JP4589479B2 - Information input / output device - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to an information input / output device used in a combined inspection apparatus, and particularly relates to information input / output to a plurality of inspection apparatuses.
[0002]
[Prior art]
2. Description of the Related Art Conventionally, an X-ray diagnostic apparatus for obtaining an X-ray fluoroscopic image is used when a cardiovascular contrast examination is performed on a patient who is a subject in a hospital or the like. An angiography method or the like is used to depict a patient's blood vessel running or the like as an image by this X-ray diagnostic apparatus. This angiography method visualizes blood vessel running, but the image obtained by this method is a two-dimensional image, and the amount of information is insufficient for rendering a complexly entangled blood vessel running in three dimensions. .
[0003]
As a means for solving this problem, a three-dimensional blood vessel running image is obtained by combining an X-ray computed tomography apparatus (hereinafter referred to as CT). These X-ray diagnostic apparatus and CT are arranged in the same X-ray examination room, and the patient is placed on the bed, and blood vessel running imaging by X-ray exposure and stereoscopic blood vessel running imaging by CT are performed.
[0004]
FIG. 5 shows a configuration in which two types of apparatuses are combined as described above, and is a combined inspection apparatus called IVR-CT (Interventional Radiology-CT). In such an IVR-CT 16, a subject 13 such as a patient is placed on a bed 14, and angiography or the like is performed by the X-ray diagnostic apparatus 12 while lying in this illustrated posture. Although not shown, a catheter or the like is inserted into the blood vessel of the subject 13 for angiography. On the image monitor 15, the travel of the blood vessel photographed by the subject 13 is displayed on the screen.
[0005]
Next, as shown in FIG. 6, the bed 14 on which the subject 13 is placed translates laterally toward the CT 11. The bed 14 is provided with a slide mechanism or the like, so that the subject 13 can be sent into the CT 11 without forcing the patient to change his posture. The CT 11 images a region to be imaged of the subject 13 and obtains a two-dimensional or three-dimensional image.
[0006]
The operation of the IVR-CT 16 having such a configuration is performed via an operation console (not shown) included in each device. FIG. 4 shows an outline for explaining the configuration of these operation consoles and apparatuses. In this figure, the input device 9 corresponds to an operation console of CT11, for example. The input device 10 corresponds to an operation console of the X-ray diagnostic apparatus 12.
[0007]
The examiner inputs patient information to the input device 9 in order to operate, for example, a CT (X-ray computer tomography apparatus) 7. This input operation is also called a stand-alone method in which the scanning is performed in front of the input device 9 in the X-ray examination room. In order to operate a digital fluorography apparatus (hereinafter referred to as DF) 8 as one example of the X-ray diagnostic apparatus, the input apparatus 10 disposed in the X-ray examination room is also operated in a stand-alone manner. In such a stand-alone operation, patient information is manually input to individual modalities such as CT7 and DF8. As patient information, necessary examination information is input in addition to basic information such as name, age, sex, and disease name. In addition, in the operation by the hospital system / laboratory system (hereinafter referred to as HIS / RIS) connection, for example, the individual patient information is independently connected for each modality and the input is performed independently of the stand-alone operation. Is called.
[0008]
[Problems to be solved by the invention]
However, the above-described conventional inspection apparatus such as IVR-CT has the following problems to be solved.
[0009]
For example, in the implementation of a combined examination using IVR-CT etc., there is only one type of basic patient information such as patient information for each patient, but input operations are performed individually for each modality. It was. For this reason, the possibility of human erroneous input due to manual input of patient information cannot be denied, and it has been difficult to link mutual information between test result information after tests by each modality.
[0010]
In addition, when patient information is acquired by an information communication system such as HIS / RIS, when the name, age, gender, etc. of the two patient information are the same, the two patient information is mainly the same patient. It was difficult to determine whether or not.
[0011]
Further, in a combined inspection apparatus such as IVR-CT, even if the inspection by one apparatus is completed, whether the end of the inspection is the end after the inspection of another apparatus is completed, or the inspection of only that apparatus is possible. It was difficult to judge whether it was finished.
[0012]
It is an object of the present invention to provide an information input / output device capable of collectively sending unified patient information to a plurality of modalities such as a composite examination apparatus and managing a plurality of examination results collectively. To do.
[0013]
[Means for Solving the Problems]
In order to solve the above problems, according to the present invention, there is provided an information input / output device for inputting / outputting patient information of a subject and examination information relating to examination contents to a combined examination device in which a plurality of examination devices are combined. A plurality of types insured as one examination by the information management storage means for storing the patient information , the examination information, and the examination result information output from the plurality of examination apparatuses; The information input / output device includes a means for outputting the inspection result information from the plurality of inspection devices in an integrated manner when the inspection is executed .
[0015]
DETAILED DESCRIPTION OF THE INVENTION
FIG. 1 is a schematic diagram for explaining the configuration of an information input / output device 1 according to an embodiment of the present invention. The information input / output apparatus 1 shown in the figure includes a HIS / RIS (hospital system / inspection room system) 6, a card reader 3, a keyboard 2, a CT (X-ray computer tomography apparatus) 4, and a DF (digital Fluorography apparatus) 5 is connected.
[0016]
CT4 and DF5 are modalities configured in the combined examination apparatus, and are arranged in an X-ray examination room in a hospital (not shown). When an examination is performed on a single patient using these modalities, the operator first operates the keyboard 2 or the card reader 3 to input patient information of the patient to be examined. This input operation is performed only on the information input / output device 1, and it is not necessary to input another information on, for example, CT 4 or DF 5.
[0017]
Note that the keyboard 2 used for inputting patient information is connected to the information input / output device 1, or a signal cable or the like can be extended and arranged separately. The patient information input with the keyboard 2 is displayed on an image monitor (not shown) connected to the information input / output device 1 and can be visually recognized. The card reader 3 is a device that can read a card or the like recorded by converting patient identification information into a magnetic signal or the like. For example, the patient can carry it as an examination ticket, or the medical record itself may be magnetically recorded to form a magnetic card as a volume-efficient recording medium. In addition, patient information can be input from other information storage media.
