CN104573362A - Multi-user synchronous digital section reading and consultation system and method - Google Patents

Abstract

The invention discloses a multi-person synchronous digital slice reading and consultation system, which includes a server and a plurality of client devices connected through a network. The server has a digital pathological slice database storing digital pathological slices. The multiple client devices pass The network is connected to the server; each client device includes an input and output module; the input and output module is used to input the user of the client device to the operation command of the digitized pathological slice and output the processing unit of the server or the client device The digital pathological slides processed by the processing unit according to the operation command. The present invention allows multiple users to browse and observe the same digital slice through different client devices, so as to achieve comprehensive discovery and analysis of data, and it adopts consultation decision-making to pass doubtful point voting, record voting results, and finally form slice diagnostic results, Thus, a more accurate and reliable slice diagnosis result can be obtained.

Description

System and method for multi-person synchronous digital slide reading and consultation

technical field

The invention relates to the technical field of medical equipment, in particular to a multi-person synchronous digital slice reading and consultation system and method.

Background technique

Digital slicing technology, also known as virtual slicing technology, is the product of the organic combination of modern digital technology and optical microscopic magnification technology. Digitally scan and collect tissue slices through an optical microscopic magnification system to obtain high-resolution digital medical images, and then use computers to automatically perform high-precision multi-view, seamless splicing and processing of digital medical images to obtain high-quality visualized data. Hamamatsu Nanozoomer, Nikon Coolscope, OlympusSIS Slide and other digital slide scanners are important instruments for the digitization of pathological slides in future hospital pathology departments. In addition, under the guidance of the current idea of "building a first-class digital hospital", Grade A hospitals basically build a network transmission system with 10 Gigabit core and Gigabit to the desktop, and realize the four-network integration of data, audio, video, and storage through modern network technology. A digital hospital system.

However, in recent years, pathology departments usually use biomicroscope-based slice review devices, which have yet to be improved in terms of consultation quality and timeliness, and are far from keeping up with the above-mentioned digital development trends in hospitals. Traditional slide reading and consultation devices mainly have the following disadvantages:

1) Usually, only one person can perform microscopic magnification of slices, and multiple people can only observe the same field of view simultaneously, and the autonomy of observation is limited. Inevitably lead to insufficient film reading, resulting in missed diagnosis and misdiagnosis.

2) Due to the spectral limitation of the optical system, there are differences in brightness, color, clarity and other aspects of film reading by multiple people.

3) It is impossible to mark and annotate the questionable pathological slice medical image regions respectively. When others raise questions about medical images, it is difficult to quickly and accurately retrieve suspicious areas.

4) It is impossible to record the consultation result or the consultation process in real time, which is not conducive to the later retrial and accident rejudgment.

Therefore, those skilled in the art are committed to developing a multi-person synchronous digital slide reading and consultation system and method, which overcomes the defects of the traditional slide review device based on biological microscopes, adapts to the development trend of gradual digitization of pathology departments, and improves consultation. Efficiency and consultation quality.

Contents of the invention

In view of the above-mentioned defects of the prior art, the technical problem to be solved by the present invention is to provide a multi-person synchronous digital slice reading and consultation system and method, by setting up multiple client devices connected through the network, it is possible for multiple people to simultaneously view Digital pathological slices in the digital pathological slide database can be read and consulted.

In order to achieve the above object, the present invention provides a multi-person synchronous digitized slice reading and consultation system, which is characterized in that it includes a server and a plurality of client devices connected through a network, and the server has a digital pathological slice stored therein. A database of digitized pathological slides, the plurality of client devices are connected to the server through a network;

Each of the client devices includes an input and output module; the input and output module is used to input the operation command of the user of the client device on the digital pathological slice and output the processing unit of the server or the The digitalized pathological slice processed by the processing unit of the client device according to the operation command.

Further, each of the client devices further includes a storage module for storing the digitized pathological slides.

