WO2019052064A1 - 一种基于医疗云平台的医学影像共享系统 - Google Patents

一种基于医疗云平台的医学影像共享系统 Download PDF

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Publication number
WO2019052064A1
WO2019052064A1 PCT/CN2017/116665 CN2017116665W WO2019052064A1 WO 2019052064 A1 WO2019052064 A1 WO 2019052064A1 CN 2017116665 W CN2017116665 W CN 2017116665W WO 2019052064 A1 WO2019052064 A1 WO 2019052064A1
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Prior art keywords
remote
image
terminal
medical
image terminal
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PCT/CN2017/116665
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English (en)
French (fr)
Inventor
姚育东
钱唯
郑斌
马贺
齐守良
赵明芳
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深圳市前海安测信息技术有限公司
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Publication of WO2019052064A1 publication Critical patent/WO2019052064A1/zh

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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
    • G16H15/00—ICT specially adapted for medical reports, e.g. generation or transmission thereof
    • 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
    • G16H40/00—ICT 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
    • G16H40/60—ICT 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
    • G16H40/67—ICT 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
    • 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
    • G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Definitions

  • the present invention relates to the technical field of telemedicine, and in particular to a medical image sharing system based on a medical cloud platform.
  • the main objective of the present invention is to provide a medical image sharing system based on a medical cloud platform, which can establish a communication connection between a live image terminal and a remote image terminal, and share a patient's lesion image, so that the remote doctor can assist the on-site doctor to treat the patient. Improve the accuracy of diagnosis and treatment and the rate of diagnosis and treatment.
  • a medical image sharing system based on a medical cloud platform includes a live image terminal for telemedicine, a remote image terminal for telemedicine, and a telehealth cloud a platform, the remote image terminal communicates with a remote medical cloud platform and a live image terminal through a communication network, wherein:
  • the live image terminal is configured to send a remote image sharing request to the remote medical cloud platform;
  • the remote medical cloud platform is configured to receive the remote image sharing request, query the working status of all the remote image terminals 2 connected through the communication network 4, and send the IDs of all the remote image terminals whose working status is idle to the Live image terminal;
  • the live image terminal is further configured to receive an ID of all the remote image terminals whose working status is idle, select one of the remote image terminals, and send the ID of the remote image terminal to the remote medical cloud platform;
  • the telehealth cloud platform is configured to receive an ID of the remote image terminal and assign the remote image terminal to the live image terminal, and send the ID and IP address of the live image terminal to the allocated remote image terminal, and Sending the ID and IP address of the remote image terminal to the live image terminal;
  • the live image terminal is further configured to send a communication connection request to the remote image terminal according to the received ID and IP address of the remote image terminal;
  • the on-site image terminal is also used for collecting the image of the lesion part of the patient, collecting the voice data of the diagnosis and treatment site, capturing the video data of the diagnosis and treatment site, and compressing and encoding the image of the lesion part of the patient, the voice data and the video data of the diagnosis and treatment site to generate the scene.
  • the medical treatment signal is transmitted to the remote image terminal through the communication network;
  • the remote image terminal is further configured to receive an on-site medical treatment signal sent by the on-site image terminal, and synchronously decode the on-site medical treatment signal to restore the patient's lesion site image, the voice data and video data of the medical treatment site, and then the patient's lesion.
  • the part image and the video data of the clinic site are displayed and the voice data of the clinic scene is simultaneously played;
  • the ID of the live image terminal includes the type of the live image terminal, the name of the geographic area to which the live image terminal belongs, the name of the medical institution to which the live image terminal belongs, and the number of the live image terminal;
  • the ID of the remote image terminal includes the remote image terminal The type, the name of the geographic area to which the remote video terminal belongs, the name of the medical institution to which the remote video terminal belongs, and the number of the remote video terminal. .
  • the remote medical cloud platform sends a waiting message to the live image terminal.
  • the remote image terminal is further configured to collect an auxiliary medical instruction for the remote doctor to guide the on-site doctor to treat the patient, and send the auxiliary medical treatment instruction to the live image terminal.
  • the live image terminal is further configured to synchronously play an auxiliary medical treatment instruction sent by the remote doctor from the remote image terminal to assist the on-site doctor to treat the patient.
  • the remote image sharing request includes an ID and an IP address of the live image terminal.
  • the medical image sharing system based on the medical cloud platform of the present invention communicates the live image terminal and the remote image terminal through the remote medical cloud platform, so that the remote doctor and the on-site doctor can share the lesion part of the patient.
