.

When the first client need with other clients when interacting of medical image of progress, initial landing room, at this time the One client can save the room identification, and room identification is synchronized to image server by management server, and according to the room Between identify, corresponding room is added in the first client.The client for entering room to first herein enters the mistake in room Journey is illustrated: first enters the client connection management server in room, and after carrying out registering and logging, client is shown The job order created before.It include several tasks in job order, each task shows its task name in the display interface.Appoint Business refers to the DICOM raw imaging data of one group of deposit pictures management device.Task name in job order, which is one group, uniquely to be marked One group of character for knowing the task, can be one be made of storage time, image name, patient's title in certain embodiments Group character.Such as " 10:12 on January 7 divides within 2019, chest CT faultage image, patient's title XXX ".If a certain client User wants to see the picture stored under the task, and the room under the task, management server meeting can be entered by double-clicking the task name A unique room identification is automatically generated for each room, and the room identification being capable of room described in unique identification.

S22 obtains the present image information in the room, the present image letter according to the room identification in the room Breath includes the first identifier of the first medical image and the first medical image, and first medical image is its in the room Its client currently controls the image of display.

First medical image is in the room that the first client enters, other each clients are being shown and interacted Image, image server can get the present image information in room in real time, including each client currently control it is aobvious The first identifier of the first medical image and the first medical image that show.For every piece image, image server is all distributed for it Individual image identification distinguishes every piece image with this.The first identifier of first medical image refers to the room Interior other clients currently control the image identification of the image of display.For example, the image identification of piece image is 123a, when First client enters in a room, other clients each at this time are being shown and the image interacted is with figure As the image of mark 123a, i.e. the first medical image, then the first identifier of current first medical image is 123a.

First medical image is synchronized to first client according to the first identifier by S23.

After the first client enters room, image server according to the first identifier of the first medical image got, First medical image is synchronized to new the first client that room is added.In the embodiment of the present invention, for every piece image, only need It to be generated once at image server end when showing first time, when there is new client that room is added, only need basis Present image information will currently show image synchronization to the client being newly added in image server, client is directly read Corresponding medical image, does not have between client to regenerate image and shows.

The embodiment of the present invention can based on the HTML5 standard of browser, independent of any particular browser and system platform, Without install client software and downloading browser plug-in, can allow clinician on workstation computer, on tablet computer, hand The image data for browsing dicom standard on machine whenever and wherever possible utmostly saves time and the cost of deployment, and flexibly and quickly The browsing image and coordination requirement of ground response user.

Medical image interactive approach provided in an embodiment of the present invention passes through the room mark in the room that the first client enters Know, so that image server gets the present image information in room, and passes through the first medicine figure in present image information The first medical image that other clients currently control display is synchronized to the first client, each width doctor by the first identifier of picture It learns image only to need to be generated when showing first time, after newly room is added in the first client, it is only necessary to by corresponding the One medical image is synchronized to the first client being newly added, and is directly read by the first client, without regenerating, so as to It enough economizes on resources, improves collaboration speed.Meanwhile the embodiment of the present invention is generated and is managed to image by image server is unified Reason, is then directly synchronized to client, without carrying out the processing of interface data, can also guarantee the authenticity that image is shown.

Fig. 3 is the flow diagram two of medical image interactive approach provided in an embodiment of the present invention, as shown in Figure 3, comprising:

S31 obtains the image display application instruction that the second client in room is sent, described image display application instruction Second identifier including the second medical image, the room contents, which are received, multiple first clients, and second client is institute A client in multiple first clients is stated, the present image information in the room includes the first medical image and first The first identifier of medical image, first medical image currently control the figure of display for other clients in the room Picture；

Room is the unit of medical image interaction, and the room in the embodiment of the present invention contains with the room in Fig. 2 embodiment Adopted consistent, details are not described herein again.

It in a room, include multiple first clients, wherein the time that each first client enters room can phase Together, it can also be different.When the first client enters room, the room identification in room can be got, is obtained according to room identification The present image information in room, wherein the present image information in room includes the of the first medical image and the first medical image One mark, the first medical image currently control the image of display for other clients in the room, then image server The first medical image can be synchronized to the first client according to first identifier.Since each first client enters the time in room May be different, therefore the image that other clients currently control display in room may also be different.

