CN112614563A - System and method for dynamically generating structured report in image diagnosis service - Google Patents
System and method for dynamically generating structured report in image diagnosis service Download PDFInfo
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Abstract
The invention provides a system for dynamically generating a structured report in an image diagnosis service, which comprises a CDE selection module, a CDE analysis module and a report generation module, wherein the CDE selection module selects a CDE set matched with an examination purpose based on the relevant information of a patient, and displays all CDE sets matched with examination items on an image structured report interface for a doctor to select and fill; when a doctor completes filling of a CDE set, the CDE searching module extracts the keywords of the anatomical part and the keywords of the iconography expression in the diagnosis data corresponding to the current CDE set, and searches the next CDE set associated with the keywords of the anatomical part and the keywords of the iconography expression for filling of the doctor; until the complete end of the description of the patient's iconographic representation; and the image structured report generation module outputs a final diagnosis conclusion. The invention also discloses a method for dynamically generating the structured report in the image diagnosis service. The invention can dynamically organize the structured report interface, thereby ensuring the filling efficiency and quality of the diagnosis report.
Description
Technical Field
The present invention relates to the field of medical information, and more particularly, to a system and method for dynamically generating a structured report in an image diagnosis service.
Background
In the field of imaging diagnostic reporting, currently all diagnostic templates are prepared in advance before the report is written, and there is no component that can dynamically generate reports based on imaging performance and diagnostic analysis. Whether personalized text templates are used in copy/paste mode or structured reports of individual disease categories, even templates that support speech entry abroad and describe by the office of the anatomical site.
In general diagnostic reports (such as upper abdominal CT scans) of large sites, multiple organs are involved, possibly involving the description and diagnosis of multiple diseases. Particularly in the case of complications and complications, the complexity of the visualization is very high and the complexity of the diagnostic conclusions is also high. It is inconvenient to describe the imaging performance in order of organ or disease type.
If all possibilities are tiled on the report interface, the universal report template is very large in scale, not only is the use efficiency not good, but also the thinking of a diagnostician is influenced. It is also not feasible to select only a portion of the common visual performance to be described in the template. Because various imaging expressions of the general report of the large part randomly appear, the general report is difficult to cover by one or more fixed templates, and the completeness of the report content is limited by excessively limiting the content of the template, so that the diagnosis quality is influenced.
Disclosure of Invention
In view of the above, the main objective of the present invention is to provide a system and a method for dynamically generating a structured report in a video diagnostic service, which can solve the problems of incomplete video report content, low diagnostic quality and inconvenient operation caused by the fixed diagnostic template in the prior art.
In order to achieve the purpose, the technical scheme of the invention is realized as follows:
in one aspect, the present invention provides a system for dynamically generating a structured report in an image diagnosis service, including a CDE selection module, a CDE search module and an image structured report generation module, where the CDE selection module is connected to the CDE search module, and is configured to, when a doctor opens an image structured report interface of a patient, select a CDE (structured report sub-template common data element) set matching with an examination purpose for the doctor to fill in based on relevant information of the patient, and display all CDE sets matching with an examination item at a corresponding position on the image structured report interface for the doctor to select to fill in; wherein, the CDE set is composed of at least one sub CDE; the relevant information of the patient is: examination site, examination item, examination purpose, sex, age; the CDE searching module is respectively connected with the CDE searching module and the image structured report generating module and is used for extracting the keywords of the anatomical part and the keywords of the image expression in the diagnostic data corresponding to the current CDE set when a doctor completes filling of one CDE set, searching the next CDE set related to the keywords of the anatomical part and the keywords of the image expression based on the keywords of the anatomical part and the keywords of the image expression, and displaying the next CDE set on an image structured report interface for filling of the doctor; until the complete end of the description of the patient's iconographic representation; and the image structured report generation module is connected with the CDE search module and used for sequentially generating the diagnosis data into natural language and outputting a final diagnosis conclusion based on the sequence of the CDE set filled by the doctor.
Preferably, the CDE search module further includes a correlation unit, configured to, when the correlation frequency of the current CDE set and the subsequent CDE set is greater than a first preset threshold, automatically correlate the subsequent CDE set after the doctor completes filling the previous CDE set, and display the correlated CDE set on the image structured report interface for the doctor to continue filling.
Preferably, the system further includes a CDE template generating module, connected to the CDE searching module, and configured to automatically generate a new CDE set template when the combined usage frequency of some N CDE sets is greater than a second preset threshold, and store the new CDE set template in the database of the image structured report; wherein N is more than or equal to 2.
Preferably, the system further comprises a mapping module connected to the CDE searching module, and configured to automatically map the diagnosis data corresponding to the CDE set previously filled by the doctor into the structured report template fixed for the specific disease when a certain CDE set completely matches with the structured report template fixed for the specific disease.
Preferably, the mapping module further comprises an inserting unit, which is used for automatically extracting a CDE set matched with the keywords of the anatomical part and the pathological data based on the keywords of the anatomical part and the pathological data, and inserting the CDE set into the special illness fixed structured report template for filling out by a doctor.
