CN112820385A - Medical image browsing method, client and system - Google Patents

Medical image browsing method, client and system Download PDF

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Publication number
CN112820385A
CN112820385A CN202110136556.3A CN202110136556A CN112820385A CN 112820385 A CN112820385 A CN 112820385A CN 202110136556 A CN202110136556 A CN 202110136556A CN 112820385 A CN112820385 A CN 112820385A
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client
view
server
local
image
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史张珏
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Sinounion Healthcare Inc
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Sinounion Healthcare Inc
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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H30/00ICT specially adapted for the handling or processing of medical images
    • G16H30/20ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation

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Abstract

The invention provides a medical image browsing method, which is realized based on a client and a cloud server connected with the client, and comprises the following steps: when a medical image in a client is in a local mode display mode, more than one image window is displayed in an interface of the client, and each image window is used for loading a local view; the client receives an operation instruction input by a user and updates the local view according to the operation instruction; when a medical image in a client is in a server mode display mode, a DICOM file uploaded by the client is stored in a cloud server, more than one image window is displayed in an interface of the client, and each image window is used for loading a server view; the client receives an operation instruction input by a user, and the cloud server updates the server view according to the operation instruction. The user can flexibly select different modes to browse the medical image according to the requirement. The invention also provides a client and a medical image browsing system.

Description

Medical image browsing method, client and system
Technical Field
The invention relates to the technical field of medical image processing, in particular to a medical image browsing method, a client and a system.
Background
Medical images adopt DICOM (digital Imaging and Communication in medicine) as a standard for image storage, transmission and exchange. Medical imaging equipment, such as CT, generates examination images after a patient scan is completed, the examination images are stored in DICOM format, and a physician then opens DICOM image files for review and diagnosis using specialized DICOM viewer software.
Conventional medical image review is performed on an in-hospital image workstation. Generally, a plurality of image workstation computers are configured for a hospital radiology department according to the number of film reading doctors, and each workstation is provided with professional image browsing processing software so that a plurality of doctors can read and diagnose simultaneously. In this mode, the medical images are completely processed at the local workstation, and the performance requirements of the workstation are high. This is due to the characteristics of medical images: firstly, the data volume is large, for example, an image file generated by one PET/CT examination can reach more than 500 MB; secondly, the image processing algorithm is complex, and especially some advanced processing functions such as tumor analysis, curved surface reconstruction and the like have high requirements on system hardware resources (such as GPU, CPU and memory).
In recent years, with the development of cloud technology and the popularization of doctor remote film reading, an image browsing technology based on an internet cloud platform is generated. The principle of the technology is that a cloud server is responsible for storing and processing medical image DICOM files, and a client is connected with the server through the Internet to browse images. The doctor actually sends a page turning instruction to the server for image operation, the server executes the instruction to generate a corresponding picture (the picture is only a picture in a common JPG format, but not an image in a DICOM format) under the doctor's view angle, and the picture is returned to the client and displayed by the client. In this mode, the client no longer needs to operate a large-size DICOM file, and does not need to perform complex processing on the image, and only needs to send the operation of the doctor to the server and display the JPG picture returned after the processing by the server, and one JPG picture is usually only dozens of KB in size. Therefore, this mode has low requirements for client devices, and ordinary desktop or notebook computers can be used normally. In addition, the method supports a large number of doctors to browse images on line at the same time by utilizing the strong computing power and good expandability of the cloud server.
However, the image browsing technology based on the internet cloud platform has some problems. Firstly, the network environment has high requirements, if the network transmission speed is not enough, the transmission time consumption between the server and the client is prolonged, the doctor operates the card, the interface response is slow, and the user experience is deteriorated. Secondly, the method completely depends on the cloud server, the DICOM file needs to be uploaded to the cloud server for processing before the DICOM file can be browsed, even if a client computer is a high-performance workstation, a doctor only needs to perform conventional basic operation on the image and can only wait for the completion of the uploading of the file. In addition, the DICOM file contains personal information of a patient besides image information, and the DICOM file containing sensitive information is uploaded to the cloud, so that potential security risks are faced.
Therefore, a new medical image browsing method is needed.
