JP2006172131A - Medical image diagnosis management apparatus, method and system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To support efficient image reading by diagnostic image data without requiring special administrators and dedicated terminals for medical image diagnosis work. <P>SOLUTION: A medical image diagnosis management apparatus 210 comprises a DICOM Web server 211, an order server 212 and a report server 213. The DICOM Web server 211 receives DICOM data sent thereto and stores and manages them in an image database 214. The order server 212 creates and manages an order list 215 as the base of order management. The report server 213 presents a report creation screen to each diagnostic terminal 220 to create and manage a report database 216, and upon report completion, outputs an image reading report to a printer 240 or the like. The DICOM Web server 211 stores a viewer 221 for displaying DICOM image data on the diagnostic terminal 220 and downloads the viewer in advance. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to a medical image diagnosis management apparatus, method, and system, and more particularly, to a medical image diagnosis management apparatus, method, and system that supports medical image diagnosis performed at a remote diagnosis terminal.

  In recent years, in the medical field, due to technological innovation of medical image diagnostic equipment such as X-ray CT apparatus and MRI apparatus, such medical image diagnostic equipment (modality) has been actively introduced in many medical institutions, and more Image diagnosis has come to be performed. However, conventionally, it is not possible to secure enough image diagnosticians to interpret the image data output by all medical institutions and create reports, so diagnostic image data is intensively interpreted separately from medical institutions. A medical institution that has established a medical image diagnostic institution and cannot secure a specialized image diagnostic institution sends image data to such a medical image institution for obtaining reports and using them for treatment.

  In general, such a medical image diagnostic institution has a plurality of dedicated terminals that display diagnostic image data on a display and assist an image diagnostician to perform interpretation, and a contracted image diagnostician is determined. The report is created using a dedicated terminal according to the schedule. For this reason, managers who contact each medical institution for scheduling and other office workers who perform other office work are resident, and various operations such as organizing the order of diagnostic imaging and arranging diagnostic physicians To create an image diagnosis report on behalf of a medical institution without an image diagnosis doctor. Thus, in the conventional medical system, the shortage of diagnostic imaging doctors is addressed by installing the medical diagnostic imaging institution as described above (see, for example, Patent Document 1).

Japanese Patent Laid-Open No. 2004-24772

  However, in the conventional medical image diagnostic institution, since order management and schedule management are performed by the administrator's hand, there is a problem that it is impossible to respond quickly and that only such management is expensive.

  Although the number of diagnostic imaging doctors is only a quarter of that in Europe and the United States, the number of modality installations in the world is the highest in Japan, and interpretation work becomes extremely busy. In the conventional system, the schedule must be notified to the administrator in advance, and the interpretation must be performed on that day, and it is difficult for doctors to use it without dealing with a sudden emergency.

  In addition to the separate installation of a medical diagnostic imaging institution, the installation cost is high, and since the interpretation terminal uses a dedicated terminal, the system cost increases, and the diagnostic imaging doctor installs a dedicated terminal. The conventional system has a problem of a place restriction because it has to go to a certain limited place for interpretation.

  The present invention has been made in view of such problems, and an object of the present invention is to provide a medical image diagnostic processing apparatus, method, and system that support efficient interpretation by many image diagnosticians.

  In order to achieve such an object, the medical image diagnosis management apparatus of the present invention includes image storage means for receiving diagnostic image data output from the medical image diagnosis apparatus via a network and storing the image data in the image storage means, When the order information about the interpretation of the diagnostic image data is transmitted to a plurality of diagnostic terminals via the network and the interpretation request for the transmitted order information is received, the diagnosis that has transmitted the interpretation request among the plurality of diagnostic terminals Order processing means for determining that the terminal for performing image diagnosis of the image data, image transmission means for reading the diagnostic image data from the image storage means and transmitting the diagnostic image data to the determined diagnosis terminal via the network, and diagnosis Report processing means for receiving the diagnostic result report created by interpreting the diagnostic image data, and outputting the edited diagnostic result report for output Characterized by comprising a processing unit.