In another aspect, the present invention further provides a method for dynamically generating a structured report in a video diagnosis service, including: when a doctor opens an image structured report interface of a patient, a CDE selection module selects a CDE (structured report sub-template common data element) set matched with an examination purpose for filling in by the doctor based on the relevant information of the patient, and displays all CDE sets matched with the examination items on corresponding positions of the image structured report interface for the doctor to select to fill in; wherein, the CDE set is composed of at least one sub CDE; the relevant information of the patient is: examination site, examination item, examination purpose, sex, age; when a doctor completes filling of one CDE set, the CDE searching module extracts the keywords of the anatomical part and the keywords of the iconography expression in the diagnostic data corresponding to the current CDE set, searches the next CDE set related to the keywords of the anatomical part and the keywords of the iconography expression based on the keywords of the anatomical part and the keywords of the iconography expression, and displays the next CDE set on an image structured report interface for filling of the doctor; until the complete end of the description of the patient's iconographic representation; and the image structured report generation module sequentially generates the diagnosis data into natural language based on the sequence of the CDE set filled by the doctor and outputs a final diagnosis conclusion.
Preferably, the method further comprises: when the association frequency of the current CDE set and the next CDE set is larger than a first preset threshold value, after the doctor completes the filling of the previous CDE set, the association unit in the CDE search module automatically associates the next CDE set and displays the CDE set on the image structured report interface for the doctor to continuously fill.
Preferably, the method further comprises: when the combined use frequency of certain N CDE sets is greater than a second preset threshold value, a CDE template generation module automatically generates a new CDE set template and stores the new CDE set template into a database of an image structured report; wherein N is more than or equal to 2.
Preferably, the method further comprises: when a certain CDE set is completely matched with the special disease fixed structured report template, the mapping module automatically maps the diagnosis data corresponding to the CDE set filled in by the doctor in advance to the special disease fixed structured report template.
Preferably, the method further comprises: and an inserting unit in the mapping module automatically extracts a CDE set matched with the keywords of the anatomical part and the pathological data based on the keywords of the anatomical part and the pathological data, and inserts the CDE set into a structural report template fixed by a special disease for a doctor to fill.
The invention has the technical effects that:
1. because the CDE searching module and the image structured report generating module are arranged in the invention, when a doctor opens the image structured report interface of a patient, the CDE selecting module selects a CDE set matched with the examination purpose based on the relevant information of the patient, and when the doctor completes filling of one CDE set, the CDE searching module searches the next CDE set associated with the keywords of the anatomical part and the keywords of the image expression and displays the next CDE set on the image structured report interface for the doctor to fill; until the complete end of the description of the patient's iconographic representation; the system can dynamically combine the CDE component framework based on semantics between the CDE module and the imaging performance, between the CDE module and the diagnosis conclusion and between the CDE modules, dynamically organize the structured report interface according to the individual imaging performance and the individual diagnosis requirement of the patient, avoid losing the description details due to the limited fixed template, avoid the huge template interface required for covering all possibilities, and ensure the filling efficiency and quality of the diagnosis report;
2. because the association unit is arranged, when the association frequency of the current CDE set and the next CDE set is greater than the first preset threshold value, after the doctor completes the filling of the previous CDE set, the next CDE set can be automatically associated and displayed on the image structured report interface for the doctor to continuously fill, so that the system is more complete, and the dynamically generated structured template is more accurate;
3. because the CDE template generation module is arranged, when the combined use frequency of certain N CDE sets is greater than a second preset threshold value, a new CDE set template is automatically generated and stored in the database of the image structured report for later template calling, the most appropriate structured template is dynamically generated according to the personalized requirements of a single service, the structured label can be stored on the premise of ensuring the efficiency, and a foundation is laid for subsequent continuous improvement;
4. because the mapping module is arranged, when a certain CDE set is completely matched with the special disease fixed structured report template, a doctor uses the special disease fixed structured report template instead, and then automatically maps the diagnosis data corresponding to the CDE set filled by the doctor in advance to the special disease fixed structured report template, so that the speed of writing the report by the doctor is improved, and the system is more humanized;
5. because the inserting unit is arranged, the CDE set matched with the keywords of the anatomical part and the pathological data can be automatically extracted based on the keywords of the anatomical part and the pathological data and inserted into the structural report template fixed by a special disease for a doctor to fill, so that the doctor can conveniently and temporarily insert a section of structural description for expressing unexpected discovery, the doctor can conveniently operate, and the system has stronger universality.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this application, illustrate embodiment(s) of the invention and together with the description serve to explain the invention without limiting the invention. In the drawings:
fig. 1 is a schematic structural diagram of a system for dynamically generating a structured report in a video diagnosis service according to an embodiment of the present invention;
fig. 2 is a schematic diagram of a CDE interface for dynamically generating a structured report in an image diagnosis service, wherein the examination item is a CT scan of a chest and the clinical diagnosis is suspected fracture, according to an embodiment of the present invention;
FIG. 3 is a schematic diagram of a CDE interface for searching for a structural report describing fracture properties after a fracture is found in a system for dynamically generating a structured report in an image diagnosis service according to an embodiment of the present invention;
fig. 4 is a schematic diagram of a CDE interface depicting a focal location of a pulmonary nodule when the pulmonary nodule is found in the system for dynamically generating a structured report in an image diagnosis service according to an embodiment of the present invention;
