TW202023478A - System and method for measuring scoliosis - Google Patents

System and method for measuring scoliosis Download PDF

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TW202023478A
TW202023478A TW107146865A TW107146865A TW202023478A TW 202023478 A TW202023478 A TW 202023478A TW 107146865 A TW107146865 A TW 107146865A TW 107146865 A TW107146865 A TW 107146865A TW 202023478 A TW202023478 A TW 202023478A
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image
scoliosis
spine
rehabilitation
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TW107146865A
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TWI681755B (en
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陳金亮
吳孝三
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山衛科技股份有限公司
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    • GPHYSICS
    • G06COMPUTING; CALCULATING OR COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T17/00Three dimensional [3D] modelling, e.g. data description of 3D objects
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/107Measuring physical dimensions, e.g. size of the entire body or parts thereof
    • A61B5/1071Measuring physical dimensions, e.g. size of the entire body or parts thereof measuring angles, e.g. using goniometers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/45For evaluating or diagnosing the musculoskeletal system or teeth
    • A61B5/4538Evaluating a particular part of the muscoloskeletal system or a particular medical condition
    • A61B5/4566Evaluating the spine

Abstract

A system for measuring scoliosis is provided in the present invention, which comprises a measuring tool, a first image acquiring device, and an image processing module. The measuring tool is operated to move along a spine of an examination, wherein at least one mark is arranged on the measuring tool. The first image acquiring device is utilized to acquire an image information about the measuring tool when the measuring tool is operated to move along the spine thereby generating a first image signal. The image processing module receives and analyzes the first image signal for determining a moving trace with respect to the at least one mark arranged on the moved measuring tool, thereby generating a measuring information with respect to the measured spine.

Description

脊椎側彎量測系統與方法Scoliosis measurement system and method

本發明為一種脊椎測灣量測技術,特別是者一種利用治具與影像擷取裝置組合來量測脊椎側彎狀態,或者是脊椎側彎與脊椎表面形貌的一種脊椎側彎量測系統與方法。The invention is a spine measurement technology, in particular a scoliosis measurement system that uses a combination of a jig and an image capturing device to measure the state of scoliosis, or scoliosis and the surface topography of the spine And method.

一般臨床,使用X光來做脊椎側彎篩檢及診斷,其係大概可以分成兩種類型,第一種為直接透過X光顯像照射,例如:中國專利第CN108053394號或者是中華民國公開專利第201042556號等都是屬於此類。第二類則是透過智慧型手持裝置裝設有偵測角度的應用程式(APP),將手持裝置放在X光影像上面進行量測,例如,市售的智慧型手持裝置用的CobbMeter APP。雖然X光影像可以清楚看到人體脊椎的側彎情形,不過由於醫療成本及輻射暴露的考量下,無法用於大量篩檢。In general clinics, X-rays are used for scoliosis screening and diagnosis. The system can be roughly divided into two types. The first is direct X-ray imaging irradiation, for example: Chinese Patent No. CN108053394 or Republic of China Patent No. 201042556, etc. belong to this category. The second category is to install an application (APP) that detects the angle through the smart handheld device, and place the handheld device on the X-ray image for measurement. For example, the CobbMeter APP for smart handheld devices on the market. Although X-ray images can clearly see the scoliosis of the human spine, it cannot be used for large-scale screening due to medical costs and radiation exposure considerations.

因此,在習用技術中,另一種量測方式為改用亞當(Adam)前屈測試來作為篩檢測試。這種方式雖然可以檢測出脊椎有無側彎,但是無法定量患者旋轉角度及預估側彎程度。因此,在習用技術中,有利用脊椎側彎量角器(Scoliometer),結合亞當前屈測試,來進行脊椎側彎的量測。脊椎側彎量角器,主要量測軀幹旋轉角度( Angle of trunk rotation, ATR),量測角度大於5度,判定有脊椎側彎,不過一般而言,這種方式仍然需要進一步搭配X光片做診斷。Therefore, in conventional techniques, another measurement method is to switch to Adam's flexion test as a screening test. Although this method can detect scoliosis, it cannot quantify the patient's rotation angle and estimate the degree of scoliosis. Therefore, in conventional techniques, a Scoliometer is used to measure scoliosis in combination with a sub-flexion test. The scoliosis protractor mainly measures the angle of trunk rotation (ATR). The measurement angle is greater than 5 degrees to determine that there is scoliosis, but in general, this method still requires further X-rays for diagnosis .

在另一實施例中,如中華民國公開專利第201813585號所公開的一種用於對脊椎畸形進行表徵的裝置、系統及方法。將具有傾斜計或加速度計的行動裝置(如,智慧型手機),牢固地保持在支撐結構中,使其沿著脊椎表面移動,用以偵測脊椎側彎及/或駝背的脊椎畸形。另外,還有一種利用超音波的量測方式,例如:中國專利第CN106361376所教導的技術。In another embodiment, a device, system, and method for characterizing spinal deformities as disclosed in the Republic of China Patent No. 201813585. A mobile device with an inclinometer or accelerometer (such as a smart phone) is firmly held in a supporting structure and moved along the surface of the spine to detect scoliosis and/or scoliosis of the spine. In addition, there is a measurement method using ultrasonic waves, such as the technology taught in Chinese Patent No. CN106361376.

另外美國專利第US4832049 也教導了一種透過至少一組斜向投射線狀光(slit beam)到病患的背部,再以影像擷取裝置擷取關於該光源的影像,進而可以決定脊椎側彎的狀態。In addition, the US Patent No. US4832049 also teaches a method of projecting at least one set of diagonally projecting linear light (slit beam) onto the patient’s back, and then using an image capturing device to capture images of the light source, which can then determine scoliosis status.

本發明提供一種脊椎側彎量測系統與方法,其係透過具有至少一標記的治具,使其沿著待側者的脊椎移動,透過影像擷取裝置擷取關於該治具的影像,然後解析出治具上標記的移動軌跡,進而得到關於該脊椎彎曲的資訊。透過影像擷取結合治具的方式,可以有效準確的量測出脊椎側彎的狀況。The present invention provides a scoliosis measurement system and method, which uses a jig with at least one mark to move it along the spine of a person to be side-by-side, captures an image about the jig through an image capturing device, and then Analyze the movement trajectory marked on the jig, and then obtain information about the curvature of the spine. Through the combination of image capture and jig, the condition of scoliosis can be measured effectively and accurately.

本發明提供一種脊椎側彎量測系統與方法,更進一步地,可以透過第二台影像擷取裝置或者是由特定圖案的撓性物件緊貼在該待側脊椎的外部組織上,例如待檢者的背部,更進一步地量測出待檢測者背部的表面形貌。透過此種方式,可以不用大區域掃描即可以相對低的成本快速得到待檢測者背部的形貌,進而作為輔助判斷脊椎測彎情況的資訊。此外,透過背部表面形貌的偵測與紀錄,可以作為日後復健狀況復原程度的輔助判斷工具,減少利用放射線成像所產生的風險。The present invention provides a scoliosis measurement system and method. Furthermore, a second image capturing device or a flexible object with a specific pattern can be tightly attached to the external tissue of the spine to be examined, such as The back surface of the person to be inspected is further measured. In this way, the topography of the back of the examinee can be quickly obtained without scanning a large area at a relatively low cost, which can then be used as information to assist in determining the spine curvature. In addition, the detection and recording of the back surface topography can be used as an auxiliary tool for judging the degree of rehabilitation in the future, reducing the risk of using radiographic imaging.

在一實施例中,本發明提供一種脊椎側彎量測系統,包括一治具、一第一影像擷取裝置以及一影像處理模組。該治具,用以沿著一受檢者的待測脊椎之一側移動,該治具上具有至少一標記。該第一影像擷取裝置,用以於該治具移動的過程中,擷取該治具上關於該至少一標記的動態影像,而產生一第一影像訊號。該影像處理模組,用以接收該第一影像訊號,該影像處理模組由該第一影像訊號解析出該治具上至少一標記隨著該治具移動過程中的移動軌跡,進而產生關於該待測脊椎之一量測資訊。In one embodiment, the present invention provides a scoliosis measurement system, including a jig, a first image capturing device, and an image processing module. The jig is used to move along one side of the spine to be tested of a subject, and the jig is provided with at least one mark. The first image capturing device is used for capturing a dynamic image of the at least one mark on the jig during the moving process of the jig to generate a first image signal. The image processing module is used to receive the first image signal, and the image processing module analyzes the first image signal to parse the movement track of at least one mark on the fixture along with the movement of the fixture, thereby generating information about Measurement information of one of the spine to be tested.

