JP4921819B2 - Medical image interpretation system - Google Patents

Description

  The present invention relates to a medical image interpretation system that supports creation of an electronic interpretation report.

  A medical image acquired by a modality such as an X-ray imaging apparatus, CT apparatus, or MRI apparatus is displayed on an image observation apparatus (image viewer), and the displayed medical image is read by a doctor or the like. Medical image interpretation systems for creating interpretation reports have already been put into practical use.

  In recent years, there has also been proposed a system that performs medical image acquisition and interpretation report creation in separate facilities. For example, in the proposal of Patent Document 1, a facility such as a hospital where a modality for acquiring a medical image exists (hereinafter referred to as an interpretation request facility) and a facility for generating an interpretation report (hereinafter referred to as an interpretation facility) are provided. A system connected via a communication line has been proposed. In such a system of Patent Document 1, a medical image acquired with a modality in an interpretation request facility is transferred to the interpretation facility via a communication line, and an interpretation report is created in the interpretation facility. The interpretation report created in the interpretation facility is stored in a server in the interpretation facility so that the interpretation request facility can be viewed.

  Here, in remote interpretation as in Patent Document 1, medical images may be transferred from a plurality of interpretation facilities. In this case, since the numbering system of identifiers for identifying medical images such as patient IDs is not unique in each interpretation request facility, when medical images having the same identifier are transmitted from a plurality of interpretation request facilities, Medical images and interpretation reports created corresponding to the medical images cannot be uniquely identified.

Therefore, at present, when a medical image is transmitted to an interpretation facility, the interpretation request can be identified by adding a prefix assigned to each interpretation request facility to the identifier transmitted together with the medical image. ing.
JP 2000-109055 A

  Here, the prefix added conventionally is a number assigned only for identifying the interpretation request, and the prefix itself does not have information for managing the interpretation request.

The present invention has been made in view of the above circumstances, to identify the interpretation request, and an object of the invention to provide a medical image interpretation system that can be managed and Turkey be easily interpretation request.

To achieve the above object, a medical image interpretation system according to claim 1 of the present invention includes an interpretation request system for transmitting interpretation request information for performing an interpretation request, and the interpretation request system and a communication line via a communication line. A medical image interpretation system that is connected in a communicable manner and has an interpretation system that interprets a medical image based on an interpretation request specified by the transmitted interpretation request information, wherein the interpretation system receives the interpretation request information when, on the interpretation request information, it has a adding means for adding information for identifying the image interpretation request system that sent the interpretation request information, the interpretation system, when the image interpretation, the image interpretation request system characterized in that access to the interpretation request system based on the interpretation request information in a state where the information for specifying removed from the interpretation request information To.

In order to achieve the above object, a medical image interpretation system according to claim 2 of the present invention includes an interpretation request system for transmitting interpretation request information for performing an interpretation request, and the interpretation request system and a communication line via a communication line. A medical image interpretation system that is connected in a communicable manner and has an interpretation system that interprets a medical image based on an interpretation request specified by the transmitted interpretation request information, wherein the interpretation system receives the interpretation request information An interpretation unit that adds information for specifying the interpretation request system that has transmitted the interpretation request information to the interpretation request information, and a medical image storage unit that stores a medical image. The information for specifying the system includes information for specifying whether or not there is a means for interpreting the medical image in the interpretation request system. Whether the system has means for interpreting the medical image in the interpretation request system from information for specifying whether or not the means for interpreting the medical image exists in the interpretation request system at the time of the interpretation If it exists, the image interpretation request system is accessed based on the image interpretation request information in a state where information for identifying the image interpretation request system is excluded from the image interpretation request information. The medical image storage means is accessed.

In order to achieve the above object, the medical image interpretation system according to claim 4 of the present invention is communicatively connected via a communication line to an interpretation request system that transmits interpretation request information for performing an interpretation request. In a medical image interpretation system that interprets a medical image based on an interpretation request specified by the transmitted interpretation request information, when the interpretation request information is received, the interpretation request information is transmitted to the interpretation request information. Based on interpretation request information in a state in which information for identifying the interpretation request system is excluded from the interpretation request information at the time of interpretation. it characterized by accessing the image interpretation request system Te.

