JPH1043138A - System for supporting diagnosis cooperative in eyefundus image storage and transmission - Google Patents

Abstract

PROBLEM TO BE SOLVED: To easily specify data corresponding to a person to be examined, and to transmit the diagnostic result in real time by adding an ID, which can be uniquely identified, and a file ID for storing an eyefundus image to the eyebottom image, and adding the ID to examination data. SOLUTION: An eyefundus image possessing part 105 possesses the eyefundus image from a non-diffusion pupil camera 190 and stores this eyefundus image in an image storage part 110. An ID adding part 115 successively reads the eyefundus images from the image storage part 110, adds the eyefundus image ID, adds the file identifier(ID) in an eyefundus image file 120 and stores a key pairing the eyefundus image ID and the image file ID and the eyefundus image corresponding to this key in the eyefundus image file 120. When diagnosis is requested, an image managing part 140 possesses the eyefundus image corresponding to the eyefundus image ID based on the eyefundus image ID designated from an input part 180, retrieves an examination data file 132 and possesses the examination data.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a fundus image storage / transmission coordination diagnosis support system, and more particularly to a medical institution which can diagnose a fundus image captured using a non-mydriatic retinal camera via a network. The present invention relates to a fundus image storage / transmission cooperative diagnosis support system for transmitting information to a fundus image and supporting management of information including the fundus image.

[0002]

2. Description of the Related Art A chronic disease of the circulatory system is a feature of adult diseases such as diseases of the elderly and hypertension. As a powerful test method for determining a chronic disease of the circulatory system, there is a photograph of the fundus, which is the only place where blood vessels in the brain can be seen from the outside. In particular, the photography of the fundus polaroid with a non-mydriatic camera is widely used as a simple method for screening.

[0003] Since the number of specialized ophthalmologists who can read the fundus polaroid photograph taken in this way is limited, the fundus photograph is mailed to an ophthalmologist to have the specialist diagnose and review the findings. A method of obtaining information on the fundus photograph, generating an examination result based on the information, and passing the information to the subject is adopted by a method of receiving the image.

There is also a method in which a fundus photograph is read by a scanner or the like, and the fundus image is transmitted to an institution having a specialist through a communication line to request a diagnosis.

[0005]

However, the conventional method of transmitting a fundus photograph by mail requires time and effort for postal mail processing and preservation management of the fundus photograph. It is difficult to make a diagnosis by combining the obtained fundus photograph and other examination information, or to compare it with past data.

Further, when performing remote medical image diagnosis, images are diagnosed and diagnosed interactively, so that the images are transmitted in real time using a broadband line, or images with low resolution are transmitted through a low-speed public telephone line or the like. Even if the diagnosis is not required to be performed remotely and interactively other than the transmission or the image compression and transmission, the diagnosis side has to wait while the image is transmitted, which is time-constrained.

In a conventional database system using a network, when a database file located on a file server is remotely accessed, or when a client / server system is used, an image having a large amount of information is displayed. If it is handled, it takes time for transmission and lacks real-time properties. Therefore, when the diagnosis is performed interactively, it is not a desirable environment for both the diagnostician and the diagnosis requesting side.

[0008] The present invention has been made in view of the above points,
It has the following objectives: A first object is to enable interactive acquisition of a fundus image in real time, transmit a diagnosis result in real time, and easily manage a fundus image and examination information in a fundus image storage / transmission coordinated diagnosis. To provide a support system.

A second object is to transmit / not transmit a fundus image to a diagnosing physician, and to manage a state such as transmission / non-transmission of a test result to a diagnosis requesting side and presence / absence of a diagnosis on the diagnosing side. An object of the present invention is to provide a cooperative diagnosis support system for fundus image storage and transmission. A third object is to provide a fundus image storage / transmission cooperative diagnosis support system capable of comparing and managing past information and current information of a subject.

A fourth object is to provide a fundus image storage / transmission cooperative diagnosis support system capable of maintaining security in transmission / reception of a fundus image and examination information because privacy is generated in all of these medical information. It is. A fifth object of the present invention is to provide a fundus image storage / transmission cooperative diagnosis support system that indicates a check item in fundus image information and allows a diagnosis requesting side to perform a minimum diagnosis based on the check item.

[0011]

FIG. 1 is a block diagram showing the first principle of the present invention. A first invention is a requesting terminal 100 that transmits a fundus image requesting a diagnosis, and the requesting terminal 10
The diagnostic terminal 200 performs a diagnosis on the fundus image received from 0, and returns the result to the requesting terminal 100.
And a fundus image storage / transmission cooperative diagnosis support system comprising a network connecting the request side terminal 100 and the diagnosis side terminal 200, wherein the request side terminal 100 stores the fundus image captured by the non-mydriatic retinal camera 190 The fundus image is read from the image storage means 110, and an image ID is uniquely assigned to each fundus image, and the ID of the fundus image storage means 120 to be stored is also assigned and stored. Fundus image storage means 12 with images
0, an examination data storage means 132 for storing various examination data uniquely corresponding to the fundus image, and a fundus image read out from the fundus image storage means 120, and the examination data is read using the image ID of the fundus image. Storage means 13
2 to retrieve the examination data of the corresponding subject,
A transmission information management unit 140 that generates diagnosis request information to be transmitted to the diagnosis side, and a request information transmission unit 150 that transmits the diagnosis request information to the diagnosis side terminal at an arbitrary time. Receiving the diagnostic request information acquired from the terminal 100 and storing the diagnostic request information in the diagnostic request information storage means 2
10, a diagnosis result storage unit 230 that stores a diagnosis result corresponding to the diagnosis request information input by the input unit, and a diagnosis result storage unit 23.
And a diagnostic result transmitting means 250 for transmitting the diagnostic result of No. 0 to the requesting terminal 100.

