WO2006032484A2 - Reseau diagnostique oculaire permettant d'identifier et de controler le developpement de modifications pathologiques du nerf optique et/ou de la retine - Google Patents

Reseau diagnostique oculaire permettant d'identifier et de controler le developpement de modifications pathologiques du nerf optique et/ou de la retine Download PDF

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Publication number
WO2006032484A2
WO2006032484A2 PCT/EP2005/010222 EP2005010222W WO2006032484A2 WO 2006032484 A2 WO2006032484 A2 WO 2006032484A2 EP 2005010222 W EP2005010222 W EP 2005010222W WO 2006032484 A2 WO2006032484 A2 WO 2006032484A2
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WIPO (PCT)
Prior art keywords
information
central server
terminal
diagnostic
eye
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PCT/EP2005/010222
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German (de)
English (en)
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WO2006032484A3 (fr
Inventor
Andreas U. Bayer
Stephan Dunker
Original Assignee
Bayer Andreas U
Stephan Dunker
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Application filed by Bayer Andreas U, Stephan Dunker filed Critical Bayer Andreas U
Publication of WO2006032484A2 publication Critical patent/WO2006032484A2/fr
Publication of WO2006032484A3 publication Critical patent/WO2006032484A3/fr

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H30/00—ICT specially adapted for the handling or processing of medical images
    • G16H30/20—ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems

