CN117558453A - AR physical examination auxiliary system based on big data model - Google Patents
AR physical examination auxiliary system based on big data model Download PDFInfo
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Abstract
The invention relates to the technical field of medical auxiliary equipment, in particular to an AR physical examination auxiliary system based on a big data model, which comprises the following components: the AR equipment is worn on the head of the physical examination doctor and used for providing physical examination flow information, standard operation methods of physical examination and corresponding explanation images; the data receiving device is used for receiving the examination data input by the physical examination doctor; the processing device is connected with the AR equipment and the data receiving device and is used for comparing the check data with the normal data, determining the abnormal data and marking the abnormal data, assisting the physical examination doctor to carry out physical examination operation in an AR image display mode, improving the grasping degree of the physical examination of the examined person by the physical examination doctor, and further improving the physical examination efficiency.
Description
Technical Field
The invention relates to the technical field of medical auxiliary equipment, in particular to an AR physical examination auxiliary system based on a big data model.
Background
Physical examination is an important means for a doctor to diagnose and evaluate the physical condition of a patient, and the doctor comprehensively examines all systems of the body of the patient in the modes of visual diagnosis, palpation, percussion, auscultation and the like so as to know the physical condition of the patient, and through comprehensive, systematic and fine physical examination, the doctor is helped to know the condition of the patient in clinical diagnosis and treatment, find abnormal conditions, infer etiology, evaluate treatment effects and monitor disease progress.
However, since the general physical examination requires a doctor to have abundant anatomical, physiological and pathological knowledge and corresponding technical skills, the physical examination items are numerous, the doctor needs to accurately locate and examine each body part, recognize abnormal signs and distinguish from normal variations, which requires a certain experience and training of the doctor, and in clinical practice, the doctor often faces a situation of time urgency, and the general examination needs to be completed in a limited time, so that the doctor needs to be skilled in grasping each examination operation of the physical examination and memorizing each range of normal body data.
Therefore, how to quickly improve the grasping degree of a doctor on physical examination of a patient is a technical problem to be solved urgently at present.
Disclosure of Invention
In view of the above, the present invention provides an AR physical examination assistance system based on a big data model that overcomes or at least partially solves the above-mentioned problems.
The invention provides an AR physical examination auxiliary system based on a big data model, which comprises the following components:
the AR equipment is worn on the head of the physical examination doctor and used for providing physical examination flow information, standard operation methods of physical examination and corresponding explanation images;
the data receiving device is used for receiving the examination data input by the physical examination doctor;
and the processing device is connected with the AR equipment and the data receiving device and is used for comparing the checking data with the reference data, determining abnormal data and marking.
Preferably, the AR device specifically includes: AR glasses.
Preferably, the physical examination flow information provided by the AR device includes: general examinations, head examinations, neck examinations, chest examinations, abdomen examinations, genital, anal and rectal examinations, spine and limb examinations, and nervous system examinations.
Preferably, the standard operation method of physical examination provided by the AR device includes:
superficial lymph node palpation, sinus region tenderness examination, thyroid palpation, breast palpation, chest distention examination, voice tremor examination, percussion, heart valve auscultation, scratch test, liver palpation, spleen palpation, mobility voiced palpation, rib and spine angle palpation, liver palpation, spleen palpation, gall bladder palpation, kidney palpation, liquid wave tremor examination, vibration water sound examination, spine palpation, jackson indenter test, anteflexion neck test, jugular vein pressurization test, rotation neck test, swing test, pick-up test, straight leg elevation test, flexion neck test, crural nerve traction test, lateral pressurization test, abdominal wall reflex, cremaster reflex, plantar reflex, biceps reflex, brachial triceps reflex, radial membrane reflex, knee reflex, heel tendon reflex, contracture, index nose test, heel-knee motion test, autism, fast rotation, baffrotation neck test, swing test, leg reflex, goldman's reflex, visual exercise, scratch test, brix's ear exercise, and Brix's exercise, brix test, brix's exercise, and Brix's exercise.
