CN101292903A - Image diagnosis support system and image diagnosis support method - Google Patents
Image diagnosis support system and image diagnosis support method Download PDFInfo
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Abstract
An image diagnosis support system of this invention confirms the confirming information for confirming a special detection and sequence as a generating object of an object, wherein the object adds at least one piece of information of a photographing condition, a photographing range and a key image position as a basis for diagnosing to the image. According to the adding information of at least one image related to the special detection or sequence, whether there is an image for reference in the special detection or sequence is judged. Under the condition that there is the image for reference, the image for reference and at least one information of the photographing condition, the photographing range and the key image position in the adding information is able to be used, such as an object related to the special detection or sequence is generated after the event according to the sequence unit.
Description
Technical field
The present invention relates in the inspection that utilizes medical diagnostic imaging apparatus to carry out, generate afterwards the information (photographic information) set in the photography that has as its content in the past, the information relevant with the image that in diagnosis, becomes basis (key images), with when the photography with reference to total object (object) and the image diagnosis support system that manages and the diagnostic imaging support method of the relevant information of the inspection in past of mistake.
Background technology
In recent years, the professional field of medical act is segmented.For example the interpreting blueprints and the report of the diagnostic image of obtaining, obtaining that be split into patient's diagnostic image of the operation in the diagnostic imaging make, based on the explanation of the diagnostic result of reporting the result, treatment policy etc.Be responsible for each operation by each professional (responsible doctor or responsible technician),, finish medical acts such as diagnosis the patient by these whole operations.Each professional is by according to the information that made by other professionals in the operation of previous stage, and suitably with reference to diagnostic message in the past etc., carries out each operation.For example make supportive device etc. and carry out these operations in medical diagnostic imaging apparatus such as the X ray CT device of obtaining diagnostic image and MRI device, the PACS server of storage diagnostic image, the image referring apparatus that is used for diagnostic image is interpreted blueprints, diagnostic imaging report.
In recent years, proposed to be used for the diagnostic imaging that segmented in such operation, can effectively utilize system's (for example opening 2007-167634 number) of the information that is used for determining in the past inspection with reference to the spy.It with sharp exhausted information in the photography that has as its content in the past, the information relevant with key images, with when the photography with reference to the object of the relevant information of the inspection in the past that crosses as information and communization.The user by in device arbitrarily arbitrarily regularly under with reference to total object, can know the key images, the photography conditions that utilize in the diagnosis in the past.For example, the user can photograph the inspection that recreates the past accurately and the image that is suitable for relatively interpreting blueprints.In addition, carried out the inspection of photography owing in total object, also preserve it, so can be automatically when interpreting blueprints determine comparison other that should reference and show according to this information with reference to resume with reference in the past information.Therefore, greatly reduced interpreting blueprints doctor's the preparation that is used to interpret blueprints.
But total object is not preserved in the inspection of having carried out before the system that imports the total object of utilization.Therefore, the user must carry out and import the same operation before.Therefore, in this operation, following such problem is for example arranged.
To being suitable under the inspection situation of photographing with the relatively interpreting blueprints of former pick-up, on one side the technician must be on one side with reference to the operation of photographing of, the image scanning report of confirming last time inspection, so precision and checking efficiency have all reduced.In addition, when interpreting blueprints, must carry out preparation work till beginning is relatively interpreted blueprints in the selection of key images and the setting of image parameter etc., therefore the efficient of interpreting blueprints has reduced.Most expending of inspection in every day waited in the large hospital of the comparison of checking with the past through observation, and these problems are remarkable especially.Therefore, wish urgently and can in the inspection of having carried out photography, also can utilize total object.
Summary of the invention
The objective of the invention is to: provide a kind of, also can generate the image diagnosis support system and the diagnostic imaging support method of total object afterwards at importing inspection or the sequential of implementing before the system that utilizes total object.
The image diagnosis support system of a first aspect of the present invention possesses: the definite information that is identified for determining becoming the specific inspection of formation object of object or sequence (serials) is order unit really, and wherein this object has attached photography conditions, camera coverage, become at least one information in the key images position of basis of diagnosis image; According to the incidental information of at least one image that is associated with above-mentioned specific inspection or sequence, judge in above-mentioned specific inspection or sequence, whether there is first judging unit with image with reference to (reference); Exist above-mentionedly with reference to under the situation of image judging, uses above-mentionedly, generate first generation unit of above-mentioned object with reference at least one information in the photography conditions in usefulness image and the above-mentioned incidental information, camera coverage, the key images position.