  The medical image diagnosis management method of the present invention includes a step of receiving diagnostic image data output from the medical image diagnostic apparatus via the network by the image storage means and storing the diagnostic image data in the image storage means, and an order processing means. When the order information about the interpretation of the diagnostic image data is transmitted to a plurality of diagnostic terminals via the network and the interpretation request for the transmitted order information is received, the diagnosis that has transmitted the interpretation request among the plurality of diagnostic terminals A step of determining that the terminal for performing image diagnosis of the image data, a step of reading out the diagnostic image data from the image storage unit by the image transmission unit, and transmitting the diagnostic image data to the determined diagnostic terminal via the network; and a report A step of receiving a diagnostic result report created by interpreting diagnostic image data by the processing means, and an output process; Stage by, characterized by comprising the step of outputting by editing the diagnosis report received.

  Further, the program according to the present invention includes a step of receiving diagnostic image data output from the medical image diagnostic apparatus via a network and storing the diagnostic image data in the image storage means in a computer by an image storage means; When the order information about the interpretation of the diagnostic image data is transmitted to the plurality of diagnostic terminals via the, and when the interpretation request for the transmitted order information is received, the diagnostic request that has transmitted the interpretation request among the plurality of diagnostic terminals A step of determining that the terminal performs image diagnosis of the image data; a step of reading out diagnostic image data from the image storage unit by the image transmission unit and transmitting the diagnostic image data to the determined diagnostic terminal via the network; and report processing Means for receiving a diagnostic result report created by interpreting diagnostic image data by means; The force processing unit can execute a step of outputting the edited diagnostic results reports received.

  The medical image diagnostic management system of the present invention includes a transmitting device that transmits diagnostic image data output from a medical image diagnostic device via a network, and the diagnostic image data received via the network. A diagnosis result report is created when a result of interpretation of a diagnostic image and a viewer to be displayed is input, and a plurality of diagnostic terminals including a report creation unit that transmits the result via a network are output from the medical image diagnostic apparatus. An image storage device that receives diagnostic image data via a network, stores the image data in the image storage means, and transmits the diagnostic image data to a plurality of diagnostic terminals; and an order for interpretation of the diagnostic image data via the network When information is transmitted to a plurality of diagnostic terminals and an interpretation request for the transmitted order information is received, the interpretation among the plurality of diagnostic terminals is performed. A diagnostic management apparatus comprising: an order processing unit that determines that a diagnostic terminal that has transmitted a request performs image diagnosis of image data; and a report processing unit that receives a diagnostic result report created by interpreting diagnostic image data And an output processing device for editing and outputting the received diagnosis result report.

  As described above, according to the present invention, the diagnostic image data output from the medical image diagnostic apparatus is received via the network and stored in the image storage means, and the diagnostic image data is transmitted via the network. When the order information about the interpretation of the image is transmitted to the plurality of diagnostic terminals and the interpretation request for the transmitted order information is received, the diagnostic terminal that has transmitted the interpretation request among the plurality of diagnostic terminals performs image diagnosis of the image data. Order processing means that decides to perform the operation, image transmission means that reads diagnostic image data from the image storage means, and transmits the diagnostic image data to the determined diagnostic terminal via the network, and the diagnostic image data is read and created A report processing means for receiving the received diagnosis result report and an output processing means for editing and outputting the received diagnosis result report An efficient interpretation of the image by the diagnostic image data can be used to support without the need for special administrators and dedicated terminal for medical diagnostic imaging business.

Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.
FIG. 1 is a diagram showing an outline of a medical image diagnosis management system according to the present invention. As shown in FIG. 1, the present invention includes an image diagnosis management center 102 in which a medical image diagnosis management apparatus that has received an image interpretation order from a remote medical institution 101 equipped with a diagnosis apparatus such as CT and MRI, The computer automatically performs order management and efficiently performs the interpretation report ordering process. In other words, the image diagnosis management center 102 that has received an order from the medical institution 101 presents the order to a remote interpretation (image diagnosis) doctor 103 registered in advance, and a doctor who can interpret the order makes an interpretation request. Create an interpretation report. The terminal can be a general-purpose personal computer, not a conventional dedicated terminal. The image data and the viewer, which is software for displaying the data, are received via the network, and the report is created online, so that the interpreting doctor 103 can create the report without any restrictions on the place or time. .

  The created report is output as a report in the diagnostic imaging management center 102 and sent to the requesting medical institution 101, and can also be viewed online from a terminal in the medical institution 101 and output. Note that a general-purpose personal computer is also used as the terminal in the medical institution 101, which contributes to the cost reduction of the system.

