WO2015186930A1 - Appareil de transmission interactive en temps réel d'une image et d'informations médicales et d'assistance à distance - Google Patents

Appareil de transmission interactive en temps réel d'une image et d'informations médicales et d'assistance à distance Download PDF

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Publication number
WO2015186930A1
WO2015186930A1 PCT/KR2015/005435 KR2015005435W WO2015186930A1 WO 2015186930 A1 WO2015186930 A1 WO 2015186930A1 KR 2015005435 W KR2015005435 W KR 2015005435W WO 2015186930 A1 WO2015186930 A1 WO 2015186930A1
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Prior art keywords
medical
image
operator
advice
camera
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PCT/KR2015/005435
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English (en)
Korean (ko)
Inventor
문영래
박상하
김종민
심성우
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조선대학교산학협력단
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Publication of WO2015186930A1 publication Critical patent/WO2015186930A1/fr

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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H30/00ICT specially adapted for the handling or processing of medical images
    • G16H30/20ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H80/00ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
    • HELECTRICITY
    • H04ELECTRIC COMMUNICATION TECHNIQUE
    • H04NPICTORIAL COMMUNICATION, e.g. TELEVISION
    • H04N23/00Cameras or camera modules comprising electronic image sensors; Control thereof
    • H04N23/60Control of cameras or camera modules