Preferably, the AR device is further configured to prompt the physical examination doctor to prepare a corresponding examination apparatus.
Preferably, the corresponding explanation image provided by the AR device is a first image overlapped with the examined region of the examined subject observed by the physical examination doctor or a second image misplaced with the examined region of the examined subject observed by the physical examination doctor.
Preferably, the first image and the second image each have a virtual human AR image, and a corresponding location name or a tissue name is marked at a preset position of the virtual human AR image.
Preferably, the data receiving device is specifically a keyboard for inputting characters by a user or a voice collecting device.
Preferably, the processing device is further configured to:
and generating a physical examination report of the subject based on the examination data and the reference data, wherein the physical examination report is marked with an abnormal examination item.
One or more technical solutions in the embodiments of the present invention at least have the following technical effects or advantages:
the invention provides an AR physical examination auxiliary system based on a big data model, which comprises the following components: the AR equipment is worn on the head of the physical examination doctor and used for providing physical examination flow information, standard operation methods of physical examination and corresponding explanation images; the data receiving device is used for receiving the examination data input by the physical examination doctor; the processing device is connected with the AR equipment and the data receiving device and is used for comparing the check data with the normal data, determining the abnormal data and marking the abnormal data, assisting the physical examination doctor to carry out physical examination operation in an AR image display mode, improving the grasping degree of the physical examination of the examined person by the physical examination doctor, and further improving the physical examination efficiency.
Drawings
Various other advantages and benefits will become apparent to those of ordinary skill in the art upon reading the following detailed description of the preferred embodiments. The drawings are only for purposes of illustrating the preferred embodiments and are not to be construed as limiting the invention. Also throughout the drawings, like reference numerals are used to designate like parts. In the drawings:
FIG. 1 is a schematic diagram showing the structure of an AR physical examination assistance system based on a big data model in an embodiment of the present invention;
FIG. 2 is a schematic diagram of a portion of a chest bone annotation in a virtual human AR image according to an embodiment of the present invention;
FIG. 3 is a schematic illustration of labeling of the anterior mid-thoracic line, the mid-sternal line collarbone in a virtual human AR image in accordance with an embodiment of the present invention;
FIG. 4 is a schematic illustration showing labeling of posterior midline, scapula in a virtual human AR image in an embodiment of the present invention;
FIG. 5 is a schematic illustration of the labeling of the anterior axillary line, the mid-axillary line, and the posterior axillary line in a virtual human AR image in an embodiment of the present invention;
FIG. 6 shows a comparative reference schematic of four normal breathing sound features in an embodiment of the invention;
FIG. 7 is a schematic diagram showing reference signs of common diseases of the lung and pleura in an embodiment of the present invention;
FIG. 8 shows a schematic diagram of a common pathological factor reference for center spike shift in accordance with an embodiment of the present invention;
FIG. 9 shows a reference schematic diagram of the clinical significance of anterior central zone tremor in an embodiment of the present invention;
FIG. 10 illustrates a normal adult heart relative voiced boundary reference schematic in an embodiment of the invention;
FIG. 11 illustrates a central voiced boundary change factor and disease reference schematic diagram of an embodiment of the present invention;
FIG. 12 is a schematic diagram of blood pressure level definition and classification references in an embodiment of the invention;
FIG. 13 is a schematic view of a reference range of spinal motion in accordance with an embodiment of the invention;
FIG. 14 is a schematic view of a wrist and finger range of motion reference in an embodiment of the invention;
fig. 15 shows a hip joint examination method and a range of motion reference diagram in an embodiment of the invention.
Detailed Description
Exemplary embodiments of the present disclosure will be described in more detail below with reference to the accompanying drawings. While exemplary embodiments of the present disclosure are shown in the drawings, it should be understood that the present disclosure may 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 disclosure to those skilled in the art.
