技术领域technical field
本发明涉及医疗质量管理系统技术领域，尤其涉及一种安全的同质化 远程放疗协作的方法及系统。The present invention relates to the technical field of medical quality management systems, in particular to a method and system for safe homogeneous remote radiotherapy collaboration.
背景技术Background technique
放射治疗作为临床上治疗恶性肿瘤的三大基本疗法之一，越来越受到 医务工作者的重视。就放射治疗领域而言，相对于大型现代化的中心医院， 二级医院存在放疗设备的差异和放疗人才的短缺。另外，由于现有放疗设 备厂商不同，系统的相容性差，导致目前放疗领域的协作较少，只有专家 上门会诊这一种手段，大部分二级医院的患者无法得到中心医院同质化的 治疗方案，使患者更愿意涌入中心医院进行治疗，从而导致中心医院患者过多不堪重负。Radiation therapy, as one of the three basic therapies for treating malignant tumors clinically, has been paid more and more attention by medical workers. As far as the field of radiotherapy is concerned, compared with large modern central hospitals, there are differences in radiotherapy equipment and a shortage of radiotherapy talents in secondary hospitals. In addition, due to the different manufacturers of existing radiotherapy equipment and the poor compatibility of the systems, there is little collaboration in the field of radiotherapy at present. Only expert consultations are available, and most patients in secondary hospitals cannot receive homogeneous treatment from central hospitals. The plan makes patients more willing to flood into the central hospital for treatment, which leads to overwhelmed by too many patients in the central hospital.
发明内容Contents of the invention
针对上述问题，本发明的目的在于提供一种安全的同质化远程放疗协 作的方法及系统，实现不同医院之间放疗系统的相容性和协作性。In view of the above problems, the object of the present invention is to provide a method and system for safe homogeneous remote radiotherapy collaboration, so as to realize the compatibility and collaboration of radiotherapy systems between different hospitals.
为了解决背景技术中所存在的问题，本发明的技术方案为：In order to solve the existing problems in the background technology, the technical solution of the present invention is:
一种安全的同质化远程放疗协作的方法，该方法包括：A method for safe homogeneous teleradiation therapy collaboration comprising:
1)、二级医院通过同质化远程放疗协助平台向中心医院提出协助申请；1) Second-level hospitals submit assistance applications to central hospitals through the homogeneous remote radiotherapy assistance platform;
2)、通过所述同质化远程放疗协助平台，中心医院专家人员对申请进 行初步审核并反馈；2) Through the homogeneous remote radiotherapy assistance platform, experts from the central hospital conduct preliminary review and feedback on the application;
3)、二级医院在约定时间向中心医院协助端提出加密远程协助请求， 中心医院专家人员通过解密实现远程协助操作，获取访问资料库权限；3) The secondary hospital submits an encrypted remote assistance request to the assistance terminal of the central hospital at the agreed time, and the experts of the central hospital realize the remote assistance operation through decryption and obtain access to the database;
4)、根据患者的资料库中病历信息，与二级医院医生进行实时远程会 诊，制定同质化放疗计划。4) According to the medical record information in the patient database, conduct real-time remote consultation with doctors in secondary hospitals to formulate a homogeneous radiotherapy plan.
进一步优选地，上述同质化远程放疗协作的方法，其中所述的协助申 请包括：申请医院名称及代号、申请物理师名称及代号、患者个人资料、 以及患者初步诊断信息。Further preferably, the above-mentioned homogeneous remote radiotherapy collaboration method, wherein the assistance application includes: application for hospital name and code, application for physicist name and code, patient personal information, and initial diagnosis information of the patient.
进一步优选地，上述同质化远程放疗协作的方法，其中所述同质化远 程放疗协助平台将所接收的协助申请以表格形式汇总并显示。Further preferably, the above-mentioned homogenized teleradiotherapy cooperation method, wherein the homogenized teleradiotherapy assistance platform summarizes and displays the received assistance applications in a tabular form.
