CN102231176A - Clinical department browsing workstation aiming at PACS (Picture Archiving and Communication System) of hospital and application method thereof - Google Patents
Clinical department browsing workstation aiming at PACS (Picture Archiving and Communication System) of hospital and application method thereof Download PDFInfo
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- CN102231176A CN102231176A CN2011102079616A CN201110207961A CN102231176A CN 102231176 A CN102231176 A CN 102231176A CN 2011102079616 A CN2011102079616 A CN 2011102079616A CN 201110207961 A CN201110207961 A CN 201110207961A CN 102231176 A CN102231176 A CN 102231176A
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Abstract
The invention relates to a clinical department browsing workstation aiming at a PACS (Picture Archiving and Communication System) of a hospital, comprising a multipoint touch input device (1), a main controller module (2), a display and output device (3), and a power supply module (4), wherein the multipoint touch input device is used for detecting a plurality of touches simultaneously occurring at different positions on the display and output device, automatically converting the touch information into coordinate and touch point ID (Identity) information and transmitting the coordinate and touch point ID information to the main controller module; and the main controller module is used for receiving the coordinate and touch point ID information transmitted by the multipoint touch input device, grouping and storing corresponding touch point coordinates according to different touch point IDs, judging an operational command of a user through change of coordinate values among the different touch point IDs, and outputting a result to the display and output device; and the main controller module is used for calling related image data of an image server in the PACS system and converting the image data in a format of DICOM (Digital Imaging and Communication Of Medicine) file to a target file format and then outputting the target file format to the display and output device for displaying. The clinical department browsing workstation overcomes the defect of man-machine interaction in the traditional PACS image workstation and is beneficial to improving the performance and the configuration of the browsing workstation.
Description
Technical field
The present invention relates to a kind of clinical department and browse workstation and application process thereof at the PACS of hospital.
Background technology
The birth of digital camera makes unnecessary that the flushing of film becomes, when the development and maturation of picture archive with transmission system (being called for short PACS), it more and more widely be applied to medical domain.The medical image that PACS can be collected the medical contrast apparatus (as CT, MR, X-RAY, US, CR and NM etc.) that has possessed DICOM 3.0 standard network access capabilities in the medical system, store in digitized mode, and by network image is reached the user who is in the same system and read by image workstation.Also can further assist a physician and diagnose, teaching and medical research.A complete PACS comprises the collection of image, store, output, transmission shows, and with functions such as HIS (hospital information system), RIS (dept. of radiology's information management system) exchange message that combines.
With respect to exposing many backward factors based on the traditional work of the hospital image of film, way to manage, for example: inefficiency, costly, pollution height, preserve difficulty, influence quality of diagnosis or the like, PACS has clear superiority: hospital application PACS will save the plenty of time for the patient, can conveniently diagnose, reduce mistaken diagnosis; Image all adopts the digitizing storage to reduce film use amount and management, has reduced the expense of making and buy film and corresponding chemical goods, has not only reduced operating cost, has also eliminated conventional film and has made the produced pollution; Can carry out the processing again of image so that contrast and comparison are increased work efficiency, improve the medical level of hospital; For hospital provides resource accumulation, make full use of the court's resource and other hospital resources, help computer-aided instruction, can further put forward new quality of instruction.
The PACS system can be hospital and thoroughly realizes not having the film radiation, allows the doctor to implement diagnosis fast, in high quality by computer network under the situation of not using film.Effectively facilitate hospital information, modernization development, improve diagnostic level, reduce intrinsic cost, structure with the clinical information resource tightens quality control.Realize not having completely film radiation and digital hospital, become the irresistible trend of medical treatment modernization, PACS system (medical image files and transmission system), overall application is imperative in the hospital image field.
The composition of PACS system comprises: the radiology department image workstation, workstation is browsed in the clinical department, PACS image server.Each several part passes through net connection.
The radiologist gathers medical contrast apparatus (as CT, MR, X-RAY, US, CR and NM etc.) by the radiology department image workstation and photographs image data, image is optimized processing and diagnoses interpretation and provide the electronic report list, then medical imaging data upload to PACS image server centered is stored and management, the clinician browses workstation by the clinical department and transfers image data in the PACS image server, browses medical radiography image and report.
The interactive interface that workstation is PACS and clinician is browsed in the clinical department, also is the basis of medical imaging diagnosis.The clinician is by browsing the workstation operation interface, enforcement is to the multiple operations such as reading diagnosis of image, because the no film operation of PACS system, the characteristics of image digitization, display effect and the good operation of browsing workstation are most important, what it was related to the shown quality of image of PACS and clinician reads sheet and diagnosis efficiency, directly the accuracy and the quality of influence diagnosis.
