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WO2020130349A1 - Procédé et appareil pour enregistrer un plan de traitement d'une image médicale tridimensionnelle (3d) - Google Patents

Procédé et appareil pour enregistrer un plan de traitement d'une image médicale tridimensionnelle (3d) Download PDF

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Publication number
WO2020130349A1
WO2020130349A1 PCT/KR2019/015162 KR2019015162W WO2020130349A1 WO 2020130349 A1 WO2020130349 A1 WO 2020130349A1 KR 2019015162 W KR2019015162 W KR 2019015162W WO 2020130349 A1 WO2020130349 A1 WO 2020130349A1
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WIPO (PCT)
Prior art keywords
treatment plan
image data
management unit
location information
information
Prior art date
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Ceased
Application number
PCT/KR2019/015162
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English (en)
Korean (ko)
Inventor
임용현
리신
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GENORAY CO Ltd
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GENORAY CO Ltd
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Publication date
Application filed by GENORAY CO Ltd filed Critical GENORAY CO Ltd
Publication of WO2020130349A1 publication Critical patent/WO2020130349A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H30/00—ICT specially adapted for the handling or processing of medical images
    • G16H30/40—ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H15/00—ICT specially adapted for medical reports, e.g. generation or transmission thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/70—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B2018/2035—Beam shaping or redirecting; Optical components therefor
    • A61B2018/20351—Scanning mechanisms
    • A61B2018/20353—Scanning in three dimensions [3D]

Definitions

  • the present invention relates to a method and apparatus for recording a treatment plan of a 3D medical image, and when a treatment plan is established, the treatment plan and the location information of the medical image data are stored together, even if rotation and axis movement of the medical image data occurs. It relates to a method and apparatus for recording a treatment plan of a 3D medical image capable of confirming a plan.
  • the operator establishes a treatment plan based on at least one medical image data among two-dimensional medical image data and three-dimensional medical image data of the patient using a medical device for establishing a treatment plan.
  • the established treatment plan is added in the form of an object to the corresponding location of the medical image data.
  • the medical device currently being used changes the state of the medical image data, for example, rotation and axis movement of the 3D medical image data in which the treatment plan is established, to obtain 3D medical image data. It is difficult to confirm the location of the treatment plan in the form of an object added to the 2D medical image data divided into sections.
  • Various embodiments of the present invention for solving such a conventional problem are stored in the medical image data even if rotation and axis movement of the medical image data occurs by storing the treatment plan and the location information of the medical image data together when establishing the treatment plan. It is to provide a method and apparatus for recording a treatment plan of a 3D medical image capable of recording and confirming a treatment plan.
  • the method for recording a treatment plan of a 3D medical image executes an interface for establishing the treatment plan based on a treatment plan establishment signal for a patient, thereby executing at least one 2D image of the patient.
  • the step of checking the position information is characterized in that the step of checking the position information including axis information, rotation angle information, and zoom scale information in a state in which the image data is displayed.
  • the displaying of the image data is characterized in that when displaying the 2D image data, it is a step of displaying respective image data for the coronal, sagittal and horizontal planes related to the axis information.
  • the apparatus for recording a treatment plan of a 3D medical image includes: an interface unit that executes an interface for establishing the treatment plan based on a treatment plan establishment signal for an operator, and at least for the operator
  • An image management unit displaying image data including one 2D image data and 3D image data through the interface, an object management unit providing an object to be added to the image data, and location information in a state where the image data is displayed
  • it characterized in that it comprises a treatment plan management unit for recording the treatment plan including the location information and the object.
  • the treatment plan management unit is characterized by checking the position information including axis information, rotation angle information, and zoom scale information while the image data is displayed.
  • the image management unit when displaying the two-dimensional image data, is characterized by displaying respective image data for a coronal plane, a sagittal plane and a horizontal plane related to the axis information.
  • the treatment plan management unit deletes the object added to the image data based on a change signal for changing the state in which the image data is displayed, and changes the state in which the image data is displayed based on the change signal. It is characterized by.
  • the treatment plan management unit checks the treatment plan list according to the confirmation signal for the treatment plan, and when any one treatment plan is selected from the treatment plan list, checks the location information included in the treatment plan Should be
  • the treatment plan management unit is characterized by displaying the at least one object on the image data based on the identified location information.
