医学图像辅助阅片系统设计
摘要
随着医学影像设备在临床辅助诊断的作用越来越突出,为了有效保存并利用好这些设备的图像,人们制定了DICOM标准,用以把复杂的医学影像设备中的影像信息获取到普通PC机上。但是现在医生阅片仍是依靠经验来确定病变位置及病变类型,而现在这种DICOM图片浏览器不是很多,且功能简单,如何才能让医生能够更方便的阅读这些DICOM图片,成了一个当前亟需解决的课题。
本论文主要研究利用医学影像设备提供的符合DICOM3.0标准的专用数字接口对医学影像设备进行网络连接技术。在深入研究DICOM3.0标准的基础上,用面向对象的设计方法在Visual C++环境下实现了DICOM网络通信,将医学影像设备中的数字图像信息无失真地传输到通用计算机,并在此基础之上结合图像处理技术,实现了基于DICOM的辅助阅片系统。包括DICOM文件的获取、网络传输;DICOM图像的各种显示功能;DICOM文件与BMP文件的转换:DICOM图像测量、分割、增强和局部放大等功能。
研究结果表明,本论文的研究工作,有利于医生结合多种图像处理技术的优势,提高对病情诊断的精确性;有助于医生的教学工作与交流。
As medical image equipment being more and more outstanding on the clinical auxiliary function that diagnoses, for the picture that is kept and made good use of the equipment effectively, people have made DICOM standard, used to obtain the image information in the complicated medical image equipment on the ordinary PC. But doctor read slice rely on experience come positioning pathological change and pathological change type now, now the DICOM picture browser a lot of, and function simple, how could let doctor can reading these DICOM picturing convenient, have become a subject needing badly being solved at present.This thesis main research utilize medical that equipment offer to accord with DICOM3.0 special-purpose digital interface of standard go on network link to the medical image equipment image Technology. On the basis of further investigating DIC0M3. 0 standard, have realized the network communication of DICOM under the environment of Visual C ++ with the target -oriented design method, have not transmitted the digital picture information among the medical image equipment to the all-purpose computer distortedly, and combine picture treatment technology on foundation this, it realizes to be auxiliary to read a system because of DICOM. The obtaining of including DICOM file, network transmit; Various kinds of DICOM picture show the function; Conversion of DICOM file and BMP file; DICOM picture measurement, cuts apart, strengthens and such functions as the part is enlarged.Proved by practice, the research work of this thesis, help the doctor to combine the advantage of the treatment technology of many kinds of pictures, improve the accuracy diagnosed to the condition; Contribute to the doctor's teaching and exchange.
本论文主要研究利用医学影像设备提供的符合DICOM3.0标准的专用数字接口对医学影像设备进行网络连接技术。在深入研究DICOM3.0标准的基础上,用面向对象的设计方法在Visual C++环境下实现了DICOM网络通信,将医学影像设备中的数字图像信息无失真地传输到通用计算机,并在此基础之上结合图像处理技术,实现了基于DICOM的辅助阅片系统。包括DICOM文件的获取、网络传输;DICOM图像的各种显示功能;DICOM文件与BMP文件的转换:DICOM图像测量、分割、增强和局部放大等功能。
研究结果表明,本论文的研究工作,有利于医生结合多种图像处理技术的优势,提高对病情诊断的精确性;有助于医生的教学工作与交流。
As medical image equipment being more and more outstanding on the clinical auxiliary function that diagnoses, for the picture that is kept and made good use of the equipment effectively, people have made DICOM standard, used to obtain the image information in the complicated medical image equipment on the ordinary PC. But doctor read slice rely on experience come positioning pathological change and pathological change type now, now the DICOM picture browser a lot of, and function simple, how could let doctor can reading these DICOM picturing convenient, have become a subject needing badly being solved at present.This thesis main research utilize medical that equipment offer to accord with DICOM3.0 special-purpose digital interface of standard go on network link to the medical image equipment image Technology. On the basis of further investigating DIC0M3. 0 standard, have realized the network communication of DICOM under the environment of Visual C ++ with the target -oriented design method, have not transmitted the digital picture information among the medical image equipment to the all-purpose computer distortedly, and combine picture treatment technology on foundation this, it realizes to be auxiliary to read a system because of DICOM. The obtaining of including DICOM file, network transmit; Various kinds of DICOM picture show the function; Conversion of DICOM file and BMP file; DICOM picture measurement, cuts apart, strengthens and such functions as the part is enlarged.Proved by practice, the research work of this thesis, help the doctor to combine the advantage of the treatment technology of many kinds of pictures, improve the accuracy diagnosed to the condition; Contribute to the doctor's teaching and exchange.