Definitions

  • Neuragniagnosis network for detection and follow-up of pathological changes of the optic nerve and / or the
  • the present invention generally relates to an ophthalmic diagnostic network, more particularly to a distributed ophthalmic diagnostic network for at least two physicians.
  • the main problem of such cooperation is to achieve an efficient, that is timely and cost-effective, exchange of all important information.
  • anamnesis information medical history
  • the retina photo, findings information and a physician's report are to be exchanged between different physicians who are located at remote locations.
  • the exchange of information is usually done in paper form.
  • the information is then summarized into files and then transferred either by post or in urgent cases by courier or fax from one doctor to another.
  • This type of information exchange is very inefficient and prone to failure.
  • the compilation of patient record files requires a high level of organizational effort and thus causes high costs.
  • the transport of a patient file on the paper path is still very slow.
  • the present invention provides an ocular diagnosis with a central server, a retinal camera designed to generate a digital image of the retina, to provide the digital image via a coupling device to a central server, a diagnostic terminal that is designed to couple via a coupling device to the central server to receive and output the digital image from the central server, and to read a findings information baiert on the digital image ba ⁇ and send to the central server and an ophthalmologist terminal that designed is to couple via a coupling device with the central server to receive the digital image from the central server and aus ⁇ admit and to receive the findings information from the central server and output, the central server is blocked ⁇ sets to a coupling device with the retina camera, the diagnostic terminal and the ophthalmologist terminal z u to receive and store the digital image from the retinal camera and to receive and store the findings information from the discoverer terminal.
  • the core idea of the present invention is that an eye diagnosis network can then be efficiently used by a number of ophthalmologists or experts can be used if the eye diag nosis network is designed to allow a well-controlled exchange of patient data and in particular of retinal images and findings information.
  • a central server which is coupled via a coupling device to the retina camera and to a plurality of terminals is very well suited for controlling the information flow.
  • the continuous use of digital retinal images instead of the previously usual printed paper-based images represents a considerable simplification in the management, storage, processing, shipping and reproduction of the images.
  • the present invention is also based on the knowledge that an electronic coupling of central server, Netz ⁇ skin camera and terminals represents a very fast and converge ⁇ favorable solution for bridging any distance dar ⁇ .
  • An eye diagnostic network brings with it a large amount of advantages over conventional systems.
  • the use of a network structure with a central server makes a direct connection between every two subscribers superfluous. Rather, it is sufficient if each participant can connect to the central server. This is particularly advantageous if it is not ensured that all terminals including the retinal camera can be reached at any time for another subscriber.
  • the central server needs to be operational at all times.
  • the network camera and the terminals only have to have a connection to the central server if they either transmit data to the server or receive data from it. Furthermore, it is much easier and less time-consuming to manage and maintain a central server than a distributed network.
  • a backup of the data - required by law - is also a central server with much higher reliability.
  • the use of an electronic coupling device between the central server, the retina camera and the terminals also has the advantage that both the digital retinal images and all other information can be transmitted very quickly, inexpensively and over almost any distance. This first enables economic cooperation of users of the eye diagnostic network on a supraregional scale.
  • the eye diagnostic network includes an ophthalmologist terminal configured to read an ophthalmology anamnesis information and send it to the central server.
  • the central server is included It is designed so that it can receive the ophthalmology anamnesis information, store it and forward it to the diagnosis terminal.
  • the findings terminal in turn can receive and output the anamnesis information.
  • Such a system interpretation has the advantage that not only the digitized retinal image and findings information can be processed effectively, but also an anamnesis information.
  • it is common for the anamnesis information to be transmitted in paper form.
  • An electronic transmission of the anamnesis information according to the invention facilitates the dispatching and administration of the information and avoids confusion and information losses.
  • the central server is designed such that it anonymizes the ophthalmologist anamnesis information supplied by the ophthalmologist in order to obtain the medical history information which is made available to the diagnosing physician.
  • Such a design of the central server has the advantage that all person ⁇ related information is stored on a central server, but not passed on to the medical doctor.
  • An apparatus for anonymization is technically advantageous to implement in that the person-related information regarded as confidential is recognized in the anamnesis information and suppressed when the anamnesis information is passed on to the diagnosing physician.