Further, it also includes a usage authorization identification module, configured to receive the information of the applying user for the processing unit to determine whether the applying user is allowed to use the client device;

The authority identification module receives the information of the applicant user and outputs the result of the judgment through the input and output modules of the client device; or, the authority identification module includes an input and output unit, and the authority identification module receiving information of the applicant user and outputting a result of the judgment through the input and output unit;

The information of the applying user includes face image, fingerprint image and/or account number and password; the input and output unit includes a keyboard and a display.

Further, the operation commands on the digital pathological slides include a browsing command for browsing the digital pathological slides and a marking command for marking the digital pathological slides;

The browsing commands include display, zoom in, zoom out, rotate, move and scale;

The marking command includes using arrows, rectangles, ellipses and/or polygons to mark the digitalized pathological slices and using words and/or graphics and/or sounds to annotate the digitalized pathological slices;

The operation command also includes modifying, deleting, displaying and hiding the content of the annotation.

Further, the digital pathological slice database also stores case information corresponding to the digital pathological slice;

The input and output module is also used to input a second operation command of the user on the case information and output the case information processed by the processing unit according to the second operation command;

The second operation command includes viewing the case information, editing the case information by using text and/or graphics and/or sound, and preparing electronic medical orders by using text and/or graphics and/or sound.

Further, the input and output module of the client device is also used to input a push command, and the processing unit sends the processed digital pathological slice, the content of the annotation and/or according to the push command Or the case information is shared with other client devices.

Further, the input and output module of the client device is also used to input the decision of the user of the client device on the shared digital pathological slice, the content of the annotation and/or the case information order, and

Outputting the shared digital pathological slide, the annotation content and/or the case information processed by the processing unit according to the decision order;

The decision commands include questions and votes.

Further, the input and output modules are touch screens; or

The input and output module includes an input module and an output module, the input module is one or more of a keyboard, a mouse, a stylus, and a touch screen, and the output module is one of a display screen and a touch screen or more.

Further, the output unit further includes one or more of a player and a printer.

Further, the number of the client devices is 3 or 5; when the third-level pathological digital slice consultation is performed, the number of the client devices is 3; when the fifth-level pathological digital slice consultation is performed, The number of the client devices is 5.

Further, the present invention also provides a multi-person synchronous digital slice reading and consultation method, which is used in the aforementioned multi-person synchronous digital slice reading and consultation system, which is characterized in that it includes:

Step 1. A plurality of applicant users respectively input the information of the applicant users to the usage authority identification module, and the processing unit judges whether the applicant users are allowed to use the client device and confirms that it is judged as allowing the requesting user to use the client device as the user of the client device;

Step 2. The user of the client device inputs the browsing command through the input and output module to read the digital pathological slice; and, the user of the client device passes the input and output module to input the marking command to mark and/or annotate the digitized pathological slice; and, the user of the client device inputs the second operation command through the input and output module to view the the described case information, edit the described case information and/or prepare electronic medical orders;

Step 3: The user of the client device inputs the push command through the input and output module, and processes the digital pathology by the processing unit according to the operation command and/or the second operation command The slice, the content of the annotation and/or the case information are shared with other client devices, and go to step 4;

Step 4: The user of each client device inputs the decision-making command through the input and output modules of the client device, and executes the shared digital pathological slice, the annotation content and /or the case information for questioning and voting; if there is no question input by the user of the client device and the proportion of the votes in favor of all the voting is not less than 2/3, then enter step five, otherwise repeating steps two and three for each of the users of the client device;

Step 5, outputting the shared digital pathological slide, the content of the annotation and/or the case information after the step 4.

