WO2023273634A1 - 基于医学图像的远程诊断系统的培训系统 - Google Patents

基于医学图像的远程诊断系统的培训系统 Download PDF

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Publication number
WO2023273634A1
WO2023273634A1 PCT/CN2022/092534 CN2022092534W WO2023273634A1 WO 2023273634 A1 WO2023273634 A1 WO 2023273634A1 CN 2022092534 W CN2022092534 W CN 2022092534W WO 2023273634 A1 WO2023273634 A1 WO 2023273634A1
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training
personnel
institution
module
medical
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PCT/CN2022/092534
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English (en)
French (fr)
Inventor
郭宁
胡志钢
连倩
段晓明
童志鹏
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深圳硅基智能科技有限公司
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Publication of WO2023273634A1 publication Critical patent/WO2023273634A1/zh

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    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q50/00—Information and communication technology [ICT] specially adapted for implementation of business processes of specific business sectors, e.g. utilities or tourism
    • G06Q50/10—Services
    • G06Q50/20—Education
    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q50/00—Information and communication technology [ICT] specially adapted for implementation of business processes of specific business sectors, e.g. utilities or tourism
    • G06Q50/10—Services
    • G06Q50/20—Education
    • G06Q50/205—Education administration or guidance
    • G06Q50/2057—Career enhancement or continuing education service
    • G—PHYSICS
    • G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B5/00—Electrically-operated educational appliances
    • G09B5/06—Electrically-operated educational appliances with both visual and audible presentation of the material to be studied
    • G—PHYSICS
    • G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B5/00—Electrically-operated educational appliances
    • G09B5/06—Electrically-operated educational appliances with both visual and audible presentation of the material to be studied
    • G09B5/065—Combinations of audio and video presentations, e.g. videotapes, videodiscs, television systems
    • G—PHYSICS
    • G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B5/00—Electrically-operated educational appliances
    • G09B5/08—Electrically-operated educational appliances providing for individual presentation of information to a plurality of student stations
    • G—PHYSICS
    • G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B7/00—Electrically-operated teaching apparatus or devices working with questions and answers
    • G09B7/02—Electrically-operated teaching apparatus or devices working with questions and answers of the type wherein the student is expected to construct an answer to the question which is presented or wherein the machine gives an answer to the question presented by a student
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A90/00—Technologies having an indirect contribution to adaptation to climate change
    • Y02A90/10—Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Definitions

  • the present disclosure generally relates to a training system for a medical image-based remote diagnostic system.
  • the personnel familiar with the remote diagnosis system can train the institutional personnel of different medical institutions, such as on-site training or network training.
  • the personnel familiar with the remote diagnosis system can be the institutional personnel of the trained medical institution or the personnel of the institution to which the remote diagnosis system belongs.
  • the above-mentioned method of training remote diagnosis systems relying on manpower is often costly and the training period is long, so it cannot be mass-produced.
  • Provide training to agency personnel In addition, the comprehensiveness of training on the remote diagnosis system needs to be improved.
  • the present disclosure is made in view of the above-mentioned situation, and an object thereof is to provide a training system for a medical image-based remote diagnosis system that can perform remote training more comprehensively and in large quantities.
  • the present disclosure provides a training system for a remote diagnosis system based on medical images, which is a training system for training institutional personnel of different medical institutions using the remote diagnosis system, and the remote diagnosis system includes institutions end and a remote diagnosis end, the institution end acquires medical images from the different medical institutions and uploads them to the remote diagnosis end, and the remote diagnosis end performs remote diagnosis on the medical images to identify abnormal signs of lesions in the medical images And generate a diagnosis report, the organization end outputs the diagnosis report, the training system includes a personnel management module, a login module and a training module;
  • the training account sets the job roles to which the organization personnel belong, and sets corresponding training courses based on the job roles, wherein the job roles include operating technicians, reporting doctors and general practitioners;
  • the login module is configured to provide a login interface, Obtain the login information including the training account through the login interface and perform login verification based on the login information.
  • the training module is configured to be based on the job The role obtains the training course of the institution personnel and presents the training course to the institution personnel, and the training module is configured to assess the degree of mastery of the training course for the institution personnel, and judge whether the institution personnel have completed the training based on the evaluation result , in the training courses, for operating technicians, the training courses include tutorials on basic medical knowledge, the importance of medical examinations, the quality requirements of medical images, the operation of equipment for acquiring medical images, and the use of the institutions
  • the operation tutorial of uploading medical images through the terminal, through the training course enables the operating technician to correctly judge the image quality of the medical image and upload the medical image that meets the quality requirements to the remote diagnosis terminal through the institution terminal.
  • the training course includes Utilize the operation tutorial for signing the diagnosis report by the institution and the entry standard tutorial in the diagnosis report, through the training course, the reporting doctor can understand the entry standard in the diagnosis report and use the The institution confirms the diagnosis report.
  • the training courses include courses on basic medical knowledge, the importance of medical examinations, quality requirements for medical images, related diseases, and the remote The rules for remotely diagnosing medical images on the diagnosis side enable general practitioners to interpret the diagnosis reports obtained by the institution through training courses.
  • different trainings and assessments are carried out for institutional personnel whose job roles are operating technicians, reporting doctors, and general practitioners to determine whether the institutional personnel have completed the corresponding training, that is, whether they are competent for the work content of the corresponding job roles .
  • training can be performed more comprehensively and in large batches, and the training quality is high.
  • the remote diagnosis system further includes an institution management terminal, and the institution management terminal is used to view and manage the operation status of each medical institution, and the job role also includes Including system operation and maintenance personnel and management personnel.
  • the training courses include tutorials on the function introduction of the remote diagnosis system, operation tutorials on the institution end or the institution management end, operation and maintenance tools, and daily operation and maintenance instructions. Operation tutorials, as well as tutorials on the prevention and solution of common problems, through training courses, enable system operation and maintenance personnel to make the organization end or the organization management end run stably.
  • the training courses include the organization management end.
  • Operation tutorials through training courses, enable managers to use the institution management terminal to view and manage the operation status in each medical institution.
  • the system operation and maintenance personnel can make the institution end or the institution management end run stably, and the management personnel can use the institution management end to view and manage various medical services through the training courses of the management personnel.
  • the training module is further configured to update the training status in the training system of institutional personnel who have completed training for corresponding job roles to training completion;
  • the training The system also includes an account allocation module, the account allocation module is configured to obtain the training status of the job role to which the organization personnel belong, if the training status is training completed, then add or update the organization personnel on the organization side or the organization management The work account in the terminal and notify the organization personnel. In this way, the work account can be set based on the training status of the work role to which the organization personnel belong.
  • the operating status includes institutional personnel and the authority of the institutional personnel, diagnostic reports and statistical analysis results based on diagnostic reports, and basic information of equipment for collecting medical images and the real-time status of equipment that captures medical images. Accordingly, it is possible to comprehensively monitor the operation status in each medical institution.
  • the training system further includes an instant communication module, and the instant communication module is configured for real-time online communication between institutional personnel and staff of the training system to Feedback information from institution personnel is collected, wherein the feedback information includes the number of consultation questions.
  • the staff of the training system can obtain feedback information and respond in time.
  • the training system further includes a monitoring module, and the monitoring module is configured to conduct training on institutional personnel who have completed the training based on the feedback information and/or periodically
  • the assessment results obtained from the assessment determine whether it is necessary to use the training modules to retrain the personnel of the institution. In this case, agency personnel who need to be reassessed can be identified in time.
  • the instant communication module is further configured to send abnormal conditions of equipment for collecting medical images, abnormal conditions of image quality of medical images, and industry knowledge. In this way, the industry awareness of the personnel of the organization can be improved.
  • the manner of assessment includes theoretical assessment based on slides, theoretical assessment based on test questions, and simulation based on the institution or the At least one of the practical assessments on the management side of the organization.
  • agency personnel are assessed in a variety of ways. As a result, it is possible to conduct a more comprehensive assessment of the organization's personnel.
  • the training system further includes an equipment tutorial management module, and the equipment tutorial management module is used to manage the equipment for acquiring medical images that matches the remote diagnosis system.
  • An operation tutorial the training module presents a corresponding operation tutorial of the equipment for acquiring medical images according to the equipment for acquiring medical images adopted by the different medical institutions, wherein the operation tutorial for the equipment for acquiring medical images includes the equipment for acquiring medical images Assembly, maintenance, shooting process and maintenance, as well as common problems and solutions of equipment for collecting medical images.
  • the training module may present corresponding operation tutorials for the equipment for acquiring medical images according to the equipment for acquiring medical images adopted by different medical institutions.
  • the training system further includes an exercise module and a wrong question module; the exercise module is configured to present the exercise content corresponding to the training course and acquire the Exercise results; the wrong question module is configured to acquire wrong exercise results and present the exercise content corresponding to the wrong exercise results, and/or acquire wrong exercise results and perform statistics based on the wrong exercise results to obtain the institution
  • the staff of the organization can speed up the mastery of the training courses through practice.
  • the staff of the organization can conduct special exercises for erroneous practice results. Thereby, training efficiency can be improved.
  • Fig. 1 is a schematic diagram showing an application scenario of a training system of a medical image-based remote diagnosis system involved in an example of the present disclosure.
  • FIG. 2 is a block diagram showing a medical image-based remote diagnosis system related to an example of the present disclosure.
  • FIG. 3 is a block diagram showing a training system of a medical image-based remote diagnosis system related to an example of the present disclosure.
  • FIG. 4 is a block diagram illustrating another embodiment of a training system of a medical image-based remote diagnosis system related to an example of the present disclosure.
  • FIG. 5 is a block diagram illustrating another embodiment of a training system of a medical image-based remote diagnosis system related to an example of the present disclosure.
  • FIG. 6 is a flowchart illustrating a training method of a medical image-based remote diagnosis system according to an example of the present disclosure.
  • the present disclosure relates to a training system of a medical image-based remote diagnosis system capable of more comprehensively and supporting remote training in large quantities.
  • the training system of the medical image-based remote diagnosis system involved in the present disclosure may sometimes be simply referred to as a training system, a medical image training system or a remote training system.
  • the present disclosure also relates to a training method for a remote diagnosis system based on medical images.
  • the training method related to the present disclosure can be applied to a training system (described later).
  • the present disclosure will be described in detail below in conjunction with the accompanying drawings.
  • the application scenarios described in the examples of the present disclosure are used to illustrate the technical solutions of the present disclosure more clearly, and do not constitute limitations on the technical solutions provided in the present disclosure.
  • FIG. 1 is a schematic diagram showing an application scenario of a training system 2 of a medical image-based remote diagnosis system 1 related to an example of the present disclosure.
  • the training system 2 can be used to train institutional personnel using the remote diagnosis system 1 .
  • different medical institutions such as city hospital A1, county hospital A2, township hospital A3 or physical examination institution A4 can train the institutional personnel using the remote diagnosis system 1 through the training system 2, that is, the training system 2 is used to train the personnel using the remote diagnosis system 1.
  • Institutional personnel of different medical institutions in the remote diagnosis system 1 are trained.
  • training system 2 may utilize end devices and be accessed through a computer network.
  • the training system 2 can be integrated into a special device so that the special device is dedicated to the training of the remote diagnosis system 1 .
  • dedicated equipment for the integrated training system 2 may be provided in various medical institutions. Thereby, training can be performed conveniently.
  • a medical institution may include, but not limited to, an enterprise or a hospital.
  • An enterprise may be, for example, a medical examination institution.
  • the medical images may be from different medical institutions.
  • the medical image may be an image obtained by imaging a body or tissue.
  • medical images may include but not limited to fundus camera photos, X-ray photos, ultrasound images, computer tomography (Computed Tomography, CT) images, optical coherence tomography (OCT, Optical Coherence Tomography) images, Magnetic Resonance Imaging (MRI) images or fluorescein contrast images, etc.
  • medical images may include but not limited to fundus images, cervical cell slice images, intestinal pathological slice images, gastric cancer pathological slice images or lymphoma pathological slice images, head CT images, chest CT images, etc. CT images, abdominal CT images or pelvic CT images, etc.
  • FIG. 2 is a block diagram showing a medical image-based remote diagnosis system 1 related to an example of the present disclosure.
  • the remote diagnosis system 1 can be used to diagnose medical images and output a diagnosis report.
  • medical images can be diagnosed by a film reader and/or an artificial intelligence algorithm such as an artificial neural network.