fig. 5 is a schematic diagram of a CDE interface depicting the properties of a lung nodule when the lung nodule is found to be present in the system for dynamically generating a structured report in an image diagnosis service according to the first embodiment of the present invention;
fig. 6 is a schematic diagram of a CDE interface depicting a lung nodule size when the lung nodule is found to exist in the system for dynamically generating a structured report in a video diagnosis service according to the first embodiment of the present invention;
fig. 7 is a schematic structural diagram of a system for dynamically generating a structured report in a video diagnosis service according to a second embodiment of the present invention;
fig. 8 is a schematic structural diagram of a system for dynamically generating a structured report in a video diagnosis service according to a third embodiment of the present invention;
fig. 9 is a schematic structural diagram of a system for dynamically generating a structured report in a video diagnosis service according to a fourth embodiment of the present invention;
FIG. 10 is a diagram illustrating a system for dynamically generating a structured report in a video diagnosis service according to a fifth embodiment of the present invention;
FIG. 11 is a flowchart of a method for dynamically generating a structured report in a video diagnostic service according to a sixth embodiment of the present invention;
fig. 12 is a schematic diagram of a CDE interface for dynamically generating a structured report in an image diagnosis service, wherein the examination item is a chest CT scan and the clinical diagnosis is suspected fracture according to a sixth embodiment of the present invention;
FIG. 13 is a schematic diagram of a CDE interface for searching for a structural report describing fracture properties after a fracture is found in the method for dynamically generating a structural report in the image diagnosis service according to the sixth embodiment of the present invention;
fig. 14 is a schematic diagram of a CDE interface depicting a focal location of a pulmonary nodule when the pulmonary nodule is found in the method for dynamically generating a structured report in an image diagnosis service according to a sixth embodiment of the present invention;
fig. 15 is a schematic diagram of a CDE interface depicting the properties of a lung nodule when the lung nodule is found to be present in the method for dynamically generating a structured report in an image diagnosis service according to a sixth embodiment of the present invention;
fig. 16 is a schematic diagram of a CDE interface depicting a lung nodule size when the lung nodule is found to be present in the method for dynamically generating a structured report in an image diagnosis service according to the sixth embodiment of the present invention.
Detailed Description
The present invention will be described in detail below with reference to the accompanying drawings in conjunction with embodiments.
Example one
Fig. 1 is a schematic structural diagram of a system for dynamically generating a structured report in a video diagnosis service according to an embodiment of the present invention; as shown in fig. 1, the system includes: a CDE selection module 10, a CDE search module 20, and an image structured report generation module 30, wherein,
a CDE selection module 10 connected to the CDE search module, for selecting a CDE (structured report sub-template common data element) set matching with the examination purpose for the doctor to fill in based on the relevant information of the patient when the doctor opens the image structured report interface of the patient, and displaying all CDE sets matching with the examination items on the corresponding positions of the image structured report interface for the doctor to select to fill in; wherein, the CDE set is composed of at least one sub CDE; the relevant information of the patient is: examination site, examination item, examination purpose, sex, age;
fig. 2 is a schematic diagram of a CDE interface for dynamically generating a structured report in an image diagnosis service, wherein the examination item is a CT scan of a chest and the clinical diagnosis is suspected fracture, according to an embodiment of the present invention; as shown in fig. 2, the CDE selection module selects a CDE set of fracture positions, left, right and several ribs according to the examination position, examination item, examination purpose (clinical diagnosis is suspected fracture), sex and age, and the doctor can click on the CDE interface; and displaying all the CDE sets matched with the chest CT scan on corresponding positions of an image structured report interface according to the examination item-chest CT scan, for example, the CDE sets matched with the chest CT scan have pulmonary nodules, fractures, hearts, bronchi, lymph nodes, etc., so that a doctor selects and fills the corresponding CDE according to the image of the patient, the display form can be a list form and is displayed on the left side of the image structured report interface, and each CDE set is presented to the doctor in a tree-shaped structure.
Each set of CDEs and each sub-CDE is displayed in a structured form.
The CDE searching module 20 is connected to the CDE searching module 10 and the image structured report generating module 30, respectively, and is configured to extract a keyword of an anatomical part and a keyword of an imaging representation in the diagnostic data corresponding to the current CDE set when a doctor completes filling of one CDE set, search, based on the keyword of the anatomical part and the keyword of the imaging representation, a next CDE set associated with the keyword of the anatomical part and the keyword of the imaging representation, and display the next CDE set on an image structured report interface for the doctor to fill; until the complete end of the description of the patient's iconographic representation;
the form of extracting the keywords of the anatomical part and the keywords of the iconography representation in the diagnostic data corresponding to the CDE set may be:
2 associative selections are made in the structure of the tree, namely: selecting keywords of anatomical parts and keywords of iconography representation, wherein the form is a structured tree structure;
the following steps can be also included: a text is input or typed in by voice of a section of file and analyzed by applying NLP technology, and keywords of anatomical parts and keywords expressed by imaging are extracted.
In each CDE set scenario, the doctor can continue the original entry, and the system will give up using the CDE set by default, and still use the conventional free text template (or convert the voice into free text) to enter the iconography representation part.
FIG. 3 is a schematic diagram of a CDE interface for searching for a structural report describing fracture properties after a fracture is found in a system for dynamically generating a structured report in an image diagnosis service according to an embodiment of the present invention; as shown in fig. 3, after the doctor completes the filling of the fracture CDE, the CDE search module searches a CDE set associated with the keywords of the anatomical part and the keywords of the iconography representation in the diagnosis data, that is, a CDE set describing the fracture property, and automatically displays the CDE set on the image structured report interface for the doctor to fill.