  • the treatment plan management unit is characterized by changing at least one of the location information and the at least one object included in the treatment plan according to the change signal for the treatment plan.
  • the present invention relates to a method for recording a treatment plan of a 3D medical image of the present invention, and even when rotation and axial movement of the medical image data occur by recording the treatment plan and the location information of the medical image data together when establishing the treatment plan. It has the effect of confirming the treatment plan established from the medical image data.
  • FIG. 1 is a view showing a main configuration of a device for recording a treatment plan from medical image data according to an embodiment of the present invention.
  • FIG. 2 is a flowchart illustrating a method of recording a treatment plan in medical image data according to an embodiment of the present invention.
  • FIG. 3 is a detailed flowchart for explaining a method of recording a treatment plan according to an embodiment of the present invention.
  • FIG. 4 is a flowchart illustrating a method of recording a treatment plan in medical image data according to an embodiment of the present invention.
  • 5 to 8 are exemplary screens for explaining treatment plan recording and confirmation in medical image data according to an embodiment of the present invention.
  • FIG. 1 is a view showing a main configuration of a device for recording a treatment plan from medical image data according to an embodiment of the present invention.
  • a device according to the present invention includes a communication unit 110, an input unit 120, a display unit 130, a memory 140, and a control unit 150. It can contain.
  • the electronic device 100 is an electronic device used by an operator (hereinafter referred to as a user) who wishes to perform an operation, and may be an electronic device such as a tablet PC, a computer, or a laptop.
  • the communication unit 110 communicates with an external device (not shown, a terminal used in a laboratory, etc.). In addition, the communication unit 110 communicates with an image acquisition device (not shown) located outside the electronic device 100 and communicates with a main server (not shown). At this time, the electronic device 100 transmits medical image data (hereinafter referred to as image data) and a treatment plan to an external device through the main server.
  • the communication unit 110 includes 5G (fifth generation mobile telecommunication), long term evolution-advanced (LTE-A), long term evolution (LTE), wideband code division multiple access (WCDMA) and wireless fidelity (Wi-Fi). And wireless communication. Also, the communication unit 210 may perform wired communication such as a universal serial bus (USB), high definition multimedia interface (HDMI), or digital video interactive (DVI) cable.
  • USB universal serial bus
  • HDMI high definition multimedia interface
  • DVI digital video interactive
  • the input unit 120 generates input data in response to an input of an operator (hereinafter referred to as a user) of the electronic device 100.
  • the input unit 120 includes a key pad, a dome switch, a touch panel, a jog & shuttle, a sensor, a touch key, and a mouse , A stylus pen and a menu button.
  • the display unit 130 displays display data according to the operation of the electronic device 100. Particularly, the display unit 130 displays a screen according to execution and operation of an application, a web page, etc. for establishing a treatment plan for the operator. To this end, the display unit 130 includes a liquid crystal display (LCD), a light emitting diode (LED) display, an organic LED (OLED) display, a micro electromechanical system (MEMS) systems) displays and electronic paper displays.
  • the display unit 130 may be combined with the input unit 120 to be implemented as a touch screen.
  • the memory 140 stores operation programs of the electronic device 100.
  • the memory 140 may store an installation file such as an application for establishing a treatment plan for an operator, or a connection address such as a web page.
  • the memory 140 may store an algorithm capable of measuring the length, width, angle, depth, etc. of the region to which the object is added.
  • the memory 140 may store an algorithm for image processing of image data.
  • the memory 140 may store images for implants and crowns to be added to image data.
  • the memory 140 includes an image DB 141 for storing 2D image data and 3D image data for an operator, and a treatment plan DB 142 for storing a treatment plan established in relation to image data It includes.
  • the image data includes two-dimensional medical image data such as Ceph, a panorama type image, an IO sensor image, an X-ray image, and a volume type image, and a Voxel type image. It may include 3D medical image data such as an image obtained through CT imaging, an image obtained through MRI imaging, or an image obtained through ultrasound imaging.
  • the 2D medical image data includes respective image data based on a coronal, sagittal, and axial reference.