  • Image so that the remote doctor can assist the on-site doctor to diagnose the patient, improve the accuracy of diagnosis and treatment and the rate of diagnosis.
  • FIG. 1 is a system architecture diagram of a preferred embodiment of a medical image sharing system based on a medical cloud platform of the present invention
  • FIG. 2 is a structural diagram of a preferred embodiment of a live image terminal in a medical image sharing system based on a medical cloud platform of the present invention
  • FIG. 3 is a structural diagram of a preferred embodiment of a remote image terminal in a medical image sharing system based on a medical cloud platform of the present invention.
  • FIG. 1 is a system architecture diagram of a preferred embodiment of a medical image sharing system based on a medical cloud platform according to the present invention.
  • the medical image sharing system 10 based on the medical cloud platform includes a live image terminal 1 for telemedicine, a remote image terminal 2 for telemedicine, and a telemedicine cloud platform 3.
  • the live image terminal 1 may be disposed at a medical institution center where medical resources are scarce, the remote image terminal 2 may be disposed at a telemedicine institution center, and the telehealth cloud platform 3 may be a cloud server.
  • the live video terminal 1 communicates with the remote medical cloud platform 3 via the communication network 4, for example, sends a remote video sharing request to the remote medical cloud platform 3.
  • the live video terminal 1 communicates with the remote video terminal 2 via the communication network 4, for example, transmitting the image of the lesion of the patient, the voice data of the on-site doctor, and the instruction of the remote doctor to guide the on-site doctor to perform the diagnosis and treatment of the patient.
  • the telemedicine cloud platform 3 communicates with the remote image terminal 2 via the communication network 4, for example, sends a remote image sharing request of the live image terminal 1 to the remote image terminal 2, and transmits the ID and IP address of the live image terminal 1 to the remotely distributed
  • the video terminal 2 transmits the ID and IP address of the remote video terminal 2 to the live video terminal 1.
  • the communication network 4 includes, but is not limited to, a wireless transmission network such as a wired network, a GSM network, a GPRS network, or a CDMA.
  • the ID of the live image terminal includes, but is not limited to, the type of the live image terminal, the name of the geographic area to which the live image terminal belongs, the name of the medical institution to which the live image terminal belongs, and the number of the live image terminal;
  • the ID of the remote image terminal includes It is not limited to the type of the remote video terminal, the name of the geographical area to which the remote video terminal belongs, the name of the medical institution to which the remote video terminal belongs, and the number of the remote video terminal.
  • the live image terminal 1 is configured to send a remote image sharing request to the remote medical cloud platform 3.
  • the remote image sharing request includes an ID and an IP address of the live image terminal 1.
  • the remote medical cloud platform 3 is configured to receive the remote image sharing request and query the working states of all the remote image terminals 2 connected through the communication network 4.
  • the working state of the remote image terminal 2 may be busy, and the working state of the remote image terminal 2 may also be idle.
  • the remote image terminal 2 identifies its working status as busy, and when the remote image terminal 2 does not perform telemedicine, the remote image terminal 2 sets its working state. The ID is idle.
  • the telehealth cloud platform 3 will send and transmit to the live video terminal 1 the ID of all remote video terminals 2 whose working state is idle.
  • the remote medical cloud platform 3 sends a waiting message to the live image terminal 1 and works in the remote image terminal 2 The status is idle to assign it to the live video terminal 1.
  • the live image terminal 1 is further configured to receive the IDs of all the remote image terminals 2 whose working status is idle, select one of the remote image terminals 2, and send the ID of the remote image terminal 2 to the remote medical cloud platform 3.
  • the telehealth cloud platform 3 receives the ID of the remote video terminal 2 and assigns the remote video terminal 2 to the live video terminal 1.
  • the remote medical cloud platform 3 is further configured to send the ID and IP address of the live image terminal 1 to the assigned remote image terminal 2, and obtain the ID and IP address of the remote image terminal 2, and the remote image terminal 2 The ID and IP address are sent to the live video terminal 1.
  • the live video terminal 1 is further configured to send a communication connection request to the remote video terminal 2 according to the received ID and IP address of the remote video terminal 2, where the communication connection request includes the ID and IP of the live video terminal 1. address.
  • the remote video terminal 2 receives the communication connection request sent by the live video terminal 1 and establishes a communication connection with the live video terminal after verifying that the ID and IP address of the live video terminal are correct.
  • the on-site image terminal 1 is also used for collecting the voice data of the patient's lesion site, collecting the video data of the diagnosis and treatment site, taking in the video data of the diagnosis and treatment site, and compressing and encoding the patient's lesion site image, the voice data and the video data of the diagnosis site to generate the scene.