Disclosure of Invention
Technical problem to be solved
In view of the problems in the art described above, the present invention is at least partially addressed. Therefore, an object of the present invention is to provide a medical image browsing method, which enables a user to flexibly select different modes to browse a medical image according to needs, and the image browsing is more convenient and faster.
The second purpose of the invention is to provide a medical image browsing client.
A third object of the present invention is to provide a medical image browsing system.
(II) technical scheme
In order to achieve the above object, a first aspect of the present invention provides a medical image browsing method, implemented based on a client and a cloud server connected to the client, including:
when a medical image in a client is in a local mode display mode, a DICOM file for displaying the medical image is stored in the client, more than one image window is displayed in an interface of the client, and each image window is used for loading a local view; the client receives an operation instruction input by a user and updates the local view according to the operation instruction.
When a medical image in a client is in a server mode display mode, a DICOM file which is uploaded by the client and used for displaying the medical image is stored in a cloud server, more than one image window is displayed in an interface of the client, and each image window is used for loading a server view; the client receives an operation instruction input by a user, and the cloud server updates the server view according to the operation instruction.
Further, the medical image browsing method further comprises:
when the medical images in the client are in a mixed mode display mode, a DICOM file uploaded by the client and used for displaying the medical images is stored in the cloud server, more than two image windows are displayed in an interface of the client, each image window is used for loading a local view or a server view, and states of the local view and the server view in all the windows are synchronous.
The client receives an operation instruction input by a user, updates the local view according to the operation instruction, and interactively updates the server view with the cloud server, wherein the updated local view and the server view are synchronous in state.
Further, the local view is an image which is processed and presented by extracting the two-dimensional data set according to the DICOM file by the client; the server view is an image which is processed and sent by the client receiving cloud server according to the DICOM file in a three-dimensional data set mode.
Further, the client receives an operation instruction input by a user, updates the local view according to the operation instruction, and updates the server view by interacting between the client and the cloud server, and the states of the updated local view and the server view are synchronous, including:
the client receives an operation instruction input by a user, and obtains operation information and an operation object in the operation instruction; the client executes an operation instruction on the local view according to the operation information; and the client sends the operation information to the cloud server, and receives the server view of the picture format updated by the cloud server according to the operation information.
The operational information includes one or more of: the method comprises the steps that an image sequence identifier loaded by a current window, an image sequence identifier to be loaded corresponding to an operation instruction, a camera display parameter and an operation parameter are obtained; the operation object is a local view or a server view.
Further, when the operation object is a local view, after the client executes an operation instruction on the local view according to the operation information, the client acquires the updated information of the local view by means of a definition display context program; correspondingly, the client sends the operation information and the updated information of the local view to the cloud server;
or,
when the operation object is a server view, the client sends the operation information to the cloud server and receives the server view updated by the cloud server; the client acquires the updated information of the server view by means of the definition display context program; correspondingly, the client updates the local view of the current window according to the operation information and the updated information of the server view.
Further, the operation instruction of the local view includes: display, translation, zoom, window width bed, rotation, length and angle measurements, and quantitative statistics of the region of interest; the operation instructions of the server view comprise: multi-plane reconstruction, curved surface reconstruction, maximum density projection, three-dimensional measurement or automatic segmentation and quick positioning.
Or,
the local view includes: CT cross-sectional image, PET-CT fusion image; the server view includes: MIP images, CPR images.
A second aspect of the present invention provides a client, where the client is connected to a cloud server, and the client includes:
the local view module is used for enabling the medical image in the client to be in a local mode display mode, more than one image window is displayed in the interface of the client, and each image window is used for loading a local view; and after receiving an operation instruction input by a user, enabling the client to update the local view according to the operation instruction.
The server view module is used for enabling the medical images in the client to be in a server mode display mode, a DICOM file which is uploaded by the client and used for displaying the medical images is stored in the cloud server, more than one image window is displayed in an interface of the client, and each image window is used for loading a server view; and after receiving an operation instruction input by a user, enabling the cloud server to update the server view according to the operation instruction.