进一步优选地，上述同质化远程放疗协作的方法，其中所述同质化远 程放疗协助平台通过SSL协议实现对通信过程的加密以及对协助端和被协 助端计算机进行特殊的身份验证，并对协助端进行权限设定，管理其可访 问的内网资源和应用系统。Further preferably, the above-mentioned homogenized teleradiotherapy cooperation method, wherein the homogenized teleradiotherapy assistance platform implements encryption of the communication process through the SSL protocol and performs special identity verification on the assisting end and the assisted end computers, and Assist the end to set permissions and manage the intranet resources and application systems it can access.
进一步优选地，上述同质化远程放疗协作的方法，其中所述步骤4)中 制定同质化放疗计划为中心医院专家人员就会诊结果在二级医院计算机终 端设备TPS上制定同质化放疗计划。Further preferably, the above-mentioned homogeneous remote radiotherapy collaboration method, wherein the formulation of the homogeneous radiotherapy plan in step 4) is the result of the consultation results of the experts in the central hospital and the formulation of the homogeneous radiotherapy plan on the computer terminal equipment TPS of the secondary hospital .
本发明还提供了一种安全的同质化远程放疗协作系统，该系统包括二 级医院终端、同质化远程放疗协助平台、中心医院终端、以及媒体装置；The present invention also provides a safe homogeneous remote radiotherapy cooperation system, which includes a secondary hospital terminal, a homogeneous remote radiotherapy assistance platform, a central hospital terminal, and a media device;
所述二级医院终端通过同质化远程放疗协助平台向中心医院提出协助 申请，并得到中心医院终端的审核反馈后，在约定时间向中心医院协助端 提出加密远程协助请求；The secondary hospital terminal submits an assistance application to the central hospital through the homogeneous remote radiotherapy assistance platform, and after receiving the review feedback from the central hospital terminal, submits an encrypted remote assistance request to the central hospital assistance terminal at the agreed time;
所述同质化远程放疗协助平台，将二级医院终端与中心医院终端联系， 并使得中心医院终端员通过解密实现远程协助操作，获取访问资料库权限， 对二级医院终端的资料库进行访问；The homogeneous remote radiotherapy assistance platform connects the terminal of the secondary hospital with the terminal of the central hospital, and enables the terminal personnel of the central hospital to realize remote assistance operation through decryption, obtain access to the database, and access the database of the terminal of the secondary hospital ;
所述中心医院终端根据患者的资料库中病历信息，与二级医院医生进 行实时远程会诊，制定同质化放疗计划；According to the medical record information in the patient's database, the terminal of the central hospital conducts real-time remote consultation with the doctors of the secondary hospital to formulate a homogeneous radiotherapy plan;
所述媒体装置与二级医院终端以及中心医院终端相连接，用于在进行 远程会诊时提供音频或视频输入。The media device is connected with the secondary hospital terminal and the central hospital terminal for providing audio or video input during remote consultation.
进一步优选地，上述同质化远程放疗协作的系统，其中所述协助申请 包括：申请医院名称及代号，申请物理师名称及代号，患者个人资料，患 者初步诊断信息。Further preferably, the above-mentioned homogeneous remote radiotherapy collaboration system, wherein the assistance application includes: the name and code of the applying hospital, the name and code of the physicist applying, personal data of the patient, and preliminary diagnosis information of the patient.
进一步优选地，上述同质化远程放疗协作的系统，其中所述同质化远 程放疗协助平台将所接收的协助申请以表格形式汇总并显示。Further preferably, the above-mentioned homogenized teleradiotherapy cooperation system, wherein the homogenized teleradiotherapy assistance platform summarizes and displays the received assistance applications in the form of a table.
