WO2022016560A1 - 一种紧凑型的医疗影像智能存储服务系统 - Google Patents
一种紧凑型的医疗影像智能存储服务系统 Download PDFInfo
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- WO2022016560A1 WO2022016560A1 PCT/CN2020/104713 CN2020104713W WO2022016560A1 WO 2022016560 A1 WO2022016560 A1 WO 2022016560A1 CN 2020104713 W CN2020104713 W CN 2020104713W WO 2022016560 A1 WO2022016560 A1 WO 2022016560A1
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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
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F16/00—Information retrieval; Database structures therefor; File system structures therefor
- G06F16/10—File systems; File servers
- G06F16/13—File access structures, e.g. distributed indices
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F16/00—Information retrieval; Database structures therefor; File system structures therefor
- G06F16/10—File systems; File servers
- G06F16/18—File system types
- G06F16/182—Distributed file systems
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F16/00—Information retrieval; Database structures therefor; File system structures therefor
- G06F16/50—Information retrieval; Database structures therefor; File system structures therefor of still image data
- G06F16/51—Indexing; Data structures therefor; Storage structures
Definitions
- the invention belongs to the technical field of medical equipment, and in particular relates to a compact medical image intelligent storage service system.
- the hospital's demand for PACS upgrade mainly comes from the capacity bottleneck of image storage.
- the storage capacity of Mini-PACS system design often becomes the bottleneck of the whole system.
- the capacity of diagnostic images generated by each diagnosis is getting larger and larger, so the capacity design life of the PACS system will be further shortened, and the system will be updated more frequently.
- the purpose of the present invention is to provide a compact medical image intelligent storage service system to solve the problem that the existing hospital image equipment is cold-ended by large factories, expensive and requires frequent updating of storage capacity.
- a compact medical image intelligent storage service system including an external interface layer, a business logic layer and a data storage layer
- the external interface layer includes a DICOM service unit connected with the hospital's imaging equipment, and the hospital's hospital information system and radiology.
- the HL7 service unit connected by the information management system and the human-computer interaction unit for administrator operation;
- the data storage layer includes a medical image storage library and a business data storage library;
- the business logic layer includes an image file access unit, business logic processing unit and business data access unit, the image file access unit performs data interaction with the medical image storage library and controls the medical image storage plan according to the characteristics of the medical image;
- the business logic processing unit triggers the intelligent image according to the preset business rules
- the processing rules carry out business processing;
- the business data access unit performs data interaction with the business data repository and the business logic processing unit.
- the DICOM service unit is connected with the imaging equipment through the DICOM3.0 standard interface;
- the HL7 service unit is connected with the hospital information system and the radiology information management system of the hospital through the HL7 standard interface;
- the human-computer interaction unit reports to the administrator Provide a friendly management interface based on WEB environment.
- the characteristics of the medical image include storage, communication and display of large-capacity digital information; the control of the medical image storage planning includes adopting a distributed system infrastructure, making full use of the high-speed computing and storage performance of the cluster, and supporting cloud storage expansion .
- the preset business rules include Find, Move, Store request and response mechanisms
- the triggering intelligent image processing rules include preconfigured routing rules, sending or receiving medical images, performing lossless compression on medical images, and performing Distributed storage.
- the system adopts a standard Ethernet networking method, including a three-layer switch, and the three-layer switch completes the end-to-end data exchange according to the IP address of the third-layer network layer, and can also complete the second-layer switch.
- the port switching function can also complete the routing function of some routers, which can support multi-level dynamic integration and improve the performance of massive data transmission in the local area network.
- the present invention is a compact medical image intelligent storage service system, which conforms to the development trend of the future medical image system, that is, the division of labor of the future image system is more and more detailed, and equipment manufacturers, diagnostic system manufacturers, and storage manufacturers are all highly specialized. direction of development.
- DICOM3.0 HL7
- DICOM3 and HL7 have been widely used in the industry, and these standards provide system interconnection and interoperability.
- Base. This system aims at independent storage function, avoids the competition with foreign large enterprises in the image reading scheme, but provides a complementary function to provide the hospital with the most cost-effective system combination.
- FIG. 1 is a schematic diagram of the system framework of the present invention.
- a compact medical image intelligent storage service system includes an external interface layer, a business logic layer and a data storage layer.
