TWI253574B - Digital medical image generation and display system and method - Google Patents

Abstract

The present invention relates to a digital medical image generation and display system and method, which can provide medical image information technique consonant to DICOM standard and possess the operating efficiencies of fast medical image information generation, storage, inquiry, capturing, diagnosis and prescription treatment. The operating flows suitable for the current digital medical image generation and display system include: schedule operating flow, patient data consistency flow, image display consistency flow, key image remark flow, and the like. Further, an image storage management system is closely incorporated to perform operating procedures such as storage and confirmation on each new image.

Description

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a digital medical image generation and display system and method for providing standardized medical images in accordance with Digital Imaging Communications in Medicine (mc〇M). Information technology, with the results of rapid digital medical image generation, storage, query, take 1, diagnosis and prescription treatment. [Prior Art] The early medical service system has not established the standard of medical information exchange, and the medical image processing does not conform to the DIC0M standard format, so it is impossible to conduct rapid referral or transfer operations, resulting in the widespread waste of medical resources. The burden of property has a great impact on medical technology, medical education and research development. Therefore, it is urgent to improve; DIC〇M is the transmission of medical images:: Association of related information; t, it regulates various medical imaging equipments between each other: materials and information The exchange format is fast and convenient to be applied to the % of medical network exchange, in order to achieve the purpose of sharing and rapid transmission of various medical image data. The digital medical examination angiography apparatus provides medical personnel to extract multi-angle images of internal organ lesions, Storage, transmission, inspection and diagnosis, such as the use of digital X-ray (DX), computed tomography (C), magnetic resonance imaging (MRI), endoscope, ultrasound, nuclear Med (Nuclear Med) Cine, NM), ray computed tomography (ρΕτ), early photon tomography (SPECT), etc. Medical equipment, extraction, 1253574 Storage, transmission, inspection and diagnosis of medical digital imaging data, have a significant effect on improving the quality of medical diagnostic services, reducing the cost of medical services and environmental protection, and effectively promote medical technology, medical education And research development. The patient's medical records are transmitted to any medical institution via a fast broadband network, making the medical service system easy to implement telemedicine, disease control and other work to effectively improve the quality of medical services. SUMMARY OF THE INVENTION The main object of the present invention is to provide a rapid digital medical image generation and display system and method thereof, and to provide rapid medical image generation, storage, query, image acquisition, diagnosis and prescription for DIC〇M standardized medical images. The effectiveness of the treatment work. The digital medical image generation and display system's strengths include the inclusion process, the patient data consistency process, the image consistency process, and the key image annotation process, and cooperate with the image, save & The final storage of each new image storage breaks through the scope of the present invention, facilitating the retrieval of digital medical users by fast broadband treatment prescriptions to serve patient and medical service quality. The image of the storage environment that provides medical imaging without fragmentation reduces the storage space of medical records. Authorized medical network to generate, query, view, diagnose or 'effectively improve the efficiency of medical image application management. The main functions include the use of image generation elements, DICOM ^ μ ^ Wang Fuzhizhi + digital medical images; generating descriptions of dicom images 'The new disk, bubble / / i, Tian - Tie shirt image description, graphic annotation, so that the content of the annex 1253574 is consistent with the image; store medical images and image description attached to the medical image storage system, Confirmation of the success of the storage; access and retrieval of the image and image description of the medical image storage management system, through the setting of the application entity, the patient image data can be accessed and retrieved. The search threshold may be the patient's name, the patient identification code, the hospital registration number, the doctor's name or the threshold period, the display of medical images and related materials, the medical image and its description = the diagnostic data of the diagnostician, etc. Filling and retrieving reading, and can be stored in the digital image storage management system. The invention provides a digital medical image generation and display method, which is a DIC〇M standardized medical imaging technology under the standard structure of the integrated medical information (Wegming the Healthcare Enterp..., mE), including (10), one scheduling (four), by The patient is registered to the use of imaging equipment, including: w image storage; image data query, _, display storage = confirmation; video production operation procedures in progress or completion of the notification; diagnosis: 'patients hospitalized, discharged, Operational procedures such as referral management; - Patient data consistency process's emergency medical treatment for patients, correct data, post-filling or correcting patient data, when the second!枓 After the change, it should be related to the image file: shell and display management; * from Jun, only check, query the image-consistent consistency process to ensure that the image file is displayed in different appearances and consistency;颂 具 具 具 具 具 Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key Key The instrument makes full use of the work of the medical examination service for patients, and fully utilizes the efficiency of the treatment service. _ The medical imaging generation and display method described in the above-mentioned medical production includes: “Wang registration work; depending on the condition of the patient , open medical examinations and other medical orders; perform medical inspection project scheduling according to doctor's orders; perform image acquisition of contrast instruments, and report the executed status; perform medical procedures such as patient medical image query, display calibration and storage confirmation; 〃 Diagnosis of the condition, opening a prescription, depending on the condition of the patient, whether the patient is operated, hospitalized, discharged or referred to the hospital; The patient data consistency operation procedure; the patient's medication, injection, surgery, physical therapy, hospitalization, discharge or referral according to the doctor's advice. In the medical image generation and display method, the sexual operation process includes: Patients with the same patient data are not allowed to complete the homework for the patients whose names are unknown or whose health insurance card information is not available;

