医联体云影像中心的设计与建设  

Design and Construction of Medical Union Cloud Image Center

作　　者：姚侃敏[1] 严福华[1] 赵昌政 温宁 李彦[1] YAO Kanmin;YAN Fuhua;ZHAO Changzheng;WEN Ning;LI Yan(Institute for Medical Imaging Technology,Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 201821,China;Shanghai United Imaging Healthcare Co.,Ltd.,Shanghai 201821,China)

机构地区：[1]上海交通大学医学院附属瑞金医院,医学影像先进技术研究院,上海201821 [2]上海联影医疗科技股份有限公司,上海201821

出　　处：《中国医疗设备》2023年第9期87-92,共6页China Medical Devices

基　　金：国家重点研发计划(2019YFC0121802)。

摘　　要：目的聚焦基层医疗服务能力提升,优化医疗资源的均衡分配,以“科技+机制”的创新模式,有效解决医疗建设和服务管理中的重点和难点问题。方法基于5G边缘计算的实时影像数据高并发采集及传输技术搭建信息平台,通过多模态影像信息交互和多元化访问控制实现数据共享和云端业务协同,实现区域内医疗影像数据互联互通共享、数据整合,实现远程诊断与会诊。结果云影像中心建设可以促进区域医疗和健康信息资源的共享,以上海市嘉定区为例,云影像中心覆盖嘉定区内160万人口,共完成远程诊断和会诊54余万例;同时推广至全国31个省市地区,覆盖各级医院超过3000家。合理有序引导了分流患者,缩短了往返就医时间、减少了就医成本。结论云影像中心为实现区域内各级层医疗机构医学影像服务同质化做出贡献。Objective Focusing on the improvement of primary medical service capacity,optimizing the balanced distribution of medical resources,to develop the innovative model of“technology+mechanism”,to effectively solve the key and difficult issues in medical construction and service management.Methods Based on 5G edge computing,an information platform for real-time high-concurrency collection and transmission technology of image data was built.This platform enabled data sharing and cloudbased business collaboration through multi-modal image information interaction and diversified access control.The interconnection,sharing,and integration of medical imaging data within a region were realized,and remote diagnosis and consultation were facilitated.Results The construction of cloud image center could promote the sharing of regional medical and health information resources.Taking Jiading District of Shanghai as an example,the cloud imaging center covered 1.6 million people in the region,and has completed remote diagnosis and consultation of more than 540000 cases.At the same time,it has been promoted to 31 provinces and cities across the country,covering more than 3000 hospitals at all levels.It reasonably and orderly guided the diversion of patients,reduced travel time for medical visits and decreased healthcare costs.Conclusion The cloud imaging center has made contributions to the homogenization of medical imaging services at all levels of medical institutions in the region.

关 键 词：医学影像 分级诊疗 医联体 同质化 云计算 云影像中心 

分 类 号：R197.3[医药卫生—卫生事业管理]