[First Embodiment]
(System configuration)
FIG. 2 is a block diagram showing an outline of the system configuration of the medical image diagnosis management system of this embodiment. The medical image diagnosis management apparatus 210 includes a medical image transmission apparatus 201 that transmits image data transmitted from a medical image diagnosis apparatus such as CT or MRI, a diagnostic diagnosis terminal 220, and a doctor 231 of a requesting medical institution. Is connected to the terminal 230 for browsing and the like via a network. In this embodiment, these connections use VPNs (virtual private communication networks) 202 and 203 for ensuring security. Further, the image data sent from the medical image transmission apparatus 201 is a DICOM format which is a standard format of the current medical image. In this embodiment, the image data is directly displayed on the diagnostic terminal 220 and the terminal 230 without conversion. A viewer that is software that can be used is used.

  The medical image diagnosis management apparatus 210 includes a DICOM web server 211, an order server 212, and a report server 213. The DICOM web server 211 receives the received DICOM data, stores it in the image database 214 as image storage means, and manages it. To do. Here, since the DICOM data usually includes information related to the image, for example, information such as the date of imaging, the name of the patient, sex, imaging conditions, modality, and part as tag information, Tag information is similarly stored. Here, for convenience of explanation, the medical image diagnosis management apparatus 210 is described as being divided into three servers. However, the present invention is not limited to this, and the functions of this apparatus can be achieved using fewer servers or more servers. Those skilled in the art can easily understand that the cost of the system can be reduced by using a small number of servers, and that security can be expected by managing each database separately using many servers. can do.

  The order server 212, which is an order processing means, creates and manages an order list 215, which is an order storage means, which is the center of order management, and schedule information is also managed by the order list so that the order is processed accurately within a specified period. Is done. The report server 213 serving as a report processing unit presents a report creation screen to each diagnostic terminal 220 to create and manage the report database 216. After the report is completed, the printer 240 serving as an output processing unit outputs an interpretation report. . Further, the DICOM web server 211 as an image transmission means stores a viewer 221 for displaying DICOM image data on the diagnostic terminal 220, and downloads the viewer in advance to a terminal to be used for the first time. Once the viewer is downloaded, it is not necessary to download the next time the image data is displayed.

  In the diagnostic terminal 220, the viewer 221 and the web browser 222 described above are installed, and a personal computer equipped with a general-purpose OS is mainly used. The interpretation doctor 223 confirms and accepts the order via the web browser 222 and creates a report. The DICOM data is received from the DICOM web server 211 via the network and displayed on the diagnostic terminal 220 by the viewer 221.

  When the report is completed, the in-hospital doctor 231 can browse using the terminal 230 before the interpretation report is sent by FAX or mail. The terminal 230 can also be a personal computer equipped with a general-purpose OS.

(System operation)
When diagnostic image data is sent from the requesting medical institution, the medical image diagnosis management apparatus 210 according to the present embodiment uses several tables or databases to present interpretation order presentation processing and interpretation doctor 223 determination processing. And a report creation support process to manage medical image diagnosis.

  FIG. 3 is a flowchart showing processing for presenting an interpretation order to each diagnostic terminal 220 after diagnostic image data is sent from the requesting medical institution. The order server 212 periodically issues a Q / R (Query Retrieve) to the image database 214 via the DICOM web server 211 to check whether there is any newly stored image data (S301, S302). . If no new data is stored, wait. If new data has been stored, the tag information attached to the newly stored image data is read (S303). On the other hand, it is checked whether or not the request information corresponding to the image data has been separately received. If the request information has been received, the contents are read (S304, S305). The request information can be text-entered online from the requesting medical institution, and can also be sent to the system by e-mail or FAX.

  Here, the request information is information related to the patient other than the information included in the tag information sent from the requesting medical institution, and includes, for example, the medical condition and medical history of the patient. Such request information is useful for assisting accurate interpretation.

