CN112786158A - Medical image filing method based on mobile medical image equipment - Google Patents

Medical image filing method based on mobile medical image equipment Download PDF

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Publication number
CN112786158A
CN112786158A CN202110051992.0A CN202110051992A CN112786158A CN 112786158 A CN112786158 A CN 112786158A CN 202110051992 A CN202110051992 A CN 202110051992A CN 112786158 A CN112786158 A CN 112786158A
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China
Prior art keywords
information
patient
image
local
name
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CN202110051992.0A
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Chinese (zh)
Inventor
冯立峰
柴春华
陈溪
唐晓凤
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Mingfeng Medical System Co Ltd
Minfound Medical Systems Co Ltd
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Mingfeng Medical System Co Ltd
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Priority to CN202110051992.0A priority Critical patent/CN112786158A/en
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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

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  • Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

The invention discloses a medical image filing method based on mobile medical imaging equipment, which comprises the following steps of (1) obtaining images generated by the mobile medical imaging equipment, and obtaining local dicom image information in batches, wherein the local image information and the patient information in worklist are obtained to be matched, and the images of the patients matched with the information are transmitted by PACS after modifying specific dicom information to finish filing; (2) reading patient image information in batches and generating a local patient information list; (3) properly typesetting and storing the patient list into a TXT file for registration of a RIS (RIS) of a courtyard; (4) acquiring worklist information by one key; (5) automatically matching local patient information with the patient information; (6) the PACS transmits the correctly matched patient images to complete the archiving. The invention is simple and easy to operate, has no field limitation, and can conveniently and quickly solve the image filing problem of the mobile medical imaging equipment.

