Background
Cardiac ultrasound is a medical examination method that dynamically displays structures within the heart chamber, the beating of the heart and blood flow. It mainly checks whether the heart has morphological abnormality and whether the heart function is normal, and is the preferred checking method especially for congenital heart disease. For diagnosing heart diseases, it is necessary to measure the sizes of the left and right atria and ventricles, the shapes and activities of the mitral valve, tricuspid valve, aortic valve and pulmonary valve, and the like. The measurement of these items requires the doctor to perform the measurement at the equipment end and to generate a measurement report for the doctor to diagnose.
With the development of computer software technology and digital medical treatment in a large area in recent years, several large-scale equipment manufacturers in the field of cardiac ultrasound have provided their own cardiac ultrasound systems and have associated cardiac ultrasound measurement modules. However, because the system is bound at the equipment end, the measurement items and the measurement mode are relatively fixed, the updating and upgrading are difficult, the customized requirements cannot be met, the selling price is high, and the system is not favorable for domestic popularization and use; these defects bring many limitations to popularization and use, and domestic molding systems in this respect are few, so a system capable of flexibly customizing and meeting the requirement of the non-concentric ultra-measurement is needed.
Disclosure of Invention
It is an object of the present invention to provide a cardiac ultrasound measurement system that can be flexibly customized to address the above-mentioned deficiencies of the prior art.
In order to achieve the above purpose, the cardiac ultrasound measurement system designed by the present invention comprises a measurement configuration module, an actual measurement module and a data storage redrawing module, wherein the measurement configuration module comprises a measurement item module, a measurement group module, a measurement method module and a calculation method module, and the measurement item module, the measurement group module, the measurement method module and the calculation method module are respectively operated by using a computer input device, so that flexible customization of measurement items and measurement modes can be realized;
using a measurement item module to introduce a measurement item to be measured into a cardiac ultrasonic measurement system, wherein in the process, the cardiac ultrasonic measurement system encodes the introduced measurement item so as to enable the measurement item to correspond to a unique identification code generated by the encoding, modifying and deleting the measurement item in the measurement item module by using computer input equipment, and after the measurement item is encoded, using the identification code as a unique identifier for identifying the measurement item by the cardiac ultrasonic measurement system;
the measurement group module comprises a plurality of measurement groups which are set according to clinical needs, the measurement group module distributes measurement items which are imported into the system into different measurement groups according to identification codes, in the measurement group module, the identification codes and the measurement item names of the measurement items are modified by using a computer input device, the clinical needs refer to that the cardiac ultrasound examination has a plurality of clinical application modes in practical application, such as a 2D mode, an MM mode, a Dop mode and the like, in different measurement groups, the measurement items with the same names can appear, the identification codes of the measurement items with the same names in different measurement groups are different, because the cardiac ultrasound measurement system adopts the identification codes as the unique identifiers for identifying the measurement items, the measurement items with the same names can not cause images for the normal use of the system, and because the measurement groups where the measurement items are located are different, the corresponding examination measurement modes are different, so the medical implications in cardiac hypermeasurements are also different;
the measurement method module comprises a plurality of measurement packets, a plurality of measurement methods are preset in the cardiac ultrasound measurement system, each measurement packet comprises a plurality of measurement items which are added into the measurement packet from the cardiac ultrasound measurement system by using a computer input device, each measurement packet corresponds to one measurement method, in the measurement packet, the measurement items comprise a basic measurement item and a composite measurement item, the basic measurement item can directly measure a measurement value by the measurement method corresponding to the measurement packet, and the measurement value of the composite measurement item is calculated by substituting the basic measurement item into a calculation formula by the cardiac ultrasound measurement system;