  • the remote diagnosis system 1 may include an institution end 110 and a remote diagnosis end 120 .
  • the institution end 110 can be used to acquire medical images and upload them to the remote diagnosis end 120.
  • the remote diagnosis terminal 120 can perform remote diagnosis on medical images to identify abnormal signs of lesions in the medical images and generate a diagnosis report.
  • the institution terminal 110 may be set on devices in different medical institutions, such as laptop computers, tablet computers, mobile phones, dedicated terminals or desktop computers. However, the examples of the present disclosure are not limited thereto. In some other examples, the institution terminal 110 can be installed in any place where medical images need to be collected and uploaded to the remote diagnosis terminal 120 for remote diagnosis. In some examples, the organization terminal 110 can output the diagnosis report generated by the remote diagnosis terminal 120 .
  • the remote diagnosis terminal 120 may be set on a server that enables the institutional terminals 110 in different medical institutions to be connected.
  • the server may be, for example, a cloud server or a server deployed on a public network.
  • the institution end 110 can connect with the remote diagnosis end 120 to upload medical images.
  • the remote diagnosis system 1 may also include an institution management terminal (not shown).
  • the institution management terminal can be used to view and manage the operation status of each medical institution.
  • each medical institution may also bind sub-medical institutions such as primary medical institutions through the institution management terminal. In this way, the operation status of the sub-medical institutions can be viewed through the institution management terminal.
  • the operating status may include institution personnel and authority of the institution personnel, diagnosis reports and statistical analysis results based on diagnosis reports, and basic information of equipment that collects medical images (for example, basic information may include manufacturer, model, batch number and device name) and the real-time status of the device that captures the medical image (that is, the status of the device that currently captures the medical image). Accordingly, it is possible to comprehensively monitor the operation status in each medical institution.
  • FIG. 3 is a block diagram showing the training system 2 of the medical image-based remote diagnosis system 1 related to the example of the present disclosure.
  • the training system 2 may include a personnel management module 210 , a login module 220 and a training module 230 .
  • the personnel management module 210 can be configured to manage the personnel of the institution, and the training accounts and job roles of the personnel of the management institution.
  • the login module 220 may be configured to perform login verification based on the login information including the training account and obtain the job roles to which the personnel of the organization belong.
  • the training module 230 can be configured to use training courses to carry out different trainings and assessments for institutional personnel based on job roles to determine whether the institutional personnel have completed the training, and the job roles can include operating technicians, reporting doctors and general practitioners.
  • the training objects of the training system 2 may also not be the institutional personnel who use the remote diagnosis system 1 .
  • the training objects of the training system 2 may be dealers who produce equipment for collecting medical images or staff of government projects related to the remote diagnosis system 1 .
  • the dealers or government project staff are trained, and the trained dealers or government project staff are subsequently trained (the trained dealers or government project staff can also be called training service personnel) Institutional personnel who can assist the corresponding medical institutions are trained using the training system 2 .
  • the training service personnel may also conduct on-site training for institutional personnel of corresponding medical institutions to form on-site training reports.
  • the training service personnel can upload the on-site training report to the training system 2 (that is, the training system 2 has a module for uploading the on-site training report), and the staff of the training system 2 reviews the on-site training report to judge Whether facility personnel have completed training (ie, training system 2 has a module for reviewing on-site training reports).
  • the training service personnel can export the training course of the training system 2 for on-site training (ie, the training system 2 has a module for exporting the training course).
  • the training system 2 may include a personnel management module 210 (see FIG. 3 ).
  • the personnel management module 210 can be configured to manage the personnel of the organization, and the training accounts and work roles of the personnel of the management organization.
  • managing organization personnel may be maintaining organization personnel information (that is, personnel management module 210 may be configured to maintain organization personnel information). Specifically, in the process of maintaining organization personnel information, the personnel management module 210 can be used to register organization personnel information into the training system 2, and support modification of organization personnel information or deletion of organization personnel information from the training system 2.
  • the information of institution personnel may include institution affiliation, personnel type, name and contact information.
  • managing the training accounts of the organization's personnel may be assigning training accounts to the organization's personnel (that is, the personnel management module 210 may be configured to assign training accounts to the organization's personnel).
  • the training account can uniquely identify an institution personnel.
  • the training account can uniquely identify an institution member in conjunction with the institution to which he belongs. That is, the training accounts in the same institution, such as a medical institution, are unique.
  • the training account may be presented in the form of account number and password, and/or in the form of mobile phone number and verification code.
  • the training account number may be a character string with preset digits.
  • the training account can be an ID number, a mobile phone number, or a randomly generated character string.
  • managing the job roles of institutional personnel can be based on setting the job roles of institutional personnel based on training accounts (that is, the personnel management module 210 can be configured to set the job roles of institutional personnel based on training account information).
  • job roles may include operating technicians, reporting physicians, and general practitioners.
  • job roles may also include system operation and maintenance personnel and management personnel.
  • different job roles can correspond to different training courses.
  • the number of job roles to which agency personnel belong may be one or more.
  • the job role to which facility personnel belong may be Operational Technician.
  • the job roles to which institutional personnel belong may include operating technicians, reporting doctors, and general practitioners at the same time.
  • the job roles of institutional personnel may include operating technicians, reporting doctors, general practitioners, system operation and maintenance personnel, and management personnel.
  • the personnel management module 210 may be configured to set corresponding training courses based on job roles (job roles to which organization personnel belong). In some examples, there may be multiple forms of setting corresponding training courses based on job roles.
  • the training courses corresponding to the job roles can be pre-set on the training system 2 .
  • you can set the corresponding training courses for the job role according to the preset training courses; Set up the corresponding training courses for the personnel of the organization under the job role; The corresponding training courses are revised.
  • the personalized setting of the training courses can be supported.
  • the training system 2 may include a login module 220 (see FIG. 3 ).
  • the login module 220 may be configured to perform login verification based on the login information including the training account and obtain the job role to which the organization personnel belong. Specifically, the login module 220 may be configured to provide a login interface, and obtain login information through the login interface for login verification. In some examples, if the verification is passed, the login module 220 may obtain the job role of the institution personnel based on the training account. In some examples, if the verification fails, the login module 220 may prompt the reason for the verification failure, such as incorrect username or password. In some examples, the login information for the training account may include the training account. In some examples, the login information of the training account may also include a graphic verification code for preventing malicious access.
  • the training system 2 may include a training module 230 (see FIG. 3 ).
  • the training module 230 can be configured to use training courses to conduct different trainings and assessments for institutional personnel based on job roles to determine whether the institutional personnel have completed the training.
  • the content of the assessment may correspond to a training course.
  • the training sessions may be in the form of video, text or audio.
  • the training course of the institution personnel can be acquired and presented to the institution personnel.
  • facility personnel can be trained differently based on job roles.
  • the number of job roles to which agency personnel belong may be one or more. In other words, agency personnel can belong to multiple job roles at the same time.
  • the training module 230 can present the training courses corresponding to the job role; if there are multiple job roles for the organization personnel, the training module 230 can present the Various job roles are available for organization personnel to choose, and the training module 230 can present corresponding training courses based on the job roles selected by the organization personnel.
  • a job role may include an operations technician, as described above.
  • An operating technician may be the primary user of the remote diagnostic system 1 .
  • the operating technician can use the equipment for collecting medical images to collect medical images and upload the medical images to the remote diagnosis terminal 120 through the institution terminal 110 .
  • the device for collecting medical images may be, for example, a fundus camera, an X-ray transmission machine, a CT device, an OCT device, or an MRI device.
  • the operating technician before uploading the medical image to the remote diagnosis terminal 120, the operating technician can judge the image quality of the medical image. In this case, by judging the image quality of the medical image, a medical image with better image quality can be obtained for remote diagnosis. Thus, the accuracy and efficiency of remote diagnosis can be improved.
  • the training courses may include tutorials on basic medical knowledge, the importance of medical examinations, the quality requirements of medical images At least one of the operation tutorials for uploading medical images.
  • an operating technician's training course may include a tutorial in medical fundamentals.
  • the tutorial of medical basic knowledge may be knowledge of body parts corresponding to medical images.
  • a tutorial on medical basics may include the structure of the corresponding body parts.
  • the operating technician can fully understand the corresponding body part through the training of the course of medical basic knowledge. Thereby, the image quality of the collected medical images can be improved.
  • an operating technician's training course may include a tutorial on the importance of medical examinations.
  • a tutorial on the importance of medical tests can include reasons for needing a medical test.
  • the training on the importance of medical examination can enable the operating technician to better communicate with the examinee whose medical images are acquired. Accordingly, it is possible to improve the medical examination experience of the subject.
  • an operating technician's training course may include a tutorial on quality requirements specifications for medical images.
  • tutorials on quality requirements for medical images may include quality requirements for medical images and common medical images that do not meet quality requirements.
  • operators can be equipped to judge the image quality of medical images to obtain medical images with better image quality, and then be able to obtain medical images based on better image quality. images for remote diagnosis.
  • the accuracy and efficiency of remote diagnosis can be improved.
  • a training course for operating technicians may include a tutorial on the operation of equipment for acquiring medical images.
  • the operation tutorial of the equipment for acquiring medical images may include the assembly, maintenance, shooting process and maintenance of the equipment for acquiring medical images, as well as common problems and solutions of the equipment for acquiring medical images.
  • the operating technician can better use the equipment for acquiring medical images through the training of the operation course of the equipment for acquiring medical images. Thereby, the stability of the device for collecting medical images and the image quality of the medical images can be improved.
  • the training course for operating technicians may include an operation tutorial for uploading medical images using the institution terminal 110 .
  • the operation tutorial for uploading medical images by using the institution terminal 110 may include creating new subject information, uploading medical images to the remote diagnosis terminal 120, and returning a diagnosis report (that is, obtaining a diagnosis report).
  • the operating technician can be proficient in the use of the institution terminal 110 .
  • the training courses for operating technicians may include tutorials on basic medical knowledge, the importance of medical examinations, the quality requirements of medical images, the operation of equipment for collecting medical images, and the use of institutional terminals 110 A tutorial on how to upload medical images.
  • the operating technician can correctly judge the image quality of the medical image, and upload the medical image that meets the quality requirements to the remote diagnosis terminal 120 through the institution terminal 110 .
  • the training course may also include tutorials on standard phrases for frequently asked questions by the examinee. For example, the FAQ can be "When will the report be available?". In this way, it is possible for the operating technician to have the ability to answer common questions of the examinee.
  • the training course may also include tutorials on common problems and solutions of the facility end 110 . As a result, the operating technician can be equipped with the ability to troubleshoot common problems.
  • a job role may include a reporting physician, as described above.
  • the reporting doctor can confirm the diagnosis report obtained by the medical image reader and/or artificial intelligence algorithm. That is, the reporting doctor can be equivalent to a film reader.
  • the reporting doctor can access the image reading module through the institution terminal 110 to confirm the diagnosis report.
  • the reporting doctor can modify the diagnostic report through the image reading module.
  • the reporting doctor can sign the diagnosis report through the image reading module.
  • the training course may include an operation course of using the institution terminal 110 to confirm the diagnosis report, and a course of entry standards in the diagnosis report.
  • the training course for the reporting doctor may include an operational tutorial for confirming the diagnostic report using the institution terminal 110 .
  • the operation tutorial for confirming the diagnostic report by using the organization terminal 110 may include the tutorial for confirming the diagnostic result in the diagnostic report, modifying the diagnostic report, saving the diagnostic report, and signing the diagnostic report.
  • the reporting doctor can use the image interpretation module to confirm the diagnosis report proficiently. As a result, the efficiency of image interpretation and the consistency of diagnosis results can be improved.
  • the reporting physician's training course may include a tutorial on the criteria for entry in diagnostic reports.
  • the entry criteria in the diagnosis report may include importance gradings of various abnormal diagnoses (for example, the importance grading may include positive and major positive), diagnosis names, and corresponding signs of abnormal lesions.
  • the abnormal lesion sign may be the morphological characteristics of the tissue of the corresponding body part obtained by the equipment for collecting medical images.
  • the reporting doctor can be familiarized with the entry standards in the diagnosis report through the training of the standard entry standard in the diagnosis report. Accordingly, it is possible to better confirm the diagnosis report.
  • the training course for the reporting doctor may include an operation course for confirming the diagnosis report using the institution terminal 110 and a course for standard entries in the diagnosis report.