Second client is one in multiple first clients, i.e. the second client is one in the client in room It is a.When the second client application show other medical images or by other clients in room currently control the image of display into When row transformation, the second client can send image display application instruction to image server, including the second medical image Second identifier, the second medical image can be other medical images, be also possible to currently control other clients in room aobvious The image that the image shown is converted, and second identifier can then uniquely determine second medical image.

Second medical image is synchronized to all clients in the room according to the second identifier by S32.

It, can be according to image after image server gets the image display application instruction of the transmission of the second client in room Second identifier in display application instruction, all clients the second medical image being synchronized in room.For example, in room The first medical image that client currently controls display is the gastroscope figure of onychonosus people, and corresponding first identifier is 123.Second visitor The user at family end wishes the gastroscope figure of display second patient at this time, and the gastroscope figure of second patient is the second medical image at this time, corresponding Second identifier be 124.The user of second client can send image display application to image server by the second client Instruction, including the corresponding second identifier 124 of gastroscope figure of second patient, image server can be obtained according to second identifier 124 To the second medical image, i.e. the gastroscope figure of second patient, all clients being then synchronized in room.

It should be noted that the scheme in Fig. 3 embodiment, can be used as individual embodiment and carries out, it can also be in Fig. 2 It is carried out on the basis of the scheme of embodiment.

Below with reference to Fig. 4, and specific embodiment is used, technical solution shown in the application is described in detail.It needs It is noted that following several specific embodiments can be combined with each other, for the same or similar content, in different embodiments In no longer carry out repeated explanation.

Fig. 4 is the flow diagram three of medical image interactive approach provided in an embodiment of the present invention, as shown in Figure 4, comprising:

S401, client connection management server are registered in management server and log in management server.

When user needs to carry out the interaction of medical image, it is necessary first to by corresponding client connection management server into Row registration, filling registration information, registration information generally comprise the login name of user, login password, and user is subordinate to hospital and is subordinate to Department.

Management server has organizational structure managerial ability, the management including area, hospital and department etc..Client into When row registration, need to select corresponding organizational structure, for example, client correspond to user for any hospital, institute which department what etc. The doctor etc. of grade, above-mentioned every terms of information constitutes user property, and management server determines that client can Shen according to user property The permission for the DICOM data that please be check.

Meanwhile management server has DICOM data resource rights management capabilities, the DICOM image data of each upload Have unique number (i.e. image identification), and it needs to be determined which tissue has permission, such as which hospital, which section checked Room or which doctor etc..

For example, user A is the doctor of C hospital, the city B Gastroenterology, through client after management server registration, user A is The relevant medical image for checking and operating Gastroenterology is had permission, the relevant medical shadow of other departments is checked and operated without permission Picture.Other permissions are opened if necessary, then need to issue to management server and apply, it is copending accordingly to be grasped after Make.

After succeeding in registration, management server can send the information to succeed in registration to client, after client receives Management server is logged in when needed.When client logs in management server, need according to client in management service The relevant information registered on device is logged in, and after logining successfully, connection can be established between client and management server.Due to pipe Connection has been established between reason server and image server and command server, therefore logs on management clothes in client It is engaged in after device, the access information of image server and command server can be got by management server, so that client Connection can be established respectively with image server and command server by management server.Wherein, client and image take Establishing connection between business device and command server can be used the long connection type of Websocket, and this mode enables to client It only needs once to shake hands between end and image server, client and command server, it will be able to persistent connection is established, and Carry out bidirectional data transfers.

S402, management server send access information to image server and command server.

After logining successfully, image server and command server receive the access information that management server is sent, the access Information includes the first client identification and the first client log-on message, wherein the first client identification can be the first client Hold and generated in management server registration, each in the mark of the client of management server side registration be it is unique, Client identification specifically can be the number of client, and the number of client can be obtained according to the sequencing of registration, can also By be it is other in a manner of obtain.According to the first client identification, management server can get the registration letter of the first client Whether the current state of breath and the first client, including the first client are established with image server and command server and are connected It connects, whether the first client enters some room, and whether the first client shows a certain width medical image etc..According to first Client identification and the first client log-on message, management server will be in the first clients and image server, the first client Connection is established between end and command server.