Description

Medical image filing method based on mobile medical image equipment
Technical Field
The invention relates to the technical field of medical image filing, in particular to a medical image filing method based on mobile medical image equipment.
Background
The system is required to be applied to mobile medical imaging equipment such as shelter CT, vehicle-mounted CT and the like in activities such as emergency disaster relief, health general survey and the like. Because the activity site of the mobile medical equipment is generally far away from the hospital, the activity site can also be limited by local conditions without good network conditions, and images generated by independent external registration need to be matched with an RIS system in the hospital and filed, the process is complex and cannot be finished manually, and the image filing becomes a great problem troubling the mobile medical imaging equipment.
In the prior art, the patient needs to be registered in advance in a hospital, the registered patient information is input into the mobile medical equipment, then scanning is carried out, and then the image is taken back to the hospital for filing. The technology has long execution period, increases the waiting time of patients and has the problem of difficult filing for emergency patients.
Another prior art uses a cloud service technology to synchronize patient information and image data with a server of a hospital radiology department through cloud service. The technology needs a whole set of cloud service system, has high requirement on the network, and can cause image mismatching when the network is unstable.
Disclosure of Invention
Aiming at the defects of the prior art, the invention provides a medical image filing method based on mobile medical imaging equipment, which is characterized in that the filing is completed by acquiring the patient information in a stored image, matching the acquired information in a RIS by using a worklist technology, matching the patient information, modifying the information such as the patient ID, the registration serial number and the like in the image and using a PACS transmission technology. The invention is simple and easy to operate, has no field limitation, and can conveniently and quickly solve the image filing problem of the mobile medical imaging equipment.
In order to achieve the purpose, the invention provides the following technical scheme: a medical image filing method based on mobile medical image equipment, which obtains local patient information and patient information in worklist for matching, modifies the patient image matched with the information into specific dicommag information, then transmits PACS to finish filing, concretely comprises the following steps,
(1) acquiring images generated by the mobile medical imaging equipment, and acquiring local dicom image information in batch;
(2) reading patient image information in batches and generating a local patient information list;
(3) properly typesetting and storing the patient list into a TXT file for registration of a RIS (RIS) of a courtyard;
(4) acquiring worklist information by one key;
(5) automatically matching local patient information with the patient information;
(6) the PACS transmits the correctly matched patient images to complete the archiving.
DICOM is widely used in radiomedicine, cardiovascular imaging and radiodiagnosis (X-ray, CT, nuclear magnetic resonance, ultrasound, etc.) and is increasingly used in ophthalmology, dentistry, and other medical fields. DICOM is one of the most widely deployed standards for medical information among the tens of thousands of medical imaging devices in use, and there are currently about billions of medical images that conform to the DICOM standard for clinical use.
The DICOM standard covers almost all information exchange protocols of acquisition, archiving, communication, display, query and the like of medical digital images; defining a set of object sets containing various types of medical diagnostic images and related information such as analysis and reports by an open interconnected architecture and an object-oriented method; defining service classes and command sets for information transfer and exchange and standard responses of messages; techniques for identifying various types of information objects are detailed; service support for network environments (OSI or TCP/IP) is provided; the manufacturer's compatibility Statement (compatibility Statement) is defined structurally.
The introduction and implementation of DICOM standard greatly simplifies the implementation of medical image information exchange, promotes the research and development of remote radiology system and image management and communication system (PACS), and makes the integration with other medical application systems (HIS, RIS, etc.) possible due to the openness and interconnectivity of DICOM.
The PACS system is an abbreviation of Picture Archiving and Communication Systems, meaning image Archiving and Communication Systems. The system is applied to a hospital image department, and mainly aims to store various medical images (including images generated by equipment such as nuclear magnetism, CT, ultrasound, various X-ray machines, various infrared instruments, microscopes and the like) generated in daily life in a digital mode through various interfaces (analog, DICOM and network), can be quickly called back for use under certain authorization when needed, and is added with auxiliary diagnosis management functions. It has important roles in transmitting data and organizing and storing data among various image devices.
WorkList service: once the patient information is input, other workstations can be directly and automatically called from the PACS system main database without manual input again; the medical imaging equipment with the WorkList service can directly extract the basic information list of related patients from the server, and the imaging equipment without the WorkList function can input information data of the patients through the operating console of the medical imaging equipment or extract registration information through the diagnosis separating console.
In conclusion, the invention can extract the patient information through the Dicom image information, has the function of worklist, and can be docked in the RIS system of the hospital, modify the image information and finish archiving. The patient image generated by the mobile medical imaging equipment in the off-line environment is filed in the hospital patient data storage system, and the mobile medical imaging equipment can be flexibly adapted to the medical imaging data and the hospital data storage system on the market. The invention is simple and easy to operate, has no field limitation, and can conveniently and quickly solve the image filing problem of the mobile medical imaging equipment.
Drawings
FIG. 1 is a schematic flow chart of an archiving method according to the present invention.
Detailed Description
An embodiment of a medical image archiving method based on a mobile medical imaging device according to the present invention is further described with reference to fig. 1.