引文
[1] DICOM Committee. Digital Imaging and Communications in Medicine(DICOM). National Electrical Manufactures Association, USA. 2000;
[2] 章毓晋.图像处理和分析.清华大学出版社.1999
[3] 王岩.基于DICOM标准的医疗数据通信设计与实现.中国科学院自动化所硕士论文.2000
[4] DietDietrich ME. Picture archiving and communication systems(PACS) for medical application. Int JBiomed Cpmput. 1994
[5] 邱峰,田捷等.PACS系统综述.中国医学影像技术.2000
[6] EM. VanGennip. Challenges and opportunities for technology assessment in medical informatics. Case study: PACS. 1993, 18(3)
[7] Berman LE. Effects of quantization table manipulation on JPEG compression of cervical radiographs. SID93 Digest. 1993, VolⅩⅩⅣ Serttle WA
[8] Bidgood W. D. Introduction to the ACR-NEMA DICOM Standard. RadioGraphics. 1992, 12(2): 345-355
[9] 黄志聪.DICOM标准的发掌及最新的变化.中国医疗器械杂志.2004,28(3):203-207
[10] 于凤海.DICOM标准综述.红外.2003,9:30-33
[11] HU, Lemke. Future directions in electronic image handling. Invest Radiol. 1993, 9: 79-81
[12] 刘景春,田捷.PACS的结构与实现.中国医学影像技术.2000,16(1)
[13] 吴健学.静止图像编码的基本方法与国际标准.北京邮电大学出版 社.2004
[14] 薛培鼎.图像信息压缩.科学出版社.2004
[15] 刘滔.Visual C++实现MPEG/JPEG编解码技术.人民邮电出版社.2002
[16] Dzung L. Phan. A survey of current methods in medical image segmentation. Technical Report JHU/ECE99-01. 1998
[17] Julian Besag. On the statistical analysis of dirty pictures. J. R. Statist. Soc. 1996, 48(3): 259-302
[18] 罗希平,田捷.用最大熵原则做多阈值选择的条件迭代算法.软件学报.2000,11(3):379-385
[19] 刘喜英.基于区域生长法的医学图像分割研究.数字电视与数字视频.2003,9:24-25
[20] Chengyang Xu. Deformable models with application to human cerebral cortex reconstruction from magnetic resonance images(Ph. D, thesis). John Hopkins Univ. 2000
[21] Terzopoulos and D. Metaxas. Dynamic 3D models with local and global deformations: deformable superquadrics. IEEE Trans. On Pattern Analysis and Machine Intelligence. 1991, 13: 703-714
[22] V. Caselles. A geometric model for active contours. Numerische mathematik. 1993, 66:1-31
[23] R. Malladi. Shape modeling with front propagation: A level set approach. IEEE Trans. On Pattern Analysis and Machine intelligence. 1995, 17(2): 158-175
[24] 钟志光.Visum C++.NET数字图像处理实例与解析.清华大学出版社.2003
[25] 景晓军.静止图像的一种混合滤波及其改进算法.通信学报.2002, 23(1):8-17
[26] 容观澳.计算机图像处理.清华大学出版社.2000
[27] 刘毅.医学图像的彩色处理.生物医学工程.1998,17(2):82-84
[28] 马天予.Visual C++数字图像处理.第二版.人民邮电出版社.2002
[29] 林天毅.医学数字图象通讯标准(DICOM)的开发及研究.浙江大学工学博士学位论文.1998:36-70
[30] 王保华,罗立民.生物医学电子学高级教程.东南大学出版社.2001
[31] 胡阳秋,高小榕,高上凯.DICOM医学图像采集的方法与实践.北京生物医学工程.2001,1:1-5