  • the medical treatment signal is sent to the remote image terminal 2 via the communication network 4.
  • the live image terminal 1 includes, but is not limited to, a first controller 10, an image component 11, a first voice collector 12, a high-definition camera 13, a compression encoder 14, and a first communication unit 15. And a first voice player 16.
  • the image component 11, the first voice collector 12, the high definition camera 13, the compression encoder 14, the first communication unit 15, and the first voice player 16 are each connected to the first controller 10 via a data line.
  • the first controller 10 is a central processing unit (CPU), a microcontroller (MCU), a data processing chip, and the like in the prior art, and has a data processing function and a control function.
  • the image component 11 is configured to collect a lesion image of a patient, and the image component 11 is connected to the first controller 10.
  • the image component 11 includes, but is not limited to, an X-camera tomograph and a B-mode ultrasound camera. And a magnetic resonance imager for detecting an image of a patient's lesion.
  • the X-camera tomograph uses X-camera tomography to significantly improve the display sensitivity of lesions in the body compared to X-ray film. It can reflect the lesions that are not seen by ordinary X-ray examination.
  • the B-mode ultrasound imaging apparatus uses B-mode ultrasound imaging technology to use ultrasonic waves to pass through the human body. When encountering the interface of different organs and tissues, the sound waves will reflect.
  • the received echo can be processed to form an image, which has the characteristics of simple operation, no radiation, and high diagnostic efficiency for morphological and functional changes of lesions in the human body; magnetic resonance imaging apparatus adopts Magnetic resonance imaging technology has high contrast and sensitivity to organ and tissue images.
  • the image component 11 monitors the image of the lesion site of the patient in real time, and transmits the image of the lesion site of the patient to the first controller 10, and the first controller 10 transmits the image to the remote image terminal 2 through the first communication unit 15, thereby making the remote
  • the image terminal 2 can instantly acquire the image of the patient's lesion site, and the remote doctor can real-time the patient's image detection situation, so that the remote doctor can guide the on-site doctor at the diagnosis and treatment site to treat the patient, thereby improving the efficiency of the on-site doctor's diagnosis and treatment for the patient.
  • the first voice collector 12 is connected to the first controller 10 for collecting voice data of the medical treatment site (including the voice information of the patient and the voice information of the on-site doctor), and transmitting the voice data of the medical treatment site to the first control.
  • the high-definition camera 13 is connected to the first controller 10 for taking in video data of the medical site (including the patient's limb image and the operation image of the doctor on the spot), and sends the video data of the medical site to the first A controller 10.
  • the compression encoder 14 is connected to the first controller 10 for compressing and encoding the lesion image of the patient, the voice data of the clinic, and the video data to generate an on-site diagnosis and treatment signal.
  • the compression encoder 14 uses a compression coding chip (such as H.264, MPEG-4, MPEG-2, WMA-HD or VC-1 coding chip) in the prior art to measure the lesion of the patient.
  • a compression coding chip such as H.264, MPEG-4, MPEG-2, WMA-HD or VC-1 coding chip
  • the voice data and video data of the image and the medical field are compression-encoded, and have high data compression ratio and high definition image quality.
  • the first communication unit 15 has a communication interface of a remote wireless communication function, for example, a communication interface supporting wireless communication technologies such as GSM, GPRS, CDMA, WCDMA, TD-SCDMA, WiMAX, TD-LTE, FDD-LTE, etc., for
  • the on-site medical treatment signal is transmitted to the remote image terminal 2 through the communication network 4, and an auxiliary medical treatment instruction for the remote doctor to assist the on-site doctor to treat the patient.
  • the first voice player 16 is connected to the first controller 10 for playing an auxiliary medical instruction for the remote doctor to assist the on-site doctor to diagnose the patient, thereby realizing the voice interaction between the on-site doctor and the remote doctor during the auxiliary diagnosis and treatment.
  • the on-site diagnosis and treatment work is guided to facilitate remote imaging diagnosis and treatment.
  • the remote image terminal 2 includes a second controller 20, a second communication unit 21, a high definition decoder 22, a display 23, a second voice player 24, and a second voice collector 25.
  • the second communication unit 21, the high definition decoder 22, the display 23, the second voice player 24, and the second voice collector 25 are all connected to the second controller 20 through data lines.
  • the second controller 20 is a central processing unit (CPU), a microcontroller (MCU), a data processing chip, and the like in the prior art, and has a data processing function and a control function.
