JP7324252B2 - Pancreatic cancer diagnosis system - Google Patents

Description

Application of Article 30, Paragraph 2 of the Patent Act Website publication date August 3, 2020 Website address https://doctor-health. net/ Date: December 16, 2nd year of Reiwa Assembly name: Asakuchi Medical Association Online Academic Lecture Date of issue: February 5, 3rd year of Reiwa Publication: Sanyo Shimbun Digital version https://www. sanynews. jp/article/1097517 Publication date: February 6, 3rd year of Reiwa Publication: Sanyo Shimbun morning edition, page 26 All prefectures Website publication date: February 6th, 3rd year of reiwa Website address: https://www. facebook. com/pancanjapan

The present invention relates to a system capable of diagnosing the possibility of a user suffering from or possibly suffering from pancreatic cancer (hereinafter simply referred to as "pancreatic cancer") and communicating with a doctor.

In daily life, it is normal to see a doctor for medical examinations for reasons such as chronic illness or poor physical condition. is important. Therefore, the following system has been proposed as a system for easily receiving a health checkup.

JP-A-2003-67499

In Patent Document 1, a terminal having personal information consisting of personal genetic information, physical information, and environmental information, and a server having correlation information representing the correlation between personal information and health conditions communicate with each other via a communication network. Disclosed is a system configured to be capable of diagnosing an individual's health condition using personal information possessed by a terminal and correlation information possessed by a server, and notifying the result of the diagnosis through the terminal.

By the way, in recent years, the number of patients suffering from pancreatic cancer and the number of deaths have been increasing in both men and women. In pancreatic cancer, there are almost no subjective symptoms in the early stages of onset, and it is difficult to detect the tumor, and the tumor tends to metastasize and invade from a relatively early stage. There's a problem. Therefore, it is required to diagnose the possibility of having or possibly to have pancreatic cancer, and to prevent or detect pancreatic cancer at an early stage.

Therefore, it is an object of the present invention to provide a system that enables a user to easily grasp the possibility that the user is suffering from pancreatic cancer and the possibility that the user will be suffering from it in the future.

The present invention comprises a server device having storage means, answer reception means, and calculation means,
The storage means
Close-ended related questions related to the onset of pancreatic cancer,
Selected-answer highly relevant questions that are highly related to the onset of pancreatic cancer,
an age-specific risk percentage table with risk multipliers recorded for age and gender; and
a related question percentage table in which BMI values, blood types, and risk multipliers corresponding to each of the answers to the related questions are recorded;
A highly relevant question percentage table is recorded in which risk ratios corresponding to answers to the highly relevant questions are recorded;
The risk ratio of the highly relevant question percentage table is configured to have a correlation with the risk ratio of the age-specific risk percentage table,
The answer receiving means is configured to receive each answer of age, sex, height and weight or BMI value, blood type, related question, and highly related question,
The calculation means acquires the risk ratios from the age-specific risk percentage table, the related question percentage table, and the highly related question percentage table based on the respective answers, and calculates the risk of developing pancreatic cancer from the acquired risk ratios. The above problems have been solved by a pancreatic cancer diagnostic system characterized by:

According to the present invention, the user's risk of developing pancreatic cancer is calculated only by answering age, gender, height and weight or BMI value, blood type, multiple-choice related questions and highly related questions. It is possible to easily grasp the possibility of having pancreatic cancer or the possibility of having it in the future. Based on this result, the user can be encouraged to visit a medical institution, which can lead to the prevention and early detection of pancreatic cancer.

In addition, if the related question can be answered by a selective answer formula of affirmative, negative, or unknown at least one of the following a to v, the accuracy of the calculated risk of developing pancreatic cancer can be improved.
a. Has anyone in your family or relatives had pancreatic cancer? b. Has 2 or more parents, children, or siblings had pancreatic cancer? c. Have you ever had diabetes? d. 1% or more deterioration f. Do you smoke? g. j Have you ever had cholelithiasis k Have you had chronic pancreatitis l Have you ever been diagnosed with enlargement, atrophy, or fatty degeneration of the pancreas m Blood tests Have you ever been diagnosed with a high CA19-9 value in an abdominal ultrasonography? Have you ever been diagnosed with an abnormality in your pancreas? o Have you ever had acute pancreatitis? p Have you had prostate cancer? q Have you ever had breast or ovarian cancer r Have any family members or relatives had breast, ovarian or prostate cancer s Have you had bleeding gums when brushing your teeth t Gum disease Have you ever been diagnosed with u Do you have an upset stomach v Do you have back pain

In addition, if the highly relevant question is configured so that at least one of the following A to C can be answered by an affirmative, negative, or unknown multiple-choice answer, the accuracy of the calculated risk of developing pancreatic cancer can be further improved.
A. Have you ever been diagnosed with a pancreatic cyst? B. Have you ever been diagnosed with a pancreatic duct dilation? C. Have you ever been diagnosed with an intraductal papillary mucinous tumor?

Further, if the server device further comprises comment output means, and the comment output means is configured to output comments according to the answers to the related questions and/or the highly relevant questions, the user may You can encourage more people to see a doctor.

The system configuration diagram of the present invention. 2 is a first example of an image displayed by the system of FIG. 1; 2 is a second example of an image displayed by the system of FIG. 1;

Embodiments of the present invention will be described below with reference to FIGS. However, the present invention is not limited to this embodiment.

A pancreatic cancer diagnostic system 100, which is an embodiment of the present invention, comprises a server device 10 as shown in FIG. The server device 10 can communicate with the user terminal 20 via a communication line N such as the Internet or a dedicated line.

The server device 10 can be a known server device. The server device 10 comprises storage means 12 , answer reception means 14 and calculation means 16 . The storage unit 12 is a recording medium such as a hard disk or solid state drive (SSD). The server device 10 also has normal functions such as a memory and communication means, and executes the processing described below by means of programs.

The user terminal 20 can be a smartphone terminal, a tablet terminal, a personal computer, or any other known device. The user terminal 20 comprises at least display means 22 and input means 24 . The display means 22 is a display device and can be integrated with or separate from the user terminal 20 . The input means 24 can be a keyboard or a touch-type display. It is assumed that the user terminal 20 also has functions normally provided, such as memory and communication means.

In the storage means 12 of the server device 10, related questions a to v, which are related to the onset of pancreatic cancer, and selected answers, such as A to C, which are highly related to the onset of pancreatic cancer, are stored. A high-relevance question, a risk percentage table by age group that records risk ratios according to age and gender, and BMI (Body Mass Index) values, blood type, and risk ratios according to the answers to related questions are recorded. and a high-relevance question percentage table in which risk ratios according to answers to high-relevance questions are recorded.

In the age-specific risk percentage table, the higher the age, the higher the risk multiplier can be set. A risk ratio may be set according to age (twenties, thirties, etc.). If the relevance of the risk of developing pancreatic cancer by sex is clarified, the risk ratio may be linked by sex.

In the related question percentage table, the higher the BMI value, the higher the risk multiplier can be set. Also, the risk ratio may be set depending on whether or not a predetermined value is exceeded. For example, for men with a BMI value of 30 or more, and for women with a BMI value of 27.5 or more, a high risk ratio can be set.

Also, in the related question percentage table, the risk multiplier can be changed according to the blood type. In the current situation where it is known that the risk of pancreatic cancer is slightly low in the case of blood type O, the risk multiplier for type O can be set low.

Also, in the related question percentage table, the risk multiplier can be changed according to the answers to the related questions. Since the related questions are multiple-choice questions, for example, if the multiple-choice format is affirmative, negative, or unknown, the risk ratio can be set according to these answers.

Further, in the highly relevant question percentage table, the risk ratio is set so as to vary according to the answers to the highly relevant question and to have a correlation with the risk ratio in the age-specific risk percentage table. Since highly relevant questions are also multiple-choice questions, for example, if the multiple-choice format is affirmative, negative, or unknown, a risk multiplier can be set according to these answers.

The answer receiving means 14 is configured to receive each answer of age, sex, height and weight or BMI value, blood type, related question, and highly related question. Although details will be described later, each of these responses is transmitted from the user terminal 20 that has accessed the server device 10 .

The answer receiving means 14 can receive, for example, one or more answers to the following questions a to v as related questions related to the onset of pancreatic cancer. Responses may be accepted in the form of affirmative or negative selection, or in the form of affirmative, negative, or unknown selection. By accepting these answers, the accuracy of the calculated risk of developing pancreatic cancer can be improved. In addition, other related questions may be added, and the content of the related questions can refer to the content of the Japanese Pancreatic Society's clinical practice guidelines for pancreatic cancer.

a. Has anyone in your family or relatives had pancreatic cancer? b. Has 2 or more parents, children, or siblings had pancreatic cancer? c. Have you ever had diabetes? d. 1% or more deterioration f. Do you smoke? g. j Have you ever had cholelithiasis k Have you had chronic pancreatitis l Have you ever been diagnosed with enlargement, atrophy, or fatty degeneration of the pancreas m Blood tests Have you ever been diagnosed with a high CA19-9 value in an abdominal ultrasonography? Have you ever been diagnosed with an abnormality in your pancreas? o Have you ever had acute pancreatitis? p Have you had prostate cancer? q Have you ever had breast or ovarian cancer r Have any family members or relatives had breast, ovarian or prostate cancer s Have you had bleeding gums when brushing your teeth t Gum disease Have you ever been diagnosed with u Do you have an upset stomach v Do you have back pain

The answer b may be configured to be accepted instead of the answer a, or when the answer a is negative or unclear. The answer to d may be configured to be accepted instead of the answer to c, or when the answer to c is negative or unclear. The answer e may be configured to be accepted instead of the answer d, or when the answer d is negative or unclear. Answers to p can be configured to only be accepted if the gender answer is male, and answers to q can only be accepted if the gender answer is female.

The answer accepting means 14 can accept, for example, one or more answers to the following questions A to C as highly relevant questions highly related to the onset of pancreatic cancer. Responses may be accepted in the form of affirmative or negative selection, or in the form of affirmative, negative, or unknown selection. By accepting these answers, the accuracy of the calculated risk of developing pancreatic cancer can be further improved. In addition, other highly relevant questions may be added, and the content of the highly relevant questions can refer to the contents of the pancreatic cancer clinical practice guideline of the Japan Pancreatic Society.

A. Have you ever been diagnosed with a pancreatic cyst? B. Have you ever been diagnosed with a pancreatic duct dilation? C. Have you ever been diagnosed with an intraductal papillary mucinous tumor?

Based on the answers received by the answer receiving means 14, the age, sex, height and weight or BMI value, blood type, related questions, and highly related questions, the calculating means 16 generates an age-specific risk percentage table and related questions. Risk multipliers are obtained from the percentage table and the highly relevant question percentage table, respectively, and the risk of developing pancreatic cancer is calculated from the obtained risk multipliers. The risk of developing pancreatic cancer can be calculated by multiplying or adding the risk multipliers obtained from the age-specific risk percentage table, the related question percentage table, and the highly related question percentage table, and the calculation result is within a predetermined range. At a given time, the risk of developing pancreatic cancer can be calculated as high, moderately high, or low. The BMI value may be calculated by the calculating means 16 from height and weight.

Moreover, the server device 10 can comprise a comment output means 18 . The comment output means 18 is configured to output comments corresponding to age, height and weight or BMI values, blood type, answers to related questions and/or highly related questions. These correspondence relationships can be, for example, as shown in Table 1 below. These comments are preferably recorded in the storage means 12 and configured so that they can be edited.

Giving priority to comments according to age, height and weight or BMI value, blood type, answers to related questions and/or highly related questions, comment output means 18 prioritizes comments to be displayed It may be configured to output only comments with a high value.

When the user terminal 20 accesses the server device 10, the answer accepting means 14 accepts answers to age, sex, height and weight or BMI values, blood type, related questions, and highly related questions. Input fields for age, sex, height and weight or BMI values, blood type, related questions, and highly related questions are displayed on the user terminal 20 by the display means 22, and each answer can be entered by the input means 24. It should be configured as follows. Here, age, sex, blood type, related questions, and highly related questions can be answered in a selection format, and height and weight or BMI values can be answered by inputting numerical values. good.

FIG. 2 shows a first screen 40 on which related questions are displayed by the display means 22 of the user terminal 20. As shown in FIG. On the first screen 40, one related question is displayed in a related question display column 42, and answer input columns 44a, 44b, and 44c corresponding to affirmative, negative, and unclear are displayed. The user of the user terminal 20 can answer this related question by selecting the answer entry fields 44a, 44b, and 44c using the input means 24. FIG.