the calculation method module comprises a measurement item list and a formula configurator for configuring a calculation formula, wherein the measurement item list comprises a composite measurement item, the composite measurement item is selected by utilizing computer input equipment, and the calculation formula for calculating the composite measurement item is configured by the formula configurator;
in the heart ultrasonic measuring system, the information edited in the measuring item module, the measuring group module, the measuring method module and the calculating method module is stored in a Json file format, and the configuration work of the measuring configuration module needs to be completed before the actual measuring module is used;
the actual measurement module comprises a view window, a measurement packet selection area and a measurement value display area, after loading the cardiac ultrasound image in the cardiac ultrasound measurement system, the cardiac ultrasound image is displayed in a view window, the measurement package selection area displays the measurement packages edited in the measurement method module, and the measurement packages are displayed on the display unit, using the computer input device, drawing an auxiliary graph specified by the measuring method on the cardiogram in the view window according to the measuring method corresponding to the measuring packet in the measuring packet selecting area, measuring the image displayed in the cardiocardiogram to obtain the measured value of the measured item corresponding to the auxiliary graph in the measuring package, simultaneously, an auxiliary graph for measurement is left on the cardiogram of the view window, and the measured value display area displays patient information, measured items in each measurement group and corresponding measured values;
the data storage redrawing module comprises a storage module for storing measured values, measured items, measured time and auxiliary graph data in a Json format and a redrawing module for redrawing the auxiliary graph on the image when the image file is reopened, and the storage module stores the data according to the identification codes.
The measuring items adopt a tree data structure, and each measuring item comprises a code encoding value, an English name, an abbreviation, a Chinese name, a unit, precision and a type defined by the DICOM standard.
In order to visually display the relationship between the measurement packet and the cardiotomy clinical application mode and facilitate quick selection of a doctor, the measurement packet selection area adopts a tree structure to display the measurement packet.
In order to visually display the measured values and facilitate reading of doctors, the measured value display area adopts a tree structure to display the measured items and the corresponding measured values in each measurement group.
In order to facilitate the rollback of the measurement data, all measurement values, measurement items, measurement time and auxiliary graphic data generated in the measurement process are stored in the data storage redrawing module and are stored according to a time line, so that correct data loss caused by errors is avoided.
In order to facilitate direct observation and distinction of different measurement auxiliary graphs and measurement values by a user, when the auxiliary graphs are drawn, corresponding measurement value labels are displayed on the cardioscope image, and the colors of the measurement values displayed on the cardioscope image are consistent with the colors of the auxiliary graphs.
The cardiac ultrasonic measurement system obtained by the invention utilizes the four sub-modules in the measurement configuration module to provide a flexible customization means for users, and simultaneously adopts the modes of the measurement package and the measurement group, so that the measurement of cardiac ultrasonic images in different modes is convenient for the users, the use is convenient and flexible, and more user requirements can be met.
Detailed Description
The invention is further illustrated with reference to the following figures and examples.
Example 1:
the cardiac ultrasound measurement system described in this embodiment, as shown in fig. 1, includes a measurement configuration module, an actual measurement module, and a data storage redrawing module, where the measurement configuration module includes a measurement item module, a measurement group module, a measurement method module, and a calculation method module, and the measurement item module, the measurement group module, the measurement method module, and the calculation method module are respectively operated by using a computer input device, so that flexible customization of measurement items and measurement modes can be achieved.