An embodiment of the present invention provides an AR physical examination assistance system based on a big data model, as shown in fig. 1, including:
the AR equipment 101 is worn on the head of the physical examination doctor and is used for providing physical examination flow information, standard operation methods of physical examination and corresponding explanation images;
a data receiving device 102 for receiving examination data input by a physical examination doctor;
the processing device 103 is connected to the AR device 101 and the data receiving device 102, and is configured to compare the inspection data with the normal data, determine the abnormal data, and label the abnormal data.
In a specific embodiment, the AR device 101 is specifically AR glasses.
The physical examination doctor is required to wear the AR glasses before the physical examination of the subject. And then creating a medical record of the subject, thereby recording the following physical examination content.
Next, AR device 101 may provide a physical examination procedure comprising: general examinations, head examinations, neck examinations, chest examinations, abdomen examinations, genital, anal and rectal examinations, spine and limb examinations, and nervous system examinations.
According to the above-mentioned physical examination flow, the general examination specifically includes: 1. checking the body temperature; 2. respiration detection; 3. pulse checking; 4. checking blood pressure; 5. checking the development condition; 6. checking body type; 7. checking the nutrition state; 8. checking the consciousness state; 9. checking face and body position; 10. gait inspection; 11. skin inspection, and the like.
In head inspection, specifically, it includes: 1. checking the skull; 2. eye examination; 3. nose examination; 4. and (5) checking the mouth.
In the neck examination, specifically included are: 1. neck pose and motion inspection; 2. neck vascular examination; 3. thyroid examination; 4. and (5) checking the trachea.
In chest examinations, specific examples include: 1. chest examination; 2. lung examination; 3. heart examination; 4. and (5) blood vessel inspection.
In the abdominal examination, specifically included are: 1. checking the appearance of the abdomen; 2. abdominal wall vein examination; 3. auscultation of the abdomen; 4. an abdomen percussion; 5. abdomen palpation, and the like.
In the genital-anal-rectal examination, specific ones are: male genital examination or female genital examination, and anal and rectal examination.
In spine and limb examinations, specific examples include: 1. checking the curvature of the spine; 2. checking the activity degree of the spine; 3. checking the spinal tenderness and the percussion pain; 4. and checking four limbs and joints.
Finally, the neurological examination specifically includes: 1. cerebral nerve examination; 2. checking exercise functions; 3. sensory function inspection; 4. a neuroreflex examination; 5. and checking autonomic nerve function.
Each of the tests also corresponds to reference signs or data, e.g., a nasal test corresponds to rosacea, frog nose. Thyroid gland corresponds to thyromegaly, etc.
The AR device 101 not only provides the above-mentioned physical examination flow information, but also provides standard operation methods of physical examination, specifically including:
superficial lymph node palpation, sinus region tenderness examination, thyroid palpation, breast palpation, chest distention examination, speech tremor examination, percussion, heart valve auscultation, scratch test, liver percussion, spleen percussion, mobility voiced percussion, rib and spine angle percussion, liver palpation, spleen palpation, gallbladder palpation, kidney palpation, liquid wave tremor examination, water vibration examination, spinal tap method, jackson pressure test, anteflexion cervical test, jugular vein pressurization test, rotation cervical test, swing test, pick-up test, liver palpation, gallbladder palpation, liquid wave tremor examination, cervical pressure test, rotation cervical test, swing test, and body pickup test the method comprises the following steps of a straight leg elevation test, a neck flexion test, a femoral nerve traction test, a patella flotation test, a lateral compression test, abdominal wall reflex, cremaster reflex, plantar reflex, anal reflex, biceps brachii reflex, triceps brachii reflex, radial membrane reflex, knee reflex, achilles tendon reflex, clonus, a digital nose test, a heel-knee-shin test, a closed eye difficulty stand-up, a rapid rotation action, a Babinski sign, an Oppenheim sign, a Gordon sign, a Hoffmann sign, neck rigidity, a Kernig sign, a Bruzinski sign, an eye heart reflex, a lying stand-up test, a skin scratch test, a vertical hair reflex, a sweating test and a Valsalva action.