  • the coronal plane means a virtual plane dividing the body forward/backward
  • the sagittal plane is a virtual plane dividing the body left/right
  • the horizontal plane denotes a virtual plane dividing the body up/down.
  • the controller 150 establishes at least one treatment plan based on the display state while changing the display state of the image data based on the image data of the operator, and performs change and transmission of the established treatment plan.
  • the control unit 150 may include an interface unit 151, an image management unit 152, an object management unit 153, and a treatment planning management unit 154.
  • the image data that is the basis for establishing a treatment plan is image data obtained by an image acquisition unit (not shown) provided in the electronic device 100 or is acquired by an image acquisition device located outside the electronic device 100. It may be image data.
  • the interface unit 151 displays an main screen on the display unit 130 by calling an interface for establishing a treatment plan when an establishment signal for establishing a treatment plan for a patient is received from the input unit 120.
  • the interface means a user interface that a user can check through execution and operation of an application, a web page, etc. for establishing a treatment plan.
  • the interface unit 151 appropriately provides a control signal received through the input unit 120 to the image management unit 152, the object management unit 153, and the treatment planning management unit 154 to perform an operation corresponding to the control signal. .
  • the interface unit 151 requests the object management unit 153 to call the object tool when the main screen is displayed on the display unit 130.
  • the object management unit 153 calls a plurality of object tools capable of establishing a treatment plan in addition to image data and displays them on a part of the main screen.
  • the interface unit 151 provides a call signal to the image management unit 152 when a call signal for calling the image data for the operator is received from the input unit 120, and the image management unit 152 memory based on the call signal ( 140) Search for the image DB 141 included.
  • the image management unit 152 calls the image data related to the operator corresponding to the call signal from the image DB 141 and displays it on the main screen.
  • the call signal may include the name of the patient or the patient's number.
  • the image data associated with the operator includes 2D image data and 3D image data.
  • the 2D medical image data may be respective image data based on a coronal, sagittal, and axial, and the 2D image data and the 3D image data are identical parts of the same patient. It may be image data for.
  • the treatment plan management unit 154 checks the location information for the display state of the image data displayed on the main screen.
  • the position information includes axis information, rotation angle information, and zoom scale information of the image data.
  • the axis information, rotation angle information, and zoom scale information of all image data displayed on the main screen are the same. Therefore, the treatment plan management unit 154 may display any one of two-dimensional image data for the coronal plane, two-dimensional image data for the sagittal plane, two-dimensional image data for the horizontal plane, and three-dimensional image data displayed on the main screen. By using it, you can check the location information of the video data displayed on the main screen. That is, the treatment plan management unit 154 can check the location information of the image data based on the time when the user views the image data.
  • the interface unit 151 provides the treatment plan management unit 154 when at least one of the plurality of object tools is selected through the input unit 120.
  • the plurality of object tools may be composed of two-dimensional and three-dimensional object tools as tools that can input a treatment plan to a portion in need of treatment among image data displayed on the main screen using an object.
  • the 2D object tool inputs polygons such as squares and circles having a predetermined shape to at least a portion of the image data, and inputs an input tool capable of inputting a line corresponding to a user input, and inputs text to at least a portion of the image data.
  • It can include a memo tool that can measure length, angle, depth, and width.
  • the 3D object tool may include an input tool for inputting implants, crowns, CAD data, and scan data to at least a part of the image data.
  • the treatment plan management unit 154 establishes a treatment plan based on the object added to the image data.
  • the treatment plan management unit 154 records (stores) the established treatment plan in the memory 140. More specifically, the treatment plan management unit 154 establishes at least one object to be added as a first treatment plan while the image data is displayed based on the first location information, and the display status of the image data is changed to the second location. Based on the information, at least one object added in the displayed state is established as the second treatment plan. For example, if the objects added in the displayed state based on the first location information are the first object and the second object, the treatment plan management unit 154 establishes the first object and the second object as the first treatment plan.
  • the treatment plan management unit 154 checks information on the first object and information on the second object, and on the first location information, the first object, the information on the first object, the second object, and the second object. Information is stored in the memory 140 as the first treatment plan.
  • the treatment plan management unit 154 After the first treatment plan is stored, the treatment plan management unit 154, when a change signal for changing the display status of the image data is received from the input unit 120, changes the display status of the image data according to the change signal.