进一步优选地，上述同质化远程放疗协作的系统，其中所述同质化远 程放疗协助平台通过SSL协议实现对通信过程的加密以及对协助端和被协 助端计算机进行特殊的身份验证，并对协助端进行权限设定，管理其可访 问的内网资源和应用系统。Further preferably, the above-mentioned homogenized teleradiotherapy collaboration system, wherein the homogenized teleradiotherapy assistance platform implements encryption of the communication process through the SSL protocol and performs special identity verification on the assisting end and the assisted end computers, and Assist the end to set permissions and manage the intranet resources and application systems it can access.
与现有技术相比较，本发明的有益效果为：Compared with prior art, the beneficial effects of the present invention are:
本发明提供了一种安全的同质化远程放疗协作的方法及系统，通过同 质化远程放疗协助平台向中心医院提出协助申请，由中心医院专家人员对 申请进行初步审核并反馈，在约定时间进行远程协助操作，做出合理会诊 并制定同质化放疗计划，从而使得二级医院的患者不用舟车劳顿便能得到 与中心医院同质化的放射治疗服务，减轻了中心医院医生、物理师、技师、 护士等医护人员的工作强度，减缓了中心医院放疗设备、床位等硬件条件 不足的压力，促进各级医院放疗系统间的相互交流与协作。The present invention provides a safe method and system for homogeneous remote radiotherapy cooperation. An application for assistance is submitted to the central hospital through the homogeneous remote radiotherapy assistance platform, and experts from the central hospital conduct preliminary review and feedback on the application. Carry out remote assistance operations, make reasonable consultations, and formulate homogeneous radiotherapy plans, so that patients in secondary hospitals can receive radiotherapy services that are homogeneous with those of central hospitals without having to travel around, reducing the burden on doctors, physicists, and The work intensity of technicians, nurses and other medical staff relieves the pressure of insufficient hardware conditions such as radiotherapy equipment and beds in the central hospital, and promotes mutual communication and collaboration between radiotherapy systems in hospitals at all levels.
附图说明Description of drawings
图1是本发明安全的同质化远程放疗协作的方法流程图；Fig. 1 is a flow chart of the safe homogeneous remote radiotherapy collaboration method of the present invention;
图2是本发明安全的同质化远程放疗协作系统框图；Fig. 2 is a block diagram of the safe homogeneous remote radiotherapy cooperation system of the present invention;
图3是本发明实施例中申请预约同质化远程放疗协作的流程图；Fig. 3 is a flow chart of applying for an appointment for homogeneous remote radiotherapy cooperation in an embodiment of the present invention;
图4是本发明实施例中同质化远程放疗协作过程的流程图。Fig. 4 is a flow chart of the homogeneous remote radiotherapy cooperation process in the embodiment of the present invention.
具体实施方式detailed description
下面结合附图对本发明做详细描述。The present invention will be described in detail below in conjunction with the accompanying drawings.
实施例1Example 1
如图1所示，一种安全的同质化远程放疗协作的方法，包括：As shown in Figure 1, a safe and homogeneous teleradiotherapy collaboration method includes:
1)、二级医院通过同质化远程放疗协助平台向中心医院提出协助申请；1) Second-level hospitals submit assistance applications to central hospitals through the homogeneous remote radiotherapy assistance platform;
所述协助申请包括：申请医院名称及代号，申请物理师名称及代号， 患者个人资料，患者初步诊断信息。The assistance application includes: application for the name and code of the hospital, application for the name and code of a physicist, personal data of the patient, and preliminary diagnosis information of the patient.
2)、通过所述同质化远程放疗协助平台，中心医院专家人员对申请进 行初步审核并反馈；2) Through the homogeneous remote radiotherapy assistance platform, experts from the central hospital conduct preliminary review and feedback on the application;
在协助端上，各申请以提交先后顺序以表格形式排列。中心医院专家 人员根据患者信息进行初步审核以确定是否需要进行远程协助：若审核通 过，向申请端返回通过信息并提交协助时间；若审核不通过，向申请端返 回不通过信息。On the assistance side, applications are arranged in table form in the order of submission. The experts of the central hospital conduct a preliminary review based on the patient information to determine whether remote assistance is needed: if the review is passed, the pass information is returned to the application end and the assistance time is submitted; if the review fails, the fail information is returned to the application end.