According to a second aspect of the present invention, a requesting terminal 100 for transmitting a fundus image requesting a diagnosis, a fundus image received from the requesting terminal 100 is diagnosed, and the result is returned to the requesting terminal 100. And a network for connecting the diagnosis side terminal 200 and the request side terminal 100 and the diagnosis side terminal 200. The request side terminal 100 is imaged by a non-mydriatic retinal camera 190. Image storing means 1 for storing the obtained fundus image
10, and reading the fundus image from the image storage means 110,
An image ID uniquely assigned to each of the fundus images, an ID of the fundus image storage means 120 to be stored is also given, and an ID assigning means 115 is stored in the fundus image storage means 120 together with the fundus image to be stored; Medical examination data storage means 132 for storing various medical examination data uniquely corresponding to
The fundus image is read from the fundus image storage unit 120, the examination data storage unit 132 is searched by the image ID of the fundus image, the examination data of the corresponding subject is obtained, and the diagnosis request information to be transmitted to the diagnosis terminal 200 is generated. At the same time, a transmission information management unit 140 that manages the diagnosis request information including management information of transmission / non-transmission to the diagnosis side terminal, and untransmitted information managed by the transmission information management unit 140 are extracted.
A request information transmitting unit 150 for transmitting the request information to the diagnostic terminal 200 at any time; the diagnostic terminal 200 receives the diagnostic request information obtained from the request terminal 100 and stores the diagnostic request information in the diagnostic request information storage Test information management means 251 stored in the means 210, and diagnosis result storage means 2 for storing a diagnosis result corresponding to the diagnosis request information input by the input means
30 and a diagnosis result transmitting unit 250 that transmits a non-transmitted diagnosis result among the diagnosis results stored in the diagnosis result storage unit 230 to the requesting terminal 100.

According to a third aspect of the present invention, a requesting terminal 100 for transmitting a fundus image requesting a diagnosis, a fundus image received from the requesting terminal 100 is diagnosed, and the result is returned to the requesting terminal 100. And a network for connecting the diagnosis side terminal 200 and the request side terminal 100 and the diagnosis side terminal 200. The request side terminal 100 is imaged by a non-mydriatic retinal camera 190. Image storing means 1 for storing the obtained fundus image
10, and reading the fundus image from the image storage means 110,
The image ID is uniquely assigned to each fundus image, and the ID of the fundus image storage unit 120 to be stored is also assigned to the image ID. The ID stored in the fundus image storage unit 120 together with the fundus image
Examination data storage means 13 for storing the various examination data uniquely corresponding to the fundus image and managing return / non-return of the diagnosis result from the diagnosis side terminal 200.
2 and reads the fundus image from the fundus image storage means 120 and uses the image ID of the fundus image as the examination data storage means 132
And the transmission information management unit 140 that obtains the examination data of the corresponding subject and generates the diagnosis request information to be transmitted to the diagnosis-side terminal 200, and transmits the request for diagnosing the diagnosis request information or the unreturned diagnosis result. Diagnostic terminal 200 at any time
The diagnostic terminal 200 receives the diagnostic request information acquired from the requesting terminal 100, and stores the diagnostic request information in the diagnostic request information storage unit 2.
And subject information management means 251 for managing the diagnosed / undiagnosed information for the diagnosis request information.
A diagnosis result storage unit 230 for storing diagnosis request information input by the input unit or a diagnosis result corresponding to the demanded request, and a diagnosis for transmitting the diagnosis result of the diagnosis result storage unit 230 to the requesting terminal 100. Result transmission means 250
And a diagnostic terminal 200 having the following.

According to a fourth aspect of the present invention, a requesting terminal 100 for transmitting a fundus image requesting a diagnosis, a diagnosis of the fundus image received from the requesting terminal 100, and a result returned to the requesting terminal 100 And a network for connecting the diagnosis side terminal 200 and the request side terminal 100 and the diagnosis side terminal 200. The request side terminal 100 is imaged by a non-mydriatic retinal camera 190. Image storing means 1 for storing the obtained fundus image
10, and reading the fundus image from the image storage means 110,
An image ID uniquely assigned to each of the fundus images, an ID of the fundus image storage means 120 to be stored is also assigned to the fundus image, and an ID assigning means 115 to be stored in the fundus image storage means 120 together with the stored fundus image; Screening data storage means 132 for storing various screening data uniquely corresponding to images
Read the fundus image from the fundus image storage means 120,
The transmission information management unit 1 that searches the examination data storage unit 132 using the image ID of the fundus image, acquires examination data of the corresponding subject, and generates diagnosis request information to be transmitted to the diagnosis side.
40, and a request information transmitting unit 150 for encrypting the diagnosis request information and transmitting the encrypted request information to the diagnosis side at an arbitrary time. The diagnosis side terminal 200 receives the diagnosis request information acquired from the request side terminal 100 and decrypts it. Test information management means 210 for storing the obtained diagnosis request information, diagnosis result storage means 230 for storing a diagnosis result corresponding to the diagnosis request information inputted by the input means, and encrypting the diagnosis result of the diagnosis result storage means 230. Diagnostic result transmitting means 25 for transmitting to the requesting terminal 100
0.

According to a fifth aspect of the present invention, in the diagnostic terminal 200, checkpoint information specifying a checkpoint is added to the fundus oculi image included in the transmission information acquired from the requesting terminal 100, and the check is added to the diagnosis result. It further has a point giving means, and the diagnostic terminal 200 or
The requesting terminal 100 includes a simple diagnosis unit that generates basic finding data based on the checkpoint information.

In a sixth aspect, the examination data storage means 132 is provided.
, Further comprises a diagnosis result reflecting means for storing the diagnosis result returned from the diagnosis side terminal 200 together with the examination data. According to a seventh aspect, in the request information transmitting means 150 of the requesting terminal 100, various examination data uniquely corresponding to the fundus image of the fundus image storage means 120 and the fundus image of the examination data storage means 132 are stored in one file. And a request information batch transfer means for batch transmitting the file to the diagnostic terminal 200.