在一實施例中,本發明提供一種脊椎側彎量測方法,其係包括有下列步驟,首先使用具有至少一標記的一治具,使其沿著一受檢者的待測脊椎之一側移動。接著,以一第一影像擷取裝置,於該治具移動的過程中,擷取該治具關於該至少一標記的動態影像,而產生一第一影像訊號。最後,再以一影像處理模組接收該第一影像訊號,該影像處理模組由該第一影像訊號解析出該治具上至少一標記隨著該治具移動過程中的移動軌跡,進而產生關於該待測脊椎之一量測資訊。In one embodiment, the present invention provides a method for measuring scoliosis, which includes the following steps. Firstly, a jig with at least one mark is used to move it along one side of a subject's spine to be tested. mobile. Then, a first image capture device is used to capture a dynamic image of the fixture on the at least one mark during the movement of the fixture to generate a first image signal. Finally, an image processing module is used to receive the first image signal, and the image processing module analyzes the first image signal to determine the movement track of at least one mark on the fixture along with the movement of the fixture, thereby generating Measurement information about one of the spine to be tested.

在一實施例中,該脊椎側彎量測系統更包括有具有一特定圖案的撓性物件緊貼在該待側脊椎的外部組織上,該第一影像訊號更包括有關於該特定圖案變形的影像資訊,該影像處理模組根據該特定圖案變形的影像資訊解析該特定圖案之變形狀態,以重建該外部組織與該待測脊椎的表面形貌資訊。In one embodiment, the scoliosis measurement system further includes a flexible object with a specific pattern that is tightly attached to the external tissue of the to-be-side spine, and the first image signal further includes information about the deformation of the specific pattern. Image information: The image processing module analyzes the deformed state of the specific pattern according to the deformed image information of the specific pattern to reconstruct the surface topography information of the external tissue and the spine to be measured.

在一實施例中,該脊椎側彎量測系統更具有一第二影像擷取裝置,該第一與第二影像擷取裝置分別擷取該待測脊椎周圍之外部組織,進而產生一第二與第三影像訊號,該影像處理模組根據該第二與第三影像訊號重建出該外部組織的表面形貌資訊。In one embodiment, the scoliosis measurement system further has a second image capturing device. The first and second image capturing devices respectively capture the external tissues around the spine to be tested to generate a second And a third image signal, the image processing module reconstructs the surface topography information of the external tissue according to the second and third image signals.

在下文將參考隨附圖式,可更充分地描述各種例示性實施例,在隨附圖式中展示一些例示性實施例。然而,本發明概念可能以許多不同形式來體現,且不應解釋為限於本文中所闡述之例示性實施例。確切而言,提供此等例示性實施例使得本發明將為詳盡且完整,且將向熟習此項技術者充分傳達本發明概念的範疇。類似數字始終指示類似元件。以下將以多種實施例配合圖式來說明所述脊椎側彎量測系統與方法,然而,下述實施例並非用以限制本發明。Hereinafter, referring to the accompanying drawings, various exemplary embodiments may be described more fully, and some exemplary embodiments are shown in the accompanying drawings. However, the inventive concept may be embodied in many different forms, and should not be construed as being limited to the exemplary embodiments set forth herein. To be precise, providing these exemplary embodiments makes the present invention detailed and complete, and will fully convey the scope of the concept of the present invention to those skilled in the art. Similar numbers always indicate similar components. The scoliosis measurement system and method will be described below with a variety of embodiments and drawings. However, the following embodiments are not intended to limit the present invention.

請參閱圖1所示,該圖為本發明之一脊椎側彎量測系統示意圖。該系統2包括有一治具20、一第一影像擷取裝置21以及一影像處理模組22。該治具20上具有至少一標記200。該標記200可以選擇為符號或者是圖案,例如:特定形狀的圖案,例如:圓點狀或十字狀,或者是特定顏色的圖案,或者是發光元件所構成,例如:發光二極體。該治具20可以在操作之下,用以沿著一受檢者90的待測脊椎900之一側移動。檢測者90的姿態,可以彎腰、站立、躺著或者是坐著受檢測,並無一定的限制。Please refer to Figure 1, which is a schematic diagram of a scoliosis measurement system of the present invention. The system 2 includes a fixture 20, a first image capturing device 21, and an image processing module 22. At least one mark 200 is provided on the fixture 20. The mark 200 can be selected as a symbol or a pattern, such as a pattern of a specific shape, such as a dot shape or a cross shape, or a pattern of a specific color, or a light emitting element, such as a light emitting diode. The jig 20 can be operated to move along one side of the spine 900 of a subject 90 to be tested. The posture of the examiner 90 can be detected by bending, standing, lying down or sitting, and there is no certain limit.

該第一影像擷取裝置21,用以於該治具20移動的過程中,擷取該治具20的動態影像,而產生一第一影像訊號。該第一影像擷取裝置21可以固定在定位,或者是設置在可以進行XYZ方向移動與轉動的台座上,或者是可以由醫護人員手持來進行影像擷取。該第一影像擷取裝置21可以為一般錄影機、具有錄影功能的單影像機,或者是智慧型手持裝置,例如:手機或平板電腦(Pad)。該影像處理模組22,用以接收該第一影像訊號,該影像處理模組22由該第一影像訊號解析出該治具20上至少一標記200隨著該治具20移動過程中的移動軌跡,進而產生關於該待測脊椎900之一量測資訊。該影像處理模組22為具有運算處理能力的裝置,例如,桌上型電腦、手提型電腦、工作站、雲端伺服器、或者是智慧型手持裝置,例如:平板電腦或手機。The first image capturing device 21 is used for capturing a dynamic image of the jig 20 during the movement of the jig 20 to generate a first image signal. The first image capturing device 21 can be fixed in position, or set on a pedestal that can be moved and rotated in the XYZ direction, or can be held by medical staff for image capture. The first image capturing device 21 can be a general video recorder, a single video recorder with a video recording function, or a smart handheld device such as a mobile phone or a tablet computer (Pad). The image processing module 22 is used to receive the first image signal, and the image processing module 22 analyzes the first image signal to determine that at least one mark 200 on the fixture 20 moves along with the movement of the fixture 20 The trajectory in turn generates measurement information about the spine 900 to be tested. The image processing module 22 is a device with computational processing capabilities, such as a desktop computer, a laptop computer, a workstation, a cloud server, or a smart handheld device, such as a tablet computer or a mobile phone.

本實施例中,該第一影像擷取裝置21與該影像處理模組22可以為整合在一起裝置(21, 22),例如:智慧型手機,同時具有運算處理能力,也可以擷取動態影像。本實施例中,可以在智慧型手機內安裝應用程式APP,啟動APP程式之後,在該程式的選單中啟動攝影功能,在該治具20沿著該待側脊椎90移動的過程中,擷取該治具20移動的第一影像訊號。該第一影像訊號再由APP的影像運算處理程序,找到治具20上的標記200,進而解析出該標記200的軌跡。In this embodiment, the first image capturing device 21 and the image processing module 22 can be an integrated device (21, 22), such as a smart phone, which has computing and processing capabilities and can also capture dynamic images. . In this embodiment, the application APP can be installed in the smart phone. After the APP program is activated, the photography function is activated in the menu of the program. During the movement of the jig 20 along the side vertebra 90, capture The first image signal of the movement of the fixture 20. The first image signal is then used by the APP's image processing program to find the mark 200 on the jig 20, and then analyze the track of the mark 200.