The workstation of browsing that present PACS is adopted mainly is made up of host computer and display device, and display device generally adopts 17-22 cun regular display, and resolution is lower, and input equipment is mouse and keyboard.
Because the image resolution of the part type that the radiology department image workstation is collected is bigger, as: X line rabat or CR at least 2048 * 2048 and breast takes a picture at least 4096 * 4096, and the regular display display screen is little, resolution is lower, the full details that can't instant playback goes out image, particularly when several images showed in same indicator screen simultaneously, it was less than normal to cause image to show, the clinician observes inconvenience.And amplify when observing, amplify the part that the result has just shown image, signal to noise ratio (S/N ratio) reduces, and is difficult to avoid failing to pinpoint a disease in diagnosis, and the risk of diagnostic accuracy occurs reducing.
The doctor usually needs repeatedly relatively image when browsing workstation and read sheet, and image is amplified observation, only attends school this link of sheet, and when need repeatedly relatively during the old and new's image, reading film on the viewbox can be faster than reading word image on display.Because viewbox is simple to operate.For the case of more complicated, reading word image can be grown 3~5 minutes than reading conventional film, whenever reads a sheet and will click the mouse following more than 10.Loaded down with trivial details repeated operation just causes fatigue easily, influences efficient.Therefore, how simplifying the man-machine interaction of image, improve performance and the configuration browse workstation, is the problem that present PACS system is faced.
Summary of the invention
Technology of the present invention is dealt with problems and is: overcome the deficiencies in the prior art, provide a kind of clinical department at the PACS of hospital to browse workstation, also provide this clinical department to browse the application process of workstation.
Technical solution of the present invention is:
Workstation is browsed in a kind of clinical department at the PACS of hospital, comprising:
Multi-point touch input equipment: detect and to occur in a plurality of touches that show diverse location on the output device simultaneously, convert these touch informations to coordinate automatically and the touch point id information transfers to main controller module; It has gesture identification, image identification, finger motion locus decision-making function;
Main controller module: receive coordinate and touch point id information that the multi-point touch input equipment is sent, according to different touch point ID corresponding touch point coordinate is divided into groups to store, user's operational order is judged in variation by the coordinate figure between the different touch point ID, exports the result to the demonstration output device; Described main controller module calls the coherent video data of image server in the PACS system, the image data of DICOM file layout is converted to export to behind the destination file format show that output device shows;
Show output device: the output result who is used to show main controller module; And
Power module: be used for to the main control module, show that output device and multi-point touch input equipment provide power supply.
Further, this clinical department is browsed workstation and is also comprised shell, and described multi-point touch input equipment, main controller module, demonstration output device and power module are integrated in this shell.
Described main controller module passes through HDMI interface or DVI interface or VGA interface and is connected with described demonstration output device.
Described multi-point touch input equipment is connected with described main controller module by USB interface.
Described power module becomes 12V voltage to deliver to described main control module outside 220V voltage transitions, described power module becomes 24V voltage to deliver to described demonstration output device outside 220V voltage transitions, and described power module becomes 5V voltage to deliver to described multi-point touch input equipment outside 220V voltage transitions.
Described multi-point touch input equipment is positioned at described demonstration output device top.
Described main controller module with the method that the image data of DICOM file layout is converted to destination file format is:
(1) call the DICOM file layout before, define one group of variable that is used for storing image data automatically, and with initialization of variable;
When (2) calling the DICOM file layout, read the data element of DICOM file, each relevant data elements of DICOM file is traveled through, extract the content of useful data element, deposit in respectively in the defined variable;
(3) again according to the requirement of destination file format, view data is converted to the view data that meets destination file format; Described destination file format comprises JPG, BMP and PNG form;
(4) open a null file at last, according to the requirement of object format, the data that will extract in the DICOM file write this null file;
(5) format conversion is finished, and generates an object format file of the same name and shows.
According to the requirement of destination file format, convert 12 in the pixel data unit or 16 s' view data to 8 gradation datas in the described step (3).
The application process of workstation is browsed in described clinical department: image data and electronic report that the clinician browses in the workstation invoking server group by the clinical department are single, browse image by various gesture operations, and image are carried out various operations diagnose; Described various operation comprises one or more of following action: click, rotation, convergent-divergent, move, about spin upside down, mirror image, measurement, note, handwriting input carry out text and explain.