According to an eighth aspect of the present invention, the diagnostic result transmitting means 250 of the diagnostic terminal 200 collectively transmits the information stored in the diagnostic result storage means 230 to the requesting terminal 200 in a file unit. Further comprising means. According to the first aspect of the present invention, the sole identifiable fundus image ID is assigned to the item of the database, and when the fundus image is taken into the computer, the fundus image ID is stored together with the file name to be stored. By doing so, it is possible to easily access information stored in the fundus image storage means.

Further, by transferring the fundus image and the examination data to the diagnosing terminal, the diagnosing terminal can make a diagnosis without being restricted by transmission delay or time. According to the second aspect, the transmission information management means manages the transmission information including the management information of the transmission / non-transmission of the transmission information to the diagnosis side terminal, so that the test information not yet transmitted to the diagnosis side terminal If there is, it is possible to extract the information and transmit it, and if a failure such as a transmission error occurs and the reception response from the diagnosis side terminal does not wait for a predetermined time, Since the information is treated as untransmitted, the information can be retransmitted.

According to the third aspect, the requesting terminal manages whether the diagnosis result has been returned or not returned from the diagnosis side terminal, so that when the diagnosis result is returned from the diagnosis side terminal, The diagnosis result can be reflected in the examination data. Further, when the diagnosis result is not returned from the diagnosis side terminal, the diagnosis result can be urged to the diagnosis side terminal.

According to the fourth aspect, when transmitting the diagnostic request information (test data) from the requesting terminal, the data is encrypted and transmitted, and the diagnostic terminal transmits the encrypted test data. By decrypting and encrypting the diagnosis result and transmitting it to the requesting terminal, the privacy of test data and diagnosis results, which are personal information, between the requesting terminal and the diagnosis terminal is maintained, and more secure security is maintained. It is possible to do.

According to the fifth aspect of the present invention, when the diagnosing person (physician) is busy at the diagnosing terminal, a checkpoint is designated for the fundus image in the transmission information and transmitted to the requesting terminal. By searching the database corresponding to the checkpoint at the requesting terminal, it is possible to generate a minimum finding. In such a case, since the final diagnosis by the specialist has not been received, if the doctor can generate a finding at a later date, it is possible to transmit the diagnosis result including the formal finding again.

According to the sixth aspect of the present invention, in the examination data storage means, the diagnosis result returned from the diagnosis terminal can be stored together with the examination data, and the diagnosis result and detailed examination data can be easily provided to the subject. Can be edited and presented. According to the seventh aspect of the present invention, the diagnostic request information to be transmitted to the diagnosing terminal is collectively transferred, so that the diagnosing terminal collectively stores this information and is not limited by time. Thus, a diagnosis result for the diagnosis request information can be generated.

According to the eighth aspect, since the diagnosis result can be collectively transmitted to the requesting terminal at the diagnosis side terminal, the processing can be performed at the requesting terminal without being restricted by time. Becomes possible.

[0024]

BEST MODE FOR CARRYING OUT THE INVENTION

[First Configuration] FIG. 2 shows a system configuration of the present invention.
The system according to the first aspect of the present invention performs a diagnosis on the fundus image transmitted from the requesting terminal 100, which transmits a fundus image requesting a diagnosis, and returns the result to the requesting terminal 100. The diagnosis side terminal 200 includes a network (not shown) connecting the request side terminal 100 and the diagnosis side terminal 200.

The request-side terminal 100 displays the non-mydriatic retinal camera 190 and an input unit 180 for instructing generation of request information or performing processing such as specifying examination data and fundus image, and displaying examination data and fundus image. Display unit 185 is connected. The requesting terminal 100 includes a fundus image acquisition unit 105, an image storage unit 110, an ID assignment unit 115, a fundus image file 1
20, personal information table 131, examination data file 1
32, a relational database 130, an information management unit 140, and a transmission / reception unit 150.

The fundus image acquisition unit 105 is a non-mydriatic camera 1
The fundus image acquired from 90 is stored in the image storage unit 110. The image storage unit 110 stores the fundus images acquired by the fundus image acquisition unit 105 in the order of acquisition.

The ID assigning unit 115 sequentially reads the fundus image from the image storage unit 110 and uniquely assigns an ID to the fundus image.
Is given. This ID is hereinafter referred to as a fundus image ID. Further, in addition to the fundus image ID, a file name of the fundus image file 120 is given, and a set of these is transferred to the personal information table 131 of the relational database 130.

In the personal information table 131, a set of the fundus image ID and the file name is set in the table. The personal information table also includes an individual name, a chart number, and the like, and uniquely corresponds to the ID. Items in the personal information table 131 include a name code, a name, and a date of birth.

The fundus image file 120 is stored in the ID
Fundus image ID given by 15 and image storage unit 110
The fundus oculi image corresponding to the fundus oculi image ID acquired from is stored. In FIG. 1, only one fundus image file is shown for simplification of description, but a plurality of files may be used.

The examination data file 132 contains the fundus image I
The examination data uniquely corresponding to D is stored together with the fundus image ID. This fundus image ID is stored in the personal information table 131.
Is automatically provided so as to correspond to the information of. Thereby, the fundus image ID of the individual data of the fundus image file 120 and the examination data file 132 becomes the same, and the fundus image and examination data of the same person can be acquired by the fundus image ID. The data items of the examination data file 132 include, in addition to the image ID, items such as an examination number, a name code, a photographing date and time, a blood pressure, an image drive number, a finding check, a film number, and visual acuity.

The information management unit 140 reads, from the fundus image file 120, information for requesting the diagnosis-side terminal 200 to make a diagnosis based on the set of the fundus image ID and the file identifier specified from the input unit 180, The file 130 is searched, the examination data of the corresponding subject is acquired, transmission information to be transmitted to the diagnosis terminal 200 is generated, and the transmission information is transmitted to the transmission / reception unit 150. Alternatively, the transmission information may be temporarily stored in a transmission information file (not shown), and the files may be collectively transferred at an arbitrary timing. In addition, the input from the input unit 180 is unnecessary, and when a new fundus image is registered in the fundus image file 120, the examination data file 130 is searched using the fundus image ID, and automatically transmitted to the transmission / reception unit 150. You may make it transfer.