The operation methods have corresponding explanation images. The AR device 101 can provide a correct operation method by interpreting the image to avoid the condition that the physical examination doctor operates improperly or forgets.
Specifically, the corresponding interpretation image provided by the AR device is a first image overlapping with the examined region of the examined subject observed by the physical examination doctor, or a second image dislocated with the examined region of the examined subject observed by the physical examination doctor.
That is, the explanation image may be a first image that is completely superimposed on the examined region of the subject, and the first image may be a second image that is transparent, or may be a fixed region that is independently displayed in the range of the AR glasses, and does not affect the observation of the examined region of the subject by the physical examination doctor. Both images can make the physical examination doctor clear specific operation methods.
The first image and the second image are respectively provided with a human AR image, and a corresponding part name or a corresponding tissue name is marked at a preset position of the human AR image.
The following is illustrated by fig. 2 with chest bone labeling in a virtual human AR image, including: suprasternal notch, sternal angle, manubrium, rib, xiphoid process, supraabdominal angle, intercostal space, spinal spinous process, scapula, rib spine angle, etc., only part of the site name is shown.
The labeling of chest vertical lines in human AR images is illustrated by fig. 3, 4 and 5, comprising: anterior midline, collarbone midline, sternal line, sternal bystander line, anterior axillary line, posterior axillary line, axillary midline, scapula line, posterior midline. Only part of the site names are shown.
Of course, superficial lymph node distribution, thyroid projection, abdomen body surface, abdomen partition, kidney and urinary tract pressure pain points of the human AR image may be labeled, which will not be described in detail herein.
Through different position inspections and corresponding position names or tissue names displayed at different positions, the physical examination doctor is prompted to accurately position the inspected position.
The data receiving device 102 is specifically a keyboard or a voice collecting device for inputting characters by a user. On the one hand, the physical examination doctor can input the examination data through the keyboard, on the other hand, the voice information of the physical examination doctor can be directly collected, and the record is carried out by generating characters.
The system further comprises processing means 103, the processing means 103 being adapted to generate a physical examination report of the subject based on the examination result, the physical examination report comprising result data of each examination, wherein the items of the examination abnormality are marked.
First, the system further includes a storage unit in which reference data for each inspection is stored. And comparing the check data received each time with corresponding reference data, thereby judging whether the check result of the check is abnormal or not, and marking in a highlighting mode.
The following list some reference data: as shown in fig. 6, a comparative reference graphical representation of four normal breath sound features; as shown in fig. 7, a reference graph of signs of common diseases of the lung and pleura; as shown in fig. 8, the apex beat shift common pathological factor refers to the illustration; as shown in fig. 9, a reference representation of the clinical significance of precordial tremor; as shown in fig. 10, a normal adult heart relatively voiced-sound boundary reference plot; as shown in fig. 11, a heart voiced boundary change factor and disease reference graph; as shown in fig. 12, a blood pressure level definition and classification reference diagram; as shown in fig. 13, the spinal range of motion reference map; as shown in fig. 14, the wrist and finger joint range of motion reference is illustrated; as shown in fig. 15, the hip joint inspection method and the range of motion are illustrated with reference to the drawings.
The following describes in detail an abdominal examination of a subject as an example:
first, a physical examination doctor starts to examine the abdomen of a subject by wearing AR glasses, and first identifies the subject.
Then, newly creating a medical record for the subject, providing physical examination flow information through AR glasses, selecting an item for abdominal examination by a physical examination doctor, and prompting according to the sequential flow of visual examination, auscultation, percussion and palpation:
1. the AR glasses prompt the physical examination doctor to prepare the examination instrument stethoscope and explain the examination mode to the subject, and the physical examination doctor prepares and introduces according to the prompt.
2. The AR glasses prompt "correctly expose abdomen, ask the subject to bend knee, relax abdominal muscle, observe conditions such as abdomen shape, symmetry, skin, umbilicus, abdominal respiration, and the like" and guide demonstration, the physical examination doctor operates according to guidance, and records the inspection data of observation record through the data receiving device 102, and then the processing device 103 compares the recorded inspection data with the reference data, determines abnormal data, and marks.