所述同质化远程放疗协助平台将所接收的协助申请以表格形式汇总并 显示。The homogeneous remote radiotherapy assistance platform summarizes and displays the received assistance applications in a form.
3)、二级医院在约定时间向中心医院协助端提出加密远程协助请求， 中心医院专家人员通过解密实现远程协助操作，获取访问资料库权限；3) The secondary hospital submits an encrypted remote assistance request to the assistance terminal of the central hospital at the agreed time, and the experts of the central hospital realize the remote assistance operation through decryption and obtain access to the database;
中心医院专家人员对二级医院客户端进行远程桌面操作，访问患者资 料，需要说明的是，该远程桌面连接需要进行安全性的保证。包括如下步 骤：更改协助端输出的远程桌面端口并开放被协助端相应防火墙端口，以 阻止被协助端接收恶意远程桌面访问申请；通过SSL协议以实现对通信过 程的加密以及对协助端和被协助端计算机进行特殊的身份验证。Experts from the central hospital perform remote desktop operations on the client side of the secondary hospital to access patient data. It should be noted that the remote desktop connection needs to be secured. It includes the following steps: change the remote desktop port output by the assisting end and open the corresponding firewall port of the assisted end to prevent the assisted end from receiving malicious remote desktop access applications; use the SSL protocol to realize encryption of the communication process and to communicate between the assisting end and the assisted end The end computer performs special authentication.
4)、根据患者的资料库中病历信息，与二级医院医生进行实时远程会 诊，制定同质化放疗计划。4) According to the medical record information in the patient database, conduct real-time remote consultation with doctors in secondary hospitals to formulate a homogeneous radiotherapy plan.
中心医院专家人员通过远程桌面访问二级医院客户端TPS软件，通过 虚拟鼠标和虚拟键盘技术在二级医院客户端TPS软件上进行放射治疗计划 的制定。经双方人员共同签字确认后，该放射治疗计划方可实施。Experts from the central hospital access the client TPS software of the secondary hospital through remote desktops, and formulate radiation treatment plans on the client TPS software of the secondary hospital through virtual mouse and virtual keyboard technology. The radiotherapy plan can only be implemented after being signed and confirmed by both parties.
需要说明的是，在被协助端，通过虚拟鼠标和虚拟键盘进行的操作需 要对其操作日志进行保存记录，以保证计划的真实性和可靠性。It should be noted that, on the assisted side, operations performed through the virtual mouse and virtual keyboard need to be recorded in operation logs to ensure the authenticity and reliability of the plan.
实施例2Example 2
如图2所述，本发明提供了一种安全的同质化远程放疗协作系统，包 括二级医院终端1、同质化远程放疗协助平台2、中心医院终端3、以及媒 体装置4；As shown in Figure 2, the present invention provides a safe homogeneous remote radiotherapy collaboration system, including a secondary hospital terminal 1, a homogeneous remote radiotherapy assistance platform 2, a central hospital terminal 3, and a media device 4;
所述二级医院终端1通过同质化远程放疗协助平台向中心医院提出协 助申请，并得到中心医院终端的审核反馈后，在约定时间向中心医院协助 端提出加密远程协助请求；所述协助申请包括：申请医院名称及代号，申 请物理师名称及代号，患者个人资料，患者初步诊断信息。The secondary hospital terminal 1 submits an assistance application to the central hospital through the homogeneous remote radiotherapy assistance platform, and after receiving the review feedback from the central hospital terminal, submits an encrypted remote assistance request to the central hospital assistance terminal at the agreed time; the assistance application Including: applying for the name and code of the hospital, applying for the name and code of a physicist, personal data of the patient, and initial diagnosis information of the patient.