Fig. 4 is a schematic diagram of a CDE interface depicting a focal location of a pulmonary nodule when the pulmonary nodule is found in the system for dynamically generating a structured report in an image diagnosis service according to an embodiment of the present invention; as shown in fig. 4, when the doctor completes the fracture CDE set and finds the existence of the lung nodule from the image of the patient, the CDE of the lung nodule focus position is selected from the left list of the image structured report interface for filling: including the left and right lungs, upper, middle, and lower pages, etc.
Fig. 5 is a schematic diagram of a CDE interface depicting the properties of a lung nodule when the lung nodule is found to be present in the system for dynamically generating a structured report in an image diagnosis service according to the first embodiment of the present invention; as shown in fig. 5, based on the diagnosis data of the CDE at the lung nodule focus position, the CDE search module extracts the keywords of the anatomical part and the keywords of the imagery representation in the diagnosis data corresponding to the current CDE set, and searches the next CDE set, which is associated with the keywords of the anatomical part and the keywords of the imagery representation, describing the CDE of the lung nodule property, based on the keywords of the anatomical part and the keywords of the imagery representation: location map, number of lymph node metastases, etc. for the physician to fill in.
Fig. 6 is a schematic diagram of a CDE interface depicting a lung nodule size when the lung nodule is found to exist in the system for dynamically generating a structured report in a video diagnosis service according to the first embodiment of the present invention; as shown in fig. 6, based on the diagnosis data of the CDE of the lung nodule property, the CDE search module extracts the keyword of the anatomical part and the keyword of the image representation in the diagnosis data corresponding to the current CDE set, and searches the next CDE set, which is associated with the keyword of the anatomical part and the keyword of the image representation, describing the CDE of the lung nodule size, based on the keyword of the anatomical part and the keyword of the image representation: including the maximum major diameter, minor diameter, volume, CT value, etc., for the physician to fill in, and in this cycle, repeat the above steps until the description of the patient's imaging performance is completed.
And if no abnormality is found in the images of the patient, directly finishing an image diagnosis report.
And the image structured report generation module 30 is connected with the CDE search module and is used for sequentially generating the diagnosis data into natural language based on the sequence of the CDE set filled by the doctor and outputting a final diagnosis conclusion.
In the general report service of a large anatomical part, due to the complex service scene and the difficulty in controlling the content scale and range of the template in advance, it is difficult to use the structured report, and it is also difficult to keep the data label for continuous improvement based on the analysis of the large data. The system can dynamically generate the most suitable structured template according to the individual requirements of a single service by introducing the technology of dynamically generating the template, can store the structured labels on the premise of ensuring the efficiency, and lays a foundation for subsequent continuous improvement. The system is a template for dynamically generating a structured report in a visualization description section which is a core part in a visualization diagnosis report, and dynamically organizes a structured report interface according to the requirements of personalized visualization expression and personalized diagnosis of a patient based on a structure that semanteme can dynamically combine CDE components between a CDE module and visualization expression, between the CDE module and a diagnosis conclusion and between the CDE modules of the structured report.
The embodiment of the invention is provided with a CDE searching module and an image structured report generating module, when a doctor opens an image structured report interface of a patient, a CDE selecting module selects a CDE set matched with an examination purpose based on relevant information of the patient, and when the doctor completes filling of one CDE set, the CDE searching module searches a next CDE set associated with a keyword of an anatomical part and a keyword of an image expression and displays the next CDE set on the image structured report interface for the doctor to fill; until the complete end of the description of the patient's iconographic representation; the system can dynamically combine the CDE components based on the semantics between the CDE module and the imaging performance, between the CDE module and the diagnosis conclusion and between the CDE modules of the structured report, dynamically organize the structured report interface according to the requirements of the individual imaging performance and the individual diagnosis of the patient, avoid losing the details of description due to the limitation of a limited fixed template, avoid a huge template interface required for covering all possibilities, and simultaneously ensure the filling efficiency and quality of the diagnosis report.
Example two
Fig. 7 is a schematic structural diagram of a system for dynamically generating a structured report in a video diagnosis service according to a second embodiment of the present invention; as shown in fig. 7, the CDE search module 20 further includes a correlation unit 202, configured to, when the correlation frequency of the current CDE set and the next CDE set is greater than a first preset threshold, automatically correlate the next CDE set after the doctor completes the filling of the previous CDE set, and display the correlated CDE set on the image structured report interface for the doctor to continue filling.
For example, when the correlation frequency of the two CDE sets is greater than a first preset threshold, for example, the frequency of the two CDE sets appearing together is greater than 100 times, then when the CDE set describing the lung nodule is completed, the CDE set describing the abnormal lymph node is automatically displayed on the image structured report interface for the doctor to continue filling.
The setting of the first preset threshold is set according to the requirements of the medical institution and medical knowledge, and is not limited herein.
The embodiment of the invention is provided with the association unit, when the association frequency of the current CDE set and the next CDE set is greater than the first preset threshold value, after the doctor completes the filling of the previous CDE set, the next CDE set can be automatically associated and displayed on the image structured report interface for the doctor to continuously fill, so that the system is more complete, and the dynamically generated structured template is more accurate.
EXAMPLE III
Fig. 8 is a schematic structural diagram of a system for dynamically generating a structured report in a video diagnosis service according to a third embodiment of the present invention; as shown in fig. 8, the system further includes a CDE template generating module 40, connected to the CDE searching module 20, configured to automatically generate a new CDE set template when the combined usage frequency of some N CDE sets is greater than a second preset threshold, and store the new CDE set template in the database of the image structured report for later use; wherein N is more than or equal to 2.