此外,在另一實施例中,該第一影像擷取裝置21與該影像處理模組22可以為獨立分開的裝置,例如:該第一影像擷取裝置21為錄影機或智慧型手機,該影像處理模組22為一筆記型電腦或者是雲端伺服器。該第一影像擷取裝置21所擷取的第一影像訊號可以透過無線傳輸、有線傳輸或者是儲存媒體,例如:USB隨身碟的方式,將第一影像訊號傳給該運算處理膜組22。該影像處理模組22內安裝有可以解析該第一影像訊號,找出治具20上的標記200的應用程式。因此透過執行該應用程式處理該第一影像訊號,進而解析出該標記200的軌跡。In addition, in another embodiment, the first image capturing device 21 and the image processing module 22 may be separate devices, for example: the first image capturing device 21 is a video recorder or a smart phone, the The image processing module 22 is a notebook computer or a cloud server. The first image signal captured by the first image capturing device 21 can be transmitted to the arithmetic processing film set 22 through wireless transmission, wired transmission, or a storage medium, such as a USB flash drive. The image processing module 22 is installed with an application program that can analyze the first image signal to find the mark 200 on the fixture 20. Therefore, by executing the application program to process the first image signal, the trace of the mark 200 can be analyzed.

要說明的是,當標記200只有一個的時候,當治具20沿著該待側脊椎900移動的時候,該標記200會隨著治具20的移動而改變其位置,因此當第一影像擷取裝置21擷取該治具20移動過程的第一影像訊號之後,該第一影像訊號透過該影像處理模組22的運算處理,例如在一實施例中,該運算處理包括有過濾除雜訊、轉換灰階,再利用二值化處理找到每一幀畫面中的該標記200的位置,隨著不同幀畫面中的標記位置,即可勾勒出該標記200移動的軌跡。該軌跡係相應於該待側脊椎900在平面上的彎曲軌跡。要說明的是,透過影像處理分析找到標記的方式可以有很多種方式,且為本領域技術之人所熟悉,因此並不以前述列舉方式為限制。It should be noted that when there is only one mark 200, when the jig 20 moves along the side vertebra 900, the mark 200 will change its position as the jig 20 moves, so when the first image is captured After the capturing device 21 captures the first image signal of the moving process of the fixture 20, the first image signal is processed by the image processing module 22. For example, in one embodiment, the calculation process includes filtering and removing noise , Convert the gray scale, and then use the binarization process to find the position of the mark 200 in each frame of the picture. Following the position of the mark in the different frames of the picture, the trajectory of the mark 200 can be outlined. The trajectory corresponds to the curved trajectory of the side vertebra 900 on the plane. It should be noted that there are many ways to find the mark through image processing and analysis, which are familiar to those skilled in the art, and therefore are not limited by the aforementioned enumerated methods.

此外,在另一實施例中,如圖2所示,其係為說明利用該治具量測脊椎側彎角度示意圖。圖2的左側圖為待側脊椎900。以治具20在待側脊椎900上的特定區域900a進行量測來說明,待測脊椎900係由複數個脊椎節903連接而成,當該標記200為兩個(或以上)的時候,使用者移動治具20,除了可以決定出該待側脊椎的彎曲軌跡之外,透過兩個標記的連線,可以找到脊椎在任兩個相鄰量測位置的夾角,進而達到量測脊椎彎曲角度的目的。以圖2為例,透過影像處理程序,先在區域900a中治具20在第一位置(A)的時候找到兩標記200,並決定其中心連線901。然後再找到下一時間點時,與該治具20移動到第二位置(B),兩標記200的中心連線902。透過此兩個連線901與902就可以得知脊椎側彎的角度θ。 要說明的是,因為本實施例中的標記200為圓點狀,因此需要兩個以上才能算角度。但再另一實施例中,若該標記為一個可識別角度變化的形狀時,例如:十字時或有其他非對稱的形狀,例如:直角三角形,或不等邊長的多邊形時,可以使用單一個標記就可以計算出角度。In addition, in another embodiment, as shown in FIG. 2, it is a schematic diagram illustrating the use of the jig to measure the scoliosis angle. The left side image of FIG. 2 shows the side spine 900. Take the jig 20 to measure the specific area 900a on the side spine 900 to illustrate. The spine 900 to be tested is connected by a plurality of vertebral segments 903. When the mark 200 is two (or more), use The user moves the jig 20, in addition to determining the curve track of the spine to be side, through the connection of the two marks, the angle between any two adjacent measurement positions of the spine can be found, and then the angle of the spine can be measured. purpose. Taking FIG. 2 as an example, through the image processing program, the two marks 200 are first found when the fixture 20 is in the first position (A) in the area 900a, and the center connection 901 is determined. Then, when the next time point is found, the jig 20 moves to the second position (B), and the center line 902 of the two marks 200 is connected. Through these two connections 901 and 902, the angle θ of scoliosis can be known. It should be noted that, because the mark 200 in this embodiment is in the shape of a dot, more than two are required to calculate the angle. But in another embodiment, if the mark is a shape that can recognize angle changes, such as a cross or other asymmetrical shapes, such as a right-angled triangle, or a polygon with unequal side lengths, a single One mark can calculate the angle.

前述的實施例是用來量測脊椎側彎的軌跡與角度,屬於平面二維的資訊。然而對有脊椎側彎的受檢者而言,除了內部脊椎結構側彎之外,側彎的情況還會影響到整的背部骨架結構位置以及肌肉生組織長狀態。因此,如果可以進一步掌握脊椎以及其周圍背部的表面形貌,除了可以幫助對受檢者脊椎側彎程度的了解,更可以在日後復健的過程中,協助醫生了解復原狀況。如此,就不用每次矯正之後,還需要透過放射線的攝影來取得脊椎的形貌,大幅降低受到輻射劑量影響的風險。The foregoing embodiment is used to measure the trajectory and angle of the scoliosis, which belongs to the two-dimensional information of the plane. However, for subjects with scoliosis, in addition to the scoliosis of the internal spine structure, the condition of scoliosis will also affect the position of the entire back skeleton structure and the growth of muscle tissue. Therefore, if you can further understand the surface topography of the spine and its surrounding back, in addition to helping to understand the degree of scoliosis of the subject, it can also help the doctor understand the recovery status in the future rehabilitation process. In this way, there is no need to obtain the topography of the spine through radiography after each correction, which greatly reduces the risk of being affected by the radiation dose.

在取得脊椎三維形貌的一實施例中,本發明更提供一種量測受檢者背部表面形貌的方式,如圖3A與3B所示,本實施例中,更具有一特定圖案的撓性物件23緊貼在該待側脊椎900的外部組織上,本實施例中,該待側脊椎900的外部組織為待檢測者的背部。本實施例中,該撓性物件23為一衣服,其具方格狀的特定圖案。要說明的是,特定圖案並不以方格為限制,其他種花紋也可以可實施,例如;在一實施例中,也可以為黑白橫條紋相間隔的圖案,或者是黑白直條紋相間隔的圖案。當該撓性物件23尚未穿在受檢者身上時,方格狀圖案尚未變形,因此具有一定的大小。當穿著在待檢者90身上時,因為待檢個身體架構與肌肉組織,使得方格狀圖案產生變形。此時,該第一影像擷取裝置21擷取關於該撓性物件變形的影像資訊。該影像處理模組22於處理該影像資訊時,根據該特定圖案變形的影像資訊解析該特定圖案之變形狀態,以重建該外部組織與該待測脊椎的表面形貌資訊。處理該特定圖案變形而得到物體表面形貌的演算技術,係屬習用之技術,例如: 3D視覺重建演算法或全像散斑演算法等,在此不作贅述。In an embodiment for obtaining the three-dimensional topography of the spine, the present invention further provides a way to measure the topography of the back surface of the subject. The object 23 is tightly attached to the external tissue of the to-be-side spine 900. In this embodiment, the external tissue of the to-be-side spine 900 is the back of the person to be tested. In this embodiment, the flexible object 23 is a piece of clothing with a specific pattern in the form of a grid. It should be noted that the specific pattern is not limited to squares, and other patterns can also be implemented. For example, in one embodiment, it can also be a pattern with black and white horizontal stripes spaced apart, or a pattern with black and white straight stripes spaced apart. pattern. When the flexible object 23 has not been worn on the subject, the checkered pattern has not been deformed, and therefore has a certain size. When worn on the examinee 90, the checkered pattern is deformed due to the body structure and muscle tissue of the examinee. At this time, the first image capturing device 21 captures image information about the deformation of the flexible object. When processing the image information, the image processing module 22 analyzes the deformed state of the specific pattern according to the deformed image information of the specific pattern to reconstruct the surface topography information of the external tissue and the spine to be measured. The calculation technology for processing the deformation of the specific pattern to obtain the surface topography of the object is a conventional technology, such as: 3D vision reconstruction algorithm or holographic speckle algorithm, etc., and will not be repeated here.