  • the overall system itself now offers the advantage that a high level of security and anonymity is guaranteed. This is necessary in order to fulfill legal requirements and to strengthen the trust of the patients in a computer-assisted eye diagnostic network.
  • the central server can be designed to store not only the original digital image of the retina, but also a detected digital image of the retina.
  • the discoverer terminal should be designed to digitally insert markers in the original retina image to obtain a retinal digital image of the retina.
  • Such an interpretation of the system offers the great advantage that not only textual information but also graphic information can be passed on from one finding doctor to another doctor.
  • an attachment of markings is easily possible without having to change the original image or to make expensive copies. This additional possibility of adding graphic markings thus substantially improves the quality of the findings.
  • the actual image information as well as the anamnesis information - to exclude manipulation - can not be changed. This is important in order to comply with the requirements of new pharmaceutical approval legislation. 'It is thus mög ⁇ Lich, to remove any markings made at a later date without loss of original image information again.
  • the retinal camera can be designed to receive control information from the central server via the coupling device.
  • This control information can derive the central server preferably from the anamnesis information. It is thus possible to provide an anamnesis information in textual form for a finding doctor and at the same time to control the settings of the net skin camera. This ensures that the retinal camera generates images that correspond to the previously known patient-specific features. Thus, a large consistency of anamnesis data and control information is achieved. This additionally increases the reliability of the eye diagnosis network. In particular, the operator of the retinal camera is relieved of this, the anamnesis to study the patient's information and then make the camera settings.
  • the central server is configured to schedule based on the patient's wishes as well as the history information provided by the attending ophthalmologist.
  • mathematical optimization methods can be used, whereby the utilization of the retina camera is increased.
  • the central server or the diagnostic terminal can be designed to provide a sequence control.
  • a device may advantageously be designed so as to not output a medical anomaly information to the diagnostic device until the diagnostic device has completely read in the diagnostic information.
  • Such an embodiment has the advantage that it is technically ensured that the finding information is not influenced by the anamine information. This is important to ensure a correct and objective evaluation of the retinal images. Thus, a user guidance is made possible which prevents an unconscious incorrect procedure of a physician.
  • the central server is designed to additionally provide report information of receive the receiving terminal, store and forward the Au ⁇ genechendêt. This has the advantage that all medically relevant information is thus managed by the central server. Thus, a completely paper-free operation of the eye diagnosis network is possible.
  • the central server of the eye diagnosis network can be designed to perform a statistical evaluation of the anamnesis information and the findings information.
  • a relative frequency of anamnesis or findings information can be determined or a correlation between a history information of a finding information can be calculated.
  • different features within the history information or within the findings information can be related to each other.
  • the eye diagnostic network may further comprise, in a preferred embodiment, a billing terminal coupled to the central server via a coupling device and enabled to perform a call based on the anamnesis information or the finding information or time information representing the occupancy time of the retinal camera Calculate billing information.
  • a further functional component can be included in the eye diag nosis network, which is dependent on a direct data benefits from the balance.
  • the time required for a diagnosis or image acquisition can be measured within the eye-diagnosis network and passed on directly.
  • the time required for the diagnosis can also be precisely defined.
  • a direct coupling of a billing terminal to the eye diagnostic network facilitates the transmission of billing-relevant data.
  • an expert terminal is an experienced physician who is given high priority and rights by the eye diagnostic network.
  • the expert can view all documents and enter his opinion into the system (external quality control).
  • anonymization is possible, so that the expert neither receives the name of the physician finding nor any personal data of the patient.
  • the introduction of terminals with different access rights rep- resents the competences of the individual users.
  • a user interface is created which allows a purposeful user guidance according to the respective status.
  • the eye network may include a plurality of ophthalmologist terminals, a plurality of diagnostic terminals, and a plurality of retinal cameras.
  • a system enables a very flexible allocation of resources. In particular, it is from any ophthalmologist terminal possible to access the Retina K ⁇ mera.
  • the central server avoids conflicts and creates an appropriate time schedule. Furthermore, it is possible from a plurality of terminal devices to view the data stored in the central server. It is thus lifted a terminal disturb ⁇ ge association between reporting physicians terminal and opticians.