  • the reporting doctor can understand the entry standard in the diagnosis report through the training course and use the institution terminal 110 to confirm the diagnosis report.
  • the job role may include a general practitioner, as described above.
  • General practitioners can undertake the work of compliance education of the subjects and be able to interpret the diagnostic reports.
  • the diagnosis report can be obtained by the institution end 110 .
  • the training courses may include tutorials on basic medical knowledge, the importance of medical examinations, quality requirements for medical images, tutorials on related diseases, and the remote diagnosis terminal 120 on medical images. At least one of the rules for remote diagnosis.
  • a training course for general practitioners may include tutorials in the basics of medicine.
  • tutorials in the basics of medicine please refer to the relevant description in the training course of operating technicians.
  • the general practitioner can fully understand the corresponding body parts through the training of the course of medical basic knowledge.
  • a general practitioner's training course may include a tutorial on the importance of medical examinations.
  • a tutorial on the importance of medical examinations For a specific description of the course on the importance of medical examinations, refer to the relevant description in the training course for operating technicians.
  • general practitioners can better communicate with the examinee. Accordingly, it is possible to improve the medical examination experience of the subject.
  • a general practitioner's training course may include a tutorial on quality requirements specifications for medical images.
  • the curriculum of the medical image quality requirements specification please refer to the relevant description in the training curriculum of operating technicians.
  • the general practitioner can judge the image quality of the medical image, and then can judge whether the diagnosis report is obtained based on the medical image with better image quality . Thereby, the accuracy of interpreting a diagnosis report can be improved.
  • a training course for general practitioners may include tutorials on relevant diseases.
  • the tutorial on related diseases may be an introduction to diseases related to medical images.
  • the tutorials on related diseases may include the types of diseases in medical images, the causes of diseases (that is, the pathogenesis of diseases), and the abnormal signs of diseases (that is, signs of disease manifestations).
  • general practitioners can master the diseases involved in medical images and the changes of body parts caused by diseases reflected in medical images through the training of relevant disease courses. Thereby, the accuracy of interpreting a diagnosis report can be improved.
  • the general practitioner's training course may include rules for remote diagnosis of medical images by the remote diagnosis terminal 120 .
  • the rules for remote diagnosis can be the standards for diagnosis of medical images by radiographers and/or artificial intelligence algorithms in the remote diagnosis system 1 . For example, what signs of lesions exist in the medical image can make the medical image be determined to have the corresponding disease.
  • the training of rules for remote diagnosis of medical images via the remote diagnosis terminal 120 can facilitate general practitioners' understanding of the diagnosis results in the diagnosis report.
  • the training courses for general practitioners may include tutorials on basic medical knowledge, the importance of medical examinations, the quality requirements of medical images, tutorials on related diseases, and the remote diagnosis terminal 120 on medical images. Rules for conducting remote diagnostics.
  • the general practitioner is enabled to interpret the diagnosis report acquired by the institution terminal 110 through a training course.
  • the training system 2 uses training courses to train institutional personnel based on job roles, so that institutional personnel with the role of operating technicians can correctly judge the image quality of medical images, and upload through the institutional terminal 110 that meets the quality requirements.
  • the medical image of the medical image is sent to the remote diagnosis terminal 120; so that the organization personnel with the job role of the reporting doctor can understand the entry standard in the diagnosis report and use the organization terminal 110 to confirm the diagnosis report; so that the organization personnel with the job role of the general practitioner can interpret The diagnosis report obtained by the institution terminal 110.
  • the training courses of the training system 2 are more comprehensive and support large-scale training.
  • the institutional personnel of the medical institution are trained via the training system 2, so that the medical institution can conduct remote diagnosis on medical images based on the remote diagnosis system 1 to generate a diagnosis report and be able to confirm and interpret the diagnosis report.
  • job roles may also include system operation and maintenance personnel.
  • the system operation and maintenance personnel can maintain the organization end 110 or the organization management end so that the organization end 110 or the organization management end can run stably.
  • the training courses may include tutorials on the function introduction of the remote diagnosis system 1, operation tutorials on the institution end 110 or institution management end, operation tutorials on operation and maintenance tools and daily operation and maintenance, and instructions on frequently asked questions. At least one of the tutorials on prevention and workarounds.
  • the system operation and maintenance personnel can make the organization end 110 or the organization management end run stably.
  • the system operation and maintenance personnel can better understand the functions of the organization end 110 or the organization management end; through the training of the operation tutorial of the organization end 110 or the organization management end, the The system operation and maintenance personnel are familiar with the organization terminal 110 or the organization management terminal for better maintenance; through the training of operation and maintenance tools and daily operation and maintenance operation tutorials, as well as the prevention and solution of common problems, the system operation and maintenance personnel can Possess the knowledge of maintaining the organization terminal 110 or the organization management terminal and solving common faults. Thereby, the organization end 110 or the organization management end can be operated stably.
  • job roles may also include managers. Managers can monitor the status of operations within each institution in real time. Thereby, management efficiency can be improved.
  • the training course may include a tutorial on how to operate the institution's management side.
  • the institution management terminal can be used to view and manage the operation status in each medical institution.
  • the operation tutorial of the organization management terminal may include operation tutorials of the organization personnel management module, the authority setting module, the statistics query module, and the equipment management module in the organization management terminal, which are related to the operation state.
  • the institution personnel management module can be used to check the institution personnel in the institution; the authority setting module can be used to maintain the authority of the institution personnel to visit the institution terminal 110; the statistical query module can perform statistics on the reading conditions of medical images based on the diagnosis report To obtain statistical analysis results; the equipment management module can manage the basic information of the equipment that collects medical images and monitor the real-time status of the equipment that collects medical images. In this case, through the training courses for managers, managers can use the institution management terminal to view and manage the operation status of each medical institution.
  • the training module 230 can be configured to use training courses to train agency personnel differently based on job roles and assess whether the agency personnel have completed the training.
  • an assessment may be conducted on the institution's personnel to assess the degree of mastery of the training courses, and based on the assessment results, it may be determined whether the institution's personnel have completed the training.
  • the manner of the assessment may include at least one of theoretical assessment based on slides, theoretical assessment based on test questions, and practical assessment based on the simulation of the organization end 110 or the organization management end.
  • agency personnel are assessed in a number of ways. As a result, it is possible to conduct a more comprehensive assessment of the organization's personnel.
  • a slide-based theory assessment can be a pass-through making slides that include a training session and explaining the slides.
  • the content of the slides may include tutorials on basic medical knowledge, importance of medical examinations, quality requirements for medical images, and operation of equipment for collecting medical images.
  • the slides and narration of the slides may be uploaded to the training system 2 .
  • the staff of the training system 2 can obtain and evaluate the slides and explanations of the slides through the training system 2 . For example, assess whether the content of the slides is reasonable, whether the structure of the text is clear, whether the tone of voice and expression during the explanation, and whether the timing is good.
  • the theoretical assessment based on test questions may be the content of the assessment corresponding to the training course set in the training system 2 .
  • the content of the assessment can be tested by the personnel of the institution in the form of test questions to obtain the assessment results.
  • the training courses corresponding to the content of the theoretical assessment based on the test questions may include the operation courses of the equipment for collecting medical images, the courses of the quality requirements of medical images, and the common problems and solutions of the institution terminal 110. tutorial.
  • assessment results such as test scores can be obtained through theoretical assessment based on test questions. Therefore, it is possible to objectively evaluate the degree of mastery of the training courses by the personnel of the organization based on the assessment results.
  • organization personnel may operate on the simulated organization end 110 or the organization management end to obtain the operation results and operation time of each step.
  • the institution personnel can log in through the simulated institution terminal 110, add the subject information, collect medical images, upload the medical images to the remote diagnosis terminal 120, and obtain diagnosis reports.
  • the simulated institution terminal 110 or the institution management terminal obtains the operation results and operation time of each step of the institution personnel to judge whether the operation of each step is wrong and whether the operation is smooth, and then the operation score of the institution personnel can be performed.
  • the grades of operation scores can be divided into excellent, good, and poor. Thereby, it is possible to evaluate the degree of mastery of the training course by the personnel of the institution based on the operation score.
  • the training module 230 may also be configured to update the training status in the training system 2 of the institutional personnel who have completed the training for the corresponding job role as training completed.
  • the training courses or assessment methods of the training system 2 can be adjusted according to the training effects. Thereby, the training system 2 can be further improved.
  • FIG. 4 is a block diagram showing another embodiment of the training system 2 of the medical image-based remote diagnosis system 1 related to the example of the present disclosure.
  • the training system 2 may further include an account allocation module 240 .
  • the account assignment module 240 may be configured to set a work account based on the training status of the job role to which the organization personnel belongs and notify the organization personnel.
  • the work account can be the work account of the organization end 110 or the work account of the organization management end. That is, the work account in the remote diagnosis system 1 . In this way, the work account can be set based on the training status of the work role to which the organization personnel belong.
  • the account allocation module 240 may acquire the training status of the work role to which the organization personnel belongs, and if the training status is training completed, set the work account of the organization personnel. Specifically, the account allocation module 240 can determine whether the work account of the organization personnel exists in the remote diagnosis system 1. If it exists, the account allocation module 240 can update the work account based on the job role to which the current organization personnel belongs. If it does not exist, then The account allocation module 240 may add a new work account based on the work role to which the current organization staff belongs. In some examples, the account allocation module 240 can set the work account of the institution personnel by calling the interface of the remote diagnosis system 1 . Thereby, the work account can be set automatically.
  • the account assignment module 240 may notify the organization personnel after setting up the work account of the organization personnel.
  • organization personnel can be notified by email, short message, or instant messaging module 250 (described later).
  • the training system 2 may further include an instant messaging module 250 .
  • the instant communication module 250 can be configured to carry out real-time online communication for the staff of the institution personnel and the training system 2.
  • the instant communication module 250 can collect feedback information from organization personnel through real-time online communication.
  • the staff of the training system 2 can obtain feedback information and respond in a timely manner.
  • the feedback information may include the number of times the question was asked.
  • monitoring module 260 (described later) may assess whether retraining of facility personnel is required based on the number of times the question is consulted.
  • the feedback information may also include problems of the institution 110 or institution management, problems of diagnosis reports, medical images with serious diseases or pathological signs, and satisfaction with the remote diagnosis system 1 .
  • responding based on the feedback information may include providing on-site technical support, and generating a feedback resolution report.
  • the feedback solution report may include the type of the problem, the cause of the problem, the loss caused, the method used to solve the problem, and the measures to avoid the recurrence of the problem.
  • the instant communication module 250 may also be configured to send abnormal conditions of the equipment for collecting medical images. In this way, the medical image acquisition equipment of the medical institution can be in a normal and stable state. In some examples, the instant messaging module 250 may also be configured to send abnormal conditions of image quality of medical images. Therefore, abnormalities in medical image acquisition can be discovered in time, and the influence of multiple abnormal medical images in the image acquisition process can be reduced. In some examples, the instant messaging module 250 can also be configured to send industry knowledge. In this way, the industry awareness of the personnel of the organization can be improved.
  • the training system 2 may further include a monitoring module 260 .
  • the monitoring module 260 may be configured to determine whether retraining of institutional personnel is required based on the assessment results obtained from the assessment of institutional personnel who have completed training.
  • the institution personnel who have completed the training may be assessed based on feedback information and/or periodically, such as weekly, monthly or quarterly. In this case, it is possible to timely discover the institutional personnel who need to be reassessed. In some examples, for institutional personnel whose job roles include operating technicians, the assessment may also be performed based on the qualified number of image quality of the uploaded medical images. In other examples, according to the actual situation, the personnel of the institution may also be assessed through on-site inspection.
  • the assessment is performed based on the feedback information, it can be determined whether the number of consultation questions of the organization personnel in the feedback information exceeds the first preset number, and if it exceeds the first preset number, it can be indicated that the assessment result of the organization personnel is failed. For example, if the number of consultations for the same question by the personnel of the institution is more than 3 times, it may indicate that the assessment result of the personnel of the institution is unqualified. If it is judged based on the qualified number of image quality of the uploaded medical images whether it is necessary to retrain the institution's personnel, it can be determined whether the qualified number exceeds the second preset number, and if it exceeds the second preset number, it can indicate that the institution's personnel are The result of the examination is unqualified. If the institution personnel who have completed the training are assessed on a periodic basis, the assessment results such as qualified or unqualified can be obtained.