It is recognised that all operations of management server, image server and command server can in the embodiment of the present invention To be completed by the same server, can also be completed by two or three independent servers.It is a kind of Preferable scheme is that, will Image server is separately provided, and management server and command server are separately provided or are set as a server, therefore Image server can carry out high hardware configuration, with the requirement for meeting image procossing, storing and transmitting, and management server and order Server can be configured generally, and the hardware cost of system cluster is reduced with this.

The first client in the embodiment of the present invention refers to needing and other clients carry out medical image interaction, and steps on The client for recording room is intended merely to carry out medical image by itself if client does not need to be interacted with other clients It checks and operates, then between the client can choose one new house of creation, and to management server application permission, do not allow other Client enters.User can specify a variety of access entitlements, such as only permits compliance with the users of certain specified conditions and enter.

S403, the first client log in room according to access information and save room identification.

After image server and command server get access information, according to the first client identification and the first client Log-on message, is transmitted into room information to the first client, wherein contains what the first client to be entered in log-on message The room identification in room and the temporal information for entering room.After first client logs in room according to access information, it can save Room identification, after each room creation, management server can set a room identification different from other rooms for room, Management server can also get all clients information for logging in the room according to room identification simultaneously.

Room identification is synchronized to image server and command server by S404, the first client.

After first client logs in room success, confirmation message can be sent to image server and command server, this is really Recognize the room identification and log in room successful information that message includes the room that the first client enters.

S405, image server and command server judge whether room identification has existed, and if it does not exist, execute S406, and if it exists, execute S408.

Image server and command server judge whether the room has created according to room identification, if not creating, hold Row S406 executes S408 if having created.

S406, management server establish room and are synchronized to image server and command server.

The first client room to be logged in does not create, then management server creates corresponding room, and by the correspondence The room identification in room be synchronized in image server and command server, image server and command server get this After room identification, the first client is added in room.

First client is added in room by S407, image server and command server, executes S411.

First client enters the room just created.

First client is added in room by S408, image server and command server.

The first client room to be logged in has created, then image server and command server are directly by the first client It is added in room.

S409, image server give present image synchronizing information to the first client.

When carrying out medical image exchange in the room that one has created, between each client, in same room with them The image that each client currently controls display is consistent, and image server can get present image information, current to scheme As information includes the first identifier of the first medical image and the first medical image, which is its in the room Its client currently controls the image of display, and first identifier refers to that other clients in the room currently control the figure of display The mark of picture.

Cached several medical images in image server, picture servers be each width medical image distribute one with The different image identification of other medical images, according to an image identification, picture servers can find corresponding unique medicine figure Picture.

When first client enters room, the image of control display is the first medical image at other clients, shows this First medical image has cached, at this point, first identifier of the image server according to the first medical image, same by present image information It walks to the first client, the first client gets the first identifier of the first medical image and the first medical image.

S410, command server give the collaboration class command synchronization of the first medical image to the first client.

After first client gets the first identifier of the first medical image and the first medical image, if other in room Client has carried out the first medical image to cooperate with class instruction operation accordingly, then command server is obtained according to first identifier Collaboration class to the first medical image instructs, wherein the collaboration class instruction includes multiple operations arranged sequentially in time Instruction and first identifier.Operational order may include measurement scribing line, inverse, rotation, scaling, translation, page turning etc..In room User can specify a side as speaker by client, and speaker can be operated by corresponding client, at this time its His client not can be carried out operation, but can see picture identical with speaker.Other users can pass through client Shen It please work as speaker, it can be switched as speaker in current speaker after agreeing to.

Then, the collaboration class command synchronization to the first client is cooperateed with multiple operations in class instruction by command server Instruction will operate the first medical image according to chronological order, and last first client currently controls the figure of display As effect in room other clients control shown in image effect it is completely the same.

S411, image server wait the image display application instruction of the second client in room.

Obtain the image display application instruction that the second client is sent in room, the second client in the embodiment of the present invention Refer to that the different new medical image or client of the medical image for being intended to apply from currently showing does not show any medical image When, it is intended to apply for that the client of the display of a secondary medical image enters for example, the entrance of the second client is newly created room Client does not show any medical image afterwards, and the second client can initiate image display application instruction to image server at this time, Show a certain width medical image.For another example medical image A, the second client medicine figure to be shown currently are shown in room It as B, is exchanged with other clients, the second client can also initiate image display application instruction to image server at this time. Image server waits the image display application instruction of each client in room.The application instruction of image display herein includes display One secondary new images and map function is carried out to image, map function includes amplifying, reducing to image, add mark or change Image viewing field range (adjusting of image window width and window level) etc..