Further, the information management section 140 is provided for the diagnosis side terminal 2.
The diagnosis result acquired from 00 is reflected in the examination data file 132 corresponding to the fundus image ID. When the diagnosis result is displayed on the display unit 185, the examination data file 132 and the fundus image file 1 are displayed based on the fundus image ID.
20 is retrieved and the corresponding examination data and fundus image are transferred to the display unit 185 for display.

The transmission / reception unit 150 sends the transmission information (diagnosis request information) transferred from the information management unit 140 to the diagnosis terminal 200 via a network (not shown). Note that the transmission timing is arbitrary. If transmission information is stored in a transmission information file (not shown), the transmission information may be read and transmitted as appropriate. In addition, the transmitting / receiving unit 150 includes the diagnostic terminal 200.
From the information management unit 14
Transfer to 0.

An input unit 290 for inputting a diagnosis result and a display unit 295 for displaying request information and the input diagnosis result are connected to the diagnosis side terminal 200. Diagnostic terminal 2
Reference numeral 00 denotes a transmission / reception unit 251, a request information file 210, a display control unit 220, a diagnosis result file 230, and a diagnosis result management unit 240.

The transmitting / receiving unit 250 receives the transmission information (diagnosis request information) acquired from the requesting terminal 100 and stores it in the request information file 210. Request information file 210
Is composed of a fundus image ID, a fundus image, and examination data.

The display control unit 220 stores the request information file 2
Then, control is performed to read the content of No. 10 and display it on the display unit 295. The diagnosis result management unit 240 refers to the displayed diagnosis request information, acquires a diagnosis result, and stores it in the diagnosis result file 230. The diagnosis result includes at least the fundus image ID and the doctor's finding data acquired from the input unit 290.

The diagnosis result file 230 is composed of records using the fundus image ID as a key for the diagnosis result. The record has a medical examination number, various finding items, judgment items, and the like in addition to the fundus image ID. Next, the operation in the above configuration will be described.

First, the operation at the time of requesting a diagnosis will be described. FIG.
5 is a sequence chart showing an operation at the time of a diagnosis request according to the present invention. Step 101) The fundus image acquisition unit 105 acquires a fundus image from the non-mydriatic camera 190, and stores the fundus image in the image storage unit 110.

Step 102) The ID assigning section 115
The fundus images are sequentially read from the image storage unit 110, and a fundus image ID is uniquely assigned to the fundus image.
A file identifier (ID) of the fundus image file 120 is given. It should be noted that the fundus image ID may be displayed on the display unit 185 at the time when the fundus image ID is provided, and presented to the operator.

Step 103) The ID assigning unit 115
A key formed by combining a fundus image ID and an image file ID and a fundus image corresponding to the key are stored in the fundus image file 120. Step 104) At the time of the diagnosis request, the input unit 180
Information management unit 14 based on the fundus image ID specified by
0 searches the examination data file 132. In the examination data file 132, when the fundus image ID is determined, the examination data corresponding to the fundus image is specified, and the fundus image ID is assigned to the record of the examination data by processing such as adding the fundus image ID to the record of the examination data. It is assumed that the examination data file 132 can be searched using the ID as a key. The fundus image ID and the key of the examination data file correspond to the key of the fundus image file 120, and uniquely correspond to the personal information in the personal information table 131.

Step 105) A fundus image ID for which a diagnosis is requested from the input unit 180 to the diagnosis terminal 200 is specified. At this time, a key including the file ID of the fundus image file 120 corresponding to the fundus image ID is automatically displayed on the display unit 185.

Step 106) The information management unit 140
The corresponding fundus image file 120 is searched based on the designated fundus image ID and the fundus image file ID, and the fundus image corresponding to the fundus image ID is acquired. Furthermore, the examination data file 132 for the fundus image ID is searched to acquire examination data.

Step 107) The transmission / reception section 150 sends the fundus image and the examination data retrieved by the information management section 140 to the diagnosis terminal 200 as diagnosis request information. Step 108) The diagnosing terminal 200 communicates with the requesting terminal 1
The diagnosis request information received from 00 is received.

Step 109) The received diagnosis request information is stored in the request information file 210. Next, an operation of transmitting the finding data generated by the diagnostic terminal 200 to the requesting terminal 100 as diagnostic result data will be described.

FIG. 4 is a sequence chart showing the operation of the present invention when returning the diagnosis result data. Step 201) A doctor who inputs findings to request information instructs display of request information from input unit 290.

Step 202) The display control unit 220 of the diagnostic terminal 200 reads the request information file 210 at an arbitrary timing and displays the request information on the display unit 295. Step 203) The doctor examines the fundus image included in the displayed request information and inputs a finding. The displayed request information is managed by the fundus image ID, the fundus image and the examination data of the fundus image ID are displayed, and the finding data is input to the display screen.

Step 204) The input finding data is added to the examination data and written as a diagnosis result in the diagnosis result file 230. Step 205) At an arbitrary timing, the transmitting / receiving unit 25
0 reads the diagnostic result file 230 and sends it to the requesting terminal 100.

Step 206) The transmission / reception unit 150 of the requesting terminal 100 receives the diagnosis result, transfers the diagnosis result to the examination data to the information management unit 140, and reflects it in the examination data file 132. That is, the examination data file 132 is read with the fundus image ID, and the record that is the diagnosis result is overwritten on the record. Alternatively, a process of adding only finding data of the examination results to the record of the examination data file 132 is performed.

Step 207) When a display instruction is input from the input unit 180 from the operator at an arbitrary timing, the information management unit 140 reads out the examination data file 132 and displays examination data including a diagnosis result on the display unit 185. I do. [Second Configuration] The following content corresponds to the second and third inventions.