  • the second communication unit 21 is connected to the second controller 20 for receiving the on-site medical diagnosis signal sent by the live image terminal 1 and transmitting the received on-site medical treatment signal to the second controller 20.
  • the second communication unit 21 is a communication interface that matches the first communication unit 15 with a remote wireless function.
  • the high-definition decoder 22 is connected to the second controller 20 for synchronously decoding the on-site medical diagnosis signal to restore the lesion image of the patient, the voice data of the medical treatment site, and the video data to the second controller 20.
  • the display 23 may include a first display area and a second display area
  • the second controller 20 controls the display 23 to perform a split screen display, and displays the image of the lesion part of the patient on the display 23
  • the first display area is for the remote doctor to grasp the image of the lesion part of the patient in real time, and displays the video screen of the medical treatment scene in the second display area of the display 23, so that the remote doctor can guide the diagnosis and treatment work of the medical treatment site, and the medical treatment at the medical treatment site People are not limited to their own clinical experience.
  • the second voice player 24 is used for synchronously playing the voice data of the medical treatment site, so that the remote doctor can obtain the voice information of the patient and the voice information of the on-site doctor in real time, thereby facilitating the remote doctor to guide the diagnosis and treatment work at the medical treatment site.
  • the remote doctor guides the on-site doctor to guide the patient according to the image of the patient's lesion, the video screen of the clinic, and the voice information.
  • the second voice collector 25 is configured to collect an auxiliary medical treatment instruction for the remote doctor to guide the on-site doctor to diagnose the patient, and the second communication unit 21 sends the auxiliary medical treatment instruction of the remote doctor to the live image terminal 1, and the live image terminal 1