S412, image server obtain image display application instruction.

Image server obtains the image display application instruction that the second client is sent, wherein image display application instruction packet The second identifier of the second medical image is included, which is used to find the second medical image for image server.If image Display application instruction then includes that map function instructs in image display application instruction to carry out map function to image.Second doctor It learns image and refers to that the second client is intended to apply for the medical image of display.

N width medical image is successively cached according to timing in image server, and each width medical image designs one Unique image identification.The all clients of image server record current room are cooperateing with the image of the medical image used Mark, and this medical image is synchronized to all clients for being connected to this room, if some client is due to originals such as networks Because not synchronizing success, image server is recorded, and continues to synchronize this client subsequent, until success, so image Server ensure that the ordering that each client image is shown.When the medical image that client needs is not in N width caching, Image server can call algorithm and corresponding DICOM data to generate medical image, and replace N according to the sequencing of time Earliest piece image in width cache image.N is the best number that server can store, according to server memory size and picture Size, N is different.For example, according to parsing sequence design image identification and it is stored in image server after DICOM image analysis, into It successively can orderly be shown according to image identification when row image page turning.Wherein image identification can be designed according to timestamp, or Person designs according to DICOM image analysis sequence, so when image page turning can according to the time sequencing of image buffer storage or according to The parsing sequence of DICOM image is orderly shown.

S413, image server judge whether the second medical image has cached, if so, S415 is executed, if it is not, executing S414。

Whether image server judges the second medical image in the image of history buffer.In the embodiment of the present invention, Xiang Tu When as server transport medical image, the image file for being based on dicom standard is transmitted, such as can be used general DICOM3.0 standard.And when client shows image, since the format of different types of medical image is all different, Some medical images cannot be called directly and be shown to client.For example, the medicine shadow such as electroencephalogram, nuclear magnetic resonance figures, stomach mirror figure Picture, corresponding Medical Image Format may include Analyze format, NIfTI format and MINC format etc., at this time if format not It is corresponding, then it represents that the second medical image is uncached in history image.

S414, image server call algorithm and DICOM data to generate the second medical image.

If the second medical image of the application, not in history buffer data, image server calls algorithm and DICOM Data generate the second medical image.

Second medical image is synchronized to all clients in room by S415, image server.

After getting the second medical image according to the second identifier of the second medical image, it is synchronized to all visitors in room Family end is consistent with guaranteeing that all clients in same room with them currently control the image of display.If some client Success is not synchronized due to network etc., image server will do it record, and continue to be synchronized to the visitor in the follow-up process Family end, until success, to ensure that the order that each client image is shown.

For example, including customer end A and customer end B in certain room, customer end A thinks modified-image field of view range, then can Image display application instruction is initiated to image server, after image server receives image display application instruction, if it is determined that figure As display applies for that the image identification of this cache image there are in the image of history buffer, then directly is set as working as by the image instructed Preceding image identification, and the corresponding medical image of this image identification is synchronized to customer end A and customer end B, ultrahigh in efficiency；If it is determined that The image of image display application instruction is there is no in history buffer image, then image server calls algorithm and DICOM data weight Newly-generated image, the image identification that newly-generated image is added in caching to and is arranged newly-generated image is present image mark Know, while synchronizing the corresponding image of this image identification into customer end A and customer end B；Image also only needs to generate once.

S416, command server obtain the collaboration class to tertiary medicine image that client is sent and instruct.

The interaction of medical image further includes the operation to operational order, abbreviation command operation in addition to the operation to image.Behaviour Making instruction may include measurement scribing line, inverse, rotation, scaling, translation, page turning etc., wherein the embodiment of the present invention obtains third visitor In the collaboration class instruction for tertiary medicine image that family end is sent, the third mark including tertiary medicine image.Wherein, third Client is that the client that command operation is carried out to image is wished in any of room, and tertiary medicine image is third client The medical image being directed in collaboration class instruction.