According to the present invention, the information management unit 140 of the requesting terminal 100 and the diagnosis result management unit 240 of the diagnosis side terminal 200 having the configuration shown in FIG. The state management manages the following states. The requesting terminal 100 has transmitted / not transmitted request information to the diagnosing terminal 200, received / unreceived a diagnostic result when transmitted to the diagnosing terminal 200, and completed processing when received a diagnostic result. / Manage unprocessed data. These states are managed by flags.

The diagnostic terminal 200 manages the input / non-input of the finding data for the request information. Hereinafter, state management in each terminal will be described. A description will be given based on the above-described sequence charts of FIGS.

At the time of a diagnosis request, the information management unit 140 of the requesting terminal 100 sets an initial flag = 0 in each record of the examination data file. In step 107, when the requesting terminal 100 transmits the diagnosis request information to the diagnosis side terminal 200, the examination data file 132
In this record, the transmitted flag = 1 is set.

In step 108, upon receiving the request information from the requesting terminal 100, the transmitting / receiving unit 250 of the diagnostic terminal 200 sets an initial flag = 0 in the record of the request information. The information record is written in the request information file 210.

Also, when returning the diagnosis result in step 204 of FIG.
When the input of the finding data is completed, 0 sets the finding data input completed flag = 1 in the record stored in the request information file 210. In the processing of step 206 in the requesting terminal 100, the flag is set to 2 when the diagnosis result is written in the examination data file 132.
Further, in step 207, the flag is set to 3 when the display processing of the examination data and the various processing of presenting to the subject are completed.

By performing such management, in the requesting terminal 100, if the flag = 0 in the examination data file 132, the diagnosis side terminal 20 with the flag = 0
It is possible to extract a record that has not been transmitted to 0, check if transmission has been forgotten, and transmit the untransmitted record to the diagnostic terminal 200. When the flag = 1, the request information is transmitted, but the diagnosis result is urged to the diagnosis side terminal 200 to indicate that the diagnosis result has not yet been received from the diagnosis side terminal 200.

Further, when the flag = 2, the observation data as the diagnosis result has been received from the diagnosis-side terminal 200, but this indicates that the completion processing such as the examination list creation processing has not been performed yet. The record with the flag = 2 is extracted and the completion processing is performed. When the completion processing is completed, the flag is set to "3". As a result, records other than flag = 3 can be extracted as target records for which these processes are to be executed because some processing has not been performed.

In the diagnosis side terminal 200, when a flag = 0 is given to the request information record of the request information file 210, it indicates that the finding data for the request information record has not been created, Extract and input observation data. Specifically, when the finding data is input on the screen, the display control unit 220 sets the flag of the record to “1”.

[Third Configuration] The third configuration corresponds to the fourth invention. In the third configuration, the transmission / reception units 150 and 250 of both terminals 100 and 200 have encryption / decryption functions, and perform encrypted communication when transmitting / receiving diagnosis request information and diagnosis results.

FIG. 5 shows the configuration of the transmitting / receiving section of the requesting terminal of the present invention, and FIG. 6 shows the configuration of the transmitting / receiving section of the diagnostic terminal of the present invention. The transmitting / receiving unit 1 of the requesting terminal 100 shown in FIG.
50 is a transmitting unit 1 for transmitting the encrypted diagnosis request information.
51, an encryption unit 152 for encrypting the diagnosis request information, a reception unit 153 for receiving the encrypted diagnosis result from the diagnosis side terminal 200, and a decryption unit 154 for decrypting the received encrypted diagnosis result. You. Diagnosis-side terminal 2 shown in FIG.
The transmission / reception unit 250 of the transmission unit 251 transmits the encrypted diagnosis result, and the encryption unit 25 encrypts the diagnosis result.
2. A receiving unit 253 for receiving the encrypted diagnosis request information from the requesting terminal 100, and a decoding unit 254 for decoding the received encrypted diagnosis request information.

As the encryption method, a known encryption communication system such as an RSA encryption method or a public key encryption method is used. [Fourth Configuration] The fourth configuration corresponds to the fifth invention.

In the processing of the diagnostic terminal 200, if the doctor is busy and cannot input detailed finding data,
Instead of the finding data, checkpoint information for the fundus image is input, and this information is transmitted to the requesting terminal 100 as diagnosis result information. The requesting terminal 100 holds a code corresponding to the check point, a check information table for each code, and a check algorithm. As the checkpoint information, the coordinates indicating the checkpoint and the check item code are the requesting terminal 100
Sent to.

FIG. 7 shows the structure of the checkpoint table of the information management unit according to the present invention. The checkpoint table shown in the figure is composed of codes and check items. When the coordinates specified by the check point information are input, the check algorithm refers to the check item code corresponding to the coordinates and performs measurement corresponding to the check item. The measurement result is evaluated based on a predetermined evaluation value, and a summary diagnosis result is output.

[0063]

Embodiments of the present invention will be described below with reference to the drawings. First, an operation of transmitting diagnosis request information from the requesting terminal 100 to the diagnosis side terminal 200 will be described.

FIG. 8 is an example of a diagnosis request information display screen according to one embodiment of the present invention. (1) The input unit 180 extracts untransmitted diagnosis request information. Here, “A11FGANTEI1” is extracted as a set of the extracted image ID and file ID.

(2) The information management unit 140 stores the image ID
“FGANTE1” based on “A11FGANTEI1”
The fundus image of “A11” is read from the fundus image file 120 of “I1” and displayed in the fundus image display window “a” of FIG.
The examination data record having the ID of 1 ″ is acquired and displayed on the examination data display window c. The examination data display window c includes data such as examination comments, visual acuity, blood pressure, and the like.

(3) When the operator confirms the content displayed on the display unit 185 and gives a transmission instruction, the information management unit 1
40 transfers the fundus image of “A11” and the examination data record to the transmission / reception unit 150. (4) The encryption unit 152 of the transmission / reception unit 150 encrypts the examination data record and transfers it to the transmission unit 251. The transmission unit 251 transmits the encrypted examination data record and the fundus image as a set to the diagnosis-side terminal 200 as diagnosis request information.