The image diagnosis support system of a second aspect of the present invention possesses: the definite information order unit really that is identified for determining comprising the medical imaging of a plurality of images; Judge whether to exist with according to above-mentioned definite definite information and the reference that definite medical imaging is associated with first judging unit of image; Judge exist above-mentioned with reference to under the situation of image, use above-mentioned with reference to comprising photography conditions, camera coverage with image with from incidental information, becoming at least one information in the position of key images of basis of diagnosis, the generation unit of formation object according to the definite medical imaging of above-mentioned definite information.
The image diagnosis support system of a third aspect of the present invention possesses: the definite information that is identified for determining becoming the specific inspection of formation object of object or sequence is order unit really, and wherein this object has attached photography conditions, camera coverage, become at least one information in the key images position of basis of diagnosis image; Obtain the unit of obtaining of the report that is associated with above-mentioned specific inspection or sequence; Whether judgement exists the judging unit of link information of the memory location of the image that expression other inspections different with above-mentioned specific inspection or sequence or sequence be associated in the above-mentioned report that obtains; Judging under the situation that has above-mentioned link information, use is determined at least one information in the photography conditions, camera coverage, key images position of the incidental information of the information of the image that is associated with above-mentioned other inspections or sequence, at least one image of being associated with above-mentioned specific inspection or sequence from above-mentioned link information being used for of extracting out, and generates the generation unit of above-mentioned object.
The diagnostic imaging support method of a fourth aspect of the present invention possesses following steps: determine to become the specific inspection or the sequence of the formation object of object, wherein this object has attached photography conditions, camera coverage, has become at least one information in the key images position of basis of diagnosis image; According to the incidental information of at least one image that is associated with above-mentioned definite specific inspection or sequence, judge in above-mentioned specific inspection or sequence, whether to exist with reference to using image; Exist above-mentionedly with reference to under the situation of image judging, uses above-mentionedly, generate above-mentioned object with reference at least one information in the photography conditions in usefulness image and the above-mentioned incidental information, camera coverage, the key images position.
The diagnostic imaging support method of a fifth aspect of the present invention possesses following steps: the definite information that is identified for determining comprising the medical imaging of a plurality of images; Judge whether to exist with according to above-mentioned definite definite information and the reference image that definite medical imaging is associated; Judge exist above-mentioned with reference to under the situation of image, use above-mentioned with reference to comprising photography conditions, camera coverage with image with from incidental information, becoming at least one information in the position of key images of basis of diagnosis, formation object according to the definite medical imaging of above-mentioned definite information.
Can understand other features and advantages of the present invention from following specifying with accompanying drawing.But the present invention has more than and is limited to these and specifies.
Description of drawings
Fig. 1 is the block diagram of structure of the medical imaging save set of expression embodiments of the invention 1～3.
Fig. 2 is used to illustrate the figure that is generated the structure of the total object that parts generate by total object shown in Figure 1.
Fig. 3 is based on the control of control assembly shown in Figure 1 and flow chart that the diagnostic imaging support of the embodiment 1 that carries out is handled.
Fig. 4 is the flow chart of the obtaining of the related information carried out in step S3 shown in Figure 3/analyzing and processing.
Fig. 5 is the figure that is illustrated in an example of the preservation location tables of using in the obtaining of related information shown in Figure 3/analyzing and processing.
Fig. 6 be in step S3 shown in Figure 3, carry out obtain flow chart from the report memory unit to the processing of the link information of past image.
Fig. 7 is used to illustrate by total object shown in Figure 1 generate parts according to the figure of reference with the notion of the reference picture of generations such as image and camera coverage, key images position.
Fig. 8 is based on the flow chart that the diagnostic imaging support of the embodiments of the invention 2 that the control of the control assembly of Fig. 1 carries out is handled.
Fig. 9 is the flow chart that the utilization of the similarly total object of the embodiments of the invention 2 carried out in the step S3b of Fig. 8 is handled.
Figure 10 is the figure that is illustrated in an example of the similar degree judgement table that uses in the utilization processing of similarly total object shown in Figure 9.
Figure 11 is the flow chart that the utilization of total object of the replacement usefulness of the embodiments of the invention 3 carried out in the step S3b of Fig. 8 is handled.
The specific embodiment
Below, according to the image diagnosis support system and the diagnostic imaging support method of description of drawings embodiments of the invention 1,2,3.In addition, in the following description,, and only carry out repeat specification in the case of necessary to the additional prosign of the structural element with roughly the same function and structure.
In addition, in the following description, illustrate by possess the situation that diagnostic imaging support function described later realizes the image diagnosis support system of embodiments of the invention 1,2,3 by the medical imaging save set.But, have more than and be limited to this, for example also can constitute by the diagnostic imaging support function being installed in report and make supportive device, medical imaging finder, medical diagnostic imaging apparatus (X ray computer laminagraph device (X ray CT device), MR imaging apparatus, diagnostic ultrasound equipment, nuclear medicine diagnostic apparatus, radiodiagnosis device etc.) and wait in other devices, realize the image diagnosis support system of embodiments of the invention 1,2,3.