所述同质化远程放疗协助平台2，将二级医院终端与中心医院终端联 系，并使得中心医院终端员通过解密实现远程协助操作，获取访问资料库 权限，对二级医院终端的资料库进行访问；所述同质化远程放疗协助平台 将所接收的协助申请以表格形式汇总并显示。The homogenized remote radiotherapy assistance platform 2 connects the terminal of the secondary hospital with the terminal of the central hospital, and enables the terminal personnel of the central hospital to realize remote assistance operation through decryption, obtain access to the database, and perform a database check on the terminal of the secondary hospital. Access; the homogeneous remote radiotherapy assistance platform summarizes and displays the received assistance applications in a form.
所述同质化远程放疗协助平台2通过SSL协议实现对通信过程的加密 以及对协助端和被协助端计算机进行特殊的身份验证，并对协助端进行权 限设定，管理其可访问的内网资源和应用系统。The homogeneous remote radiotherapy assistance platform 2 realizes the encryption of the communication process through the SSL protocol and performs special identity verification on the computer of the assisting end and the assisted end, and sets the authority of the assisting end to manage its accessible intranet resources and application systems.
所述中心医院终端3根据患者的资料库中病历信息，与二级医院医生 进行实时远程会诊，制定同质化放疗计划；在被协助端，通过虚拟鼠标和 虚拟键盘进行的操作需要对其操作日志进行保存记录，以保证计划的真实 性和可靠性。The terminal 3 of the central hospital conducts real-time remote consultation with the doctors of the secondary hospital according to the medical record information in the patient's database, and formulates a homogeneous radiotherapy plan; at the assisted end, the operations performed through the virtual mouse and virtual keyboard need to be operated Logs are kept and recorded to ensure the authenticity and reliability of the plan.
所述媒体装置4与二级医院终端以及中心医院终端相连接，用于在进 行远程会诊时提供音频或视频输入。Described media device 4 is connected with secondary hospital terminal and central hospital terminal, is used for providing audio frequency or video input when carrying out teleconsultation.
实施例3Example 3
如图3所示，对申请预约同质化远程放疗协助的过程进行详细说明。As shown in Figure 3, the process of applying for an appointment for homogeneous remote radiotherapy assistance is described in detail.
在步骤S202中，二级医院申请端S201向同质化远程放疗协助平台提 出预约申请。预约申请内容需包括如下内容：申请医院名称及代号，申请 物理师名称及代号，患者个人资料，患者初步诊断信息。In step S202, the secondary hospital application terminal S201 submits an appointment application to the homogeneous remote radiotherapy assistance platform. The content of the appointment application must include the following: the name and code of the applying hospital, the name and code of the physicist applying, personal information of the patient, and preliminary diagnosis information of the patient.
在步骤S203中，中心医院服务端通过同质化远程放疗协助平台对预约 申请列表进行访问。In step S203, the central hospital server accesses the appointment application list through the homogeneous remote radiotherapy assistance platform.
在步骤S204中，中心医院服务端确认通过申请。In step S204, the central hospital server confirms that the application is approved.
在步骤S205中，中心医院服务端通过同质化远程放疗协助平台向二级 医院申请端返回通过结果并预约协助时间。In step S205, the server of the central hospital returns the passing result and makes an appointment for assistance to the application terminal of the secondary hospital through the homogeneous remote radiotherapy assistance platform.
在步骤S206中，中心医院服务端不通过申请。In step S206, the central hospital server does not approve the application.
在步骤S207中，中心医院服务端通过同质化远程放疗协助平台向二级 医院申请端返回不通过的结果。In step S207, the service end of the central hospital returns a result of failure to the application end of the secondary hospital through the homogeneous remote radiotherapy assistance platform.
实施例4Example 4
如图4所示，对同质化远程放疗协助平台实现远程协助的过程进行详 细说明。As shown in Figure 4, the process of realizing remote assistance on the homogeneous remote radiotherapy assistance platform is described in detail.
在步骤S302中，二级医院申请端S301在约定时间通过同质化远程放 疗协助平台向中心医院服务端S303提出远程协助申请。In step S302, the secondary hospital application terminal S301 submits a remote assistance application to the central hospital server S303 through the homogeneous remote radiotherapy assistance platform at the agreed time.