The multi-person synchronous digital slice reading and consultation system and method of the present invention allow multiple users (experts) to conduct different parts (upper, lower, left, right) or different parts of the same high-resolution digital slice through different client devices. Browsing and observation of the scale (magnification) in order to achieve comprehensive discovery and analysis of data, avoiding misdiagnosis caused by single-person digital slice medical image observation, thus giving experts free observation authority, getting rid of the traditional slice sharing device based on biological microscopes , only one person can magnify the actual slice and select the observation area. Slice observation is easily affected by factors such as the operator's proficiency and subjective judgment; and it allows different experts to mark, mark, and mark the same medical image operations such as storage. In addition, the present invention can perform priority setting (three-level or five-level priority setting) on the client device according to requirements. For example, the client corresponding to the high-level doctor has the highest priority. After the high-level doctor confirms the medical diagnosis, the The display screen where it is located is copied to the display screens of other clients for common consultation and teaching guidance; and the diagnosis or teaching process can be fully recorded through the video and audio recording system, so that it can be used for teaching or pathological diagnosis of typical pathological cases in the future Retrospective verification of accidents. Finally, the present invention adopts a consultation decision-making method to diagnose difficult points in slices. First find difficult points, then describe difficult points, then propose difficult points, and then discuss difficult points. If opinions are inconsistent, vote for doubtful points, and finally record voting results, and finally form slices Diagnosis results, so that more accurate and reliable slice diagnosis results can be obtained, and the voting results can be archived together with the slice diagnosis results for future inquiries when needed.

The idea, specific structure and technical effects of the present invention will be further described below in conjunction with the accompanying drawings, so as to fully understand the purpose, features and effects of the present invention.

Description of drawings

Fig. 1 is a structural block diagram of a multi-person synchronous digitized slide reading and consultation system of the present invention in a preferred embodiment.

FIG. 2 shows a specific architecture of a client device in the multi-person synchronous digital slice reading and consultation system shown in FIG. 1 of the present invention.

Detailed ways

The multi-person synchronous digital slice reading and consultation system of the present invention includes a server and a plurality of client devices connected through the network. The server has a digital pathological slice database storing digital pathological slices. Each client device is connected to the server through the network. Thus, the digital pathological slices in the digital pathological slice database can be read, the digital pathological slices can be marked, and the marked digital pathological slices can be saved together in the digital pathological slice database. The digital pathological slice database can also include case information corresponding to the digital pathological slice, so that the case information of the digital pathological slice in the digital pathological slice database can be read, and the case information can be edited and the edited case The information is stored together in the digital pathological slice database.

As shown in Fig. 1, in a preferred embodiment, the multi-person synchronous digitized slice reading and consultation system of the present invention includes a server 10 and a plurality of client devices 21, 22, ..., 2n, and the server 10 has storage There is a digital pathological slice database of digital pathological slices, and the client devices 21, 22, . The number of client devices can be selected as follows: when performing three-level pathological digital slice consultation, the number of client devices is 3, that is, n=3; when performing five-level pathological digital slice consultation, the number of client devices The number is 5, that is, n=5.

The respective client devices 21, 22, . . . , 2n are connected to each other and to the server 10 through the network. The network here can be a wired network or a wireless network, or a combination of wired and wireless networks. Each client device includes a host, input and output modules and usage authorization identification modules, such as the client device 21 includes a host computer 210, an input and output module 211 and a usage authorization identification module 212, and the client device 22 includes a host computer 220, an input and output module 221 And the use right identification module 222, . . . , the client device 2n includes a host 2n0, an input/output module 2n1, and a use right identification module 2n2. The hosts 210, 220, ..., 2n0 include a processing unit and a storage module, and the digital pathological slides (and case information) acquired by the client devices 21, 22, ..., 2n can be stored in the storage module for processing by the processing unit, The processed digital pathological slides (and case information) can also be stored in the storage module.