Furthermore, the local view module and the server view module are further configured to enable medical images in the client to be in a mixed mode display mode, a DICOM file uploaded by the client and used for displaying the medical images is stored in the cloud server, more than two image windows are displayed in an interface of the client, each image window is used for loading a local view or a server view, and states of the local view and the server view in all the windows are synchronous.
After receiving an operation instruction input by a user at a client, acquiring operation information and an operation object in the operation instruction, when the operation object is a local view, executing the operation instruction on the local view by a local view module according to the operation information, acquiring updated information of the local view by a server view module by means of a definition display context program, correspondingly, transmitting the operation information and the updated information of the local view to a cloud server by the server view module, and receiving the updated server view by the cloud server according to the operation information and the updated information of the local view by the server view module; or when the operation object is a server view, the server view module sends the operation information to the cloud server and receives the server view updated by the cloud server, the local view module acquires the information of the updated server view by means of the definition display context program, and accordingly, the local view module updates the local view of the current window according to the operation information and the information of the updated server view.
A third aspect of the present invention provides a medical image browsing system, which includes a cloud server and a plurality of clients, where the clients interact with the cloud server to execute any one of the above medical image browsing methods.
(III) advantageous effects
The invention has the beneficial effects that:
1. the medical image browsing method provided by the embodiment of the invention is based on a client and a cloud server connected with the client, and a local mode and a server mode are predefined to realize the browsing of the medical image, wherein the local mode is realized by processing a DICOM file through the client, and the server mode is realized by processing the DICOM file through the cloud server. The user can flexibly select different modes to browse the medical images according to the needs, the advantage that the client processes the medical images and the advantage that the cloud server processes the medical images are fully utilized, and then the image browsing is more convenient and faster.
2. The local mode and the server mode are synchronized in state through a display context (ViewContext), so that a user can seamlessly switch between the two modes, and the user experience is improved.
Drawings
The invention is described with the aid of the following figures:
FIG. 1 is a schematic view of a window layout for browsing PET/CT images in a hybrid mode according to an embodiment of the present invention;
FIG. 2 is a schematic diagram illustrating the display effect of a window layout for PET/CT image browsing in a hybrid mode after loading patient data according to an embodiment of the present invention;
FIG. 3 is a flowchart illustrating a specific process for implementing a first interaction according to an embodiment of the present invention;
fig. 4 is a schematic flowchart of a specific process for implementing the second interaction according to an embodiment of the present invention.
[ description of reference ]
1: a client;
11: a local view module; 12: a server view module;
2: and a cloud server.
Detailed Description
For the purpose of better explaining the present invention and to facilitate understanding, the present invention will be described in detail by way of specific embodiments with reference to the accompanying drawings.
The medical image browsing method provided by the embodiment of the invention is based on a client and a cloud server connected with the client, and a local mode and a server mode are predefined to realize the browsing of the medical image, wherein the local mode is realized by processing a DICOM file through the client, and the server mode is realized by processing the DICOM file through the cloud server. The user can flexibly select different modes to browse the medical images according to the needs, the advantage that the client processes the medical images and the advantage that the cloud server processes the medical images are fully utilized, and then the image browsing is more convenient and faster.
In order to better understand the above technical solutions, exemplary embodiments of the present invention will be described in more detail below with reference to the accompanying drawings. While exemplary embodiments of the invention are shown in the drawings, it should be understood that the invention can be embodied in various forms and should not be limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the invention to those skilled in the art.
The embodiment of the invention provides a medical image browsing method, which is realized based on a client and a cloud server connected with the client, and comprises the following steps:
and a mode switching button is displayed in an interface of the client, and after an instruction of triggering the mode switching button by a user is received, the client displays sub-buttons of a local mode and a server mode.
When an instruction for triggering the local mode is received, the medical image in the client is in a display mode of the local mode, a DICOM file for displaying the medical image is stored in the client, more than one image window is displayed in an interface of the client, and each image window is used for loading a local view; the client receives an operation instruction input by a user and updates the local view according to the operation instruction.
When an instruction for triggering a server mode is received, a medical image in a client is in a display mode of the server mode, a DICOM file which is uploaded by the client and used for displaying the medical image is stored in a cloud server, more than one image window is displayed in an interface of the client, and each image window is used for loading a server view; the client receives an operation instruction input by a user, and the cloud server updates the server view according to the operation instruction.
