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【發明所屬之技術領域】 本發明係關於一種數位醫療影像伺服器，尤指一種專 供接收DICOM醫療影像標準協定及格式之醫療影像檔案， 形成一種供設置在醫療網路或寬頻網路上的檔案及查詢伺 服器，以利於醫療影像資源之利用及共享。 【先前技術】 醫療寬頻資訊網漸受重視之下，現代化的醫院即普遍 採用數位醫療影像儲存及通訊系統（PACS) ( Picture Archiving and Communication System)，如運用數位 X 光 (DX)、電腦斷層（CT)、磁核共振（MR)、內視 鏡（Endoscope )、超音波（US)、核子醫學（Nuclear MediCine，NM)等數位醫療儀器，進行影像的擷取、儲存、 傳輸，提供本地或異地檢視與診斷病患數位療影像資料， 此對提昇醫療服務品質，降低醫療服務作業成本，與促進 「無片化」的環境保護均有顯著之效果。國際性醫療資料 傳輸，已普遍採用國際HL 7 (Health Level 7)標準，傳 輸病歷、診斷、處方等文字資訊，及採用DICOM標準協定 以傳輸醫療數位影像資訊，作爲各國衛生或健保主管機關 與醫療院所間醫療資訊交流的標準，縮短醫療資訊傳輸與 200422908 處理時間，提昇醫療服務效率，並增進醫療技術，醫學教 育與硏究的發展。 雖然在醫療設備上已逐漸採用前述DICOM標準，然對 於如何將之大量推廣，即爲一必須努力的課題，就以儲存 設備而論，在網路上傳輸資料及查詢資料方面，雖有所謂 的檔案伺服器、網頁伺服器等可供運用，然其僅爲一般商 業用途的通用型式之伺服器，對於數位醫療影像（DICOM) 此專門的領域，必須提供專用介面及設備始能發揮最佳的 效果，故本發明欲提供一解決方案。 【發明內容】 本發明之主要目的在於提供一種數位醫療影像伺服器 ，提供一專用於儲存數位醫療影像（DICOM)的醫療影像 伺服器，提供整合界面，使連結於醫療網路及寬頻網路上 的醫師及經授權的使用者可查詢、調閱、檢視及診斷病患 的影像資訊，提供一醫療標準影像檔案之儲存、傳輸、診 斷、治療及醫療用途之裝置。 本發明之次一目的在於提供一種數位醫療影像伺服器 ，除了可將DICOM標準影像格式之檔案進行存檔處理之外 ，更可便於供遠端使用者透過寬頻網路取用，達成醫療體 系資源共享的效益。 本發明之另一目的在於提供一種數位醫療影像伺服器 ，包括有多種處理器，對於查詢方面，設置有查詢處理器 ，以回應各項資料查詢需求，設置有取像處理器，以回應 影像取用之需求，設置有DICOM資料庫，儲存醫療資料之 200422908 檢索資（以便查詢及檢索出相應影像檔之用）’設置有 DICOM檔案儲存系統，專供儲存醫療影像檔案以及具有 DICOM資料物件輸入處理器，爲處理及回應影像儲存之需 求，構成一專供查詢及取得數位醫療影像（DICOM)之醫 療影像伺服器。 【實施方式】 本發明提供一種設置在醫療網路上的DICOM數位醫療 影像伺服器，此設備專供接收及儲存DICOM數位醫療影像 標準的醫療影像檔案，推廣醫療影像之資源共享及資料傳 輸等運用。 如第二圖所示，本發明之DICOM伺服器（2 0 )，爲 一供設置在醫療寬頻網路上的醫療影像檔案及查詢用之伺 服器，可搜集及儲存來自諸如：超音波、電腦斷層、內視 鏡、磁核共振、正子射線斷層掃描、數位X光以及其他種 類之醫療設備所送來的影像檔（透過一閘道處理裝置（1 0)轉換爲標準數位醫療影像格式），更可經由與前述醫 療寬頻網路連接之各項數位醫療影像工作站（3 〇 )快速 地對該DICOM伺服器（2 0)發出指令，進行擷取、儲存 、傳輸、查詢與診斷工作（經與轉診和轉檢制度相互配合 ’可將病患的檢驗影像資料迅速傳輸給相關人士使用以及 可結合不同地點醫院之醫師進行遠距共同會診）、亦可經 由影像列印機列印醫療影像以及經網路防火牆連接至外界 的寬頻網際網路上’令授權的使用者亦可透過寬頻網際網 路至DICOM伺服器（2 0 )取得相關影像資料，提供杳料 200422908 交換及資源共享。 本發明該DICOM伺服器（2 0 )之結構上，如第一圖 所示，包括：查詢處理器（2 2 )、取像處理器（2 3 ) 、DICOM資料庫（2 4 )、DICOM檔案儲存系統（2 5 )以及DICOM資料物件輸入處理器（2 1 )，其中，該位 在圖面右側之資料物件輸入處理器（2 1 )爲專供處理影 像輸入/儲存/歸類用途，由於送來的數位醫療影像資訊 爲透過外部設備轉換成DICOM資料物件（DICOM Data Object，DDO)，因此，透過此DICOM資料物件輸入處理器 (2 1 )可解譯出送入之影像物件的每個標籤（tag)，並 負責將標籤及影像物件存檔的路徑及檔名資訊寫入至 DICOM資料庫（2 4 )中，以便於後續之查詢及建立檔案 間的關連性與連結，而影像物件則存入DICOM檔案儲存系 統（2 5 )中，對於圖面左側之查詢處理器（2 2 )及取 像處理器（2 3 )，則提供授權的使用者以DDO查詢物件 型態對DICOM伺服器（2 0 )進行查詢，該查詢處理器（ 2 2 )則將前述查詢物件（DDO)轉換成SQL查詢語法，而 對DICOM資料庫進行搜尋，查詢後的結果則回傳給使用者 ，使用者更可進一步地進行讀取相關醫療影像，此即透過 取像處理器（2 3 )對DICOM資料庫（2 4 )查詢與取得 影像檔案之路徑及檔名後，再向DICOM檔案儲存系統（2 5 )讀取相應影像檔，再以DICOM標準通訊協定回傳給使 用者，以前述構成一數位醫療影像檔案之儲存及查閱之 DICOM伺服器。 200422908 如第三圖所示，爲本發明之DICOM伺服器之影像物件 寫入作業之較詳細的處理流程圖，由步驟2 1 1之由醫療 儀器或DICOM閘道預先將影像轉成DICOM資料物件後， 利用DICOM C-Storage SOP或其他類似之網路傳輸功能將 影像傳送到DICOM伺服器中，同樣的，亦可如步驟2 1 2 所示，亦可將影像複製到諸如CD-R，DVD-R，MO等媒體中 ，再透過此伺服器讀取，然後，由步驟2 1 3及2 1 4所 揭示之經由DICOM資料物件輸入處理器解出影像物件的每 個標籤，再將這些標籤及影像物件存檔的路徑及檔名存入 資料庫與將影像存入DICOM檔案儲存系統中。 查詢方面，如第四圖之各項步驟，使用者的查詢條件 經包裝成物件型態傳入、經S Q L語法轉換、以物件型態 回傳與解開物件獲得實際結果者，而第五圖爲顯示取像之 處理流程，槪爲利用先前查詢的某特定結果（參數）轉成 物件送入伺服器中（步驟23 1)，經步驟2 3 2所示之 取像處理器將送入之物件轉成S Q L查詢語法，向資料庫 查詢，依回應訊息向DICOM檔案儲存系統取得相應之影像 檔（步驟2 3 3 )及利用DICOM傳輸回傳影像給使用者（ 步驟2 3 4 )，據以構成讀取影像之步驟。 而實際運用上，應用於檢驗作業方面，如第六圖之功 能示意圖所示，由醫院管理資訊系統（HIS)上之MMPS 經紀人、醫療儀器及本發明DICOM伺服器相互關連運作下 ，配合第七圖之檢驗流程圖所示，門診醫師表列出所需檢 驗之項目，並透過電腦設定各項檢驗項目爲「未實施」 200422908 (Discontimied)，而當每次完成一項檢驗時，即設定該項檢 驗爲已完成，由於本發明該DIC0M伺服器呈關連性之架構 下，可自動地將醫療檢驗影像資料存檔，據以構成自動化 的醫療影像儲存作業。 故以前述說明可知，本發明爲提供一種專供儲存數位 醫療影像之DIC0M伺服器，並提供網路方式進行查詢與取 得相關醫療影像，此舉，確可擴展醫療資源有效運用之解 決方案，應符專利申請要件，爰依法提出申請。 【圖式簡單說明】 (一） 圖式部分 第一圖：係本發明之方塊圖。 第二圖：係本發明與週邊裝置之連接示意圖。 第三閫：係本發明之存入動作流程圖。 第四圖：係本發明之查詢動作流程圖。 第五圖：係本發明之取像動作流程圖。 第六圖：係本發明之檢驗作業示意圖。 第七圖：係本發明之檢驗動作流程圖。 (二） 元件代表符號 (1〇)閘道處理裝置 (2 0 ) DICOM伺服器 (2 1 ) DICOM資料物件輸入處理器 (2 1 1 )〜（2 1 4 )步驟 (2 2 ) DICOM查詢處理器 (2 2 1 )〜（2 2 4 )步驟 200422908 (2 3 ) DICOM取像處理器 (2 3 1 )〜（2 3 4 )步驟 (2 4 ) DICOM資料庫 (2 5 ) DICOM檔案儲存系統 (2 6 1 )〜（2 6 7 )步驟 (3 0 )數位醫療影像工作站[Technical field to which the invention belongs] The present invention relates to a digital medical image server, in particular to a medical image file specifically for receiving a DICOM medical image standard protocol and format, forming a file for setting on a medical network or a broadband network And query the server to facilitate the use and sharing of medical imaging resources. [Previous technology] Under the increasing attention of medical broadband information networks, modern hospitals generally adopt digital medical image storage and communication systems (PACS) (Picture Archiving and Communication System), such as digital X-ray (DX), computer tomography ( CT), magnetic resonance (MR), endoscope (Endoscope), ultrasound (US), nuclear medicine (Nuclear MediCine, NM) and other digital medical instruments for image capture, storage, transmission, provide local or remote Viewing and diagnosing patient digital treatment image data has a significant effect on improving the quality of medical services, reducing the cost of medical service operations, and promoting "no tablet" environmental protection. The international medical data transmission has generally adopted the international HL 7 (Health Level 7) standard, transmitting medical information such as medical records, diagnoses, and prescriptions, and using the DICOM standard protocol to transmit medical digital image information, as the national health or health insurance authority and medical The standard of medical information exchange between institutions shortens the time for medical information transmission and processing of 200422908, improves the efficiency of medical services, and promotes the development of medical technology, medical education and research. Although the aforementioned DICOM standard has been gradually adopted in medical equipment, how to promote it in large quantities is a subject that must be worked hard. In terms of storage equipment, there are so-called files in terms of transmitting and querying data on the Internet. Servers, web servers, etc. can be used, but they are only general-purpose servers for general business use. For the specialized field of digital medical imaging (DICOM), special interfaces and equipment must be provided to achieve the best results. Therefore, the present invention intends to provide a solution. [Summary of the Invention] The main object of the present invention is to provide a digital medical image server, which provides a medical image server dedicated to storing digital medical images (DICOM), and provides an integrated interface for connecting to a medical network and a broadband network. Physicians and authorized users can query, view, view, and diagnose patient image information, and provide a device for storing, transmitting, diagnosing, treating, and medical applications of medical standard image files. A second object of the present invention is to provide a digital medical image server, which can not only archive files in the DICOM standard image format, but also be more convenient for remote users to access through a broadband network and achieve medical system resource sharing. Benefits. Another object of the present invention is to provide a digital medical imaging server including multiple processors. For querying, a query processor is provided to respond to various data query requirements, and an image acquisition processor is provided to respond to image acquisition. For the needs of use, a DICOM database is set up to store medical data 200422908 search data (in order to query and retrieve the corresponding image file) In order to