  • the treatment plan management unit 154 checks the second location information corresponding to the changed display state. In addition, if the object to be added while the image data is displayed based on the second location information is the third object, the treatment plan management unit 154 establishes the third object as the second treatment plan. At this time, the treatment plan management unit 154 checks the information on the third object, and stores the second location information, the information on the third object and the third object in the memory 140 as the second treatment plan. At this time, the treatment plan management unit 154 may add the same index to the image data and the first treatment plan, and add and store the same index to the image data and the second treatment plan.
  • the treatment plan management unit 154 changes the treatment plan according to the change signal, and updates and stores the changed treatment plan in the treatment plan DB 142. .
  • the interface unit 151 provides a transmission signal to the treatment plan management unit 154 when a transmission signal for transmitting the treatment plan and the changed treatment plan established from the input unit 120 to an external device is received.
  • the treatment plan management unit 154 may extract image data stored in the memory 140 and all treatment plans established in the image data. That is, since the index according to the treatment plan is added to the image data in which the treatment plan is established, the treatment plan management unit 154 extracts both the first treatment plan and the second treatment plan from the treatment plan DB 142 based on the index. do.
  • the treatment plan management unit 154 includes first location information included in the extracted first treatment plan, information about the first object, information about the second object, second location information included in the second treatment plan, and the third object.
  • the information on is transmitted along with the image data to an external device.
  • the information on the object consists of simple data including information on the position, rotation angle, scale, name, color, etc. of the object where the object is placed in the image data, so speed can be increased when transmitting a treatment plan to an external device. There is an effect that can prevent the load delay in the external device receiving the treatment plan.
  • the embodiment of the present invention is described as storing image data in the image DB 141, but is not limited thereto, and the image data may be stored in the main server.
  • the electronic device 100 may call the image data from the main server to establish a treatment plan.
  • FIG. 2 is a flowchart illustrating a method of recording a treatment plan in medical image data according to an embodiment of the present invention.
  • the interface unit 151 checks whether the establishment signal for establishing a treatment plan for the patient is received from the input unit 120. As a result of the check in step 201, when the establishment signal is received, in step 203, the interface unit 151 calls the interface for establishing the treatment plan and displays the main screen on the display unit 130.
  • the object management unit 153 calls a plurality of object tools capable of establishing a treatment plan by adding it to image data at the request of the interface unit 151 and displays it on a part of the main screen.
  • the interface means a user interface capable of providing a screen according to execution and operation of an application, a web page, etc. for establishing a treatment plan.
  • the interface unit 151 provides the control signal received through the input unit 120 to the image management unit 152, the object management unit 153, and the treatment plan management unit 154 to perform an operation corresponding to the control signal. Conversely, as a result of the check in step 201, if the establishment signal is not received, the interface unit 151 may wait for the establishment signal.
  • step 205 the interface unit 151 performs step 207 when a call signal for calling the image data for the operator is received from the input unit 120. If the call signal is not received, the interface unit 151 waits for the reception of the call signal.
  • step 207 the interface unit 151 provides the call signal to the image management unit 152, and the image management unit 152 searches for the image DB 141 included in the memory 140 based on the call signal.
  • the image management unit 152 calls the image data related to the operator corresponding to the call signal from the image DB 141 and displays it on the main screen.
  • the image data displayed on the main screen includes 2D image data and 3D image data, and the 2D image data and 3D image data may be image data associated with each other.
  • the 2D medical image data may be respective image data based on a coronal, sagittal, and axial, and the 2D image data and the 3D image data are of the same patient. It may be image data for the same site.
  • step 209 the interface unit 151 provides a control signal received through the input unit 120 to the treatment plan management unit 154, and the treatment plan management unit 154 establishes a treatment plan by the control signal.
  • the method of establishing a treatment plan will be described in detail with reference to FIG. 3 below.
  • 3 is a detailed flowchart for explaining a method of recording a treatment plan according to an embodiment of the present invention.
  • the treatment plan management unit 154 checks the state in which the image data is displayed on the main screen.
  • the treatment plan management unit 154 checks the location information of the image data and performs step 303.