In one diagnosis, all parameters of the heart are not required to be measured, so that a measurement item module is used for importing the measurement item to be measured into the heart ultrasonic measurement system, in the process, the heart ultrasonic measurement system encodes the imported measurement item so as to enable the measurement item to correspond to a unique identification code generated by the encoding, the measurement item is modified and deleted in the measurement item module by using computer input equipment, and after the measurement item is encoded, the heart ultrasonic measurement system takes the identification code as a unique identifier for identifying the measurement item;
the measurement group module comprises a plurality of measurement groups which are arranged according to clinical needs, and distributes the measurement items imported into the system into different measurement groups according to the identification codes; in the measurement group module, a computer input device is used for modifying the identification code of a measurement item and the name of the measurement item, wherein the clinical requirement means that the cardiac ultrasound examination has a plurality of clinical application modes in practical application, such as a 2D mode, an MM mode, a Dop mode and the like, while in different measurement groups, the measurement items with the same name can appear, the identification codes of the same-name measurement items in different measurement groups are different, because the cardiac ultrasound measurement system adopts the identification codes as the unique identifiers of the identification measurement items, the same-name measurement items can not influence the normal use of the system, and because the measurement groups in which the measurement items are located are different, the corresponding examination measurement modes are different, the medical meaning in the cardiac ultrasound measurement is also different;
the measurement item module and the measurement group module are mainly used for importing items to be measured into a cardiac ultrasound measurement system, grouping the measurement items according to a clinical application mode of cardiac ultrasound, storing the measurement items in the system in a tree data structure form, so that measured values obtained by measurement are predicted to be mutually corresponding after an actual measurement module finishes measuring each measurement item, and performing grouping display and report making according to clinical requirements.
The measurement method module comprises a plurality of measurement packets, a plurality of measurement methods are preset in the cardiac ultrasound measurement system, each measurement packet comprises a plurality of measurement items which are added into the measurement packet from the cardiac ultrasound measurement system by using a computer input device, each measurement packet corresponds to one measurement method, in the measurement packet, the measurement items comprise a basic measurement item and a composite measurement item, the basic measurement item can directly measure a measurement value by the measurement method corresponding to the measurement packet, and the measurement value of the composite measurement item is calculated by substituting the basic measurement item into a calculation formula by the cardiac ultrasound measurement system.
In this embodiment, the preset measurement method in the cardiac ultrasound measurement system includes the following methods:
from the above table, it can be seen that different measurement methods are suitable for different clinical application modes of cardiac ultrasound.
The calculation method module includes a measurement item list and a formula configurator for configuring a calculation formula, as shown in fig. 10, the measurement item list includes a composite measurement item, the composite measurement item is selected by using a computer input device, and the calculation formula for calculating the composite measurement item is configured by the formula configurator.
In the measurement configuration module, as shown in fig. 1, the measurement item module and the measurement group module are used to configure tree structure data including measurement items and the clinical application mode thereof, and the measurement method module and the calculation method module are used to edit and configure tree structure data including measurement packages and corresponding clinical application modes, information of the completed configuration is stored in the cardiac ultrasound measurement system in the format of a Json file, and the configuration work of the measurement configuration module needs to be completed before the actual measurement module is used.
The actual measurement module, as shown in fig. 11, includes a view window, a measurement packet selection area and a measurement value display area, after loading the cardioscope image in the cardiac ultrasound measurement system, the cardioscope image is displayed in the view window, the measurement packet selection area is based on the measurement packet edited and grouped in the measurement method module and the calculation method module, a measurement packet in the measurement packet selection area is selected based on the cardioscope image by using the computer input device, an auxiliary graph defined by the measurement method is drawn on the cardioscope image in the view window according to the measurement method corresponding to the measurement packet, the image displayed in the cardioscope image is measured, so as to obtain the measurement value of the measurement item corresponding to the auxiliary graph in the measurement packet, and the auxiliary graph for measurement is left on the cardioscope image in the view window, the measurement value display area displays the patient information, The measurement items in each measurement group and the corresponding measurement values.
The data storage redrawing module comprises a storage module for storing a measured value, a measured item, measuring time and auxiliary graph data in a Json format and a redrawing module for redrawing the auxiliary graph on an image when the image file is reopened, the storage module stores the data according to an identification code, the data stored as the measured item in the Json format is shown in figure 13, and the redrawing module can automatically redraw the measured item and the auxiliary graph corresponding to the measured value on the image file after a user double clicks a measured item in a measured value display area.