(embodiment 1)
Fig. 1 is the block diagram of structure of the medical imaging save set 1 of expression embodiment 1.As shown in Figure 1, medical imaging save set 1 possesses program storaging part 10, image storage part spare 11, reports that memory unit 13, data management parts 15, control assembly 17, information obtain analysis component 19, total object generates parts 21, functional unit 23, sends receiving-member 25.
Program storaging part 10 storage be used to realize diagnostic imaging support function described later dedicated program, be used to the various programs such as program of resetting total object.
The various medical imagings that 11 storages of image storage part spare are obtained by medical diagnostic imaging apparatus.Medical imaging is for example according to the DICOM specification.As required, to each inspection or sequence management medical imaging.
The report of report memory unit 13 memory by using makes the report that supportive device makes.The image (key images) that belongs to certain inspection is made report.The user is by comparing interpreting blueprints to the past image of photographing in the present image of photographing, in the past the inspection in the current inspection that becomes the object that makes of report, and will the suggestion of current check be aggregated in the report.As Word message, report has suggestion.In addition, usually, report to have to be used for determining the link information of the preservation position of the past image of object as a comparison.For example, link information is embedded in the specific character string that is included in the suggestion.Thus, the image of making over associates (hyperlink) with the specific character string that has embedded link information.Embed the character string of link information by selection on picture, and on picture, shown the past image of hyperlink target.Link information for example is the address information of the preservation position of the image in the presentation video memory unit 11.
Data management parts 15 area definitions each of the DICOM object in each is checked, obtained preserve the preservation location tables of position, carry out the management such as renewal of its content.DICOM to as if according to the image of DICOM specification, incidental information, total object, report etc.In addition, the similar degree judgement table that 15 storages of data management parts are used to judge the similar degree between the inspection carries out the management such as renewal of its content.
Control assembly 17 is controlled the static or dynamic action of medical imaging save set 1 uniformly.In addition, control assembly 17 is realized diagnostic imaging support function described later by dedicated program is deployed in the not shown memorizer.
Information obtains analysis component 19 and uses the preservation location tables that is stored in the data management parts 15, obtains in order to generate the total needed various information of object afterwards.In addition, information obtains the various information that 19 pairs of analysis component obtain and analyzes, and determines the information as the incidental information of total object.In addition, information obtains the various information that 19 pairs of analysis component obtain and analyzes, and judges whether to exist the image of the reference picture that is used to generate total object.Reference picture is that expression is as the inspection of the formation object of total object or the camera coverage in the sequence and at least one side's of the key images position that becomes the diagnosis basis image.Below, the image that will be used to generate reference picture is called with reference to using image.Information obtains analysis component 19 not existing with reference to under the situation of image, and the various information that obtain are analyzed, and as required, generates with reference to using image according to the image of having photographed.
Sequence is meant the index that is used for management information, is used for the clinical characteristics (having what kind of clinical meaning) of time (when generating), space (where generating), information is classified to information as symbol.Generally manage the image of in once checking, obtaining taxonomically by a plurality of sequences.Sequence UID is managed with inspection UID (study UID) relatedly.In addition, belonging between a plurality of sequences of same inspection, reference picture is common (identical) sometimes, and reference picture is different sometimes.
Total object generates parts 21 according to diagnostic imaging support function described later, generates the total object that comprises image information and incidental information.For example in order to effectively utilize the information that reference picture, the information relevant with camera positions, camera coverage, photography conditions, image formation condition, key images, the information relevant with report, link information etc. use when implementing medical act, and generate total object.To describe total object in the back in detail.
Functional unit 23 possesses keyboard, various switch, mouse, button (for example GUI etc.) etc., is the device that can import from operator's indication.In addition, functional unit 23 has special I/F of being used to indicate the execution that diagnostic imaging support described later handles etc.
Transmission receiving-member 25 has the needed various information of object etc. via network from other equipment receptions or to other equipment transmission images, total object, the solid data of report, generation.
In addition, in embodiment 1, constitute medical imaging save set 1 and directly possess image storage part spare 11, report memory unit 13.But, having more than and be limited to this, image storage part spare 11, report memory unit 13 also can be arranged on and can carry out in other devices on the network that the transmission of information receives with medical imaging save set 1.
(total object)
Then, total object is described.Fig. 2 is the figure of the structure of the total object of expression.Total object comprises image information I1 and incidental information I2 for example as shown in Figure 2.As image, for example each inspection or each sequence are generated and manage total object according to the DICOM specification.