Definitions

  • the present invention relates to medical image and information real-time mutual transmission and remote support
  • medical images and information are mutually transmitted in real time between the practitioner (who performs the actual medical practice) and the medical professional (the person who remotely supports the practitioner's medical practice) so that accurate and rapid medical practice can be achieved.
  • Medical image and information real-time inter-transmission and remote support device.
  • the operator transmits the procedure image photographed while performing the procedure through unidirectional transmission, and displays it on the screen from the received equipment (computer or display device).
  • the procedure image is one-way transmission, it is impossible for the verifier to remotely confirm the advice or to transmit the advice image to the operator.
  • Patent Document 1 Japanese Patent Laid-Open No. Hei 11-197159 ) Is disclosed.
  • the general medical image transmission system is a one-way medical image transmission system, there is a disadvantage in that it cannot be supported by a medical professional located remotely in real time.
  • An object of the present invention is a general medical image transmission system
  • Another object of the present invention is to provide a remote medical professional (adviser) in real time
  • the medical image and information real-time mutual transmission and remote support device obtains and transmits a medical image photographing the subject during the medical procedure of the operator, the medical professional located remotely An operator device which displays the transmitted advice image and the advice voice in real time on a device worn by the operator or a display device that the operator can check; A repeater which transmits the medical image obtained from the operator device to a medical expert terminal located at a remote location through a network, and relays the advice image and the advice voice transmitted from the remote medical expert terminal to the operator device; And a medical expert terminal displaying the procedure image transmitted from the repeater through the network on a screen, and transmitting the advice image and the advice voice generated by a medical expert's operation to the operator device in real time through the network. It is characterized by.
  • the operator device may be implemented by at least one of medical glasses or arthroscopy or microscope for the operator to directly wear and acquire the procedure image, or to display the advice image and the advice voice transmitted from the medical professional to the operator in real time. It features.
  • the operator device may include an operation unit for the operator to select a medical support mode, an automatic tracking mode for the camera to automatically track the procedure image, or a manual tracking mode for the operator to manually set the position of the camera; A camera for obtaining a procedure image in real time; An image processor which processes the procedure image acquired by the camera; A controller for controlling the transmission of the acquired procedure image and the output of the advice image and the advice voice transmitted from a remote medical professional; A communication module for transmitting and receiving an image and an audio between the operator device and a medical professional terminal; And an image display unit displaying in real time an advice image transmitted by a medical professional located remotely under the control of the controller.
  • the communication module is characterized in that for transmitting and receiving video and audio data with the repeater in a wired or short-range wireless communication.
  • the image display unit displays the advice image of a medical professional transmitted remotely to the operator using a head-up display (HUD) method using a transparent film attached to a glass of medical glasses or a reflective lens of a device. It features.
  • HUD head-up display
  • the operator device further comprises a head motion detection unit for detecting the head movement of the operator wearing the operator device, the control unit detects the head movement direction detected by the head motion detection unit when the automatic tracking mode is selected by the operation unit Recognize and control the position of the camera to move the camera in the opposite direction of the head movement direction, wherein the head movement detection unit comprises a gyro sensor capable of detecting the position and direction.
  • the operator device further comprises a camera driving unit for moving the camera according to the camera movement control signal generated by the control unit.
  • the operator device may include a microphone for receiving an operator voice transmitted to a medical professional located remotely under the control of the controller; Earphone for transmitting the advice voice transmitted from a medical professional located in a remote in real time under the control of the controller so that the operator can check in real time; And a storage unit for storing the procedure image and the advice image, the operator's voice, and the advice voice.
  • the image display unit is implemented in the glasses glass, the camera is characterized in that installed in the center between the glasses and glass.
  • accurate and rapid medical action is achieved by mutually transmitting medical images and information in real time through two-way communication between a practitioner (a person performing actual medical practice) and a medical professional (a person who remotely supports the medical practice of the operator) in the medical field.
  • a practitioner a person performing actual medical practice
  • a medical professional a person who remotely supports the medical practice of the operator
  • the present invention has the advantage that the treatment can be performed more accurately and quickly by the remote medical professional (adviser) displays the advice image to the operator on the screen and transmits the advice voice in real time.
  • FIG. 1 is a block diagram of a medical image and information real-time mutual transmission and remote support apparatus according to an embodiment of the present invention
  • FIG. 2 is a perspective view of an embodiment when the operator device of FIG. 1 is implemented as medical glasses;
  • FIG. 3 is a block diagram of an embodiment of the operator device of FIG.
  • FIG. 1 is a block diagram of a medical image and information real-time mutual transmission and remote support apparatus according to an embodiment of the present invention.
  • the medical image and information real-time mutual transmission and remote support apparatus includes the operator device 100, the repeater 200, the network 300 and the medical professional terminal 400.
  • the operator device 100 obtains and transmits a medical image photographing a subject during medical treatment of the operator, and the apparatus or operator wearing the operator can check the advice image and the advice voice transmitted by a medical professional located remotely. It serves to display on the display device in real time.