Further, the transmitting / receiving section 150 has the ID “A11
Notifying the information management unit 140 that the FGANTEI1 "record has been transmitted (5) The information management unit 140 sets a flag = 1 indicating that transmission has been completed in the examination data file 132.

(6) Next, upon receiving the diagnostic request information from the requesting terminal 100, the receiving unit 253 of the transmitting / receiving unit 250 of the diagnostic terminal 200 decodes the diagnostic request information into the decoding unit 2
Transfer to 54. (7) The decryption unit 254 decrypts the diagnosis request information and stores the diagnosis request information in the request information file 210. At this time, “0” is set as a flag in the diagnosis request information record.

In the above process (4), an example is shown in which the examination record and the fundus image record are combined and transmitted to the diagnostic terminal 200. However, the present invention is not limited to this example, and is not limited to practical use. Generally, at the end of the input of the day, a file for transmission in which the examination record and the fundus image record are combined is generated, and the transmission file is collectively collected by the diagnosis-side terminal 20.
0 shall be transmitted.

Accordingly, the diagnosis request information is also received by the diagnosis terminal 200 in file units, and the diagnosis request file 2
It is assumed that collective writing is performed on 10. Next, processing at the time of returning a diagnosis result will be described. (1) The doctor inputs the request information file 2 from the input unit 290.
The user instructs to search for an undiagnosed diagnosis request information record stored in 10 (clicking on the “Undiagnosed” button on the screen). Since the flag = 0 is assigned to an undiagnosed diagnosis request information record, the display control unit 220 searches for a record having the flag.

(2) When the undiagnosed diagnosis request information record is read, the display control unit 220 displays a display as shown in FIG. 9 on the display unit 295. (3) Thereby, the doctor displays each diagnosis request information record on the display unit 295. The content displayed on the display unit 295 is the same as that shown in FIG. 8, but the window input by the doctor is the finding data window d.

The doctor examines the displayed fundus image display window a, inputs the finding data into the finding data display window d, and clicks “Finish” when the input is completed. Thereby, the diagnosis result management unit 240 writes the flag = 1 indicating that the finding of the record is completed in the record of the request information file 210. The finding data display window d includes various findings and judgment items, judgment comments, codes of the judged doctors, and the like.

(4) When the finding data is input, the diagnosis result management unit 240 writes the record in the diagnosis result file 230. (5) The encryption unit 253 of the transmission / reception unit 250 reads the record to be transmitted from the diagnosis result file 230, encrypts the record, and transfers the record to the transmission unit 251. Thereby, the transmitting unit 2
51 transmits the record of the encrypted diagnosis result to the requesting terminal 100.

(6) Receiving section 153 of requesting terminal 100
Is the record key “A11FG” of the encrypted request information.
Upon receiving the record of the diagnosis result corresponding to ANTEI1 ", the record is transferred to the decoding unit 154.
The record is encrypted and passed to the information management unit 140. As a result, the information management unit 140 sets the flag indicating that reception has been completed in the record, and sets “A11FGANTEI” to “2”.
The examination data record of “1” is updated. The updating is performed by adding the finding data of the diagnosis result record to the record of the examination data file 132. As a result, the record of “A11FGANTEI1” currently contains
Flag = 2 and finding data are added.

(7) Next, in order for the operator to present the record “A11FGANTEI1” to the subject, the operator reads “A11FGANTEI1” from the examination data file 132.
The record of “TEI1” is read and the examination result is output. (8) When the output of the examination result is completed, “A1”
In the record of 1FGANTEI1 ", the flag = 3.
As a result, the record has been completely processed.

Further, by managing the record ID in such a manner as to uniquely correspond to the subject name, when the past data of the same subject becomes necessary at a later date, the past data of the same subject can be referred to. . In addition, the above (5)
In the processing of (1), the record to be transmitted is read from the diagnosis result file 230, encrypted, and transferred to the transmission unit 251. However, the present invention is not limited to this example. Then, a record (encrypted record) stored in the diagnosis result file 230 is extracted to generate a transmission file, and the transmission file is transmitted to the requesting terminal 100 in a lump.

Therefore, it is assumed that the requesting terminal 100 also receives the diagnosis result in file units, performs the decryption process, and then performs batch writing to the examination data file 132.
Thus, in the above process (6), a record that has been received and has not been processed is extracted from the examination data file 132, and the process of outputting the diagnosis result shown in (7) is performed.

By extracting records having a flag = 3 and deleting those having no abnormality from the finding data, it is possible to perform processing such as not increasing the capacity of the examination data file 132. In the above embodiment, an example of transmission / reception of one record has been described. However, the present invention is not limited to this example, and the requesting terminal 100 may merge the contents of the examination data file 132 and the fundus image file 120. It is also possible to configure as a single file, and to transmit the file to the diagnostic terminal 200 collectively at an arbitrary timing on a file-by-file basis. Similarly, the diagnosis result file 230 may be collectively transmitted to the requesting terminal 100 at an arbitrary timing in the diagnosis side terminal 200. As a result, it is possible for both terminals to perform processing on information received at an arbitrary time without being restricted by time. Further, such a file transfer is performed first, and the urgent one of the transferred information is later transmitted from the requesting terminal 100 to the diagnostic terminal 2.
It is also possible to perform a process of issuing a diagnosis request to the 00.

Next, the operation of the requesting terminal 100 when only checkpoint information is received as a diagnosis result from a doctor will be described with reference to the example of FIG. The check point information transferred from the diagnosis side terminal 200 is obtained by examining the fundus image display window a on the screen and clicking on a point that needs to be checked. At this time, (x1, y1),
(X2, y2) and codes (A01), (A02),
It is assumed that (B01) has been passed.