  • the first controller 10 controls the first voice player 16 to play the remote doctor's auxiliary medical treatment instruction for the on-site doctor to diagnose the patient, so that the remote doctor and the on-site doctor can realize the remote diagnosis and treatment guidance effect, and guide the scene through the realization of the remote transmission.
  • the doctor conducts medical treatment and improves the treatment rate.
  • the medical image sharing system based on the medical cloud platform of the present invention communicates the live image terminal and the remote image terminal through the remote medical cloud platform, so that the remote doctor and the on-site doctor can share the lesion part of the patient.
  • Image so that the remote doctor can assist the on-site doctor to diagnose the patient, improve the accuracy of diagnosis and treatment and the rate of diagnosis.
  • the medical image sharing system based on the medical cloud platform of the present invention communicates the live image terminal and the remote image terminal through the remote medical cloud platform, so that the remote doctor and the on-site doctor can share the lesion part of the patient.
  • Image so that the remote doctor can assist the on-site doctor to diagnose the patient, improve the accuracy of diagnosis and treatment and the rate of diagnosis.

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Abstract

本发明公开一种基于医疗云平台的医学影像共享系统，包括现场影像终端、远程影像终端和远程医疗云平台。所述现场影像终端向所述远程医疗云平台发送远程影像共享请求。所述远程医疗云平台将所有与之通信连接的工作状态为空闲的远程影像终端的ID发送给所述现场影像终端，将所述现场影像终端选择的远程影像终端分配给所述现场影像终端。所述远程医疗云平台还发送所述现场影像终端的ID和IP地址给分配的远程影像终端，以及将该远程影像终端的ID和IP地址发送给所述现场影像终端，所述现场影像终端与分配的远程影像终端建立通信连接。通过实施本发明，远程医生通过共享患者的病灶影像辅助现场医生对患者进行影像诊疗，提高诊疗准确性。

Description

一种基于医疗云平台的医学影像共享系统 技术领域
本发明涉及远程医疗的技术领域，尤其涉及一种基于医疗云平台的医学影像共享系统。
 背景技术
在广大的农村、偏远山区和经济不发达地区，由于医疗水平的受限而出现误症、漏诊导致患者的病情延误而没有得到及时的诊断和救治。近年来，随着无线通信技术、互联网技术、物联网技术的发展，远程医疗诊断技术已经成为了解决上述问题的重要手段。但是现有技术中作为病情检查中常用设备的影像设备仅能够在现场使用，不具备远程传输的功能，在医疗水平欠发达地区，当遇到疑难病症时，无法使病人在原地、原医院即可接受远地医生的影像检查。
 技术问题
本发明的主要目的在于提供一种基于医疗云平台的医学影像共享系统，能够使现场影像终端与远程影像终端建立通信连接，共享患者的病灶部位影像，以便远程医生辅助现场医生对患者进行诊疗，提高诊疗准确性及诊疗效率。
 技术解决方案
为实现上述目的，一种基于医疗云平台的医学影像共享系统，所述基于医疗云平台的医学影像共享系统包括用于远程医疗的现场影像终端、用于远程医疗的远程影像终端和远程医疗云平台，所述远程影像终端通过通信网络与远程医疗云平台和现场影像终端进行通信，其中：
所述现场影像终端用于向所述远程医疗云平台发送远程影像共享请求；