Among them, the input and output modules can have both input and output functions, such as a touch screen; they can also be composed of an input module with an input function and an output module with an output function, and the input module can be a keyboard and a mouse. One or more of a stylus, a touch screen, and a touch screen, and the output module may be one or more of a screen or a touch screen. As shown in FIG. 2 , taking the client device 21 used by the user 1 as an example, the input and output module 211 includes a keyboard and mouse 2111 , a stylus 2112 , a touch screen 2113 , a printer 2114 and a recorder 2115 . Thus, the digitized pathological slides (and case information) obtained by user 1 from the digital pathological slide database through the host computer 210 can be displayed on the touch screen 2113, and the user 1 can use the keyboard, mouse 2111 and stylus 2112 to control the digitized pathological slides. Slices (and case information) for on-screen operations such as browsing, marking, pushing, decision-making, etc. In this embodiment, these operations are performed by the processing unit in the host 210, which will be described in detail later. The work of the user 1 during the entire consultation period can be recorded by the recorder 2115 as teaching and discussion materials in the future. In addition, the user 1 can output the diagnosis result through the printer 2114 , for example, print a paper report.

It should be noted that the host computer in the client device is not necessary, and the user's operations on digital pathological slides (and case information) through the input and output modules of the client device can also be performed by the processing unit in the server, as long as the user uses The user only needs to send the required command to the server, and after the processing unit in the server finishes executing, the result is sent to the input and output modules of the user's client device for the user to view. The processed digital pathological slides (and case information) can be stored in the storage module of the server, or directly stored in the digital pathological slide database.

In addition, the host of each client device is also connected with a usage authority identification module for selecting the user of the client device. It can be a physical device, such as including a keyboard and a display screen. Before using the client device, the application user who applies for using the client device will be required to input an account number and password on the keyboard of the usage authorization identification module. After judging approval, the processing unit of the host computer displays information such as "Pass" on the display screen to approve the applicant user as a user, so that he can start using the client device; or the processing unit judges that it is not approved. If a message such as "failed" is displayed on the display screen, the applicant user cannot use the client device. The information input by the applying user for the judgment of the processing unit can also be a face image, a fingerprint image, voiceprint information, an electronic signature, etc. Correspondingly, the input unit of the usage authorization identification module should be a camera, a scanner, a recorder , stylus, etc. In addition, the input unit and output unit of the usage authorization identification module do not need to be owned by itself, and it can use the input and output modules of the client device, such as the keyboard and mouse 2111, stylus 2112, stylus 2112 shown in FIG. Touch the display screen 2113. In addition, the usage authorization identification module can also be a virtual device, that is, a compiled program, which is stored on the host or server of the client device, and the applying user can input its information through the input and output modules of the client device for the host or The processing unit of the server judges, and displays the judgment result to the input and output modules of the client device.

In addition, the usage authorization identification module can also identify the professional title and level of the user, so that each client device can perform priority setting (three-level or five-level priority setting) according to the needs. For example, a client corresponding to a high-level doctor has highest priority. After the medical diagnosis is confirmed by it in the consultation, the display screen where it is located can be copied to the display screens in other client devices for joint consultation and teaching guidance.

The host of each client device can also be equipped with hardware such as optical drive, USB, card reader, etc. to facilitate multiple digital clients to read sliced medical image data and patient medical information locally, or to store medical image marks or consultation locally. result.

As mentioned above, the input and output modules are used to input the user's operation commands on the digitized pathological slides (and case information), and these commands specifically include:

1. Operation commands for digital pathological slides.

This part of commands includes browse commands for browsing digitized pathological slides and mark commands for marking digitized pathological slides.

Among them, the browsing commands include display, zoom in, zoom out, rotate, move, and scale. Move up, down, left, right, display a ruler on it for measurement.

Marking commands include marking and annotation. According to these commands, the processing unit displays arrows, rectangles, ellipses and/or polygonal graphics for users to use these graphics to mark digital pathological slides. The processing unit displays a comment column for users to input text and /or graphics and/or sound to annotate the digitized pathological slides in the annotation column. The content of the annotation can be the annotation and description of the digital pathological slice or its features, and the content of the annotation can be set and navigated. The marking command also includes measuring the length, area and other data of the features in the digitized pathological slice and displaying the results.

