MULTI-SITE DATA SHARING PLATFORM

• US 20140275851A1
• Filed: 05/30/2014
• Published: 09/18/2014
• Est. Priority Date: 03/15/2013
• Status: Abandoned Application

• Current Assignee: Eagleyemed, Inc.
• Original Assignee: Eagleyemed, Inc.
• Inventors: AMBLE, Ravi N., HIRIYANNAIAH, Harish P., RAZA, Farooq Mirza Mohammad, SALVE, Steven J.
• Application Number:
  US14/292,258
• Publication Number:
  US 20140275851A1
• Time in Patent Office: Days
• US Class Current: 600/301
• CPC Class Codes: A61B 5/0004 characterised by the type of physiological signal transmitted
• CPC Class Codes: A61B 5/0006 ECG or EEG signals
• CPC Class Codes: A61B 5/0008 Temperature signals
• CPC Class Codes: A61B 5/0011 Foetal or obstetric data
• CPC Class Codes: A61B 5/0013 Medical image data A61B1/00011, A61B6/56, A61B8/56 take precedence
• CPC Class Codes: A61B 5/0022 Monitoring a patient using a global network, e.g. telephone networks, internet
• CPC Class Codes: A61B 5/7425 Displaying combinations of multiple images regardless of image source, e.g. displaying a reference anatomical image with a live image geometric transforms for image registration G06T3/14; enhancement using image fusion G06T5/50; algorithms for registration of images G06T7/30
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: A61B 5/7475 User input or interface means, e.g. keyboard, pointing device, joystick
• CPC Class Codes: A61B 6/032 Transmission computed tomography [CT]
• CPC Class Codes: A61B 8/463 characterised by displaying multiple images or images and diagnostic data on one display composite display in devices for short-range imaging with acoustic waves G01S7/52074
• CPC Class Codes: A61B 8/565 involving data transmission via a network
• CPC Class Codes: G16H 30/20 for handling medical images, e.g. DICOM, HL7 or PACS
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

A variety of methods and arrangements for sharing medical data are described. In one aspect, one or more data streams are received from one or more medical imaging/sensing or other types of devices. Frames are obtained from the streams. In some embodiments, particular frames and/or parts of frames are selectively encrypted. The frames are transmitted to a remote device, where they are rendered and/or displayed at the remote device. In various embodiments, the frames of different streams are synchronized.

Claims

1. A method for sharing medical data in a telemedicine session comprising:

receiving a biometric imaging stream in real time from a medical scanning device;

receiving a data stream in real time, the data stream being one selected from the group consisting of a video stream received from a video camera and a biometric data stream that is received from a medical sensing device wherein the biometric imaging stream and the data stream are received simultaneously;

obtaining a plurality of biometric imaging frames from the biometric imaging stream as the biometric imaging stream is being received;

obtaining a plurality of data frames from the data stream as the data stream is being received;

inserting timestamps into the biometric imaging and data frames so that they can be rendered synchronously in real time on a remote device; and

transmitting the biometric imaging and data frames in real time to the remote device while the biometric imaging and data streams are being received so that the biometric imaging and data frames can be rendered in substantially real time at the remote device.

2. A method as recited in claim 1 wherein:

the biometric imaging stream is received from a medical scanning device that is being applied to a patient;

the video stream is received from a video camera that is directed at a part of the body of the patient; and

the biometric data stream is received from a medical sensing device that is being used on the patient.

3. A method as recited in claim 1 further comprising:

receiving the biometric imaging and data frames at the remote device; and

rendering the biometric imaging and data frames in an order based on the timestamps.

4. A method as recited in claim 1, the method further comprising:

partially encrypting the biometric imaging and data frames such that at least a portion of one or more of the frames is not encrypted.

5. A method as recited in claim 4 further comprising:

the encrypting involves at least one selected from the group consisting of (1) encrypting a particular type of frame and not encrypting another type of frame;

(2) encrypting a part of a frame and leaving other parts of the frame;

(3) encrypting at least a portion of a header of a frame;

(4) encrypting a portion of a header of a frame and a portion of media payload in the frame while leaving other parts of the frame unencrypted; and

(5) encrypting only a header and not a media payload of the frame.

6. A method as recited in claim 4 further comprising:

transmitting a message to the remote device indicating which part of each frame is encrypted.

7. A method as recited in claim 1 further comprising:

compressing the biometric imaging stream at a first level of compression;

compressing the video stream at a second level of compression wherein the first level of compression is substantially less than the second level of compression.

8. A method as recited in claim 1 wherein:

the biometric imaging stream is generated by at least one selected from the group consisting of an ultrasound device, an magnetic resonance imaging (MRI) device, a computed tomography (CT) device and an X-ray device.

9. A method as recited in claim 1 further comprising:

receiving from a user an annotation on a particular biometric imaging frame;

generating an annotation frame from the annotation;

adding an annotation timestamp to the annotation frame and the biometric imaging frame so that when the annotation and biometric imaging frames are reconstructed and rendered at the remote device, the annotation and the biometric imaging frames are synchronized; and

transmitting the annotation frame and the biometric imaging frame to the remote device.

10. A method as recited in claim 1 wherein:

the biometric imaging stream is an ultrasound image stream that is generated using an ultrasound probe and that is received in real time; and

the data stream is a video stream that is received in real time from a video camera wherein the video camera is directed at a body of a patient such that the video stream indicates where the ultrasound probe is being positioned on the body of the patient and the biometric imaging stream simultaneously indicates an ultrasound scan of the portion of the body where the probe is positioned.