The operational order of the command operation in each room is successively all cached according to timing in command server, and Every operational order all design operations instruct ID number.Command server is in sequence synchronized to operational order is connected to this always Each user client in room, and the push which operational order each client user has been accomplished to is recorded, if certain A user client causes some operational order not synchronize success due to network etc., and command server can persistently give this use This operational order of family client synchronization, until success.So command server also ensures the order association of command operation instruction Together.Command server can instruct ID number according to timestamp design operation, and command server is by the operational order received according to behaviour The timestamp made in instruction ID is successively put into queue, and is successively taken out and be synchronized to client, to guarantee the orderly of command process Property.

S417, command server judge that client currently controls the image identification of display and the image mark of tertiary medicine image Whether knowledge is identical, if so, S421 is executed, if it is not, executing S418.

The embodiment of the present invention can not only guarantee between image inside, the order between command operation instruction internal, can be with Guarantee the order between image and command operation instruction.Order between image and command operation instruction is to utilize order behaviour Realize that each user client can record oneself current display figure comprising the image identification that this operational order is directed in instructing The image identification of picture synchronizes the image identification for including in the operational order to get off when some user client receives command server When the image identification currently shown with oneself is inconsistent, this operational order will be abandoned, and feed back to command server this Operational order does not synchronize success, shows that medical image that the client is shown is not the medicine figure that the room is currently shown at this time Picture, image server will continue to the medical image currently shown to the client synchronization, while extended meeting is again after command server This operational order is synchronized to this user client, until including in image identification and operational order that this client is currently shown Image identification is consistent.

For example, the collaboration class instruction that third client is sent is wished to operate tertiary medicine image, and some client End is due to network etc., and the medical image of current control display is not tertiary medicine image, at this time if directly carried out to it Command operation then will appear mistake, and order sends mistake in order to prevent, and the embodiment of the present invention is by comparing tertiary medicine image Image identification and client currently show the image identification of image come to the image identification for including in command operation instruction and oneself Whether current image identification is unanimously determined.

S418, command server obtain the image identification that client currently controls display image according to prefixed time interval.

For currently controlling the second target for showing that the image identification of image is different from the image identification of tertiary medicine image Client does not first synchronize collaboration class instruction to second destination client at this time, but obtains the according to prefixed time interval Two destination clients currently control the image identification of display image.In the embodiment of the present invention, which can basis Actual needs setting, is not especially limited herein.

For example, certain interaction side's client causes mutually since network problem is without more new images such as during image page turning Dynamic side's client image identification is Img_id, inconsistent with masters client image identification Img_id2, at this time masters client End draw lines etc. operation when, the setting-out command synchronization that operational order ID is A1 is arrived command server by masters client, is ordered Enable server by setting-out command synchronization that operational order ID is A1 to interaction side client, interaction side's client process, which draws lines, to be operated Shi Jing in the setting-out order that the image identification of images themselves is Img_id and received operational order ID is A1 it was found that specify The image identification Img_id2 of image is inconsistent, will give up to fall the operational order, and return to command server, command service Device receives return information and is judged, and continues to synchronize operational order that this operational order ID is A1 to interaction side's client, Until the image that the image identification of interaction side's client is Img_id2 is ready, this number operational order ID is the operational order of A1 It is correctly executed by interaction side's client.

S419, command server judge that client currently controls the image identification and tertiary medicine image of the image of display Whether image identification is identical, if so, S421 is executed, if it is not, executing S420.

Second destination client may for some reason, it is current show other clients of picture lag or other Reason does not show tertiary medicine image, therefore command server constantly obtains second destination client and currently controls display The image identification of image, and be compared with the image identification of tertiary medicine image.

S420, client send the collaboration unsuccessful information of class command synchronization to command server.

If whithin a period of time, the image identification and the tertiary medicine of the current control display image of second destination client The image identification of image is different always, then instructs without normal direction client synchronization collaboration class, sends at this time to command server The unsuccessful information of class command synchronization is cooperateed with, command server is recorded.

S421, command server is by the client in the collaboration class command synchronization to room of tertiary medicine image.

For the image identification first object identical with the image identification of tertiary medicine image of current control display image Client, and currently control shows the image identification of image and the figure of tertiary medicine image after multiple prefixed time intervals As identifying identical second destination client, the collaboration class instruction for tertiary medicine image is synchronized.It needs to illustrate , collaboration class instruction includes one or more command operations for being directed to tertiary medicine image, and each command operation has sternly The sequencing of lattice.When synchronizing, one or more is in strict accordance with successive for the command operation of tertiary medicine image What sequence synchronized, to ensure that the order collaboration of command operation.

