CN112102927B - Remote diagnosis method and system for vehicle-mounted CT - Google Patents

Remote diagnosis method and system for vehicle-mounted CT Download PDF

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CN112102927B
CN112102927B CN202010916491.XA CN202010916491A CN112102927B CN 112102927 B CN112102927 B CN 112102927B CN 202010916491 A CN202010916491 A CN 202010916491A CN 112102927 B CN112102927 B CN 112102927B
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CN112102927A (en
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狄小涛
陈牧
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Shanghai Dayong Medical Technology Co ltd
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H30/00ICT specially adapted for the handling or processing of medical images
    • G16H30/20ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T17/00Three dimensional [3D] modelling, e.g. data description of 3D objects
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H15/00ICT specially adapted for medical reports, e.g. generation or transmission thereof
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H30/00ICT specially adapted for the handling or processing of medical images
    • G16H30/40ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation

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Abstract

The invention provides a remote diagnosis method and a remote diagnosis system for vehicle-mounted CT (computed tomography), which comprise the following steps: step M1: carrying out CT scanning on a patient and carrying out three-dimensional reconstruction; step M2: uploading the three-dimensional reconstructed image data to a cloud; step M3: the terminal equipment downloads image data from the cloud and carries out dicom analysis to form a data linked list; step M4: reading the film and forming a diagnosis report according to the data chain table, and uploading the diagnosis report to the cloud; step M5: the PC of the on-board CT downloads the diagnostic report for review. The invention changes the prior report that only the film can be scanned out from the inside of the hospital into the report that the film can be read out from any point in the country.