Thus, the information management unit 140 inputs the coordinate data and the code to the check algorithm.
The check algorithm determines the coordinate vein coordinates (x1, y
The vein diameter is measured using 1) and code A01.
The artery diameter is measured by the artery coordinates (x2, y2) and the code A02, and the ratio of the venous diameter to the artery diameter of B01 is calculated based on the measurement result. Based on the obtained calculation result, a comparison with a predetermined level is performed to determine whether the value is an abnormal value, and the result is written in the column of the finding of the examination data.

In the above example, an example is described in which the present invention is carried out on the requesting terminal 100. However, a doctor may use the terminal 200 on the diagnosis side. Note that, in the above example, the screen display of the unprocessed list (unsent, unprocessed (presentation processing to the diagnostician) unreceived) is performed by clicking the corresponding button in the same manner as in the example of FIG. A list is displayed. It should be noted that the present invention is not limited to the above-described embodiment, but can be variously modified and applied within the scope of the claims.

[0082]

As described above, according to the present invention, an ID that can be uniquely identified for a fundus image and a file ID in which the fundus image is stored are given, and the ID is also given to examination data. This makes it possible to easily specify data for the subject. Further, by such management, it becomes possible to separately install the fundus image file and the examination data file, and it is possible to prevent the file size from increasing. Further, by managing the ID and the subject's name or code in the personal information table, it is possible to easily access past fundus images and examination data, and it is possible to grasp the recovery status of the disease.

Further, by managing the received information in a file, there is no restriction by real-time processing when a doctor or the like is busy with another diagnosis or the like. Can be diagnosed. Similarly, the requesting terminal does not immediately process the captured image data on the spot,
Batch processing can be performed when a certain amount of test data (fundus image data) is accumulated. Further, when it is not necessary to interactively make a diagnosis in real time, the accumulated fundus image and the examination data can be read out immediately without waiting for both the diagnosis requesting side and the diagnosis side.

Further, according to the present invention, in the requesting terminal, whether the diagnosis request information is transmitted to the diagnosis side terminal, the diagnosis result corresponding to the diagnosis request information is received, and the received diagnosis result is processed. It is possible to ascertain each state such as whether the diagnosis has been performed, and when the diagnosis result has not been received, it is possible to urge the diagnosing terminal. further,
Even when there is an unprocessed diagnosis result, it is possible to easily search for the corresponding record by designating the value of the flag, and to notify the result without making the subject wait.

Further, according to the present invention, by encrypting and communicating the diagnosis request information and the diagnosis result, it is possible to protect the privacy of the subject, and the third aspect is also secured in terms of security.
Even if the information is passed to the person, the decryption becomes impossible.

[Brief description of the drawings]

FIG. 1 is a principle configuration diagram of the present invention.

FIG. 2 is a system configuration diagram of the present invention.

FIG. 3 is a sequence chart showing an operation at the time of a diagnosis request according to the present invention.

FIG. 4 is a sequence chart showing an operation of returning diagnostic result data according to the present invention.

FIG. 5 is a configuration diagram of a transmission / reception unit of the requesting terminal according to the present invention.

FIG. 6 is a configuration diagram of a transmitting / receiving unit of the diagnostic terminal of the present invention.

FIG. 7 is a configuration diagram of a checkpoint table of the information management unit of the present invention.

FIG. 8 is an example of a diagnosis request information display screen according to one embodiment of the present invention.

FIG. 9 is an example of a display screen at the time of diagnosis according to an embodiment of the present invention.

[Explanation of symbols]

 Reference Signs List 100 Requesting terminal 105 Fundus image acquisition unit 110 Image storage unit, image storage unit 115 ID assignment unit, ID assignment unit 120 Fundus image file, fundus image storage unit 130 Relational database 131 Personal information table 132 Examination data file, Examination data storage unit 140 information management unit 150 transmission / reception unit 151 transmission unit 152 encryption unit 153 reception unit 154 decryption unit 180 input unit 185 display unit 190 non-mydriatic camera 200 diagnosis side terminal 210 request information file, diagnosis request information storage unit 220 display control unit 230 diagnosis result file, diagnosis result storage means 240 diagnosis result management unit 250 transmission / reception unit, diagnosis result transmission means 251 transmission unit, test information management means 252 encryption unit 253 reception unit 254 decryption unit 290 input unit 295 display unit

 ──────────────────────────────────────────────────続 き Continued on the front page (72) Inventor Akira Banno 3-19-2 Nishishinjuku, Shinjuku-ku, Tokyo Nippon Telegraph and Telephone Corporation

Claims (8)