The present invention compared with prior art has following advantage:
At the daily busy curative activity in clinical department, clean and tidy orderly working environment is very important, and the existing relatively independent dispersion of various kinds of equipment of browsing workstation, equipment asks connecting line various confusion, not only bad for daily servicing, and occur easily connecting line because of touch come off or dust too much or cause and browse the workstation fault, the present invention will browse workstation four big hardware module is integrated is mounted in the shell, make intelligent touch-control demonstration integral type clinical department and browse workstation, existing major equipment and all kinds of connecting line of browsing workstation is integrated into one, can effectively addresses the above problem.Four module is unified the power supply power supply, input equipment and display device are integrated, display driver circuit plate, power supply circuit board and the power module of master controller and display device are integrated, adopt more rational five metals structure, the mode of circuit after integrated with the floor level height is mounted in the unified shell, make the novel integral thickness of browsing workstation can be controlled at 80-100MM, and brand-new clinical display and operation software is installed, make it become novel intelligent touch-control and show that the integral type clinical department browses workstation, make things convenient for wall hanging or vertical putting and need not more spaces.
And the integral type clinical department is browsed workstation and is had abundant interface, can be ideally by network and PACS system, HIS system, RIS system interlink, and can insert external units such as external CD writer, printer, the special-purpose card reader/writer of hospital.
Workstation utilization high resolving power, large-sized display devices, multi-point touch equipment and integrated design are browsed in clinical department of the present invention, can improve the existing deficiency of browsing workstation, improve greatly and read sheet and diagnosis efficiency, effectively facilitate hospital information, modernization development, improve diagnostic level.With the multi-point touch input equipment as the input equipment of browsing workstation, the clinician only need just can intuitively browse image, and image is carried out various operations easily by use various gesture operations on display device, simplified the operation when reading sheet greatly, improved and read sheet efficient.
Description of drawings
Fig. 1 is for browsing the word station hardware structural representation according to the embodiment of the invention; Wherein a is the front cut-away view, and b is an outboard profile.
Fig. 2 is the application process synoptic diagram according to the embodiment of the invention.
The figure number explanation: the 1-main controller module, the 2-power module, 3-shows output device, 4-multi-point touch input equipment, 5-shell; 11-clinician, 12-browses workstation in novel clinical department, the clinical display and operation software of 13-, 14-group of server, 15-medical treatment contrast apparatus, 16-radiology department image workstation, 17-radiologist.
Embodiment
Below with reference to accompanying drawing embodiments of the present invention and embodiment are described.
As shown in Figure 1, browsing workstation is made of hardware components and software section.
Hardware components:
(1) show output device: integrated display driver circuit plate and power supply circuit board are more than or equal to 42 cun LCD or LED, and more than the resolution 1200 * 1600 or 1600 * 1200, sweep frequency is more than or equal to 60HZ, and display color reaches the 24bit true color.Can clearly illustrate all images of once checking simultaneously.
(2) main controller module: the main controller module of integrated mainboard, hard disk, central processing unit, internal memory, be responsible for carrying out various data processing, control shows output device and multi-point touch input equipment.Contain USB interface, IEEE1394 interface, RJ45 interface, HDMI interface, DVI interface, VGA interface, but connected networks, and can expand the access CD writer, printer, external units such as the special-purpose card reader/writer of hospital.
(3) multi-point touch input equipment: have technology such as gesture identification, image identification, finger motion locus judgement, utilize main controller module detect a plurality of touches that diverse location takes place on show output device simultaneously (as with hand, pen or other thing) or near touch, can finish multi-point touch and control the touching device that possesses the multi-point touch technology.
(4) power module: the power supply of 220V is become voltages such as 12V, 5V, export the demonstration output device then to, main controller module on each modules such as multi-point touch input equipment, makes them can operate as normal.Provide stabilized power source for browsing workstation.
(5) shell: with the shell that materials such as iron, aluminium or plastics are made, the four big hardware modules of browsing workstation are integrated and redesign, integrated being mounted in the shell makes it become novel intelligent touch-control demonstration integral type clinical department and browses workstation.
Software section:
Clinical display and operation software: refer to that the clinical department browses the interface software that the clinician controlled on the workstation.In conjunction with C#, VB, VC, JAVA, Delphi, ASP.Net, AS3.0, the control system that waits software development to go out combines with the multi-point touch input equipment, finishes truly " the multiconductor finger is controlled ".The clinician only need pass through various gesture operations, just can intuitively browse image easily, and image is carried out various operations, as: click, rotation, convergent-divergent move, about spin upside down, mirror image is measured, and explains, handwriting input is carried out text and is explained, and can pass through voice input device, the remarks of recording, and recording material can be uploaded to the PACS server.Clinical display and operation software is by net connection PACS system, call required medical imaging, can show all images of once checking, and support many kinds of images demonstration arrangement modes and image demonstration arrangement mode manually to control, and the interlock of same hospital information system (HIS) and radiology information system (RIS), call the relevant information of radiodiagnosis simultaneously, comprise the patient's name, age, sex, patient's case number, section office, the physician's name is examined in inspection, clinical diagnosis information, check name, check data, read the image state, higher level doctor signs and to read state, and all that are stored in patient in the short-term long term memory were checked image in the past, check result and radiation technician name etc. in the past.
