WO2016199948A1 - Procédé et appareil de transmission d'image médicale pour la transmission d'une image médicale à un dispositif mobile, et procédé et appareil de relais d'image médicale et de résultats de lecture pour la transmission et la réception d'une image médicale et d'un résultat de lecture à distance entre un dispositif mobile et un lecteur à distance d'un institut de traitement médical à distance - Google Patents

Procédé et appareil de transmission d'image médicale pour la transmission d'une image médicale à un dispositif mobile, et procédé et appareil de relais d'image médicale et de résultats de lecture pour la transmission et la réception d'une image médicale et d'un résultat de lecture à distance entre un dispositif mobile et un lecteur à distance d'un institut de traitement médical à distance Download PDF

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Publication number
WO2016199948A1
WO2016199948A1 PCT/KR2015/005756 KR2015005756W WO2016199948A1 WO 2016199948 A1 WO2016199948 A1 WO 2016199948A1 KR 2015005756 W KR2015005756 W KR 2015005756W WO 2016199948 A1 WO2016199948 A1 WO 2016199948A1
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Prior art keywords
medical image
mobile device
image
transmitting
medical
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Ceased
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PCT/KR2015/005756
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English (en)
Korean (ko)
Inventor
최형식
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Hesel Inc
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Hesel Inc
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Priority to PCT/KR2015/005756 priority Critical patent/WO2016199948A1/fr
Publication of WO2016199948A1 publication Critical patent/WO2016199948A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H30/00ICT specially adapted for the handling or processing of medical images
    • G16H30/20ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons

Definitions

  • the present invention relates to a medical image transmitting method and apparatus for transmitting a medical image to a mobile device, and to a medical image and reading result relay method and apparatus for transmitting and receiving medical images and remote reading results between a mobile device and a remote reading apparatus of a remote medical institution.
  • a communication terminal such as a personal computer and / or mobile device capable of internet communication in an Internet environment
  • a media such as a CD or a USB containing a medical image or to a recording medium of another system.
  • Medical image transmission method and device for transmitting and storing the contained medical image to mobile device through network, and medical image for transmitting and receiving medical image and remote reading result between mobile device and remote reading device of remote medical institution if remote reading is needed And a method and apparatus for relaying read results.
  • a technique for transmitting a medical image through a communication terminal such as a personal computer or a mobile device is disclosed.
  • FIG. 8 schematically illustrates a digital communication in medicine (DICOM) image relay system of a medical image storage and transmission system according to Korean Patent Publication No. 10-2007-0022975 (2007.2.28).
  • the hospital mobile server 80 is connected to the medical staff mobile phone 82 through the Internet, which is not a service for the patient, the medical staff is to look up the image to the mobile device 82 is a general
  • the patient is not using a mobile device. It is not possible to see medical records unless there is an internet communication connection between the server of the hospital and the medical staff.
  • the medical image is transferred from the patient's CD or USB to the mobile device, and the software is installed on the mobile device. Medical records cannot be viewed on a customer's mobile device without a communication connection with a PC, and there is no teaching about sending medical images to a remote medical institution for remote reading from a mobile device.
  • FIG. 9A and 9B schematically illustrate a system and method for managing medical information integrated in Korean Patent Publication No. 10-2005-0051953 (2005.6.2), in which a hospital terminal 90 and a patient home station 94 connect to the Internet. It is configured to be connected through or the hospital terminal 90 is connected to the home station 94 via the mobile phone 92 through the Internet.
  • the medical information generated by the medical institution terminal is directly stored in the user's medical information management home system 94 via a communication network without passing through the portable terminal, or as illustrated in FIG. 9B.
  • 92 only temporarily receives medical information and transmits it to the home station 94 in the patient's home.
  • 10 is a Korean Patent Laid-Open Publication No. 10-2011-0112715 (2011.10.13), which schematically illustrates a personal health management method using a mobile terminal, a recording medium recording the program, and a service providing server thereof.
  • 10 illustrates a mobile terminal 102 technology for manually inputting personal health information, and a user manually inputs personal information into the mobile device 102. Therefore, large medical records such as medical images (8 MB of chest images, dozens of hundreds of CT and MR images) cannot be manually input. In other words, there is no function to transmit and store large-capacity medical image data contained in CD or USB to a mobile device.
  • FIG. 11 is a Korean patent application 10-2012-0143026 (2012.12.10), which schematically illustrates a method and apparatus for managing a mobile personal medical record.
  • the present applicant does not use a CD or a USB medical device.
  • the medical image is transmitted from the hospital terminal 112 equipped with the PC writer software to the mobile device 112 to be stored and managed without Internet connection, but the medical image is transferred to the mobile device from the CD or USB distributed to the patient.
  • the problem to be solved by the present invention is to transmit and store the medical image from the CD or USB distributed to the patient to the mobile device, or to transmit and store the medical image still distributed in the CD or USB to the mobile device, or other systems Medical image transmission method and device for transmitting the medical image contained in the recording medium of the medical device to the mobile device through the network, and transmits the medical image from the mobile device to the remote reading device of the remote medical institution, remotely from the remote reading device to the mobile device Provided are a medical image and a read result relay method and apparatus for transmitting a read result.