process and respond to the needs of image storage, it constitutes a medical image server for querying and obtaining digital medical images (DICOM). [Embodiment] The present invention provides a DICOM digital medical image server installed on a medical network. This device is dedicated to receiving and storing DICOM digital medical image standard medical image files, and promoting the use of medical image resource sharing and data transmission. As shown in the second figure, the DICOM server (20) of the present invention is a server for medical image files and inquiries set on a medical broadband network, which can collect and store information from, for example, ultrasound and computer tomography. , Endoscope, magnetic resonance, positron ray tomography, digital X-ray, and other types of medical equipment (converted to a standard digital medical image format through a gateway processing device (10)), and more It can quickly issue commands to the DICOM server (20) through various digital medical imaging workstations (30) connected to the aforementioned medical broadband network to perform acquisition, storage, transmission, query and diagnosis (via The diagnosis and referral system cooperates with each other, which can quickly transmit the patient's test image data to relevant persons and use it for remote joint consultation with doctors in hospitals in different locations. The network firewall is connected to the external broadband Internet, so that authorized users can also obtain relevant images through the broadband Internet to the DICOM server (20). Information provided Yao material 200 422 908 exchange and resource sharing. The structure of the DICOM server (20) of the present invention, as shown in the first figure, includes: a query processor (2 2), an image acquisition processor (2 3), a DICOM database (2 4), and a DICOM file. The storage system (2 5) and the DICOM data object input processor (2 1). The data object input processor (2 1) on the right side of the figure is dedicated to processing image input / storage / classification. The digital medical image information sent is converted to a DICOM Data Object (DDO) through an external device. Therefore, each DICOM data object input processor (2 1) can interpret each of the sent image objects. Tag, and is responsible for writing the path and file name information of the tag and image object to the DICOM database (2 4), in order to facilitate subsequent query and establish the relationship and link between the files, while the image object is Stored in the DICOM file storage system (2 5). For the query processor (2 2) and image acquisition processor (2 3) on the left side of the figure, authorized users are provided with the DDO query object type to the DICOM server. (2 0) Make an inquiry, the inquiry place The device (2 2) converts the aforementioned query object (DDO) into SQL query syntax, searches the DICOM database, and returns the query results to the user, and the user can further read the relevant medical images. This is to query and obtain the path and file name of the image file from the DICOM database (2 4) through the image acquisition processor (2 3), and then read the corresponding image file to the DICOM file storage system (2 5), and then use the The DICOM standard communication protocol is returned to the user, and the aforementioned DICOM server constitutes a digital medical image file for storage and inspection. 