  • the distribution of the resources is in turn carried out by the central server, which can be designed to take account of desired specifications transmitted by the terminals.
  • the center server of the eye diagnostic network is designed to realize access rights management.
  • An access information item specifies in this case which terminals may be used to access a medical history information, a diagnostic information, or a digital image of the retina.
  • the access rights management can take place here in the form of groups or individual terminals. For example, each ophthalmologist, possibly even every patient, can determine which patient is to examine the digital image of the retina. In particular, the group of persons entitled to access is severely restricted so that privacy guidelines can be complied with.
  • the access rights management is an important feature of the eye diagnosis network, in particular when it is operated in a large form with a plurality of terminals.
  • the rights management in turn provides a contribution to system security and user acceptance.
  • the rights management can also be designed to log every access to the data. This provides an accurate overview of who processed when and how long the data was processed. Such a function can also be used very well in connection with a billing terminal.
  • the use of a globally available data network creates a large amount of free space during system installation and data transmission.
  • the use of a widely available data network drastically reduces system costs.
  • Security deficiencies of the Internet can be counterbalanced by the use of encryption of the data transmission. Nevertheless, it is possible to use any other data network for the coupling of the individual subunits of the eye diagnosis network.
  • diagnostic devices in addition to the information and images of the retinal camera, further digital information from diagnostic devices can be introduced into the eye diagnosis network.
  • Diagnostic devices eg for ocular cohort tomography
  • an ophthalmology practice eg for field examination
  • an outsourced practice room apparatus community
  • the central server is designed in such a way that it can store and pass on the additional data available in digital form, and the ophthalmologist's, finder's and e-client's terminals are designed to output the additional data.
  • the findings terminal devices are designed to read in findings information based on the data of a single diagnostic device or a synopsis of the data of several diagnostic devices. It is also expedient if the expert terminals are adapted accordingly.
  • the essential sequences can be controlled in a similar way as in the presence of only one retinal camera.
  • a sequence control can also be designed such that a diagnostic sequence is essentially influenced by a sequence controller.
  • the sequence control determines which diagnosis is to be performed first. If the results are available, the sequential control can either make a decision about the further course of events on the basis of the data or request diagnostic information from one of the diagnosis terminals. The information contained therein can in turn be evaluated by the sequence control and determine the further processes. Standard medical examination procedures can thus be processed by the sequence control based on flowcharts or another machine-readable coding form. In this case, it is advantageous if the sequence control is closely linked to the device for scheduling.
  • the ocular diagnosis network advantageously detects routine procedures.
  • the eye diagnostic network can request and read in the necessary information about the terminals.
  • FIG. 1 shows a block diagram of an inventive diagnosis network according to a first exemplary embodiment of the present invention
  • FIG. 2 shows a block diagram of an inventive diagnostic network according to a second exemplary embodiment of the present invention
  • FIG. 3 is a block diagram of a central server which may be used in one embodiment of the eye diagnostic network of the present invention.
  • the eye diagnosis network comprises a central server 12, a retina camera system H4, an ophthalmologist terminal 16, and a diagnostic terminal 18.
  • the retinal camera system 14 comprises a retinal camera 24 and an associated control computer 26.
  • the eye diagnostic network comprises coupling devices 30, 32, 34, via which the retinal camera system 14, the ophthalmologist: - terminal 16 and the diagnostic terminal 18 with the Mon ⁇ server 12 are connected.
  • the retinal camera 24 generates an image of the human retina, which is read in by a control computer 26 in digital form.
  • the digital retinal image 40 is transmitted via the coupling device 30 from the control computer 26 to the central server 12.
  • the central server stores the digitized retinal image and, either immediately or with a time delay, forwards it to the diagnostic terminal 18.
  • the retinal image is downloaded by the diagnosis terminal from the central server (12) in order to enable a diagnosis.
  • the ' findings Terminal is designed to output the digitized retinal image 40. An output can be done both on a screen and on a printer.
  • the finding terminal 18 then reads in a finding information provided by a physician and forwards the findings information via the coupling device 34 to the central server 12. The latter in turn also stores the diagnostic information.
  • the central server now sends the digitized retinal image 40 and the findings information 44 to the ophthalmologist terminal 16.
  • the digitized retina image and the findings information are thus downloaded by the ophthalmologist terminal 16 from the central server 12.