This part of the command also includes modifying, deleting, displaying, hiding and saving the content of the annotation, and this part of the command also includes saving the digitized pathological slide after the above-mentioned processing. As mentioned above, it can be stored in a storage module of a server or a host.

2. Operation commands for the case information corresponding to the digitized pathological slides.

This part of the commands includes viewing, editing and preparing electronic medical orders. According to these commands, the processing unit displays the case information on the display screen, and sets the case information to an editable mode for users to edit with text and/or graphics and/or sound The case information displays an electronic doctor's order template for the user to use text and/or graphics and/or sound to prepare an electronic doctor's order. Electronic medical orders include diagnostic information.

This part of the order also includes the preservation of the above-mentioned processed case information. As mentioned above, it can be stored in a storage module of a server or a host.

3. Push command.

According to the push command, the processing unit pushes the processed digitized pathological slides, annotated content and/or case information to other client devices for sharing with them. The push here may be to directly transmit the above-mentioned files/information to other client devices, or to transmit the above-mentioned files/information to the server, and then other client devices download from the server to the local.

4. Decision-making orders.

Decision commands include questions and votes. According to the question command, the processing unit displays a question column for the user to input questions about the digitalized pathological slides, content of annotations and/or case information in the question column; according to the voting command, the processing unit displays a voting column for the user to enter In the voting column, vote for (approved) or against (disagreement) for the processing of digital pathological slides, content of annotations and/or case information.

The decision command may also include discussion. According to the discussion command, the processing unit displays a discussion column, such as a conversation area, for the user to input opinions on the above-mentioned questions in the discussion column. Generally, if no user issues a question command, the voting command can be used directly; if there is a user issuing a question command, then preferably the user or other users should issue a discussion command and use the voting command after the discussion is over . In addition, when a consensus cannot be reached on the content of the discussion, a voting command can also be used on the content of the discussion, for example, an opinion with no less than 2/3 of the votes in favor is determined as the result of the discussion.

The processing unit can also automatically display the result of the consultation according to the result of the voting, for example, when the yes vote is not less than 2/3, the voted digital pathological slide, the content of the annotation and/or the case information are confirmed as the result of the consultation; Otherwise, it is required to continue the consultation, such as repeating questions, discussions, editing annotations and/or case information, and voting until the results of the consultation are confirmed.

In order for users to use the above commands more conveniently, in this embodiment, digital client software is applied to the multi-person synchronous digital slice reading and consultation system of the present invention, which is loaded on each host computer for users to click and apply. In other embodiments, it can also be loaded on the server as a multi-entry application program for simultaneous use by multiple people. The digital client software includes multiple application modules corresponding to the above-mentioned various commands, specifically: medical image browsing module, case information module, medical image marking module, medical image diagnosis information module, multi-client interactive display module, Multi-client consultation result decision-making module, face/fingerprint recognition module, consultation result printing module and other software modules.

Among them, the medical image browsing module can read, display, steplessly zoom, rotate at any angle, move up, down, left, and right, and display scales on medical images (that is, digital pathological slices).

The case information module can perform operations such as viewing, editing, and electronic medical orders on case information.

The medical image marking module provides arrow, rectangle, ellipse, polygon annotation, annotation description functions, and data measurement functions such as length and area. It can set and navigate annotation information, and can modify, delete, display or hide annotations, etc. .

The medical image diagnosis information input module is capable of inputting and storing diagnosis information for medical image diagnosis results.

The multi-client interactive display module can push sliced medical images and display screen marks and annotations between multi-client devices to facilitate consultation and consultation.

The multi-client consultation result decision-making module can vote on the consultation results to facilitate decision-making on controversial issues.

The face/fingerprint recognition module can simultaneously perform face/fingerprint recognition on multiple consultants to ensure that the on-duty personnel participate in the consultation and avoid false names and misdiagnosis.

It can be seen that, by clicking and opening the application module of the digital client software, the user can make the processing unit perform corresponding operations, and the setting of this software is very in line with the working habits of medical work, so that it can be used quickly and proficiently. ground use.