  • the operator device 100 is at least one of medical glasses or endoscope or arthroscopy or microscope to be directly worn by the operator to obtain and transmit a procedure image or to display the advice image and the advice voice transmitted from a medical professional to the operator in real time. It is preferred to be implemented.
  • the operator device 100 when the operator device 100 is implemented as medical glasses as shown in FIG. 2, the operator directly wears medical glasses, photographs a target image, and transmits the image to a medical professional located remotely.
  • the advice image transmitted from the remotely located medical professional is displayed on the glass of the medical glasses, which is the image display unit 102.
  • the advice voice is transmitted through the earphone 103, and the medical image is bidirectionally transmitted between the operator and the medical professional in real time, and the medical support is possible in real time.
  • the operator device 100 as shown in Figure 3, the operator selects a medical support mode, the camera automatically tracks the procedure to automatically track the procedure image or the operator manually set the position of the camera manually
  • An operation unit 111 for selecting a tracking mode;
  • a camera 106 for obtaining a procedure image in real time;
  • An image processor 112 for processing the procedure image acquired by the camera 106 by a conventional image processing technique;
  • a controller 114 for controlling the transmission of the acquired procedure image and the output of the advice image and the advice voice transmitted from a remote medical professional;
  • Communication module 115 for transmitting and receiving the image and audio between the operator device 100 and the medical expert terminal 400;
  • the control unit 114 includes a video display unit 102 for displaying in real time the advice image transmitted by a medical professional located remotely.
  • the image display unit 102 is implemented on the glasses glass, the camera 106 is preferably installed in the center between the glasses and the glass.
  • the communication module 115 preferably transmits and receives video and audio data with the repeater 200 through wired or short-range wireless communication. More preferably, the communication module 115 and the repeater 200 perform communication in a short range wireless communication method such as Bluetooth or Wi-Fi.
  • the image display unit 102 uses a transparent film attached to the glass of the medical glasses or the reflective lens of the equipment to advise the operator in the head-up display (HUD) method of the advice image transmitted from a remote It is desirable to display it.
  • HUD head-up display
  • the operator device 100 preferably includes a head motion detector 116 for detecting the head movement of the operator wearing the operator device.
  • the head motion detecting unit 116 may use various sensors for detecting the position and direction of the head movement.
  • the gyro sensor is used as an embodiment.
  • the control unit 114 recognizes the head movement direction detected by the head movement detecting unit 116 when the automatic tracking mode is selected by the manipulation unit 111, and moves the camera in a direction opposite to the head movement direction. Control the position of.
  • the operator device 100 may include a camera driver 113 for moving the camera 106 according to a camera movement control signal generated by the controller 114; a medical device located remotely under the control of the controller 114; A microphone 105 for receiving an operator voice transmitted to an expert; An earphone 103 which transmits the advice voice transmitted by a medical professional located at a remote location in real time under the control of the controller 114 so that the operator can check in real time; It is preferable to further include a storage unit 117 for storing the procedure image and the advice image, the operator's voice and the advice voice.
  • the repeater 200 transmits the medical image obtained from the operator device 100 to a medical expert terminal 400 located remotely through the network 300, and transmitted from the medical expert terminal 400 located remotely. It serves to relay the advice image and the advice voice to the operator device (100).
  • the repeater 200 is preferably connected to the plurality of operator devices in a 1: N communication method.
  • the network 300 is a communication network that mutually transmits data between the repeater 200 and the medical professional terminal 400, but may be implemented in various communication networks, but it is assumed that the present invention uses the Internet.
  • the medical expert terminal 400 displays a procedure image transmitted from the repeater 200 through the network 300 on a screen, and displays the advice image and the advice voice generated by a medical expert's operation. Through it serves to transmit to the operator device 100 in real time.
  • the medical expert terminal 400 may be implemented by a general personal computer (PC) or a mobile device such as a smart phone.
  • PC personal computer
  • mobile device such as a smart phone.
  • the present invention aims to enable practitioners to perform more accurate and rapid treatment through remote expert advice and mutual exchange in real time in open surgery as well as endoscopy or arthroscopy surgery throughout the medical field.
  • the operator device 100 transmits the patient medical image to the medical professional in real time through the operator device 100, The procedure is performed while listening to the advice video and / or the advice voice transmitted from the expert in real time.
  • the operator device 100 may use medical glasses that the operator can directly wear and use, as shown in FIG. 2, or may use an endoscope, arthroscopy, and a microscope.
  • medical glasses real-time transmission of images, reception of remote real-time edited images, and voice transmission and reception are possible directly.
  • endoscopes, arthroscopy, and microscopes only additional video transmission and reception programs should be installed to communicate.
  • the remote advisor can also install a simple communication program and display it on the screen immediately or use the microphone to give advice using an existing computer. If you're using a mobile device, such as a smartphone, you can use the medical application to display it on the screen anytime, anywhere, or give advice through the microphone.
  • a mobile device such as a smartphone
  • the operator selects the medical professional through the operation unit 111 of the operator device 100.
  • the control unit 114 stores access information (telephone number for a mobile device and registered URL information for a personal computer) stored in the storage unit 117 for connection with a terminal used by the selected medical professional. Is extracted and transmitted to the communication module 115.
  • the communication module 115 connects with the repeater 200 through the antenna 104 to transmit connection information, and the repeater 200 connects with the medical expert terminal 400 through the network 300.