要說明的是,產生該方格狀的特定圖案方式並不以該撓性物件23的方式為限制,在另一實施例中,如圖3C所示,該系統2a也可透過投影設備28產生具有特定圖案的結構光280,例如:棋盤格結構光、黑白相間的橫條紋結構光,或者是黑白相間的直條紋結構光等,在將該結構光280投射至該待側脊椎900的外部組織上,隨著背部組織的起伏,該結構光280上的特定圖案281也會產生變形,本實施例中,該特定圖案281為黑白相間的橫條紋結構光。然後該第一影像擷取裝置21取得關於該結構光280變形的影像。該影像處理模組22於處理該影像資訊時,根據該特定圖案變形的影像資訊解析該特定圖案之變形狀態,以重建該外部組織與該待測脊椎900的表面形貌資訊。It should be noted that the manner of generating the specific pattern of the grid is not limited to the manner of the flexible object 23. In another embodiment, as shown in FIG. 3C, the system 2a can also be generated by the projection device 28. Structured light 280 with a specific pattern, such as checkerboard structured light, black and white horizontal striped structured light, or black and white straight striped structured light, etc., when projecting the structured light 280 to the external tissue of the side vertebra 900 Above, with the undulation of the back tissue, the specific pattern 281 on the structured light 280 will also be deformed. In this embodiment, the specific pattern 281 is a black and white horizontal striped structured light. Then the first image capturing device 21 obtains an image about the deformation of the structured light 280. When processing the image information, the image processing module 22 analyzes the deformed state of the specific pattern according to the deformed image information of the specific pattern to reconstruct the surface topography information of the external tissue and the vertebra 900 to be tested.

在另一實施例中,如圖3D所示,該圖為本發明之脊椎側彎量測系統另一實施例示意圖。有別於前述利用特定圖案的結構光或撓性物件的方式,本實施例中的脊椎側彎量測系統2b係透過兩個影像擷取裝置來演算出該待側脊椎900的外部組織上的表面形貌。除了具有第一影像擷取裝置21之外,本實施例係更具有一第二影像擷取裝置21a,該第一與第二影像擷取裝置21與21a從不同的角度方位,分別擷取該待測脊椎900周圍之外部組織,進而產生一第二與第三影像訊號,該影像處理模組22根據該第二與第三影像訊號重建出該外部組織的表面形貌資訊。在本實施例中,該影像處理模組22為一雲端伺服器,第二影像訊號與第三影像訊號傳輸至雲端伺服器,再由該雲端伺服器進行演算,得到該外部組織的表面形貌資訊。在另一實施例中,該影像處理模組22可以整合在該第一或第二影像擷取裝置21或21a其中之一。此外,該該影像處理模組22也可以為一筆記型電腦或桌上型電腦。In another embodiment, as shown in FIG. 3D, this figure is a schematic diagram of another embodiment of the scoliosis measurement system of the present invention. Different from the aforementioned method of using structured light or flexible objects with specific patterns, the scoliosis measurement system 2b in this embodiment uses two image capturing devices to calculate the external tissue of the spine 900 on the side. Surface topography. In addition to the first image capturing device 21, this embodiment further has a second image capturing device 21a. The first and second image capturing devices 21 and 21a capture the image from different angles and orientations. The external tissue around the spine 900 to be tested further generates a second and third image signals. The image processing module 22 reconstructs the surface topography information of the external tissue according to the second and third image signals. In this embodiment, the image processing module 22 is a cloud server, the second image signal and the third image signal are transmitted to the cloud server, and the cloud server performs calculations to obtain the surface topography of the external organization News. In another embodiment, the image processing module 22 can be integrated into one of the first or second image capturing device 21 or 21a. In addition, the image processing module 22 can also be a notebook computer or a desktop computer.

請參閱圖4所示,該圖為本發明之脊椎側彎量測系統另一實施例示意圖。在本實施例中,該脊椎側彎量測系統2c,其係更具有一雲端伺服器24,用以接收該量測資訊,並予以儲存。雲端伺服器24為遠端的資料路,透過有線或無線網路通訊的協定,提供連接通訊的介面,以傳輸或接收資訊。影像處理模組22運算處理之後所得到的關於該脊椎測彎的資訊,例如變形的軌跡、角度與表面形貌等資訊,會上傳到雲端伺服器24中儲存。此外,該雲端伺服器24更可以提供給至少一台終端裝置25連線。該終端裝置25,用以透過有線或無線通訊的方式與該雲端伺服器24電性連接,該終端裝置25用以取得該量測資訊,並於該終端裝置25進行顯示。該終端裝置25,在一實施例中,可以為桌上型電腦、手提型電腦、工作站、雲端伺服器、或者是智慧型手持裝置,例如:平板電腦或手機。在一實施例中,該終端裝置25也可以與該第一影像擷取裝置21整合在一起。例如:在一實施例中,該第一影像擷取裝置21為智慧型手機,除了具有影像擷取、影像運算處理的功能外,也可以當作終端裝置,隨時連上該雲端伺服器24以存取儲存在雲端伺服器24內的資訊。Please refer to FIG. 4, which is a schematic diagram of another embodiment of the scoliosis measurement system of the present invention. In this embodiment, the scoliosis measurement system 2c has a cloud server 24 for receiving the measurement information and storing it. The cloud server 24 is a remote data path, which provides a connection communication interface through a wired or wireless network communication protocol to transmit or receive information. The information about the curvature of the spine obtained by the image processing module 22 after calculation processing, such as the deformation trajectory, angle, and surface topography, will be uploaded to the cloud server 24 for storage. In addition, the cloud server 24 can also provide at least one terminal device 25 for connection. The terminal device 25 is used to electrically connect with the cloud server 24 through wired or wireless communication. The terminal device 25 is used to obtain the measurement information and display it on the terminal device 25. The terminal device 25, in an embodiment, may be a desktop computer, a laptop computer, a workstation, a cloud server, or a smart handheld device, such as a tablet computer or a mobile phone. In an embodiment, the terminal device 25 can also be integrated with the first image capturing device 21. For example, in one embodiment, the first image capturing device 21 is a smart phone. In addition to having the functions of image capturing and image processing, it can also be used as a terminal device to connect to the cloud server 24 at any time. Access information stored in the cloud server 24.