  Further, depending on the embodiment, the reward for the interpretation doctor can be set hierarchically according to the degree of urgency. Here, the requesting medical institution, basically the in-hospital doctor 231, determines the period (5 days, 3 days, the next day, within 1 hour, etc.) until the report return deadline at the time of interpretation request, and the medical image transmission apparatus 201. Is sent to the order server 212, and this information is displayed in an order list to be described later (not shown). The degree of urgency is determined by the period until the report return deadline. In general, the price setting for orders with a high degree of urgency (short time to return) is high, and this is reflected in the reward of the diagnostic imaging doctor. By using the degree of urgency, an interpretation request is usually made because the reward is high, so orders with higher urgency are preferentially processed, so that a more efficient system can be achieved. Further, based on the return period specified here, the order server 212 which is also a schedule processing means first discriminates the order from which the image diagnosis is determined and the order from which the image diagnosis is determined, and the order for which the image diagnosis is determined. Reports to the administrator whether or not the order has been processed correctly on time, or prompts the interpreting doctor. For undecided orders, the status is reported to the administrator so that the report is made within the deadline. At this time, the period remaining until the deadline and difficulty of the interpretation image, the number of interpretation doctors in the corresponding field It is also possible to provide accurate timing and information in consideration of the above. The administrator can perform schedule management using a screen as shown in FIG.

  A new interpretation order is set using the imaging date, patient name, region and modality, etc. included in the tag information, and the urgency level, and added to the order list 215. The order list 215 can be accessed from the diagnostic terminal 220 via the network, and the interpretation doctor 223 can interpret using a viewer. As described above, the interpretation doctor 223 can perform more detailed diagnosis in his / her specialized field.

  FIG. 4 is a flowchart showing a process for determining which interpretation doctor corresponds to the presented order. Through the above-described order list presentation process, each interpretation doctor browses each order on the order list and notifies the order server 212 of an interpretation request when there is an order that can be handled such as his / her specialized field.

  FIG. 5 is an order list screen actually displayed on the diagnostic terminal 220. As can be understood by referring to FIG. 5, the order list displays the status, examination date, modality, region, order date (deadline), etc., and the interpretation doctor can create a report based on this information. Possible orders can be selected. The request information is linked to this screen, and the interpretation doctor interprets the request information and creates a report. In general, interpretation doctors have a certain specialized field, so selecting an order based on modality and location is important for creating a high-quality report.

  In addition, the status on the order list screen shows the response status of each order at the current time, and on the normal screen, only the orders that are basically in the status of “Unread” are displayed, and the interpreting doctor selects the order. Served to do. In addition to this, statuses such as “Interpreting Reading”, “Temporary Save”, “Interpreted Reading”, and “Waiting for Approval” are also set, and certain doctors interpret the status as necessary. You can view a certain order. Normally, only uninterpreted images can be viewed without restriction, but the “interpreted” order is used when you want to view image data of the same patient in the past, so the order that has been interpreted is displayed on the order list. Setting the menu to be effective is effective. In addition, the “waiting for approval” order can be used when a system is adopted in which multiple persons systematically interpret and check by an administrator. Furthermore, the order list screen is linked to other screens and applications, and different processing can be performed by specifying on this screen. That is, the image data and report creation screen corresponding to each order can be called from this screen.

  As described above, each interpretation doctor browses the order list, and if there is an order that can be handled, the interpretation request is notified to the order server 212 by specifying directly on this screen, and the notified order server 212 If the order has not yet been accepted from another diagnostic terminal, it is determined that the doctor is in charge of the diagnostic doctor who uses the diagnostic terminal that has notified the acceptance at this time, and the status is changed to "Reading" Then, access from other diagnostic terminals is prohibited (S401 to S403).

  FIG. 6 is a flowchart showing the interpretation report creation support processing of this embodiment. It is determined by the operation of the diagnostic doctor 220 of the interpretation doctor that interpretation has started, and a report creation screen is displayed (S601, S602). In this embodiment, when “Create Report” (not shown) is selected on the normal order list screen, it is determined that interpretation has started, and the report creation screen is automatically displayed. FIG. 7 is a diagram showing a report creation screen of the present embodiment. In this embodiment, the report creation screen is created by a JAVA (registered trademark) applet, and when an item is input, it is reflected in the report database 216 in real time. It is also possible to send the data created in step 1 to the report server 213 separately.

  Next, the viewer 221 already installed for image interpretation is automatically activated, and the image data of the order requested to the DICOM web server 210 to start the report generation is received via the network (S603). Displayed on the doctor's monitor. In this embodiment, since each order in the order list has a link to the image data, the viewer 221 is automatically activated by specifying and calling the order on the order list screen. Image data is read and displayed. FIG. 8 shows an example of a diagnostic image displayed on the viewer 221 of the present embodiment. Since this image is in DICOM format, it is possible to obtain various data necessary for diagnosis such as an actual measurement value of a lesion.