  • agency personnel may be retrained if the assessment results are unsatisfactory.
  • facility personnel may be retrained using training module 230 .
  • FIG. 5 is a block diagram showing another embodiment of the training system 2 of the medical image-based remote diagnosis system 1 related to the example of the present disclosure.
  • the training system 2 may further include a device tutorial management module 270 .
  • the equipment tutorial management module 270 can be used to manage the operation tutorial of the equipment for acquiring medical images matched with the remote diagnosis system 1 .
  • the training module 230 may present corresponding operation tutorials of the equipment for acquiring medical images according to the equipment for acquiring medical images adopted by different medical institutions. Thus, it is possible to carry out targeted training for the personnel of the medical institution according to the equipment for collecting medical images of the medical institution.
  • the training system 2 may further include an exercise module 280 , which may be configured to present exercise content and acquire exercise results of institution personnel.
  • practice content may correspond to a training course. That is to say, the personnel of the institution can perform corresponding exercises after completing the study of the corresponding training courses. As a result, it is possible for the personnel of the organization to accelerate the speed of mastering the training courses through practice.
  • the training system 2 may further include a wrong question module 290 .
  • the wrong question module 290 may be configured to acquire wrong exercise results and present exercise content corresponding to the wrong exercise results.
  • the wrong question module 290 may be configured to obtain wrong exercise results and make statistics based on the wrong exercise results to obtain the weaknesses of the institution personnel, and then present corresponding exercise content for the weaknesses of the institution personnel. In this case, institutional personnel are able to perform specific exercises for erroneous exercise results. Thereby, training efficiency can be improved.
  • the training system 2 may further include a question bank module (not shown), which may be configured to manage training courses.
  • the question bank module can support browsing training courses, adding training courses, deleting training courses or modifying training courses. Thus, the training course can be managed conveniently.
  • the training system 2 may further include a storage module (not shown), which may be used to store relevant data involved in the training system 2 .
  • the storage module may be configured to store training courses, exercise content, assessment content (also referred to as assessment content), institution personnel information, exercise results, and/or assessment results.
  • the storage module may be a database such as a sqlserver database or a mysql database.
  • FIG. 6 is a flowchart showing a training method of the medical image-based remote diagnosis system 1 according to the example of the present disclosure.
  • the training method of this embodiment may include receiving training requests from different medical institutions (step S110), creating a training account and setting a job role (step S120), guiding the organization's personnel to conduct training and assessment based on the training courses corresponding to the job role (step S130) 1. Allocate the work account of the remote diagnosis system 1 (step S140) and monitor the institutional personnel who have completed the training (step S150). In this case, through a comprehensive training process, medical institutions can submit high-quality medical images to the remote diagnosis system 1 for remote diagnosis, and support remote training in large quantities. In addition, the training courses are more comprehensive. Thus, the quality of training can be improved, and the cost of training can be effectively reduced.
  • the training requests of different medical institutions may include basic information of equipment for collecting medical images, basic information of personnel of the institutions such as contact information and jobs, and the like.
  • a corresponding training account may be created based on the training request obtained in step S110 and a job role may be set according to the job position.
  • creating a training account and setting up job roles can notify agency personnel and inform how the training account is used.
  • step S130 after the organization personnel log into the training system 2 through the training account, the training system 2 can guide the organization personnel to conduct training based on the training courses corresponding to the job roles according to the job roles of the organization personnel. After the organization personnel have studied the corresponding training courses, guide the organization personnel to carry out the assessment. After passing the assessment, update the training status of the organization personnel in the training system 2 to training completed.
  • step S140 the training status of the job role to which the organization personnel belongs is obtained. If the training status is training completed, add or update the work account of the remote diagnosis system 1 and notify the organization personnel. In this case, the organization personnel can log in to the remote diagnosis system 1 through the work account and start using the remote diagnosis system 1 to perform remote diagnosis of medical images.
  • step S150 based on the feedback information and/or the assessment results obtained by periodically assessing the institutional personnel who have completed the training, it may be determined whether to retrain the institutional personnel. As a result, the training quality can be further improved.
  • the training system 2 involved in the present disclosure will be further described in detail by taking the medical image as an example of a fundus image.
  • the fundus images described in the examples of the present disclosure are used to illustrate the technical solutions of the present disclosure more clearly, and do not constitute limitations on the technical solutions provided in the present disclosure.
  • the medical image is a fundus image.
  • the training system 2 for medical images is applicable to fundus images.