Description

Remote diagnosis method and system for vehicle-mounted CT
Technical Field
The invention relates to the field of medical image diagnosis, in particular to a remote diagnosis method and system for vehicle-mounted CT.
Background
The invention overcomes the defect that the film reading report can only be scanned inside a hospital and can be transmitted to the hospital from any point in China for film reading report. The system can support remote online and remote video film reading reports instead of the prior report only in a hospital.
Patent document CN111402984A (application No. 202010090823.3) discloses a lung disease remote diagnosis system, comprising: the vehicle-mounted CT scanning subsystem is provided with CT scanning equipment and is used for acquiring a lung CT image of a patient; and the cloud image analysis subsystem is configured with a trained neural network model and is used for analyzing the lung CT image to obtain a positive and negative judgment result aiming at a specific lung disease. The lung disease remote diagnosis system provided by the invention can timely acquire medical images of patients in unspecified places, and transmits the medical images to the cloud in real time to immediately perform image analysis by using an artificial intelligent neural network technology to obtain positive and negative judgment results, so that the limitation on medical diagnosis scenes and the dependence on professional doctor resources are reduced, and the diagnosis efficiency is greatly improved.
Disclosure of Invention
Aiming at the defects in the prior art, the invention aims to provide a remote diagnosis method and system for vehicle-mounted CT.
The invention provides a remote diagnosis method of vehicle-mounted CT, comprising the following steps:
step M1: carrying out CT scanning on a patient and carrying out three-dimensional reconstruction;
step M2: uploading the three-dimensional reconstructed image data to a cloud;
step M3: the terminal equipment downloads image data from the cloud and carries out dicom analysis to form a data linked list;
step M4: reading the film and forming a diagnosis report according to the data chain table, and uploading the diagnosis report to the cloud;
step M5: the PC of the on-board CT downloads the diagnostic report for review.
Preferably, the data link list in the step M3 includes: a patient data table, an examination data table, a sequence data table, and/or an image data table.
Preferably, the step M3 includes: the terminal equipment performs incremental downloading or appointed downloading of image data from the cloud;
the incremental downloading comprises downloading new image data according to the date updating and updating the date of the downloaded image data to the date of the last downloaded data;
the specified downloading comprises corresponding downloading of the data according to the requirement.
Preferably, the step M4 includes:
step M4.1: the terminal equipment reads the film and forms a diagnosis report, and the diagnosis report is uploaded to the cloud;
step M4.2: the image data of the patient is filed to the PACS, the PACS reads the picture and forms a diagnosis report, the diagnosis report is transmitted back to the terminal equipment, and the terminal equipment receives the diagnosis report and then uploads the diagnosis report to the cloud.
Preferably, the cloud storage comprises storage according to a hospital-examination date-examination number-sequence-image hierarchy mode.
Preferably, the method further comprises the following steps: the method supports the field starting of remote video film reading diagnosis to obtain a diagnosis report or initiates remote online diagnosis to obtain a diagnosis report;
the remote online diagnosis comprises the step that qualified doctors obtain diagnosis reports on the online diagnosis after receiving the data.
Preferably, the images and the diagnosis reports stored in the cloud are viewed by the patient using the device terminal.
The invention provides a remote diagnosis system of vehicle-mounted CT, comprising:
module M1: carrying out CT scanning on a patient and carrying out three-dimensional reconstruction;
module M2: uploading the three-dimensional reconstructed image data to a cloud;
module M3: the terminal equipment downloads image data from the cloud and carries out dicom analysis to form a data linked list;
module M4: reading the film according to the data chain table, forming a diagnosis report, and uploading the diagnosis report to a cloud end;
module M5: the PC of the on-board CT downloads the diagnostic report for review.
Preferably, the data link list in the module M3 includes: a patient data table, an examination data table, a sequence data table, and/or an image data table;
the module M3 includes: the terminal equipment performs incremental downloading or appointed downloading of image data from the cloud;
the incremental downloading comprises downloading new image data according to the date updating and updating the date of the downloaded image data to the date of the last downloaded data;
the specified downloading comprises corresponding downloading of the data according to the requirement.
Preferably, said module M4 comprises:
module M4.1: the terminal equipment reads the film and forms a diagnosis report, and the diagnosis report is uploaded to the cloud;
module M4.2: the method comprises the steps of filing patient image data to a PACS, reading a picture by the PACS to form a diagnosis report, transmitting the diagnosis report back to a terminal device, and uploading the diagnosis report to a cloud terminal after the terminal device receives the diagnosis report;
the cloud storage comprises storage according to a hospital-examination date-examination number-sequence-image hierarchy mode.
Preferably, the method further comprises the following steps: the method supports the field starting of remote video film reading diagnosis to obtain a diagnosis report or initiates remote online diagnosis to obtain a diagnosis report;
the remote online diagnosis comprises the step that qualified doctors obtain diagnosis reports on the online diagnosis after receiving the data.
Preferably, the images and the diagnosis reports stored in the cloud are viewed by the patient using the device terminal.
Compared with the prior art, the invention has the following beneficial effects:
1. the invention changes the prior report that only the film can be scanned out from the interior of the hospital into the report that the film can be read out from any point in China;
2. the invention realizes the cloud storage and retrieval of data; and (3) reading the film in multiple modes (remote video, remote online and remote terminal) and giving a diagnosis report.
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Other features, objects and advantages of the invention will become more apparent upon reading of the detailed description of non-limiting embodiments with reference to the following drawings:
fig. 1 is a flowchart of a remote diagnosis method of a vehicle-mounted CT.
Detailed Description
The present invention will be described in detail with reference to specific examples. The following examples will assist those skilled in the art in further understanding the invention, but are not intended to limit the invention in any way. It should be noted that it would be obvious to those skilled in the art that various changes and modifications can be made without departing from the spirit of the invention. All falling within the scope of the present invention.
Example 1
According to the present invention, as shown in fig. 1, a remote diagnosis method for a vehicle-mounted CT includes:
step M1: carrying out CT scanning on a patient and carrying out three-dimensional reconstruction;
step M2: uploading the three-dimensional reconstructed image data to a cloud;
step M3: the terminal equipment downloads image data from the cloud and carries out dicom analysis to form a data linked list;
step M4: reading the film and forming a diagnosis report according to the data chain table, and uploading the diagnosis report to the cloud;
step M5: the PC of the on-board CT downloads the diagnostic report for review.
Specifically, the data linked list in step M3 includes: a patient data table, an examination data table, a sequence data table, and/or an image data table.
Specifically, the step M3 includes: the terminal equipment performs incremental downloading or appointed downloading of image data from the cloud;