  • step 303 when the interface unit 151 receives a selection signal for at least one of a plurality of object tools through the input unit 120, provides it to the treatment plan management unit 154, and selects if the selection signal is not received. Wait for signal reception.
  • the treatment plan management unit 154 performs step 305 when a selection signal for the object tool is received.
  • the treatment plan management unit 154 adds an object tool corresponding to the selected signal to the image data.
  • the treatment plan management unit 154 checks the location information of the image data based on the display state of the image data when the image data on the inside of the mouth of the patient is displayed on the main screen.
  • the location information includes axis information, rotation angle information, and zoom scale information of the image data, and it is preferable that the axis information, rotation angle information, and zoom scale information of all image data displayed on the main screen are the same. Therefore, the treatment plan management unit 154 may display any one of two-dimensional image data for the coronal plane, two-dimensional image data for the sagittal plane, two-dimensional image data for the horizontal plane, and three-dimensional image data displayed on the main screen. By using it, you can check the location information of the video data displayed on the main screen. That is, the treatment plan management unit 154 can check the location information of the image data based on the time when the user views the image data.
  • the treatment plan management unit 154 After confirming the location information, the treatment plan management unit 154 adds the angle measurement tool to the image data as the first object if the selection signal received from the input unit 120 is an angle measurement tool. In addition, the treatment plan management unit 154 checks the angle of the position where the measurement tool added to the image data is placed, displays it as text on the top of the measurement tool, and checks information about the first object. At this time, the information on the object may include the position, rotation angle, scale, name, and color of the object in which the object is disposed in the image data. In addition, the treatment plan management unit 154, when a drawing tool for displaying a specific location of image data is selected, the treatment plan management unit 154 adds a drawing tool to the image data as a second object.
  • step 309 when a storage signal for storing an object is received in step 307 after the first object and the second object are added to the image data, the treatment plan management unit 154 performs step 309, and if the stored signal is not received, Step 311 is performed.
  • the treatment plan management unit 154 uses the location information according to the display state of the image data identified in step 303 and the object and object information added to the image data as the first treatment plan. 142), and step 311 is performed.
  • step 311 the treatment plan management unit 154 performs step 313 when a change signal for changing the display state of the image data is received while the treatment plan is stored.
  • step 313 the treatment plan management unit 154 changes the display state of the image data by the input of the input unit 120 and returns to step 301.
  • the treatment plan management unit 154 may change the display state of the image data.
  • the treatment plan management unit 154 may add at least one third object after changing the display state of the image data.
  • the treatment plan management unit 154 may store location information according to the display state and at least one third object as a second treatment plan.
  • the treatment plan management unit 154 returns to step 211 of FIG. 2 if a change signal is not received while the treatment plan is stored.
  • step 311 the treatment plan management unit 154 checks whether the change signal for changing the display state of the image data is received. If a change signal is received as a result of the check in step 311, the treatment plan management unit 154 performs step 313, and if no change signal is received, returns to step 211 of FIG. In step 313, the treatment plan management unit 154 changes the display state of the image data by the input of the input unit 120 and returns to step 301.
  • step 211 the interface unit 151 performs step 213 when a transmission signal for transmitting a treatment plan established from the input unit 120 to an external device (not shown) is performed, and if the transmission signal is not received, step 215 is performed. do.
  • the interface unit 151 provides the transmission signal to the treatment plan management unit 154, and the treatment plan management unit 154 extracts the treatment plan stored in the memory 140 and transmits it to the external device through the communication unit 110. Can.
  • the treatment plan management unit 154 can extract all the treatment plan associated with the image data, image data related to the patient.
  • the treatment plan management unit 154 extracts the first treatment plan and the second treatment plan associated with the mandibular image.
  • the treatment plan management unit 154 transmits image data and all extracted treatment plans to an external device.
  • the same index as the related treatment plan may be added to the image data.
  • different indexes may be added to each treatment plan for each treatment plan, and different indexes added to the treatment plan may be added to image data.
  • the location information and the object information consist of simple data such as coordinate values and text, it is possible to speed up the transmission of the treatment plan to an external device, and to prevent a load delay from an external device receiving the treatment plan. It has the effect.