According to the medical image browsing method provided by the embodiment of the invention, a user can select the local mode or the server mode to realize the function of browsing the medical image according to the requirement, and the advantages of processing the medical image by the client and the advantages of processing the medical image by the cloud server are fully utilized, so that the image browsing is more convenient and faster.
Specifically, the image window is an interface for a user to browse and manipulate images.
Furthermore, the client performs desensitization processing on the DICOM file and uploads the file to the cloud server. Ensuring that private information of the patient is not revealed.
Further, the local view is an image which is processed and presented by extracting the two-dimensional data set according to the DICOM file by the client; the server view is an image which is processed and sent by the client receiving cloud server according to the DICOM file in a three-dimensional data set mode. The method has the advantages that the image data of a single layer, namely a single image, is processed in the local mode, the basic medical image processing function with low requirements on hardware resources is realized, all data are loaded at one time in the server mode and organized into the three-dimensional data set, then three-dimensional analysis is applied, the calculated amount is large, the algorithm is complex, and the complex advanced image processing function is realized. The medical image browsing method provided by the invention can be used by common desktop computers or notebook computers.
Further, the operation instruction of the local view includes: display, translation, zoom, window width bed, rotation, length and angle measurements, and quantitative statistics of the region of interest; the operation instructions of the server view comprise: multi-plane reconstruction, curved surface reconstruction, maximum density projection, three-dimensional measurement or automatic segmentation and quick positioning.
Further, the format of the two-dimensional image is a JPG format, and the format of the three-dimensional image is a JPG format.
Generally, the doctor's reading procedure is to browse the whole image data in the form of the original two-dimensional image, and then further analyze the focus position or suspicious lesion, for example, to locate the focus position or suspicious lesion in three sections of the transection vector at the same time, or to measure the size, CT value or SUV value of the lesion region, etc. For some complex and specific diseases, a special high-level processing module is also called, for example, for tumors, a special analysis module provides functions such as automatic delineation of tumors, quantitative analysis and the like to assist diagnosis.
Therefore, the medical image browsing method provided by the invention enables a doctor to directly open the DICOM file and quickly browse all images in a local mode on a client computer, and the system is automatically switched to a server mode for processing when advanced image processing is required.
In the process of browsing medical images by doctors, the function of synchronizing the local view and the server view state, such as the function of synchronizing the two-dimensional image and the three-dimensional image state, is also often used. Therefore, the medical image browsing method provided by the embodiment of the invention further comprises the following steps:
and after receiving an instruction of triggering the mode switching button by the user, displaying the sub-buttons of the local mode, the server mode and the mixed mode by the client.
When an instruction for triggering a mixed mode is received, the medical images in the client are in a display mode of the mixed mode, a DICOM file which is uploaded by the client and used for displaying the medical images is stored in the cloud server, more than two image windows are displayed in an interface of the client, each image window is used for loading a local view or a server view, and the states of the local view and the server view in all the windows are synchronous; the client receives an operation instruction input by a user, updates the local view according to the operation instruction, and interactively updates the server view with the cloud server, wherein the updated local view and the server view are synchronous in state.
The state synchronization of the local view and the server view refers to the image display state synchronization of the local view and the server view, such as scaling, rotation angle, translation offset, window width and position, spatial position of the current image, and the like.
Further, the client receives an operation instruction input by a user, updates the local view according to the operation instruction, and updates the server view by interacting between the client and the cloud server, and the states of the updated local view and the server view are synchronous, including: the client receives an operation instruction input by a user, and obtains operation information and an operation object in the operation instruction; the client executes an operation instruction on the local view according to the operation information; and the client sends the operation information to the cloud server, and receives the server view updated by the cloud server according to the operation information.
Wherein the operational information includes one or more of: the method comprises the steps of image sequence identification loaded by a current window, image sequence identification to be loaded corresponding to an operation instruction, camera display parameters and operation parameters. The operation object is a local view or a server view. Specifically, the camera display parameters include zoom, rotation angle, translation offset, window width, and window level.