  • the terminal access method through the network 300 is the same as the method for accessing a terminal located remotely in general communication, and thus a detailed description thereof will be omitted.
  • the operator selects a medical image transmission mode through the operation unit 111 of the operator device 100.
  • the medical image transmission mode is an automatic tracking mode for acquiring a medical image by continuously photographing a treatment target while the camera 106 continuously tracks the treatment target, and a user photographing the treatment target while the user fixes the position of the camera 106.
  • Manual tracking mode for transmitting the acquired medical image is selected.
  • the manual tracking mode since the camera 106 is fixed, when the operator moves his head, the camera 106 also changes the photographing position.
  • the automatic tracking mode is selected, the camera 106 is moved so that the operator can continuously photograph the subject when the operator moves the head.
  • the automatic tracking mode will be described.
  • the initial camera 106 captures an image of the subject in accordance with the operator's gaze direction, and the captured image of the target subject thus obtained is subjected to a general image processing technique through the image processor 112. It is processed through and delivered to the control unit 114.
  • the controller 114 stores the captured image of the surgical subject in the storage unit 117 and simultaneously transmits the captured image to the communication module 115 to transmit the medical image to the medical expert terminal 400 remotely located.
  • a medical professional located remotely may view a medical image of the patient to be displayed through the medical professional terminal 400. This allows the medical professional to be able to see the location of the patient's procedure as if he or she is directly at the remote location.
  • Reference numeral 10 of FIG. 4 denotes an operation target of the patient
  • reference numeral 102 denotes an image of a treatment subject viewed by the operator through the glasses glass of the operator device 100
  • reference numeral 121 denotes a procedure photographed through a microscope.
  • the target image is shown
  • reference numeral 122 denotes a treatment target image photographed through arthroscopy.
  • reference numeral 400 denotes an image to be displayed on a medical professional terminal, and the left side shows an image screen when a medical professional uses a mobile device, and the right side shows an image screen displayed on a monitor when a personal computer is used. will be.
  • a medical professional When a medical professional displays an image to be treated on a screen of a mobile device or a monitor of a personal computer, the medical professional may check the image and give medical advice by video, medical advice by voice, or medical advice by using both video and voice.
  • video advice using images In the case of video advice using images,
  • Advice images are generated by directly operating the treatment target image displayed on the screen.
  • the medical professional directly manipulates a procedure target image displayed on the screen to generate an advice image to be transmitted to the operator.
  • it is also possible to generate an advice voice by assuming that an actual operator is at the time of generating an advice image and explaining a procedure.
  • the advice image and the advice voice generated in this way are received by the communication module 115 of the operator device 100 through the network 300 and the repeater 200.
  • the communication module 115 processes the received advice image and the advice voice and transmits the signal to the controller 114.
  • the controller 114 displays the transferred advice image through the image display unit 102 and transmits the advice voice to the earphone 103.
  • the image display unit 102 may be referred to as the glass portion of the medical glasses worn by the practitioner.
  • the video display method is preferably a head-up display method. Therefore, the operator can perform the procedure (or surgery) more accurately and quickly by listening to the advice image and the advice voice provided by a remotely located medical professional in real time.
  • the position to be observed by the camera 1060 is different, it may be difficult to accurately obtain the target image.
  • the healthcare professional who is located relies only on the target image that the operator transmits, so if the target image disappears or changes position during the examination of the target image, it is difficult to accurately analyze the target image, resulting in accurate generation of the advice image.
  • the camera 106 in the automatic tracking mode, even if the operator's head moves, the camera 106 continuously monitors the target image to allow photographing to be performed. .
  • the head motion detector 116 detects this when the operator moves the head using a sensor capable of detecting a position and a direction such as a gyro sensor. Then, the head motion detection value (for example, the head moving direction and the amount of head movement) is transmitted to the controller 114.
  • the head motion detection value for example, the head moving direction and the amount of head movement
  • the controller 114 controls the camera 106 to move in a direction opposite to the moved head direction when the head motion detection value is transmitted. For example, if the operator twists his head to the right and the movement amount is about 5 cm, the control operates the camera 106 to the left and controls the movement amount corresponding to the movement amount of about 5 cm. Such control values are preferably stored in a table form in the internal memory.
  • the camera driver 113 drives the motor for moving the camera 106 in a direction opposite to that of the operator.
  • the camera 106 keeps the previous gaze direction as it is, so that even if the operator moves the head during the procedure, the photographing of the subject image is continuously performed.
  • the camera is fixed so that the camera photographing direction is positioned in the same direction as the operator's head movement direction.
  • the camera may transmit an image by recognizing an object in three dimensions instead of simply transmitting an image that is visible to the operator's field of view.
  • a 3D surgical target image can be easily obtained.
  • the point of the marker pointed out by the advisor can be accurately maintained even when the field of view is constantly changing.
  • the face recognition function of existing digital cameras the principle that can be used for face recognition with a digital camera is to recognize the information of light received by the image sensor as a face by comparing the distance and shape such as human eyes, nose, mouth, etc.). It is also possible to maintain the position of the remote display point even if the field of view is constantly changed based on the recognition of the specific object by applying this as a reference.
  • the present invention is applied to a technique for transmitting and receiving medical images between the operator and a remotely located medical professional in real time through two-way communication.