For example, after multiple client user enters same room with them according to above-mentioned process, such as customer end A and client B is held, when customer end A user's operation client, if operation belongs to command operation, the operational order of command operation is sent To command server end, queue is added after receiving in command server end, and the instruction for synchronizing this command operation is used to customer end B Family, customer end B can execute operation identical with customer end A after receiving command operation instruction automatically, and customer end A and customer end B are seen The identical content arrived, and ultrahigh in efficiency are delayed minimum；The command operation of same customer end B can also be synchronized to client Hold A.

Room instruction is exited in S422, user end to server transmission.

After some client terminates the interaction of medical image, at the same to management server, image server and Room instruction is exited in command server transmission, and room is exited in application.

S423, server delete client related data.

After management server, image server and command server receive instruction, that is, the related data of the client is deleted, The client is allowed to exit the room.

S424, after all clients exit in room, server deletes room and room identification.

If all clients in room exit, management server can carry out deletion recovery processing to the room, with Save space resources.When client needs to create room again, can initiate to apply again to management server.

Medical image interactive approach provided in an embodiment of the present invention, using image and by the way of ordering and depositing, by image mould Formula and command mode carry out classification processing, and image is generated and managed by image server is unified, guarantees the consistent of image Property and authenticity, client be merely responsible for the display and operation of image, using command server realize order ordering, to interaction Platform is managed collectively.By the coordinated manipulation of image server and command server, between Lai Shixian image inside, behaviour is ordered Make the ordering between instruction internal and between image and command operation instruction.

Fig. 5 is the structural schematic diagram of medical image interactive device 50 provided in an embodiment of the present invention, as shown in figure 5, including Obtain module 51, first processing module 52 and Second processing module 53, in which:

Obtain the room identification that module 51 is used to obtain the room of the first client entrance, wherein can hold in same room Receive multiple client；

First processing module 52 is used for the room identification according to the room, obtains the present image information in the room, The present image information includes the first identifier of the first medical image and the first medical image, and first medical image is Other clients in the room currently control the image of display；

Second processing module 53 is used to that first medical image to be synchronized to first visitor according to the first identifier Family end.

In a kind of possible design, the Second processing module 53 is also used to:

Fig. 6 is the structural schematic diagram for the medical image interactive device 60 that further embodiment of this invention provides, as shown in fig. 6, Including obtaining module 61 and synchronization module 62, in which:

It obtains module 61 and is used to obtain the image display application instruction that the second client in room is sent, described image is aobvious Show that application instruction includes the second identifier of the second medical image, the room contents, which are received, multiple first clients, and described second Client is a client in the multiple first client, and the present image information in the room includes the first medicine figure The first identifier of picture and the first medical image, first medical image are that other clients in the room currently control The image of display；

Synchronization module 62 is used to that second medical image to be synchronized to all of the room according to the second identifier Client.

In a kind of possible design, the synchronization module 62 is specifically used for:

In a kind of possible design, the synchronization module 62 is specifically also used to:

In a kind of possible design, corresponding the is obtained according to the instruction of the collaboration class of the tertiary medicine image described After the third mark of three medical images, the synchronization module 62 is specifically also used to:

Device provided in an embodiment of the present invention can be used for executing the technical solution of above method embodiment, realization principle Similar with technical effect, details are not described herein again.

Fig. 7 is the hardware structural diagram of medical image interaction device provided in an embodiment of the present invention, as shown in fig. 7, should Medical image interaction device includes: at least one processor 71 and memory 72.Wherein, processor 71 and memory 72 pass through total Line 73 connects.

Optionally, model determination further includes communication component.For example, communication component may include receiver and/or transmission Device.

During specific implementation, at least one processor 71 executes the computer execution that the memory 72 stores and refers to It enables, so that at least one processor 71 executes medical image interactive approach as above.

The specific implementation process of processor 71 can be found in above method embodiment, and it is similar that the realization principle and technical effect are similar, Details are not described herein again for the present embodiment.

