Image based medical report system on a network

An information system to create and review reports associated with medical image data, the information system comprising:

• a picture archiving communication system (PACS) server to archive medical image data generated by a medical imaging device;
• an image processing server coupled to the PACS server on a first data network and further coupled to a second data network, the image processing server to process the medical image data and to specify image processing parameters sets associated with the medical image data;
• a plurality of report creation devices coupled to the first data network to create reports containing the results of diagnoses based on medical images resulting from the medical image data;
• a plurality of user terminal devices coupled to each other and to the image processing server on the second data network, to receive the reports and for use by a plurality of users to review the reports, including displaying and allowing user manipulation of two-dimensional and three-dimensional medical images associated with the reports, wherein the image processing parameter sets are attached to the received reports;
• and
• a hospital information system (HIS) server, coupled to the first data network and the second data network, to archive the reports and to transmit the reports to the user terminal devices in response to requests.

A method comprising:

• delivering a medical report document to a processing system of a recipient over a data network, the medical report document having a set of image parameters attached thereto;
• receiving, from the processing system of the recipient over the data network, a modified set of image parameters in response to a user input directed to a medical image displayed on the processing system, the medical image associated with the set of image parameters;
• in response to the user input, accessing medical image data from a server coupled to the data network;
• generating modified image data based on the modified set of image parameters and the accessed medical image data;
• and
• delivering the modified image data to the processing system of the recipient over the data network, such that the medical image displayed on the processing system of the recipient is modified interactively according to the user input.