3. The AR glasses prompt "please auscultate borborygmus and vascular murmurs" and guidance demonstration, the physical examination doctor operates according to guidance, auscultates examination data are recorded in the data receiving device 102, the processing device 103 automatically compares the examination data with reference data, and marks abnormal data, and meanwhile prompts the normal and abnormal borborygmus and vascular murmurs donor examination doctor to compare.
4. The AR glasses prompt "please tap full abdomen" and guide demonstration, the physical examination doctor operates according to the guide, and records the examination data of the tap into the data receiving device 102, and then the processing device 103 automatically compares the examination data with the reference data, and marks out the abnormal data.
5. The AR glasses prompt "please tap liver upper and lower bounds" and guidance demonstration, the physical examination doctor operates according to guidance, and records the result of the tap examination into the data receiving device 102, and the processing device 103 automatically compares the examination data with the reference data, and marks out abnormal data.
6. The AR glasses prompt "please check for mobile voiced sounds (left and right through umbilical plane)" and guide demonstration, the physical examination doctor operates according to the guide, and records the check result into the data receiving device 102, and the processing device 103 automatically compares the check data with the reference data and marks out the abnormal data.
7. The AR glasses prompt "please shallow palpation of the whole abdomen (starting from the lower left abdomen, anticlockwise)" and guidance demonstration, the physical examination doctor operates according to the guidance, and records palpation examination data into the data receiving device 102, and the processing device 103 automatically compares the examination data with reference data and marks out abnormal data.
8. The AR glasses prompt "please deep palpate the whole abdomen (starting from the lower left abdomen, anticlockwise)" and guide demonstration, the physical examination doctor operates according to the guide, and records the palpated examination data through the data receiving device 102, and the processing device 103 automatically compares the examination data with the reference data and marks out the abnormal data.
9. The AR glasses prompt "please train the subject to make deepened abdominal respiration, palpate the liver on the right collarbone midline by a single technique" and guide demonstration, the physical examination doctor operates according to the guide, and records the palpated examination data through the data receiving device 102, and the processing device 103 automatically compares the examination data with the reference data and marks out abnormal data.
10. The AR glasses prompt "please palpate liver on right collarbone midline by double technique" and guidance demonstration, the physical examination doctor operates according to guidance, and the palpated examination data is recorded by the data receiving device 102, and the processing device 103 automatically compares the examination data with the reference data, and marks out abnormal data.
11. The AR glasses prompt "please palpate liver on the anterior midline by double technique" and guidance demonstration, the physical examination doctor operates according to guidance, and the palpation examination data is recorded by the data receiving device 102, and the processing device 103 automatically compares the examination data with the reference data, and marks out abnormal data.
12. The AR glasses prompt "please check hepatic jugular vein reflux sign" and guide demonstration, the physical examination doctor operates according to the guide, and the palpation check data is recorded through the data receiving device 102, the processing device 103 automatically compares the check data with the reference data, and marks out abnormal data.
13. The AR glasses prompt "please check whether there is a pressure pain at the gallbladder point" and guide demonstration, the physical examination doctor operates according to the guide, and records the check data through the data receiving device 102, the processing device 103 automatically compares the check data with the reference data, and marks out the abnormal data.
14. The AR glasses prompt "please palpate spleen with double hands" and guide demonstration, the physical examination doctor operates according to the guide, and records the examination data through the data receiving device 102, and the processing device 103 automatically compares the examination data with the reference data, and marks out the abnormal data.
15. The AR glasses prompt "please palpate double-sided kidneys with double-handed method" and guidance demonstration, the physical examination doctor operates according to guidance, and records the palpated examination data through the data receiving device 102, and the processing device 103 automatically compares the examination data with the reference data and marks out abnormal data.
16. The AR glasses prompt "please check abdomen touch and abdominal wall reflection" and guide demonstration, the physical examination doctor operates according to the guide, and records the check data through the data receiving device 102, and the processing device 103 automatically compares the check data with the reference data, and marks out the abnormal data.