The cardiac ultrasound measurement system provided by the embodiment adopts a keyboard and a mouse as computer input equipment, and the specific operation method in actual operation comprises the following steps:
(1) the measurement item configuration, the measurement item module displays the introduced system measurement items in a list form, clicks a left mouse button to select one of the measurement items displayed in the list, and double clicks on the measurement item to edit the content of the measurement item; in the embodiment, a form of importing an SR format file into a heart ultrasonic measurement system is adopted, a measurement item to be measured is imported into the system, a right mouse button is clicked in a measurement item module, a new addition option in a menu is selected after the menu is popped up, the measurement item module can provide a popup window for adding the measurement item shown in fig. 3, an opening button in the popup window is clicked, the SR format file in a folder can be opened, the measurement item which is not repeated in a list of the current measurement item module in the SR format file is displayed in the popup window as shown in fig. 4, the required measurement item is selected in the popup window through the mouse, and the adding button is clicked, so that the selected measurement item can be added to the list of the measurement item module;
(2) in this embodiment, as shown in fig. 5, the name, identification code, and the measurement group of each measurement item are displayed in a window in the cardiotachometry system in a tree structure, and one of the measurement items in the left mouse button, for example, "pulmonary artery trunk diameter ═ ev.viev.v 1.114" in the 2D measurement group shown in fig. 5, is clicked, and then the modification option in the pop-up menu is selected by clicking the right mouse button, the measurement group module provides a modification popup window as shown in fig. 5, in which the name and identification code of the selected measurement item can be modified in the name edit box and the value edit box, respectively; when a certain measurement item needs to be added to the measurement group, an opening button in a Modify popup window can be directly clicked, the measurement item is selected from a popped selected measurement item popup window, as shown in fig. 6, the name and the identification code of the selected measurement item are displayed in the Modify popup window, the name and the identification code of the measurement item can be modified, and then clicking determination is carried out, so that the addition and modification of the measurement item can be completed;
(3) in this embodiment, as shown in fig. 7, the measurement method module displays each measurement package and its affiliated clinical application mode in a window in the form of a measurement package tree, these modes are displayed in the measurement package tree in the form of subfolders, such as a 2D mode, in which a folder icon is attached before the name, and in each different mode, a right click on a right button in the measurement package tree selects an option in a pop-up menu, so as to implement new creation, name modification and deletion of the subfolders and the measurement packages, for example, a new measurement package pops up a setup node name popup window, and a user can name the name of a new measurement package in the popup window and click on the setup, thereby adding the corresponding measurement package; in this embodiment, a wrench icon is attached to the front of each measurement packet, one measurement packet is selected, as shown in fig. 8 and fig. 9, the measurement method module displays the measurement items that have been added to the measurement packet in the list of the left window, for example, the basic measurement item "pulmonary artery main internal diameter MPA" and the composite measurement item "left ventricular outflow tract peak velocity LVOT _ Vmax", selects the measurement method for measuring the measurement items in the measurement packet in the Tool drop-down list provided by the measurement method module, as shown in fig. 9, the user may double-click the parameter column in the list with the mouse, at this time, the measurement method module provides a measurement item selection popup window, the user may select the measurement item to be added in the popup window with the mouse, and click the selection button to add the measurement item to the measurement packet;
(4) a calculation method configuration, wherein after editing of a measurement package and measurement items in a measurement method module is completed, as shown in fig. 10, a mouse clicks an option menu to enter the calculation method module, the module displays composite measurement items added to the measurement package in the measurement method module in a list, one of the composite measurement items is selected, a formula configurator of the calculation method module appears in a popup window form, a calculation method of the composite measurement items can be input by using the formula configurator and a keyboard, when basic measurement items need to be called, an operand selection button is clicked, a required basic measurement item can be selected in the popped measurement item list, in the embodiment, after the formula is set, a math determination button is clicked, and the calculation method module verifies the formula legality of the input formula and gives a verification prompt;
