JP5615113B2 - Interpretation report input terminal - Google Patents

Description

  The present invention relates to a technique in which an interpreting doctor interprets a medical image and assists input of interpretation report information such as findings.

  In a medical image diagnostic apparatus that can capture images in real time, such as an ultrasonic diagnostic apparatus and an endoscope apparatus, an interpreting doctor often performs examinations and treatments while viewing medical images. As described above, since the interpreting doctor performs imaging and interpretation with one person, the interpreting doctor is required to perform imaging and interpretation, and further to create an interpretation report in parallel.

  One solution to that requirement is to input an ultrasound image interpretation report by voice in real time (see Patent Document 1).

  Patent Document 1 discloses an input means 18 for inputting voice, a voice recognition means 17a for recognizing the inputted voice as character information, and a display means 26 for displaying finding information based on the character information together with an ultrasonic image. It is disclosed that during the examination on the ultrasonic diagnostic apparatus, finding information is created by voice input using voice recognition technology as a means in real time.

JP 2006-141903 A

  However, in the above-mentioned Patent Document 1, an interpretation doctor switches an image display from a moving image to a still image, or an operation to switch an image display from a still image to a moving image (referred to as an “image display switching operation”). The image display switching operation is complicated for the image interpretation doctor.

  In other words, in Patent Document 1, there is a problem that has not been solved yet, that is, the complexity of the image display switching operation.

  Accordingly, an object of the present invention is to provide a medical image display apparatus that can eliminate the complexity of the image display switching operation.

  Another object of the present invention is to provide a medical image display system that can eliminate the complexity of the image display switching operation.

  It is another object of the present invention to provide a medical image display method capable of eliminating the complexity of the image display switching operation.

In order to achieve the above object, the present invention has the following configuration.
The present invention sets an image range to be continuously reproduced as a moving image and an image group of the image range from a plurality of images (including both moving images and still images) for inputting interpretation report information, and sets the set image By generating an input screen for inputting the interpretation report information for a range of image groups and displaying the input screen, the complexity of the image display switching operation when the interpretation doctor interprets images can be eliminated. is there.

Specific configurations are shown in the following sections.
(1) A medical image obtained by imaging a subject is obtained as a plurality of images, a storage unit that stores the medical images together with a recording time so that the plurality of images can be continuously reproduced, a display unit that displays the medical images, An interpretation report input terminal comprising: an input unit that inputs interpretation report information for the displayed medical image; and a control unit that stores the interpretation report information and the medical image in the storage unit. sets the image range to be continuously reproduced as video from among said plurality of images for inputting the interpretation report information, the control unit, the interpretation report information to images of the set image range An image interpretation report input terminal that controls to generate an input screen for inputting, and to display the input screen on the display unit.

According to the configuration shown in the above (1), sets the image range to be continuously reproduced as video from among the plurality of images for inputting interpretation report information, the interpretation to the image group of the set image range Since the input screen for inputting the report information is generated and the input screen is controlled to be displayed on the display unit, the complexity of the image display switching operation can be eliminated.

(2) An interpretation report input system comprising: the interpretation report input terminal of (1) above; and a server connected to the interpretation report input terminal through a network and storing the interpretation report information .

(3) obtaining a medical image obtained by imaging a subject as a plurality of images, storing the medical image together with a recording time thereof so as to continuously reproduce the plurality of images, displaying the medical image, and the display a step of inputting interpretation report information about the medical image, a step of setting an image range to be continuously reproduced as video from among said plurality of images for inputting the interpretation report information, the set image range An interpretation report input method comprising: generating an input screen for inputting the interpretation report information for an image group and displaying the input screen.

According to the configuration shown in the above (3), sets the image range to be continuously reproduced as video from among the plurality of images for inputting interpretation report information, the interpretation to the image group of the set image range Since an input screen for inputting report information is generated and displayed, the complexity of the image display switching operation can be eliminated.

  According to the present invention, the complexity of the image display switching operation can be eliminated.