200422908 As shown in the third figure, it is a more detailed processing flowchart of the image object writing operation of the DICOM server of the present invention. The image is converted into a DICOM data object in advance by the medical device or DICOM gateway in step 2 1 1. After that, use DICOM C-Storage SOP or other similar network transmission function to transfer the image to the DICOM server. Similarly, as shown in step 2 1 2, you can also copy the image to CD-R, DVD, etc. -R, MO, and other media, read through this server, and then, through the DICOM data object input processor disclosed in steps 2 1 3 and 2 1 4 to extract each label of the image object, and then these labels And the path and file name of the image object archive into the database and the image into the DICOM file storage system. In terms of query, as shown in each step of the fourth figure, the user's query conditions are packaged as object types and passed, converted by SQL syntax, returned as object types and unwrapped objects to obtain actual results. In order to display the processing flow of image acquisition, a certain result (parameter) of a previous query is used to convert it into an object and send it to the server (step 23 1), which will be sent to it by the image acquisition processor shown in step 2 3 2 The object is converted into SQL query syntax, and the database is queried. According to the response message, the corresponding image file is obtained from the DICOM file storage system (step 2 3 3), and the image is transmitted back to the user using DICOM (step 2 3 4). Constitute the steps for reading images. In practice, it is applied to the inspection operation. As shown in the functional diagram of the sixth figure, the MMPS broker on the hospital management information system (HIS), the medical instrument and the DICOM server of the present invention operate in association with each other. As shown in the inspection flow chart in Figure 7, the outpatient physician table lists the items to be tested, and sets each test item to "not implemented" 200422908 (Discontimied) through the computer. When each test is completed, it is set The inspection is completed. Because the DICOM server of the present invention has a related structure, it can automatically archive medical inspection image data to form an automated medical image storage operation. Therefore, according to the foregoing description, it is known that the present invention is to provide a DIC0M server dedicated to storing digital medical images, and to provide a network method for querying and obtaining related medical images. This is a solution that can effectively expand the effective use of medical resources. In accordance with the patent application requirements, the application was filed according to law. [Brief description of the drawings] (1) Schematic part The first drawing: a block diagram of the present invention. The second figure is a schematic diagram of the connection between the present invention and a peripheral device. The third step is a flowchart of the deposit operation of the present invention. Fig. 4 is a flowchart of the query operation of the present invention. Fig. 5 is a flowchart of the image capturing operation of the present invention. Fig. 6 is a schematic diagram of the inspection operation of the present invention. Figure 7: Flow chart of the inspection operation of the present invention. (2) Component representative symbol (10) Gateway processing device (2 0) DICOM server (2 1) DICOM data object input processor (2 1 1) ~ (2 1 4) step (2 2) DICOM query processing (2 2 1) ~ (2 2 4) steps 200422908 (2 3) DICOM acquisition processor (2 3 1) ~ (2 3 4) steps (2 4) DICOM database (2 5) DICOM file storage system (2 6 1) to (2 6 7) Step (3 0) Digital Medical Imaging Workstation