[32] David J. Kruglinski, Scot Wingo, George Shepherd. Programming Visual C++6.0技术内幕(第五版).北京希望电子出版社.1999
[33] ISO/IEC Directives. International Organization for Standardization, International Electrotechnical Commision
[34] 林天毅,陈思平,陶笃纯,段会龙,吕维雪.医学数字图像通讯标准(DICOM)的实现.中国医学影像技术.2000,16(9):802-804页
[35] 缪竞陶,陶勇浩,周翔平,陈宪,张文川.放射科DICOM标准PACS的设计与实现.设备设计.1998,32(8):564-566
[36] 王宇.PACS系统中的图像格式转换和DIMSE的实现.上海交通大学工学硕士学位论文.1999
[37] 张力新.DICOM通讯程序的设计.医疗设备信息.2003,18(2):21-23
[38] 田捷.医学影像处理与分析.电子工业出版社.2003
[39] Mark Orkin. Implementing the DICOM Standard experience. At the Univercity of California Davis ftp://imrad.vcdmc.vcdavis.edu/pub/dicom/Developerscut/dicom/
[40] 朱剑峰,温浩.DCM文件的构成分析和编解码实现.中国医疗器械杂 志.2003,27(4):247-250
[41] 代健武.医学影像处理系统的设计与实现.计算机工程与应用.2003,39(22):220-222
[42] 谢长生,熊华明.DICOM图像显示的研究与实现.计算机工程与科学.2002,24(6)
[43] Medicor Imageing of LEAD Technologies. http://www.medicorimaging.com
[44] 张尤赛,陈福民.DICOM医学图像窗口变换的加速算法.计算机工程与应用.2003,39(13):218-220
[45] 刘晓燕,张春田.基于DICOM医学图像软件工具包的设计与实现.2003,19(4):84-87
[46] 王成波,陈伟.DICOM图像与BMP图像的转换研究.医疗卫生装备.2004,1:13-14,17
[47] 周长发.精通Visual C++.NET图像处理编程.电子工业出版社.2002
[48] 林成森.数值计算方法(上册).第二版.科学出版社.2004
[49] 高尚.最短三次样条插值研究.微机发展.2002,12(2):10-12
[50] 周永华,张圣华.纯方位线性插值问题研究.舰船电子工程.2003,6:37-42
[2] 章毓晋.图像处理和分析.清华大学出版社.1999
[3] 王岩.基于DICOM标准的医疗数据通信设计与实现.中国科学院自动化所硕士论文.2000
[4] DietDietrich ME. Picture archiving and communication systems(PACS) for medical application. Int JBiomed Cpmput. 1994
[5] 邱峰,田捷等.PACS系统综述.中国医学影像技术.2000
[6] EM. VanGennip. Challenges and opportunities for technology assessment in medical informatics. Case study: PACS. 1993, 18(3)
[7] Berman LE. Effects of quantization table manipulation on JPEG compression of cervical radiographs. SID93 Digest. 1993, VolⅩⅩⅣ Serttle WA
[8] Bidgood W. D. Introduction to the ACR-NEMA DICOM Standard. RadioGraphics. 1992, 12(2): 345-355
[9] 黄志聪.DICOM标准的发掌及最新的变化.中国医疗器械杂志.2004,28(3):203-207
[10] 于凤海.DICOM标准综述.红外.2003,9:30-33
[11] HU, Lemke. Future directions in electronic image handling. Invest Radiol. 1993, 9: 79-81
[12] 刘景春,田捷.PACS的结构与实现.中国医学影像技术.2000,16(1)
[13] 吴健学.静止图像编码的基本方法与国际标准.北京邮电大学出版 社.2004
[14] 薛培鼎.图像信息压缩.科学出版社.2004
[15] 刘滔.Visual C++实现MPEG/JPEG编解码技术.人民邮电出版社.2002
[16] Dzung L. Phan. A survey of current methods in medical image segmentation. Technical Report JHU/ECE99-01. 1998