The block diagram which shows one structure of the interpretation report input system which employ | adopts this invention. 6 is a flowchart showing an operation procedure of the interpretation report creation client terminal 11 according to the first embodiment. The figure explaining the operation principle from step S23 to step S25 of FIG. 10 is a flowchart showing an operation procedure of the interpretation report creation client terminal 11 according to the second embodiment. FIG. 5 is a diagram for explaining the operating principle of step S43 in FIG. FIG. 6 is a block diagram showing a configuration of an interpretation report input system employed in Embodiment 3 of the present invention. FIG. 9 is a block diagram showing a configuration of an interpretation report input system employed in Embodiment 4 of the present invention. 10 is a flowchart showing an operation procedure of the interpretation report creation client terminal 11 according to the fourth embodiment. The figure which shows the example of a display of the registration screen for displaying a still image like a moving image in the other Example of this invention.

Embodiments of the present invention will be described with reference to the drawings.
FIG. 1 is a block diagram showing a configuration of an interpretation report input system employing the present invention.

  In the interpretation report input system, an ultrasound diagnostic apparatus 10, an interpretation report creation client terminal 11, an interpretation report server 12, and an image server 13 are connected to each other via a network 20 so that data communication can be performed.

  The ultrasonic diagnostic apparatus 10 causes the probe to contact a subject not shown, transmits ultrasonic waves from the probe to the subject, receives a reflected echo signal from the subject, and receives it. Signal processing is performed on the reflected echo signal, and an ultrasonic image of the subject is imaged in substantially real time.

  Here, the ultrasonic diagnostic apparatus 10 is a representative example of a medical image diagnostic apparatus. However, in addition to the ultrasonic diagnostic apparatus, an endoscope image diagnostic apparatus, an X-ray image diagnostic apparatus, and the like are used for diagnosis of a subject in substantially real time. Any ultrasonic diagnostic apparatus 10 may be used as long as it is a medical image diagnostic apparatus.

  The interpretation report creation client terminal 11 inputs the findings of the image diagnosis result of the ultrasound image, and the details are configured as shown in FIG.

  In other words, the interpretation report creation client terminal 11 includes an image input unit 111, an operation unit 112, an audio input unit 113, a time signal generation unit 114, a storage unit 115, a display unit 116, and a network interface (I / F) unit 117. A device (Central Processing Unit: CPU) 118 is connected.

  The image input unit 111 captures (captures) an ultrasonic image as a moving image. The image input unit 111 is realized by a known moving image capture circuit. Further, the image input unit 111 may be realized by software incorporated in the ultrasonic diagnostic apparatus 10 that is performed at an arbitrary timing of ultrasonic image reading from the ultrasonic diagnostic apparatus 10.

  The operation unit 112 is used to input control parameters given to the CPU 118 by the image interpreter. The operation unit 112 is realized by a known keyboard, a pointing device such as a mouse and a trackball, and a touch device such as a stylus.

  The voice input unit 113 inputs the presence or absence of findings as a result of the interpretation of the ultrasonic image by the interpreter, and the case of the finding by the voice uttered by the interpreter. The voice input unit 113 is realized by a known microphone and a voice input circuit.

  The time signal generation unit 114 generates a time signal for measuring the start and end time of moving image acquisition of an ultrasonic image. The time signal generation unit 114 is realized by a known timer circuit. The measurement time by the timer circuit is stored along with the image data of the ultrasonic image.

  The storage unit 115 stores ultrasonic images captured by the image input unit 111, control parameters input by the operation unit 112, presence / absence of findings input by the voice input unit 113, and cases. The storage unit 115 is realized by a known memory circuit.

  The display unit 116 displays the ultrasonic image captured by the image input unit 111, the control parameters input by the operation unit 112, the presence or absence of findings input by the audio input unit 113, and cases. Is realized by a known liquid crystal display, plasma display, organic EL display, or CRT display.

  The I / F unit 117 is connected to the network 20, and the ultrasound image captured in the image input unit 111 stored in the storage unit 115 via the CPU 119 in the image interpretation report server 12 and the image server 13 connected to the network 20. The control parameter input by the operation unit 112, the presence / absence of the finding input by the voice input unit 113, and the case are transmitted. The I / F unit 117 is realized by a known network interface circuit such as a LAN.

The CPU 118 controls each component connected to the interpretation report creation client terminal 11.
The interpretation report server 12 stores the interpretation report created by the interpretation doctor by voice input.

  The image server 13 stores the ultrasonic image, but may store a medical image with diagnosis in which the ultrasonic image and the interpretation report are associated with each other.