  • the institution terminal 110 in the remote diagnosis system 1 can obtain fundus images from different medical institutions such as eye hospitals and upload them to the remote diagnosis terminal 120, and the remote diagnosis terminal 120 can perform remote diagnosis on the fundus images to identify fundus images. Signs of abnormal lesions in the image and generate a diagnostic report.
  • different medical institutions may apply to the training system 2 for allocation of training accounts with job roles corresponding to the job responsibilities according to the job responsibilities of institutional personnel in the medical institutions.
  • the operator who is responsible for collecting fundus images through the fundus camera and uploading them to the remote diagnosis system 1 can be assigned the role of the corresponding operating technician, and the doctor who is responsible for confirming the diagnosis report can be assigned the job of the corresponding reporting doctor Role, the ophthalmologist who is responsible for interpreting the report can correspond to the job role of the general practitioner.
  • the personnel of the institution can log in through the login module 220 of the training system 2 to conduct corresponding job role training.
  • the training course for operating technicians may include a course on basic knowledge of the fundus, a course on the importance of fundus inspection, a course on the quality requirements of fundus images, a course on the operation of fundus cameras, and the operation of uploading fundus images using the institution terminal 110 tutorial.
  • the course on the basic knowledge of the fundus may include, for example, the anatomical structure of the eyeball, the appearance classification of the fundus, the subdivision of the fundus, and the anatomy and histology of the retina. Accordingly, it is possible to comprehensively understand the fundus of the eye.
  • the quality requirement specification of the fundus image may include, for example, shooting location requirements (for example, the shooting location needs to be the macular area), definition specification, readable range specification, imaging specification, and the like. Therefore, under the stipulations of the quality requirements, the common fundus images that do not meet the quality requirements can be, for example, substandard shooting positions, substandard focus, opacity of the refractive media, overexposure, dark shadows or underexposure in the macular area, Fundus images of problems such as edge light leakage, eyelid obscuration, hair or eyelash artifacts, lens smudges, or tear film reflections.
  • the operation tutorial of the fundus camera can include the assembly, maintenance, shooting process and maintenance of the fundus camera, as well as common problems and solutions of the fundus camera.
  • the common problems of the fundus camera may include, for example, common problems of photographing and problems of photographing small pupils.
  • the entry criteria in the diagnosis report involved in the training course of the reporting doctor may include the importance ratings of various abnormal diagnoses, diagnosis names, and corresponding abnormal signs of lesions.
  • An example of entry criteria for fundus images is shown in Table 1.
  • the training courses for general practitioners may include tutorials on fundus basic knowledge, the importance of fundus inspection, the quality requirements of fundus images, tutorials on related fundus diseases, and the remote diagnosis terminal 120 for fundus images.
  • Rules for remote diagnosis also referred to as rules for film reading based on fundus images).
  • Fundus diseases may include, for example, diabetic retinopathy, diabetic macular edema, hypertensive arteriosclerotic retinopathy, age-related macular degeneration, leopard-like fundus changes, high myopia and the like. Fundus diseases can have corresponding abnormal pathological signs.
  • abnormal lesion signs corresponding to fundus diseases for example, abnormal lesion signs corresponding to hypertensive arteriosclerotic retinopathy may include general thinning of arteries, local arterial thinning, arteriovenous cross-indentation, increased arterial reflection, retinal hemorrhage, capillary Tumor-like protruding, cotton wool spot, hard exudate and optic disc edema, etc.
  • the training system 2 of the present disclosure conducts different trainings and assessments for institutional personnel whose job roles are operating technicians, reporting doctors, general practitioners, system operation and maintenance personnel, and management personnel to determine whether the institutional personnel have completed the corresponding training, that is, whether Work content that can be qualified for the corresponding job role.
  • medical institutions can submit medical images with high image quality to the remote diagnosis system 1 for remote diagnosis, and support remote training in large quantities.
  • training courses More comprehensive.
  • the quality of training can be improved, and the cost of training can be effectively reduced.

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Abstract

本公开描述了一种基于医学图像的远程诊断系统的培训系统。该培训系统包括人员管理模块、登陆模块和培训模块；人员管理模块配置为管理机构人员，分配培训账号且设置机构人员所属的工作角色，并基于工作角色设置对应的培训课程；登陆模块配置为提供登陆界面，通过登陆界面获取包括培训账号的登录信息并基于登录信息进行登录验证，若验证通过，则基于培训账号获取机构人员所属的工作角色；培训模块配置为基于工作角色获取机构人员的培训课程并向机构人员呈现该培训课程，并且培训模块配置为对机构人员进行考核以评估对该培训课程的掌握程度，并基于评估的结果判断该机构人员是否完成培训。由此，能够更全面且支持大批量地进行远程培训。

Description

基于医学图像的远程诊断系统的培训系统 技术领域
本公开大体涉及一种基于医学图像的远程诊断系统的培训系统。
背景技术
随着社会的发展，医疗资源分配不均的问题越来越明显，医疗资源例如阅片师常常集中在一些大城市，导致一部分医疗机构(例如基层的医疗机构)容易出现医疗资源不够或分配不均等情况。目前，可以通过远程诊断系统对医疗图像进行远程诊断以改善上述医疗资源不够或分配不均的情况。具体而言，不同医疗机构可以采集医疗图像并上传到远程诊断系统中，再由相应的阅片人员和/或AI算法对该医疗图像进行远程诊断并返回诊断报告。在这种情况下，医疗机构的机构人员针对远程诊断系统培训的培训方法常常影响到诊断报告的准确性。
目前，对使用远程诊断系统的不同医疗机构的机构人员进行培训的方法常常依靠人工。例如，通过熟悉远程诊断系统的人员对不同医疗机构的机构人员进行培训例如现场培训或者网络培训，熟悉远程诊断系统的人员可以是已经过培训的医疗机构的机构人员或者远程诊断系统所属机构的人员。然而，随着远程诊断系统的普及，对医疗图像进行远程诊断的需求越来越多，上述这种依靠人力对远程诊断系统进行培训的方式往往成本高，培训周期也较长，无法大批量地对机构人员进行培训。另外，对远程诊断系统进行培训的全面性还有待于提高。
发明内容
本公开是鉴于上述的状况而提出的，其目的在于提供一种能够更全面且支持大批量地进行远程培训的基于医学图像的远程诊断系统的培训系统。
为此，本公开提供了一种基于医学图像的远程诊断系统的培训系统，是用于对使用所述远程诊断系统的不同医疗机构的机构人员进行 培训的培训系统，所述远程诊断系统包括机构端和远程诊断端，所述机构端获取来自所述不同医疗机构的医学图像并上传至所述远程诊断端，所述远程诊断端对该医学图像进行远程诊断以识别医学图像中的异常病变体征并生成诊断报告，所述机构端输出所述诊断报告，所述培训系统包括人员管理模块、登陆模块和培训模块；所述人员管理模块配置为管理机构人员，为机构人员分配培训账号且基于所述培训账号设置机构人员所属的工作角色，并基于所述工作角色设置对应的培训课程，其中，所述工作角色包括操作技师、报告医生和全科医生；所述登陆模块配置为提供登陆界面，通过所述登陆界面获取包括培训账号的登录信息并基于所述登录信息进行登录验证，若验证通过，则基于所述培训账号获取机构人员所属的工作角色；所述培训模块配置为基于所述工作角色获取机构人员的培训课程并向机构人员呈现该培训课程，并且所述培训模块配置为对机构人员进行考核以评估对该培训课程的掌握程度，并基于评估的结果判断该机构人员是否完成培训，在培训课程中，对于操作技师，培训课程包括医学基础知识的教程、医学检查的重要性的教程、医学图像的质量要求规范的教程、采集医学图像的设备的操作教程、以及利用所述机构端上传医学图像的操作教程，通过培训课程使操作技师能够正确判断医学图像的图像质量并通过所述机构端上传符合质量要求规范的医学图像至所述远程诊断端，对于报告医生，培训课程包括利用所述机构端对所述诊断报告进行签名的操作教程、以及所述诊断报告中的词条标准的教程，通过培训课程使报告医生能够理解所述诊断报告中的词条标准并利用所述机构端对所述诊断报告进行确认，对于全科医生，培训课程包括医学基础知识的教程、医学检查的重要性的教程、医学图像的质量要求规范的教程、相关疾病的教程、以及所述远程诊断端对医学图像进行远程诊断的规则，通过培训课程使全科医生能够解读由所述机构端获取的诊断报告。在这种情况下，对工作角色为操作技师、报告医生和全科医生的机构人员进行不同的培训并考核以判断机构人员是否完成相应的培训，也即，是否能够胜任相应工作角色的工作内容。由此，能够更全面且支持大批量地进行培训，且培训质量较高。