Information on pancreatic cancer and information on medical institutions are recorded in the storage means 12 of the server device 10, and the explanation link 46a and the medical institution link 46b are displayed on the first screen 40, and the explanation link 46a or the medical institution link 46b is displayed. When selected, information on pancreatic cancer and information on medical institutions may be displayed.

FIG. 3 shows a second screen 50 on which the display means 22 of the user terminal 20 displays the risk of developing pancreatic cancer and comments. On the second screen 50, the risk of developing pancreatic cancer calculated by the calculating means 16 is displayed in the display column 52a of the risk of developing pancreatic cancer. A pancreatic cancer risk graph 52b may be displayed in the pancreatic cancer risk display column 52a so that the pancreatic cancer risk can be easily grasped visually.

On the second screen 50, the comment output by the comment output means 18 is displayed in the comment display column 54. FIG. Also, an explanation link 56a and a medical institution link 56b similar to the explanation link 46a and the medical institution link 46b on the first screen 40 can be displayed. Further, a medical institution consultation button 58 may be displayed and selected so that contact can be made with a predetermined medical institution.

INDUSTRIAL APPLICABILITY As described above, according to the present invention, it is possible to provide a system capable of easily ascertaining the possibility of a user suffering from pancreatic cancer or the possibility of suffering from it in the future.

REFERENCE SIGNS LIST 10 server device 12 storage means 14 answer reception means 16 calculation means 18 comment output means 100 pancreatic cancer diagnosis system

Claims (4)

A server device having storage means, answer reception means, and calculation means,
The storage means
Close-ended related questions related to the onset of pancreatic cancer,
Selected-answer highly relevant questions that are highly related to the onset of pancreatic cancer,
an age-specific risk percentage table with risk multipliers recorded for age and gender; and
a related question percentage table in which BMI values, blood types, and risk multipliers corresponding to each of the answers to the related questions are recorded;
A highly relevant question percentage table is recorded in which risk ratios corresponding to answers to the highly relevant questions are recorded;
The risk ratio of the highly relevant question percentage table is configured to have a correlation with the risk ratio of the age-specific risk percentage table,
The answer receiving means is configured to receive each answer of age, sex, height and weight or BMI value, blood type, related question, and highly related question,
The calculation means acquires the risk ratios from the age-specific risk percentage table, the related question percentage table, and the highly related question percentage table based on the respective answers, and calculates the risk of developing pancreatic cancer from the acquired risk ratios. characterized by
Pancreatic cancer diagnostic system. The related question is
a. Has anyone in your family or relatives had pancreatic cancer? b. Has 2 or more parents, children, or siblings had pancreatic cancer? c. Have you ever had diabetes? d. 1% or more deterioration f. Do you smoke? g. j Have you ever had cholelithiasis k Have you had chronic pancreatitis l Have you ever been diagnosed with enlargement, atrophy, or fatty degeneration of the pancreas m Blood tests Have you ever been diagnosed with a high CA19-9 value in an abdominal ultrasonography? Have you ever been diagnosed with an abnormality in your pancreas? o Have you ever had acute pancreatitis? p Have you had prostate cancer? q Have you ever had breast or ovarian cancer r Have any family members or relatives had breast, ovarian or prostate cancer s Have you had bleeding gums when brushing your teeth t Gum disease Diagnosis of pancreatic cancer according to claim 1, wherein at least one of u stomach upset v back pain can be answered with affirmative, negative, or unknown multiple choice answers. system. said highly relevant question,
A. Have you been diagnosed with a pancreatic cyst? B. Have you been diagnosed with pancreatic duct dilatation? C. Have you been diagnosed with an intraductal papillary mucinous tumor? 3. The system for diagnosing pancreatic cancer according to claim 1 or 2, which is configured to allow answering in a negative or unknown selective answer formula. The server device further comprises comment output means,
4. The method according to any one of claims 1 to 3, wherein said comment output means is configured to output comments according to answers to said age, height and weight or BMI values, blood type, related questions, and/or highly related questions. Any pancreatic cancer diagnostic system.

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