For example, if the frequency of the combined use of the CDE describing the fracture position and the CDE describing the fracture property is more than 100 times, a new CDE set template is automatically generated, and if the relevant imaging description calling the fracture description exists in the later stage, the template is automatically called out for filling by a doctor.
Therefore, in turn, the largest image structured report is also a largest CDE set, and each CDE set is also composed of a plurality of sub CDEs.
The setting of the second preset threshold is set according to the requirements of the medical institution and medical knowledge, and is not limited herein.
The embodiment of the invention is provided with the CDE template generation module, when the combined use frequency of certain N CDE sets is greater than a second preset threshold value, a new CDE set template is automatically generated and stored in the database of the image structured report for later template calling, the most appropriate structured template is dynamically generated according to the personalized requirements of a single service, the structured label can be stored on the premise of ensuring the efficiency, and a foundation is laid for subsequent continuous improvement.
Example four
Fig. 9 is a schematic structural diagram of a system for dynamically generating a structured report in a video diagnosis service according to a fourth embodiment of the present invention; as shown in fig. 9, the mapping module 50 is connected to the CDE searching module 20, and is configured to automatically map the diagnosis data corresponding to the CDE set previously filled by the doctor into the structured report template fixed for the specific disease when a certain CDE set completely matches with the structured report template fixed for the specific disease.
The structural report template for fixing the specific disease is also a CDE template, and is only a specific template for the specific disease which is set in the image structural report in advance.
If a certain set of CDEs matches exactly with the disease specific fixed structured report template, the inference logic of the disease specific fixed structured report template can be automatically used to generate partial diagnostic conclusions.
The embodiment of the invention is provided with the mapping module, when a certain CDE set is completely matched with the special disease fixed structural report template, after a doctor uses the special disease fixed structural report template, the diagnosis data corresponding to the CDE set filled by the doctor in advance is automatically mapped to the special disease fixed structural report template in a lossless manner, the report writing speed of the doctor is improved, and the system is more humanized.
EXAMPLE five
FIG. 10 is a diagram illustrating a system for dynamically generating a structured report in a video diagnosis service according to a fifth embodiment of the present invention; as shown in fig. 10, the mapping module 50 further includes an inserting unit 502, configured to automatically extract, from the image structured report interface, a CDE set matching the keyword of the anatomical region and the pathological data, and insert the CDE set into the disease-specific fixed structured report template for filling by the doctor, based on the keyword of the anatomical region and the pathological data.
The embodiment of the invention is provided with the inserting unit, can automatically extract the CDE set matched with the keywords of the anatomical part and the pathological data based on the keywords and the pathological data of the anatomical part, and inserts the CDE set into the structural report template fixed by a special disease for a doctor to fill in, thereby facilitating the doctor to temporarily insert a section of structural description for expressing unexpected discovery, facilitating the doctor operation and enhancing the system universality.
EXAMPLE six
FIG. 11 is a flowchart of a method for dynamically generating a structured report in a video diagnostic service according to a sixth embodiment of the present invention; as shown in fig. 11, the method comprises the steps of:
step S601, when a doctor opens an image structured report interface of a patient, a CDE selection module selects a CDE (structured report sub-template common data element) set matched with an examination purpose for the doctor to fill in based on the relevant information of the patient, and displays all CDE sets matched with examination items on corresponding positions of the image structured report interface for the doctor to select to fill in; wherein, the CDE set is composed of at least one sub CDE;
fig. 12 is a schematic diagram of a CDE interface for dynamically generating a structured report in an image diagnosis service, wherein the examination item is a chest CT scan and the clinical diagnosis is suspected fracture according to a sixth embodiment of the present invention; as shown in fig. 12, the CDE selection module selects a CDE set of fracture positions, left, right, and several ribs, according to the examination location, examination item, examination purpose (clinical diagnosis is suspected fracture), sex, and age, and the doctor can click on the CDE interface; and displaying all the CDE sets matched with the chest CT scan on corresponding positions of an image structured report interface according to the examination item-chest CT scan, for example, the CDE sets matched with the chest CT scan have pulmonary nodules, fractures, hearts, bronchi, lymph nodes, etc., so that a doctor selects and fills the corresponding CDE according to the image of the patient, the display form can be a list form and is displayed on the left side of the image structured report interface, and each CDE set is presented to the doctor in a tree-shaped structure.
Each set of CDEs and each sub-CDE is displayed in a structured form.
Step S602, when a doctor completes the filling of one CDE set, the CDE searching module extracts the keywords of the anatomical part and the keywords of the iconography expression in the diagnostic data corresponding to the current CDE set, searches the next CDE set related to the keywords of the anatomical part and the keywords of the iconography expression based on the keywords of the anatomical part and the keywords of the iconography expression, and displays the next CDE set on an image structured report interface for the doctor to fill; until the complete end of the description of the patient's iconographic representation;
the form of extracting the keywords of the anatomical part and the keywords of the iconography representation in the diagnostic data corresponding to the CDE set may be:
2 associative selections are made in the structure of the tree, namely: selecting keywords of anatomical parts and keywords of iconography representation, wherein the form is a structured tree structure;
the following steps can be also included: a text is input or typed in by voice of a section of file and analyzed by applying NLP technology, and keywords of anatomical parts and keywords expressed by imaging are extracted.