[image information]
As shown in Figure 2, image information I1 has one or more reference picture Ia1, the Ia2 that expresses scope R and position.Reference picture Ia1, Ia2 for example are the scanogram that uses in X ray CT device, top (coronal) image of the scanning of the navigation in the MRI device etc.Reference picture is also referred to as " search (scout) image " or " localizer (Localizer) ".Scope R is that medical diagnostic imaging apparatus is actual in energizes such as X ray or high frequencies, becomes detector carries out the object of signal detection or image generation based on the energy of being supplied with physical extent.For example under the situation of X ray CT device 1, scope R is the scope of basis by the axon direction of the detected data for projection reconstruct of detector, i.e. reconstruct scope.In addition, for example under the situation of MRI device, scope R is a sweep limits.With dashed lines etc. is clearly expressed scope R on general reference picture Ia1, the Ia2 that obtains before scanning, and the line that generates spacing with the image of expression axon direction is represented sometimes.In addition, in this image information I1, as required, on reference picture Ia1, Ia2, depict the label L of expression key images position sometimes, perhaps and then depict key images self (solid data of key images).
In addition, if in diagnostic imaging support function described later, confirmed editing and processing, then according to making editor's indication that back-up system receives from medical report, the solid data of the key images managed as this image information, the key images position L on reference picture Ia1, the Ia2 etc. are edited.
[incidental information]
As shown in Figure 2, incidental information I2 can rough classification be with definite information of the corresponding inspection/sequence of this total object, in this inspection with reference to inspection/sequence definite information, the report relevant with should total object corresponding inspection definite information, the information of being correlated with the key images of should total object corresponding inspection, be somebody's turn to do 5 kinds of information reproductions that have the corresponding inspection/sequence of object.Below, each information is described.
[incidental information 1: definite information of the inspection/sequence corresponding] with this total object
This incidental information is to be used for this total object and other other information of total target area.This incidental information comprises identifier (object UID), management object sequence identifier (management object sequence UID), the management object of this (having) object and checks identifier (management object is checked UID).
Object UID is the information that is used for this object and other objects difference (being used to determine).Object generation parts by each device are numbered object UID, make and do not repeat when generation has object.Management object sequence UID is the information of sequence that is used for determining the management object of this total object.Management object checks that UID is the information of inspection that is used for determining the management object of this total object.
[incidental information 2: in this is checked with reference to definite information of inspection/sequence]
This incidental information is the information of the relatedness of this total object of expression and other total objects.This incidental information comprises higher level's (having) object identifier (higher level's object UID), relating sequence identifier (relating sequence UID), this sequence UID, the related identifier of checking.
Higher level's object UID be used for determining in order to generate this object with reference to the information of object (higher level's object).Relating sequence UID is the information that is used to determine used the sequence of the condition identical with this total object (for example photography conditions, reference picture etc.).The situation that has a plurality of relating sequence UID in the object intrinsic information is arranged.This sequence UID is the information that is used for according to should total object determining the sequence shown in the photography conditions etc.
In addition, between by each UID established data, link is set.Therefore, by data, can promptly review the derivation inspection process of this group of pictures according to each UID access links target.In addition, in the object intrinsic information, also can comprise making day or making the time of total object.
[incidental information 3: definite information of the report relevant] with the corresponding inspection of this total object
This incidental information is the identifier (report identifier) that is used for determining the report that generates in this inspection.In addition, the inspection for regulation has in the future report extemporaneous is revised, or makes the situation of report in addition again.To the different identifier of these report numbers the time, the report identifier that comprises whole report identifiers or select according to defined terms.
[incidental information 4 :] with the relevant information of key images of the corresponding inspection of this total object
This incidental information is the information of the solid data of the information that is used for determining the key images that the parts in medical imaging save set 1 side use in interpreting blueprints or diagnostic imaging (for example the SOP entity UID of DICOM specification etc.), key images, the position that is used for determining key images or direction etc. (for example the such information of z axle bed cursor position, direction, amplification, WW/WL when observing etc.).In addition, be under the situation of MPR picture at key images, also can in this incidental information, comprise the position image-related, direction, formation condition etc. with the image formation condition with the MPR that becomes key images the samely.
In diagnostic imaging support described later is handled, with the report person of making and in this report makes the device of use combination accordingly, judgement could be carried out the kind of editing and processing and editing and processing, manages this incidental information accordingly with this judged result.
[incidental information 5: the inspection corresponding or the information reproduction of sequence] with this total object
This incidental information is the information that is used for being reproduced in the processing that inspection in the past or sequence carried out.This incidental information comprises photography conditions, image formation condition etc.