11. A method as recited in claim 1 wherein:

the receiving of the biometric imaging stream and the obtaining of the plurality of biometric imaging frames are performed at a first telemedicine device that is at a first location on a network;

the receiving of the data stream and the obtaining of the plurality of data frames are performed at a separate second telemedicine device that is at a second location on the network that is different from the first location; and

the method further comprises;

inserting a first timestamp into one of the biometric imaging frames at the first telemedicine device wherein the first timestamp is obtained at the first telemedicine device using a timing source selected from the group consisting of an NTP server and a GPS satellite; and

inserting a second timestamp into one of the data frames at the second telemedicine device wherein the second timestamp is obtained at the second telemedicine device using a timing source selected from the group consisting of an NTP server and a GPS satellite; and

the one of the biometric imaging frames is obtained at the first telemedicine device at approximately the same time as the one of the data frames is obtained at the second telemedicine device, thereby causing the first timestamp to be approximately the same as the second timestamp and helping to ensure that the ones of the biometric imaging and data frames are rendered approximately simultaneously at the remote device based on the first and second timestamps.

12. A method for collaborating in a telemedicine session comprising:

receiving biometric imaging frames in real time from a transmitting device over a network wherein the biometric imaging frames are generated at least in part by a medical scanning device;

receiving data frames from the transmitting device over the network, the data frames being one selected from the group consisting of video frames that are generated at least in part by a video camera and biometric data frames that are generated at least in part by a medical sensing device wherein the biometric imaging frames and the data frames are received simultaneously as they are being generated and transmitted;

obtaining timestamps from the biometric imaging and data frames;

synchronizing the biometric imaging and data frames based on the timestamps; and

rendering the synchronized biometric imaging and data frames synchronously in real time as the biometric imaging and video frames are received from the transmitting device over the network.

13. A method as recited in claim 12 wherein:

the biometric imaging frames are generated at least in part by a medical scanning device that is being applied to a patient;

the video frames are generated at least in part by a video camera that is directed at a part of the body of the patient; and

the biometric data frames are generated at least in part by a medical sensing device that is being used on the patient.

14. A method as recited in claim 12 wherein the synchronized frames are rendered in order based on the timestamps.

15. A method as recited in claim 12 further comprising:

receiving from a user an annotation on a particular biometric imaging frame;

generating an annotation frame from the annotation;

associating the annotation frame and the biometric imaging frame with an annotation timestamp;

inserting the annotation timestamp into the annotation frame and the biometric imaging frame so that when the biometric imaging frame and the annotation frame are rendered at a remote device, the annotation and the biometric imaging frame are synchronized; and

transmitting the biometric imaging and annotation frames to the remote device.

16. A method as recited in claim 12 wherein:

the biometric imaging device is at least one selected from the group consisting of an ultrasound device, a magnetic resonance imaging (MRI) device, a computed tomography (CT) device and an X-ray device; and

the medical sensing device is at least one selected from the group consisting of an electrocardiogram device, electroencephalography device, a pulse oximeter device, a thermal/temperature sensor, a blood pressure testing device, a glucose level testing device, and a pulmonary function testing device.

17. A method for selectively encrypting medical data, the method comprising:

receiving a data stream from a medical imaging/sensing device;

obtaining a plurality of data frames from the data stream;

selectively encrypting a portion of the data frames and leaving another portion of the data frames unencrypted; and

transmitting the data frames to a remote device as the data stream is being received.

18. A method as recited in claim 17 wherein:

the selective encryption involves at least one selected from the group consisting of;

(1) encrypting a particular type of frame and not encrypting another type of frame;

(2) encrypting a part of each frame and leaving other parts of the frame unencrypted;

(3) encrypting at least a portion of a header of each frame;

(4) encrypting a portion of a header of each frame and a portion of media payload of the frame while leaving other parts of the frame unencrypted; and

(5) encrypting only a header of each frame and not a media payload of the frame.

19. A method as recited in claim 17 wherein:

the data stream involves multichannel data obtained from a medical sensing device;

the medical sensing device is at least one selected from the group consisting of an electrocardiogram device, electroencephalography device, a pulse oximeter device, a thermal/temperature sensor, a blood pressure testing device, a glucose level testing device, and a pulmonary function testing device; and

the selective encryption involves encrypting control information in a header of each frame and leaving other parts of the frame unencrypted and wherein the control information indicates at least one selected from the group consisting of channel ID and sampling speed.

20. A method as recited in claim 17 wherein:

the data stream is at least one selected from the group consisting of a video stream received from a video camera and a biometric imaging stream received from a medical scanning device; and

the selective encryption involves encrypting control information in a header of each frame and leaving other parts of the frame unencrypted and wherein the control information indicates at least one selected from the group consisting of (1) number of macroblocks in a portion of the frame;

(2) a quantization table; and

(3) DC coefficient of each of a plurality of macroblocks in the frame.

21. A telemedicine device, comprising:

at least one processor;

at least one memory that stores computer readable instructions, which when executed by the at least one processor cause the telemedicine device to;

receive a biometric imaging stream in real time from a medical scanning device;

receive a data stream in real time, the data stream being one selected from the group consisting of a video stream received from a video camera and a biometric data stream that is received from a medical sensing device wherein the biometric imaging stream and the data stream are received simultaneously;

obtain a plurality of biometric imaging frames from the biometric imaging stream as the biometric imaging stream is being received;

obtain a plurality of data frames from the data stream as the data stream is being received;

insert timestamps into the biometric imaging and data frames so that they can be rendered synchronously in real time on a remote device; and

transmit the biometric imaging and data frames in real time to the remote device while the biometric imaging and data streams are being received so that the biometric imaging and data frames can be rendered in substantially real time at the remote device.