In each CDE set scenario, the doctor can continue the original entry, and the system will give up using the CDE set by default, and still use the conventional free text template (or convert the voice into free text) to enter the iconography representation part.
FIG. 13 is a schematic diagram of a CDE interface for searching for a structural report describing fracture properties after a fracture is found in the method for dynamically generating a structural report in the image diagnosis service according to the sixth embodiment of the present invention; as shown in fig. 13, after the doctor completes the filling of the fracture CDE, the CDE search module searches a CDE set associated with the keyword of the anatomical part and the keyword of the iconography representation in the diagnosis data, that is, a CDE set describing the fracture property, based on the keyword of the anatomical part and the keyword of the iconography representation, and automatically displays the CDE set on the image structured report interface for the doctor to fill.
Fig. 14 is a schematic diagram of a CDE interface depicting a focal location of a pulmonary nodule when the pulmonary nodule is found in the method for dynamically generating a structured report in an image diagnosis service according to a sixth embodiment of the present invention; as shown in fig. 14, when the doctor completes the fracture CDE set and finds the existence of the lung nodule from the image of the patient, the CDE of the lung nodule focus position is selected from the left list of the image structured report interface for filling: including the left and right lungs, upper, middle, and lower pages, etc.
Fig. 15 is a schematic diagram of a CDE interface depicting the properties of a lung nodule when the lung nodule is found to be present in the method for dynamically generating a structured report in an image diagnosis service according to a sixth embodiment of the present invention; as shown in fig. 15, based on the diagnosis data of the CDE at the lung nodule focus position, the CDE search module extracts the keywords of the anatomical part and the keywords of the imagery representation in the diagnosis data corresponding to the current CDE set, and based on the keywords of the anatomical part and the keywords of the imagery representation, searches for the next CDE set, which is associated with the keywords of the anatomical part and the keywords of the imagery representation, and describes the CDE of the lung nodule property: location map, number of lymph node metastases, etc. for the physician to fill in.
Fig. 16 is a schematic diagram of a CDE interface depicting a lung nodule size when the lung nodule is found to exist in the method for dynamically generating a structured report in an image diagnosis service according to a sixth embodiment of the present invention; as shown in fig. 16, based on the diagnosis data of the CDE of the lung nodule property, the CDE search module extracts the keyword of the anatomical part and the keyword of the image expression in the diagnosis data corresponding to the current CDE set, and searches the next CDE set, which is associated with the keyword of the anatomical part and the keyword of the image expression, describing the CDE of the lung nodule size, based on the keyword of the anatomical part and the keyword of the image expression: including the maximum major diameter, minor diameter, volume, CT value, etc., for the physician to fill in, and in this cycle, repeat the above steps until the description of the patient's imaging performance is completed.
And if no abnormality is found in the images of the patient, directly finishing an image diagnosis report.
Step S603, the image structured report generating module sequentially generates the diagnostic data into natural language based on the order of the CDE sets filled by the doctor, and outputs a final diagnostic result.
In the general report service of a large anatomical part, due to the complex service scene and the difficulty in controlling the content scale and range of the template in advance, it is difficult to use the structured report, and it is also difficult to keep the data label for continuous improvement based on the analysis of the large data. The system can dynamically generate the most suitable structured template according to the individual requirements of a single service by introducing the technology of dynamically generating the template, can store the structured labels on the premise of ensuring the efficiency, and lays a foundation for subsequent continuous improvement. The system is a template for dynamically generating a structured report in a visualization description section which is a core part in a visualization diagnosis report, and dynamically organizes a structured report interface according to the requirements of personalized visualization expression and personalized diagnosis of a patient based on a structure that semanteme can dynamically combine CDE components between a CDE module and visualization expression, between the CDE module and a diagnosis conclusion and between the CDE modules of the structured report.
Wherein, the method also comprises: when the association frequency of the current CDE set and the next CDE set is larger than a first preset threshold value, after the doctor completes the filling of the previous CDE set, the association unit in the CDE search module automatically associates the next CDE set and displays the CDE set on the image structured report interface for the doctor to continuously fill.
For example, when the correlation frequency of the two CDE sets is greater than a first preset threshold, for example, the frequency of the two CDE sets appearing together is greater than 100 times, then when the CDE set describing the lung nodule is completed, the CDE set describing the abnormal lymph node is automatically displayed on the image structured report interface for the doctor to continue filling.
The setting of the first preset threshold is set according to the requirements of the medical institution and medical knowledge, and is not limited herein.
Wherein, the method also comprises: when the combined use frequency of certain N CDE sets is greater than a second preset threshold value, a CDE template generation module automatically generates a new CDE set template and stores the new CDE set template into a database of an image structured report; wherein N is more than or equal to 2.
For example, if the frequency of the combined use of the CDE describing the fracture position and the CDE describing the fracture property is more than 100 times, a new CDE set template is automatically generated, and if the relevant imaging description calling the fracture description exists in the later stage, the template is automatically called out for filling by a doctor.
Therefore, in turn, the largest image structured report is also a largest CDE set, and each CDE set is also composed of a plurality of sub CDEs.
The setting of the second preset threshold is set according to the requirements of the medical institution and medical knowledge, and is not limited herein.
Wherein, the method also comprises: when a certain CDE set is completely matched with the special disease fixed structured report template, the mapping module automatically maps the diagnosis data corresponding to the CDE set filled in by the doctor in advance to the special disease fixed structured report template.