  Next, a plurality of embodiments of the interpretation report creation client terminal 11, the interpretation report input system, and the interpretation report input method of the present invention will be described.

  In the first embodiment, an example in which the start time and end time when an interpreting doctor displays an ultrasound image as a moving image is set as desired will be described with reference to FIGS.

  FIG. 2 is a flowchart showing the operation procedure of the interpretation report creation client terminal 11 according to the first embodiment, and FIG. 3 is a diagram for explaining the operation principle from step S23 to step S25 in FIG.

  The CPU 118 causes the image input unit 111 to capture the ultrasound image from the ultrasound diagnostic apparatus 10 and its measurement time. The captured ultrasonic image is a moving image (step S21).

  The CPU 118 causes the storage unit 115 to store the moving image ultrasonic image captured by the image input unit 111 and causes the display unit 116 to display the ultrasonic image. The interpreting physician can simultaneously store the ultrasound image displayed on the display unit 116 in the storage unit 115, and the ultrasound image can be continuously reproduced as image 1, image 2, image 3,... As shown in FIG. (Step S22).

  The interpreting doctor selects a setting range for diagnosis by moving images while observing continuously reproduced ultrasonic images. Here, an ultrasonic image is reproduced sequentially as image 1, image 2, image 3,..., Image 9, image 10, image 11,. Select the section that is the setting range. The selection is made with image 2 as the start point and image 9 as the end point.

  Next, the image interpretation doctor uses the operation unit 112 to set the start point and end point of the moving image diagnosis setting range in the ultrasound image displayed on the display unit 116. Specifically, as shown in FIG. 3, when there are ultrasonic images taken in the order of ultrasonic images 1 to 14 and are sequentially displayed on the display unit 116, the ultrasonic image 2 is diagnosed as a moving image. Set as the starting point of the setting range. For example, when the ultrasonic image 2 is displayed on the display unit 116, the operation unit (for example, mouse) 112 is used to move the mouse cursor to the display area of “starting phase 11i” and the mouse is set. Click the button to set the starting point of the video diagnosis setting range.

  The ultrasonic image 9 is set as the end point of the moving image diagnosis setting range. For example, when the ultrasound image 9 is displayed on the display unit 116, the operation is performed using the operation unit (for example, the mouse) 112, and the mouse cursor is moved to the display area of “end time phase 11j”. Click the button to set the end point of the video diagnosis setting range. The CPU 118 stores the ultrasound images 2 to 9 in the storage unit 115, with the display time phase range from the start point to the end point of the set moving image diagnosis setting range (step S23).

  CPU 118 generates an interpretation report creation screen on the display screen of display unit 116. Specifically, as shown in FIG. 3, in the image display area 11a, the ultrasound image 11b at the start of the moving image diagnosis setting range, and in the fixed sentence display area 11c, “no abnormal findings”, “abnormal findings present”, ultrasound Control bar 11d for adjusting the playback speed of the image, control bar 11e for the audio input level of the audio input unit 113, display area 11h for the examination information (subject ID, etc.) An interpretation report creation screen 11x including the start point 11i is generated. Similarly, the CPU 118 generates an interpretation report creation screen 11y of the end point 11j of the moving image diagnosis setting range. Note that the ultrasound images 2 to 9 from the start point to the end point of the moving image diagnosis setting range are stored in the storage unit 115. In addition, the CPU 118 displays the ultrasound images 2 to 9 from the start point to the end point of the moving image diagnosis setting range on the display unit 116 in a cine loop. Further, the CPU 118 stores the generated interpretation report creation screens 11x and 11y in the storage unit 115 (step S24).

  The CPU 118 reads the interpretation report creation screens 11x and 11y and the ultrasonic images 3 to 8 from the storage unit 115 and displays them on the display unit 116. The ultrasonic images 3 to 8 are displayed in the image display area 11a (step S25).

  The CPU 118 determines whether an interpretation report is being created. If the interpretation report is being created, the CPU 118 displays the image display in step S25 on the display unit 116 until the interpretation report is completed.