  • both the digitized retinal image and the findings information are output. The output can again take place on a screen or on a printer.
  • the central server determines a processing order of the information and ensures a consistency of the information. It is responsible for the assignment of a finding information 44 to a digitized retinal image 40. In particular, it makes a direct connection between retinal camera 24, ophthalmologist terminal 16 and finder terminal 18 superfluous.
  • the central storage of all data on the server makes it possible to read out the digitized retinal image 40 at the diagnosis terminal 18 and to transmit findings information 44, from the reader terminal 18 to the central server 12 to each one Timing.
  • the diagnostic information 44 and the digitized mesh map 40 can be retrieved at any time from the ophthalmologist terminal 16 as long as it is ensured that the diagnostic information 44 has already been transmitted by the diagnostic terminal 18.
  • the ophthalmologist terminal is preferably designed to receive information from the central server as to whether a digitized ophthalmologic medical history information already belongs to a given ophthalmologist anamnesis information (belonging to a patient) Retinal image or findings information is present.
  • the ophthalmologist terminal can be designed to output a list in which for each of the ophthalmologist terminal ein ⁇ read anamnesis information is noted whether a grasphö ⁇ riges digitized retinal image or related findings information already exists.
  • An ophthalmologist can see, in particular in his ophthalmologist terminal, a list of his patients, which provides information about which patients have already been diagnosed and which are not.
  • two separate lists which contain the names of the patients who have already been diagnosed and the names of the patients who have not yet been diagnosed, can also be generated.
  • FIG. 2 shows a block diagram of an eye diagnosis network according to the invention according to a second embodiment of the present invention. This is comprehensively supplemented with respect to the eye diagnosis network shown with reference to FIG. It should be noted here that the same facilities and information flows in Figs. 1 and 2 are provided with the same reference numerals.
  • the eye diagnostic network shown in FIG. 2, which is designated in its entirety by 70, comprises a plurality of retinal camera systems 14, of which two are shown here as representatives. Likewise, there are several ophthalmologist terminals 16 and finder terminals 18. Preferably, the number of ophthalmologist terminals 16 is greater than the number of finder terminals 18. Furthermore, the eye diagnostic network comprises a billing terminal 72 and an exper ⁇ Ten terminal 74. These are connected via coupling devices 76, 78 with the central server 12.
  • diagnostic devices are coupled to the central server, which are designed to send diagnostic information in digital form to the central server.
  • This requires a layout of the central server so that it can receive the diagnostic information from can receive the diagnostic equipment and store and can be issued if necessary.
  • the ophthalmologist terminal is designed to read in an ophthalmological anamnesis information 90. It transmits these via the coupling device 32 to the central server 12. Based on the ophthalmologist's anamnesis function, which comprises a description of the condition of the patient to be examined, the central server 12 forms control information 94 for the retinal camera system 14 and if necessary for further diagnostic equipment. This is used to determine the setting of the retinal camera 24 and to adapt it to the diagnostic requirements which are described by the ophthalmologist anamnesis information.
  • the retina camera system 26 which is located in an outsourced practice room (apparatus community) and is operated and monitored by medical-technical assistants (MTAs), thus supplies a digitized retinal image 40 to the central server. Which of the retinal cameras becomes active is controlled by the central server.
  • the digitized retina image 40 is stored in the central server 12. If a finder terminal is ready to receive a digitized retinal image, then the central server 12 transmits the digitized retinal image 40 to the relevant finder terminal 18.
  • the finder terminal 18 then reads in a finding information 44 and sends it to the patient Primaser ⁇ ver 12 further stores the findings information. Once the findings information has been read in completely, the central server 12 generates a medical history information 98 from the stored ophthalmologic medical history information.
  • the server then sends the information to the ophthalmologist's terminal 16, where it can either be printed on a screen or printed out.
  • the digitized retina image 40, the findings information 44, the medical history information 98, possibly existing additional information from further diagnostic devices and the reporting information 102 are transmitted to the expert terminal 74.
  • the expert terminal 74 reads expert information 106 and forwards it to the central server 12. The latter stores the expert information 106 and if necessary forwards it to the intended ophthalmologist terminal 16.
  • the eye diagnosis network comprises a billing terminal 72.
  • the billing terminal 72 is designed to receive an ophthalmologist anamnesis information 90, a finding information 44 and a time information 110 from the central server.
  • the time information 110 forms the central server as a function of the processing time of the digitized retinal image in the reference terminal or in the expert terminal. Furthermore, the time information needed to create the retinal image 40 in the retinal camera system 26 flows into the time information Time.