The structural report template for fixing the specific disease is also a CDE template, and is only a specific template for the specific disease which is set in the image structural report in advance.
If a certain set of CDEs matches exactly with the disease specific fixed structured report template, the inference logic of the disease specific fixed structured report template can be automatically used to generate partial diagnostic conclusions.
Wherein, the method also comprises: and an inserting unit in the mapping module automatically extracts a CDE set matched with the keywords of the anatomical part and the pathological data based on the keywords of the anatomical part and the pathological data, and inserts the CDE set into a structural report template fixed by a special disease for a doctor to fill.
When a doctor opens an image structured report interface of a patient, a CDE selection module selects a CDE set matched with an examination purpose based on relevant information of the patient, and when the doctor completes filling of one CDE set, the CDE search module searches a next CDE set associated with a keyword of an anatomical part and a keyword expressed by an image and displays the next CDE set on the image structured report interface for the doctor to fill; until the complete end of the description of the patient's iconographic representation; the system can dynamically combine the CDE component framework based on semantics between the CDE module and the imaging performance, between the CDE module and the diagnosis conclusion and between the CDE modules, dynamically organize the structured report interface according to the individual imaging performance and the individual diagnosis requirement of the patient, avoid losing the description details due to the limited fixed template, avoid the huge template interface required for covering all possibilities, and ensure the filling efficiency and quality of the diagnosis report; in the association unit in the embodiment of the invention, when the association frequency of the current CDE set and the next CDE set is greater than the first preset threshold, after the doctor completes the filling of the previous CDE set, the next CDE set can be automatically associated and displayed on the image structured report interface for the doctor to continuously fill, so that the system is more complete, and the dynamically generated structured template is more accurate; when the combined use frequency of certain N CDE sets is greater than a second preset threshold value, the CDE template generation module automatically generates a new CDE set template, stores the new CDE set template into a database of an image structured report for later template calling, dynamically generates the most appropriate structured template according to the personalized requirements of a single service, can save the structured labels on the premise of ensuring the efficiency, and lays a foundation for subsequent continuous improvement; according to the mapping module in the embodiment of the invention, when a certain CDE set is completely matched with the special disease fixed structured report template, after a doctor uses the special disease fixed structured report template, the diagnosis data corresponding to the CDE set filled by the doctor in advance is automatically mapped into the special disease fixed structured report template, so that the report writing speed of the doctor is improved, and the system is more humanized; the inserting unit in the embodiment of the invention can automatically extract the CDE set matched with the keywords of the anatomical part and the pathological data based on the keywords of the anatomical part and the pathological data, and insert the CDE set into the structural report template fixed by a special disease for a doctor to fill in, thereby facilitating the temporary insertion of a section of structural description by the doctor for expressing unexpected discovery, facilitating the operation of the doctor and enhancing the system universality.
From the above description, it can be seen that the above-described embodiments of the present invention achieve the following technical effects: the embodiment of the invention is provided with a CDE searching module and an image structured report generating module, when a doctor opens an image structured report interface of a patient, a CDE selecting module selects a CDE set matched with an examination purpose based on relevant information of the patient, and when the doctor completes filling of one CDE set, the CDE searching module searches a next CDE set associated with a keyword of an anatomical part and a keyword of an image expression and displays the next CDE set on the image structured report interface for the doctor to fill; until the complete end of the description of the patient's iconographic representation; the system can dynamically combine the CDE component framework based on semantics between the CDE module and the imaging performance, between the CDE module and the diagnosis conclusion and between the CDE modules, dynamically organize the structured report interface according to the individual imaging performance and the individual diagnosis requirement of the patient, avoid losing the description details due to the limited fixed template, avoid the huge template interface required for covering all possibilities, and ensure the filling efficiency and quality of the diagnosis report; the embodiment of the invention is provided with the association unit, when the association frequency of the current CDE set and the next CDE set is greater than a first preset threshold value, after the doctor completes the filling of the previous CDE set, the next CDE set can be automatically associated and displayed on the image structured report interface for the doctor to continuously fill, so that the system is more complete, and the dynamically generated structured template is more accurate; the embodiment of the invention is provided with a CDE template generation module, when the combined use frequency of certain N CDE sets is greater than a second preset threshold value, a new CDE set template is automatically generated and stored in a database of an image structured report for later template calling, and a most appropriate structured template is dynamically generated according to the personalized requirements of a single service, so that the structured label can be saved on the premise of ensuring the efficiency, and a foundation is laid for subsequent continuous improvement; the embodiment of the invention is provided with the mapping module, when a certain CDE set is completely matched with the special disease fixed structured report template, after a doctor uses the special disease fixed structured report template, the diagnosis data corresponding to the CDE set filled by the doctor in advance is automatically mapped into the special disease fixed structured report template, so that the report writing speed of the doctor is improved, and the system is more humanized; the embodiment of the invention is provided with the inserting unit, and the CDE set matched with the keywords of the anatomical part and the pathological data can be automatically extracted based on the keywords of the anatomical part and the pathological data and inserted into the structural report template fixed for a doctor to fill in, so that the doctor can conveniently and temporarily insert a section of structural description for expressing unexpected discovery, the doctor can conveniently operate, and the system has stronger universality.