- the external interface layer includes the DICOM service unit connected with the hospital's imaging equipment, the HL7 service unit connected with the hospital's hospital information system and radiology information management system, and the human-computer interaction unit for administrator operations; DICOM service unit through DICOM3 .0 standard interface is connected with imaging equipment; HL7 service unit is connected with hospital information system and radiology information management system through HL7 standard interface; human-computer interaction unit provides administrators with a friendly management interface based on WEB environment.
- the HL7 service unit provides HL7 interfaces to external devices for merging patient information, modifying patient information, or pre-pushing medical images of a certain patient.
- the processed HL7 messages are: ADT_A08 message: This message is used to update a certain user information. The message will pass a PatientID and some fields of the Patient that need to be updated, and the Patient information is modified according to the ID. Since only the database is modified, when sending images to the outside, the modified Patient information needs to be updated to the DICOM file, and then sent out.
- ADT_A40 message Merge Patient information.
- EMR electronic medical record uploaded by Portal
- Study information study information
- ORU diagnostic report received by HL7
- ORU_R01 message Receive diagnostic report information.
- ORM_O01 message This message is used to initiate the transmission of an instruction, which includes replacing, terminating the existing instruction, or interrupting, maintaining the existing state, etc. This system is used to pre-push historical images of a certain patient to a third party.
- the human-computer interaction unit Portal as a WEB management interface, is the main operation interface for users, mainly providing functions such as query, acquisition, download, and online preview.
- the data storage layer includes medical image storage and business data storage; the characteristics of medical images include the storage, communication and display of large-capacity digital information; the control of medical image storage planning includes the use of distributed system infrastructure to make full use of the high speed of the cluster. Computing and storage performance, support for cloud storage expansion.
- the business logic layer includes an image file access unit, a business logic processing unit and a business data access unit.
- the image file access unit performs data interaction with the medical image repository and controls the medical image storage plan according to the characteristics of the medical image;
- Pre-set business rules trigger intelligent image processing rules for business processing;
- the business data access unit interacts with the business data repository and business logic processing unit.
- the preset business rules include Find, Move, Store request and response mechanisms , triggering intelligent image processing rules including preconfigured routing rules, sending or receiving medical images, performing lossless compression on medical images, and performing distributed storage.
- the business logic processing unit includes Server and SCU (Service Class User);
- Server can accept find, move, store, and commitment requests from other DICOM devices through the interface, and return responses, which are responsible for providing storage and query interfaces to the outside world.
- Find: as FindSCP (Find Service Class Provider). It is used to provide a query interface to other DICOM devices. After receiving the query request from other devices, the query results are obtained from the database according to the query conditions, and then the results are converted into the DICOM protocol and returned, one record at a time.
- FindSCP Search Service Class Provider
- Move As a MoveSCP, it can accept Move requests and send images that meet the conditions to a third-party SCP.
- the query conditions it supports are different from FindSCP, and the number of conditions is small, only 4 and fixed as UIDs of various levels.
- the PatientUID protocol stipulates that only one can be carried, but StudyInstanceUID, SerieInstanceUID, and SOPInstanceUID can carry multiple ones, which are divided by ⁇ and are generally used in conjunction with Find requests.
- the process is divided into two steps, first get all the images that meet the condition, and then send the images out as StoreSCU in the sub-session. After each image is sent, a Pending status will be returned to MoveSCU. After all images are sent, the final response will be returned. If all images are successful, Success will be returned. If part of the image is successful or all images are Warn, then Warn will be returned. Return Failed etc.
- Store used to provide external storage interface, using standard DICOM protocol, as StoreSCP, responsible for file reception, file information extraction, file information storage database, fault-tolerant processing, upload FastDFS (a lightweight distributed file storage system) .
- StoreSCP responsible for file reception, file information extraction, file information storage database, fault-tolerant processing, upload FastDFS (a lightweight distributed file storage system) .
- Performance optimization Retry through Mysql automatic reconnection and special error code: each time a new Mysql connection is created, set the automatic reconnection flag. If the reason for the failure to execute Mysql is that the connection expires or the server is actively disconnected, apply for a new database at this time. Connect to retry the database operation.
- Retry through FastDFS When interacting with FastDFS, when IO is extremely busy, it is easy to cause connection timeout and storage failure. When FastDFS storage fails, sleep for a period of time and resend to reduce failure scenarios. Sleep time is 1 + thread number (0,1,2%) seconds.
- TimeWait network connection by modifying the system configuration: When the network connection client initiates a disconnection request, but the server has never sent a connection response, the network connection enters the TimeWait state. This type of connection can be achieved by modifying the operating system configuration. reuse.