1. The invention relates to a medical image filing method based on a mobile medical image device, which can be used as a lightweight filing tool to conveniently acquire dicom images in mobile hard disks, local disks or other network paths in batches and generate a local patient list, and has the following specific modes:
1) providing a button on the main interface for a user to select a catalog of patient image data to be archived after clicking;
2) acquiring all files under a user-selected directory through a folder browser dialog interface of Windows;
3) in order to accelerate the speed of reading the local patient data, the invention only records the first image of each patient catalog as a representative;
4) reading key tag in the dicom image using fo-dicom: (0010,0020) PatientID, (0010,0040) PatientSex, (0018,0015) BodyPartExamined, (0010,0030) PatientBirthDate, (0010) PatientName, and displays the information into a local patient list;
5) providing a button on the main interface for a user to click the patient information after preview and typesetting;
6) and calling a system tool no pad.exe from the outside, and transmitting the patient information list to be stored as a txt file, so that the user can print or transfer the patient information list conveniently.
2. The method for acquiring the worklist information list in the RIS after configuring the RIS connection information comprises the following specific steps:
1) providing a RIS configuration interface for a user to configure AET related information of the hospital RIS, and judging whether to successfully connect the RIS system by using the Dicocechlororequest;
2) providing a refreshing button on the main interface for a user to click to acquire worklist information of the RIS;
3) sending a DicommIndRequest request according to the Dicomm3.0 standard, the request being as follows:
<?xml version="1.0"?>
<file-format>
<meta-header xfer="1.2.840.10008.1.2.1"name="LittleEndianExplicit">
<element tag="0002,0000"vr="UL"vm="1"len="4"name="MetaElementGroupLength">196</element>
<element tag="0002,0001"vr="OB"vm="1"len="2"name="FileMetaInformationVersion"binary="hidden"></element>
<element tag="0002,0002"vr="UI"vm="1"len="26"name="MediaStorageSOPClassUID">1.2.276.0.7230010.3.1.0.1</element>
<element tag="0002,0003"vr="UI"vm="1"len="52"name="MediaStorageSOPInstanceUID">1.2.276.0.7230010.3.1.4.4078630252.3864.1281339899.1</element>
<element tag="0002,0010"vr="UI"vm="1"len="20"name="TransferSyntaxUID">1.2.840.10008.1.2.1</element>
<element tag="0002,0012"vr="UI"vm="1"len="28"name="ImplementationClassUID">1.2.276.0.7230010.3.0.3.5.4</element>
<element tag="0002,0013"vr="SH"vm="1"len="16"name="ImplementationVersionName">OFFIS_DCMTK_354</element>
</meta-header>
<data-set xfer="1.2.840.10008.1.2.1"name="LittleEndianExplicit">
<element tag="0008,0050"vr="SH"vm="0"len="0"name="AccessionNumber"></element>
<element tag="0018,0015"vr="CS"vm="0"len="0"name="BodyPartExamined"></element>
<element tag="0010,0010"vr="PN"vm="0"len="0"name="PatientsName"></element>
<element tag="0010,0020"vr="LO"vm="0"len="0"name="PatientID"></element>
<element tag="0010,0030"vr="DA"vm="0"len="0"name="PatientsBirthDate"></element>
<element tag="0010,0040"vr="CS"vm="0"len="0"name="PatientsSex"></element>
<element tag="0010,1030"vr="DS"vm="0"len="0"name="PatientsWeight"></element>
<element tag="0010,2000"vr="LO"vm="0"len="0"name="MedicalAlerts"></element>
<element tag="0010,2110"vr="LO"vm="0"len="0"name="ContrastAllergies"></element>
<element tag="0020,000d"vr="UI"vm="0"len="0"name="StudyInstanceUID"></element>
<element tag="0032,1032"vr="PN"vm="0"len="0"name="RequestingPhysician"></element>
<element tag="0032,1060"vr="LO"vm="0"len="0"name="RequestedProcedureDescription"></element>
<sequence tag="0040,0100"vr="SQ"card="1"len="106"name="ScheduledProcedureStepSequence">
<item card="12"len="98">
<element tag="0008,0060"vr="CS"vm="1"len="2"name="Modality">CT</element>
<element tag="0032,1070"vr="LO"vm="0"len="0"name="RequestedContrastAgent"></element>
<element tag="0040,0001"vr="AE"vm="0"len="0"name="ScheduledStationAETitle"></element>
<element tag="0040,0002"vr="DA"vm="0"len="0"name="ScheduledProcedureStepStartDate"></element>
<element tag="0040,0003"vr="TM"vm="0"len="0"name="ScheduledProcedureStepStartTime"></element>
<element tag="0040,0006"vr="PN"vm="0"len="0"name="ScheduledPerformingPhysiciansName"></element>
<element tag="0040,0007"vr="LO"vm="0"len="0"name="ScheduledProcedureStepDescription"></element>
<element tag="0040,0009"vr="SH"vm="0"len="0"name="ScheduledProcedureStepID"></element>
<element tag="0040,0010"vr="SH"vm="0"len="0"name="ScheduledStationName"></element>
<element tag="0040,0011"vr="SH"vm="0"len="0"name="ScheduledProcedureStepLocation"></element>
<element tag="0040,0012"vr="LO"vm="0"len="0"name="PreMedication"></element>
<element tag="0040,0400"vr="LT"vm="0"len="0"name="CommentsOnTheScheduledProcedureStep"></element>
</item>
</sequence>
<element tag="0040,1001"vr="SH"vm="0"len="0"name="RequestedProcedureID"></element>
<element tag="0040,1003"vr="SH"vm="0"len="0"name="RequestedProcedurePriority"></element>
</data-set>
</file-format>;
4) screening the obtained worklist, and displaying tag: (0010,0020) PatientID, (0010,0040) PatientSex, (0018,0015) BodyPartExamined, (0010,0030) PatientBirthDate, (0010) PatientName to the host interface;
3. the PACS information is configured, the patient image is automatically matched, and the filing is finished
1) A PACS configuration interface is provided for a user to configure AET-related information of a hospital PACS, and a DicommochoRequest is used to judge whether the PACS system is successfully connected.
2) An automatic filing button is provided on the main interface for users to click to finish filing:
the program automatically matches the local image data information with the patient information of worklist from RIS, preferably using (0010) the paintentame for matching. In consideration of the situation that the duplicate names may occur, the invention can carry out one-time duplicate name screening in advance and put forward the duplicate name for further matching. Further matching is done by judging the same person's (0010,0030) PatientBirthDate if (0010,0030)
If the PatientBirthDate is the same, then the patient is considered not to be matched automatically, and the patient is indicated as failed. Successful auto-matching archives will show success at the interface.
4. And manually matching the patient image to finish archiving.
For patients who cannot be automatically archived, namely (0010,0030) PatientBirthDate and (0010,0030) PatientBirthDate are the same, the invention provides a manual matching function for users to click on for manual matching and archiving.
The above description is only a preferred embodiment of the present invention, and the protection scope of the present invention is not limited to the above embodiments, and all technical solutions belonging to the idea of the present invention belong to the protection scope of the present invention. It should be noted that modifications and embellishments within the scope of the invention may occur to those skilled in the art without departing from the principle of the invention, and are considered to be within the scope of the invention.