所述远程医疗云平台用于接收所述远程影像共享请求，查询通过通信网络4连接的所有的远程影像终端2的工作状态，并将所有工作状态为空闲的远程影像终端的ID发送给所述现场影像终端；
所述现场影像终端还用于接收所有工作状态为空闲的远程影像终端的ID，选择其中一个远程影像终端，并将该远程影像终端的ID发送给所述远程医疗云平台；
所述远程医疗云平台用于接收该远程影像终端的ID并将该远程影像终端分配给所述现场影像终端，并发送所述现场影像终端的ID和IP地址给分配的远程影像终端，以及将该远程影像终端的ID和IP地址发送给所述现场影像终端；
所述现场影像终端还用于依据接收的远程影像终端的ID和IP地址向所述远程影像终端发送通信连接请求；
所述远程影像终端接收所述现场影像终端发送的通信连接请求，在验证所述现场影像终端的ID和IP地址正确后，与所述现场影像终端建立通信连接；
所述现场影像终端还用于采集患者的病灶部位影像、采集诊疗现场的语音数据、摄取诊疗现场的视频数据，以及将患者的病灶部位影像、诊疗现场的语音数据和视频数据进行压缩编码产生现场诊疗信号，将所述现场诊疗信号通过通信网络传输至所述远程影像终端；
所述远程影像终端还用于接收所述现场影像终端发送的现场诊疗信号，以及将现场诊疗信号进行同步解码还原出患者的病灶部位影像、诊疗现场的语音数据和视频数据后，将患者的病灶部位影像以及诊疗现场的视频数据进行显示并同步播放诊疗现场的语音数据；
所述现场影像终端的ID包括现场影像终端的类型、现场影像终端所属的地理区域名称、现场影像终端所属的医疗机构名称和现场影像终端的编号；所述远程影像终端的ID包括远程影像终端的类型、远程影像终端所属的地理区域名称、远程影像终端所属的医疗机构名称和远程影像终端的编号。。
优选的，当所述远程医疗云平台连接的所有远程影像终端的工作状态全部为忙碌时，所述远程医疗云平台发送等待消息至所述现场影像终端。
优选的，所述远程影像终端还用于采集远程医生指导现场医生对患者进行救治的辅助诊疗指令，并通过将所述辅助诊疗指令发送至现场影像终端。
优选的，所述现场影像终端还用于同步播放远程医生从所述远程影像终端发送的辅助诊疗指令以辅助现场医生对患者进行诊疗。
优选的，所述远程影像共享请求中包含所述现场影像终端的ID和IP地址。
 有益效果
相较于现有技术，本发明所述基于医疗云平台的医学影像共享系统，通过远程医疗云平台将现场影像终端和远程影像终端进行通信连接，能够使远程医生与现场医生共享患者的病灶部位影像，以便远程医生辅助现场医生对患者进行诊疗，提高诊疗准确性及诊疗效率。
 附图说明
图1是本发明基于医疗云平台的医学影像共享系统优选实施例的系统架构图；
图2是本发明基于医疗云平台的医学影像共享系统中的现场影像终端优选实施例的结构图；
图3是本发明基于医疗云平台的医学影像共享系统中的远程影像终端优选实施例的结构图。
本发明目的的实现、功能特点及优点将结合实施例，参照附图做进一步说明。
 本发明的最佳实施方式
为更进一步阐述本发明为达成上述目的所采取的技术手段及功效，以下结合附图及优选实施例，对本发明的具体实施方式、结构、特征及其功效进行详细说明。应当理解，此处所描述的具体实施例仅仅用以解释本发明，并不用于限定本发明。
参考图1所示，图1是本发明基于医疗云平台的医学影像共享系统优选实施例的系统架构图。在本实施例中，所述基于医疗云平台的医学影像共享系统10包括用于远程医疗的现场影像终端1、用于远程医疗的远程影像终端2和远程医疗云平台3。所述现场影像终端1可以设置在医疗资源匮乏的医疗机构中心，所述远程影像终端2可以设置在远程医疗机构中心，所述远程医疗云平台3可以是云服务器。所述现场影像终端1通过通信网络4与远程医疗云平台3进行通信，例如向所述远程医疗云平台3发送远程影像共享请求。所述现场影像终端1通过通信网络4与远程影像终端2进行通信，例如传输患者的病灶部位影像、现场医生的语音数据以及远程医生的指导现场医生进行对患者进行诊疗的辅助诊疗指令等。所述远程医疗云平台3通过通信网络4与远程影像终端2进行通信，例如发送现场影像终端1的远程影像共享请求至远程影像终端2，发送现场影像终端1的ID和IP地址给分配的远程影像终端2，以及将该远程影像终端2的ID和IP地址发送给所述现场影像终端1。所述现场影像终端1可以为多个，所述远程影像终端2也可以为多个。所述通信网络4包括但不仅限于，有线网络、GSM网络、GPRS网络、CDMA等无线传输网络。所述现场影像终端的ID包括但不限于现场影像终端的类型、现场影像终端所属的地理区域名称、现场影像终端所属的医疗机构名称和现场影像终端的编号；所述远程影像终端的ID包括但不限于远程影像终端的类型、远程影像终端所属的地理区域名称、远程影像终端所属的医疗机构名称和远程影像终端的编号。
所述现场影像终端1用于向所述远程医疗云平台3发送远程影像共享请求。所述远程影像共享请求中包含所述现场影像终端1的ID和IP地址。
所述远程医疗云平台3用于接收所述远程影像共享请求，并查询通过通信网络4连接的所有的远程影像终端2的工作状态。所述远程影像终端2的工作状态可以为忙碌，所述远程影像终端2的工作状态还可以为空闲。当所述远程影像终端2在进行远程医疗时，所述远程影像终端2将其工作状态标识为忙碌，当所述远程影像终端2没有进行远程医疗时，所述远程影像终端2将其工作状态标识为空闲。所述远程医疗云平台3将并将所有与之通信连接的工作状态为空闲的远程影像终端2的ID发送给所述现场影像终端1。当所述远程医疗云平台3连接的所有远程影像终端2的工作状态全部为忙碌时，所述远程医疗云平台3发送等待消息至所述现场影像终端1，并在有远程影像终端2的工作状态为空闲将其分配给所述现场影像终端1。