Linked work. In the method, the patient's data is consistent with the medical order and/or the new test item 1253574. In the medical image generation and display method, the shadow operation process includes: obtaining a medical examination image of the patient; obtaining a gray scale sensitivity correction table of the image display to obtain a gray scale representation for performing gray scale image calibration operation of the image display, The GSPS image file is stored in the image storage original image and the calibrated management system. The annotated operation process in the image generation and display method of the w treatment includes: taking the GSPS corrected image of the medical examination of the patient who has been authorized; picking up the key image of the patient's condition; :: text and graphic explanation For selected key images. GSPS image storage will be added. The field is stored in the storage management system, and the execution steps are as follows: · Steps include: entering/listing the inspection items and setting the inspections to be unconformed,” Incorporating into the executed program management unit · 35 identification code is f When one of the tests is implemented, the element is set and the execution status of the test is set to be exhausted: the program management sheet is executed to obtain the patient test image and the check is completed. The executed program management unit has completed this test, /, and then 'immediate return 1253574 medical examination image # eight patients with the knowledge of DICOM storage manager and set to be completed · member execution status identification code, check whether Other projects have not yet completed the inspection; if the sub-project has not completed the inspection, it indicates that the sub-site is inspected; and if the execution has not been completed, the inspection will be completed. In another aspect, the present invention provides a digital medical $ system, including a digital display image for generating and displaying digital medical images, which is used to generate a symbol... Μ - digital medical image display unit, The unit and the report generating unit are connected to display the digits; the single medical image storage management system is generated, and the digital I:, 兀, digital medical image display unit and report generation are generated. „Image generation and storage of digital medical images; Early 70 connection for storage- angiography image acquisition unit, system connection with system for capturing digital medical images; and..., shirt image storage management system - information tube The system and the above-mentioned digital medical image storage and management system are used for the production of a single unit 70 to control the information of the above unit. ^ The image capturing unit is connected and uses the digital medical image generation and display system The department includes: ',, first, middle, 'information management-registered', the transfer of yuan, the use of information, discharge and referral 10 1253574 information; Xiqiao production unit, for the input of medical orders and inspection, registered discharge The unit is connected; 1 member, and with the ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ The executive management unit is linked to the medical management management system like the storage management system. ^,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT The medical image generation and display method of the present invention and the method thereof are based on the DIC0M digital medical image communication, and the authorized users will: : The digital medical images produced by the Department of Health or the digital medical image data retrieved by the High Speed Broadband Medical and the Image Storage Management System of the Roads are displayed. Relevant presentation status, the original image data and the image data that have been selected as the key text description annotation and the image graphics annotation are grayscale sense=degree calibration 'displayed simultaneously on the display' as a medical examination for medical treatment or medical research. The goal of resource sharing in the whole medical system. The digital w image generation and display system work sorting process as shown in the first figure 1253574 ^The second figure shows the doctor The image information processing process first cooperates with the hospital management fund 1 ^ 〇心心) to complete the registration procedures, and the / / 二 〇 〇 〇 er 〇 〇 〇 〇 〇 〇 〇 〇 〇 完成 完成 完成 完成 完成 完成 完成 完成 完成 完成 完成 完成 完成 完成 完成 完成 完成 完成 完成 完成 完成 完成 完成 完成 完成 完成After the doctor has managed to manage the Bodhisattva-Order Filler (8〇) and fill in the newsletter and carry out tracking management, 舳> λ丄 enters the West. Obligate the appropriate medical examination to produce a medical imaging work list. (Modality Worklist (10) performs medical imaging to produce medical images, and performs contrast imaging equipment.