Photography conditions is in order to collect the needed physical condition of physical data in the source that generates as image from the patient by the photography action.The content of this condition exists with ... the kind of model.For example, the photography conditions of X ray CT device is starting position, sweep limits (the platform amount of movement crouches), the KV/mA of X-ray tube ball, the beam spacing of scanning.In addition, beam spacing is the X-ray tube ball during 1 rotation with respect to the platform amount of movement for sleeping in of the overall width of resulting image slices.
But the content of photography conditions has more than and is limited to this example.For example photography conditions can comprise also that direction of insertion (being to begin access to plant, still the start anew information of access to plant from foot), the contrast agent of the patient when checking throw in has or not, the kind of the injected volume of contrast agent, medicament, patient's position (direction, the posture that couch at Wo Tai) etc.Have in order to reduce amount of radiation and automatically control the feasible function that becomes constant image quality of KV/mA, in this case, in photography conditions, also can comprise picture noise (SD value) as controlled quentity controlled variable.
In addition, the photography conditions of MRI device for example be camera coverage, patient's direction of insertion or position, magnetic field intensity, pulse train, magnetic test coil kind, magnetic test coil be provided with position, electrocardiogram synchronously, breathe synchronous have or not, the having or not of Wo Tai air-supply, the body part of photo centre, installation site.
The image formation condition is the parameter that is used for according to the physical data reconstructed image that obtains by photography.For example the image formation condition is filtration treatment parameter such as position, direction, thickness, FOV (amplification), reconstruction of function of reconstruct scope, time phase, image etc.In addition, this image formation condition is included in the condition of using in the Flame Image Process such as the body of carrying out in various medical diagnostic imaging apparatus, the image referring apparatus is played up, MPR processing.Under the situation that MPR handles, be benchmark coordinate, normal line vector, slice thickness, scope etc. for example.
In addition, also can define the reconstruct scope by the reference picture shown in the reconstruct scope.In this case, a total object has a plurality of reference pictures of expressing a plurality of reconstruct scopes respectively.
By preserving above incidental information, can when checking beginning, omit the suitably photography image that can compare with image last time of ground by total object.In addition, total object must not have the full detail shown in above-mentioned, if can effectively utilize the information of using when implementing medical act, then its content can be carried out various changes accordingly with device or the purpose utilized.For example, the incidental information in the employed total object of medical diagnostic imaging apparatus also can have patient ID, positional information, the terrestrial reference (landmark) relevant with sweep limits (reconstruct scope).In addition, the incidental information that is used for the total object of PACS also can have positional information, the terrestrial reference of patient ID, key images.In addition, do not needing reference picture, and under the situation of the photography conditions that only need pass by etc., total object also can include only the incidental information that comprises photography conditions etc.
(diagnostic imaging support function)
The diagnostic imaging support function of embodiment 1 then, is described.This function is at importing the inspection of implementing before the system that utilizes total object, and generation has object and it is managed afterwards.
Fig. 3 is based on the control of control assembly 17 and the flow chart of the processing (diagnostic imaging support processing) of the diagnostic imaging support function of the embodiment 1 that carries out.As shown in Figure 3, the diagnostic imaging support is handled and can rough classification to be handled the preservation processing (step S5) of (step S4), total object for the generation of the obtaining of the related information of obtaining processing (step S2), inspection or sequence of definite information of accepting processings (step S1), inspection or sequence of the generation indication of total object/analyzing and processing (step S3), total object.Below, the content of each step is described.
[accepting of the generation indication of total object: step S1]
At first, according to the input of the regulation of being carried out via functional unit 23 by the user, control assembly 17 is accepted the generation indication (step S1) of total object.
[being identified for determining the information (determining information) of inspection or sequence: step S2]
Generate indication if accepted, then control assembly 17 makes information obtain the inspection that becomes formation object afterwards of analysis component 19 definite total objects or definite information (step S2) of sequence.As the object lesson of determining information, for example can enumerate and check entity ID, sequence UID, patient ID, inspection UID, check day or the inspection moment etc. and check relevant temporal information etc.In addition, when the accepting of the generation of step S1 indication, also can determine information via functional unit 23 inputs by the user.
[with according to determining obtaining/analyzing of information (related information) that inspection that information is determined or sequence are associated: step S3]
The obtaining of related information/analyzing and processing is roughly divided into: the processing A that obtains related information; Obtain and be used for determining the information processing B of reference with image; Obtain definite information processing C of the past inspection/sequence related with this inspection.At first, A and treatments B are handled in explanation synthetically, and then C is handled in explanation.
＜obtain the processing A﹠amp of related information; Obtain and be used for determining the information processing B of reference〉with image
Fig. 4 is illustrated among the step S3 to obtain the obtaining of related information that analysis component 19 carries out/analyzing and processing by information and (handle A﹠amp; The flow chart of flow process treatments B).As shown in Figure 4, information obtains analysis component 19 and utilize definite information of determining in step S2, and the preservation position that defines in the table of the management position in data management parts 15 is conducted interviews, and obtains related information (step S31a).