所述现场影像终端1还用于接收所有工作状态为空闲的远程影像终端2的ID，选择其中一个远程影像终端2，并将该远程影像终端2的ID发送给所述远程医疗云平台3。
所述远程医疗云平台3接收该远程影像终端2的ID并将该远程影像终端2分配给所述现场影像终端1。所述远程医疗云平台3还用于发送所述现场影像终端1的ID和IP地址给分配的远程影像终端2，以及获取该远程影像终端2的ID和IP地址，并将该远程影像终端2的ID和IP地址发送给所述现场影像终端1。
所述现场影像终端1还用于依据接收的远程影像终端2的ID和IP地址向所述远程影像终端2发送通信连接请求，所述通信连接请求中包含所述现场影像终端1的ID和IP地址。所述远程影像终端2接收所述现场影像终端1发送的通信连接请求，在验证所述现场影像终端的ID和IP地址正确后，与所述现场影像终端建立通信连接。
所述现场影像终端1还用于采集患者的病灶部位影像采集诊疗现场的语音数据、摄取诊疗现场的视频数据，以及将患者的病灶部位影像、诊疗现场的语音数据和视频数据进行压缩编码产生现场诊疗信号，将所述现场诊疗信号通过通信网络4发送至所述远程影像终端2。
图2是本发明基于医疗云平台的医学影像共享系统中的现场影像终端1优选实施例的结构图。在本实施例中，所述现场影像终端1包括，但不仅限于，第一控制器10、影像组件11、第一语音采集器12、高清摄像仪13、压缩编码器14、第一通信单元15以及第一语音播放器16。所述影像组件11、第一语音采集器12、高清摄像仪13、压缩编码器14、第一通信单元15和第一语音播放器16均通过数据线连接至所述第一控制器10上。所述第一控制器10为现有技术中的中央处理器（Central Processing Unit，CPU）、微控制器（MCU）、数据处理芯片等，具有数据处理功能以及控制功能。
所述影像组件11用于采集患者的病灶部位影像，所述影像组件11与第一控制器10连接，所述影像组件11包括，但不仅限于，X摄像断层摄像仪、B型超声显像仪以及磁共振成像仪，用于检测患者的病灶部位影像。X摄像断层摄像仪，采用X摄像断层摄像技术，对体内病灶的显示敏感度比X射线胶片显著提高。可以反映出普通X射线检查看不到的病变；B型超声显像仪，采用B型超声显像技术，利用超声波通过人体，遇到不同脏器、组织的交界面时，声波就产生反射、折射，把接收到的回波经过处理即可形成图像，具有操作简单、没有放射线、对人体内病变的形态学及功能性变化均可有较高的诊断效能的特点；磁共振成像仪，采用磁共振成像技术，对器官及组织影像的对比度和敏感性高。所述影像组件11实时监测患者的病灶部位影像，并将患者的病灶部位影像传送至第一控制器10，由第一控制器10通过第一通信单元15发送到远程影像终端2，从而使远程影像终端2就可以即时获取患者的病灶部位影像，远程医生即可实时患者的影像检测情况，便于远程医生指导诊疗现场的现场医生对患者进行诊疗，从而提高现场医生对患者进行诊疗的效率。
所述第一语音采集器12与第一控制器10连接，用于采集诊疗现场的语音数据（包括患者的语音信息以及现场医生的语音信息），并将诊疗现场的语音数据发送至第一控制器10。所述高清摄像仪13与第一控制器10连接，用于摄取诊疗现场的视频数据（包括患者的肢体影像以及现场医生对患者进行救治的操作影像），并将诊疗现场的视频数据发送至第一控制器10。所述压缩编码器14与第一控制器10连接，用于将患者的病灶部位影像、诊疗现场的语音数据和视频数据进行压缩编码产生现场诊疗信号。在本实施例中，所述压缩编码器14采用现有技术中的压缩编码芯片（例如H.264、MPEG-4、MPEG-2、WMA-HD或VC-1编码芯片）对患者的病灶部位影像、诊疗现场的语音数据和视频数据进行压缩编码，具有高数据压缩比以及高清晰度的图像质量。所述第一通信单元15具有远程无线通讯功能的通讯接口，例如支持GSM、GPRS、CDMA、WCDMA、TD-SCDMA、WiMAX、TD-LTE、FDD-LTE等无线通讯技术的通讯接口，用于将所述现场诊疗信号通过通信网络4传输至远程影像终端2，以及接收远程医生辅助现场医生对患者进行诊疗的辅助诊疗指令。所述第一语音播放器16与第一控制器10连接，用于播放远程医生辅助现场医生对患者进行诊疗的辅助诊疗指令，从而实现辅助诊疗过程中现场医生与远程医生的语音交互，对诊疗现场的诊疗工作进行指导，便于实现远程影像诊疗。
图3是本发明基于医疗云平台的医学影像共享系统中的远程影像终端2优选实施例的结构图。在本实施例中，所述远程影像终端2包括第二控制器20、第二通信单元21、高清解码器22、显示器23、第二语音播放器24以及第二语音采集器25。所述第二通信单元21、高清解码器22、显示器23、第二语音播放器24和第二语音采集器25均通过数据线连接至所述第二控制器20上。所述第二控制器20为现有技术中的中央处理器（Central Processing Unit，CPU）、微控制器（MCU）、数据处理芯片等，具有数据处理功能以及控制功能。