Further, when the operation object is a local view, after the client executes an operation instruction on the local view according to the operation information, the client acquires the updated information of the local view by means of a definition display context program; correspondingly, the client sends the operation information and the updated information of the local view to the cloud server. Or when the operation object is a server view, the client sends the operation information to the cloud server and receives the server view updated by the cloud server; the client acquires the updated information of the server view by means of the definition display context program; correspondingly, the client updates the local view of the current window according to the operation information and the updated information of the server view. The local mode and the server mode are synchronized in state through a display context (ViewContext), so that a user can seamlessly switch between the two modes, and the user experience is improved.
The invention also provides a client, which is connected with the cloud server, and comprises:
and the mode switching module is used for displaying the sub-buttons of the local mode and the server mode after receiving an instruction of triggering the mode switching button by a user.
The local view module is used for enabling the medical image in the client to be in a local mode display mode when receiving an instruction for triggering the local mode, more than one image window is displayed in an interface of the client, and each image window is used for loading the local view; and after receiving an operation instruction input by a user, enabling the client to update the local view according to the operation instruction.
The server view module is used for enabling the medical image in the client to be in a display mode of the server mode when receiving an instruction for triggering the server mode, a DICOM file which is uploaded by the client and used for displaying the medical image is stored in the cloud server, more than one image window is displayed in an interface of the client, and each image window is used for loading the server view; and after receiving an operation instruction input by a user, enabling the cloud server to update the server view according to the operation instruction.
Further, the mode switching module also displays the sub-button of the mixed mode after the user triggers the instruction of the mode switching button.
The local view module and the server view module are further used for enabling medical images in the client to be in a mixed mode display mode when an instruction for triggering the mixed mode is received, a DICOM file uploaded by the client and used for displaying the medical images is stored in the cloud server, more than two image windows are displayed in an interface of the client, each image window is used for loading a local view or a server view, and states of the local view and the server view in all the windows are synchronous.
After receiving an operation instruction input by a user at a client, acquiring operation information and an operation object in the operation instruction, when the operation object is a local view, executing the operation instruction on the local view by a local view module according to the operation information, acquiring updated information of the local view by a server view module by means of a definition display context program, correspondingly, transmitting the operation information and the updated information of the local view to a cloud server by the server view module, and receiving the updated server view by the cloud server according to the operation information and the updated information of the local view by the server view module; or when the operation object is a server view, the server view module sends the operation information to the cloud server and receives the server view updated by the cloud server, the local view module acquires the information of the updated server view by means of the definition display context program, and accordingly, the local view module updates the local view of the current window according to the operation information and the information of the updated server view.
As an example, the operation process of the local view module and the server view module in the mixed mode is described in detail by taking PET/CT image browsing as an example.
As shown in fig. 1, the window layout is a window layout for browsing PET/CT images commonly used in a hybrid mode, where a sub-window 1 displays a CT cross-sectional image, a sub-window 2 displays a PET cross-sectional image, and a sub-window 3 displays a fusion image, that is, the CT image of the sub-window 1 and the PET image of the sub-window 2 are respectively set to have a transparency of 50% and are displayed together. The sub-window 4 displays a MIP image based on the PET three-dimensional data. The display effect after loading the patient data is shown in fig. 2.
Wherein, the sub-windows 1, 2 and 3 are local views, and only two-dimensional images of the cross sections of the CT and the PET are processed; and 4, a server view, and after all PET data are loaded by the cloud server, three-dimensional reconstruction is carried out to obtain an MIP image. To make the following interaction between child window 1/2/3 and child window 4: interaction one, when child window 1/2/3 turns pages, the position line on the MIP image of child window 4 needs to change position synchronously. And secondly, the MIP image of the sub-window 4 can be quickly positioned by dragging a positioning line through a mouse, and the sub-window 1/2/3 needs to synchronously display the cross-sectional image at the position.
Fig. 3 shows a specific flow for implementing the first interaction, after receiving an operation instruction input by a user, the client 1 obtains operation information and an operation object in the operation instruction, where the operation object is a local view, and the local view module 11 executes a page turning instruction for the local view according to the operation information, so as to turn a page of the child window 1/2/3. The server view module 12 obtains the updated information of the local view by means of a definition display context program (ViewContext), accordingly, the server view module 12 sends the operation information and the updated information of the local view to the cloud server 2, the cloud server 2 processes the PET three-dimensional data according to the operation information and the updated information of the local view, changes the position of the location line, generates a JPG picture, returns the JPG picture to the server view module 12, and updates the display of the MIP image in the sub-window 4.