  • the interruption terminal 72 is designed to evaluate individual data fields of the ophthalmologist's anamnesis information and of the findings information 44 and to weight them with cost factors. Furthermore, the time information 110 can be included in the calculation.
  • the billing terminal is designed to generate a cost accounting in accordance with defined formulas or tables (eg fee schedule for doctors, GO ⁇ ).
  • FIG. 3 shows a block diagram of a central server as it can be used in an eye diagnostic network according to the invention.
  • the central server is designated in its entirety with 210.
  • the central server has a memory 212, a device for scheduling 214, a device for sequence control 216, a device for access control 218, a device for statistical evaluation 220 and a device for time recording 222.
  • one or more ports 224 are provided on the central server in conjunction with a coupling device.
  • the central server comprises a device 226 for anonymization and a device 228 for generating control signals.
  • the memory is in this case designed to record an ophthalmology anesthetic information, a digitized retinal image, a finding information, a report information and an expert information as well as a time information.
  • a scheduling device 214 is provided in the central server 210.
  • the central server is designed to receive an eye doctor history information as well as a appointment request information. Based on this information, it is the task of the central server to create a time schedule for the generation of the digitized retinal images.
  • a time interval for the production of a retina photo is only provided if the ophthalmology anamnesis information is completely established. is sen.
  • the means 214 may be designed for scheduling, in order to achieve optimum utilization of the retinal camera system 14, taking into account appointment preferences, based on mathematical algorithms. In particular, it is possible to set an appointment via Internet calendar from a remote terminal.
  • a device 216 for sequence control is provided in the central server. This monitors the correct time sequence of the information exchange, so that an exchange of information as described above (with reference to FIGS. 1 and 2), can take place.
  • a sequence control permits an access of a diagnostic terminal to patient data only when there is a retinal image. Furthermore, it can be stipulated that an anamnesis information is only output in a diagnostic terminal if the findings information has been read in completely. This is necessary to ensure a proper diagnostic procedure. In particular, an influencing of the finding information by the anamnesis information is thereby avoided.
  • the history information and the information of further diagnoses are released by the central server and a notification information is requested. Only when all information is completely present are these made available to the ophthalmologist terminal 16.
  • the sequence control controls an optional requirement of expert information. Again, fixed rules can be implemented.
  • the central server comprises an access control device 218.
  • the latter determines which information may be used to query and change which information. The determination can be made using tables or general access rules.
  • the access control information relating to a particular piece of information may only be used by the user. niger terminal that has stored the information in the system.
  • other methods of rights management are also conceivable as long as it is ensured that the access rights are clearly defined.
  • rule-based access control methods require priority rules if individual rules are contradictory.
  • the central server comprises a device 220 for statistical evaluation.
  • This device is designed to calculate statistical functions on the stored data.
  • the relative frequency of various anamnesis information and findings information is to be recorded.
  • correlations within the case information and anamnesis information as well as cross-correlations must be calculated.
  • the statistical functions can be calculated in the central server and read out as needed.
  • the central server comprises a device 222 for time recording. This is designed to monitor the processing time of the information in the individual terminals. In particular, the operation of the retina camera as well as the diagnostic terminals and the expert terminals is evaluated. The time information may be used to generate accounting information. The transfer is also possible, in turn, a management of access rights can be done.
  • the central server has a device 226 for anthonimization.
  • This is designed to remove personal information from individual records. Instead, a unique identification feature is inserted in the data records. This makes it possible that data records are transmitted to the outside, without communicating legally protected personal information.
  • the device for anonymization maintains a database, by means of which an assignment of personal data and identi ⁇ fiz istskenn Speaker is made possible (encryption).
  • the anonymization device is capable of undoing anonymization. This is achieved by a decryption in the ophthalmologist's terminal of the primary physician, when information in turn is to be assigned to a specific person.
  • the central server comprises means 228 for generating a control signal for the retinal camera system.
  • the control signals can hereby be generated on the basis of the anamnesis information.
  • the transmission of temporal control information is possible.
  • the retinal Kämera is always controlled in accordance with the anamnesis information.
  • a beticiansge ⁇ moderate operation is guaranteed.