According to the test, the medical laboratory technician uses the digital imaging image generation unit to generate the image acquisition unit (5〇) of the demand department by using the contrast instrument; and then stores the captured image into the medical image storage tube...· ν T & Gong Wang Show%, Image Manager and Image Storage (Image Manager, Im

Archlve), then return the executed program management unit (牝); the diagnostician uses the digital medical image display unit (2〇) from the medical

The storage management system (30) takes out the patient's image, conducts a professional diagnosis, diagnoses the report, and then deposits the completed report into the electronic medical record ((4) Repository) file; the outpatient physician understands the disease according to the diagnostic report of the diagnostician. The patient's condition 'opens the appropriate treatment prescription, i decides whether the patient takes the medicine,> the main shot, surgery, discharge or referral; the medical service personnel take the medicine according to the prescription, let the patient take the medicine, the injection, the operation , physical therapy, hospitalization, discharge or referral. 12 1253574 The medical examiner will store the digitally generated mc〇M object in the ^^image generation unit (10). The N-Action requires the image storage system to query the DICOM object. The image storage management system confirms whether or not the queried M objects have been received by the queried N_Event_ReP(10) reply. , and two received, which DIC0M objects have not been shown in the second figure is digital. The patient is discharged from the hospital according to the hospital's registered discharge system. The medical procedure is to be opened. (4) L is diagnosed according to the patient's condition. Compared with its if J k photographic instrument inspection project, etc. (step;! 12 heart two?: medical order to perform medical inspection project scheduling operation (step ^ m, ^# ^DICOM ^ ^ - state in the executed program) and return Perform the step-by-step process using the digital medical device (step <114). Then the diagnostician can display the calibration picture ί (...for patient image query, root identification, etc. (step 115), diagnose the physician; The shirt is diagnosed as a patient's condition, and a diagnosis report is made. The doctor's prescription 2 (outpatient doctor) opens the treatment according to the diagnosis report and professional knowledge: ':6 and depending on the condition to determine whether the patient is hospitalized or discharged. Or referral (^16), the doctor's administrator cooperates with the patient data consistency process to perform step 117). Finally, the medical administrator performs the patient according to the doctor's advice. ii 8) Ding needle, physical therapy, hospitalization, discharge or referral The operation (steps of the month, the fourth picture of Fen's reading) is the medical information management system patient's medical fund 1253574; the lack of operation flow chart. The information is not enough, the name of the MUi is unknown or the health insurance card status is slanting' 121). Or depending on the actual 'not yet Arrange the inspection project, add a doctor's advice, and add a doctor's advice to the Feixi genus (outpatient physician). The genus is a genus, and the humiliation picks up the 4 people. The food platoon &amp; time course (step} 22) 〇 image According to the doctor's advice, the image of the angiography instrument is fresh or the medical image is taken by the medical system 3 (3°), and the process has been executed, and the operation is forgotten. W ^ Μ )' 4 嘱 The administrator cooperates to correct the disease and the related image data ^ ^ , ^ f 逑 , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , Dish machine diagram. First diagnose the doctor] white, raw dan v. φ 扪 with digital western treatment image display unit (20 仪器 仪器 仪器 or image storage management ♦ like (cut) n W 目理 pure patient medical examination shadow 1豕, Step 13 1). Bran you ρ π m &amp;## ... In the image display grayscale first correction table (step 132). Image; m彳ϋ from the 仃 仃 仃 image display Grayscale heart image &amp; quasi-work, get the patient's Γ 踯ΛΡ 踯ΛΡ 王 王 王 王 gs gs gs gs gs (v. 133). Medical staff /