  • the electronic device 100 transmits a treatment plan to an external device as an example, but is not limited thereto.
  • the electronic device 100 may transmit a treatment plan to a main server (not shown) connected to the electronic device 100.
  • the main server may store image data in place of the image DB 141 of the memory 140.
  • the main server provides image data for establishing a treatment plan to the electronic device 100.
  • the main server receives the treatment plan from the electronic device 100, extracts image data related to the received treatment plan, and transmits the image data and treatment plan to a delivery server (not shown). have.
  • the main server may mask the personal information on the person to be treated when the image data and the treatment plan are delivered to the delivery server, or delete the personal information and transmit it to the delivery server.
  • the main server may generate image data and a URL address to check the treatment plan with a QR code, etc., and transmit it to the delivery server.
  • the delivery server may transmit the image data and treatment plan received from the main server to an external device, or transmit a QR code to an external device.
  • step 215 the interface unit 151 checks whether the termination signal for the treatment plan establishment is received from the input unit 120. As a result of the check in step 215, when the termination signal is received, the interface unit 151 ends execution of an application, a web page, etc. for establishing a treatment plan. Conversely, if the end signal is not received, the controller 150 may return to step 209 and perform the above operations again.
  • FIG. 4 is a flowchart illustrating a method of recording a treatment plan in medical image data according to an embodiment of the present invention.
  • step 401 when the confirmation signal for confirming the stored treatment plan is received from the input unit 120, the interface unit 151 provides it to the treatment plan management unit 154.
  • the treatment plan management unit 154 performs step 403 when the reception of the confirmation signal is confirmed, and waits for the reception of the confirmation signal if the reception of the confirmation signal is not confirmed.
  • the confirmation signal may be the name of the patient or the patient's number.
  • the treatment plan management unit 154 calls the image data and treatment plan list for the operator corresponding to the confirmation signal from the memory 140, and in step 405, the treatment plan management unit 154 includes at least one treatment plan.
  • the treatment plan list is displayed on the display unit 130.
  • the treatment plan management unit 154 calls the image data corresponding to the confirmation signal from the image DB 141. If the treatment plan related to the recalled image data is the first treatment plan and the second treatment plan, the treatment plan management unit 154 in the treatment plan DB 142, the treatment plan list including the first treatment plan and the second treatment plan It is called and displayed on the display unit 130.
  • the first treatment plan includes information on the first object and the second object, and the second treatment plan includes information on the third object.
  • the treatment plan management unit 154 receives a selection signal for a treatment plan from any of the treatment plans included in the treatment plan list from the input unit 120. For example, if a selection signal for the first treatment plan is received, 409 Step is performed, and if the selection signal is not received, the selection signal is waited for reception.
  • the treatment plan management unit 154 checks the location information of the image data included in the first treatment plan, and performs step 411.
  • the treatment plan management unit 154 displays the image data on the display unit 130 based on the identified location information, but adds and displays the first object and the second object included in the first treatment plan to the image data. .
  • step 413 the treatment plan management unit 154 checks whether the change signal for the treatment plan is received from the input unit 120. If a change signal is received in step 413, the treatment plan management unit 154 performs step 415, and if no change signal is received, the treatment plan management unit 154 performs step 417.
  • step 415 the treatment plan management unit 154 changes the treatment plan according to the signal received from the input unit 120, and updates and stores the changed treatment plan in the treatment plan DB 142. For example, when a movement signal is received to change the location of the second object included in the first treatment plan, the treatment plan management unit 154 updates the treatment plan DB 142 with information on the location where the second object has been moved. Can be saved.
  • step 417 the treatment plan management unit 154 performs step 419 when a transmission signal for transmitting the confirmed or changed treatment plan to an external device (not shown) is performed. If the transmission signal is not received, the process is performed. You can quit. At this time, steps 417 and 419 have been described in steps 211 and 213 of FIG. 2, so a detailed description thereof will be omitted.
  • 5 to 8 are exemplary screens for explaining treatment plan recording and confirmation in medical image data according to an embodiment of the present invention.
  • the main screens 500, 600, 700, and 800 are displayed on the display unit 130.
  • the main screen (500, 600, 700, 800) is an image area (510, 610, 710, 810) for displaying image data, a tool area (520, 620, 720, 820) for displaying a tool for creating an object.