The specific steps of applying the multi-person synchronous digital slice reading and consultation system of the present invention, that is, the specific steps of the multi-person synchronous digital slice reading and consultation method of the present invention are as follows:

Step 1. A plurality of applicant users input their information to the usage authority identification module respectively, and the processing unit judges whether the applicant user is allowed to use the client device and recognizes the applicant user who is judged to be allowed to use the client device as the client end device users;

Step 2, the user of each client device reads the digitized pathological slice by inputting a browsing command; and, inputs a marking command, marks and/or annotates the digitalized pathological slice; and, inputs a second operation command to view case information, edit The case information and/or the preparation of electronic medical orders;

Step 3. The user of each client device inputs a push command, and shares the digitalized pathological slides, annotated content and/or case information processed by the processing unit according to each command input in step 2 with other client devices, Go to step four;

Step 4. The users of each client device input decision-making commands to ask questions and vote on the digital pathological slides, annotated content and/or case information shared in step 3; if no users input question commands and all votes are If the proportion of yes votes is not less than 2/3, go to step 5, otherwise, each user repeats steps 2 and 3;

Step 5: Output the digitized pathological slides, annotated content and/or case information after step 4 as the consultation result.

It can be seen that the above-mentioned multi-person synchronous digital slice reading and consultation process actually includes three stages, namely, the digital slice observation stage, the digital slice diagnosis sharing stage, and the digital slice diagnosis decision-making stage.

1. Digital slice observation stage:

At this stage, different users browse and observe the same high-resolution digital slice to achieve comprehensive data discovery and analysis, and allow different experts to mark, mark and annotate, mark and store the same medical image.

2. Digital slice diagnosis sharing stage:

At this stage, the display screen where the user is located can be copied to the display screens of other clients for common consultation.

3. Digital slice diagnosis decision-making stage:

At this stage, the consultation decision-making method is used to diagnose the difficult points of the section. Firstly, the difficult points are found, then the difficult points are described, and then the difficult points are proposed, and then the difficult points are discussed. result. When a doctor finds difficult points in pathological slices, he marks and annotates the difficult points with a stylus, and then formally raises the difficult points to other doctors, and pushes the correspondingly marked and annotated sliced medical images to the display screens of other clients. In order to discuss difficult points. During the discussion, if a unified conclusion cannot be reached, a high-level physician can submit a voting request, and the device will record the voting result and file it together with the slice diagnosis result.

The preferred specific embodiments of the present invention have been described in detail above. It should be understood that those skilled in the art can make many modifications and changes according to the concept of the present invention without creative effort. Therefore, all technical solutions that can be obtained by those skilled in the art based on the concept of the present invention through logical analysis, reasoning or limited experiments on the basis of the prior art shall be within the scope of protection defined by the claims.

Claims (10)

1. the section diagosis of people's synchronous digitalization more than a kind and consultation system, it is characterized in that, comprise server and multiple client terminal device be connected by network, described server has the digitizing pathological section data storehouse storing digitizing pathological section, described multiple client terminal device is connected to described server by network;

Each described client terminal device comprises input and output module; Described input and output module for the user that inputs described client terminal device to the operational order of described digitizing pathological section with export the processing unit of described server or the processing unit of described client terminal device according to the described digitizing pathological section after described operational order process.

2. many people synchronous digitalization section diagosis as claimed in claim 1 and consultation system, wherein each described client terminal device also comprises memory module, for depositing described digitizing pathological section.

3. many people synchronous digitalization section diagosis as claimed in claim 1 or 2 and consultation system, wherein also comprise rights of using identification module, judge whether to allow described application user to use described client terminal device for described processing unit for the information receiving application user;

Described authority recognition module receives the information of described application user by the input and output module of described client terminal device and exports the result of described judgement; Or described authority recognition module comprises input and output unit, described authority recognition module receives the information of described application user by described input and output unit and exports the result of described judgement;

The information of described application user comprises facial image, fingerprint image and/or account and password; Described input and output unit comprises keyboard and display.