^ ^ ^, the original shirt image file and the completed GSPS shirt image file are stored in the image storage management system (Step 134). Please refer to the sixth figure, + k t仏Ka /, for the digital image processing (Kappa Image Notes, KIN) operation flow chart, Shi Dan. σ — α % Broken physicians use digital medical care ~ It is not early (兀)

^ ^, work &amp; medical care GSPS father's positive image (step 141), lack of morality, 4 heart, ..., after the fine selection of the most important factors affecting the condition of the shirt like a poor (step 142).蛉&amp;Tianmu Shushi judges the results according to the professional knowledge, and adds the text description and graphic points _" to the selected key image (乂' 1 4 3 ). Finally, the GSPS image file will be added In the image 14 1253574 storage management system (step 144). Refer to the seventh figure for the angiographer cry ~ θ. The instrument is the implementation of the progress check processing work diagram, indicating that the medical examiner via t, the work is generated by digital medical images The unit (10) performs the image generation operation 'return has been robbed 3 - the rebellion has been executed in the program management unit' into the In Progress, φ φ. · Completed or Discontinued From the eighth picture, the angiography instrument performs the operation of the 嘱* a soil/checking operation flow chart.

The genus (outpatient doctor) lists the exe... and sets the execution status identification code (ID) of the work item to be ", and the administrator manages (step 151). Go to the basin and &amp;" When it is included in the implementation of the patient test (step 152: 〆, - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - When the test technician consists of the angiography apparatus, (step: the patient examines the image, and completes the test.) 50. The assistant administrator has completed the test. The oral report has been executed. =, Yahe will be the patient's cattle K number of Western treatment image storage management 糸M f step 155), has executed the program management system (the implementation of the status identification code is J,: DlC〇M storage The manager order manager checks other items in the table, no ^ 'Step 156). Have completed the implementation of the Ministry of the Eight TS 1 shells or not (step 157)? Manggu | sub-projects have not completed the test, then - + + J · right there has not been every m into the patient and other test technicians continue to hold q Hebesch test project (step J 5 ^ ^ m test operation. If it has been completed, the end of the inspection of the invention provides a rapid and accurate display and display system and its method, selective digital medical imaging Efficiency of image application management, 15 1253574 Improve the quality of step medical services, 'Incorporating invention patents has significant industrial practicability, novelty and advanced requirements, and filed invention patent applications according to law. [Simplified illustration] (1) The block diagram of the digital image processing and display system processing method The first picture is the digital medical information processing flow sequence diagram. ^ The second figure is the digital medical information management system work sorting flow chart. The fourth picture is the patient data Conformance operation flow chart. The fifth picture shows the flow chart of the consistency of the digital medical image presentation. The sixth picture shows the flow chart of the digital medical key image annotation. The function chart of the progress check processing operation. The eighth figure is the flow chart of the operation check process of the angiography instrument. (2) The component representative symbol (1 〇) digital medical image generation unit _ (1 11~114) The ranking of the digital medical information management system Process steps (1 2 1~1 24) Patient data consistency operation flow steps (131~134) Digital medical image presentation consistency operation flow steps (1 4 1~1 44) Digital medical key image annotation process steps (151~ 157) Contrast instrument execution inspection processing state program management operation step 16 1253574 (20) Digital medical image display unit (30) Medical image storage management system (40) Executed program management unit (50) Contrast instrument image capturing unit (60) Registered and discharged referral work unit (70) Medical order production unit (80) Medical order management unit

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Claims (1)

