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研究生： 吳旺蒼
Wu, Wang-tsang
論文名稱： 可重覆多媒體教材在線上模擬醫學教學系統的研究
The Research on Reusable Multimedia Contents of a Medical Simulation e-Learning System
指導教授： 陳立祥
Chen, Lih-Shyang
學位類別： 碩士
Master
系所名稱： 電機資訊學院 - 電機工程學系碩士在職專班
Department of Electrical Engineering (on the job class)
論文出版年： 2009
畢業學年度： 97
語文別： 中文
論文頁數： 107
中文關鍵詞： 模擬系統 、心電圖 、醫學圖像編輯器
外文關鍵詞： simulated system, Electrocardiogram, medical pic
相關次數： 點閱：82  下載：6 
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    • 在過去的醫學檢測及病症資料，大部份仍是以紙本做為儲存媒體，
    造成儲存及搜尋不易。若要跟遠方的其它人共同討論，還需要大費周張
    的寄送或傳真至對方，造成時效及資料失真問題。
    在此本研究開發一套心電圖產生及模擬系統。利用電腦多媒體功能
    及網際網路的特性，讓使用者可以在任何地點就能將紙本的心電圖數位
    化，便於儲存檢視及討論。另外為了達到充分使用這些已數位化心電圖，
    透過本系統可以重組或新建心電圖。並能動靜態模擬顯示心電圖，提供
    教育學習或討論使用。
    另外本研究還開發一套線上醫學圖像編輯器。利用本線上編輯器，
    使用者除了自己的醫學圖像，也能選擇使用系統中提供的多媒體資料庫
    內容進行標記及編輯。編輯完畢可以線上儲存或匯出圖片，讓使用者可
    以再利用編輯完的內容。

    Most of the previous medical examination and disease records were saved
    on paper and it is difficult to further make use of them such as search by
    keywords. It is also difficult to e-mail or fax them to others when one has to
    discuss with people at a distance. The materials may also be distorted during
    this transmission process.
    Therefore, this research develops an electrocardiogram production and
    simulation system. Taking advantage of the multimedia functions of
    computers and characteristics of internet, users can digitize the paper-based
    electrocardiogram anywhere for saving, inspecting, and discussing easily.
    The system can also synthesize new electrocardiograms for education purpose.
    Furthermore, this system can also simulate and show the dynamic and static
    electro-cardiogram.
    This research also develops an on-line medical picture editor. Using this
    on-line editor, users can choose medical pictures from a multimedia database
    and mark and edit them for the explanation of the symptom on a patient’s
    body. After editing, users can save the resultant pictures to reuse the edited
    contents in the future.