- SCU responsible for interaction with Portal, Server, and external workstations.
- SCU Service Class User
- SCU Service Class User
- it can send find, move, and store requests to other DICOM devices through the data interface, and is responsible for receiving Portal's query/storage requests, interacting with other DICOM devices, and feeding back the interaction results to Portal.
- the interaction with Portal uses the TLV code (Tag, length, the acronym of Value, Tag is represented by a 16-bit unsigned integer, which identifies what it means; Length is used to represent the tag of the tag. The length of the value, that is, the length of the following Value; Value represents the value of the element), and other DICOM devices use standard DICOM messages.
- the messages from Portal that are mainly processed are FindReq: go to other DICOM devices to query Patient, Study, Serie, Image. MoveReq: Send command to make a DICOM device send an image to another DICOM device.
- DcmToImageReq Converts a DICOM image to a PNM image. This function has been completely implemented by Portal and has not been used, so it is omitted.
- GetDCMFileReq Get a DICOM file (uncompressed DICOM file after decompression). After the Portal receives it, it can be converted into a Jpeg image and displayed to the customer, or downloaded to the customer.
- UploadDCMFileReq Receive the small image uploaded by Portal, and then send it to the Server for saving.
- UploadHugeDCMFileReq Receive large images uploaded by Portal, and no longer send them to the server for direct storage.
- the system adopts the standard Ethernet networking method, including three-layer switches.
- the three-layer switch completes the end-to-end data exchange according to the IP address of the third-layer network layer, and can also complete the port switching function of the second-layer switch. It can also complete the routing function of some routers, support multi-level dynamic integration, and improve the performance of massive data transmission in the local area network.
- HIS/radiology information management system RIS The HIS/RIS system can send an instruction to modify the patient name through the HL7 protocol to modify the patient information or send the report to the system through the HL7 information; at the same time, after the system receives new pictures, it will pass HL7 messages are sent to designated HIS/RIS systems.
- L3-Switch Layer 3 switch, which directly performs end-to-end data exchange based on the IP address of the Layer 3 network layer. It can not only complete the port switching function of the second layer switch, but also complete the routing function of some routers. It can support multi-level dynamic integration and improve the performance of mass data transmission in the local area network.
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Abstract
Description
Claims (5)
- 一种紧凑型的医疗影像智能存储服务系统,其特征在于,包括对外接口层、业务逻辑层和数据存储层,所述对外接口层包括与医院的影像设备连接的DICOM服务单元、与医院的医院信息系统和放射信息管理系统连接的HL7服务单元和用于管理员操作的人机交互单元;所述数据存储层包括医疗影像存储库和业务数据存储库;所述业务逻辑层包括影像文件访问单元、业务逻辑处理单元和业务数据访问单元,所述影像文件访问单元与医疗影像存储库进行数据交互并根据医疗图像的特征控制医疗图像存储规划;所述业务逻辑处理单元根据预先设定的业务规则,触发智能图像处理规则进行业务处理;所述业务数据访问单元与业务数据存储库与业务逻辑处理单元进行数据交互。
- 根据权利要求1所述的一种紧凑型的医疗影像智能存储服务系统,其特征在于,所述DICOM服务单元通过DICOM3.0标准接口与影像设备连接;所述HL7服务单元通过HL7标准接口与医院的医院信息系统和放射信息管理系统连接;所述人机交互单元向管理员提供基于WEB环境的友好管理界面。
- 根据权利要求1所述的一种紧凑型的医疗影像智能存储服务系统,其特征在于,所述医疗图像的特征包括大容量数字信息的存储、通讯和显示;所述控制医疗图像存储规划包括采用分布式系统基础架构,充分利用集群的高速运算和存储性能,支持云存储扩展。
- 根据权利要求1所述的一种紧凑型的医疗影像智能存储服务系统,其特征在于,所述预先设定的业务规则包括Find、Move、Store请求及响应机制,所述触发智能图像 处理规则包括预配置路由规则,发送或接受医疗图像、对医疗图像进行无损压缩、并进行分布式存储。
- 根据权利要求1所述的一种紧凑型的医疗影像智能存储服务系统,其特征在于,所述系统采用标准的以太网组网方式,包括三层交换机,所述三层交换机根据第三层网络层的IP地址来完成端到端的数据交换,既可完成第二层交换机的端口交换功能,又可完部分路由器的路由功能,能够支持多层次动态集成,提高局域网内海量数据传输性能。
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