1253574 Pickup, patent application scope: 1 digital medical image generation and display method, which is equivalent to DICOM standardized medical imaging technology, including: :% operation rogue 'from patient registration to imaging equipment use schedule, has been treated Image storage; query, review, display, and confirmation of image data; notification of ongoing or completed image production operation procedures; diagnostic procedures; operation of hospitalization, discharge, and referral management of patients; - consistent patient data Sexual process 'quick emergency treatment for patients, can not turn ... tribute, correct the process of patient data after the event, when the patient data is changed, 'relevant image file integration', subsequent query and display management; like the presentation of the sexual process, to ensure that the image file is consistent across different displays Display effect; ^ A key image annotated the hand V Key image Notes) process, will be selected from the image of the 5 main Ming Diagnostic Wenbao% 日日私*, +, La ju.,, ^ 鲥 子 子 narration Provide reference information for treatment reference, teaching case reference, and cross-departmental consultation; 逅W instrument shirt image capture process execution status report process, at any time Grasp the working condition of the medical equipment for the patient's medical examination service, and use the medical service efficiency. 2 · The medical image generation and display method according to item 1 of the patent application scope of the invention, wherein the scheduling operation process includes: registration operation; opening a medical examination item and the like according to the condition examination of the patient; performing medical treatment according to the doctor's prescription Examine the project scheduling operation; Perform image acquisition of the contrast instrument and report the executed status; 18 I253574 Execute the patient medical image inquiry and procedure; Perform the diagnosis of the operation without confirmation of the storage confirmation, and do not take the medication at the opening position. Early 'depending on the patient's condition determines the disease to kill 汗 仃 仃 仃 、 、 注射 、 、 、 、 、 、 、 注射 注射 注射 Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ Τ , 戌志 / %, π suffering from Lele medication, injection, surgery, physics, "hospitalization, discharge or referral work. * Treatment 1 3, as described in the second paragraph of the patent application scope, where 哕, law * Times 丨 縻 縻 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 像 一致性 像 一致性 一致性 一致性 一致性 一致性 一致性 一致性 一致性 一致性The operation of the medical image acquisition and the return of the execution status; Correction of the connection between the patient's data and the related image data. Please refer to the medical image generation and implementation instructions described in item 3 of the patent scope. The data consistency operation process is step-by-step to re-arrange the test schedule for the new or not added test items. 5. If the patent application scope 丄, 2 or 3 produces 盥 _ ; +&lt;心商疗影像 ^ ^ ^ The method, wherein the image presentation consistency operation process comprises: obtaining a medical examination image of the patient; receiving a gray scale sensitivity correction table of the image display; and performing a gray scale image calibration operation of the image display to obtain a gray scale correction image; The image and the calibrated GSPS image file are stored in the image storage 19 1253574 management system. - The side V&quot; the medical image generation described in item 5 of the patent scope~ - Method: The medical key image annotation workflow includes: ..., The member passed the calibrated disease*, and only the heart-centered eddy-heart I examination GSPS corrected image; selected key images affecting the patient's condition Like; add text and graphic descriptions to selected key images. Heart image is stored in Image Storage Management Department ...to apply for the medical-method described in the scope of patent application, further including one entry and one birth. The WS WS 仃 仃 WS WS WS WS WS WS WS WS WS WS 出 出 出 出 出 出 出 出 出 出 出 出 出 出 出 出 出 出 出 出 出The program management unit screams the code for the implementation of one of the tests, and sets the execution status of the item to be verified. The executed program management unit has completed this test; immediately returns the patient's medical test image; notifies DICOJV [storage manager is completed; μ item execution status recognition: whether the other items have not been completed yet; Some projects have not completed the inspection project; Ding ▲, continued execution has not been completed on the right, then the inspection operation is ended. 8.—Digital medical image generation and spear, system, including 20 1253574 - digital medical image generation unit standardized digital medical image; 付 付 〇 〇 - - - - - - - - - - - - - - - - - - - - - - - - - - - - The shirt image is produced by a single use ^ not digital medical image, · - medical image storage management system, and the number of doctors with digital medical records: early treatment image; city memory Asian language digital doctor a angiography image acquisition system Connected to the system, the storage management system is used to capture digital medical images; and the 4 贞Λ 理 理 , , 上述 上述 上述 上述 上述 上述 上述 上述 上述 象 象 象 象 象 象 象 象 象 象 象As early as, to control the information of the above units., instrument ~ connected to the capture unit and use 9 as claimed in the patent range and display system, j: + % μ member of the digital medical image generated „! The system includes: information on the referral unit for discharge from the hospital; department for registration, discharge and referral of a doctor's unit, which is connected to the hospital for referral and delivery. And the inspection project, and the - doctor's management unit, department and hang... Early 7^, medical image storage management transfer early 酉嘱, 酉嘱 connection, used to turn in and control medical ^ and angiography image capture unit - has been executed ...: the schedule of the inspection project; the order of the official unit is like the storage management system connection, '~, business management unit and medical shadow. Empty medical. Execution of the listed inspection items 21