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  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
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  • Primary Health Care (AREA)
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  • Business, Economics & Management (AREA)
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  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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Abstract

L'invention concerne un appareil permettant une transmission interactive en temps réel d'une image et d'informations médicales, ainsi qu'une assistance à distance, ce qui permet une transmission interactive en temps réel d'une image et d'informations médicales entre un praticien (une personne qui accomplit réellement des actes médicaux) et un expert médical (une personne qui assiste à distance les actes médicaux du praticien) dans le secteur médical, les actes médicaux pouvant être effectués de manière précise et rapide. L'appareil comprend : un dispositif de praticien permettant d'obtenir et de transmettre une image médicale d'un sujet lors d'une procédure médicale effectuée par le praticien, ainsi que d'afficher, en temps réel, des conseils en image et vocaux transmis par un expert médical à distance sur un dispositif porté par le praticien ou un dispositif d'affichage qui peut être observé par le praticien ; un répéteur permettant de transmettre l'image médicale obtenue du dispositif du praticien à un terminal d'expert médical à distance par le biais d'un réseau et de relayer les conseils en image et vocaux transmis par le terminal de l'expert médical à distance vers le dispositif du praticien ; et un terminal d'expert médical permettant d'afficher, sur un écran, l'image médicale transmise par le répéteur au moyen d'un réseau et de transmettre les conseils en image et vocaux générés par la manipulation de l'expert médical au dispositif du praticien par le biais du réseau en temps réel.
PCT/KR2015/005435 2014-06-02 2015-05-29 Appareil de transmission interactive en temps réel d'une image et d'informations médicales et d'assistance à distance WO2015186930A1 (fr)

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KR1020140066814A KR101580559B1 (ko) 2014-06-02 2014-06-02 의료 영상 및 정보 실시간 상호전송 및 원격 지원 장치

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CN112669951A (zh) * 2021-02-01 2021-04-16 王春保 一种应用于智能内窥镜手术时的ai应用系统
US20220044798A1 (en) * 2020-08-06 2022-02-10 Koninklijke Philips N.V. Audio and video processing for safety alerts during an imaging examination
CN114376735A (zh) * 2022-01-11 2022-04-22 苏州康多机器人有限公司 用于腔镜手术机器人的术中远程操作终端交互系统及方法

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KR101954315B1 (ko) * 2017-10-30 2019-03-06 주식회사 디자인모올 재난현장 응급구조사 착용용 웨어러블 디바이스
KR102558259B1 (ko) 2017-11-17 2023-07-24 삼성메디슨 주식회사 초음파 진단 장치의 제어 방법 및 초음파 진단 장치
KR101906398B1 (ko) * 2018-02-12 2018-10-08 주식회사 파인트리시스템 실시간 객체추적을 이용한 내시경 진료정보 공유 방법
KR102265259B1 (ko) * 2020-07-09 2021-06-15 주식회사 스마트 잭 시약 위치 안내를 위한 증강현실 서비스 방법 및 장치

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Publication number Priority date Publication date Assignee Title
US20220044798A1 (en) * 2020-08-06 2022-02-10 Koninklijke Philips N.V. Audio and video processing for safety alerts during an imaging examination
CN112669951A (zh) * 2021-02-01 2021-04-16 王春保 一种应用于智能内窥镜手术时的ai应用系统
CN114376735A (zh) * 2022-01-11 2022-04-22 苏州康多机器人有限公司 用于腔镜手术机器人的术中远程操作终端交互系统及方法

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