    § 中文摘要 § ................................................................................................................................ I § 英文摘要 § .............................................................................................................................. .II § 誌 謝 § ................................................................................................................................III § 目 錄 § ............................................................................................................................... IV § 圖表目錄 § .............................................................................................................................. VII 第1 章 導論 ........................................................................................................................... - 1 - 1.1 概論 ................................................................................................................................... - 1 - 1.2 研究動機與目的 ................................................................................................................ - 2 - 第2 章 研究背景和理論探討 ............................................................................................... - 5 - 2.1 背景 ................................................................................................................................... - 5 - 2.2 設計理念 ............................................................................................................................ - 5 - 2.3 醫師看診 ............................................................................................................................ - 5 - 2.4 文件／瀏覽(DOCUMENT／VIEW) ..................................................................................... - 6 - 2.5 網際網路技術 .................................................................................................................... - 6 - 2.6 醫學多媒體資料 ................................................................................................................ - 7 - 2.7 心電圖模擬及產生系統 .................................................................................................... - 7 - 2.7.1 P 波 ...................................................................................................................................... - 8 - 2.7.2 QRS 複合波 .......................................................................................................................... - 12 - 2.7.3 PR 間隔 ............................................................................................................................... - 14 - 2.7.4 ST 間隔 ............................................................................................................................... - 14 - 2.7.5 T 波..................................................................................................................................... - 14 - 2.8 醫學圖像編輯器 .............................................................................................................. - 15 - 2.9 RIA .................................................................................................................................. - 16 - 第3 章 系統分析與系統架構 ............................................................................................. - 18 - 3.1 系統分析 .......................................................................................................................... - 18 - 3.1.1 教案(CASE) .............................................................................................................. - 18 - 3.1.2 診療步驟(SECTION) ................................................................................................ - 20 - 3.1.3 呈現方式(WORKTYPE) ........................................................................................... - 22 - 3.1.4 多重顯示(MULTI-VIEW) .......................................................................................... - 22 - 3.1.5 時間順序性(TIME SEQUENCE) ................................................................................ - 23 - 3.2 系統架構 .......................................................................................................................... - 25 - 3.2.1 Authoring Tools(教案編輯工具)： ............................................................................... - 25 - 3.2.2 Browsing Tools(教案瀏覽工具)： ................................................................................. - 26 - 3.2.3 Summary System(總結系統) ............................................................................................. - 28 - 3.2.4 Summary Transfer(操作資料轉移工具) ......................................................................... - 29 - 3.2.5 Assessment Tools(學習評量工具) ................................................................................. - 29 - 3.2.6 Administrator Tools(管理者工具) ............................................................................... - 29 - 第4 章 以心電圖模擬及產生的互動式教學系統 ............................................................. - 31 - 4.1 簡介 ................................................................................................................................. - 31 - 4.2 系統分析 .......................................................................................................................... - 32 - 4.3 系統設計與實作 .............................................................................................................. - 33 - 4.3.1 編輯工具 ................................................................................................................. - 33 - 4.3.1.1 建立EKG PATTERN .................................................................................... - 34 - 4.3.1.2 建立新的EKG ............................................................................................ - 42 - 4.3.1.3 匯出EKG 的SWF 檔 ................................................................................... - 60 - 第5 章 醫學圖像編輯器 ..................................................................................................... - 61 - 5.1 簡介 ................................................................................................................................. - 61 - 5.2 系統分析 .......................................................................................................................... - 61 - 5.3 系統設計與實作 .............................................................................................................. - 64 - 5.3.1 整體架構 .............................................................................................................................. - 64 - 5.3.2 系統設計 .............................................................................................................................. - 65 - 5.3.2.1 編輯工具設計(authoring tool)： ............................................................................ - 65 - 5.3.2.2 編輯工具設計實作： ............................................................................................. - 66 - 5.3.2.2.1 醫學圖像載入 ................................................................................... - 69 - 5.3.2.2.2 臨床病狀記錄: .................................................................................. - 71 - 5.3.2.2.3 繪圖元件的移動及改變大小 ........................................................... - 77 - 5.3.2.2.4 元件的存讀檔： ............................................................................... - 79 - 5.3.2.2.5 問題輸入： ....................................................................................... - 81 - 5.3.2.2.6 匯出圖片： ....................................................................................... - 82 - 5.3.2.3 瀏覽工具(Browsing tool) ........................................................................................ - 84 - 5.3.2.3.1 瀏覽工具設計 ................................................................................... - 85 - 5.3.2.3.2 圖形比對 ........................................................................................... - 86 - 5.3.2.3.3 Summary ............................................................................................. - 90 - 第6 章 結論及未來展望 ..................................................................................................... - 93 - 6.1 研究結果 .......................................................................................................................... - 93 - 6.1.1 心電圖模擬及產生系統 ..................................................................................................... - 93 - 6.1.1.1 心電圖掃瞄圖數位化系統 ................................................................................... - 93 - 6.1.1.2 模擬心電圖波形建立 ........................................................................................... - 95 - 6.1.2 醫學圖像編輯器 ................................................................................................................. - 99 - 6.1.2.1 醫學圖像編輯圖形比對 ....................................................................................... - 99 - 6.2 未來展望 ........................................................................................................................ - 103 - § 參考文獻 § ........................................................................................................................ - 104 - § 自 述 § ...................................................................................................................... - 107 -

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