The specific flow for realizing the second interaction action is shown in fig. 4, after receiving an operation instruction input by a user, the client 1 acquires operation information and an operation object in the operation instruction, at this time, the operation object is a server view, the server view module 12 sends the operation information to the cloud server 2, the cloud server 2 processes the PET three-dimensional data according to the operation information, changes the position of the positioning line, generates a JPG picture, returns the JPG picture to the server view module 12, and updates the MIP image and the positioning line display in the sub-window 4. The local view module 11 obtains the updated information of the server view by means of the defined display context program (ViewContext), and accordingly, the local view module 11 executes a page turning instruction for the local view according to the operation information and the updated information of the server view, so that the sub-window 1/2/3 turns a page to display the cross-sectional image of the target position.
The invention also provides a medical image browsing system which comprises a cloud server and a plurality of clients, wherein the clients interact with the cloud server to execute the medical image browsing method.
As will be appreciated by one skilled in the art, embodiments of the present invention may be provided as a method, system, or computer program product. Accordingly, the present invention may take the form of an entirely hardware embodiment, an entirely software embodiment or an embodiment combining software and hardware aspects. Furthermore, the present invention may take the form of a computer program product embodied on one or more computer-usable storage media (including, but not limited to, disk storage, CD-ROM, optical storage, and the like) having computer-usable program code embodied therein.
The present invention is described with reference to flowchart illustrations and/or block diagrams of methods, apparatus (systems) and computer program products according to embodiments of the invention. It will be understood that each flow and/or block of the flow diagrams and/or block diagrams, and combinations of flows and/or blocks in the flow diagrams and/or block diagrams, can be implemented by computer program instructions.
It should be noted that in the claims, any reference signs placed between parentheses shall not be construed as limiting the claim. The word "comprising" does not exclude the presence of elements or steps not listed in a claim. The word "a" or "an" preceding an element does not exclude the presence of a plurality of such elements. The invention may be implemented by means of hardware comprising several distinct elements, and by means of a suitably programmed computer. In the claims enumerating several means, several of these means may be embodied by one and the same item of hardware. The use of the terms first, second, third and the like are for convenience only and do not denote any order. These words are to be understood as part of the name of the component.
Furthermore, it should be noted that in the description of the present specification, the description of the term "one embodiment", "some embodiments", "examples", "specific examples" or "some examples", etc., means that a specific feature, structure, material or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the present invention. In this specification, the schematic representations of the terms used above are not necessarily intended to refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples. Furthermore, various embodiments or examples and features of different embodiments or examples described in this specification can be combined and combined by one skilled in the art without contradiction.
While preferred embodiments of the present invention have been described, additional variations and modifications in those embodiments may occur to those skilled in the art once they learn of the basic inventive concepts. Therefore, the claims should be construed to include preferred embodiments and all changes and modifications that fall within the scope of the invention.
It will be apparent to those skilled in the art that various modifications and variations can be made in the present invention without departing from the spirit or scope of the invention. Thus, if such modifications and variations of the present invention fall within the scope of the claims of the present invention and their equivalents, the present invention should also include such modifications and variations.

Claims (9)

1. A medical image browsing method is realized based on a client and a cloud server connected with the client, and comprises the following steps:
when a medical image in a client is in a local mode display mode, a DICOM file for displaying the medical image is stored in the client, more than one image window is displayed in an interface of the client, and each image window is used for loading a local view; the client receives an operation instruction input by a user and updates a local view according to the operation instruction;
when a medical image in a client is in a server mode display mode, a DICOM file which is uploaded by the client and used for displaying the medical image is stored in the cloud server, more than one image window is displayed in an interface of the client, and each image window is used for loading a server view; the client receives an operation instruction input by a user, and the cloud server updates the server view according to the operation instruction.