According to the present invention, it is possible to provide a Turkey and that the medical image interpretation system capable to facilitate the management of the interpretation request.

Hereinafter, embodiments of the present invention will be described with reference to the drawings.
FIG. 1 is a diagram showing a main configuration of a medical image interpretation system according to an embodiment of the present invention. The medical image interpretation system in FIG. 1 is an interpretation request facility 100 that is a facility that requests interpretation of a medical image, and an interpretation that is a facility that interprets a medical image in response to an interpretation request from the interpretation request facility 100. The facility 200 is configured. The interpretation request facility 100 and the interpretation facility 200 are connected to each other via a communication line (WAN) 300 so as to be communicable.

  The image interpretation request facility 100 includes a modality 101, a communication line (LAN) 102, an image server 103, an image viewer 104, and a report server 105. The modality 101, the image server 103, the image viewer 104, and the report server 105 are connected to the communication line 102 so that they can communicate with each other.

  The modality 101 generates image data (medical image data) that is used to create a radiogram interpretation report after imaging the patient's body. Examples of the modality 101 include an ultrasonic diagnostic apparatus, an endoscope apparatus, an X-ray imaging apparatus, a CT apparatus, and an MRI apparatus.

  The image server 103 stores medical image data acquired by the modality 101 and manages medical image data. The storage device used in the image server 103 is not particularly limited as long as it is a relatively large-capacity storage device capable of storing a large number of medical image data. Can be used.

  The image viewer 104 includes a display unit such as a CRT display or a liquid crystal display for browsing a medical image stored in the image server 103, for example, and an interpreting doctor browsing the medical image displayed on the display unit. It is mainly composed of a report creation unit that receives an operation input and creates an electronic interpretation report. Here, the image viewer 104 is, for example, a personal computer (PC) in which an image viewer application 104a for displaying a medical image and a report creation application 104b for creating an interpretation report are installed.

  The image viewer 104 also transmits image interpretation request information for requesting the image interpretation facility 200 to perform image interpretation. FIG. 2 is a diagram illustrating an example of information transmitted as interpretation request information. The interpretation request information is information for specifying the contents of the interpretation request on the interpretation facility side. The interpretation request information includes, for example, patient ID, patient name, patient date of birth, patient age, examination site, examination purpose, examination date, accession number (number assigned for each examination type), modality type, For example, information on the requested interpreting doctor. When an image interpretation request is made, all of the information may be transmitted, or only a part of the information may be transmitted.

  The report server 105 stores the interpretation report and manages the interpretation report. Here, the report server 105 stores an interpretation report created in the interpretation facility 200 in addition to the interpretation report created in the image viewer 104.

  Here, the interpretation request facility 100 shown in FIG. 1 is provided with a medical image interpretation system (generally called PACS) including an image viewer 104 and a report server 105, but these are not necessarily required. However, in this case, it is necessary to provide a dedicated terminal for making an interpretation request.

The image interpretation facility 200 includes a modality 201, a communication line (LAN) 202, an image server 203, an image viewer 204, and a report server 205. The modality 201, the image server 203, the image viewer 204, and the report server 205 are connected to the communication line 202 so that they can communicate with each other. Note that the configuration having the same name as that of the interpretation request facility 100 in the interpretation facility 200 has the same function as that of the interpretation request facility 100, and thus the description thereof is omitted here.
It is assumed that the interpretation facility 200 is always provided with a medical image interpretation system including an image viewer 204 and a report server 205.

The operation of the medical image interpretation system having the configuration shown in FIG. 1 will be described below.
First, an interpretation request is sent from the interpretation request facility 100 to the interpretation facility 200. At this time, interpretation request information is transmitted from the interpretation request facility 100 to the interpretation facility 200. Here, for example, it is assumed that image interpretation request information including a patient ID and an access number is transmitted as shown in FIG. If a medical image interpretation system is not provided in the interpretation request facility 100, a medical image corresponding to this request is transmitted together with the interpretation request information. In this case, the medical image is stored in the image server 203.