在一實施例中,該雲端伺服器24更儲存有一參考資訊資料庫240,儲存有各種復健矯正資訊,用以提供指導人員根據該量測資訊,提供該至少一種復健矯正資訊給該受檢者作為復健參考。例如,在此實施例中,醫護人員可以透過該終端裝置25連線到該雲端伺服器24,透過終端裝置25本身所安裝的應用程式,或者是利用雲端伺服器24提供的網頁作為介面,一方面可以檢視待檢者的量測資訊,然後透過該應用程式或者是網頁內建的智能判斷程式模組26,由該參考資訊資料庫240找出至少一種矯正復健資訊,提供給醫護人員作為參考。該醫護人員根據該至少一種矯正復健資訊,決定對待檢者合適的復健方式,再回傳給該待檢者的終端裝置。在另一實施例中,該智能判斷程式模組26也可以啟動自動模式,直接自動地由該參考資訊資料庫240找出合適的至少一復健資訊,再直接傳給待檢者的終端裝置,本實施例中,該待檢者的終端裝置為整合有該第一影像擷取裝置21的運算處理模組22,其係為智慧型手機。在另一實施例中,該待檢者的終端裝置25為筆記型電腦、或桌上型電腦,或其他具有網路連線、運算以及顯示功能的裝置,其係和該運算處理模組22分開設置。要說明的是,本實施例中,該智能判斷程式模組26係設置於該雲端伺服器24內,但在另一實施例中,該智能判斷程式模組26也可以設置在終端裝置25內。In one embodiment, the cloud server 24 further stores a reference information database 240 that stores various rehabilitation information for providing the instructor with the at least one rehabilitation information based on the measurement information. The examiner serves as a reference for rehabilitation. For example, in this embodiment, medical staff can connect to the cloud server 24 through the terminal device 25, through an application installed on the terminal device 25 itself, or use a webpage provided by the cloud server 24 as an interface, one On the other hand, you can view the measurement information of the person to be examined, and then use the application or the built-in intelligent judgment program module 26 on the web page to find at least one type of correction and rehabilitation information from the reference information database 240 and provide it to the medical staff as reference. According to the at least one corrective rehabilitation information, the medical staff decides a suitable rehabilitation method for the examinee, and then transmits it back to the terminal device of the examinee. In another embodiment, the intelligent judgment program module 26 can also activate the automatic mode, and directly and automatically find the appropriate at least one piece of rehabilitation information from the reference information database 240, and then directly transmit it to the terminal device of the person to be examined In this embodiment, the terminal device of the subject to be inspected is an arithmetic processing module 22 integrated with the first image capturing device 21, which is a smart phone. In another embodiment, the terminal device 25 of the examinee is a notebook computer, or a desktop computer, or other devices with network connection, calculation, and display functions, which are connected to the calculation processing module 22 Set separately. It should be noted that in this embodiment, the intelligent determination program module 26 is installed in the cloud server 24, but in another embodiment, the intelligent determination program module 26 may also be installed in the terminal device 25 .

該脊椎側彎量測系統2c更具有一復健指導模組27,其係可以設置在雲端伺服器24內,該復健指導模組27用以根據該至少一種復健矯正資訊,指導受檢者復健矯正步驟。在一實施例中,當待檢者或復健者啟動該復健指導模組27之後,該復健指導模組27可以透過語音或者是以影音的方式傳給終端裝置25,以撥放執行該復健資訊執行的每一個步驟。在另一實施例中,待檢者在執行復健指導模組27時,更可以同步啟動第一影像擷取裝置21,透過該第一影像擷取裝置21擷取該待檢者根據復健矯正資訊執行復健的過程。該第一影像擷取裝置21產生一錄製影像,並上傳至該雲端伺服器24。該雲端伺服器24可以將該錄製影像儲存,提供給醫護人員進行檢閱。要說明的是,該復健指導模組27也可以設置在圖1、圖3A~3C或圖4的影像處理模組22內。要說明的是,本實施例中,該復健指導模組27係設置於該雲端伺服器24內,但在另一實施例中,該復健指導模組27也可以設置在終端裝置25內。The scoliosis measurement system 2c further has a rehabilitation guidance module 27, which can be set in the cloud server 24, and the rehabilitation guidance module 27 is used to guide the examinee based on the at least one type of rehabilitation information Rehabilitation and correction steps. In one embodiment, after the person to be examined or the rehabilitator activates the rehabilitation guidance module 27, the rehabilitation guidance module 27 may be transmitted to the terminal device 25 through voice or video and audio, and the execution is performed by playing Each step performed by the rehabilitation information. In another embodiment, when the examinee executes the rehabilitation instruction module 27, the first image capturing device 21 can be activated synchronously, and the examinee can be retrieved according to the rehabilitation by the first image capturing device 21. Correction information to perform the process of rehabilitation. The first image capturing device 21 generates a recorded image and uploads it to the cloud server 24. The cloud server 24 can store the recorded image and provide it to medical staff for review. It should be noted that the rehabilitation guidance module 27 can also be arranged in the image processing module 22 of FIG. 1, FIGS. 3A to 3C or FIG. 4. It should be noted that in this embodiment, the rehabilitation guidance module 27 is installed in the cloud server 24, but in another embodiment, the rehabilitation guidance module 27 may also be installed in the terminal device 25 .

請參閱圖5所示,該圖為本發明之脊椎側彎量測方法之一實施例流程示意圖。該方法3可以應用在圖1、圖3A~3C或圖4所示的量測系統2~2c,本實施例係以圖4來說明。該方法3包括有下列步驟:首先進行步驟30,使用具有至少一標記的一治具,使其沿著一受檢者的待測脊椎之一側移動。本步驟中,請參閱圖4所示,待檢者彎腰,醫護人員利用具有一對標記200的治具20沿著受檢者90的待測脊椎900移動。Please refer to FIG. 5, which is a schematic flowchart of an embodiment of the scoliosis measurement method of the present invention. The method 3 can be applied to the measurement systems 2 to 2c shown in FIG. 1, FIGS. 3A to 3C or FIG. 4. This embodiment is illustrated with FIG. 4. The method 3 includes the following steps: first, step 30 is performed, using a jig with at least one mark to move it along one side of the spine to be tested of a subject. In this step, referring to FIG. 4, the examinee bends down, and the medical staff uses a jig 20 with a pair of marks 200 to move along the spine 900 of the examinee 90 to be examined.

接著,進行步驟31,以一第一影像擷取裝置,於該治具移動的過程中,擷取該治具的動態影像,而產生一第一影像訊號。本步驟中,該第一影像擷取裝置21係固定在一定位,視野對著該待檢者受檢的區域,直接擷取動態的治具20移動的第一影像訊號。Next, proceed to step 31 to use a first image capturing device to capture a dynamic image of the fixture during the movement of the fixture to generate a first image signal. In this step, the first image capturing device 21 is fixed at a position, and the field of view faces the inspected area of the subject to directly capture the first image signal of the moving jig 20.

取得該第一影像訊號之後,進行步驟32,以一影像處理模組接收該第一影像訊號,該影像處理模組由該第一影像訊號解析出該治具上至少一標記隨著該治具移動過程中的移動軌跡,進而產生關於該待測脊椎之一量測資訊。該量測資訊,在本實施例中,為脊椎側彎的軌跡以及脊椎側彎的角度。此外,本實施例中,該第一影像擷取裝置21與影像處理模組22整合在一智慧型手機上,因此第一影像擷取裝置21所產生的影像訊號,直接輸入至影像處理模組22進行影像解析。該影像處理模組22具有運算處理能力,透過執行影像處理程式,對該第一影像訊號進行處理,找出構成該第一影像訊號中每一幀畫面的標記位置,進而決定該標記的移動軌跡。有了標記的移動軌跡,就可以決定出脊椎側彎的軌跡資訊。此外,由於該治具20上具有一對標記200,因此可以根據圖2示意的方式決定相鄰脊椎或相鄰兩個量測位置脊椎側彎的角度。After obtaining the first image signal, proceed to step 32 to receive the first image signal with an image processing module, and the image processing module parses the first image signal to find that at least one mark on the fixture follows the fixture The movement trajectory in the movement process generates measurement information about one of the spine to be measured. The measurement information, in this embodiment, is the trajectory of the scoliosis and the angle of the scoliosis. In addition, in this embodiment, the first image capturing device 21 and the image processing module 22 are integrated on a smart phone, so the image signal generated by the first image capturing device 21 is directly input to the image processing module 22 Perform image analysis. The image processing module 22 has arithmetic processing capabilities. By executing an image processing program, the first image signal is processed to find the position of the mark constituting each frame of the first image signal, and then determine the movement track of the mark . With the marked movement trajectory, the trajectory information of scoliosis can be determined. In addition, since the jig 20 has a pair of marks 200, the angle of the scoliosis of the adjacent spine or two adjacent measurement positions can be determined according to the schematic method of FIG. 2.