Main controller module is responsible for carrying out various data processing, and control shows that the image of output device 3 is exported and 4 inputs of multi-point touch input equipment are judged, operating system is installed, clinical display and operation software, softwares such as multi-point touch Input Software.
As shown in Figure 1, main controller module 1, power module 2 shows output device 3, multi-point touch input equipment 4 integrated being installed in the shell 5.Outside 220V power supply connects power module 2 by power lead, and power module 2 is transferred to main control module 1 by power lead after the power supply of 220V is become voltages such as 12V, 5V, shows output device 3, and modules such as multi-point touch input equipment 4 are started working it; Main controller module 1 passes through HDMI interface or DVI interface or VGA interface and shows that output device 3 is connected.Multi-point touch input equipment 4 is connected with main controller module 1 by USB interface, multi-point touch input equipment 4 is positioned at and shows output device 3 tops, when the multi-point touch input equipment is sensed a plurality of touches of diverse location generation above demonstration output device 3 (as using hand, pen or other thing) or during near touch signal, automatically these touch signals are become digital signal touch point coordinate and touch point ID by analog signal conversion, transfer to main controller module 1 by USB interface, after main controller module 1 receives touch point coordinate and touch point id information, the multi-point touch Input Software divides into groups to store to corresponding touch point coordinate according to different touch point ID, and the coordinate after will dividing into groups combines with clinical display and operation software with ID, clinical display and operation software is by the variation of the coordinate figure between the different touch point ID, judge user's operational order, image in the software, literal, elements such as picture are made click by user's operational order, double-click, rotation, convergent-divergent, move, about spin upside down, mirror image, measure, explain, reactions such as handwriting input, and by HDMI interface or DVI interface or VGA interface will handle in conjunction with after the result export to and show that output device 3 shows.
The application process that workstation is browsed in the clinical department is:
As shown in Figure 2, workstation1 2 is browsed in the clinical department, group of server 14, and the medical contrast apparatus of radiology department image workstation 16 15 links together by network; Clinical display and operation software 13 refers to that being mounted to novel clinical department browses workstation1 2, and clinician 11 browses and various operations image by this software; New group of server 14 comprises: PACS (medical image files and transmission system) image server, RIS (radiology information system) server, HIS (hospital information system) server; Medical treatment contrast apparatus 15 has possessed DICOM 3.0 standard network access capabilities; Radiologist 17 gathers the taken image of medical contrast apparatus 15 by radiology department image workstation 16, and image is optimized handles and diagnosis, and it is single to provide electronic report then, at last with electronic report single with the image data group 14 that uploads onto the server; Clinician 11 browses clinical display and operation software 13 in the workstation1 2 by being mounted to novel clinical department, image data in the invoking server group 14 and electronic report are single, browse image by various gesture operations, and image is carried out various operations (as: click rotation, convergent-divergent, move, about spin upside down, mirror image is measured, explain, handwriting input is carried out text and is explained) diagnose.
Clinical display and operation software possesses DICOM format conversion function, medical digital imaging and communication (digital imaging and communication in medicine, DICOM) application of standard has promoted the interoperability between the medical imaging device, a kind of data exchange standard that is used for the opening of medical information is provided, the unified file of the image that the image documentation equipment that makes different vendor produce forms becomes possibility with communication, has accelerated the development of PACS; But most of image processing softwares are not supported the DICOM image file format, must carry out format conversion to it so handle the DICOM image file, clinical display and operation software possesses the function that the DICOM form converts the image file format that can extensively discern automatically to. and the principle of work that clinical display and operation software is changed is as follows: at first, clinical display and operation software is before calling new DICOM file, automatically define one group of variable that is used for storing image data, and with initialization of variable; When clinical display and operation software passes through the file of the DICOM form in the network call server, can read the data element of DICOM file, each relevant data elements to the DICOM file travels through, extract the content of useful data element, deposit the variable that defines respectively in, again according to the destination file format that will change (as JPG, BMP, PNG etc.) requirement converts 12 in the pixel data unit or 16 s' view data to 8 gradation datas; Open the file of a blank at last, according to object format (as JPG, BMP, PNG etc.) requirement, the data that will extract in the DICOM file write new file, and format conversion is finished, and show that with generating an order of the same name form is (as JPG, BMP, PNG etc.) file and being presented in the clinical display and operation software.