2. The method of claim 1, further comprising:
when a medical image in a client is in a mixed mode display mode, a DICOM file which is uploaded by the client and used for displaying the medical image is stored in the cloud server, more than two image windows are displayed in an interface of the client, each image window is used for loading a local view or a server view, and the states of the local view and the server view in all the windows are synchronous;
the client receives an operation instruction input by a user, updates a local view according to the operation instruction, and updates the server view by the interaction of the client and the cloud server, and the states of the updated local view and the server view are synchronous.
3. The method according to claim 1 or 2,
the local view is an image which is processed and presented by a client side according to a two-dimensional data set extracted from a DICOM file;
the server view is an image which is processed and sent by the client receiving cloud server according to the DICOM file in a three-dimensional data set mode.
4. The method of claim 2, wherein the client receives an operation instruction input by a user and updates the local view according to the operation instruction, and the client and the cloud server interactively update the server view, and the states of the updated local view and the server view are synchronized, comprising:
the client receives an operation instruction input by a user, and obtains operation information and an operation object in the operation instruction;
the client executes the operation instruction on the local view according to the operation information; and
the client sends the operation information to a cloud server, and the client receives a server view of a picture format updated by the cloud server according to the operation information;
the operational information includes one or more of:
the method comprises the steps that an image sequence identifier loaded by a current window, an image sequence identifier to be loaded corresponding to an operation instruction, a camera display parameter and an operation parameter are obtained;
the operation object is a local view or a server view.
5. The method of claim 4,
when the operation object is the local view, the client executes the operation instruction to the local view according to the operation information,
the client acquires the updated information of the local view by means of a definition display context program;
correspondingly, the client sends the operation information and the updated information of the local view to the cloud server;
or,
when the operation object is a server view, the client sends operation information to a cloud server and receives the server view updated by the cloud server;
the client acquires the updated information of the server view by means of a definition display context program;
correspondingly, the client updates the local view of the current window according to the operation information and the updated information of the server view.
6. The method of claim 1,
the operation instructions of the local view comprise: display, translation, zoom, window width bed, rotation, length and angle measurements, and quantitative statistics of the region of interest;
the operation instructions of the server view comprise: multi-plane reconstruction, curved surface reconstruction, maximum density projection, three-dimensional measurement or automatic segmentation and quick positioning;
or,
the local view includes: CT cross-sectional image, PET-CT fusion image;
the server view includes: MIP images, CPR images.
7. A client, wherein the client is connected to a cloud server, and wherein the client comprises:
the local view module is used for enabling the medical image in the client to be in a local mode display mode, more than one image window is displayed in the interface of the client, and each image window is used for loading a local view; after receiving an operation instruction input by a user, enabling the client to update the local view according to the operation instruction;
the server view module is used for enabling the medical images in the client to be in a server mode display mode, a DICOM file which is uploaded by the client and used for displaying the medical images is stored in the cloud server, more than one image window is displayed in an interface of the client, and each image window is used for loading a server view; and after receiving an operation instruction input by a user, enabling the cloud server to update the server view according to the operation instruction.
8. The client according to claim 7, wherein the local view module and the server view module are further configured to enable medical images in the client to be in a mixed-mode display mode, a DICOM file uploaded by the client and used for displaying the medical images is stored in the cloud server, more than two image windows are displayed in an interface of the client, each image window is used for loading a local view or a server view, and states of the local view and the server view in all the windows are synchronized;
after receiving an operation instruction input by a user at a client, acquiring operation information and an operation object in the operation instruction, when the operation object is a local view, executing the operation instruction on the local view by a local view module according to the operation information, acquiring updated information of the local view by a server view module by means of a definition display context program, correspondingly, transmitting the operation information and the updated information of the local view to a cloud server by the server view module, and receiving the updated server view by the cloud server according to the operation information and the updated information of the local view by the server view module; or when the operation object is a server view, the server view module sends the operation information to the cloud server and receives the server view updated by the cloud server, the local view module acquires the information of the updated server view by means of the definition display context program, and accordingly, the local view module updates the local view of the current window according to the operation information and the information of the updated server view.
9. A medical image browsing system, comprising a cloud server and a plurality of clients, wherein the clients interact with the cloud server to execute the medical image browsing method according to any one of claims 1 to 6.
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