  • the image areas 510, 610, 710, and 810 are divided into list areas 530, 630, 730, and 830 that display a list of established treatment plans in relation to image data.
  • export tabs 521, 621, 721, and 821 for transmitting the established treatment plan to an external device may be formed on the upper portion of the tool areas 520, 620, 720, and 820.
  • buttons for performing image processing by adjusting sharpness, color inversion, and brightness of image data buttons for initializing image processing, and rotation and inversion of image data are performed.
  • An object tool including a button for performing display and hiding of an object added to may be displayed.
  • the user inputs a call signal including the name or patient number of the operator to establish a treatment plan through the input unit 120.
  • the interface unit 151 provides the call signal to the image management unit 152, and the image management unit 152 calls the image data corresponding to the call signal from among the image data stored in the image DB 141, and the image area as shown in FIG. (510).
  • the image data includes two-dimensional image data and three-dimensional image data associated with each other.
  • two-dimensional medical image data for the coronal plane in the first region 511 of the image region 510, two-dimensional medical image data for the coronal plane, in the second region 512, two-dimensional medical image data for the sagittal plane, and in the third region 513 for the horizontal plane 3D image data is displayed on the 2D medical image data and the 4th region 514.
  • the treatment plan management unit 154 checks the first location information of the image data based on the display state of the image data.
  • the first location information includes axis information, rotation angle information, and zoom scale information of the image data displayed on the main screen 500. It is preferable that the axis information, rotation angle information, and zoom scale information of all image data displayed on the main screen 500 are the same. Accordingly, the treatment plan management unit 154 may provide the 2D image data for the coronal plane displayed in the first region 511, the 2D image data for the sagittal plane displayed in the second region 512, and the 3D region 513.
  • the location information of the image data is checked based on a state in which the one of the two-dimensional image data on the displayed horizontal plane and the three-dimensional image data displayed on the fourth region 514 is displayed on the main screen 500. That is, the treatment plan management unit 154 may check the first location information of the image data based on the time when the user views the image data. The treatment plan management unit 154 may temporarily store the identified first location information to add an item called short cut1 to the list area 530. The name of the item Short cut1 can be changed at the user's convenience.
  • the user selects an angle for a specific area inside the oral cavity among the object tools displayed in the tool area 520 to establish the first treatment plan based on the image data. Select a measurement tool to measure.
  • the treatment plan management unit 145 can add the measurement tool as the first object 641. have.
  • the treatment plan management unit 154 checks the angle of the position where the measurement tool is placed and displays it as text on the top of the measurement tool.
  • the treatment plan management unit 154 stores the first object 641 in the treatment plan DB 142 and the item of the short cut1 displayed in the list area 630. Angle can be added as a detail item. At this time, the storage signal may be a signal for temporarily storing to prevent data from disappearing before the first object 641 is stored as an unexpected external stimulus.
  • the user can change the position of the measurement tool using the input unit 120. After adding the first object 641, the treatment plan management unit 154 displays object information including the position, rotation angle, scale, name, and color of the object in which the first object 641 is disposed in the image data. To confirm.
  • the user additionally selects a drawing tool for highlighting and displaying a specific location of the image data.
  • the treatment plan management unit 154 may add the drawing tool as the second object 642.
  • the treatment plan management unit 154 stores the second object 642 in the treatment plan DB 142 and the item of short cut1 displayed in the list area 630. Rectangle can be added as a detail item.
  • the user can change the position of the measurement tool using the input unit 120.
  • the treatment plan management unit 154 displays object information including the position, rotation angle, scale, name, and color of the object in which the second object 642 is disposed in the image data. To confirm.
  • the treatment plan management unit 154 adds the same index to the first treatment plan and image data.
  • the image management unit 152 When the user inputs a change signal to change the display state of any one of the image data displayed on the main screens 500 and 600 of FIGS. 5 and 6 as shown in FIG. 7, the image management unit 152 The display states of the image data displayed on the first area 710, the second area 720, the third area 730, and the fourth area 740 are collectively changed. Then, the treatment plan management unit 154 checks the second location information for the image data whose display state has been changed, and adds an item of short cut2 to the list area 730. If a change signal is received while the first treatment plan is not stored, the treatment plan management unit 154 may delete the first treatment plan.