It will be apparent to those skilled in the art that the modules or steps of the present invention described above may be implemented by a general purpose computing device, they may be centralized on a single computing device or distributed across a network of multiple computing devices, and they may alternatively be implemented by program code executable by a computing device, such that they may be stored in a storage device and executed by a computing device, or fabricated separately as individual integrated circuit modules, or fabricated as a single integrated circuit module from multiple modules or steps. Thus, the present invention is not limited to any specific combination of hardware and software.
The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention, and various modifications and changes may be made by those skilled in the art. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (10)
1. A system for dynamically generating a structured report in an image diagnosis service is characterized by comprising a CDE selection module, a CDE search module and an image structured report generation module, wherein,
the CDE selection module is connected with the CDE search module and used for selecting a CDE (structured report sub-template common data element) set matched with an examination purpose for filling in by a doctor based on relevant information of a patient when the doctor opens an image structured report interface of the patient, and displaying all the CDE sets matched with examination items on corresponding positions of the image structured report interface for the doctor to select and fill in; wherein the set of CDEs consists of at least one sub-CDE; the relevant information of the patient is: an examination part, the examination item, the examination purpose, sex, and age;
the CDE searching module is respectively connected with the CDE searching module and the image structured report generating module, and is used for extracting a keyword of an anatomical part and a keyword of an image expression in diagnostic data corresponding to a current CDE set when a doctor completes filling of one CDE set, searching a next CDE set related to the keyword of the anatomical part and the keyword of the image expression based on the keyword of the anatomical part and the keyword of the image expression, and displaying the next CDE set on the image structured report interface for filling of the doctor; until the complete end of the description of said imaging performance of the patient;
and the image structured report generation module is connected with the CDE search module and used for sequentially generating the diagnosis data into natural language and outputting a final diagnosis conclusion based on the sequence of the CDE set filled by the doctor.
2. The system for dynamically generating a structured report in an image diagnosis service according to claim 1, wherein the CDE search module further comprises a correlation unit, configured to, when the correlation frequency between the previous CDE set and the next CDE set is greater than a first preset threshold, automatically correlate the next CDE set after the doctor completes the filling of the previous CDE set, and display the CDE set on the image structured report interface for the doctor to continue filling.
3. The system for dynamically generating a structured report in an image diagnosis service according to claim 1 or 2, further comprising a CDE template generating module, connected to the CDE searching module, for automatically generating a new CDE set template when the combined usage frequency of some N CDE sets is greater than a second preset threshold, and storing the new CDE set template in the database of the image structured report; wherein N is more than or equal to 2.
4. The system for dynamically generating structured report in video diagnosis service as claimed in claim 1, further comprising a mapping module, connected to said CDE search module, for automatically mapping the diagnosis data corresponding to the CDE set previously filled by the doctor into the disease-specific fixed structured report template when a certain CDE set is completely matched with the disease-specific fixed structured report template.
5. The system for dynamically generating a structured report in an image diagnosis service as claimed in claim 4, wherein the mapping module further comprises an inserting unit for automatically extracting the CDE set matching the keyword of the anatomical region and the pathological data based on the keyword of the anatomical region and the pathological data, and inserting the CDE set into the disease-specific fixed structured report template for filling out by a doctor.
6. A method for dynamically generating a structured report in a video diagnostic service, the method comprising:
when a doctor opens an image structured report interface of a patient, a CDE selection module selects a CDE (structured report sub-template common data element) set matched with an examination purpose for the doctor to fill in based on relevant information of the patient, and displays all CDE sets matched with examination items on corresponding positions of the image structured report interface for the doctor to select to fill in; wherein the set of CDEs consists of at least one sub-CDE; the relevant information of the patient is: an examination part, an examination item, an examination purpose, sex, and age;
when a doctor completes filling of one CDE set, a CDE searching module extracts a keyword of an anatomical part and a keyword of an image expression in diagnostic data corresponding to the current CDE set, searches a next CDE set related to the keyword of the anatomical part and the keyword of the image expression based on the keyword of the anatomical part and the keyword of the image expression, and displays the CDE set on an image structured report interface for the doctor to fill; until the complete end of the description of said imaging performance of the patient;
and the image structured report generation module sequentially generates the diagnosis data into natural language based on the order of the CDE set filled by the doctor and outputs a final diagnosis conclusion.
7. The method for dynamically generating a structured report in video diagnostic service as claimed in claim 6, further comprising: when the association frequency of the current CDE set and the next CDE set is larger than a first preset threshold value, after a doctor completes filling of the previous CDE set, an association unit in the CDE search module automatically associates the next CDE set and displays the CDE set on the image structured report interface for the doctor to continuously fill.
8. The method for dynamically generating a structured report in a video diagnostic service according to claim 6 or 7, further comprising: when the combined use frequency of certain N CDE sets is greater than a second preset threshold value, a CDE template generation module automatically generates a new CDE set template and stores the new CDE set template into a database of an image structured report; wherein N is more than or equal to 2.
9. The method for dynamically generating a structured report in video diagnostic service as claimed in claim 6, further comprising: when a certain CDE set is completely matched with the disease-specific fixed structured report template, the mapping module automatically maps the diagnosis data corresponding to the CDE set filled in by the doctor in advance into the disease-specific fixed structured report template.
10. The method for dynamically generating a structured report in a video diagnostic service as claimed in claim 9, further comprising: and an inserting unit in the mapping module automatically extracts the CDE set matched with the keywords of the anatomical part and the pathological data based on the keywords of the anatomical part and the pathological data, and inserts the CDE set into the structural report template fixed by the specific diseases for filling by doctors.
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