  When the image interpretation request information is received, the image viewer 204 as an adding means provided in the image interpretation facility 200 adds a predetermined prefix to the patient ID of the received image interpretation request information. FIG. 4A shows a patient ID with a prefix added, and FIG. 4B shows the configuration of the prefix. As shown in FIG. 4B, the prefix in the present embodiment is a network number of the interpretation request facility that has transmitted the interpretation request information and the number for identifying the interpretation facility that has been allocated to each interpretation facility and has transmitted the interpretation request information. It is composed of an address and information indicating whether or not a medical image interpretation system for interpreting a medical image exists at the interpretation request facility. The information indicating whether or not this medical image interpretation system exists is 1 when an image viewer and a report server (a system generally referred to as PACS) exist in the facility, and 0 when there is not. Become. Since it exists in the example of FIG. 1, it becomes 1 as shown in FIG.

  Here, the information added as the prefix shown in FIG. 4B is merely an example. Part of FIG. 4B may be omitted, or other information of FIG. 4B may be added. In FIG. 4A, the prefix is added only to the patient ID side, but it may be added to the Accession No side, or may be added to both.

  Interpretation is performed based on the interpretation request information to which such a prefix is added. FIG. 5 is a flowchart showing processing related to interpretation performed in the interpretation facility. First, when the report creation application 204b is activated, the report creation application 204b displays a screen for performing interpretation work on the display unit of the image viewer 204 (step S1). Subsequently, when an interpretation request examination is selected by an interpretation doctor or the like in the interpretation work screen, the report creation application 204b reads interpretation request information corresponding to the interpretation request (step S2). Then, it is determined whether or not there is a medical image interpretation system in the interpretation request facility of the request source (step S3). This determination is performed based on information indicating whether or not there is a medical image interpretation system added as a prefix of the interpretation request information.

  If it is determined in step S3 that the information indicating whether or not the medical image interpretation system exists is 1, that is, if the medical image interpretation system exists in the interpretation request facility, the report creation application 104b displays the image in the interpretation request facility. The server 103 is accessed to obtain a medical image, and is displayed on the display unit of the image viewer 204 (step S4). On the other hand, when the information indicating whether or not the medical image interpretation system exists is 0, that is, when the medical image interpretation system does not exist in the interpretation request facility, the report creation application 104b is provided in the interpretation facility 200. A medical image is acquired by accessing the image server 203 serving as a medical image storage unit, and is displayed on the display unit of the image viewer 204 (step S5).

  Here, a prefix that makes each request unique in the interpretation facility 200 is added to the interpretation request information sent from the interpretation request facility 100. On the other hand, since a prefix is not added to information such as a patient ID in the report server 105, in this state, it is impossible to access the interpretation request facility 100 from the interpretation facility 200 and acquire a corresponding medical image. Can not.

  Therefore, in this embodiment, when accessing the image interpretation request facility 100 from the image interpretation facility 200, access is made based on the image interpretation request information with the prefix removed as shown in FIG. Thereby, it is possible to access the image server 103 from the image interpretation facility 200 and acquire a medical image. In this case, since it is not necessary to store the medical image in the image server 203, it is possible to perform interpretation without pressing the capacity of the image server 203 more than necessary.

  After the medical image is displayed on the display unit of the image viewer 204 in step S4 or step S5, the interpretation of the medical image is performed by an interpretation doctor or the like, and an interpretation report is created based on the result. This completes interpretation (step S6). When a medical image interpretation system exists in the interpretation request facility 100, an interpretation report created in the interpretation facility 200 may be transmitted to the report server 105.

  Here, when the medical image interpretation system exists in both the interpretation request facility 100 and the interpretation facility 200 as shown in FIG. 1, the interpretation request and interpretation can be performed mutually. Also in this case, it is possible to apply the method of the embodiment of the present invention in the same manner as described above. That is, as shown in FIG. 7A, when interpretation request information is received from either the interpretation request facility 100 or the interpretation facility 200, the interpretation request information is shown in FIGS. 4A and 4B. Add the prefix as shown. Further, when accessing the partner facility based on the interpretation request information, the access is made with the prefix removed as shown in FIG.

  As described above, the technique of the present embodiment can be applied between facilities having medical image interpretation systems.

  As described above, according to one embodiment of the present invention, when receiving interpretation request information, by adding information for identifying the facility that requested the interpretation to the interpretation request information as a prefix, Information such as the network address of the interpretation request facility can be identified simply by referring to the prefix. Furthermore, even when another facility is newly added to the system of FIG. 1, it is possible to cope with this by simply adding a prefix according to the same rule. Therefore, management of the system becomes easy.