In above-mentioned embodiment shown in fig. 5, it should be appreciated that processor can be central processing unit (English: Central Processing Unit, referred to as: CPU), it can also be other general processors, digital signal processor (English: Digital Signal Processor, referred to as: DSP), specific integrated circuit (English: Application Specific Integrated Circuit, referred to as: ASIC) etc..General processor can be microprocessor or the processor is also possible to any conventional place Manage device etc..Hardware processor can be embodied directly in conjunction with the step of invention disclosed method and executes completion, or with handling Hardware and software module combination in device execute completion.

Memory may include high speed RAM memory, it is also possible to and it further include non-volatile memories NVM, for example, at least one Magnetic disk storage.

Bus can be industry standard architecture (Industry Standard Architecture, ISA) bus, outer Portion's apparatus interconnection (Peripheral Component, PCI) bus or extended industry-standard architecture (Extended Industry Standard Architecture, EISA) bus etc..Bus can be divided into address bus, data/address bus, control Bus etc..For convenient for indicating, the bus in illustrations does not limit only a bus or a type of bus.

The application also provides a kind of computer readable storage medium, and calculating is stored in the computer readable storage medium Machine executes instruction, and when processor executes the computer executed instructions, realizes medical image interactive approach as described above.

Above-mentioned computer readable storage medium, above-mentioned readable storage medium storing program for executing can be by any kind of volatibility or non- Volatile storage devices or their combination realize that, such as static random access memory (SRAM), electrically erasable is only It reads memory (EEPROM), Erasable Programmable Read Only Memory EPROM (EPROM), programmable read only memory (PROM) is read-only to deposit Reservoir (ROM), magnetic memory, flash memory, disk or CD.Readable storage medium storing program for executing can be general or specialized computer capacity Any usable medium enough accessed.

A kind of illustrative readable storage medium storing program for executing is coupled to processor, to enable a processor to from the readable storage medium storing program for executing Information is read, and information can be written to the readable storage medium storing program for executing.Certainly, readable storage medium storing program for executing is also possible to the composition portion of processor Point.Processor and readable storage medium storing program for executing can be located at specific integrated circuit (Application Specific Integrated Circuits, referred to as: ASIC) in.Certainly, processor and readable storage medium storing program for executing can also be used as discrete assembly and be present in equipment In.

The division of the unit, only a kind of logical function partition, there may be another division manner in actual implementation, Such as multiple units or components can be combined or can be integrated into another system, or some features can be ignored, or not hold Row.Another point, shown or discussed mutual coupling, direct-coupling or communication connection can be through some interfaces, The indirect coupling or communication connection of device or unit can be electrical property, mechanical or other forms.

The unit as illustrated by the separation member may or may not be physically separated, aobvious as unit The component shown may or may not be physical unit, it can and it is in one place, or may be distributed over multiple In network unit.It can select some or all of unit therein according to the actual needs to realize the mesh of this embodiment scheme 's.

It, can also be in addition, the functional units in various embodiments of the present invention may be integrated into one processing unit It is that each unit physically exists alone, can also be integrated in one unit with two or more units.

It, can be with if the function is realized in the form of SFU software functional unit and when sold or used as an independent product It is stored in a computer readable storage medium.Based on this understanding, technical solution of the present invention is substantially in other words The part of the part that contributes to existing technology or the technical solution can be embodied in the form of software products, the meter Calculation machine software product is stored in a storage medium, including some instructions are used so that a computer equipment (can be a People's computer, server or network equipment etc.) it performs all or part of the steps of the method described in the various embodiments of the present invention. And storage medium above-mentioned includes: that USB flash disk, mobile hard disk, read-only memory (ROM, Read-Only Memory), arbitrary access are deposited The various media that can store program code such as reservoir (RAM, Random Access Memory), magnetic or disk.

Those of ordinary skill in the art will appreciate that: realize that all or part of the steps of above-mentioned each method embodiment can lead to The relevant hardware of program instruction is crossed to complete.Program above-mentioned can be stored in a computer readable storage medium.The journey When being executed, execution includes the steps that above-mentioned each method embodiment to sequence；And storage medium above-mentioned include: ROM, RAM, magnetic disk or The various media that can store program code such as person's CD.