所述第二通信单元21与第二控制器20连接，用于接收现场影像终端1发送的现场诊疗信号，并将接收的现场诊疗信号发送至第二控制器20。所述第二通信单元21为一种与第一通信单元15具有远程无线功能相匹配的通讯接口。所述高清解码器22与第二控制器连接20，用于将现场诊疗信号进行同步解码还原出患者的病灶部位影像、诊疗现场的语音数据和视频数据发送至第二控制器20。
在本实施例中，所述显示器23可以包括第一显示区域和第二显示区域，所述第二控制器20控制所述显示器23进行分屏显示，将患者的病灶部位影像显示在显示器23的第一显示区域供远程医生实时掌握患者的病灶部位影像，并将诊疗现场的视频画面显示在显示器23的第二显示区域，使得远程医生可对诊疗现场的诊疗工作进行指导，如此诊疗现场的医护人员就不会仅局限于本身的临床经验。
所述第二语音播放器24用于同步播放诊疗现场的语音数据，从而让远程医生实时获得患者的语音信息以及现场医生的语音信息，从而有利于远程医生对诊疗现场的诊疗工作进行指导。远程医生根据患者的病灶部位影像、诊疗现场的视频画面以及语音信息指导现场医生对患者进行诊疗指导。所述第二语音采集器25用于采集远程医生指导现场医生对患者进行诊疗的辅助诊疗指令，第二通信单元21将远程医生的辅助诊疗指令发送至现场影像终端1，所述现场影像终端1的第一控制器10控制第一语音播放器16播放远程医生的辅助诊疗指令供现场医生对患者进行诊疗，从而使得远程医生与现场医生同步实现远程诊疗指导效果，通过远程传输的实现来指导现场医生进行诊疗，提高诊疗效率。
相较于现有技术，本发明所述基于医疗云平台的医学影像共享系统，通过远程医疗云平台将现场影像终端和远程影像终端进行通信连接，能够使远程医生与现场医生共享患者的病灶部位影像，以便远程医生辅助现场医生对患者进行诊疗，提高诊疗准确性及诊疗效率。
以上仅为本发明的优选实施例，并非因此限制本发明的专利范围，凡是利用本发明说明书及附图内容所作的等效结构或等效功能变换，或直接或间接运用在其他相关的技术领域，均同理包括在本发明的专利保护范围内。
 工业实用性
相较于现有技术，本发明所述基于医疗云平台的医学影像共享系统，通过远程医疗云平台将现场影像终端和远程影像终端进行通信连接，能够使远程医生与现场医生共享患者的病灶部位影像，以便远程医生辅助现场医生对患者进行诊疗，提高诊疗准确性及诊疗效率。

Claims (5)

  1. 一种基于医疗云平台的医学影像共享系统，其特征在于，所述基于医疗云平台的医学影像共享系统包括用于远程医疗的现场影像终端、用于远程医疗的远程影像终端和远程医疗云平台，所述远程影像终端通过通信网络与远程医疗云平台和现场影像终端进行通信，其中：所述现场影像终端用于向所述远程医疗云平台发送远程影像共享请求；所述远程医疗云平台用于接收所述远程影像共享请求，查询通过通信网络4连接的所有的远程影像终端2的工作状态，并将所有工作状态为空闲的远程影像终端的ID发送给所述现场影像终端；所述现场影像终端还用于从所有工作状态为空闲的远程影像终端的ID选择一个远程影像终端，并将该远程影像终端的ID发送给所述远程医疗云平台；所述远程医疗云平台用于接收该远程影像终端的ID并将该远程影像终端分配给所述现场影像终端，并发送所述现场影像终端的ID和IP地址给分配的远程影像终端，以及将该远程影像终端的ID和IP地址发送给所述现场影像终端；所述现场影像终端还用于依据接收的远程影像终端的ID和IP地址向所述远程影像终端发送通信连接请求；所述远程影像终端接收所述现场影像终端发送的通信连接请求，在验证所述现场影像终端的ID和IP地址正确后，与所述现场影像终端建立通信连接；所述现场影像终端还用于采集患者的病灶部位影像、采集诊疗现场的语音数据、摄取诊疗现场的视频数据，以及将患者的病灶部位影像、诊疗现场的语音数据和视频数据进行压缩编码产生现场诊疗信号，将所述现场诊疗信号通过通信网络传输至所述远程影像终端；所述远程影像终端还用于接收所述现场影像终端发送的现场诊疗信号，以及将现场诊疗信号进行同步解码还原出患者的病灶部位影像、诊疗现场的语音数据和视频数据后，将患者的病灶部位影像以及诊疗现场的视频数据进行显示并同步播放诊疗现场的语音数据；所述现场影像终端的ID包括现场影像终端的类型、现场影像终端所属的地理区域名称、现场影像终端所属的医疗机构名称和现场影像终端的编号；所述远程影像终端的ID包括远程影像终端的类型、远程影像终端所属的地理区域名称、远程影像终端所属的医疗机构名称和远程影像终端的编号。
  2. 如权利要求1所述的基于医疗云平台的医学影像共享系统，其特征在于，当所述远程医疗云平台连接的所有远程影像终端的工作状态全部为忙碌时，所述远程医疗云平台发送等待消息至所述现场影像终端。
  3. 如权利要求1所述的基于医疗云平台的医学影像共享系统，其特征在于，所述远程影像终端还用于采集远程医生指导现场医生对患者进行救治的辅助诊疗指令，并通过将所述辅助诊疗指令发送至现场影像终端。
  4. 如权利要求3所述的基于医疗云平台的医学影像共享系统，其特征在于，所述现场影像终端还用于同步播放远程医生从所述远程影像终端发送的辅助诊疗指令以辅助现场医生对患者进行诊疗。
  5. 如权利要求1所述的基于医疗云平台的医学影像共享系统，其特征在于，所述远程影像共享请求中包含所述现场影像终端的ID和IP地址。
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