在步骤S304中，中心医院服务端通过远程协助申请。In step S304, the server of the central hospital applies for remote assistance.
在步骤S305中，中心医院服务端在保证安全性的条件下通过远程桌面 访问二级医院申请端。In step S305, the central hospital server accesses the secondary hospital application terminal through the remote desktop under the condition of ensuring security.
在步骤S306中，中心医院服务端通过远程桌面在二级医院申请端上查 看患者病例，并通过媒体装置实现语音或视频通讯进行远程会诊。In step S306, the central hospital server checks the patient's case on the application terminal of the secondary hospital through the remote desktop, and realizes voice or video communication through the media device for remote consultation.
在步骤S307中，中心医院服务端通过远程桌面在二级医院申请端TPS 软件上根据申请端固有设备参数制定合理的放射治疗计划。In step S307, the server of the central hospital formulates a reasonable radiotherapy plan on the TPS software of the application terminal of the secondary hospital through the remote desktop according to the inherent equipment parameters of the application terminal.
在步骤S308中，二级医院申请端和中心医院服务端分别对制定的放射 治疗计划进行签字确认。In step S308, the application end of the secondary hospital and the server end of the central hospital respectively sign and confirm the formulated radiotherapy plan.
在步骤S309中，中心医院服务端不通过协助申请。In step S309, the central hospital server does not pass the assistance application.
在步骤S310中，中心医院服务端通过同质化远程放疗协助平台向二级 医院申请端返回不通过结果。In step S310, the service end of the central hospital returns a failure result to the application end of the secondary hospital through the homogeneous remote radiotherapy assistance platform.
本发明提供一种同质化远程放疗协作的方法，该方法可以使二级医院 通过同质化远程放疗协助平台向中心医院提出同质化远程放疗协作申请， 由中心医院根据患者信息进行远程会诊，无需患者影像资料的传输，直接 在二级医院自有的设备参数的基础上制定出精准合理的放疗计划，以实现 中心医院专家在当地就可以对二级医院的患者进行同质化放射治疗服务。The present invention provides a method for homogeneous remote radiotherapy cooperation, which enables the secondary hospital to submit an application for homogeneous remote radiotherapy cooperation to the central hospital through the homogeneous remote radiotherapy assistance platform, and the central hospital conducts remote consultation based on patient information , without the transmission of patient image data, an accurate and reasonable radiotherapy plan can be formulated directly on the basis of the equipment parameters of the second-level hospital, so that experts from the central hospital can perform homogeneous radiation therapy on patients in the second-level hospital locally Serve.
对于本领域技术人员而言，显然能了解到上述具体实施例只是本发明 的优选方案，因此本领域的技术人员对本发明中的某些部分所可能作出的 改进、变动，体现的仍是本发明的原理，实现的仍是本发明的目的，均属 于本发明所保护的范围。For those skilled in the art, it is obvious that the above-mentioned specific embodiments are only preferred solutions of the present invention, so those skilled in the art may make improvements and changes to some parts of the present invention, which still reflect the present invention The principle of the present invention is still the object of the present invention, and all belong to the protection scope of the present invention.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710436358.2ACN107239667A (en) | 2017-06-12 | 2017-06-12 | A kind of method and system of the long-range radiotherapy cooperation of safe homogeneity |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710436358.2ACN107239667A (en) | 2017-06-12 | 2017-06-12 | A kind of method and system of the long-range radiotherapy cooperation of safe homogeneity |
| Publication Number | Publication Date |
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| CN107239667Atrue CN107239667A (en) | 2017-10-10 |
| Application Number | Title | Priority Date | Filing Date |
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| CN201710436358.2APendingCN107239667A (en) | 2017-06-12 | 2017-06-12 | A kind of method and system of the long-range radiotherapy cooperation of safe homogeneity |
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