Method for the non-invasive capture of the temporal development of a state of a tissue structure

1 . A method for non-invasive capture of a temporal development of a state of a tissue structure comprising:

non-invasive recording of a first measurement data of a body region to be examined and generation of a first image data from the recorded measurement data, wherein the first measurement data include ultrasound data;

local pre-processing of the first image data using a first local terminal device;

transmitting the pre-processed first image data and a first identification data from the first local terminal device to a server for storage;

retrieving stored image data from the server using a second local terminal device based on a second identification data;

displaying the retrieved stored image data on the second local terminal device;

non-invasive recording of a second measurement data of the body region to generate a second image data,

wherein a second examination to obtain the second measurement data is of the same kind as a first examination to obtain the first measurement data and

wherein when the second measurement data is recorded, the second image data is displayed in real time on the second local terminal device, together with the retrieved stored image data, wherein the second measurement data include ultrasound data;

wherein the non-invasive recording of the first measurement data comprises a measurement of a contact pressure, wherein, in order to obtain information on an elastic state of the tissue structure, a determination of dimensions is carried out both in the first image data and in the second image data at at least two different contact pressure forces in each case, wherein a manual marking process is carried out on the displayed first image data and second image data to determine the dimensions.

2 . The method according to claim 1 , wherein the non-invasive recording of the first measurement data comprises a sonographic measurement process.

3 . The method according to claim 1 , wherein the preprocessed first image data are displayed on the local terminal device and further first measurement data are recorded based on the display.

4 . The method according to claim 1 , wherein a representation of an intensity curve of the first or second image data along a line is displayed to support the manual marking process.

5 . The method according to claim 1 , wherein a proposal for markings to be made during the manual marking process is automatically generated on the basis of the first or second image data.

6 . The method according to claim 1 , wherein the dimensions are determined automatically on the basis of the first image data or second image data.

7 . The method according to claim 1 , wherein a first value for the elastic state of the tissue structure is determined from the determined dimensions at the different contact forces based on the first measurement data and a second value for the elastic state of the tissue structure is determined from the determined dimensions at the different contact forces based on the second measurement data, the first value and the second value representing a measure for a deformability of the tissue structure.

8 . The method according to claim 1 , wherein time information is transmitted to the server for storage together with the pre-processed first image data and the first identification data.

9 . The method according to claim 1 , wherein a medically relevant point in time is captured and transmitted to the server for storage.

10 . The method according to claim 9 , wherein a recommendation is generated for a time of capturing the second measurement data, wherein the captured medically relevant point in time is taken into account for generating the recommendation.

11 . The method according to claim 9 , wherein the medically relevant point in time is a point in time of a traumatic impact.

12 . The method according to claim 1 , wherein before the first measurement data are recorded, the body region to be examined is provided with an individual marking, in that the marking is read by means of a first reading device and the first identification data are generated on the basis of the read marking, and in that before the stored image data are retrieved, the marking is read again by means of a second reading device and the second identification data are generated on the basis of the read marking.

13 . The method according to claim 12 , wherein a tag with a unique identification is attached to the body region to be examined in order to provide it with the individual marking.

14 . The method according to claim 13 , wherein the tag is stuck to the body region to be examined.

15 . The method according to claim 12 , wherein the first reading device and the second reading device are optical reading devices.

16 . The method according to claim 15 , wherein the optical reading devices are cameras.

17 . Use of the method according to claim 1 for obtaining information on the elastic state of compartments.

18 . The method according to claim 1 , wherein the retrieved image data includes a marking created in the manual marking process on the first image data.

19 . The method according to claim 1 , wherein a location of the determination of dimensions is specified by an operator during the first measurement and is determined automatically during subsequent measurements.

20 . The method according to claim 1 , wherein a still image of a current ultrasound image is immediately generated when a predefined contact pressure value is reached.

21 . The method according to claim 1 , wherein a still image of a current ultrasound image is immediately generated when a predefined contact pressure value is reached and the still image is displayed for the subsequent manual marking process.

22 . A system for non-invasive capture of a temporal development of a state of a tissue structure, comprising

a measuring device for a non-invasive recording of measurement data of a body region to be examined in a measurement process, wherein the measurement data include ultrasound data;

at least one local terminal device with a display device; and

a server for storing and forwarding received data;

whereby

the at least one local terminal device and the server are set up for the mutual exchange of data;

the at least one local terminal device is set up to receive the measurement data from the measuring device and to generate and display in real time image data from the received measurement data;

the at least one local terminal device is set up to transmit identification data and the image data to the server;

the at least one local terminal device is set up to retrieve stored image data from the server on the basis of the identification data transmitted to the server and to display this retrieved stored image data during a measurement process together with the image data generated from the received measurement data; and

the at least one local terminal device is set up, in order to obtain information on an elastic state of the tissue structure, to carry out a determination of dimensions both in the image data generated from the received measurement data and in the retrieved stored image data at at least two different contact pressure forces in each case, wherein the at least one local terminal device is set up to enable a manual marking process being carried out on the displayed image data from the received measurement data and on the displayed retrieved stored image data to determine the dimensions.

23 . The system according to claim 22 , further comprising at least one reading device for reading an individual marking on the body region to be examined and for generating corresponding marking data, wherein the at least one local terminal device is set up to receive the marking data from the reading device and to generate the identification data from this marking data.

24 . A computer configured to perform steps comprising:

receiving first measurement data from a measuring device, wherein the non-invasive recording of the first measurement data with the measuring device comprises a measurement of a contact pressure and generating and displaying first image data from the received first measurement data on a display device, wherein the first measurement data include ultrasound data;

transmission of identification data and the first image data to a server;

transmission of second identification data to the server;

receiving stored image data from the server using the transmitted second identification data;

displaying the received image data on the display device;

receiving second measurement data from the measuring device, wherein a second examination to obtain the second measurement data is of the same kind as a first examination to obtain the first measurement data, and generating and displaying second image data from the received second measurement data on the display device, and,

when the second measurement data is recorded, displaying the second image data in real time on the display device, together with the retrieved stored image data, wherein the second measurement data include ultrasound data;

and, in order to obtain information on an elastic state of the tissue structure, determining dimensions both in the second image data and in the retrieved stored image data at at least two different contact pressure forces in each case, wherein to determine the dimensions, enabling to carry out a manual marking process on the displayed second image data and retrieved stored image data.

25 . The computer according to claim 24 , further configured to perform the following steps:

receiving first marking data from a reading device and generating the first identification data from the first marking data;

receiving second marking data from the reading device and generating the second identification data from the second marking data.