另外，在本公开所涉及的培训系统中，可选地，所述远程诊断系 统还包括机构管理端，所述机构管理端用于查看和管理各个医疗机构内的运营状态，所述工作角色还包括系统运维人员和管理人员，对于系统运维人员，培训课程包括所述远程诊断系统的功能介绍的教程、所述机构端或所述机构管理端的操作教程、运维工具和日常运维的操作教程、以及常见问题的预防和解决方法的教程，通过培训课程使系统运维人员能够使所述机构端或所述机构管理端稳定地运行，对于管理人员，培训课程包括所述机构管理端的操作教程，通过培训课程使管理人员能够利用所述机构管理端查看和管理各个医疗机构内的运营状态。在这种情况下，通过系统运维人员的培训课程使系统运维人员能够使机构端或机构管理端稳定地运行，通过管理人员的培训课程使管理人员能够利用机构管理端查看和管理各个医疗机构内的运营状态。
另外，在本公开所涉及的培训系统中，可选地，所述培训模块还配置为将已完成对应工作角色培训的机构人员在所述培训系统中的培训状态更新为培训完成；所述培训系统还包括账号分配模块，所述账号分配模块配置为获取机构人员所属的工作角色的培训状态，若该培训状态为培训完成，则新增或更新机构人员在所述机构端或所述机构管理端中的工作账号并通知机构人员。由此，能够基于机构人员所属的工作角色的培训状态设置工作账号。
另外，在本公开所涉及的培训系统中，可选地，所述运营状态包括机构人员以及该机构人员的权限、诊断报告和基于诊断报告的统计分析结果、以及采集医学图像的设备的基本信息和采集医学图像的设备的实时状态。由此，能够全面地监控各个医疗机构内的运营状态。
另外，在本公开所涉及的培训系统中，可选地，所述培训系统还包括即时通信模块，所述即时通信模块配置为用于机构人员与所述培训系统的工作人员进行实时在线沟通以收集机构人员的反馈信息，其中，所述反馈信息包括咨询问题的次数。在这种情况下，培训系统的工作人员可以及时获得反馈信息并作出响应。
另外，在本公开所涉及的培训系统中，可选地，所述培训系统还包括监控模块，所述监控模块配置为基于所述反馈信息、和/或按周期对已完成培训的机构人员进行考核获得的考核结果判断是否需要利用所述培训模块对机构人员进行重新培训。在这种情况下，能够及时发 现需要进行重新考核的机构人员。
另外，在本公开所涉及的培训系统中，可选地，所述即时通信模块还配置为发送采集医学图像的设备的异常情况、医学图像的图像质量的异常情况、以及行业知识。由此，能够提高机构人员的行业认知。
另外，在本公开所涉及的培训系统中，可选地，在进行所述考核中，考核的方式包括基于幻灯片的理论考核、基于试题的理论考核、以及基于模拟所述机构端或所述机构管理端的实操考核中的至少一种。在这种情况下，通过多种方式对机构人员进行考核。由此，能够更全面地对机构人员进行考核。
另外，在本公开所涉及的培训系统中，可选地，所述培训系统还包括设备教程管理模块，所述设备教程管理模块用于管理与所述远程诊断系统匹配的采集医学图像的设备的操作教程，所述培训模块根据所述不同医疗机构采用的采集医学图像的设备呈现对应的采集医学图像的设备的操作教程，其中，所述采集医学图像的设备的操作教程包括采集医学图像的设备的装配、维护、拍摄流程和保养、以及采集医学图像的设备的常见问题及解决方法。在这种情况下，培训模块可以根据不同医疗机构采用的采集医学图像的设备呈现对应的采集医学图像的设备的操作教程。由此，能够根据医疗机构的采集医学图像的设备对机构人员进行针对性地培训。
另外，在本公开所涉及的培训系统中，可选地，所述培训系统还包括练习模块和错题模块；所述练习模块被配置用于呈现与培训课程对应的练习内容并获取机构人员的练习结果；所述错题模块被配置用于获取错误的练习结果并呈现该错误的练习结果对应的练习内容、和/或获取错误的练习结果并基于该错误的练习结果进行统计以获取该机构人员的弱项，然后针对该机构人员的弱项呈现对应的练习内容。在这种情况下，能够使机构人员通过练习加快对培训课程的掌握速度另外，机构人员能够针对错误的练习结果进行专项练习。由此，能够提高培训效率。
根据本公开，能够提供一种能够更全面且支持大批量地进行远程培训的基于医学图像的远程诊断系统的培训系统。
附图说明
现在将仅通过参考附图的例子进一步详细地解释本公开，其中：
图1是示出了本公开示例所涉及的基于医学图像的远程诊断系统的培训系统的应用场景示意图。
图2是示出了本公开示例所涉及的基于医学图像的远程诊断系统的框图。
图3是示出了本公开示例所涉及的基于医学图像的远程诊断系统的培训系统的框图。
图4是示出了本公开示例所涉及的基于医学图像的远程诊断系统的培训系统的另一实施例的框图。
图5是示出了本公开示例所涉及的基于医学图像的远程诊断系统的培训系统的另一实施例的框图。
图6是示出了本公开示例所涉及的基于医学图像的远程诊断系统的培训方法的流程图。
具体实施方式
以下，参考附图，详细地说明本公开的优选实施方式。在下面的说明中，对于相同的部件赋予相同的符号，省略重复的说明。另外，附图只是示意性的图，部件相互之间的尺寸的比例或者部件的形状等可以与实际的不同。需要说明的是，本公开中的术语“包括”和“具有”以及它们的任何变形，例如所包括或所具有的一系列步骤或单元的过程、方法、系统、产品或设备不必限于清楚地列出的那些步骤或单元，而是可以包括或具有没有清楚地列出的或对于这些过程、方法、产品或设备固有的其它步骤或单元。本公开所描述的所有方法可以以任何合适的顺序执行，除非在此另有指示或者与上下文明显矛盾。
本公开涉及一种能够更全面且支持大批量地进行远程培训的基于医学图像的远程诊断系统的培训系统。本公开涉及的基于医学图像的远程诊断系统的培训系统有时候也可以简称为培训系统、医疗图像培训系统或远程培训系统。
本公开还涉及一种基于医学图像的远程诊断系统的培训方法。本公开涉及的培训方法可以应用于培训系统(稍后描述)。以下结合附图 进行详细描述本公开。此外，本公开的示例描述的应用场景是为了更加清楚的说明本公开的技术方案，并不构成对于本公开提供的技术方案的限定。
图1是示出了本公开示例所涉及的基于医学图像的远程诊断系统1的培训系统2的应用场景示意图。
如图1所示，培训系统2可以用于对使用远程诊断系统1的机构人员进行培训。具体地，不同医疗机构例如市医院A1、县医院A2、乡医院A3或体检机构A4可以通过培训系统2对使用远程诊断系统1的机构人员进行培训，也即，培训系统2是用于对使用远程诊断系统1的不同医疗机构的机构人员进行培训的。在一些示例中，培训系统2可以利用终端设备并通过计算机网络进行访问。在另一些示例中，培训系统2可以集成在专用设备中以使专用设备专门用于远程诊断系统1的培训。在一些示例中，集成培训系统2的专用设备可以设置在各个医疗机构内。由此，能够方便地进行培训。在一些示例中，医疗机构可以包括但不限于是企业或医院等。企业例如可以是体检机构。
在一些示例中，医学图像可以来自不同医疗机构。在一些示例中，医学图像可以是针对身体或组织进行成像获得的图像。在一些示例中，医学图像根据采集的方式的不同，可以包括但不限于是眼底相机照片、X光照片、超声图像、电子计算机断层扫描(Computed Tomography，CT)图像、光学相干断层扫描(OCT，Optical Coherence Tomography)图像、磁共振成像(Magnetic Resonance Imaging，MRI)图像或荧光造影图像等。在一些示例中，医学图像根据采集的身体部位的不同，可以包括但不限于眼底图像、宫颈细胞切片图像、肠道病理切片图像、胃癌病理切片图像或淋巴瘤病理切片、头部CT图像、胸部CT图像、腹部CT图像或盆腔CT图像等。
图2是示出了本公开示例所涉及的基于医学图像的远程诊断系统1的框图。在一些示例中，远程诊断系统1可以用于对医学图像进行诊断并输出诊断报告。在远程诊断系统1中，可以通过阅片师和/或人工智能算法例如人工神经网络对医学图像进行诊断。
在一些示例中，远程诊断系统1可以包括机构端110和远程诊断端120。在一些示例中，机构端110可以用于获取医学图像并上传至远 程诊断端120。在一些示例中，远程诊断端120可以对医学图像进行远程诊断以识别医学图像中的异常病变体征并生成诊断报告。
在一些示例中，机构端110可以设置在不同医疗机构内的设备例如笔记本电脑、平板电脑、手机、专用终端机或台式机上。但本公开的示例不限于此，在另一些示例中，机构端110可以设置在任意需要采集医疗图像以上传至远程诊断端120进行远程诊断的地方。在一些示例中，机构端110可以输出远程诊断端120生成的诊断报告。
在一些示例中，远程诊断端120可以设置在能够使不同医疗机构内的机构端110可以连接的服务器上。服务器例如可以是云服务器或者部署在公网上的服务器。由此，机构端110能够与远程诊断端120进行连接以上传医疗图像。
在一些示例中，远程诊断系统1还可以包括机构管理端(未图示)。机构管理端可以用于查看和管理各个医疗机构内的运营状态。在一些示例中，各个医疗机构还可以通过机构管理端绑定子医疗机构例如基层医疗机构。由此，能够通过机构管理端查看子医疗机构的运营状态。
在一些示例中，运营状态可以包括机构人员以及该机构人员的权限、诊断报告和基于诊断报告的统计分析结果、以及采集医学图像的设备的基本信息(例如基本信息可以包括生产厂家、型号、批次号以及设备名称)和采集医学图像的设备的实时状态(也即，当前采集医学图像的设备的状态)。由此，能够全面地监控各个医疗机构内的运营状态。
如上所述，培训系统2可以用于对使用远程诊断系统1的机构人员进行培训。以下，结合附图详细描述本公开涉及的培训系统2。图3是示出了本公开示例所涉及的基于医学图像的远程诊断系统1的培训系统2的框图。
如图3所示，在一些示例中，培训系统2可以包括人员管理模块210、登陆模块220和培训模块230。人员管理模块210可以配置为管理机构人员、和管理机构人员的培训账号和工作角色。登陆模块220可以配置为基于包括培训账号的登录信息进行登录验证并获取机构人员所属的工作角色。培训模块230可以配置为基于工作角色利用培训课程对机构人员进行不同的培训并考核以判断该机构人员是否完成培 训，工作角色可以包括操作技师、报告医生和全科医生。在这种情况下，对工作角色为操作技师、报告医生和全科医生的机构人员进行不同的培训并考核以判断机构人员是否完成相应的培训，也即，是否能够胜任相应工作角色的工作内容。由此，能够更全面且支持大批量地进行培训，且培训质量较高。
在另一些示例中，培训系统2的培训对象也可以不是使用远程诊断系统1的机构人员。例如，培训系统2的培训对象可以是生产采集医疗图像的设备的经销商或与远程诊断系统1相关的政府项目的工作人员。在这种情况下，对经销商或政府项目的工作人员进行培训，后续经由培训的经销商或政府项目的工作人员(经由培训的经销商或政府项目的工作人员也可以称为培训服务人员)能够辅助相应的医疗机构的机构人员利用培训系统2进行培训。
但本公开的示例不限于此，根据不同的需求，培训服务人员也可以对相应的医疗机构的机构人员进行现场培训以形成现场培训报告。在一些示例中，培训服务人员可以将现场培训报告上传至培训系统2(也即，培训系统2具有用于上传现场培训报告的模块)，培训系统2的工作人员对现场培训报告进行审核以判断机构人员是否完成培训(也即，培训系统2具有用于对现场培训报告进行审核的模块)。在一些示例中，培训服务人员可以将培训系统2的培训课程导出以用于现场培训(也即，培训系统2具有用于导出培训课程的模块)。
在本实施方式中，如上所述，在一些示例中，培训系统2可以包括人员管理模块210(参见图3)。
在本实施方式中，人员管理模块210可以配置为管理机构人员、和管理机构人员的培训账号和工作角色。
在一些示例中，管理机构人员可以为维护机构人员的信息(也即，人员管理模块210可以配置为维护机构人员的信息)。具体地，在维护机构人员的信息的过程中，人员管理模块210可以用于登记机构人员的信息到培训系统2中，并支持修改机构人员的信息或者从培训系统2删除机构人员的信息。在一些示例中，机构人员的信息可以包括所属机构、人员类型、姓名和联系方式。
在一些示例中，管理机构人员的培训账号可以为为机构人员分配 培训账号(也即，人员管理模块210可以配置为为机构人员分配培训账号)。培训账号可以唯一标识一个机构人员。在一些示例中，培训账号可以结合所属机构唯一标识一个机构人员。也即，在同一个机构例如医疗机构内的培训账号是唯一的。在一些示例中，培训账号可以以账号和密码、和/或以手机号和验证码的形式呈现。在另一些示例中，培训账号可以为预设位数的字符串。例如培训账号可以为身份证号、手机号、或随机生成的字符串。
在一些示例中，管理机构人员的工作角色可以为基于培训账号设置机构人员所属的工作角色(也即，人员管理模块210可以配置为基于培训账号的信息设置机构人员的工作角色)。
在一些示例中，工作角色可以包括操作技师、报告医生和全科医生。在一些示例中，工作角色还可以包括系统运维人员和管理人员。在这种情况下，不同的工作角色可以对应不同的培训课程。在一些示例中，机构人员所属的工作角色的数量可以为一种或多种。例如，机构人员所属的工作角色可以为操作技师。又例如，机构人员所属的工作角色可以同时包括操作技师、报告医生和全科医生。又例如，机构人员所属的工作角色可以同时包括操作技师、报告医生、全科医生、系统运维人员和管理人员。
在一些示例中，人员管理模块210可以配置为用于基于工作角色(机构人员所属的工作角色)设置对应的培训课程。在一些示例中，基于工作角色设置对应的培训课程的形式可以有多种。
具体而言，在一些示例中，工作角色对应的培训课程可以预先设置在培训系统2上。在这种情况下，设置了机构人员所属的工作角色后，可以根据预先设置的培训课程设置该工作角色相应的培训课程；在另一些示例中，可以在设置机构人员所属的工作角色时，同时设置机构人员在该工作角色下的相应的培训课程；在另一些示例中，在工作角色对应的培训课程已预先在培训系统2上设置好的情况下，还可以通过人员管理模块210对机构人员对应的培训课程进行修改。由此，能够支持培训课程的个性化地设置。
在本实施方式中，如上所述，在一些示例中，培训系统2可以包括登陆模块220(参见图3)。
在本实施方式中，登陆模块220可以配置为基于包括培训账号的登录信息进行登录验证并获取机构人员所属的工作角色。具体地，登陆模块220可以配置为提供登陆界面，通过登陆界面获取登录信息进行登录验证。在一些示例中，若验证通过，则登陆模块220可以基于培训账号获取机构人员所属的工作角色。在一些示例中，若验证不通过，则登陆模块220可以提示验证失败的原因例如用户名或密码不正确。在一些示例中，培训账号的登录信息可以包括培训账号。在一些示例中，培训账号的登录信息还可以包括用于防止恶意访问的图形验证码。
在本实施方式中，如上所述，在一些示例中，培训系统2可以包括培训模块230(参见图3)。