[0018]
The HIS / RIS 6 is an online connection or network-connected information communication network provided in a hospital, and is widely used in recent hospitals and inspection institutions. The HIS / RIS 6 is connected to the information input / output device 1. Patient information to be examined can be entered via the HIS / RIS6.
[0019]
FIG. 2 is a schematic diagram for explaining the flow from patient information input to the end of examination using the information input / output device according to the embodiment of the present invention. The patient information input shown in FIG. 2 indicates a case where the patient information is input by stand-alone, and the case where the patient information is input by the HIS / RIS 6 will be described later with reference to FIG.
[0020]
In the stand-alone operation shown in the figure, the operator first inputs patient information from the keyboard 2 or the card reader 3. This patient information is common information input regardless of the modality such as CT4 and DF5. On the other hand, inspection information is also input. If the inspection method changes, this inspection information is generated accordingly, and appropriate inspection information is input depending on the modality.
[0021]
Next, patient information and examination information are transmitted to each modality. Patient information having a common content is input to each modality, for example, CT4 and DF5, and separate examination information created in accordance with each modality is input as examination information.
[0022]
Next, each modality starts an examination based on the patient information and examination information. When the inspection of each modality is completed, the resulting image information and the like are output to the information input / output device 1. The information input / output apparatus 1 recognizes that the inspection by the combined inspection apparatus is completed by outputting the inspection results as information from each modality, that is, both the CT4 and DF5 apparatuses. Upon completion of the inspection, the information input / output device 1 integrates inspection result information from each modality and stores the information in a database (not shown) that is collectively managed. After the inspection result is stored as inspection result information in the database in this way, the operator is notified of the completion of the inspection.
[0023]
In the example of the operation by the information connection of the HIS / RIS 6 shown in FIG. 3, the information input / output device 1 receives from the HIS / RIS 6 patient information common to each modality and examination information different for each modality. The subsequent information flow is the same as that of the stand-alone operation described with reference to FIG. 2, but the information flow after the information input / output device 1 stores the inspection result information in the database after the series of inspections is different. .
[0024]
In the stand-alone operation, the inspection result information is stored after being stored in the database. However, in the configuration connected to the HIS / RIS 6, the information input / output device 1 integrates the results from the modalities and sends the results to the HIS / RIS 6. Notification of inspection completion and inspection results are reported as information. In addition, when multiple types of inspections are executed simultaneously by the combined inspection apparatus, when the plurality of inspections are insured as one inspection, for example, the information input / output device 1 integrates inspection results from each modality. Reply to HIS / RIS6.
[0025]
According to the information input / output device of the present invention described above, it is possible to configure a device that collectively manages information input / output to each modality for a combined test using IVR-CT, etc. Information required by each modality of the combined inspection apparatus can be provided by inputting information in HIS / RIS or stand-alone.
[0026]
Also, by managing the inspection results collectively with the information input / output device of the present invention, it is possible to confirm the completion of the combined inspection from each modality, and return the inspection end and inspection result information to the HIS / RIS. Can do.
[0027]
As a result, it is possible to prevent an error in inputting patient information for each modality provided in the combined inspection apparatus, to realize collective management of patient information in the combined inspection, and also to enable a single modality inspection in the single inspection mode.
[0028]
The embodiment described above is described in order to facilitate understanding of the present invention, and is not described in order to limit the present invention. Therefore, each element disclosed in the above embodiment includes all design changes and equivalents belonging to the technical scope of the present invention.
[0029]
【The invention's effect】
ADVANTAGE OF THE INVENTION According to this invention, patient information can be collectively sent with respect to several modalities, such as a composite test | inspection apparatus, and the information input / output device which can manage information of several test results collectively can be provided.
[Brief description of the drawings]
FIG. 1 is a schematic diagram for explaining a configuration of an information input / output device according to an embodiment of the present invention.
FIG. 2 is a diagram for explaining an information input / output device according to an embodiment of the present invention;
FIG. 3 is a diagram for explaining an information input / output device according to an embodiment of the present invention;
FIG. 4 is a diagram for explaining information input according to a conventional technique.
FIG. 5 is a diagram for explaining a schematic configuration of a combined inspection apparatus.
FIG. 6 is a diagram for explaining a schematic configuration of a combined inspection apparatus.
[Explanation of symbols]
DESCRIPTION OF SYMBOLS 1 ... Information input / output device, 2 ... Keyboard, 3 ... Card reader, 4 ... CT (X-ray computer tomography device), 5 ... DF (digital fluorography device), 6 ... HIS / RIS (laboratory system / hospital system) ), 12 ... X-ray diagnostic apparatus, 13 ... Subject, 16 ... IVR-CT

Claims (3)

An information input / output device for inputting / outputting patient information of a subject and examination information relating to examination contents with respect to a combined examination device in which a plurality of examination devices are combined,
Information management storage means for storing the patient information , the examination information, and examination result information output from the plurality of examination apparatuses ;
And a means for integrating and outputting the inspection result information from the plurality of inspection apparatuses when a plurality of types of inspections insured as one inspection are executed by the combined inspection apparatus. Information input / output device. The information input / output device according to claim 1, further comprising an information input unit for inputting the patient information and the examination information . The information management storage means comprises information communication connection means for transmitting and receiving information by connecting to an information communication environment over an externally constructed network. The information input / output device described.

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