the incremental downloading comprises downloading new image data according to the date updating and updating the date of the downloaded image data to the date of the last downloaded data;
the appointed downloading comprises correspondingly downloading the data according to the requirement.
Specifically, the step M4 includes:
step M4.1: the terminal equipment reads the film and forms a diagnosis report, and the diagnosis report is uploaded to the cloud;
step M4.2: the image data of the patient is filed to the PACS, the PACS reads the picture and forms a diagnosis report, the diagnosis report is transmitted back to the terminal equipment, and the terminal equipment receives the diagnosis report and then uploads the diagnosis report to the cloud.
Specifically, the cloud storage comprises storage according to a hospital-examination date-examination number-sequence-image hierarchy mode.
Specifically, the method further comprises the following steps: the method supports the field starting of remote video film reading diagnosis to obtain a diagnosis report or initiates remote online diagnosis to obtain a diagnosis report;
the remote online diagnosis comprises the step that qualified doctors obtain diagnosis reports on the online diagnosis after receiving the data.
Specifically, the method further comprises the following steps: images and diagnosis reports stored in the cloud end, and the patient can check own pictures and reports by using a mobile phone APP or an applet. The patient can be served more quickly and conveniently, the historical picture and the report of the patient can be checked, comparison is convenient, and the effect can be achieved even if the patient is not in the same hospital but uses the CT.
The invention provides a remote diagnosis system of vehicle-mounted CT, comprising:
module M1: carrying out CT scanning on a patient and carrying out three-dimensional reconstruction;
module M2: uploading the three-dimensional reconstructed image data to a cloud;
module M3: the terminal equipment downloads image data from the cloud and carries out dicom analysis to form a data linked list;
module M4: reading the film and forming a diagnosis report according to the data chain table, and uploading the diagnosis report to the cloud;
module M5: the PC of the on-board CT downloads the diagnostic report for review.
Specifically, the data linked list in the module M3 includes: a patient data table, an examination data table, a sequence data table, and/or an image data table;
the module M3 includes: the terminal equipment performs incremental downloading or appointed downloading of image data from the cloud;
the incremental downloading comprises downloading new image data according to the date updating and updating the date of the downloaded image data to the date of the last downloaded data;
the specified downloading comprises corresponding downloading of the data according to the requirement.
Specifically, the module M4 includes:
module M4.1: the terminal equipment reads the film and forms a diagnosis report, and the diagnosis report is uploaded to the cloud;
module M4.2: the method comprises the steps of filing patient image data to a PACS, reading a picture by the PACS to form a diagnosis report, transmitting the diagnosis report back to a terminal device, and uploading the diagnosis report to a cloud terminal after the terminal device receives the diagnosis report;
the cloud storage comprises storage according to a hospital-examination date-examination number-sequence-image hierarchy mode.
Specifically, the method further comprises the following steps: the method supports the field starting of remote video film reading diagnosis to obtain a diagnosis report or initiates remote online diagnosis to obtain a diagnosis report;
the remote online diagnosis comprises the step that qualified doctors obtain diagnosis reports on the online diagnosis after receiving the data.
Specifically, the method further comprises the following steps: images and diagnosis reports stored in the cloud end, and the patient can check own pictures and reports by using a mobile phone APP or an applet. The patient can be served more quickly and conveniently, the historical picture and the report of the patient can be checked, comparison is convenient, and the effect can be achieved even if the patient is not in the same hospital but uses the CT.
Example 2
Example 2 is a modification of example 1
1. Firstly, uploading image data to a cloud after a patient is scanned and reconstructed;
2. the user's terminal device will poll for downloads (no longer actively downloading on a date basis for downloads already in place); the date defaults to a date such as 19991030, then the date is updated to the date of the latest downloaded data according to the hospital code, and the data is downloaded in an incremental mode. But also supports designated downloads.
3. Performing dicom analysis on the downloaded image data to generate a complete examination data linked list (from a patient data table-an examination data table-a sequence data table-an image data table); for the user to review patient examination data and the like.
4. The equipment terminal can meet the requirements of the user on reading the film and writing the report.
5. And the user is also supported to be filed in Pacs for reading and reporting.
6. And the user is supported to transmit the pacs report back to the terminal, and the pacs report is automatically uploaded to the cloud end through the terminal and transmitted back to the PC of the vehicle-mounted CT for on-site reference.
7. And if necessary, supporting a field user to start remote video film reading diagnosis.
8. When the user urgently needs the diagnosis result, the remote online diagnosis is also supported to be initiated, and a qualified doctor is arranged to perform online diagnosis to give a report after receiving the film.
And if necessary, supporting a field user to start remote video film reading diagnosis. The remote video means that the ready-made patient image can be seen by starting the remote video software, a diagnosis conclusion is given, and the field personnel finishes the writing of a diagnosis report;
when the user urgently needs the diagnosis result, the remote on-line diagnosis is also supported to be initiated, and a qualified doctor is arranged to diagnose a report on-line after receiving the film.
The remote online diagnosis is that related APP is installed on a mobile phone of a professional qualified doctor, when the remote online diagnosis is initiated, image data of a patient is sent to the mobile phone of the doctor, the patient image can be downloaded and checked by opening the mobile phone, and an online filling report is sent to field equipment
The invention also supports the user to file image data to Pacs for reading out reports using the technique of dicom 3.0. The cloud storage mode is stored in a hierarchy mode of hospital, examination date, examination number, sequence and image, so that the retrieval speed during designated downloading is increased, the retrieval range during automatic downloading is reduced, and the convenience of data management is improved.
Those skilled in the art will appreciate that, in addition to implementing the systems, apparatus, and various modules thereof provided by the present invention in purely computer readable program code, the same procedures can be implemented entirely by logically programming method steps such that the systems, apparatus, and various modules thereof are provided in the form of logic gates, switches, application specific integrated circuits, programmable logic controllers, embedded microcontrollers and the like. Therefore, the system, the device and the modules thereof provided by the present invention can be considered as a hardware component, and the modules included in the system, the device and the modules thereof for implementing various programs can also be considered as structures in the hardware component; modules for performing various functions may also be considered to be both software programs for performing the methods and structures within hardware components.
The foregoing description of specific embodiments of the present invention has been presented. It is to be understood that the present invention is not limited to the specific embodiments described above, and that various changes or modifications may be made by one skilled in the art within the scope of the appended claims without departing from the spirit of the invention. The embodiments and features of the embodiments of the present application may be combined with each other arbitrarily without conflict.