  • a method for transmitting a medical image contained in a recording medium to a mobile device comprising the steps of: loading the recording medium to the input port of the medical image input apparatus; Reading and inputting a medical image from a recording medium; Temporarily storing the input medical image; It provides a medical image transmission method comprising transmitting and storing the stored medical image to the mobile device.
  • the method further includes the step of deleting the temporarily stored medical image after transmitting the medical image to the mobile device.
  • the medical image file contained in the recording medium of the other system by copying and transmitting the medical image file via a network, the transmission Reading and inputting a medical image from the received medical image file; Temporarily storing the input medical image; It provides a medical image transmission method comprising transmitting and storing the stored medical image to the mobile device.
  • the method further includes the step of deleting the temporarily stored medical image after transmitting the medical image to the mobile device.
  • a method for transmitting a medical image contained in a recording medium to a mobile device comprising the steps of: loading the recording medium into the input port of the mobile device; Receiving a medical image transmitted from a recording medium at the mobile device; And it provides a medical image transmission method comprising the step of storing the received medical image in the mobile device.
  • an apparatus for transmitting a medical image contained in the recording medium to the mobile device comprising: an input port for loading the recording medium; An input unit for reading and inputting a medical image from a recording medium; A storage unit which temporarily stores the input medical image; It provides a medical image transmission device including a transmission unit for transmitting the stored medical image to the mobile device.
  • the storage unit is a volatile memory.
  • an apparatus for transmitting a medical image contained in a USB recording medium to a mobile device comprising: an input port of the mobile device for loading the USB recording medium; Provided is a medical image transmission apparatus integrated with a mobile device including a receiving unit for receiving a medical image from the USB recording medium in the mobile device.
  • the medical image is a mobile device Storing in; Transmitting the stored medical image from the mobile device to a remote reading device through a relay device;
  • the present invention provides a remote reading transmission method through a mobile device of a medical image including transmitting a remote reading result from a remote device to a mobile device through the relay device.
  • the medical apparatus deletes the medical image and the remote reading result without being stored.
  • Mobile image receiving unit for receiving a medical image from the mobile device;
  • a medical image transmitter for transmitting the received medical image to a remote reading apparatus;
  • a remote reading result receiving unit for receiving a remote reading result from the remote reading device;
  • the present invention provides a remote reading transmission apparatus through a mobile device of a medical image including a remote reading result transmitting unit for transmitting the received remote reading result to the mobile device.
  • the medical image and the remote reading result are deleted without being stored in a place other than the mobile device and the remote reading device.
  • the present invention transmits and stores the medical image from the CD or USB distributed to the patient to the mobile device or still transmits and stores the medical image distributed in the CD or USB to the mobile device, remote reading device of the remote medical institution from the mobile device By transmitting the medical image to the remote reading device from the remote reading device to the mobile device, by carrying the medical image in the mobile device, there is an effect that can be sent directly to the reading device when remote reading is necessary.
  • FIG. 1 is a block diagram illustrating an overall operation of a method and apparatus for supporting remote read for an image contained in a recording medium such as a CD or a USB device of the present invention.
  • Figure 2 is a schematic block diagram illustrating the operation of the remote read support method and apparatus for a CD or USB image of the present invention.
  • FIG. 3 is a block diagram schematically illustrating an operation display screen of a CD or USB image input device that reads a storage medium such as a CD or USB from a computer and transmits a DICOM medical image to a personal mobile device according to the present invention.
  • Figure 4 stores the DICOM image transmitted from the CD or USB image input device in the mobile device according to the present invention, after requesting a remote read, the mobile image management and read result query to receive the read result and store in the mobile device
  • FIG. 5 illustrates a display screen of an image and a read result relay device or a program receiving a DICOM image transmitted from a mobile device according to the present invention, transmitting the result to a PACS server of a medical institution, receiving a read result, and transmitting the read result to the requested mobile device. It is a schematic block diagram.
  • FIG. 6 is a block diagram conceptually illustrating a remote reading apparatus, that is, a PACS apparatus of doctors, applied to the present invention.
  • FIG. 7 is a schematic diagram illustrating a procedure of a remote read support method for a CD or USB image including a CD or USB image input apparatus, a mobile image management and read result inquiry apparatus, and an image and read result relay apparatus applied to the present invention. It is a flowchart diagram.
  • 8 to 11 are diagrams for explaining a conventional technology using a mobile device.
  • the present invention provides a medical apparatus for reading a medical image contained in a recording medium through a medical image input apparatus having a software program having an image input function and transmitting the medical image to a mobile device having a mobile image management software program.
  • An image transmitting method comprising: loading the recording medium into an input port of the medical image input apparatus; Reading a medical image from the recording medium and inputting the medical image to the medical image input apparatus; Displaying information of a medical image read from the recording medium on a display unit of the medical image input apparatus; Performing lossless compression to select and transmit medical image information displayed on the display unit to a mobile device; Temporarily storing the lossless compressed medical image in storage of the medical image input apparatus; Displaying a code on the display unit by a code processor of the medical image input apparatus; And transmitting a non-lossy compressed medical image stored in the storage unit to the mobile device when the mobile device in which the mobile image management software program is installed is requested to transmit the medical image by scanning the code.
  • a method comprising: loading the recording medium into an input port of the medical image input apparatus; Reading a medical image from the recording medium and inputting the medical image to the medical image input apparatus; Displaying information of a medical image read from the recording medium on a display unit of the medical image input apparatus;
  • the method may further include deleting the temporarily stored medical image after transmitting the medical image to the mobile device.
  • the present invention relates to a medical image transmission method for reading a medical image through an image input apparatus having a software program having an image input function and transmitting the medical image to a mobile device having a mobile image management software program.
  • the method comprising: receiving a file stored in a recording medium of another computer system through a network, reading a medical image and inputting the medical image into the image input device; Displaying information of the medical image read from the recording medium on a display unit of the image input apparatus; Performing lossless compression to select and transmit medical image information displayed on the display unit to a mobile device; Temporarily storing the lossless compressed medical image in storage of an image input apparatus; Displaying a code on the display unit by a code processing unit of the image input apparatus; And transmitting a non-lossy compressed medical image stored in the storage unit to the mobile device when the mobile device in which the mobile image management software program is installed is requested to transmit the medical image by scanning the code.
  • the method may further include deleting the temporarily stored medical image after transmitting the medical image to the mobile device.
  • the USB recording Loading a medium into a USB input port of the mobile device; Receiving a medical image at the mobile device from the USB recording medium; Storing the received medical image on the mobile device; And it provides a medical image transmission method comprising the step of managing and querying the stored medical image.
  • a medical image transmitting apparatus having a software program having a medical image input function for transmitting a medical image contained in a recording medium to a mobile device having a mobile image management software program.
  • An input port for loading a recording medium;
  • An input unit which reads and inputs a medical image from the recording medium;
  • a display unit displaying information of a medical image read from the recording medium;
  • a central processing unit for performing lossless compression to select and transmit medical image information displayed on the display unit to a mobile device;
  • a storage unit for temporarily storing the lossless compressed medical image;
  • a code processor for displaying a code on the display unit;
  • an image transmitter for transmitting the lossless compressed medical image stored in the storage to the mobile device when the mobile device requests to transmit the medical image by scanning the code.
  • a medical image transmission apparatus for transmitting a software program having a video input function and a mobile image management software program of a medical image contained in a USB recording medium
  • the USB image recording apparatus comprises: An input port of the mobile device for loading a medium; Receiving unit for receiving a medical image from the USB recording medium in the mobile device; A storage unit storing the medical image received from the receiver; And it provides a medical image transmission device integrated with the mobile device including an image management and inquiry unit for managing and querying the stored medical image.
  • the medical image is transmitted to a remote reading device of a remote medical institution through a mobile device having a software program having a mobile image management and reading result retrieval function, and remotely from the remote reading device to the mobile device.
  • a medical image for transmitting a read result and a read result relay method comprising: a mobile device information manager configured to store and manage mobile device information requested for mobile device registration in a database; A medical institution information manager configured to retrieve information of medical institutions and doctors from the mobile device; Receiving the medical image stored in the mobile device through a mobile image receiver of a relay device connected to the mobile device and storing the medical image in storage; Transmitting a medical image stored in the storage to a remote reading apparatus through a mobile image transmitter of the relay device; Receiving a remote reading result from the remote reading device through a reading result receiving unit of the relay device and storing the result in a database; And transmitting a read result request from the mobile device to the mobile device through a read result transmitter of the relay device.
  • the medical image is transmitted to a remote reading device of a remote medical institution through a mobile device having a software program having a mobile image management and reading result retrieval function, and remotely from the remote reading device to the mobile device.
  • An apparatus for transmitting an image and a read result relaying apparatus comprising: a mobile device information manager configured to store and manage mobile device information requested to be registered in a mobile device in a database; A medical institution information manager configured to retrieve information of medical institutions and doctors from the mobile device; A mobile image receiver configured to receive a medical image stored in the mobile device through a communication connection with the mobile device; A storage unit storing the medical image received through the mobile image receiving unit; A medical image transmitter transmitting the medical image stored in the storage to a remote reading apparatus; A read result receiver configured to receive a remote read result from the remote read device and store the result in a database; And a read result transmission unit which transmits a read result request from the mobile device to the mobile device.
  • the patient or guardian To solve this problem, it is necessary for the patient or guardian to transfer the images contained in the media such as CD or USB received from the medical institution to the mobile device personally, and the CD image that can be read to other medical institutions by using mobile communication.
  • a software program for transferring the images stored in the mobile device to a medical institution or a doctor is required.
  • the present invention presents two important technical solutions.
  • FIG. 1 is a general conceptual block diagram for explaining the operation of the remote reading support method and apparatus for a CD image of the present invention.
  • 2 is a schematic block diagram for explaining the operation of the remote read support method and apparatus for a CD image of the present invention.
  • the flow of medical image data is represented by a thick line
  • the flow of read result data is represented by a thin line.
  • the remote read support device 1 for a CD image of the present invention is a CD image input device 10, mobile image management and read result query device 20, the image and read result relay device ( 30).
  • CD image input device 10 is implemented as a computer (PC)
  • mobile image management and reading result inquiry device 20 is implemented as a mobile device 20, such as a smart phone
  • video and reading result relay device 30 is implemented in the form of a computer or kiosk.
  • the CD image input device 10 is a device that reads the medical image copied from the medical institution to the recording medium 2 such as a CD from the computer, and transmits the image to the mobile image management and reading result inquiry device 20. .
  • the CD image input apparatus 10 may receive a file from a recording medium of another computer to a network and read it from the computer.
  • the CD image input apparatus 10 reads a CD image issued by a medical institution from a computer, stores it in a storage unit, and transmits the image to a mobile image management and reading result inquiry apparatus 20 in a lossless compression manner. CD image "), and transmits the CD image to the mobile device 20.
  • the CD image input apparatus 10 is a CD medical image transmitting apparatus, and the mobile image management and reading result inquiry apparatus 20 is a CD medical image receiving apparatus.
  • the CD image input device 10 is installed with a software program for medical image input device, the mobile device 20 of the individual is installed a software program for mobile image management and reading result inquiry.
  • the mobile image management and reading result inquiry device 20 receives and manages a CD image, stores it in a storage unit in the mobile device, and requests to read a medical image to a remote reading or another medical institution as required by an individual.
  • the relay device 30 transmits an image stored in the mobile device (hereinafter referred to as a "mobile image").
  • the mobile device 20 is a mobile image transmission device
  • the image and read result relay device 30 is a CD medical image, that is, a mobile image reception device.
  • the mobile device 20 is provided with a software program for a mobile image transmission device
  • the image and read result relay device 30 is provided with a software program for receiving a mobile image.
  • the relay device 30 receives a DICOM medical image (hereinafter referred to as a "DICOM image") transmitted from the mobile device 20, the remote reading server device of the remote reading or other medical institutions in accordance with the request of the individual ( 41 is a device for transmitting DICOM video to a picture archiving and communications system (PACS) device.
  • the image and read result relay 30 is a DICOM image transmission apparatus, and the read server apparatus 41 (FIG. 1) is a CD medical image, that is, a mobile image, that is, a DICOM image receiving apparatus.
  • the video and read result relay 30 is provided with a software program for DICOM video transmission, and the remote read server device 41 is provided with a software program for receiving DICOM video.
  • the method of transferring the image from the relay device 30 to the PACS device uses a DICOM standard communication method. Since the DICOM standard communication method and PACS device are international standard methods and are commonly used in many medical institutions around the world, the description thereof is omitted in the present invention.
  • the remote reading apparatus (4 in FIG. 2) shown in FIG. 2 is comprised with the normal remote reading server apparatus 41 and the remote reading diagnostic apparatus 45 normally.
  • the server device 41 and the diagnostic device 45 software programs may be installed together on a single computer.
  • DICOM digital communication in medicine
  • the image and read result relay 30 receives a read result read by a doctor in the PACS device and transmits the read result to the mobile image management and read result inquiry device 20.
  • the video and read result relay device 30 is a read result transmission device
  • the mobile video management and read result query device 20 is a read result reception device.
  • the video and read result relay 30 is provided with a software program for reading result transmission apparatus
  • the mobile video management and read result inquiry apparatus 20 is provided with a software program for receiving read result.
  • the image data flow is CD (2)-> CD image input device 10-> mobile image management and read result inquiry device 20-> image and read result relay device 30-> remote reading device ( 4), the read result data flow is transferred to the remote read device (4)-> image and read result relay device (30)-> mobile image management and read result query device (20).
  • a CD image input device (10 in FIGS. 1 and 2) for transmitting a CD image issued by a medical institution to a personal mobile device according to the present invention is provided with a software program for performing a CD image input function on a computer. It is a CD image input device (11).
  • the CD image input unit 11 having the software program installed thereon is a CD image input unit which reads a storage medium 101 such as a CD from a computer through the media input unit 102 and stores and manages the CD image in the storage unit 103.
  • the QR code processor 13 receiving the mobile device information after scanning the QR, communicates through the mobile device transmitter 106 and the mobile device receiver 105 with the corresponding mobile device (20 in FIGS. 1 and 2).
  • the CD image transmission unit 14 transmits the CD image to the mobile device (20 in FIGS. 1 and 2).
  • the CD image input apparatus is provided with a TCP server for communication, which is omitted because it is a general TCP communication method.
  • TCP communication method can be applied to other communication methods.
  • the CD image input unit 12 reads medical image information in the CD 101, reads medical image information of a file copied from a recording medium and a storage medium of another computer, and stores the medical image information in the storage unit 103, and stores the medical image.
  • Information of the image (patient name, patient ID, test name, type of test, number of images, etc.) is displayed on the display unit 104 so that the patient or guardian can know the image information on the CD.
  • lossless compression is performed on the storage unit 103 by performing lossless compression to transmit the CD image stored in the storage unit 103 to the patient's mobile device. Save and prepare CD image.
  • the QR code processor 13 displays a QR code or a two-dimensional barcode (hereinafter referred to as a 'QR' code) on the display unit 104 in order to provide necessary information when the compressed CD image is taken from the mobile device.
  • the mobile device prepares to view the IP address of the CD image input device 11.
  • the CD image transmission unit 14 tells the story.
  • the compressed CD image stored in the branch 103 is automatically transmitted to the mobile device 20.
  • the CD image transmission unit 14 deletes both the CD image and the compressed CD image stored in the storage unit.
  • the CD image input unit 12 reads the CD image in the CD, performs lossless compression in a central processing unit (not shown), and transmits it to the storage unit 103 to the mobile device. It is also possible to store a lossless compressed CD image.
  • the CD image transmission unit 14 may automatically transmit the lossless compressed CD image stored in the storage unit 103 to the mobile device, and then delete all the lossless compressed CD images in the storage unit 103. .
  • USB can be directly inputted to the data port of the mobile device, and can be configured to directly download the USB image input device software program app to the mobile device to directly import medical images from the USB. In this case, it is not necessary to temporarily store the medical image like the CD image input device, and accordingly, there is no need to delete the medical image of the patient.
  • the mobile image management and read result inquiry apparatus (20 in Figs. 1 and 2) is provided with a software program having a mobile image management and read result inquiry function 21 in the mobile device.
  • the device includes a transmitter 204 and a receiver 205 for the external wireless communication of the mobile device, a screen display 202, an input 201 including a keyboard and a camera, and an internal or external storage 203. .
  • the processing unit installed and operated in the mobile device for the purpose of operating the software program having the mobile image management and read result inquiry function 21 is almost the same as the operation of the general central processing unit, and thus the detailed description thereof will be omitted.
  • the QR code scanning unit 22 of the mobile device inputs the QR code displayed by the QR code processing unit (13 of FIG. 3) of the CD image input device (FIG. 1 and FIG. 10) to the display unit (104 of FIG. 3).
  • the CD image transmission unit (14 of FIG. 3) of the mobile device transmits a lossless compressed CD image
  • the CD image receiving unit 23 receives and stores the data in the storage unit 203, decompresses and stores it as a mobile image, and automatically deletes the lossless compressed CD image.
  • the information and the IP address of the CD image input device 11 may be displayed on the mobile device. When this is clicked, the CD image transmission unit (14 of FIG. 3) of the mobile device may transmit a lossless compressed CD image. have.
  • the image management and inquiry unit 24 stores information regarding the mobile image as a database. Mobile images stored in the storage unit 203 of the mobile device are independently searched and retrieved through the image management and inquiry unit 24 at any time and anywhere regardless of a CD image input device or an internet connection, and necessary images are retrieved. Inquiry is made through the display unit 202.
  • both the CD image input device and the mobile device can solve a security or privacy law problem by using a device owned by a person.
  • Individuals can store and manage CD images received from various hospitals on their personal mobile devices, and can also manage and manage images of themselves and their families.
  • an individual may select and transmit some of images stored in a mobile device to another hospital or a remote reading doctor.
  • the individual selects the image inspection information displayed on the display unit 202 by using the image management and inquiry unit 25, and then the image and read result relay device through the mobile image transmission unit 26 (30 in FIGS. 1 and 2).
  • the images may be transmitted and requested to be read.
  • Using the mobile information management unit 24 to access the image and read result relay device (30 of Figs. 1 and 2, 31 of Fig. 5) to register the personal mobile device information to the mobile device information management unit (32 of Fig. 5) do.
  • Information about the mobile image management and reading result retrieval apparatus may be automatically installed when the software program of the mobile image management and reading result retrieval apparatus is installed or upgraded.
  • the individual accesses the medical institution information management unit (33 of FIG. 5) of the image and read result relay device (30 of FIGS. 1 and 2 and 31 of FIG. 5) through the mobile information management unit 24 to display medical institution information and doctor information. You can search and select one or more doctors and send mobile images. At this time, since the payment method such as the reading cost or the information communication cost uses a normal method, the description is omitted in the present invention.
  • the read result transmitter 37 and the mobile device information management unit 32 of the image and the read result relay apparatus (30 in FIGS. 1 and 2 and 31 in FIG. 5) are connected by using the read result receiver 27 in FIG. After the reading status is queried, the received reading result data is received.
  • the received reading result is stored in the storage part 203 through the reading result management and inquiry part 28, and at the same time the image management and inquiry part is received. It stores and manages matching with the image related database of (25). Therefore, the image can be displayed and the read result can be inquired. Conversely, the mobile video can be inquired while viewing the read result.
  • the read result management and inquiry unit 28 may collect one or more read results for the same image, and use a database to manage them.
  • the mobile devices since the mobile devices all use privately owned devices, it is possible to solve security or privacy laws. Individuals can save and manage the CD images and readings of themselves as well as their family members from various hospitals on their personal mobile devices. And display is possible. For example, even if you go abroad without a mobile device roaming service, you can consult other doctors abroad.
  • a video and read result relay apparatus (30 in Figs. 1 and 2) is provided with a software program 31 having a video and read result relay function in a personal computer.
  • the apparatus includes a transmitter 303 and a receiver 304 for the external wired or wireless communication of the computer, an input / output unit 301 of the computer, and an internal or external storage unit 302.
  • a TCP server is installed in the image and read result relay device to communicate with each other.
  • the medical institution information management unit 33 functions to input information of medical institutions and doctors to be read in advance and manage them in a database. These information include AE title, IP address, Port information and security information for communication with the remote reading device (including PACS device) (4 in FIG. 2, 41 in FIGS. 1 and 6) used by medical institutions or doctors. Include.
  • the mobile device information management unit 32 receives mobile device information (mobile device unique number, phone number, e-mail address, etc.) requested to be registered from a personal mobile device (20 of FIGS. 1 and 2), and stores the mobile device information in a database. The registration is completed by transmitting the mobile device information registration confirmation information of the image and the read result relay 31 to the personal mobile device.
  • the information of medical institutions and doctors stored in the medical institution information management unit 33 may be searched using the mobile information management unit 24 of FIG. 4, and at least one corresponding doctor is selected when a reading is requested. To support mobile video transmission.
  • the medical institution and doctor information selected from the mobile device and the mobile image related information are stored and managed in a database in the mobile device information management unit.
  • the information is stored in a database in the mobile device information management unit, and the mobile image receiving unit 34 transmits the mobile image.
  • the mobile images are received and stored in the storage unit 302.
  • the image stored in the storage unit 302 is called a DICOM image for convenience.
  • the DICOM image transmitter 35 automatically transmits the DICOM image using the DICOM standard method to a PACS server used by a registered medical institution and a doctor in advance of the DICOM image stored in the storage 302.
  • An image stored in the storage unit may be stored in a predetermined period and then automatically deleted after the period is stored.
  • DICOM standard method and communication method such as the PACS device, AE title, IP address, and Port information required for communication follow the international standard, detailed description thereof will be omitted.
  • the reading result is received through the reading result receiving unit 36 and then the database of the mobile device information management unit 32.
  • the read result data is stored in the terminal and prepared to be received by the transmitting mobile device.
  • the read result transmission unit 37 transmits the read result to the mobile device.
  • the read result data stored in the database of the mobile device information management unit 32 may be set to be automatically deleted after a predetermined period of time. In addition, it can be set to delete immediately when sent to the mobile device.
  • FIG. 6 there is no direct relationship with the present invention, but is a conceptual diagram of a remote reading device (4 in FIG. 2), that is, a PACS device viewed by doctors.
  • the PACS device is composed of a PACS server 42 and a DICOM video retrieval unit 46, which may be installed in different computers or all in one computer.
  • the doctors view the DICOM image displayed on the monitor and input the read result through the read result input unit 47.
  • the read result is stored in the read result storage unit, and the read result of the image and read result relay device (3 in FIGS. 1 and 2) through the image and read result relay device and the read result relay device I / F 44. It is delivered to the receiver (36 in FIG. 5).
  • the DICOM standard method and communication method such as the PACS device, AE title, IP address, and Port information required for communication follow the international standard, detailed description thereof will be omitted.
  • FIG. 7 a description will be given of information flow and interaction between a CD image input apparatus, a mobile image management and read result inquiry apparatus, an image and read result relay apparatus, and a remote read apparatus.
  • FIG. 7 shows a CD medium (2 in FIGS. 1 and 2), a CD image input device 11, a mobile image management and read result inquiry device 21, an image and read result relay device 31, and a remote read device 41 Is a schematic flowchart for explaining the procedure of the remote read support method for the CD image of the present invention.
  • the computer 10 has a software program 11 having a CD image input function corresponding to an application server installed and driven, and the personal mobile device 20 corresponds to a mobile app.
  • a software program 21 having a mobile image management and reading result inquiry function is installed and driven, and a computer program 31 having a video and reading result relay function is installed and driven in the computer 30.
  • the flow of medical image data is CD media (2 in FIGS. 1 and 2), CD image input device 11, mobile image management and read result inquiry device 21, image and read result relay device 31, remote reading Flows to the device 41.
  • the flow of the read result data flows to the remote read device 41, the image and read result relay 31, and the mobile image management and read result inquiry device 21.
  • the method of importing image data from a storage medium such as a CD or a USB memory provided by a medical institution in the CD image input device 11 generally uses a method used by a computer and a storage medium, and thus helps to understand the subject matter of the present invention. Since this may not be, a detailed description thereof will be omitted.
  • the communication method between the CD image input device 11 and the mobile image management and read result inquiry device 21 and the mobile image management and read result query device 21 and the image and read result relay device 31 is conventional wired wireless. Type of communication is used. Therefore, these communication schemes, data conversion schemes, encryption schemes, and authentication techniques may be applied in various ways known in the art, and may not help the understanding of the subject matter of the present invention, and thus detailed description thereof will be omitted. Shall be.
  • the CD image input unit 12 of the CD image input device reads medical image information in the CD, stores it in the storage unit 103 (FIG. 3), and stores the medical image information (patient name, patient ID, Examination name, type of examination, number of images, etc.) are displayed on the display unit 104 to allow the patient or guardian to know the image information on the CD.
  • the QR code processing unit 13
  • the unit 14 automatically transmits the CD image stored in the storage unit 103 to the CD image receiving unit 23 of the mobile device (S3).
  • This may be a format in which the CD image receiving unit 23 of the mobile device 21 pulls the CD image data through the CD image transmitting unit 14 of the CD image input device 11.
  • the CD image transmission unit 14 automatically transmits the CD image stored in the storage unit 103 to the CD image receiving unit 23 of the mobile device 33 through a wireless communication network (eg wifi). It is executed. However, it may be transmitted by a conventional wired method (eg, a USB cable) for data transmission between the computer 11 and the mobile device 21.
  • a wireless communication network eg wifi
  • a conventional wired method eg, a USB cable
  • the QR code displayed on the display unit 104 of FIG. 3 through the QR code processing unit 13 of FIG. 3 of the CD image input device 10 of FIGS. Read using the input unit (camera) 201 (S1), and after communication connection with the CD image input device, and transmits the mobile device information to the CD image transmission unit 13 (S2), and requests the CD image transmission
  • the image management and inquiry unit 24 of the mobile device 21 stores information about the mobile image stored in the storage unit as a database.
  • the mobile images stored in the storage unit 203 of the mobile device are independently stored anytime, anywhere, regardless of the CD image input device or the Internet connection, and the images stored by the individual through the image management and inquiry unit 24 of the mobile device 21. And search and search necessary images through the display unit 202.