  When the report creation is completed, the status of the corresponding order is changed to “interpreted”, and the report content written in the database is determined (S604 to S606). In the present embodiment, when the image interpretation doctor clicks an “authentication registration” button on the report creation screen, report creation is notified to the report server 213 and report completion processing is performed.

  Report contents can also be temporarily saved by temporary registration or interpretation registration. Since the report contents cannot be changed after authentication registration, tampering can be prevented.

  As described above, in this embodiment, since interpretation of diagnostic image data sent from a medical institution is managed using an order list, an administrator or the like is not required, so that cost can be reduced. Furthermore, since an interpreting doctor can interpret an image at his / her own time using a personal computer at any time and place, medical image diagnosis can be processed in large quantities by using an image diagnostician efficiently.

(Second Embodiment)
FIG. 9 is a block diagram showing an outline of the system configuration of the medical image diagnosis management system according to the embodiment of the present invention. The system configuration of this embodiment is almost the same as that of the first embodiment, but the interpretation order setting process is different. That is, in the first embodiment, when the order server 212 newly adds data to the image database, the corresponding interpretation order is set. However, in this embodiment, the medical image transmission apparatus 201 sets the interpretation order, The image data is sent to the server. In FIG. 9, both the interpretation order and the image data are received by the DICOM web server 211, and then the interpretation order is transmitted to the order server 212. However, a system in which the order server 212 directly receives can be used.

  Here, the interpretation order includes information for associating corresponding image data such as a patient name, ID number, and examination date.

  The interpretation order received by the DICOM web server 211 is then added to the order list in the order server 212. Subsequent processing is the same as in the first embodiment.

(Third embodiment)
In this embodiment, in addition to the above-described medical image diagnosis management processing, a conference function is provided between diagnostic terminals. Here, as the conference function, commonly used conference software can be used.

  According to this embodiment, since it is possible to hold a conference between interpreting doctors or with a specialized consultant, it promotes registration of more interpreting doctors in this system, and multiple high-quality reports are created. The effect of the present invention is further improved.

It is a figure which shows the outline | summary of the medical image diagnostic management system concerning this invention. It is a block diagram which shows the outline of the system configuration | structure of the medical image diagnostic management system of this embodiment. It is a flowchart which shows the process which shows the interpretation order to the terminal 220 for case diagnosis after diagnostic image data is sent from the requesting medical institution concerning this embodiment. It is a flowchart which shows the process which determines which interpretation doctor respond | corresponds with the presented order of this embodiment. It is the screen of the order list actually displayed on the diagnostic terminal of the present embodiment. It is a flowchart which shows the process of the interpretation report preparation assistance of this embodiment. It is a figure which shows the report creation screen concerning this embodiment. It is a figure which shows the example of the image for a diagnosis displayed on the viewer 221 of this embodiment. It is a block diagram which shows the outline of the system configuration | structure of the medical image diagnostic management system of this embodiment. It is a figure which shows the screen of the schedule management of this embodiment.

Explanation of symbols

101 image inspection side hospital 102 remote image diagnosis management center 103 interpretation doctor (image diagnosis doctor)
201 Medical image transmission apparatus 202, 203 VPN
210 Medical Image Diagnosis Management Device 211 DICOM Web Server 212 Order Server 213 Report Server 214 Image Database 215 Order List 216 Report Database 220 Diagnosis Terminal 221 Viewer 222 Browser 223 Reading Doctor 230 Terminal 231 Hospital Doctor 240 Output Device

Claims (14)