[17] Julian Besag. On the statistical analysis of dirty pictures. J. R. Statist. Soc. 1996, 48(3): 259-302
[18] 罗希平,田捷.用最大熵原则做多阈值选择的条件迭代算法.软件学报.2000,11(3):379-385
[19] 刘喜英.基于区域生长法的医学图像分割研究.数字电视与数字视频.2003,9:24-25
[20] Chengyang Xu. Deformable models with application to human cerebral cortex reconstruction from magnetic resonance images(Ph. D, thesis). John Hopkins Univ. 2000
[21] Terzopoulos and D. Metaxas. Dynamic 3D models with local and global deformations: deformable superquadrics. IEEE Trans. On Pattern Analysis and Machine Intelligence. 1991, 13: 703-714
[22] V. Caselles. A geometric model for active contours. Numerische mathematik. 1993, 66:1-31
[23] R. Malladi. Shape modeling with front propagation: A level set approach. IEEE Trans. On Pattern Analysis and Machine intelligence. 1995, 17(2): 158-175
[24] 钟志光.Visum C++.NET数字图像处理实例与解析.清华大学出版社.2003
[25] 景晓军.静止图像的一种混合滤波及其改进算法.通信学报.2002, 23(1):8-17
[26] 容观澳.计算机图像处理.清华大学出版社.2000
[27] 刘毅.医学图像的彩色处理.生物医学工程.1998,17(2):82-84
[28] 马天予.Visual C++数字图像处理.第二版.人民邮电出版社.2002
[29] 林天毅.医学数字图象通讯标准(DICOM)的开发及研究.浙江大学工学博士学位论文.1998:36-70
[30] 王保华,罗立民.生物医学电子学高级教程.东南大学出版社.2001
[31] 胡阳秋,高小榕,高上凯.DICOM医学图像采集的方法与实践.北京生物医学工程.2001,1:1-5
[32] David J. Kruglinski, Scot Wingo, George Shepherd. Programming Visual C++6.0技术内幕(第五版).北京希望电子出版社.1999
[33] ISO/IEC Directives. International Organization for Standardization, International Electrotechnical Commision
[34] 林天毅,陈思平,陶笃纯,段会龙,吕维雪.医学数字图像通讯标准(DICOM)的实现.中国医学影像技术.2000,16(9):802-804页
[35] 缪竞陶,陶勇浩,周翔平,陈宪,张文川.放射科DICOM标准PACS的设计与实现.设备设计.1998,32(8):564-566
[36] 王宇.PACS系统中的图像格式转换和DIMSE的实现.上海交通大学工学硕士学位论文.1999
[37] 张力新.DICOM通讯程序的设计.医疗设备信息.2003,18(2):21-23
[38] 田捷.医学影像处理与分析.电子工业出版社.2003
[39] Mark Orkin. Implementing the DICOM Standard experience. At the Univercity of California Davis ftp://imrad.vcdmc.vcdavis.edu/pub/dicom/Developerscut/dicom/
[40] 朱剑峰,温浩.DCM文件的构成分析和编解码实现.中国医疗器械杂 志.2003,27(4):247-250
[41] 代健武.医学影像处理系统的设计与实现.计算机工程与应用.2003,39(22):220-222
[42] 谢长生,熊华明.DICOM图像显示的研究与实现.计算机工程与科学.2002,24(6)
[43] Medicor Imageing of LEAD Technologies. http://www.medicorimaging.com
[44] 张尤赛,陈福民.DICOM医学图像窗口变换的加速算法.计算机工程与应用.2003,39(13):218-220
[45] 刘晓燕,张春田.基于DICOM医学图像软件工具包的设计与实现.2003,19(4):84-87
[46] 王成波,陈伟.DICOM图像与BMP图像的转换研究.医疗卫生装备.2004,1:13-14,17
[47] 周长发.精通Visual C++.NET图像处理编程.电子工业出版社.2002
[48] 林成森.数值计算方法(上册).第二版.科学出版社.2004
[49] 高尚.最短三次样条插值研究.微机发展.2002,12(2):10-12
[50] 周永华,张圣华.纯方位线性插值问题研究.舰船电子工程.2003,6:37-42