Finally, it should be noted that the above embodiments are only used to illustrate the technical solution of the present invention., rather than its limitations；To the greatest extent Pipe present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that: its according to So be possible to modify the technical solutions described in the foregoing embodiments, or to some or all of the technical features into Row equivalent replacement；And these are modified or replaceed, various embodiments of the present invention technology that it does not separate the essence of the corresponding technical solution The range of scheme.

Claims

1. a kind of medical image interactive approach characterized by comprising

According to the room identification in the room, the present image information in the room is obtained, the present image information includes the The first identifier of one medical image and the first medical image, first medical image are other clients in the room The image of current control display；

2. the method according to claim 1, wherein the method also includes:

According to the first identifier, the collaboration class instruction of first medical image is obtained；Wherein, first medical image Cooperateing with class instruction includes multiple operational orders arranged sequentially in time and the first identifier；

3. -2 described in any item methods according to claim 1, which is characterized in that in the room that the first client of the acquisition enters Between room identification before, the method also includes:

Receive management server send access information, the access information include the first client mark and it is described first visitor The log-on message at family end；

According to the mark of the first client and the log-on message of first client, the first client of Xiang Suoshu is transmitted into room Between information, for first client confirmation；

The confirmation message that first client is sent is received, the confirmation message includes the first of the entrance of first client The room identification and login room successful information in room.

4. a kind of medical image interactive approach characterized by comprising

The image display application instruction that the second client in room is sent is obtained, described image display application instruction includes second The second identifier of medical image, the room contents, which are received, multiple first clients, and second client is the multiple the A client in one client, the present image information in the room include the first medical image and the first medical image First identifier, first medical image is that other clients in the room currently control the image of display；

5. according to the method described in claim 4, it is characterized in that, it is described according to the second identifier by the second medicine figure All clients as being synchronized to the room, specifically include:

If knowing that the second medical image is located in history buffer image according to second identifier judgement, by second medicine All clients of the image synchronization to the room；

Otherwise, show that application instruction generates second medical image according to described image, second medical image is synchronous To all clients in the room.

6. according to the method described in claim 4, it is characterized in that, the if needle that the third client for getting the room is sent Collaboration class instruction to tertiary medicine image, the method also includes:

According to third mark by the collaboration class command synchronization of the tertiary medicine image to first object client, described the One destination client is that currently control shows the client of the tertiary medicine image in the room.

7. according to the method described in claim 6, it is characterized in that, referring in the collaboration class according to the tertiary medicine image After enabling the third mark for obtaining corresponding tertiary medicine image, the method also includes:

The mark that the second destination client currently controls display image, second target customer are obtained according to prefixed time interval End is other clients in the room in addition to the first object client；

When the mark that second destination client currently controls display image is different from third mark, acquisition described the The unsuccessful information of collaboration class command synchronization that two destination clients are sent；

When the mark that second destination client currently controls display image is identical as the third mark, by the third The collaboration class command synchronization of medical image is to second destination client.

8. a kind of medical image interactive device characterized by comprising

First processing module obtains the present image information in the room for the room identification according to the room, described to work as Preceding image information includes the first identifier of the first medical image and the first medical image, and first medical image is the room Interior other clients currently control the image of display；

Second processing module, for first medical image to be synchronized to first client according to the first identifier.

9. a kind of medical image interactive device characterized by comprising

Module is obtained, for obtaining the image display application instruction of the transmission of the second client in room, described image shows Shen The second identifier including the second medical image please be instruct, the room contents, which are received, there are multiple first clients, second client End is a client in the multiple first client, the present image information in the room include the first medical image with And first medical image first identifier, first medical image be the room in other clients currently control display Image；

Synchronization module, for second medical image to be synchronized to all clients in the room according to the second identifier End.

10. a kind of medical image interaction device characterized by comprising at least one processor and memory；

The memory stores computer executed instructions；

At least one described processor executes the computer executed instructions of the memory storage, so that at least one described processing Device executes medical image interactive approach as described in any one of claims 1 to 3, alternatively, making at least one described processor Execute such as the described in any item medical image interactive approaches of claim 4 to 7.

11. a kind of computer readable storage medium, which is characterized in that be stored with computer in the computer readable storage medium It executes instruction, when processor executes the computer executed instructions, realizes medicine as described in any one of claims 1 to 3 Image interactive method, alternatively, realizing such as the described in any item medical image interactive approaches of claim 4 to 7.