Claims (7)

1. A remote diagnosis method for vehicle-mounted CT is characterized by comprising the following steps:
step M1: carrying out CT scanning on a patient and carrying out three-dimensional reconstruction;
step M2: uploading the three-dimensional reconstructed image data to a cloud;
step M3: the terminal equipment downloads image data from the cloud and carries out dicom analysis to form a data linked list;
step M4: reading the film and forming a diagnosis report according to the data chain table, and uploading the diagnosis report to the cloud;
step M5: downloading a diagnosis report for reference by a PC (personal computer) of the vehicle-mounted CT;
the step M3 includes: the terminal equipment performs incremental downloading or appointed downloading of image data from the cloud;
the incremental downloading comprises downloading new image data according to the date updating and updating the date of the downloaded image data to the date of the last downloaded data;
the appointed downloading comprises correspondingly downloading the data according to the requirement;
the step M4 includes:
step M4.1: the terminal equipment reads the film and forms a diagnosis report, and the diagnosis report is uploaded to the cloud;
step M4.2: the method comprises the steps of filing patient image data to a PACS, reading a picture by the PACS to form a diagnosis report, transmitting the diagnosis report back to a terminal device, and uploading the diagnosis report to a cloud terminal after the terminal device receives the diagnosis report;
further comprising: the method supports the field starting of remote video film reading diagnosis to obtain a diagnosis report or initiates remote online diagnosis to obtain a diagnosis report; the remote online diagnosis comprises the step that qualified doctors obtain diagnosis reports on the online diagnosis after receiving the data.
2. The remote diagnosis method for on-board CT according to claim 1, wherein the data link table in the step M3 comprises: a patient data table, an examination data table, a sequence data table, and/or an image data table.
3. The remote diagnosis method for the on-board CT according to claim 1, wherein the cloud storage comprises storage in a hospital-examination date-examination number-sequence-image hierarchy manner.
4. The remote diagnosis method of on-board CT according to claim 1, further comprising: and the images and the diagnosis reports stored in the cloud end are checked by the patient by using the equipment terminal.
5. A remote diagnosis system for on-board CT, comprising:
module M1: carrying out CT scanning on a patient and carrying out three-dimensional reconstruction;
module M2: uploading the three-dimensional reconstructed image data to a cloud;
module M3: the terminal equipment downloads image data from the cloud and carries out dicom analysis to form a data linked list;
module M4: reading the film and forming a diagnosis report according to the data chain table, and uploading the diagnosis report to the cloud;
module M5: downloading a diagnosis report for reference by a PC (personal computer) of the vehicle-mounted CT;
the module M3 includes: the terminal equipment performs incremental downloading or appointed downloading of image data from the cloud;
the incremental downloading comprises downloading new image data according to the date updating and updating the date of the downloaded image data into the date of the last downloaded data;
the appointed downloading comprises the corresponding downloading of the data according to the requirement;
the module M4 includes:
module M4.1: the terminal equipment reads the film and forms a diagnosis report, and the diagnosis report is uploaded to the cloud;
module M4.2: the method comprises the steps of filing patient image data to a PACS, reading a picture by the PACS to form a diagnosis report, transmitting the diagnosis report back to a terminal device, and uploading the diagnosis report to a cloud terminal after the terminal device receives the diagnosis report;
further comprising: the method supports the field starting of remote video film reading diagnosis to obtain a diagnosis report or initiates remote online diagnosis to obtain a diagnosis report; the remote online diagnosis comprises the step that a qualified doctor carries out online diagnosis to obtain a diagnosis report after receiving data.
6. The remote diagnosis system for on-board CT according to claim 5, wherein the data link list in the module M3 comprises: a patient data table, an examination data table, a sequence data table, and/or an image data table;
the cloud storage comprises storage according to a hospital-examination date-examination number-sequence-image hierarchy mode.
7. The remote diagnosis system of on-board CT of claim 5,
further comprising: and the images and the diagnosis reports stored in the cloud end are checked by the patient by using the equipment terminal.
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