Finally, the processing device 103 generates a physical examination report of the subject, which is labeled with an item of examination abnormality, based on the examination data and the reference data.
By adopting the system, the examination efficiency of physical examination doctors can be improved, any examination items can not be missed, and the grasping degree of the physical examination of the patients by the doctors can be rapidly improved.
One or more technical solutions in the embodiments of the present invention at least have the following technical effects or advantages:
the invention provides an AR physical examination auxiliary system based on a big data model, which comprises the following components: the AR equipment is worn on the head of the physical examination doctor and used for providing physical examination flow information, standard operation methods of physical examination and corresponding explanation images; the data receiving device is used for receiving the examination data input by the physical examination doctor; the processing device is connected with the AR equipment and the data receiving device and is used for comparing the check data with the normal data, determining the abnormal data and marking the abnormal data, assisting the physical examination doctor to carry out physical examination operation in an AR image display mode, improving the grasping degree of the physical examination of the examined person by the physical examination doctor, and further improving the physical examination efficiency.
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. It is therefore intended that the following claims be interpreted as including the preferred embodiments and all such alterations and modifications as 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 to the present invention without departing from the spirit or scope of the invention. Thus, it is intended that the present invention also include such modifications and alterations insofar as they come within the scope of the appended claims or the equivalents thereof.
Claims (9)
1. An AR physical examination assistance system based on a big data model, comprising:
the AR equipment is worn on the head of the physical examination doctor and used for providing physical examination flow information, standard operation methods of physical examination and corresponding explanation images;
the data receiving device is used for receiving the examination data input by the physical examination doctor;
and the processing device is connected with the AR equipment and the data receiving device and is used for comparing the checking data with the reference data, determining abnormal data and marking.
2. The system of claim 1, wherein the AR device is specifically: AR glasses.
3. The system of claim 1, wherein the physical examination procedure information provided by the AR device comprises: general examinations, head examinations, neck examinations, chest examinations, abdomen examinations, genital, anal and rectal examinations, spine and limb examinations, and nervous system examinations.
4. The system of claim 1, wherein the standard operating procedures for physical examination provided by the AR device include:
superficial lymph node palpation, sinus region tenderness examination, thyroid palpation, breast palpation, chest distention examination, voice tremor examination, percussion, heart valve auscultation, scratch test, liver palpation, spleen palpation, mobility voiced palpation, rib and spine angle palpation, liver palpation, spleen palpation, gall bladder palpation, kidney palpation, liquid wave tremor examination, vibration water sound examination, spine palpation, jackson indenter test, anteflexion neck test, jugular vein pressurization test, rotation neck test, swing test, pick-up test, straight leg elevation test, flexion neck test, crural nerve traction test, lateral pressurization test, abdominal wall reflex, cremaster reflex, plantar reflex, biceps reflex, brachial triceps reflex, radial membrane reflex, knee reflex, heel tendon reflex, contracture, index nose test, heel-knee motion test, autism, fast rotation, baffrotation neck test, swing test, leg reflex, goldman's reflex, visual exercise, scratch test, brix's ear exercise, and Brix's exercise, brix test, brix's exercise, and Brix's exercise.
5. The system of claim 1, wherein the AR device is further configured to prompt the physical examination physician to prepare a corresponding examination instrument.
6. The system of claim 1, wherein the respective interpretation image provided by the AR device is a first image that coincides with the subject's subject site as observed by the medical practitioner or is a second image that is offset from the subject's subject site as observed by the medical practitioner.
7. The system of claim 6, wherein the first image and the second image each have a virtual human AR image, and a corresponding location name or tissue name is marked at a preset location of the virtual human AR image.
8. The system of claim 1, wherein the data receiving means is in particular a keyboard for user input of text, or a voice capturing means.
9. The system of claim 1, wherein the processing means is further for:
and generating a physical examination report of the subject based on the examination data and the reference data, wherein the physical examination report is marked with an abnormal examination item.
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