Fig. 5 is that expression is stored in the figure that preserves an example of location tables in the data management parts 15.For example, under the situation of the UID that obtains the sequence that is associated with inspection of determining according to definite information or sequence, information obtains analysis component 19 with reference to preserving location tables, to conducting interviews as its image storage part spare 11 of preserving target (obtaining target), obtain be used as identifier " 0020,002e " and the management sequence UID as related information.Equally, information obtains analysis component 19 and uses and preserve location tables, obtain the structure that is used for determining the inspection determined according to related information or sequence information (for example sequence entity UID etc.), comprise photography conditions and image formation condition DICOM incidental information (for example picture position, image direction, image type, camera coverage, tube voltage, tube current, image generate parameter etc.), be used for determining that the information of key images is as related information.
Whether if obtained related information, information obtains 19 pairs of related informations of obtaining of analysis component and analyzes, judge to exist in the image of obtaining in the past with reference to using image (step S32a).Promptly, information obtains analysis component 19 and related information is classified at each sequence according to sequence entity UID, at each sequence the image type of each image, picture position, image direction etc. are analyzed, judge check or sequence in whether exist with reference to using image.
Generally, the picture position of reference picture and image direction are different with the picture position and the image direction of image that is not reference picture.Under the situation of the sequence of CT or MR photography, reference picture for example is that radially section or top are to section, and other a plurality of images are axial section mostly.
Therefore, if image direction, picture position to a plurality of images in the sequence that is included in the CT photography are analyzed, can determine to represent be radially section or top to the image of section, then information obtain analysis component 19 be judged as check or sequence in exist with reference to using image.In addition, for example determining that representing is under the situation of reference with the image type of image, information obtains analysis component 19 and is judged as existence reference image in inspection or sequence.
Do not exist with reference to (step S32a:No) under the situation of image being judged as, information obtains analysis component 19 and carries out with reference to the generation with image and handle.
In with reference to generation processing with image, information obtains analysis component 19 according to the related information of obtaining, the picture position of each sequence, image direction, image type, camera coverage etc. are analyzed, judged whether to generate reference picture (step S33a).Judging (step S33a:YES) under the situation that can generate reference picture, information obtains analysis component 19 and obtains the solid data of image according to sequence unit, and the solid data of the image that use obtains generates MPR image (step S34a).Then, information obtains analysis component 19 according to information such as the picture position of each view data of the sequence unit that obtains, image directions, from the MPR image of generation, cut out the section (promptly the suitableeest MPR image) that is suitable for most with reference to image, generate thus with reference to using image (step S35a).The reference that is generated is stored in the image storage part spare 11 with image.In addition, will be with reference in the preservation location tables that is possessed to data management parts 15 with the preservation location registers of image.If step S35a finishes, then information obtains analysis component 19 and transfers to step S36a.
Judge in step S33a and can not generate with reference to (step S33a:NO) under the situation of image, information obtains analysis component 19 and transfers to step S36a.
Judge existence with reference to using under the situation of image (step S32a:YES) in step S32a, information obtains analysis component 19 and transfers to step S33a.
In step S32a, judge and exist with reference to the situation of image or in step S35a, generated with reference to under the situation of image, information obtain analysis component 19 to total object generate parts 21 send be used for definite this with reference to the related information of obtaining with the information of image, at step S31a (step S36a).In addition, judge in step S33a and can not generate reference with under the situation of image, information obtains analysis component 19 and is sent in the related information of obtaining among the step S31a to total object generation parts 21.More than, be through with and handle A﹠amp; The explanation of treatments B.
＜obtain definite information processing C of the past inspection/sequence that is associated with this inspection 〉
Then, illustrate in step S3 to obtain in the report from be stored in report memory unit 13 that analysis component 19 carries out and determine the past inspection that is associated with this inspection or obtain definite information processing by information.Fig. 6 is a flow chart of obtaining the processing of link information.As shown in Figure 6, information obtains analysis component 19 and with reference to preserving location tables report memory unit 13 (or preassigned report makes supportive device) is conducted interviews, use patient ID, check day, model, the collection numbering (Accession numbering) of this inspection etc., obtain the report (step S31b) of this inspection.
Then, information obtains the content of 19 pairs of reports that obtain of analysis component and analyzes, and judges the association (hyperlink) (step S32a) that whether exists in this report the past image.
In step S32b, judging (step S32b:NO) under the situation that does not have hyperlink, information obtains the processing that analysis component 19 end obtain link information.