  • the Kop ⁇ pelung of central server, retina camera system, ophthalmology terminal device, end device terminal, expert terminal and Abrech ⁇ tion terminal via a computer network. Due to the high availability and low costs, a network using the Internet Protocol (IP) is particularly well suited. However, any other computer network, in particular a wireless computer network, can be used.
  • IP Internet Protocol
  • the present embodiment is not the only embodiment of an eye diagnosis network according to the invention. Far-reaching changes can be made without departing from the scope of the present invention.
  • the anamnesis information it is not necessary for the anamnesis information to be transmitted from the ophthalmologist terminal to the central server.
  • the anamnesis information can also be read in by the retinal camera system.
  • An advantage of such a solution is a small effort on the part of the ophthalmologist terminal. The reading is relocated to the retinal camera system.
  • Markers can either be transferred as meta information or directly in the image.
  • One way of linking data directly to the digitized retinal image has the significant advantage that the information is much easier to understand for humans.
  • the presentation of the findings to the patient on the monitor of the ophthalmologist's terminal is thus much more understandable and thereby improves the so-called "compliance" of the patients. This is of essential importance for all subsequent therapies and changes in life habits.
  • the central server can perform basic diagnostic functions on the independently perform a digital retinal image.
  • a regular structure present in a retinal image can be recognized.
  • individual lines which may possibly indicate injuries or illnesses, can be evaluated.
  • part of the finding information can be generated automatically in a central server.
  • an eye diagnosis network which carries out a very efficient administration of the accumulated data.
  • a clear process control furthermore ensures the proper execution of the diagnosis.
  • the further features regarding time planning, access control and a statistical evaluation of the results lead to a more effective use of the eye diagnosis network and to an increased statement value of the results.
  • anonymizing the data in the central server patient confidence in the eye diagnostic network can be increased.
  • the anonymization is also required by law.
  • the functionality of time recording or the transfer of process information to a billing terminal makes it possible to automatically calculate a cost function.
  • the photographs can then be sent to the central server via the Internet together with the medical history (history) of the patient and stored here.
  • a so-called reader which is also called a finder, can dial into the central server and receive the anonymized retinal photographs and the anamnesis sheet of a patient.
  • the anamnesis sheet can only be viewed when the photographs have been completely evaluated and the result has been stored. This is significant because only by influencing the retinal findings by the history of the patient can be avoided.
  • the final report is then prepared and stored in the central server. The report already presents the complete medical report for the treating physicians.
  • the supervising ophthalmologist who has referred the patient to the exempted practice room for retinal photograms, can now download the completed findings, including retinal photographs, from the central server and the now no longer anonymised results (decryption) to the patient at his next practice. search on a monitor through the so-called viewer. With the aid of a report of findings that can be printed at the touch of a button, the further doctor can be informed of the results.
  • the latter is indispensable, above all, in the early detection of general diseases, since a series of examinations and therapies may have to be initiated by home physicians, general practitioners, internists, neurologists and others. This is also essential in the case of the causes of blindness since cooperation with the general practitioner increases the efficiency of the ophthalmological and control examinations (compliance).
  • the "Fundus Imaging Network” can receive epi-demiological data that is unique in the world due to the large number of patient data and can contribute to the health promotion of the society Therapies can likewise be tested in their effectiveness by the large number of patient data
  • the pharmaceutical industry as well as the approval authorities for medicaments may require this Data received.
  • this network provides the individual patient with state-of-the-art medicine on site, and a second opinion can be obtained by experts if necessary.
  • the quality of the findings is also determined automatically by statistical methods. Findings that significantly outweigh the average values in their results are thus determined. The quality of the retina photographs is thereby quality-controlled.
  • an eye diagnostic network can provide an Internet home page showing a plurality of problem cases in the diagnosis of a retinal image. It is also possible to regularly offer further training measures via the Internet, whereby participation in this can be required to continue the certification.
  • an eye diagnostic network can open up the possibility that experts exchange opinions and discuss individual findings via the Internet ("Web") either in the form of a time-delayed exchange of messages or in the form of an electronic conference, preferably all involved in the exchange of views Experts are made available by the associated expert terminals the complete information stored in the eye diagnosis network, taking into account any access rights.
  • Web Internet