接著進行步驟33,將該量測資訊上傳至雲端伺服器儲存。本步驟中,雲端伺服器24內具有對應有每一位受檢者帳戶的資料庫,用以儲存對應每一位受檢者的量測資訊。相應的帳戶都有對應的帳號密碼以提供檢測者隱私的保護。Then proceed to step 33 to upload the measurement information to the cloud server for storage. In this step, the cloud server 24 has a database corresponding to each subject's account for storing the measurement information corresponding to each subject. Corresponding accounts have corresponding account passwords to protect the privacy of the inspector.

請參閱圖6A所示,該圖為應用量測資訊之復建流程之實施例示意圖。在本實施例中,該流程4包括有步驟40,醫護人員透過終端裝置連線到該雲端伺服器。本步驟中,如圖4所示的系統為例,終端裝置25本身所安裝的應用程式,或者是利用雲端伺服器24提供的網頁作為介面。因此醫護人員可以在受檢者的授權之下,透過終端裝置25連線到雲端伺服器24,取得檢測者的量測資訊。接著進行步驟41,提供一矯正復健資訊給受檢者。在步驟41的一實施例中,醫護人員可以直接透過經驗分析該量測資訊,透過終端裝置送出合適的復健矯正方式建議給使用者。Please refer to FIG. 6A, which is a schematic diagram of an embodiment of a reconstruction process using measurement information. In this embodiment, the process 4 includes step 40. The medical staff connects to the cloud server through a terminal device. In this step, the system shown in FIG. 4 is taken as an example, the application installed on the terminal device 25 itself, or the webpage provided by the cloud server 24 is used as an interface. Therefore, the medical staff can connect to the cloud server 24 through the terminal device 25 under the authorization of the examinee to obtain the measuring information of the examinee. Then proceed to step 41 to provide corrective rehabilitation information to the subject. In an embodiment of step 41, the medical staff can directly analyze the measurement information through experience, and send appropriate rehabilitation and correction method recommendations to the user through the terminal device.

在步驟41的另一實施例中,也可以透過終端裝置所安裝的應用程式或者是網頁內建的智能判斷程式模組26,由一參考資訊資料庫240找出至少一種矯正復健資訊。在此實施例中,該智能判斷程式模組26係為程式所構成的判斷模組,而參考資訊資料庫240在一實施例中,則是建立在雲端伺服器24內,裡面儲存有各種不同的矯正與復建方式。因此,當醫護人員執行智能判斷程式模組26時,該智能判斷程式模組26可以將該量測資訊的脊椎側彎狀態從參考資訊資料庫240中找出合適的至少一種矯正復健資訊,並顯示在醫護人員的終端裝置上,醫護人員可以由該至少一種矯正復健資訊,決定出對於受檢者合適的矯正復健方式,再回傳給該待檢者的終端裝置。要說明的是智能程式判斷模組26具有人工智慧(artificial intelligence, AI)的學習能力,該智能程式判斷模組26可以接收脊椎側彎的各種量測資訊與各種不同矯治復健方式的資訊,利用習用技術的演算法,進行大數據的資料學習。因此,當有新的量測資訊提供給該智能程式判斷模組26時,該智能程式判斷模組26可以根據量測資訊產生矯正復健方式的建議。In another embodiment of step 41, it is also possible to find at least one type of corrective rehabilitation information from a reference information database 240 through an application installed on the terminal device or the intelligent judgment program module 26 built in the webpage. In this embodiment, the intelligent judgment program module 26 is a judgment module composed of programs, and the reference information database 240 in one embodiment is established in the cloud server 24, which stores various Correction and rehabilitation methods. Therefore, when the medical staff executes the intelligent judgment program module 26, the intelligent judgment program module 26 can find the appropriate at least one kind of corrective and rehabilitation information from the reference information database 240 for the scoliosis state of the measurement information. It is displayed on the terminal device of the medical staff, and the medical staff can determine the corrective rehabilitation method suitable for the subject from the at least one corrective rehabilitation information, and then send it back to the terminal device of the subject. It should be explained that the intelligent program judgment module 26 has the learning ability of artificial intelligence (AI). The intelligent program judgment module 26 can receive various measurement information of scoliosis and information on various treatment and rehabilitation methods. Use the algorithms of conventional technology to learn about big data. Therefore, when new measurement information is provided to the intelligent program determination module 26, the intelligent program determination module 26 can generate suggestions for corrective rehabilitation methods based on the measurement information.

接著進行步驟42,受檢者根據該矯正復健方式進行復建。在本步驟中的一實施例中,受檢者可以啟動復健指導模組27,用以根據該至少一種復健矯正資訊,指導受檢者復健矯正步驟。該復健指導模組27內儲存有關於每一種矯正復建資訊的實行方式,例如:分解動作說明、動作注意事項、以及復健動作的更換提醒等,但不以此為限制,透過語音或影音的方式在受檢者使用的終端裝置上呈現出來。如此可以讓使用者更容易學習與執行矯正復健的動作。Then proceed to step 42, and the subject performs rehabilitation according to the corrective rehabilitation method. In an embodiment of this step, the subject can activate the rehabilitation guidance module 27 to guide the subject in rehabilitation and correction steps based on the at least one type of rehabilitation and correction information. The rehabilitation guidance module 27 stores information about the implementation of each type of correction and rehabilitation, such as: decomposition action description, action precautions, and rehabilitation action replacement reminders, but it is not limited by this, through voice or The way of audio and video is presented on the terminal device used by the examinee. This makes it easier for users to learn and perform corrective and rehabilitation actions.

請參閱圖6B所示,其流程基本上與圖6A相似,差異的是,本實施例中,更包括有步驟43,上傳執行矯正復健的過程。在本步驟中,主要是要讓受檢者執行矯正復健方式時,可以和醫護人員互動,而非只有來自於復健指導模組27單向的指導。本步驟的一實施例中,受檢者可以啟動該第一影像擷取裝置21,以圖4為例,由於第一影像擷取裝置21為智慧型手機,因此可以利用內部安裝的APP啟動上傳模式,此時在受檢者執行矯正復健程序的同時,可以同時錄影受檢者執行的動作,將檢者進行該復健矯正步驟時擷取相關影像,以產生一錄製影像,並上傳至該雲端伺服器24。此時,醫護人員可以利用其終端裝置,觀看該錄影影像,提供即時的指導資訊,和執行矯正復健的受檢者互動。醫護人員和受檢者的互動方式可以為即時的互動給予意見或建議,或者是事後再給予意見或建億。Please refer to FIG. 6B. The process is basically similar to that of FIG. 6A. The difference is that this embodiment further includes step 43 of uploading and performing the correction and rehabilitation process. In this step, it is mainly to allow the subject to interact with the medical staff when performing the corrective rehabilitation method, rather than only one-way guidance from the rehabilitation guidance module 27. In an embodiment of this step, the subject can activate the first image capturing device 21. Taking FIG. 4 as an example, since the first image capturing device 21 is a smart phone, the internally installed APP can be used to initiate uploading. Mode. At this time, while the subject is performing the corrective rehabilitation procedure, the actions performed by the subject can be recorded at the same time, and the relevant image will be captured when the subject performs the rehabilitation step to generate a recorded image and upload it to The cloud server 24. At this time, the medical staff can use their terminal device to watch the video, provide real-time guidance information, and interact with the examinee performing corrective rehabilitation. The interaction between the medical staff and the examinee can be immediate interaction to give opinions or suggestions, or to give opinions or build billions afterwards.

請參閱圖7所示,該圖為本發明之脊椎側彎量測方法之另一實施例流程示意圖。在本實施例中,基本上是將圖5的流程和圖6A或圖6B組合,形成的量測方法。該方法5包括有利用步驟50,先執行圖5的流程,之後再進行步驟51,在一段期間內,重複進行如圖6A或圖6B的復健程序複數次。本步驟中,該期間可以天、週或月為單位來進行。步驟51的程序進行完畢之後,再進行步驟52,亦即重複進行如圖5的流程,再次量測受檢者的脊椎側彎,以長期追蹤復健的成效。透過圖7的方式,可以在減少使用輻射照射的條件下,有效的掌握受檢者的矯正復健情況。Please refer to FIG. 7, which is a schematic flowchart of another embodiment of the scoliosis measurement method of the present invention. In this embodiment, it is basically a measurement method formed by combining the flow of FIG. 5 with FIG. 6A or FIG. 6B. The method 5 includes using step 50 to execute the flow of FIG. 5 first, and then to step 51, and repeat the rehabilitation procedure as shown in FIG. 6A or FIG. 6B several times in a period of time. In this step, the period can be carried out in units of days, weeks or months. After the procedure of step 51 is completed, step 52 is performed again, that is, the procedure of FIG. 5 is repeated to measure the scoliosis of the subject again to track the effect of rehabilitation for a long time. Through the method shown in Figure 7, the correction and rehabilitation of the subject can be effectively grasped under the condition of reducing the use of radiation exposure.