  • the user selects a length for a specific area within the oral cavity among the object tools displayed in the tool area 720 to establish a second treatment plan based on the image data.
  • Select a measurement tool to measure As described above, when the user selects a measurement tool, the treatment plan management unit 154 adds a measurement tool as a third object 841 to the image data on the coronal surface displayed in the first area 811 among the image data as shown in FIG. 8. can do.
  • the treatment plan management unit 154 checks the length of the position where the measurement tool is placed and displays it as text on the top of the measurement tool.
  • the treatment plan management unit 154 may add a distance as a detail item to the item of short cut2 displayed in the list area 830. At this time, the user can change the position of the measurement tool using the input unit 120. After adding the third object 841, the treatment plan management unit 154 displays object information including the position, rotation angle, scale, name, and color of the object in which the third object 841 is disposed in the image data. To confirm.
  • the treatment plan management unit 154 further selects a third region from the image data when a region setting tool for setting a specific region as a region of interest (ROI) is selected.
  • a region setting tool may be added as a fourth object 842 to the image data for the horizontal plane indicated at 813.
  • the treatment plan management unit 154 may add an ROI as a detail item to the item of short cut2 displayed in the list area 830.
  • the user can change the location of the area setting tool using the input unit 120.
  • the treatment plan management unit 154 checks information on the fourth object 842 in the image data.
  • the treatment plan management unit 154 when the stored signal is received from the user after adding the fourth object 842, the third object 841, the information of the third object 841, the fourth object 843, the fourth The information of the object 843 and the second location information may be stored in the treatment plan DB 142 as a second treatment plan. At this time, the treatment plan management unit 154 may add the same index to the second treatment plan and image data.
  • the treatment plan management unit 154 receives the treatment from the image DB 141 and the treatment plan DB 142. Extract related image data and treatment plan.
  • the treatment plan management unit 154 displays the extracted image data and treatment plan on the display unit 130 as shown in FIG. 8. That is, the user can confirm that the treatment plan related to the patient is the first treatment plan and the second treatment plan.
  • the treatment plan management unit 154 when the second treatment plan is selected from the first treatment plan and the second treatment plan displayed in the list area 830, the third object, which is a detailed item added to the short cut2, the second treatment plan. And the fourth object. Then, the treatment plan management unit 154 checks the second location information stored in the second treatment plan and displays the image data corresponding to the second location information on the main screen 800, and the third object and the third object added to the image data. 4 Objects can be displayed on image data.
  • the treatment plan management unit 154 receives a change signal for changing at least one of the displayed third and fourth objects, or a change signal for changing the second treatment plan by adding a fifth object. If it is, the treatment plan DB 142 is updated by changing the second treatment plan according to the change signal.

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Abstract

La présente invention concerne un procédé et un appareil pour enregistrer un plan de traitement d'une image médicale tridimensionnelle (3D), le procédé pouvant consister à : exécuter une interface pour établir un plan de traitement sur la base d'un signal d'établissement de plan de traitement de patient, et afficher des données d'image comprenant des données d'image 2D et/ou des données d'image 3D du patient; vérifier des informations d'emplacement dans un état dans lequel les données d'image sont affichées; ajouter au moins un objet à un emplacement dans les données d'image où un traitement est nécessaire; et stocker un plan de traitement comprenant les informations d'emplacement et l'objet. Le procédé et l'appareil sont également applicables à d'autres modes de réalisation.
PCT/KR2019/015162 2018-12-18 2019-11-08 Procédé et appareil pour enregistrer un plan de traitement d'une image médicale tridimensionnelle (3d) Ceased WO2020130349A1 (fr)

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KR102568247B1 (ko) * 2021-05-17 2023-08-21 오스템임플란트 주식회사 치아 치료를 위한 시뮬레이션 방법 및 장치, 컴퓨터 판독 가능한 기록 매체 및 컴퓨터 프로그램
KR102702505B1 (ko) * 2021-08-13 2024-09-04 오스템임플란트 주식회사 치과 교정치료 계획 수립 방법 및 그 장치

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