Clinical display and operation software combines with the multi-point touch input equipment, the multi-point touch input equipment by USB port with the novel master controller of browsing workstation of touch-control data transmission, master controller becomes coordinate and id information to be transferred to clinical display and operation software data-switching, clinical display and operation software engages touch information and image is made a response and be presented in real time on the display device, finishes truly " multiconductor is pointed and controlled ".The clinician only need pass through various gesture operations, just can intuitively browse image easily, and image is carried out various operations, as: click, rotation, convergent-divergent move, about spin upside down, mirror image is measured, and explains, handwriting input is carried out text and is explained.
The present invention is not limited to the content that claim and the foregoing description are addressed, so long as any invention of creating out according to design of the present invention all should belong within protection scope of the present invention.
Claims (9)
1. browse workstation at the clinical department of the PACS of hospital, it is characterized in that: comprise
Multi-point touch input equipment: detect and to occur in a plurality of touches that show diverse location on the output device simultaneously, convert these touch informations to coordinate automatically and the touch point id information transfers to main controller module; It has gesture identification, image identification, finger motion locus decision-making function;
Main controller module: receive coordinate and touch point id information that the multi-point touch input equipment is sent, according to different touch point ID corresponding touch point coordinate is divided into groups to store, user's operational order is judged in variation by the coordinate figure between the different touch point ID, exports the result to the demonstration output device; Described main controller module calls the coherent video data of image server in the PACS system, the image data of DICOM file layout is converted to export to behind the destination file format show that output device shows;
Show output device: the output result who is used to show main controller module; And
Power module: be used for to the main control module, show that output device and multi-point touch input equipment provide power supply.
2. workstation is browsed in the clinical department at the PACS of hospital according to claim 1, it is characterized in that: also comprise shell, described multi-point touch input equipment, main controller module, demonstration output device and power module are integrated in this shell.
3. workstation is browsed in the clinical department at the PACS of hospital according to claim 1, it is characterized in that: described main controller module passes through HDMI interface or DVI interface or VGA interface and is connected with described demonstration output device.
4. workstation is browsed in the clinical department at the PACS of hospital according to claim 1, it is characterized in that: described multi-point touch input equipment is connected with described main controller module by USB interface.
5. workstation is browsed in the clinical department at the PACS of hospital according to claim 1, it is characterized in that: described power module becomes 12V voltage to deliver to described main control module outside 220V voltage transitions, described power module becomes 24V voltage to deliver to described demonstration output device outside 220V voltage transitions, and described power module becomes 5V voltage to deliver to described multi-point touch input equipment outside 220V voltage transitions.
6. workstation is browsed in the clinical department at the PACS of hospital according to claim 1, it is characterized in that: described multi-point touch input equipment is positioned at described demonstration output device top.
7. workstation is browsed in the clinical department at the PACS of hospital according to claim 1, it is characterized in that: described main controller module with the method that the image data of DICOM file layout is converted to destination file format is:
(1) call the DICOM file layout before, define one group of variable that is used for storing image data automatically, and with initialization of variable;
When (2) calling the DICOM file layout, read the data element of DICOM file, each relevant data elements of DICOM file is traveled through, extract the content of useful data element, deposit in respectively in the defined variable;
(3) again according to the requirement of destination file format, view data is converted to the view data that meets destination file format; Described destination file format comprises JPG, BMP and PNG form;
(4) open a null file at last, according to the requirement of object format, the data that will extract in the DICOM file write this null file;
(5) format conversion is finished, and generates an object format file of the same name and shows.
8. workstation is browsed in the clinical department at the PACS of hospital according to claim 7, it is characterized in that: according to the requirement of destination file format, convert 12 in the pixel data unit or 16 s' view data to 8 gradation datas in the described step (3).
9. the application process of workstation is browsed in the described clinical department of claim 1-8, it is characterized in that: image data and electronic report that the clinician browses in the workstation invoking server group by the clinical department are single, browse image by various gesture operations, and image is carried out various operations diagnose; Described various operation comprises one or more of following action: click, rotation, convergent-divergent, move, about spin upside down, mirror image, measurement, note, handwriting input carry out text and explain.
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CN107391920A (en) * | 2017-07-13 | 2017-11-24 | 中科超精(安徽)科技有限公司 | A kind of DICOM project documentations rough set theory system and method |
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