(5) configuration data storage, as shown in fig. 3, 5, 7 and 10, each module is provided with a storage key, after the content of the module is edited, the storage key is clicked, the cardiac ultrasound measurement system executes a storage command, and the edited content information is stored;
(6) actual measurement, as shown in fig. 2 and 11, after a plurality of super-cardio images are loaded in a view window, a measurement packet belonging to a 2D mode is selected in a measurement packet selection area by double-click, and then a super-cardio image of which an image area is fan-shaped in the 2D mode is selected, if a 2DM measurement packet is selected, an actual measurement module prompts that the measurement method used by the measurement packet is 2 dcaliper, a user can draw a straight line in the fan-shaped area of the super-cardio image, the method is that a left mouse button is clicked in the fan-shaped area of the super-cardio image to drag the straight line, and the straight line can be ended by clicking the left button again, as shown in fig. 12, the straight line drawn in the measurement process as an auxiliary graph for the ultrasonic measurement of the heart will be left on the related image, and the corresponding measurement value is displayed in a measurement value display area and can be modified through a right button click menu; after the measurement is finished, the auxiliary graphics can be modified and deleted on the cardiotachograph image, a mouse is used for selecting a certain auxiliary graphic in the image, such as a straight line in fig. 12, at the moment, the straight line can display a highlight state, translation can be carried out by dragging the straight line through the mouse, the end point of the dragged straight line is stretched, a Delete key on a keyboard can be clicked or a right-click menu of the mouse is used for deleting the straight line, when the straight line is deleted, a corresponding measurement item can be deleted, the operation is repeatedly carried out, and various parameters in the cardiotachograph image can be measured.
The cardiac ultrasound measurement system provided by this embodiment utilizes four sub-modules in the measurement configuration module to provide a flexible customization means for the user, and adopts the mode of measuring the package and measuring the group simultaneously, makes things convenient for the user to the measurement of different mode heart ultrasound images, and convenient to use, flexibility can satisfy more user demands.
Example 2:
in the cardiac ultrasound measurement system described in this embodiment, in addition to the features described in embodiment 1, the measurement items adopt a tree data structure, and each measurement item includes a code encoded value, an english name, an abbreviation, a chinese name, a unit, precision, and a type defined by the DICOM standard.
In order to visually display the relationship between the measurement package and the cardiotomy clinical application mode, as shown in fig. 14, the measurement package selection area displays the measurement package in a tree structure, that is, the measurement package selection tree is displayed in the measurement package selection area, which is convenient for a doctor to select quickly.
In order to visually display the measured values and facilitate reading by the doctor, as shown in fig. 15, the measured value display area displays the measured items and the corresponding measured values in each measurement group by using a tree structure, that is, the measured value display tree is displayed in the measured value display area.
In order to facilitate the rollback of the measurement data, all measurement values, measurement items, measurement time and auxiliary graphic data generated in the measurement process are stored in the data storage redrawing module and are stored according to a time line, so that correct data loss caused by errors is avoided.
In order to facilitate direct observation and distinction of different measurement auxiliary graphs and measurement values by a user, when the auxiliary graphs are drawn, corresponding measurement value labels are displayed on the cardioscope image, and the colors of the measurement values displayed on the cardioscope image are consistent with the colors of the auxiliary graphs.
In the cardiac ultrasound measurement system provided by this embodiment, when a user performs multiple measurements on the same measurement item, an auxiliary graphic and a measurement value label with different colors are left on the cardiac ultrasound image, and simultaneously, the measurement values of the same measurement item are displayed in the measurement value display tree of the measurement value display area as shown in fig. 16, and are listed under the measurement item, and the cardiac ultrasound measurement system calculates an average value of the measurement values and displays the average value after the measurement item.
According to the heart ultrasonic measurement system provided by the embodiment, the required information in measurement is visually displayed by using the tree diagram, the checking is convenient, the operation is simple, and the measurement efficiency is improved.