4. many people synchronous digitalization section diagosis as claimed in claim 1 or 2 and consultation system, the wherein said operational order to described digitizing pathological section comprises the navigation commands for browsing described digitizing pathological section and the tab command for marking described digitizing pathological section;

Described navigation commands comprises display, amplifies, reduces, rotates, moves and scale;

Described tab command comprises use arrow, rectangle, ellipse and/or polygonal figure and marks described digitizing pathological section and use word and/or figure and/or sound to annotate and comment on described digitizing pathological section;

Described operational order also comprises amendment, deletion, the display of the content to described annotations and comments and hides.

5. many people synchronous digitalization section diagosis as claimed in claim 4 and consultation system, also store case information corresponding to described digitizing pathological section in wherein said digitizing pathological section data storehouse;

Described input and output module also for input described user to the second operational order of described case information and export described processing unit according to the described case information after described second operational order process;

Described second operational order comprises checks case information described in described case information, use word and/or figure and/or sound-editing and uses word and/or figure and/or sound to work out electric doctor's advice.

6. many people synchronous digitalization section diagosis as claimed in claim 5 and consultation system, the described input and output module of wherein said client terminal device also pushes order for inputting, and described processing unit is ordered according to described promotions and the content of the described digitizing pathological section after described process, described annotations and comments and/or described case information and other described client terminal device shared.

7. many people synchronous digitalization section diagosis as claimed in claim 5 and consultation system, the described input and output module of wherein said client terminal device also for inputting the user of described client terminal device to the described digitizing pathological section shared, the content of described annotations and comments and/or the decision-making order of described case information, and

Export described processing unit according to the content of the described shared described digitizing pathological section after described decision-making command process, described annotations and comments and/or described case information;

Described decision-making order comprises puts question to and ballot.

8. many people synchronous digitalization section diagosis as claimed in claim 7 and consultation system, wherein said input and output module is touch display screen; Or

Described input and output module comprises load module and output module, and described load module is one or more in keyboard and mouse, pointer, touch display screen, and described output module is one or more in display screen, touch display screen.

9. many people synchronous digitalization as claimed in claim 8 section diagosis and consultation system, wherein said output unit also comprises that to broadcast in record device, printer one or more.

10. the section of people's synchronous digitalization more than kind diagosis and consultation of doctors method, for many people synchronous digitalization section diagosis as claimed in claim 8 or 9 and consultation system, is characterized in that, comprising:

Step one, multiple described user of application are respectively to the described information of applying for user of described rights of using identification module input, and described processing unit judges whether to allow the described user of application to use described client terminal device and approve to be judged as to allow the described of the described client terminal device of use to apply for that user is the described user of described client terminal device;

The described user of step 2, described client terminal device inputs described navigation commands by described input and output module, reads described digitizing pathological section; And the described user of described client terminal device inputs described tab command by described input and output module, to described digitizing pathological section mark and/or annotations and comments; And the described user of described client terminal device, by described second operational order of described input and output module input, checks described case information, edits described case information and/or establishment electric doctor's advice;

The described user of step 3, described client terminal device is by the described propelling movement order of described input and output module input, described processing unit is shared according to the content of the described digitizing pathological section after described operational order and/or the second operational order process, described annotations and comments and/or described case information and other described client terminal device, enters step 4;

The described user of step 4, client terminal device described in each inputs described decision-making order by the described input and output module of described client terminal device, puts question to the content of described shared described digitizing pathological section, described annotations and comments and/or described case information and votes; If do not have the described user of described client terminal device to input to put question to and the ratio of the middle affirmative vote of all described ballot is not less than 2/3, then enter step 5, otherwise described user's repeating said steps two and three of client terminal device described in each;

Step 5, to export through the described shared described digitizing pathological section of described step 4, the content of described annotations and comments and/or described case information.