  In addition, by adding a prefix, it is possible that the information in the interpretation facility and the information in the interpretation request facility will not match, making access impossible, but the prefix must be removed when accessing the interpretation request facility. Therefore, it is possible to reliably acquire desired information.

  Although the present invention has been described based on the above embodiments, the present invention is not limited to the above-described embodiments, and various modifications and applications are naturally possible within the scope of the gist of the present invention.

  Further, the above-described embodiments include various stages of the invention, and various inventions can be extracted by appropriately combining a plurality of disclosed constituent elements. For example, even if some configuration requirements are deleted from all the configuration requirements shown in the embodiment, the above-described problem can be solved, and this configuration requirement is deleted when the above-described effects can be obtained. The configuration can also be extracted as an invention.

It is a figure which shows the main structures of the medical image interpretation system which concerns on one Embodiment of this invention. It is a figure which shows an example of the information transmitted as interpretation request information. It is a figure shown about the concept at the time of image interpretation request information transmission. It is a figure for demonstrating a prefix. It is the flowchart shown about the process which concerns on the interpretation performed within an interpretation facility. It is a figure shown about the concept at the time of accessing an interpretation request facility from an interpretation facility. FIG. 7A is a diagram showing a concept when image interpretation request information is transmitted in both the image interpretation facility and the image interpretation request facility, and FIG. 7B is a diagram for accessing both the image interpretation facility and the image interpretation request facility. It is a figure shown about a concept.

Explanation of symbols

  DESCRIPTION OF SYMBOLS 100 ... Interpretation request facility, 200 ... Interpretation facility, 101, 201 ... Modality, 102, 202 ... Communication line (LAN), 103, 203 ... Image server, 104, 204 ... Image viewer, 104a, 204b ... Application for image viewer, 104b, 204b ... Report creation application, 105, 205 ... Report server, 300 ... Communication line (WAN)

Claims (4)

An image interpretation request system for transmitting image interpretation request information for making an image interpretation request, and a medical communication based on the image interpretation request identified by the transmitted image interpretation request information. In a medical image interpretation system having an image interpretation system for image interpretation,
The image interpretation system includes an adding unit that adds information for identifying the image interpretation request system that has transmitted the image interpretation request information to the image interpretation request information when the image interpretation request information is received.
The image interpretation system accesses the image interpretation request system based on image interpretation request information in a state where information for identifying the image interpretation request system is excluded from the image interpretation request information at the time of the image interpretation. Image interpretation system. An image interpretation request system for transmitting image interpretation request information for making an image interpretation request, and a medical communication based on the image interpretation request identified by the transmitted image interpretation request information. In a medical image interpretation system having an image interpretation system for image interpretation,
The image interpretation system is:
An adding means for adding information for identifying the image interpretation request system that has transmitted the image interpretation request information to the image interpretation request information when the image interpretation request information is received;
Medical image storage means for storing medical images;
Have
The information for specifying the interpretation request system includes information for specifying whether or not there is a means for interpreting the medical image in the interpretation request system,
The interpretation system includes means for interpreting the medical image in the interpretation request system from information for specifying whether or not the interpretation request system includes a means for interpreting the medical image during the interpretation. If it exists, and if it exists, the interpretation request system is accessed based on the interpretation request information in a state where information for identifying the interpretation request system is excluded from the interpretation request information. And accessing the medical image storage means.   The medical image interpretation system according to claim 1, wherein the information specifying the interpretation request system includes a network address of the interpretation request system. A medical device that is communicably connected via a communication line to an interpretation request system that transmits interpretation request information for making an interpretation request, and interprets a medical image based on the interpretation request specified by the transmitted interpretation request information In the image interpretation system,
When receiving the interpretation request information, the interpretation request information includes an adding unit that adds information for identifying the interpretation request system that has transmitted the interpretation request information to the interpretation request information.
A medical image interpretation system, wherein the interpretation request system is accessed based on interpretation request information in a state where information for identifying the interpretation request system is excluded from the interpretation request information at the time of interpretation.

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