在本实施方式中，培训模块230可以配置为基于工作角色利用培训课程对机构人员进行不同的培训并考核以判断该机构人员是否完成培训。在一些示例中，考核的内容可以与培训课程相对应。在一些示例中，培训课程的形式可以为视频、文字或语音。
在一些示例中，在培训模块230中，可以基于上述登陆模块220获取的工作角色获取机构人员的培训课程并向机构人员呈现该培训课程。由此，能够基于工作角色对机构人员进行不同的培训。
如上所述，在一些示例中，机构人员所属的工作角色的数量可以为一种或多种。换言之，机构人员可以同时属于多种工作角色。在一些示例中，若机构人员所属的工作角色只有一种，则培训模块230可以呈现该工作角色对应的培训教程；若机构人员所属的工作角色有多种，则培训模块230可以呈现该机构人员所属的多种工作角色以供机构人员选择，培训模块230可以基于该机构人员选择的工作角色呈现对应的培训教程。
在一些示例中，如上所述，工作角色可以包括操作技师。操作技师可以是远程诊断系统1的主要使用者。具体地，操作技师可以利用采集医疗图像的设备采集医疗图像并通过机构端110将医疗图像上传至远程诊断端120。采集医疗图像的设备例如可以为眼底相机、X射线透射机、CT设备、OCT设备或MRI设备等。在一些示例中，在上传医疗图像至远程诊断端120前，操作技师可以对医疗图像的图像质量 进行判断。在这种情况下，通过对医疗图像的图像质量进行判断能够获取图像质量较好的医疗图像用于远程诊断。由此，能够提高远程诊断的准确率和效率。
在一些示例中，对于操作技师，培训课程可以包括医学基础知识的教程、医学检查的重要性的教程、医学图像的质量要求规范的教程、采集医学图像的设备的操作教程、以及利用机构端110上传医学图像的操作教程中的至少一种。
在一些示例中，操作技师的培训课程可以包括医学基础知识的教程。医学基础知识的教程可以是医疗图像对应的身体部位的知识。例如，医学基础知识的教程可以包括相应身体部分的结构。在这种情况下，经由医学基础知识的教程的培训，能够使操作技师充分地认识相应的身体部位。由此，能够提高采集的医疗图像的图像质量。
在一些示例中，操作技师的培训课程可以包括医学检查的重要性的教程。医学检查的重要性的教程可以包括需要进行医学检查的原因。在这种情况下，经由医学检查的重要性的教程的培训，能够使操作技师更好地与被采集医疗图像的被检者进行沟通。由此，能够提高被检者的医学检查体验。
在一些示例中，操作技师的培训课程可以包括医学图像的质量要求规范的教程。医学图像的质量要求规范的教程可以包括医疗图像的质量要求规范、常见的不符合质量要求规范的医疗图像。在这种情况下，经由医学图像的质量要求规范的教程的培训，能够使操作技师具备对医疗图像的图像质量进行判断以获取图像质量较好的医疗图像，进而能够基于图像质量较好的医疗图像进行远程诊断。由此，能够提高远程诊断的准确率和效率。
在一些示例中，操作技师的培训课程可以包括采集医学图像的设备的操作教程。采集医学图像的设备的操作教程可以包括采集医学图像的设备的装配、维护、拍摄流程和保养、以及采集医学图像的设备的常见问题及解决方法。在这种情况下，经由采集医学图像的设备的操作教程的培训，能够使操作技师更好地使用采集医学图像的设备。由此，能够提高采集医学图像的设备的稳定性以及医疗图像的图像质量。
在一些示例中，操作技师的培训课程可以包括利用机构端110上传医学图像的操作教程。利用机构端110上传医学图像的操作教程可以包括新建被检者信息、上传医疗图像至远程诊断端120以及回传诊断报告(也即获取诊断报告)。在这种情况下，经由利用机构端110上传医学图像的操作教程的培训，能够使操作技师熟练掌握机构端110的使用。
在本实施方式中，操作技师的培训课程可以包括医学基础知识的教程、医学检查的重要性的教程、医学图像的质量要求规范的教程、采集医学图像的设备的操作教程、以及利用机构端110上传医学图像的操作教程。在这种情况下，通过培训课程使操作技师能够正确判断医学图像的图像质量，并通过机构端110上传符合质量要求规范的医学图像至远程诊断端120。
在一些示例中，对于操作技师，培训课程还可以包括被检者的常见问题的标准话术的教程。例如常见问题可以为“请问报告什么时候可以出来”。由此，能够使操作技师具有回答被检者的常见问题的能力。在一些示例中，对于操作技师，培训课程还可以包括机构端110的常见问题及解决方法的教程。由此，能够使操作技师具有排除常见问题的能力。
在一些示例中，如上所述，工作角色可以包括报告医生。报告医生可以对阅片师和/或人工智能算法对医学图像进行诊断获得的诊断报告进行确认。也即，报告医生可以相当于一个阅片师。报告医生可以通过机构端110访问阅片模块以对诊断报告进行确认。在一些示例中，报告医生可以通过阅片模块修改诊断报告。在一些示例中，报告医生可以通过阅片模块对诊断报告进行签名。
在一些示例中，对于报告医生，培训课程可以包括利用机构端110对诊断报告进行确认的操作教程、以及诊断报告中的词条标准的教程。
在一些示例中，报告医生的培训课程可以包括利用机构端110对诊断报告进行确认的操作教程。具体地，利用机构端110对诊断报告进行确认的操作教程可以包括对诊断报告中的诊断结果进行确认、修改诊断报告、保存诊断报告以及对诊断报告进行签名的教程。在这种情况下，经由利用机构端110对诊断报告进行确认的操作教程的培训， 能够使报告医生熟练的使用阅片模块对诊断报告进行确认。由此，能够提高阅片的效率以及诊断结果一致性。
在一些示例中，报告医生的培训课程可以包括诊断报告中的词条标准的教程。诊断报告中的词条标准可以包括各种异常诊断的重要性分级(例如重要性分级可以包括阳性和重大阳性)、诊断名称以及对应的异常病变体征。在一些示例中，异常病变体征可以为采集医学图像的设备获得的对应身体部分的组织的形态特点。在这种情况下，经由诊断报告中的词条标准的教程的培训，能够使报告医生熟悉诊断报告中的词条标准。由此，能够更好地对诊断报告进行确认。
在本实施方式中，报告医生的培训课程可以包括利用机构端110对诊断报告进行确认的操作教程、以及诊断报告中的词条标准的教程。在这种情况下，通过培训课程使报告医生能够理解诊断报告中的词条标准并利用机构端110对诊断报告进行确认。
在一些示例中，如上所述，工作角色可以包括全科医生。全科医生可以承担被检者的依从性教育的工作并能够对诊断报告进行解读。诊断报告可以由机构端110获取。
在一些示例中，对于全科医生，培训课程可以包括医学基础知识的教程、医学检查的重要性的教程、医学图像的质量要求规范的教程、相关疾病的教程、以及远程诊断端120对医学图像进行远程诊断的规则中的至少一种。
在一些示例中，全科医生的培训课程可以包括医学基础知识的教程。医学基础知识的教程的具体描述参见操作技师的培训教程中的相关描述。在这种情况下，经由医学基础知识的教程的培训，能够使全科医生充分地认识相应的身体部位。
在一些示例中，全科医生的培训课程可以包括医学检查的重要性的教程。医学检查的重要性的教程的具体描述参见操作技师的培训教程中的相关描述。在这种情况下，经由医学检查的重要性的教程的培训，能够使全科医生更好地与被检者进行沟通。由此，能够提高被检者的医学检查体验。
在一些示例中，全科医生的培训课程可以包括医学图像的质量要求规范的教程。医学图像的质量要求规范的教程的具体描述参见操作 技师的培训教程中的相关描述。在这种情况下，经由医学图像的质量要求规范的教程的培训，能够使全科医生具备对医疗图像的图像质量进行判断，进而能够判断诊断报告是否是基于图像质量较好的医疗图像获得的。由此，能够提高对诊断报告解读的准确性。
在一些示例中，全科医生的培训课程可以包括相关疾病的教程。相关疾病的教程可以是医疗图像涉及的疾病的介绍。具体地，相关疾病的教程可以包括医疗图像中疾病的种类、疾病产生的原因(也即疾病的发病机制)、以及疾病的异常病变体征(也即疾病表现的体征)。在这种情况下，经由相关疾病的教程的培训，能够使全科医生掌握医疗图像涉及的疾病以及疾病引起的身体部位的改变在医疗图像中的体现。由此，能够提高对诊断报告解读的准确性。
在一些示例中，全科医生的培训课程可以包括远程诊断端120对医学图像进行远程诊断的规则。远程诊断的规则可以为远程诊断系统1中，阅片师和/或人工智能算法对医学图像进行诊断的标准。例如，医疗图像中的存在哪些病变体征能够使医学图像被判定存在相应的疾病。在这种情况下，经由远程诊断端120对医学图像进行远程诊断的规则的培训，能够促进全科医生对诊断报告中诊断结果的理解。
在本实施方式中，全科医生的培训课程可以包括医学基础知识的教程、医学检查的重要性的教程、医学图像的质量要求规范的教程、相关疾病的教程、以及远程诊断端120对医学图像进行远程诊断的规则。在这种情况下，通过培训课程使全科医生能够解读由机构端110获取的诊断报告。
在本实施方式中，培训系统2基于工作角色并利用培训课程对机构人员进行培训，使得具有操作技师工作角色的机构人员能够正确判断医学图像的图像质量，并通过机构端110上传符合质量要求规范的医学图像至远程诊断端120；使得具有报告医生工作角色的机构人员能够理解诊断报告中的词条标准并利用机构端110对诊断报告进行确认；使得具有全科医生工作角色的机构人员能够解读由机构端110获取的诊断报告。由此可见，培训系统2的培训课程更全面且支持大批量地进行培训。在这种情况下，经由培训系统2对医疗机构的机构人员进行培训，使医疗机构能够基于远程诊断系统1对医疗图像进行远程诊 断以生成诊断报告并能够确认和解读诊断报告。
如上所述，在一些示例中，工作角色还可以包括系统运维人员。系统运维人员可以对机构端110或者机构管理端进行维护以使机构端110或者机构管理端能够稳定运行。
在一些示例中，对于系统运维人员，培训课程可以包括远程诊断系统1的功能介绍的教程、机构端110或机构管理端的操作教程、运维工具和日常运维的操作教程、以及常见问题的预防和解决方法的教程中的至少一种。在这种情况下，通过系统运维人员的培训课程使系统运维人员能够使机构端110或机构管理端稳定地运行。
具体地，经由远程诊断系统1的功能介绍的教程的培训，能够使系统运维人员更好地理解机构端110或机构管理端的功能；经由机构端110或机构管理端的操作教程的培训，能够使系统运维人员熟悉机构端110或机构管理端以更好地进行维护；经由运维工具和日常运维的操作教程、以及常见问题的预防和解决方法的教程的培训，能够使系统运维人员具备维护机构端110或机构管理端的知识以及解决常见的故障。由此，能够使机构端110或机构管理端稳定地运行。
如上所述，在一些示例中，工作角色还可以包括管理人员。管理人员可以实时监督各个机构内的运营状态。由此，能够提高管理效率。
在一些示例中，对于管理人员，培训课程可以包括机构管理端的操作教程。如上所述，机构管理端可以用于查看和管理各个医疗机构内的运营状态。在一些示例中，机构管理端的操作教程可以包括机构管理端中的机构人员管理模块、权限设置模块、统计查询模块、以及设备管理模块等涉及运营状态的模块的操作教程。
具体地，机构人员管理模块可以用于查看机构内的机构人员情况；权限设置模块可以用于维护机构人员访问机构端110的权限；统计查询模块可以基于诊断报告对医疗图像的阅片情况进行统计以获取统计分析结果；设备管理模块可以管理采集医疗图像的设备的基本信息并监控采集医疗图像的设备的实时状态。在这种情况下，通过管理人员的培训课程使管理人员能够利用机构管理端查看和管理各个医疗机构内的运营状态。
如上所述，在一些示例中，培训模块230可以配置为基于工作角 色利用培训课程对机构人员进行不同的培训并考核以判断该机构人员是否完成培训。
在一些示例中，在培训模块230中，可以对机构人员进行考核以评估对培训课程的掌握程度，并基于评估的结果判断该机构人员是否完成培训。
在一些示例中，在进行考核中，考核的方式可以包括基于幻灯片的理论考核、基于试题的理论考核、以及基于模拟的机构端110或机构管理端的实操考核中的至少一种。在这种情况下，通过多种方式对机构人员进行考核。由此，能够更全面地对机构人员进行考核。
在一些示例中，基于幻灯片的理论考核可以为通过制作包括培训课程的幻灯片并讲解幻灯片。例如针对工作角色为操作技师，幻灯片的内容可以包括医学基础知识的教程、医学检查的重要性的教程、医学图像的质量要求规范的教程以及采集医学图像的设备的操作教程。在一些示例中，幻灯片以及对幻灯片的讲解可以上传至培训系统2。在这种情况下，培训系统2的工作人员可以通过培训系统2获取幻灯片以及对幻灯片的讲解并进行评估。例如，评估幻灯片的内容是否合理，行文结构是否清晰，讲解时的声调表情、以及时间掌握是否良好。由此，能够通过评估幻灯片和对幻灯片的讲解获取机构人员对培训课程的掌握程度。
在一些示例中，基于试题的理论考核可以为培训系统2中设置有与培训课程相对应的考核的内容。考核的内容可以以试题的形式供机构人员进行测试以获取考核结果。例如针对工作角色为操作技师，基于试题的理论考核的内容对应的培训教程可以包括采集医学图像的设备的操作教程、医学图像的质量要求规范的教程、以及机构端110的常见问题及解决方法的教程。在这种情况下，通过基于试题的理论考核可以获得考核结果例如考试成绩。由此，能够基于考核结果客观地评估机构人员对培训课程的掌握程度。
在一些示例中，基于模拟的机构端110或机构管理端的实操考核可以为机构人员在模拟的机构端110或机构管理端上进行操作以获取各个步骤的操作结果和操作时间。例如，针对工作角色为操作技师，机构人员可以通过模拟的机构端110进行登录，新增被检者信息、采 集医疗图像、上传医疗图像至远程诊断端120以及获取诊断报告。在这种情况下，通过模拟的机构端110或机构管理端获取机构人员的各个步骤的操作结果和操作时间以判断各个步骤操作是否有误以及操作是否流畅，进而能够对机构人员进行操作评分。例如操作评分的等级可以分为优秀、良好、差。由此，能够基于操作评分评估机构人员对培训课程的掌握程度。
在一些示例中，培训模块230还可以配置为将已完成对应工作角色培训的机构人员在培训系统2中的培训状态更新为培训完成。
在一些示例中，可以根据培训效果调整培训系统2的培训课程或考核的方式。由此，能够使培训系统2更加完善。
图4是示出了本公开示例所涉及的基于医学图像的远程诊断系统1的培训系统2的另一实施例的框图。
在一些示例中，如图4所示，培训系统2还可以包括账号分配模块240。账号分配模块240可以配置为基于机构人员所属的工作角色的培训状态设置工作账号并通知机构人员。工作账号可以为机构端110的工作账号或机构管理端的工作账号。也即，远程诊断系统1中的工作账号。由此，能够基于机构人员所属的工作角色的培训状态设置工作账号。
在一些示例中，账号分配模块240可以获取机构人员所属的工作角色的培训状态，若该培训状态为培训完成，则设置机构人员的工作账号。具体地，账号分配模块240可以判断机构人员的工作账号是否在远程诊断系统1中存在，若存在，则账号分配模块240可以基于当前机构人员所属的工作角色更新该工作账号，若不存在，则账号分配模块240可以基于当前机构人员所属的工作角色新增工作账号。在一些示例中，账号分配模块240可以通过调用远程诊断系统1的接口设置机构人员的工作账号。由此，能自动设置工作账号。
在一些示例中，账号分配模块240完成机构人员的工作账号设置后，可以通知机构人员。例如，可以通过邮件、短信，或即时通信模块250(稍后描述)通知机构人员。
在一些示例中，如图4所示，培训系统2还可以包括即时通信模块250。即时通信模块250可以配置为用于机构人员与培训系统2的工 作人员进行实时在线沟通。