  Specifically, when step S25 ends and a standby loop of “interpretation report is being created?” Is entered, the CPU 118 displays a message such as “reading of interpretation report is possible” in the image display area 11a. The interpretation doctor recognizes that an interpretation report can be input by the message. The interpretation report is generated by the voice uttered by the interpretation doctor using the voice input unit 114. The voice input unit 114 recognizes the “reading start” of the interpretation doctor's voice. Then, the ultrasound image displayed as a moving image is interpreted, and the interpretation doctor utters “no abnormal findings” or “abnormal findings present”. If the interpretation doctor says “no abnormal findings” and further says “end of interpretation”, the waiting loop “interpretation report is being created?” Is terminated. In addition, in the case of “abnormal findings”, a speech interpretation doctor speaks a specific case of “suspected lung cancer”, “a tumor is found in the liver”, etc. If you say "End", the standby loop of "Reading interpretation report?" At the end of the waiting loop for “Reading an interpretation report?”, The interpreting doctor says “End of interpretation” by voice input or, for example, the timeout time is set to 10 minutes and there is no voice input for 10 minutes. In this case, it is determined that the interpretation report creation is completed. If the interpretation report is not being created, the CPU 118 proceeds to step S27 (step S26).

  The CPU 118 sends the created interpretation report to the network 20 by the I / F unit 117, and the interpretation report server 12 stores the interpretation report (step S27).

  The CPU 118 generates composite data in which the interpretation report and the ultrasonic image are associated with each other, and transmits the composite data to the network 20 by the I / F unit 117, and the image server 13 stores the composite data (step S28). ).

  According to the first embodiment, the operation unit 112 sets an image range to be continuously reproduced as a moving image from among a plurality of images for inputting interpretation report information and an image group of the image range, and the CPU 118 sets the set Since an input screen for inputting the interpretation report information is generated for the image group in the image range and the input screen is controlled to be displayed on the display unit 116, the complexity of the image display switching operation can be eliminated.

  In addition, the unique effect of the first embodiment is that the video diagnosis setting range can be set arbitrarily by the interpreting doctor, so only the main video diagnosis setting range needs to be interpreted, thus supporting the interpretation doctor's quick creation of the interpretation report. can do.

Next, Example 2 will be described.
In the second embodiment, when obtaining an ultrasound image including a periodic moving organ (eg, heart), an example of setting a desired time interval of a moving image of the ultrasound image using an electrocardiogram synchronization signal obtained simultaneously. This will be described with reference to FIGS.

  FIG. 4 is a flowchart showing the operation procedure of the interpretation report creation client terminal 11 according to the second embodiment, and FIG. 5 is a diagram for explaining the operation principle of step S43 in FIG.

  The ultrasonic diagnostic apparatus has a function of acquiring the electrocardiogram waveform of the subject's heart on the extremities of the subject, and as shown in the image display region 11a of FIG. It can be displayed.

In the second embodiment, parts that are the same as those in the first embodiment are omitted, and only different parts are described.
Steps S41 to S42 are the same as steps S21 to S22 of the first embodiment, and thus description thereof is omitted.

  The image interpretation doctor uses the operation unit 112 to set a display time phase range on the ultrasound image displayed on the display unit 116 based on the electrocardiogram synchronization signal. Specifically, as shown in FIG. 5, when there is an ultrasound image captured in order from the left to the right of the drawing, an ultrasound image that is an R wave of a phase with an electrocardiogram waveform is obtained. The meaning ultrasonic image R1 is set as the starting point of the moving image diagnosis setting range. For example, as shown in FIG. 5 (a), when the ultrasonic image R1 is displayed on the display unit 116, the operation unit (for example, mouse) 112 is used to move the mouse cursor to “ECG time phase”. Move to the “11m” display area and click the mouse button to set the starting point of the video diagnostic setting range.

  An ultrasonic image R2 that means an ultrasonic image that is an R wave of a different phase from the R wave is set as the end point of the moving image diagnosis setting range. For example, as shown in FIG. 5 (b), when the ultrasonic image R2 is displayed on the display unit 116, the setting is performed by using the operation unit (for example, mouse) 112 and moving the mouse cursor to “ECG time phase”. Move to the “11m” display area and click the mouse button to set the end point of the video diagnosis setting range. The CPU 118 stores all ultrasonic images from the start point R1 to the end point R2 of the set moving image diagnosis setting range in the storage unit 115 as the display time phase range (step S43).

  CPU 118 generates an interpretation report creation screen on the display screen of display unit 116. Specifically, as shown in FIG. 5, the ultrasound image 11b at the start point of the moving image diagnosis setting range is displayed in the image display area 11a, and “no abnormal findings”, “abnormal findings present”, ultrasonic waves are displayed in the fixed phrase display area 11c. Image playback speed control bar 11d, audio input level control bar 11e of audio input unit 113, display area 11h of examination information (subject ID, etc.), electrocardiogram in the video diagnosis setting range according to the type of setting phase An interpretation report creation screen 11z consisting of 11m of time phase is generated.

  Note that the ultrasound image between the ultrasound images R1 to R2 from the start point to the end point of the moving image diagnosis setting range is stored in the storage unit 115. Further, the CPU 118 stores the generated interpretation report creation screen 11z in the storage unit 115 (step S44).

  Steps S45 to S47 are the same as steps S25 to S27 of the first embodiment, and thus description thereof is omitted. However, since a general ultrasonic image was exemplified in Example 1, the specific case was “a tumor is observed in the liver”, but since an ultrasonic image including the heart is illustrated in Example 2, The specific case will be replaced with “suspected myocardial infarction”.

  According to the second embodiment, the operation unit 112 sets an image range to be continuously reproduced as a moving image and a group of images in the image range from a plurality of images for inputting interpretation report information, and the CPU 118 sets the set image range. Since an input screen for inputting the interpretation report information is generated for the image group in the image range and the input screen is controlled to be displayed on the display unit 116, the complexity of the image display switching operation can be eliminated.

  In addition, since the moving image diagnosis setting range can be arbitrarily set by the interpreting doctor and the R wave can be set easily, the unique effect of the second embodiment is easy to set, and thus improves the operability when creating the interpretation report of the interpreting doctor. be able to.

Next, Example 3 will be described.
In the third embodiment, an example in which the image input unit 111 provided in the report creation client terminal 11 in the hardware common to the first and second embodiments is removed and the output terminal of the image input unit 14 is connected to the network 20 is shown in FIG. To describe.

  FIG. 6 is a block diagram showing a configuration of an interpretation report input system employed in the third embodiment of the present invention. The description of FIG. 6 will be made only on the differences from FIG.

  The interpretation report input system includes an ultrasonic diagnostic apparatus 10, an interpretation report creation client terminal 11 ', 11 ", an interpretation report server 12, an image server 13, and an image input unit 14 that exchange data with each other via a network 20. It is connected so that it can communicate.

  Interpretation report creation client terminals 11 ′, 11 “are configured such that an operation unit 112, an audio input unit 113, a time signal generation unit 114, a storage unit 115, a display unit 116, and a network interface (I / F) unit 117 are connected to a CPU 118. Yes.

  The storage unit 115 stores ultrasonic images captured by the image input unit 15, control parameters input by the operation unit 112, presence / absence of findings and cases input by the audio input unit 113. The storage unit 115 is realized by a known memory circuit.

  The display unit 116 displays the ultrasonic image captured by the image input unit 15, the control parameters input by the operation unit 112, the presence / absence of findings input by the audio input unit 113, and cases. Is realized by a known liquid crystal display, plasma display, organic EL display, or CRT display.

  The image input unit 15 captures (captures) an ultrasonic image as a moving image. The image input unit 15 is realized by a known moving image capture circuit. Further, the image input unit 15 may be realized by software incorporated in the ultrasonic diagnostic apparatus 10 that is performed at an arbitrary timing of ultrasonic image reading from the ultrasonic diagnostic apparatus 10.

  The hardware resource software execution procedure is the same as that described in the first or second embodiment.

  According to the third embodiment, the operation unit 112 sets an image range to be continuously reproduced as a moving image and a group of images in the image range from among a plurality of images for inputting interpretation report information, and the CPU 118 sets the set image range. Since an input screen for inputting the interpretation report information is generated for the image group in the image range and the input screen is controlled to be displayed on the display unit 116, the complexity of the image display switching operation can be eliminated.

  In addition, the specific effect of the third embodiment is that the image input unit 15 is directly connected to the network 20 so that an ultrasonic image captured as a moving image can be transmitted to the network 20. Therefore, a plurality of interpretation report creation client terminals 11 ', 11 "can be connected. With these configurations, multiple image interpretation doctors can collaborate or divide work to interpret ultrasound images. This is useful when, for example, a doctor and an approved physician use it at the same time and perform double interpretation in real time.

  There are also cases where a plurality of terminals are used by an interpreting doctor and a patient, and the interpreting doctor captures an ultrasound image at the same time while explaining the contents of the interpretation report to the patient. In addition, as a consideration for the patient, it is possible for the interpreting doctor to explain the medical condition in an easy-to-understand manner by operating the disclosure / non-disclosure of the information of the interpretation report of the ultrasound image, and there is an advantage that the patient can feel secure.

Next, Example 4 will be described.
In the fourth embodiment, the image input unit 111 provided in the report creation client terminal 11 in the hardware common to the first and second embodiments is removed, and an analog RGB (Video Graphics Array: VGA) signal is output from the ultrasonic diagnostic apparatus. An example of providing an I / F unit 15 that outputs the end to the storage unit 115 of the report creation client terminal 11 and connects the ultrasonic diagnostic apparatus 10 and the network 20 to each other and sends DICOM data of the ultrasonic image to the network 20 Is described with reference to FIG.

FIG. 7 is a block diagram showing a configuration of an interpretation report input system employed in the fourth embodiment of the present invention. FIG. 8 is a flowchart illustrating the operation procedure of the interpretation report creation client terminal 11 according to the fourth embodiment.
The description of FIG. 7 is limited to only the differences from FIG. 1, and the description of FIG. 8 is only the differences from FIG.

  The interpretation report input system includes an ultrasonic diagnostic apparatus 10, an interpretation report creation client terminal 11-1, an interpretation report server 12, an image server 13, and an I / F unit 15 that communicate with each other via a network 20. Connected as possible.

  The storage unit 115 of the interpretation report creation client terminal 11-1 digitizes and stores a VGA signal corresponding to the ultrasound image from the ultrasound diagnostic apparatus 10 with a known A / D converter.

  The display unit 116 displays the ultrasonic image captured in the storage unit 115, the control parameters input by the operation unit 112, the presence or absence of findings input by the audio input unit 113, and cases. The display unit 116 It is realized by a known liquid crystal display, plasma display, organic EL display, or CRT display.

  The I / F unit 15 is connected to the network 20, and the ultrasonic image captured in the storage unit 115 stored in the storage unit 115 via the CPU 119 is connected to the image interpretation report server 12 and the image server 13 connected to the network 20. The control parameter input by the operation unit 112, the presence / absence of a finding input by the voice input unit 113, and the case are transmitted. The I / F unit 117 is realized by a known network interface circuit such as a LAN.

The execution procedure of the hardware resource software will be described with reference to FIG.
The CPU 118 AD-converts the ultrasonic image from the ultrasonic diagnostic apparatus 10 and VGA data corresponding to the measurement time by the AD converter and stores the AD in the storage unit 115. The stored ultrasonic image is a moving image (step S81).

  The CPU 118 causes the display unit 116 to display the moving image ultrasonic image stored in the storage unit 115 (step S82).

  Steps S83 to S88 of the fourth embodiment are performed in the same manner as S23 to S28 of the first embodiment.

  According to the fourth embodiment, the operation unit 112 sets an image range to be continuously reproduced as a moving image and a group of images in the image range from a plurality of images for inputting interpretation report information, and the CPU 118 sets the set image range. Since an input screen for inputting the interpretation report information is generated for the image group in the image range and the input screen is controlled to be displayed on the display unit 116, the complexity of the image display switching operation can be eliminated.

  In addition, the unique effect of the fourth embodiment is that the moving image capture function can be realized even if the VGA signal is digitized.

Next, other modifications will be described.
In each embodiment, an example in which medical images are stored and displayed as moving images has been described. However, still images that are stored continuously may be stored and displayed as moving images.

  FIG. 9 is a diagram showing a display example of a registration screen for displaying a still image like a moving image in another embodiment of the present invention.

  The image interpretation doctor stores the target image of the still image to be displayed like a moving image one by one in the storage unit. Specifically, as shown in FIG. 9, a still image is registered such as an ultrasonic image 2, which is a still image, an ultrasonic image 3, and so on. For example, as shown in FIG. 9, when the ultrasonic image 2 is displayed on the display unit 116, the operation unit (for example, mouse) 112 is used to display the “cursor image registration 11n” with the mouse cursor. Move to the area and click the mouse button to register still images that are displayed continuously like a movie. Thereafter, as described with reference to FIG. 9, the image interpretation doctor sequentially displays the ultrasonic images 3,..., Which are still images on the display unit 116, and continuously displays them as a moving image as with the ultrasonic images 2. Register the still image to be used.

  When the registration of the still image is completed, as shown in the first embodiment, the start and end times of the moving image reproduction are set while reproducing the ultrasonic image, and the subsequent operations are the same as in the first embodiment.

  As a result, the invention of the first embodiment can also be applied to the case where a continuously stored still image is reproduced as a moving image.

  In addition, the video diagnosis setting range is set by the start time and end time, but even if it is not the start and end times, a predetermined time zone such as 10 seconds is decided and the specified time zone is set to 5 seconds. For example, by setting both the designated time and the time zone, the moving image diagnosis setting range can be set similarly to the start and end times.

  The interpretation report creation client terminal can install, for example, a tablet personal computer type device next to the modality.

  In the above-described embodiment, description has been made by performing voice input using a microphone or the like. However, touch input means such as a stylus is provided, and finding information such as voice, text, and annotation (annotation) can be input.

  For example, a stylus may be used as “reading interpretation report?” And generated as an interpretation report according to the start point and end point of the moving image diagnosis setting range.

  As for the input of findings, free text can be input, but selecting from the model of the case is in line with the operation of creating the findings in parallel with the imaging of the modality.

  Moreover, regarding the setting of the moving image diagnosis setting range, it may be set by a method of adding an annotation to the set time phase. In other words, the image interpretation doctor describes the annotation for an image that is arbitrarily stopped at the time. When an annotation is described in the moving image diagnosis setting range, index information (index) is added to the corresponding image. The image with the index added can skip the ultrasonic image without the index added and display only the ultrasonic images with the index added one after another.

  Further, the index can be added not only at the time of annotation but also to the ultrasonic image input to the stylus in accordance with the start point and end point of the moving image diagnosis setting range.

  In addition, the findings information may be distributed to the image server 13 as a “slide show” that sequentially displays a series of selected images together with the ultrasound image. According to this “slide show” display, it is possible to display changes in a site requiring attention in an ultrasound image in an easy-to-understand manner.

  Further, the interpretation report creation client terminal does not have to be in the same facility as the ultrasonic diagnostic apparatus such as a hospital or clinic.

  For example, by communicating an image captured by the image input unit via a network, for example, in a facility, an interpreting doctor in a separate room can read in real time while a clinical laboratory technician performs an examination.

  In addition, when there is an ultrasound diagnostic device in an ambulance and a client terminal for creating an interpretation report in a remote medical facility, a medical worker other than a doctor in the ambulance operates the ultrasound diagnostic device by telephone instructions or the like. An ultrasonic image of the carrier can be taken, and doctors in the facility can interpret and diagnose in real time.

  112 Operation unit, 115 Storage unit, 116 Display unit, 118 CPU

Claims (5)

A storage unit that stores medical images obtained by imaging a subject as a plurality of images and stores the medical images together with the recording time so that the plurality of images can be continuously reproduced;
A display unit for displaying the medical image;
An input unit for inputting interpretation report information about the displayed medical image;
A radiology report input terminal comprising: the radiology report information and a control unit that stores the medical image in the storage unit;
The input unit sets an image range to be continuously reproduced as a moving image from the plurality of images for inputting the interpretation report information,
The control unit generates an input screen for inputting the interpretation report information for the image group of the set image range, and the input of the interpretation report information for the moving image of the image group of the image range is completed. until continuously reproduced, the interpretation report input terminal for causing said image area and said interpretation report information input with the image of the image group in association generates a composite data storage. The input unit is a voice input unit that inputs the interpretation report information by voice;
2. The interpretation report input terminal according to claim 1, wherein the control unit generates the composite data by associating the interpretation report information input by voice for each image of the image group in the image range. . 3. The interpretation report input terminal according to claim 2 , wherein the control unit starts continuous reproduction of the moving image when an utterance for starting interpretation is given to the voice input unit . 4. The interpretation report input terminal according to claim 3 , wherein the control unit terminates the continuous reproduction of the moving image when an utterance for ending the interpretation is given to the voice input unit . The interpretation report input terminal according to claim 3, wherein the control unit ends the continuous reproduction of the moving image when a predetermined time elapses without any speech being made in the voice input unit.

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