以上所述,乃僅記載本發明為呈現解決問題所採用的技術手段之較佳實施方式或實施例而已,並非用來限定本發明專利實施之範圍。即凡與本發明專利申請範圍文義相符,或依本發明專利範圍所做的均等變化與修飾,皆為本發明專利範圍所涵蓋。The above description only describes the preferred implementations or examples of the technical means adopted by the present invention in order to solve the problems, and is not intended to limit the scope of implementation of the patent of the present invention. That is to say, all changes and modifications that are consistent with the scope of the patent application of the present invention or made in accordance with the scope of the patent of the present invention are covered by the scope of the present patent.

2、2a、2b、2c:脊椎側彎量測系統20:治具200:標記21:第一影像擷取裝置22:影像處理模組23:撓性物件24:雲端伺服器240:參考資訊資料庫25:終端裝置26:智能判斷程式模組27:復健指導模組28:投影設備3~5:方法流程30~33:步驟40~43:步驟50~52:步驟90:受檢者900:待測脊椎901~902:連線903:脊椎節2, 2a, 2b, 2c: Scoliosis measurement system 20: Fixture 200: Mark 21: First image capture device 22: Image processing module 23: Flexible object 24: Cloud server 240: Reference information Library 25: Terminal device 26: Intelligent judgment program module 27: Rehabilitation guidance module 28: Projection equipment 3~5: Method flow 30~33: Step 40~43: Step 50~52: Step 90: Subject 900 : Spine to be tested 901~902: Connection 903: Spine section

圖1為本發明一實施例之脊椎側彎量測系統示意圖。 圖2為本發明之利用治具量測脊椎側彎角度的一實施例示意圖。 圖3A為本發明一實施例之撓性物體示意圖。 圖3B為本發明另一實施例之脊椎側彎量測系統示意圖。 圖3C為本發明又一實施例之脊椎側彎量測系統示意圖。 圖3D為本發明再一實施例之脊椎側彎量測系統示意圖。 圖4為本發明另一實施例之脊椎側彎量測系統示意圖。 圖5為本發明之脊椎側彎量測方法之一實施例流程示意圖。 圖6A與圖6B為本發明之脊椎側彎量測方法之應用量測資訊之矯正復建實施例流程示意圖。 圖7為本發明之脊椎側彎量測方法之另一實施例流程示意圖。Fig. 1 is a schematic diagram of a scoliosis measurement system according to an embodiment of the present invention. Fig. 2 is a schematic diagram of an embodiment of measuring the scoliosis angle by using a jig according to the present invention. 3A is a schematic diagram of a flexible object according to an embodiment of the invention. Fig. 3B is a schematic diagram of a scoliosis measurement system according to another embodiment of the present invention. 3C is a schematic diagram of a scoliosis measurement system according to another embodiment of the present invention. Fig. 3D is a schematic diagram of a scoliosis measurement system according to another embodiment of the present invention. 4 is a schematic diagram of a scoliosis measurement system according to another embodiment of the present invention. Fig. 5 is a schematic flow chart of an embodiment of the scoliosis measurement method of the present invention. 6A and 6B are schematic diagrams of an embodiment of the correction and reconstruction of the scoliosis measurement method using measurement information of the present invention. FIG. 7 is a schematic flowchart of another embodiment of the scoliosis measurement method of the present invention.

2:脊椎側彎量測系統 2: Scoliosis measurement system

20:治具 20: Fixture

200:標記 200: mark

21:第一影像擷取裝置 21: The first image capture device

22:影像處理模組 22: Image processing module

90:受檢者 90: Subject

900:待測脊椎 900: Spine to be tested

Claims (22)