Claims (1)

1. A medical image filing method based on a mobile medical image device is characterized in that: obtaining local patient information and matching the patient information in worklist, modifying the patient image matched with the information into specific dicommag information, then carrying out PACS transmission to finish archiving, specifically comprising the following steps,
(1) acquiring an image generated by the mobile medical imaging equipment;
(2) reading patient image information in batches and generating a local patient information list;
(3) properly typesetting and storing the patient list into a TXT file for registration of a RIS (RIS) of a courtyard;
(4) acquiring worklist information by one key;
(5) automatically matching local patient information with the patient information;
(6) the PACS transmits the correctly matched patient images to complete the archiving.
CN202110051992.0A 2021-01-15 2021-01-15 Medical image filing method based on mobile medical image equipment Pending CN112786158A (en)

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Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106529153A (en) * 2016-10-28 2017-03-22 武汉联影医疗科技有限公司 Character set matching method and device for digital imaging and communications in medicine (DICOM) file

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106529153A (en) * 2016-10-28 2017-03-22 武汉联影医疗科技有限公司 Character set matching method and device for digital imaging and communications in medicine (DICOM) file

Non-Patent Citations (4)

* Cited by examiner, † Cited by third party
Title
方海英等: "医学影像信息系统中图像数据的管理及安全策略", 《放射学实践》 *
罗敏等: "通过工作列表实现数字化网络各系统之间患者信息的一致性", 《中华放射学杂志》 *
陈金雄: "PACS与HIS的融合技术", 《中国医疗器械信息》 *
韩翠: "影像归档和通信系统设计与应用", 《医疗卫生装备》 *

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Application publication date: 20210511