In step S32b, judging (step S32b:YES) under the situation that has hyperlink, information obtains analysis component 19 and obtain the up-to-date link information to the past image (step S33b) from the past image of the hyperlink target related by hyperlink.Specifically, link information comprises the affiliated inspection of image or definite information of sequence.If obtained link information, then information obtains analysis component 19 and extracts definite information (step S34b) such as checking UID, sequence UID out from the link information of obtaining.The definite information that obtains is to be used for determining inspection under the up-to-date past image or definite information of sequence.Then, information obtains definite information that analysis component 19 will extract out and sends to total object as related information and generate parts 21 (step S35b).More than, be through with and handle the explanation of C.
In addition, can carry out＜handle A﹠amp; Treatments B〉and＜handle C both sides, also can carry out a side arbitrarily.Can at random set this selection by functional unit 23 by the user.
[generation of total object: step S4]
As shown in Figure 3, total object generates parts 21 according to obtaining the related information that analysis component 19 receives from information, for example to as each sequence of object or belong to each sequence as the inspection of object, generates total object.
Fig. 7 is the figure that is used to illustrate the notion that has object.At first, total object generates parts 21 according to the information that is used for determining to use as the reference of related information image I b, obtains with reference to the solid data with image I b.Then, total object generates parts 21 at the reference that obtains image I b, depicts camera coverage R and key images position L, generates reference picture Ia thus.By coverage diagram (overlay) or directly append the method for describing etc. and carry out this and describe to pixel.
In addition, total object generates parts 21 uses and obtains the related information that analysis component 19 obtains from information, generates the DICOM incidental information that comprises photography conditions, image formation condition, link information etc., thereby generates total object.
In addition, according to sequence unit or inspection unit, the generation of so total object is carried out in circulation.
[preservation of total object: step S5]
With the total object that generated as the new DICOM object storage relevant with this inspection or sequence in image storage part spare 11.In addition, will have the preservation location registers of object in the preservation location tables that data management parts 15 are possessed.After registration, the end notification of handling for example is presented on the display unit, finish a series of generation and handle.
(effect)
According to above-described structure, can obtain following effect.
Medical imaging save set 1 is according to the inspection of the formation object of the total object of conduct or definite information of sequence, in the incidental information of the view data that from the past inspection or sequence, obtains, its incidental information, report etc., obtain the related information that is associated with this inspection or sequence.Analyze being included in image type in the related information of obtaining, image direction, picture position, camera coverage etc., medical imaging save set 1 from view data that this inspection or sequence are associated, select with reference to using image.By describing camera coverage, key images etc. in the reference of selecting in image, medical imaging save set 1 is obtained reference picture.Related information and reference picture that 1 use of medical imaging save set obtains can for example generate the total object relevant with this inspection or sequence according to sequence unit.Therefore, for importing the inspection of implementing before the system that utilizes total object, medical imaging save set 1 also can generate total object afterwards.By use this total object that generates afterwards, for example the situation of postoperative process being carried out diagnostic imaging, to lump through the time change situation about observing etc. down, inspection that can recreate the past accurately or sequence.In addition, do not need the image scanning report last time checked reference, confirm such operation, just can be to the improvement generation effect of the operation flow of radiology department.
In addition, do not exist with reference to using under the situation of image, medical imaging save set 1 for example generates suitable MPR image according to already present view data, used as with reference to using image, generates the reference picture that is included in the total object.Therefore, medical imaging save set 1 also can generate the total object that comprises reference picture not existing with reference to under the situation of image afterwards.Consequently, medical imaging save set 1 can generate the total object relevant with all inspections or sequence afterwards.And medical imaging save set 1 can be to the generation effects such as raising of the repeatability of the raising of the working performance of diagnostic imaging, the diagnostic imaging in past.
In addition, medical imaging save set 1 from report that this total object is associated obtain the link information that in this report, exists to the past image, the link information of obtaining can be included in this total object.Consequently, medical imaging save set 1 is generating under the situation of total object afterwards, also can make the relatedness with the past image in total object.
(embodiment 2)
Generally in the management according to the view data of DICOM specification etc., the information that photography conditions just defines in the DICOM of standard specification is also insufficient.Therefore, insufficient information is come preservation information as special tags.
But, because this special tags partly is the inherent information of device, so generally be difficult to generate afterwards.
The medical imaging save set 1 of embodiment 2 is by determine and inspection that will generate total object or similar inspection or the sequence in the past of sequence afterwards, and utilize the information be included in the total object corresponding with inspection of having determined or sequence, further seek content substantial of the total object that afterwards generates.
Fig. 8 is based on the flow chart that diagnostic imaging support that the control of the control assembly 17 of embodiment 2 carries out is handled.As shown in Figure 8, in the diagnostic imaging support of embodiment 2 is handled, appended the utilization of similarly total object and handled (step S3b).