在一些示例中，即时通信模块250通过实时在线沟通可以收集机构人员的反馈信息。在这种情况下，培训系统2的工作人员可以及时获得反馈信息并作出响应。在一些示例中，反馈信息可以包括咨询问题的次数。在一些示例中，监控模块260(稍后描述)可以根据咨询问题的次数评估机构人员是否需要进行重新培训。在一些示例中，反馈信息还可以包括机构端110或者机构管理端的问题、诊断报告的问题、具有较严重的疾病或病变体征的医疗图像、以及对远程诊断系统1的满意度等。在一些示例中，基于反馈信息作出的响应可以包括提供现场技术支持、以及形成反馈解决报告。在一些示例中，反馈解决报告可以包括问题种类、问题原因、造成的损失、解决问题使用的方法、以及避免问题再次发生的措施。
在一些示例中，即时通信模块250还可以配置为发送采集医学图像的设备的异常情况。由此，能够使医疗机构的采集医学图像的设备处于正常稳定状况。在一些示例中，即时通信模块250还可以配置为用于发送医学图像的图像质量的异常情况。由此，能够及时发现医学图像采集的异常情况，降低图像采集过程中出现多张异常医学图像的影响。在一些示例中，即时通信模块250还可以配置为发送行业知识。由此，能够提高机构人员的行业认知。
在一些示例中，如图4所示，培训系统2还可以包括监控模块260。监控模块260可以配置为基于对已完成培训的机构人员进行考核获得的考核结果判断是否需要对机构人员进行重新培训。
在一些示例中，在监控模块260中，可以基于反馈信息、和/或按周期例如每周、每个月或每个季度对已完成培训的机构人员进行考核。在这种情况下，能够及时发现需要进行重新考核的机构人员。在一些示例中，对于工作角色包括操作技师的机构人员，还可以基于上传的医疗图像的图像质量的合格数量进行考核。在另一些示例中，根据实际情况，也可以通过现场巡查对机构人员进行考核。
具体地，若基于反馈信息进行考核，则可以判断反馈信息中的机构人员的咨询问题的次数是否超过第一预设数量，若超过第一预设数量，则可以表示该机构人员的考核结果为不合格。例如，机构人员对 同一问题的咨询的次数大于3次，则可以表示该机构人员的考核结果为不合格。若基于上传的医疗图像的图像质量的合格数量判断是否需要对机构人员进行重新培训，则可以判断合格数量是否超过第二预设数量，若超过第二预设数量，则可以表示该机构人员的考核结果为不合格。若基于按周期对已完成培训的机构人员进行考核，则可以获取考核结果例如合格或不合格。
在一些示例中，若考核结果为不合格，则可以对机构人员进行重新培训。在一些示例中，可以利用培训模块230对机构人员进行重新培训。
图5是示出了本公开示例所涉及的基于医学图像的远程诊断系统1的培训系统2的另一实施例的框图。
在一些示例中，如图5所示，培训系统2还可以包括设备教程管理模块270。设备教程管理模块270可以用于管理与远程诊断系统1匹配的采集医学图像的设备的操作教程。在这种情况下，培训模块230可以根据不同医疗机构采用的采集医学图像的设备呈现对应的采集医学图像的设备的操作教程。由此，能够根据医疗机构的采集医学图像的设备对机构人员进行针对性地培训。
在一些示例中，如图5所示，培训系统2还可以包括练习模块280，练习模块280可以被配置用于呈现练习内容并获取机构人员的练习结果。在一些示例中，练习内容可以与培训课程对应。也即，机构人员在完成相应的培训课程的学习后可以进行相应的练习。由此，能够使机构人员通过练习加快对培训课程的掌握速度。
在一些示例中，如图5所示，培训系统2还可以包括错题模块290。在一些示例中，错题模块290可以被配置用于获取错误的练习结果并呈现该错误的练习结果对应的练习内容。在一些示例中，错题模块290可以被配置用于获取错误的练习结果并基于该错误的练习结果进行统计以获取机构人员的弱项，然后针对该机构人员的弱项呈现对应的练习内容。在这种情况下，机构人员能够针对错误的练习结果进行专项练习。由此，能够提高培训效率。
在一些示例中，培训系统2还可以包括题库模块(未图示)，题库模块可以被配置用于管理培训课程。题库模块可以支持浏览培训课程， 新增培训课程，删除培训课程或修改培训课程。由此，能够方便地对培训课程进行管理。
在一些示例中，培训系统2还可以包括存储模块(未图示)，存储模块可以用于存储培训系统2涉及的相关数据。具体地，存储模块可以被配置为用于存储包括培训课程、练习内容、考核内容(也可以称为考核的内容)、机构人员信息、练习结果、和/或考核结果。在一些示例中，存储模块可以是数据库例如sqlserver数据库或mysql数据库。
以下，结合图6详细描述本公开的基于医学图像的远程诊断系统1的培训方法。本公开涉及的基于医学图像的远程诊断系统1的培训方法有时可以简称为培训方法。培训方法应用于上述的培训系统2中。图6是示出了本公开示例所涉及的基于医学图像的远程诊断系统1的培训方法的流程图。
本实施方式的培训方法可以包括接收不同医疗机构的培训请求(步骤S110)、创建培训账号并设置工作角色(步骤S120)、引导机构人员基于工作角色对应的培训课程进行培训并考核(步骤S130)、分配远程诊断系统1的工作账号(步骤S140)和对已完成培训的机构人员进行监控(步骤S150)。在这种情况下，通过全面的培训流程，医疗机构能够将图像质量较高的医疗图像提交至远程诊断系统1进行远程诊断，且支持大批量地进行远程培训，另外，培训课程更全面。由此，能够提高培训质量，还能够有效地降低培训成本。
在一些示例中，在步骤S110中，不同医疗机构的培训请求可以包括采集医疗图像的设备的基本信息、机构人员的基本信息例如联系方式和工作岗位等。
在一些示例中，在步骤S120中，可以基于步骤S110中获得的培训请求创建相应的培训账号并根据工作岗位设置工作角色。在一些示例中，创建完成培训账号并设置工作角色可以通知机构人员并告知培训账号的使用方式。
在一些示例中，在步骤S130中，在机构人员通过培训账号登录培训系统2后，培训系统2可以根据机构人员的工作角色引导机构人员基于工作角色对应的培训课程进行培训。在机构人员学习完相应的培训课程后引导机构人员进行考核，考核通过后将该机构人员在培训系 统2中的培训状态更新为培训完成。
在一些示例中，在步骤S140中，获取机构人员所属的工作角色的培训状态，若该培训状态为培训完成，则新增或更新远程诊断系统1的工作账号并通知机构人员。在这种情况下，机构人员可以通过工作账号登录远程诊断系统1开始利用远程诊断系统1进行医疗图像的远程诊断。
在一些示例中，在步骤S150中，可以基于反馈信息、和/或按周期对已完成培训的机构人员进行考核获得的考核结果，判断是否需要对机构人员进行重新培训。由此，能够进一步地提高培训质量。
以下，以医疗图像为眼底图像为例对本公开涉及的培训系统2进一步进行详细描述。此外，本公开的示例描述的眼底图像是为了更加清楚的说明本公开的技术方案，并不构成对于本公开提供的技术方案的限定。
在该示例中，医疗图像为眼底图像，除非特别说明，针对医疗图像的培训系统2均适用于眼底图像。在这种情况下，远程诊断系统1中的机构端110可以获取来自不同医疗机构例如眼科医院的眼底图像并上传至远程诊断端120，远程诊断端120可以对该眼底图像进行远程诊断以识别眼底图像中的异常病变体征并生成诊断报告。
另外，不同医疗机构可以根据医疗机构内的机构人员的岗位职责向培训系统2申请分配具有岗位职责对应的工作角色的培训账号。例如，针对眼底图像而言，负责通过眼底相机采集眼底图像并上传远程诊断系统1的操作人员可以分配对应操作技师的工作角色，负责对诊断报告进行确认的阅片医生可以分配对应报告医生的工作角色，负责解读报告的眼科医生可以对应全科医生的工作角色。在获取相应的培训账号后，机构人员可以通过培训系统2的登陆模块220进行登录以进行相应的工作角色培训。
对于眼底图像，操作技师的培训教程可以包括眼底基础知识的教程、眼底检查的重要性的教程、眼底图像的质量要求规范的教程、眼底相机的操作教程、以及利用机构端110上传眼底图像的操作教程。眼底基础知识的教程例如可以包括眼球的解剖结构、眼底外观分型、眼底分区和视网膜的解剖与组织学等。由此，能够全面地了解眼底。
在该示例中，眼底图像的质量要求规范例如可以包括拍摄位置要求(例如拍摄位置需为黄斑区)、清晰度规范、可读范围规范、成像规范等。因此，在质量要求规范的规定下，常见的不符合质量要求规范的眼底图像例如可以为存在拍摄位置不达标、对焦不达标、屈光间质混浊、曝光过强、黄斑区暗影或曝光不足、边缘漏光、眼睑遮挡、头发或睫毛伪影、镜头污斑或泪膜反光等问题的眼底图像。眼底相机的操作教程可以包括眼底相机的装配、维护、拍摄流程和保养、以及眼底相机的常见问题及解决方法。眼底相机的常见问题例如可以包括拍照常见问题和小瞳孔拍照问题。
对于眼底图像，报告医生的培训教程中涉及的诊断报告中的词条标准可以包括各种异常诊断的重要性分级、诊断名称以及对应的异常病变体征。作为眼底图像的词条标准的示例，如表1所示。
表1 词条标准的示例
Figure PCTCN2022092534-appb-000001
对于眼底图像，全科医生的培训课程可以包括眼底基础知识的教程、眼底检查的重要性的教程、眼底图像的质量要求规范的教程、相关眼底疾病的教程、以及远程诊断端120对眼底图像进行远程诊断的规则(也可以称为基于眼底图像进行阅片的规则)。
眼底疾病例如可以包括糖尿病视网膜病变、糖尿病黄斑水肿、高血压动脉硬化视网膜病变、年龄相关性黄斑变性、豹纹状眼底改变和高度近视性眼底病变等。眼底疾病可以具有对应的异常病变体征。作为眼底疾病对应的异常病变体征的示例，例如高血压动脉硬化视网膜病变对应的异常病变体征可以包括动脉普遍变细、动脉局部变细、动静脉交叉压迹、动脉反光增强、视网膜出血、毛细血管瘤样膨出、棉絮斑、硬性渗出和视盘水肿等。
本公开的培训系统2对工作角色为操作技师、报告医生、全科医生、系统运维人员和管理人员的机构人员进行不同的培训并考核以判断机构人员是否完成相应的培训，也即，是否能够胜任相应工作角色 的工作内容。在这种情况下，通过本公开的培训系统2的培训，医疗机构能够将图像质量较高的医疗图像提交至远程诊断系统1进行远程诊断，且支持大批量地进行远程培训，另外，培训课程更全面。由此，能够提高培训质量，还能够有效地降低培训成本。
虽然以上结合附图和实施方式对本发明进行了具体说明，但是可以理解，上述说明不以任何形式限制本发明。本领域技术人员在不偏离本发明的实质精神和范围的情况下可以根据需要对本发明进行变形和变化，这些变形和变化均落入本发明的范围内。

Claims (10)

  1. 一种基于医学图像的远程诊断系统的培训系统，其特征在于，是用于对使用所述远程诊断系统的不同医疗机构的机构人员进行培训的培训系统，所述远程诊断系统包括机构端和远程诊断端，所述机构端获取来自所述不同医疗机构的医学图像并上传至所述远程诊断端，所述远程诊断端对该医学图像进行远程诊断以识别医学图像中的异常病变体征并生成诊断报告，所述机构端输出所述诊断报告，所述培训系统包括人员管理模块、登陆模块和培训模块；所述人员管理模块配置为管理机构人员，为机构人员分配培训账号且基于所述培训账号设置机构人员所属的工作角色，并基于所述工作角色设置对应的培训课程，其中，所述工作角色包括操作技师、报告医生和全科医生；所述登陆模块配置为提供登陆界面，通过所述登陆界面获取包括培训账号的登录信息并基于所述登录信息进行登录验证，若验证通过，则基于所述培训账号获取机构人员所属的工作角色；所述培训模块配置为基于所述工作角色获取机构人员的培训课程并向机构人员呈现该培训课程，并且所述培训模块配置为对机构人员进行考核以评估对该培训课程的掌握程度，并基于评估的结果判断该机构人员是否完成培训，在培训课程中，对于操作技师，培训课程包括医学基础知识的教程、医学检查的重要性的教程、医学图像的质量要求规范的教程、采集医学图像的设备的操作教程、以及利用所述机构端上传医学图像的操作教程，通过培训课程使操作技师能够正确判断医学图像的图像质量并通过所述机构端上传符合质量要求规范的医学图像至所述远程诊断端，对于报告医生，培训课程包括利用所述机构端对所述诊断报告进行签名的操作教程、以及所述诊断报告中的词条标准的教程，通过培训课程使报告医生能够理解所述诊断报告中的词条标准并利用所述机构端对所述诊断报告进行确认，对于全科医生，培训课程包括医学基础知识的教程、医学检查的重要性的教程、医学图像的质量要求规范的教程、相关疾病的教程、以及所述远程诊断端对医学图像进行远程诊断的规则，通过培训课程使全科医生能够解读由所述机构端获取的诊断报告。
  2. 根据权利要求1所述的培训系统，其特征在于：
    所述远程诊断系统还包括机构管理端，所述机构管理端用于查看和管理各个医疗机构内的运营状态，所述工作角色还包括系统运维人员和管理人员，对 于系统运维人员，培训课程包括所述远程诊断系统的功能介绍的教程、所述机构端或所述机构管理端的操作教程、运维工具和日常运维的操作教程、以及常见问题的预防和解决方法的教程，通过培训课程使系统运维人员能够使所述机构端或所述机构管理端稳定地运行，对于管理人员，培训课程包括所述机构管理端的操作教程，通过培训课程使管理人员能够利用所述机构管理端查看和管理各个医疗机构内的运营状态。
  3. 根据权利要求2所述的培训系统，其特征在于：
    所述培训模块还配置为将已完成对应工作角色培训的机构人员在所述培训系统中的培训状态更新为培训完成；所述培训系统还包括账号分配模块，所述账号分配模块配置为获取机构人员所属的工作角色的培训状态，若该培训状态为培训完成，则新增或更新机构人员在所述机构端或所述机构管理端中的工作账号并通知机构人员。
  4. 根据权利要求2所述的培训系统，其特征在于：
    所述运营状态包括机构人员以及该机构人员的权限、诊断报告和基于诊断报告的统计分析结果、以及采集医学图像的设备的基本信息和采集医学图像的设备的实时状态。
  5. 根据权利要求1所述的培训系统，其特征在于：
    所述培训系统还包括即时通信模块，所述即时通信模块配置为用于机构人员与所述培训系统的工作人员进行实时在线沟通以收集机构人员的反馈信息，其中，所述反馈信息包括咨询问题的次数。
  6. 根据权利要求5所述的培训系统，其特征在于：
    所述培训系统还包括监控模块，所述监控模块配置为基于所述反馈信息、和/或按周期对已完成培训的机构人员进行考核获得的考核结果判断是否需要利用所述培训模块对机构人员进行重新培训。
  7. 根据权利要求5所述的培训系统，其特征在于：
    所述即时通信模块还配置为发送采集医学图像的设备的异常情况、医学图 像的图像质量的异常情况、以及行业知识。
  8. 根据权利要求2所述的培训系统，其特征在于：
    在进行所述考核中，考核的方式包括基于幻灯片的理论考核、基于试题的理论考核、以及基于模拟所述机构端或所述机构管理端的实操考核中的至少一种。
  9. 根据权利要求1所述的培训系统，其特征在于：
    所述培训系统还包括设备教程管理模块，所述设备教程管理模块用于管理与所述远程诊断系统匹配的采集医学图像的设备的操作教程，所述培训模块根据所述不同医疗机构采用的采集医学图像的设备呈现对应的采集医学图像的设备的操作教程，其中，所述采集医学图像的设备的操作教程包括采集医学图像的设备的装配、维护、拍摄流程和保养、以及采集医学图像的设备的常见问题及解决方法。
  10. 根据权利要求1所述的培训系统，其特征在于：
    所述培训系统还包括练习模块和错题模块；所述练习模块被配置用于呈现与培训课程对应的练习内容并获取机构人员的练习结果；所述错题模块被配置用于获取错误的练习结果并呈现该错误的练习结果对应的练习内容、和/或获取错误的练习结果并基于该错误的练习结果进行统计以获取该机构人员的弱项，然后针对该机构人员的弱项呈现对应的练习内容。
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