Abstract

La présente invention concerne un réseau diagnostique oculaire comprenant un serveur central (12), une caméra rétinienne (24) qui est conçue pour produire une image numérisée de la rétine et pour fournir cette image numérisée à un serveur central par l'intermédiaire d'un système de couplage, un terminal diagnostiqueur (18) qui est conçu pour être couplé au serveur central par l'intermédiaire d'un système de couplage afin de recevoir l'image numérique et de la fournir et afin de lire une information de diagnostic basée sur l'image numérique et de l'envoyer au serveur central, ainsi qu'un terminal d'ophtalmologiste (16) qui est conçu pour être couplé au serveur central par l'intermédiaire d'un système de couplage afin de recevoir l'image numérique provenant du serveur central et de la fournir et afin de recevoir une information de diagnostic provenant du serveur central et de la fournir. Le serveur central est conçu pour être couplé à la caméra rétinienne, au terminal diagnostiqueur et au terminal d'ophtalmologiste par l'intermédiaire d'un système de couplage, afin de recevoir l'image numérique provenant de la caméra rétinienne et de l'enregistrer et afin de recevoir l'information de diagnostic provenant du terminal diagnostiqueur et de l'enregistrer. Un tel réseau diagnostique oculaire dans lequel, outre les antécédents médicaux (anamnèse), d'autres informations numériques d'appareils diagnostiques supplémentaires peuvent également être mises en relation, permet un enregistrement et une administration centralisés de toutes les informations importantes et assure le déroulement correct d'un diagnostic ou du contrôle de développement, tout en assurant les contrôles de qualité des diagnostiqueurs et du système d'imagerie de la rétine.
PCT/EP2005/010222 2004-09-21 2005-09-21 Reseau diagnostique oculaire permettant d'identifier et de controler le developpement de modifications pathologiques du nerf optique et/ou de la retine WO2006032484A2 (fr)

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DE102004045713A DE102004045713A1 (de) 2004-09-21 2004-09-21 Augendiagnosenetzwerk zur Erkennung und Verlaufskontrolle pathologischer Veränderungen des Sehnerven und/oder der Netzhaut
DE102004045713.1 2004-09-21

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WO2006032484A2 true WO2006032484A2 (fr) 2006-03-30
WO2006032484A3 WO2006032484A3 (fr) 2006-08-03

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* Cited by examiner, † Cited by third party
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DE102009008876B4 (de) * 2009-02-13 2023-02-02 Carl Zeiss Vision Gmbh System und Verfahren zur Unterstützung bei der Beratung zur Auswahl einer geeigneten Sehhilfe für eine fehlsichtige Person

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5993001A (en) * 1997-06-05 1999-11-30 Joslin Diabetes Center, Inc. Stereoscopic imaging system for retinal examination with remote examination unit
WO2002015818A2 (fr) * 2000-08-23 2002-02-28 Philadelphia Ophthalmologic Imaging Systems, Inc. Systemes et procedes de tele-ophtalmologie
WO2002084511A1 (fr) * 2001-04-10 2002-10-24 The Lions Eye Institute Of Western Australia Incorporated Reseau dependant virtuel pour clients et utilisateurs de fournisseurs de services et procede associe
DE10254938A1 (de) * 2002-11-25 2004-06-17 Siemens Ag Verfahren zum Betrieb eines telematischen Systems im Gesundheitswesen
EP1431901A2 (fr) * 2002-12-18 2004-06-23 GE Medical Systems Global Technology Company LLC Réconciliation de multiple lectures d'image assisteée par ordinateur

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE19742244A1 (de) * 1997-09-25 1999-04-22 Siemens Ag Medizinische Vorrichtung zur Augenbefundung

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5993001A (en) * 1997-06-05 1999-11-30 Joslin Diabetes Center, Inc. Stereoscopic imaging system for retinal examination with remote examination unit
WO2002015818A2 (fr) * 2000-08-23 2002-02-28 Philadelphia Ophthalmologic Imaging Systems, Inc. Systemes et procedes de tele-ophtalmologie
WO2002084511A1 (fr) * 2001-04-10 2002-10-24 The Lions Eye Institute Of Western Australia Incorporated Reseau dependant virtuel pour clients et utilisateurs de fournisseurs de services et procede associe
DE10254938A1 (de) * 2002-11-25 2004-06-17 Siemens Ag Verfahren zum Betrieb eines telematischen Systems im Gesundheitswesen
EP1431901A2 (fr) * 2002-12-18 2004-06-23 GE Medical Systems Global Technology Company LLC Réconciliation de multiple lectures d'image assisteée par ordinateur

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DE102004045713A1 (de) 2006-03-30

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