[Claims] A requesting terminal that transmits a fundus image requesting a diagnosis, a diagnosis terminal that diagnoses a fundus image received from the requesting terminal, and returns a result to the requesting terminal; A fundus image storage transmission cooperative diagnosis support system comprising a network connecting the requesting terminal and the diagnosis side terminal, wherein the requesting terminal includes an image storage unit that stores a fundus image captured by a non-mydriatic retinal camera. Reading out the fundus image from the image storage means, uniquely assigning an image ID to each fundus image, assigning the ID of the fundus image storage means to be stored, and storing the fundus image together with the stored fundus image; ID assigning means to be stored in the means, examination data storage means to store various examination data uniquely corresponding to the fundus image, reading the fundus image from the fundus image storage means Transmission information management means for retrieving the examination data storage means with the image ID of the fundus image, acquiring examination data of the corresponding subject, and generating diagnosis request information to be transmitted to the diagnosis-side terminal; Request information transmitting means for transmitting request information to the diagnosis side at an arbitrary time, wherein the diagnosis side terminal receives the diagnosis request information obtained from the request side terminal, and converts the diagnosis request information to the diagnosis request information. Test information management means to be stored in a storage means; diagnosis result storage means to store a diagnosis result corresponding to the diagnosis request information input by the input means; and the diagnosis result in the diagnosis result storage means to the requesting terminal. A fundus image storage and transmission cooperative diagnosis support system, comprising: a diagnosis result transmitting unit for transmitting. 2. A requesting terminal that transmits a fundus image requesting a diagnosis, a diagnosis terminal that performs a diagnosis on the fundus image received from the requesting terminal, and returns the result to the requesting terminal. A fundus image storage transmission cooperative diagnosis support system comprising a network connecting the requesting terminal and the diagnosis side terminal, wherein the requesting terminal includes an image storage unit that stores a fundus image captured by a non-mydriatic retinal camera. Reading out the fundus image from the image storage means, uniquely assigning an image ID to each fundus image, assigning the ID of the fundus image storage means to be stored, and storing the fundus image together with the stored fundus image; ID assigning means to be stored in the means, examination data storage means to store various examination data uniquely corresponding to the fundus image, reading the fundus image from the fundus image storage means And retrieves the examination data storage means by the image ID of the fundus image, acquires examination data of the corresponding subject, generates diagnosis request information to be transmitted to the diagnosis side, and generates the diagnosis request information of the transmission information. Transmission information management means for managing the transmission information including transmission / non-transmission management information, and request information for extracting the non-transmission information stored in the transmission information management means and transmitting the non-transmission information to the diagnostic terminal at an arbitrary time A test information management unit that receives the diagnosis request information obtained from the requesting terminal and stores the diagnosis request information in a diagnosis request information storage unit, and an input unit. A diagnosis result storage unit for storing a diagnosis result corresponding to the input diagnosis request information; and, among the diagnosis results stored in the diagnosis result storage unit, an untransmitted diagnosis result for the requesting terminal. And a diagnosis result transmitting means for transmitting the result to a fundus image storage / transmission cooperative diagnosis support system. A requesting terminal that transmits a fundus image requesting a diagnosis, a diagnosis terminal that performs a diagnosis on the fundus image received from the requesting terminal, and returns a result to the requesting terminal; A fundus image storage transmission cooperative diagnosis support system comprising a network connecting the requesting terminal and the diagnosis side terminal, wherein the requesting terminal includes an image storage unit that stores a fundus image captured by a non-mydriatic retinal camera. Reading out the fundus image from the image storage means, uniquely assigning an image ID to each fundus image, assigning the ID of the fundus image storage means to be stored, and storing the fundus image together with the stored fundus image; ID assigning means to be stored in the means, and various kinds of examination data uniquely corresponding to the fundus oculi image, and a management method for managing returned / unreturned diagnosis results from the diagnosis side terminal. A data storage unit, reads the fundus image from the fundus image storage unit, searches the examination data storage unit by the image ID of the fundus image, acquires examination data of a corresponding subject, and transmits the acquired examination data to the diagnostic terminal. Transmission information management means for generating diagnosis request information, and request information transmission means for transmitting the request for diagnosing the diagnosis request information or the unreturned diagnosis result to the diagnosis terminal at any time; A terminal that receives the diagnosis request information acquired from the requesting terminal, stores the diagnosis request information in a diagnosis request information storage unit, and manages diagnosed / undiagnosed information for the transmission information. Means, a diagnosis result storage means for storing diagnosis request information input by the input means or a diagnosis result corresponding to the demanded request, and a diagnosis result stored in the diagnosis result storage means. A diagnostic side terminal having a diagnosis result transmitting means for transmitting a result to the request side terminal. 4. A requesting terminal that transmits a fundus image requesting a diagnosis, a diagnosis terminal that performs a diagnosis on the fundus image received from the requesting terminal, and returns a result to the requesting terminal. A fundus image storage transmission cooperative diagnosis support system comprising a network connecting the requesting terminal and the diagnosis side terminal, wherein the requesting terminal includes an image storage unit that stores a fundus image captured by a non-mydriatic retinal camera. Reading out the fundus image from the image storage means, uniquely assigning an image ID to each fundus image, assigning the ID of the fundus image storage means to be stored, and storing the fundus image together with the stored fundus image; ID assigning means to be stored in the means, examination data storage means to store various examination data uniquely corresponding to the fundus image, reading the fundus image from the fundus image storage means Transmission information management means for retrieving the examination data storage means with the image ID of the fundus image, acquiring examination data of the corresponding subject, and generating diagnosis request information to be transmitted to the diagnosis side; Request information transmitting means for encrypting the request information and transmitting the request information to the diagnosis side at an arbitrary time, wherein the diagnosis side terminal receives the diagnosis request information obtained from the request side terminal and decrypts the diagnosis request Health information management means for storing information in a diagnosis request information storage means, diagnosis result storage means for storing a diagnosis result corresponding to the diagnosis request information input by input means, and the diagnosis result of the diagnosis result storage means And a diagnosis result transmitting means for encrypting the result and transmitting the result to the requesting terminal. 5. A checkpoint for assigning checkpoint information specifying a checkpoint to a fundus image included in the diagnosis request information acquired from the requesting terminal and assigning the checkpoint information to the diagnosis result. 5. The fundus image storage transmission according to claim 1, further comprising a providing unit, wherein the diagnosis-side terminal or the request-side terminal includes a simple diagnosis unit that generates basic finding data based on the checkpoint information. 6. Cooperative diagnosis support system. 6. The fundus image storage and transmission cooperative diagnosis according to claim 1, wherein said diagnosis data storage means further includes a diagnosis result reflection means for storing said diagnosis result returned from said diagnosis terminal together with said diagnosis data. Support system. 7. The request information transmitting unit of the requesting terminal stores, in one file, various examination data uniquely corresponding to the fundus image of the fundus image storage unit and the fundus image of the examination data storage unit, 5. The cooperative diagnosis support system for fundus image storage and transmission according to claim 1, further comprising request information batch transfer means for batch transmitting the file to the diagnosis side terminal. 8. The diagnosis result transmitting means of the diagnosis side terminal includes: a diagnosis result batch transfer means for transmitting the diagnosis results stored in the diagnosis result storage means to the requesting terminal collectively in file units. The fundus image storage and transmission cooperative diagnosis support system according to claim 1, further comprising: