远程医学影像阅片系统设计与实现
摘要
数字医学影像为现代医疗诊断提供了80%的疾病信息来源,是现代医院中很多疾病诊断治疗的重要参考因素。随着计算机技术的飞速发展和网络基础设施建设的不断完善,一种新的治疗方式——远程诊断也应运而生。在这样的条件下,传统的医学影像归档和通信系统(PACS系统)在很多方面体现出了一定的局限性,具体体现在诸如系统功能即时更新、工作应用的范围拓展以及图像标准的统一等方面。
本文立足于数字医学影像的网络存储及通信功能实现,详细地介绍了利用计算机网络环境建立远程医学影像阅片系统的开发过程。主要内容有以下几部分:1)用户需求以及系统可行性分析、2)系统数据库选择及设计、3)网站技术框架选择与构建、系统客户端及后台程序开发、4)系统扩展前景。系统重点考虑功能的完整性和实用性,另外把客户端的用户体验也作为工作的一个重点。
本文从医疗网络化的角度全面阐述了数字医学影像标准的统一、医疗物质以及人力资源的共享、医疗技术的分享以及沟通的重要性及必要性。社会基础环境的进步推动着传统的PACS系统由目前采用的C/S模式逐步向新型的B/S医学影像存储通信方式过渡,这个过程也将逐渐改善以往系统在兼容性、分布性以及扩展性等方面的缺陷。本文以java技术为平台,开发了B/S模式的医学影像通讯阅览系统。
Information included in medical images accounts for over 80 percent of all the medical information, therefore it is a very important reference factor for the treatment of diseases in modern society. With the rapid development of information technology and network infrastructure, a new treatment approach, remote diagnosis, has emerged. Under these conditions, the traditional Picture Archiving and Communications System (PACS system) reflects a certain level of limitation in many ways, such as the functional real-time updates, the scopes expanding of work or the harmonization of standards, and so on.
This paper is based on the network storage and communication functions of the digital medical imaging, and describes in detail the development process of the remote medical imaging reading system in the computer network environment. This system includes the following four main parts: 1) the user requirements and the analysis of the system feasibility, 2) selection of the right database server and structure design of the relational database tables, 3) technology framework selection and structure of the system site, the system client application development, and 4) the prospects of the system expansion. The developing process is focused on the system’s functionality and practicality, while the user's experience is also considered with high priority.
This paper gives a comprehensive description of the harmonization of digital medical imaging standards, the sharing of medical material, human resource and medical technology, and the importance and necessity of communication. The development of the social environment accelerated the traditional PACS system used by the C/S mode to the new B/S mode transition. This process will gradually improve the compatibility, distribution and scalability deficiencies with the previous system. Overall speaking, this system develops a B/S mode medical image reading and communication system based on Java programming language.
本文立足于数字医学影像的网络存储及通信功能实现,详细地介绍了利用计算机网络环境建立远程医学影像阅片系统的开发过程。主要内容有以下几部分:1)用户需求以及系统可行性分析、2)系统数据库选择及设计、3)网站技术框架选择与构建、系统客户端及后台程序开发、4)系统扩展前景。系统重点考虑功能的完整性和实用性,另外把客户端的用户体验也作为工作的一个重点。
本文从医疗网络化的角度全面阐述了数字医学影像标准的统一、医疗物质以及人力资源的共享、医疗技术的分享以及沟通的重要性及必要性。社会基础环境的进步推动着传统的PACS系统由目前采用的C/S模式逐步向新型的B/S医学影像存储通信方式过渡,这个过程也将逐渐改善以往系统在兼容性、分布性以及扩展性等方面的缺陷。本文以java技术为平台,开发了B/S模式的医学影像通讯阅览系统。
Information included in medical images accounts for over 80 percent of all the medical information, therefore it is a very important reference factor for the treatment of diseases in modern society. With the rapid development of information technology and network infrastructure, a new treatment approach, remote diagnosis, has emerged. Under these conditions, the traditional Picture Archiving and Communications System (PACS system) reflects a certain level of limitation in many ways, such as the functional real-time updates, the scopes expanding of work or the harmonization of standards, and so on.
This paper is based on the network storage and communication functions of the digital medical imaging, and describes in detail the development process of the remote medical imaging reading system in the computer network environment. This system includes the following four main parts: 1) the user requirements and the analysis of the system feasibility, 2) selection of the right database server and structure design of the relational database tables, 3) technology framework selection and structure of the system site, the system client application development, and 4) the prospects of the system expansion. The developing process is focused on the system’s functionality and practicality, while the user's experience is also considered with high priority.
This paper gives a comprehensive description of the harmonization of digital medical imaging standards, the sharing of medical material, human resource and medical technology, and the importance and necessity of communication. The development of the social environment accelerated the traditional PACS system used by the C/S mode to the new B/S mode transition. This process will gradually improve the compatibility, distribution and scalability deficiencies with the previous system. Overall speaking, this system develops a B/S mode medical image reading and communication system based on Java programming language.
引文
[1]郭亚军.综合医学影像网络系统及应用[J].科学管理,2010, Vol. 25,No.1,78-80.
[2]李仁业,李得曼.PACS网络的临床应用[J].医学信息,2010, Vol. 23,No. 1,18-19.
[3]鲍永华,周敏,许顺良. PACS的远程医学影像会诊系统的构建及应用[J].浙江预防医学,2007,Vol. 19,No. 10,64-65.
[4]王经天,王艳玲,张达伟,普云霞.医学影像PACS网络系统的临床应用及意义[J].医院管理,2010,Vol. 48,No. 30,91-92.
[5]滕剑锋,王颖.基于Web Service的PACS模型研究[J].济宁医学院学报,2010(12),Vol.33, No.6,431-436.
[6]叶承东.迎难而上,深入推进医院信息化建设[J].医学信息,2011(6),Vol.24,No.1,4-6.
[7]张继武. A Introduction of IHE[J].中国医疗器械杂志,2007,Vol.31,No.2,112-120.
[8]孙念军.医学信息交互集成(IHE)的现状和发展.中国医学装备, 2008(12), Vol.5, No.12, 21-23.
[9]冯婧祎,朱大荣,吕旭东. IHE技术框架及其实现.中国医疗器械杂志,2005,Vol.29, No.3,199-203.
[10]缪競陶.从RSNA2009感受国外医学影像信息化发展趋势. e-Healthcare,2010(3), No.3.
[11]师为礼,宋野,颜雁.基于DICOM3.0标准的医学图像传输的研究和实现.长春理工大学学报,2008,Vol.31,No.1,121-123.
[12]亢德洪,谭一清. DICOM网络构建与资源共享.中国辐射卫生, 2008(9),Vol.17,No.3, 353-355.
[13]于凤海.DICOM标准综述[J].红外,2003,9:30.
[14]胡宝梅,朱俊,李久楷,黄鑫.基于DICOM医学图像的传输和查询系统的设计.中国医学物理学杂志,2009,Vol.26,No.2,1080-1083.
[15]胡远,徐继宁.基于DICOM协议的远程医疗软件系统的设计和实现.计算机与现代化,2008,No.158,126-129.
[16]辜丽川,朱诚,张友华. DCIOM查询/检索服务类SCP的设计和实现.计算机系统应用,No.5,100-103.
[17]李云云.浅析B/S和C/S体系结构.科学之友,2011(1),6-8.
[18]刘玉玲. JSP平台下的资源共享网站的建立.出国与就业,2011,(2),95-96.
[19]刘念. JSP研究新进展.科技资讯,2010(2).
[20]杨继萍,吴华.Visio 2007图形设计标准教程[M].清华大学出版社,2008.
[21]罗俊.医院设备信息管理中的MVC模式架构.医疗卫生设备,2010(3),Vol31,102-104.
[22]郭永灿.网页设计[M].上海交通大学出版社,2005:268-270.
[23]冯曼菲.EJB JPA数据库持久层开发实践详解[M].电子工业出版社,2008:9-12.
[24]曹锦芳.信息系统分析与设计[M].北京航空航天大学出版社,1996.
[25]萨师宣,王珊.数据库系统概论[M].高等教育出版社,2000.
[26]谭云杰.大象Thinking in UML[M].中国水利水电出版社,2009.
[27]范晓平,王修智.UML用例模型——系统需求的规范描述[J].电脑编程技巧与维护,2011,No.1,5-8.
[28]王子刚.基于软件工程的UML建模技术分析[J].科技创新导报,2011,No.4,125.
[29]李文杰.基于UML的面向对象设计[J].中国新技术新产品,2011,No.3,22-23.
[30]李兴华.Java Web开发实战经典基础篇[M].清华大学出版社,2010.
[31]杨烨.基于DICOM标准的医学影像数据库的建立[D].长春:长春理工大学,2007.
[32]谢颂予.基于Internet的医学影像系统的开发[D].成都:暨南大学,2000.
[33]熊新.基于Web服务面向服务架构的PACS系统集成研究[D].中国人民解放军第四军医大学,2008.
[34]李泉.医学影像资源共享及远程会诊系统构建[D].成都:电子科技大学,2007.
[35]石屹崂,龚德志.基于云模式的新一代IDC系统框架研究[J].电信科学,2010,No.6.
[36]何云峰,合媛杰,杨开秦,何勇等.WEB-PACS与医院影像科工作流程和管理模式变革的探索[J].工作探讨,2010,Vol.17,No.5,133-134.
[37] Nana Qi, Zhimin Yang. Research of Struts2 Framework and Web Application Based on Ajax[J]. IEEE-Wiley,2009, No.9,903-908.
[38] HaiLan Pan, Jian Chen, CuiHong Wu. The Network Platform Based On Struts2 + JPA +Spring Framework[C]. 2010 International Conference on Educational and Information Technology (ICEIT 2010),2010,69-71.
[39] Alexander Totok, Vijay Karamcheti. Optimizing utilization of resource pools in web application servers[M]. WILEY ONLINE LIBRARY,2010.
[40] Javid Jamae, Peter Johnson. JBoss in Action:Configuring the JBoss Application Server[M]. Manning Publications Co.,2009.
[2]李仁业,李得曼.PACS网络的临床应用[J].医学信息,2010, Vol. 23,No. 1,18-19.
[3]鲍永华,周敏,许顺良. PACS的远程医学影像会诊系统的构建及应用[J].浙江预防医学,2007,Vol. 19,No. 10,64-65.
[4]王经天,王艳玲,张达伟,普云霞.医学影像PACS网络系统的临床应用及意义[J].医院管理,2010,Vol. 48,No. 30,91-92.
[5]滕剑锋,王颖.基于Web Service的PACS模型研究[J].济宁医学院学报,2010(12),Vol.33, No.6,431-436.
[6]叶承东.迎难而上,深入推进医院信息化建设[J].医学信息,2011(6),Vol.24,No.1,4-6.
[7]张继武. A Introduction of IHE[J].中国医疗器械杂志,2007,Vol.31,No.2,112-120.
[8]孙念军.医学信息交互集成(IHE)的现状和发展.中国医学装备, 2008(12), Vol.5, No.12, 21-23.
[9]冯婧祎,朱大荣,吕旭东. IHE技术框架及其实现.中国医疗器械杂志,2005,Vol.29, No.3,199-203.
[10]缪競陶.从RSNA2009感受国外医学影像信息化发展趋势. e-Healthcare,2010(3), No.3.
[11]师为礼,宋野,颜雁.基于DICOM3.0标准的医学图像传输的研究和实现.长春理工大学学报,2008,Vol.31,No.1,121-123.
[12]亢德洪,谭一清. DICOM网络构建与资源共享.中国辐射卫生, 2008(9),Vol.17,No.3, 353-355.
[13]于凤海.DICOM标准综述[J].红外,2003,9:30.
[14]胡宝梅,朱俊,李久楷,黄鑫.基于DICOM医学图像的传输和查询系统的设计.中国医学物理学杂志,2009,Vol.26,No.2,1080-1083.
[15]胡远,徐继宁.基于DICOM协议的远程医疗软件系统的设计和实现.计算机与现代化,2008,No.158,126-129.
[16]辜丽川,朱诚,张友华. DCIOM查询/检索服务类SCP的设计和实现.计算机系统应用,No.5,100-103.
[17]李云云.浅析B/S和C/S体系结构.科学之友,2011(1),6-8.
[18]刘玉玲. JSP平台下的资源共享网站的建立.出国与就业,2011,(2),95-96.
[19]刘念. JSP研究新进展.科技资讯,2010(2).
[20]杨继萍,吴华.Visio 2007图形设计标准教程[M].清华大学出版社,2008.
[21]罗俊.医院设备信息管理中的MVC模式架构.医疗卫生设备,2010(3),Vol31,102-104.
[22]郭永灿.网页设计[M].上海交通大学出版社,2005:268-270.
[23]冯曼菲.EJB JPA数据库持久层开发实践详解[M].电子工业出版社,2008:9-12.
[24]曹锦芳.信息系统分析与设计[M].北京航空航天大学出版社,1996.
[25]萨师宣,王珊.数据库系统概论[M].高等教育出版社,2000.
[26]谭云杰.大象Thinking in UML[M].中国水利水电出版社,2009.
[27]范晓平,王修智.UML用例模型——系统需求的规范描述[J].电脑编程技巧与维护,2011,No.1,5-8.
[28]王子刚.基于软件工程的UML建模技术分析[J].科技创新导报,2011,No.4,125.
[29]李文杰.基于UML的面向对象设计[J].中国新技术新产品,2011,No.3,22-23.
[30]李兴华.Java Web开发实战经典基础篇[M].清华大学出版社,2010.
[31]杨烨.基于DICOM标准的医学影像数据库的建立[D].长春:长春理工大学,2007.
[32]谢颂予.基于Internet的医学影像系统的开发[D].成都:暨南大学,2000.
[33]熊新.基于Web服务面向服务架构的PACS系统集成研究[D].中国人民解放军第四军医大学,2008.
[34]李泉.医学影像资源共享及远程会诊系统构建[D].成都:电子科技大学,2007.
[35]石屹崂,龚德志.基于云模式的新一代IDC系统框架研究[J].电信科学,2010,No.6.
[36]何云峰,合媛杰,杨开秦,何勇等.WEB-PACS与医院影像科工作流程和管理模式变革的探索[J].工作探讨,2010,Vol.17,No.5,133-134.
[37] Nana Qi, Zhimin Yang. Research of Struts2 Framework and Web Application Based on Ajax[J]. IEEE-Wiley,2009, No.9,903-908.
[38] HaiLan Pan, Jian Chen, CuiHong Wu. The Network Platform Based On Struts2 + JPA +Spring Framework[C]. 2010 International Conference on Educational and Information Technology (ICEIT 2010),2010,69-71.
[39] Alexander Totok, Vijay Karamcheti. Optimizing utilization of resource pools in web application servers[M]. WILEY ONLINE LIBRARY,2010.
[40] Javid Jamae, Peter Johnson. JBoss in Action:Configuring the JBoss Application Server[M]. Manning Publications Co.,2009.