一種脊椎側彎量測系統,包括: 一治具,用以沿著一受檢者的待測脊椎之一側移動,該治具上具有至少一標記; 一第一影像擷取裝置,用以於該治具移動的過程中,擷取該治具的動態影像,而產生一第一影像訊號;以及 一影像處理模組,用以接收該第一影像訊號,該影像處理模組由該第一影像訊號解析出該治具上至少一標記隨著該治具移動過程中的移動軌跡,進而產生關於該待測脊椎之一量測資訊。A scoliosis measurement system includes: a jig for moving along one side of the spine to be measured of a subject, the jig has at least one mark; a first image capturing device for During the movement of the fixture, a dynamic image of the fixture is captured to generate a first image signal; and an image processing module for receiving the first image signal. The image processing module is controlled by the An image signal analyzes the movement track of at least one mark on the fixture along with the movement of the fixture, and then generates a piece of measurement information about the spine to be tested. 如申請專利範圍第1項所述之脊椎側彎量測系統,其中該標記為發光體、特定形狀的圖案或者是特定顏色的圖案。The scoliosis measurement system described in the first item of the scope of patent application, wherein the mark is a luminous body, a pattern of a specific shape, or a pattern of a specific color. 如申請專利範圍第1項所述之脊椎側彎量測系統,其中該量測資訊為該待測脊椎之一側彎狀態資訊、一表面形貌資訊或者是前述兩者之組合。The scoliosis measurement system described in the first item of the scope of patent application, wherein the measurement information is a scoliosis state information of the spine to be measured, a surface topography information, or a combination of the two. 如申請專利範圍第3項所述之脊椎側彎量測系統,其係更包括有具有一特定圖案的撓性的物件緊貼在該待側脊椎的外部組織上或者是以具有一特定圖案之一結構光投射在該待側脊椎的外部組織上,該第一影像訊號更包括有關於該特定圖案變形的影像資訊,該影像處理模組根據該特定圖案變形的影像資訊解析該特定圖案之變形狀態,以重建該外部組織與該待測脊椎的表面形貌資訊。For example, the scoliosis measurement system described in item 3 of the scope of patent application further includes a flexible object with a specific pattern that is tightly attached to the external tissue of the to-be-side spine or is a specific pattern A structured light is projected on the external tissue of the side spine, the first image signal further includes image information about the deformation of the specific pattern, and the image processing module analyzes the deformation of the specific pattern according to the image information of the specific pattern deformation State to reconstruct the surface topography information of the external tissue and the spine to be tested. 如申請專利範圍第1項所述之脊椎側彎量測系統,其係更具有一雲端伺服器,用以接收該量測資訊,並予以儲存。For example, the scoliosis measurement system described in item 1 of the patent application has a cloud server for receiving the measurement information and storing it. 如申請專利範圍第5項所述之脊椎側彎量測系統,其係更具有一終端裝置,用以與該雲端伺服器耦接,該終端裝置用以取得該量測資訊,並於該終端裝置進行顯示。For example, the scoliosis measurement system described in item 5 of the scope of patent application has a terminal device for coupling with the cloud server, and the terminal device is used to obtain the measurement information, and the terminal device The device displays. 如申請專利範圍第5項所述之脊椎側彎量測系統,其中該雲端伺服器更儲存有一參考資訊資料庫,儲存有各種復健矯正資訊,用以提供指導人員根據該量測資訊,提供該至少一種復健矯正資訊給該受檢者作為復健參考。For example, in the scoliosis measurement system described in item 5 of the scope of patent application, the cloud server further stores a reference information database that stores various rehabilitation and correction information to provide instructors based on the measurement information. The at least one type of rehabilitation correction information is provided to the subject as a rehabilitation reference. 如申請專利範圍第7項所述之脊椎側彎量測系統,其係更包括有一復健指導模組,用以根據該至少一種復健矯正資訊,指導受檢者復健矯正步驟,該第一影像擷取裝置更於受檢者進行該復健矯正步驟時擷取相關影像,以產生一錄製影像,並上傳至該雲端伺服器。For example, the scoliosis measurement system described in item 7 of the scope of patent application further includes a rehabilitation guidance module for guiding the subject to the rehabilitation and correction steps based on the at least one rehabilitation and correction information. An image capturing device captures related images when the subject is performing the rehabilitation and correction steps to generate a recorded image and upload it to the cloud server. 如申請專利範圍第3項所述之脊椎側彎量測系統,其係更具有一第二影像擷取裝置,該第一與第二影像擷取裝置分別擷取該待測脊椎周圍之外部組織,進而產生一第二與第三影像訊號,該影像處理模組根據該第二與第三影像訊號重建出該外部組織的表面形貌資訊。For example, the scoliosis measurement system described in item 3 of the scope of patent application further has a second image capturing device. The first and second image capturing devices respectively capture the external tissues around the vertebra to be tested , And then generate a second and third image signals, and the image processing module reconstructs the surface topography information of the external tissue according to the second and third image signals. 如申請專利範圍第1項所述之脊椎側彎量測系統,其中該第一影像擷取裝置與該影像處理模組係設置於同一裝置內,或者是分別設置於不同的裝置。For the scoliosis measurement system described in the first item of the patent application, the first image capturing device and the image processing module are installed in the same device, or are installed in different devices. 如申請專利範圍第1項所述之脊椎側彎量測系統,其中該標記為單一點時,該量測資訊包括有該待測脊椎彎曲的軌跡,該標記為兩個以上的圓點狀或者是可以識別角度變化的形狀時,該量測資訊包括有該待測脊椎之至少一特定位置的彎曲角度。For example, the scoliosis measurement system described in item 1 of the scope of patent application, wherein when the mark is a single point, the measurement information includes the trajectory of the spine to be measured, and the mark is two or more dots or When it is a shape that can recognize the angle change, the measurement information includes the bending angle of at least one specific position of the spine to be measured. 一種脊椎側彎量測方法,其係包括有下列步驟: 使用具有至少一標記的一治具,使其沿著一受檢者的待測脊椎之一側移動; 以一第一影像擷取裝置,於該治具移動的過程中,擷取該治具的動態影像,而產生一第一影像訊號;以及 以一影像處理模組接收該第一影像訊號,該影像處理模組由該第一影像訊號解析出該治具上至少一標記隨著該治具移動過程中的移動軌跡,進而產生關於該待測脊椎之一量測資訊。A method for measuring scoliosis, which includes the following steps: using a jig with at least one mark to move it along one side of the spine to be tested of a subject; using a first image capturing device , In the process of moving the jig, capturing the dynamic image of the jig to generate a first image signal; and receiving the first image signal by an image processing module, and the image processing module is controlled by the first image signal The image signal analyzes the movement trajectory of at least one mark on the fixture along with the movement of the fixture, thereby generating measurement information about the spine to be tested. 如申請專利範圍第12項所述之脊椎側彎量測方法,其中該標記為發光體、特定形狀的圖案或者是特定顏色的圖案。The scoliosis measurement method described in item 12 of the scope of patent application, wherein the mark is a luminous body, a pattern of a specific shape, or a pattern of a specific color. 如申請專利範圍第12項所述之脊椎側彎量測方法,其中該量測資訊為該待測脊椎之一側彎狀態資訊、一表面形貌資訊或者是前述兩者之組合。According to the scoliosis measurement method described in claim 12, the measurement information is a scoliosis state information of the spine to be measured, a surface topography information, or a combination of the two. 如申請專利範圍第14項所述之脊椎側彎量測方法,其係更包括有下列步驟: 提供具有一特定圖案的撓性物件緊貼在該待側脊椎的外部組織上或者是以具有一特定圖案之一結構光投射在該待側脊椎的外部組織上,該第一影像訊號內更包含關於該特定圖案變形的影像資訊;以及 該影像處理模組根據該特定圖案變形的影像資訊解析該特定圖案之變形狀態,重建該外部組織與該待測脊椎的表面形貌資訊。For example, the method for measuring scoliosis described in item 14 of the scope of the patent application further includes the following steps: providing a flexible object with a specific pattern to closely adhere to the external tissue of the vertebra to be side or with a A structured light of a specific pattern is projected on the external tissue of the to-be-side spine, the first image signal further includes image information about the deformation of the specific pattern; and the image processing module analyzes the image information about the deformation of the specific pattern The deformed state of the specific pattern reconstructs the surface topography information of the external tissue and the spine to be tested. 如申請專利範圍第12項所述之脊椎側彎量測方法,其係更具有一雲端伺服器,用以接收該量測資訊,並予以儲存。For example, the scoliosis measurement method described in item 12 of the scope of patent application has a cloud server for receiving the measurement information and storing it. 如申請專利範圍第16項所述之脊椎側彎量測方法,其係更具有一終端裝置,用以與該雲端伺服器耦接,該終端裝置用以取得該量測資訊,並於該終端裝置進行顯示。For example, the scoliosis measurement method described in the scope of the patent application has a terminal device for coupling with the cloud server, and the terminal device is used to obtain the measurement information and log on the terminal device. The device displays. 如申請專利範圍第16項所述之脊椎側彎量測方法,其中該雲端伺服器更儲存有一參考資訊資料庫,儲存有各種復健矯正資訊,用以提供指導人員根據該側彎狀態資訊,提供該至少一種復健矯正資訊給該受檢者作為復健參考。For example, in the scoliosis measurement method described in item 16 of the scope of patent application, the cloud server further stores a reference information database that stores various rehabilitation and correction information to provide instructors with information based on the scoliosis state. The at least one type of rehabilitation and correction information is provided to the subject as a rehabilitation reference. 如申請專利範圍第18項所述之脊椎側彎量測方法,其係更包括有下列步驟: 提供一復健指導模組,用以根據該至少一種復健矯正資訊,指導受檢者復健矯正步驟;以及 使該第一影像擷取裝置於受檢者進行該復健矯正步驟時擷取相關影像,以產生一錄製影像,並上傳至該雲端伺服器。For example, the scoliosis measurement method described in item 18 of the scope of patent application further includes the following steps: Provide a rehabilitation guidance module to guide the subject in rehabilitation based on the at least one rehabilitation correction information Correcting step; and enabling the first image capturing device to capture a relevant image when the subject performs the rehabilitation and correcting step to generate a recorded image and upload it to the cloud server. 如申請專利範圍第14項所述之脊椎側彎量測方法,其係更包括有下列步驟: 提供一第二影像擷取裝置; 該第一與第二影像擷取裝置分別擷取該待測脊椎周圍之外部組織,進而產生一第二與第三影像訊號;以及 使該影像處理模組根據該第二與第三影像訊號重建出該外部組織的表面形貌資訊。For example, the scoliosis measurement method described in claim 14 further includes the following steps: providing a second image capturing device; the first and second image capturing devices respectively capture the to-be-tested The external tissue around the spine further generates a second and third image signals; and the image processing module reconstructs the surface topography information of the external tissue according to the second and third image signals. 如申請專利範圍第12項所述之脊椎側彎量測方法,其中該第一影像擷取裝置與該影像處理模組係設置於同一裝置內,或者是分別設置於不同的裝置。In the scoliosis measurement method described in item 12 of the scope of patent application, the first image capturing device and the image processing module are installed in the same device, or are installed in different devices. 如申請專利範圍第12項所述之脊椎側彎量測方法,其中該標記為單一點時,該量測資訊包括有該待測脊椎彎曲的軌跡,該標記為兩個以上的圓點狀或者是可以識別角度變化的形狀時,該量測資訊包括有該待測脊椎之至少一特定位置的彎曲角度。For example, the scoliosis measurement method described in item 12 of the scope of patent application, wherein when the mark is a single point, the measurement information includes the trajectory of the spine to be measured, and the mark is two or more dots or When it is a shape that can recognize the angle change, the measurement information includes the bending angle of at least one specific position of the spine to be measured.
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