  • an individual can compare the past inspection image having a time difference with the current inspection image by displaying it on the screen, and insert and inquire an annotation such as an arrow in the disease area within the image. It is possible to measure the distance and area of the lesion site.
  • both the CD image input device 11 and the mobile device 21 uses a privately owned device, it is possible to solve the security or privacy laws. Individuals can store and manage CD images received from various hospitals on their personal mobile devices, and can also manage and manage images of themselves and their families.
  • the mobile images stored in the mobile device 21 may be selected for reading. To this end, it is first necessary to register the mobile device 21 in advance by connecting the video and read result relay devices (3, 31 in Fig. 2). When installing or upgrading a software program for mobile image management and reading result inquiry on a mobile device (2 of FIGS. 1 and 2), information about the image and reading result relay device 31 may be automatically installed.
  • the individual uses the mobile information management unit 24 of the mobile device 21 to access the image and read result relay device (30 in FIGS. 1 and 2 and 31 in FIG. 5) to the mobile device information management unit (32 in FIG. 5).
  • the mobile device information management unit 32 in FIG. 5.
  • personal mobile device information mobile device unique number, phone number, e-mail address, etc.
  • S4 a medical institution managed by the medical institution government management unit 34 that performs reading stored in the image and reading result relay device 31. Or doctor information can be retrieved (S5).
  • the individual uses the image management and inquiry unit 25 of the mobile device 21 to display image inspection information on the display unit 202 of FIG. 4 to select some or all inspection information, and to request a reading from a medical institution or a doctor.
  • the mobile image transmission unit 26 transmits the selected mobile images to the image and the read result relay device (30 in FIGS. 1 and 2 and 31 in FIG. 5) (S6), and requests reading. can do.
  • the medical institution information management unit 33 functions to manage the database by inputting the information of the medical institution and doctors to be read in advance, the medical institution or doctors Remote management device (including PACS device) (4 in Fig. 2, 41 in Fig. 1) used to store and manage the information, AE title, IP address, Port information and security information for communication.
  • the mobile device information management unit 32 stores and manages mobile device information requested to be registered in the mobile device 21 (20 of FIGS. 1 and 2) in a database, and displays information (IP address, Ports, etc.) to the mobile device 21. After registration, the mobile device 21 uses the mobile information management unit 24 to search for information of medical institutions and doctors stored in the medical institution information management unit 33 and to entrust the reading request.
  • Medical institution and doctor information and mobile image information selected for requesting reading from the mobile device are transferred to the mobile device information management unit 32 through the mobile information management unit 24 of the mobile device 21, and the information is matched to a database.
  • the mobile images transmitted from the mobile image transmission unit 26 of the mobile device 21 and the medical institution and doctor information selected through the mobile information management unit 24 are matched, respectively, and the mobile image reception unit 33 and the mobile device information management unit ( 31).
  • the selected medical institution and doctor information is stored in a database managed by the mobile device information management unit 31.
  • the mobile images transmitted from the mobile image transmitter 26 of the mobile device 21 are received by the mobile image receiver 34 (S6) and stored in the storage unit 302 of the image and read result relay 31. .
  • the DICOM image stored in the storage 302 through the DICOM image transmitter 35 is automatically transmitted to the PACS server used by the medical institution or the doctor selected by the personal mobile device as described above (S7).
  • the DICOM image transmitted from the DICOM image transmitter 35 of the image and read result relay 31 is received and stored by the PACS server 42 in the DICOM communication method. (S7).
  • doctors display an image on a monitor through the DICOM image inquiry unit (46 in Fig. 6) and read it through the read result input unit 47 the read result data is sent to the read result storage unit 43 of the PACS server 41.
  • the data is stored and transferred to the read result receiver 36 of the video and read result relay 31 through the image and read result relay device I / F unit 44 (S8).
  • the reading result receiving unit 36 of the image and reading result relay device 31 stores the read result data received through the image and reading result relay device I / F unit 44 in the mobile device information management unit 32; Match the read request information and store it in the database.
  • the reading result transmitting unit 37 When an individual requests a reading result through the reading result receiving unit 27 of the mobile device 21, the data is transmitted through the reading result transmitting unit 37.
  • the individual accesses the database of the mobile device information management unit 31 of the image and the read result relay 31 through the read result reception unit 27, and reads the read result data requested by the mobile device. Only the read result is received via the transmission unit 37 (S9). In other words, you can pull the readout data.
  • the image and read result data stored in the database of the mobile device information management unit 32 of the read result relay 31 may be set to be automatically deleted after a predetermined period of time. In addition, it can be set to delete immediately when sent to the mobile device.
  • the read result transmitter 37 and the mobile device information management unit of the image and the read result relay device (30 in Figs. 1 and 2 and 31 in Fig. 5).
  • the read result data of which reading is completed is received (S9).
  • the received reading result is stored in the storage unit 203 through the reading result management and inquiry unit 28, and simultaneously stored and managed in accordance with the image related information database of the image management and inquiry unit 25. Therefore, the individual can search the image management and inquiry unit 25 to display the necessary image and inquire the matched reading result. Conversely, the matched mobile image may be inquired while inquiring the read result.
  • the read result management and inquiry unit 28 may collect one or more read results for the same image, and use a database to manage them.
  • While reading doctors can mark annotations, such as arrows, on areas of diseased images, and measure distances and areas. These information are transmitted to the reading result receiving section 36 through the remote reading relay device I / F section 44 (S7), and then transferred together with the reading result data to the reading result receiving section 27 of the mobile device (S9). . These information are stored and managed in accordance with the image related information database of the image management and inquiry section 25 through the read result and inquiry section 28. Therefore, when the information is stored, the individual can look up the image and inquire about the distance and area measurement results as well as annotations such as arrows and the like, which are read by the doctor in the diseased image. Simultaneous reading of the pseudo-ready results will be available.
  • the mobile devices since the mobile devices all use privately owned devices, it is possible to solve security or privacy laws. Individuals can save and manage the CD images and readings of themselves as well as their family members from various hospitals on their personal mobile devices. And display is possible. For example, even if you go abroad without a mobile device roaming service, you can consult other doctors abroad.
  • the method and apparatus for remote reading support for a CD image is a mobile device of medical image data of an individual or a family, which is issued to a storage medium such as a CD or a USB memory by one or more medical institutions from a patient's point of view.
  • a storage medium such as a CD or a USB memory
  • medical institutions E.g. smartphones
  • smartphones which can be comfortably carried around, and when necessary, refer to a specialist of one or more other medical institutions for reading for a second opinion and to understand the condition of the disease more objectively with reference to the readings. It can help you set your next medical care direction.
  • CD image of an individual or family issued by a medical institution of the present invention can be easily transferred, stored, and managed on an individual (patient) mobile device using a personal computer, so as to copy the image directly to the mobile device as currently In a medical and social environment where hospitals provide fewer, it may be a good alternative for individuals to manage their images using mobile devices.
  • the mobile device in the present invention may be applied to a smart phone, a personal digital terminal (PDA), a notebook, a notepad, etc. capable of Internet communication.
  • PDA personal digital terminal
  • notebook a notebook
  • notepad etc. capable of Internet communication.
  • Remote read support method and device for a CD or USB image of the present invention is applied to the patient's mobile device (eg, smart phone) instead of the conventional CD or USB storage media, it can be expected to improve the quality of medical services have.
  • a business field may be developed in which medical institutions seek advice for patients through telemedicine, or remote reading.

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Abstract

La présente invention permet la transmission d'une image médicale à un dispositif mobile et son enregistrement sur le dispositif à partir d'un CD ou d'une clé USB qui est délivrée à un patient à l'avance, ou la transmission à un dispositif mobile et l'enregistrement sur le dispositif d'une image médicale qui est encore conservée sur un CD ou une clé USB et délivrée ; ou la réception d'une image médicale conservée dans un support d'enregistrement d'un autre système par un réseau, la transmission de l'image médicale du dispositif mobile à un lecteur à distance d'un institut de traitement médical à distance, et la transmission d'un résultat de lecture à distance du lecteur à distance au dispositif mobile, et une image médicale peut ainsi être transportée sur un dispositif mobile et transmise immédiatement au lecteur lorsque la lecture à distance est nécessaire. Les étapes du procédé de transmission d'une image médicale conservée sur un support d'enregistrement à un dispositif mobile consistent : à charger un support d'enregistrement sur un port d'entrée ; à entrer une image médicale depuis le support d'enregistrement ; à conserver temporairement l'image médicale entrée ; et à transmettre l'image médicale conservée au dispositif mobile. En outre, les étapes d'un procédé de transmission d'une image médicale conservée sur un support d'enregistrement à un lecteur à distance d'un institut de traitement à distance au moyen d'un dispositif mobile, et de transmission d'un résultat de lecture à distance du lecteur à distance au dispositif mobile consistent : à conserver une image médicale sur un dispositif mobile depuis un support d'enregistrement ; à transmettre l'image médicale conservée à un lecteur à distance depuis le dispositif mobile par le biais d'un dispositif de relais ; et à transmettre un résultat de lecture au dispositif mobile depuis le lecteur à distance par le biais du dispositif relais.
PCT/KR2015/005756 2015-06-09 2015-06-09 Procédé et appareil de transmission d'image médicale pour la transmission d'une image médicale à un dispositif mobile, et procédé et appareil de relais d'image médicale et de résultats de lecture pour la transmission et la réception d'une image médicale et d'un résultat de lecture à distance entre un dispositif mobile et un lecteur à distance d'un institut de traitement médical à distance Ceased WO2016199948A1 (fr)

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PCT/KR2015/005756 WO2016199948A1 (fr) 2015-06-09 2015-06-09 Procédé et appareil de transmission d'image médicale pour la transmission d'une image médicale à un dispositif mobile, et procédé et appareil de relais d'image médicale et de résultats de lecture pour la transmission et la réception d'une image médicale et d'un résultat de lecture à distance entre un dispositif mobile et un lecteur à distance d'un institut de traitement médical à distance

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PCT/KR2015/005756 WO2016199948A1 (fr) 2015-06-09 2015-06-09 Procédé et appareil de transmission d'image médicale pour la transmission d'une image médicale à un dispositif mobile, et procédé et appareil de relais d'image médicale et de résultats de lecture pour la transmission et la réception d'une image médicale et d'un résultat de lecture à distance entre un dispositif mobile et un lecteur à distance d'un institut de traitement médical à distance

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