Image storage means for receiving diagnostic image data output from the medical image diagnostic apparatus via a network and storing it in the image storage means;
When the order information about the interpretation of the diagnostic image data is transmitted to a plurality of diagnostic terminals via the network, and the interpretation request for the transmitted order information is received, the interpretation information among the plurality of diagnostic terminals is received. Order processing means for determining that the diagnostic terminal that has transmitted the request performs image diagnosis of the image data;
Image transmitting means for reading the diagnostic image data from the image storage means and transmitting the diagnostic image data to the determined diagnostic terminal via the network;
Report processing means for receiving a diagnostic result report created by interpreting the diagnostic image data;
And a medical image diagnostic management apparatus comprising: output processing means for editing and outputting the received diagnostic result report.   The order processing means, after transmitting the order information to a plurality of diagnostic terminals, determines a diagnostic terminal that first receives an interpretation request as a diagnostic terminal that performs image diagnosis of the image data, and after the determination The medical image diagnosis management apparatus according to claim 1, wherein access to the determined order information from a diagnostic terminal other than the determined diagnostic terminal is stopped.   Accumulating the order information, discriminating between orders for which image diagnosis has been determined by the order processing means and orders not yet determined, storing them in the order storage means as schedule information, and based on the read schedule information The medical image diagnosis management apparatus according to claim 1, further comprising schedule processing means for performing schedule management.   4. The medical image diagnosis management apparatus according to claim 1, further comprising conference processing means for exchanging messages between each of the plurality of diagnosis terminals at the time of the image diagnosis.   5. The medical image diagnosis management apparatus according to claim 1, wherein the order information includes modality information, part information, and report deadline information.   The medical image diagnosis according to any one of claims 1 to 5, wherein a rating of report creation urgency is set based on report deadline information of the order information, and an interpretation report creation fee is determined in advance based on the rating. Management device. Request information means for receiving request information regarding the diagnostic image data from a request source requesting interpretation of the diagnostic image data;
The medical image diagnosis management apparatus according to any one of claims 1 to 6, wherein the order processing means transmits the request information together with the order information to the plurality of diagnosis terminals. Tag information storage means for storing the tag information; and request information storage means for storing the request information;
The medical image diagnosis management apparatus according to claim 7, wherein the tag information, the request information, and the diagnostic image data are separately managed.   9. The medical use according to claim 1, further comprising viewer transmission means for transmitting in advance a viewer for displaying the diagnostic image data in each of the plurality of diagnostic terminals via a network. Image diagnosis management device.   10. The medical image diagnosis management apparatus according to claim 1, wherein the network is a virtual private network, and the diagnostic image data is in a DICOM format.   The order processing means reads the diagnostic image data from the image storage means, extracts tag information of the diagnostic image data, generates the order information from the extracted tag information, and stores it in the order information database The medical image diagnosis management apparatus according to claim 10, further comprising order information generation means for performing the order information generation. The order information generation means searches the image storage means at predetermined intervals to determine whether there is newly stored diagnostic image data, and new diagnostic image data is stored. The tag information is extracted from the stored new diagnostic image data,
The order processing means reads order information generated from tag information extracted from the stored new diagnostic image data from the order information database, and transmits the order information to the plurality of diagnostic terminals. The medical image diagnosis management apparatus according to claim 11. Receiving image data for diagnosis output from the medical image diagnostic apparatus via the network by the image storage means and storing it in the image storage means;
When the order processing means transmits order information about interpretation of the diagnostic image data to a plurality of diagnostic terminals via the network, and receives an interpretation request for the transmitted order information, the plurality of diagnostic information Determining that the diagnostic terminal that has transmitted the interpretation request among the terminals performs image diagnosis of the image data;
Reading the diagnostic image data from the image storage means by the image transmission means and transmitting the diagnostic image data to the determined diagnostic terminal via the network;
Receiving a diagnostic result report created by interpreting the diagnostic image data by a report processing means;
And a step of editing and outputting the received diagnostic result report by an output processing means. A transmitting device for transmitting diagnostic image data and order information output from the medical image diagnostic device via a network;
A viewer that receives the diagnostic image data and displays the diagnostic image via the network, and a diagnostic result report is generated when the result of interpretation of the diagnostic image is input, and is transmitted via the network A plurality of diagnostic terminals including a reporting means;
Image storage for receiving diagnostic image data and order information output from the medical image diagnostic apparatus via a network, storing them in an image storage means, and transmitting the diagnostic image data and order information to the plurality of diagnostic terminals Equipment,
When receiving an interpretation request for the transmitted order information via the network, an order process for determining that the diagnostic terminal that has transmitted the interpretation request among the plurality of diagnostic terminals performs image diagnosis of the image data A diagnostic management apparatus comprising: means; and report processing means for receiving a diagnostic result report created by interpreting the diagnostic image data;
A medical image diagnostic management system comprising: an output processing device that edits and outputs the received diagnostic result report.

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