Fig. 9 be in the step S3b of Fig. 8 by information obtain that analysis component 19 carries out the flow chart of processing.As shown in Figure 9, at first information obtains the total object (step S31c) that analysis component 19 obtains the candidate who becomes similarly total object.Become the candidate total object to obtain with the inherent information of supplementary device (being the special tags part) be purpose, so station (station) name and the position etc. of photographing of using the DICOM incidental information of the inspection that becomes the formation object afterwards that has object, image storage part spare 11 is carried out.The total object of obtaining in step S31c has one situation, and a plurality of situations is also arranged.
Then, information obtains the similar degree (step S32c) that analysis component 19 is calculated obtained total object.That is, information obtains analysis component 19 reference example similar degree judgement table as shown in figure 10 on one side, Yi Bian calculate similar degree.Figure 10 is the figure of an example of expression similar degree judgement table.For example, information obtains the value that 19 pairs of analysis component are included in the value of the project " tube voltage " among the total object A that becomes formation object and are included in the project " tube voltage " in the total object B that obtains and compares.Under the situation of value unanimity, information obtains analysis component 19 and adds 5 points to the similar degree of total object A.Under the inconsistent situation of value, information obtains analysis component 19 and does not put a spot.Like this, for the whole projects that are included among the total object A,, calculate similar degree by the value of item compared.In other words, the similar degree of total object A is the total to the addition weighting of the whole allocations of items of total object A with value identical with being included in the value that has the project in the object B.
If calculate similar degree, then information obtains the similar degree (step S33c) whether analysis component 19 is judged has in the similar degree that calculates above defined threshold.
Judge do not exist above the situation of the similar degree of defined threshold under (step S33c:NO), information obtains the utilization that analysis component 19 finishes similarly total object and handles, and transfers to step S4.
Judging under the situation that has the similar degree that surpasses defined threshold (step S33c:YES), information obtains in the total object that analysis component 19 obtains in step S31c, and the total object decision that will have the maximum similar degree of value is similarly total object (step S34c).Then, information obtains analysis component 19 and obtains the information (promptly comprising the incidental information of reference picture, special tags part etc.) (step S35c) that is included in the similarly total object.Then, information obtains information that analysis component 19 will obtain and sends to total object and generate parts 21 (step S36c) in step S35c.
According to above-described structure, medical imaging save set 1 can utilize the information (particularly relevant with special tags part information) that is included in the highest total object of similar degree generate under the situation of total object afterwards.Consequently, medical imaging save set 1 also can comprise the inherent information of device etc., can generate the total object of the information that fully comprises the inspection that is used to recreate the past or sequence afterwards.
(embodiment 3)
Following situation is arranged: for example do not comprise the solid data relevant information of solid data (or be used for determining) in the total object of in the step S31c of embodiment 2, obtaining, and alternatively comprise the information that is used for determining other total objects that should reference (for example information at the UID of this other total object, expression place, link information etc.) with photography conditions, reference picture etc.The medical imaging save set 1 of embodiment 3 and then conducts interviews to other total objects that should reference in this case, utilizes the information in the total object that is included in visit, seeks further to enrich the content of the total object that afterwards generates.In addition, other total objects that below should reference are called the total object that substitutes usefulness.
The diagnostic imaging support of carrying out under the control of control assembly 17 of embodiment 3 is handled owing to the same with Fig. 8, so omit explanation.Figure 11 obtains the flow chart that the utilization of the total object of the alternative usefulness that analysis component 19 carries out is handled by information in the step S3b of Fig. 8.As shown in Figure 11, at first information obtains the total object (step S31d) that analysis component 19 obtains the candidate who becomes similarly total object.Step S31d is the same processing of handling with the utilization that similarly has object of embodiment 2 of step S31c.Then, information obtains definite information (step S32d) that analysis component 19 is judged the total object that whether comprises alternative usefulness in the total object of obtaining.
Under the situation of judging the definite information that does not comprise the total object that substitutes usefulness (step S32d:NO), information obtains analysis component 19 and transfers to step S4.
Under the situation of judging the definite information that comprises the total object that substitutes usefulness (step S32d:YES), information obtains the total objects that 19 pairs of analysis component should substitute usefulness and conducts interviews, and obtains the information (step S33d) in the total object of the alternative usefulness that is included in visit.Then, information obtains analysis component 19 information that obtains is sent to total object generation parts 21 (step S34d).
In addition, in the total object that step S33d has visited, comprise should with further reference to the situation of definite information of other total objects under, also can further conduct interviews as required to other total objects.It is desirable to for example can at random set where other total objects are traced back to by being arranged on the I/F of the regulation in functional unit 23 grades.
According to above-described structure, should there be storage and relevant solid datas such as photography conditions, reference picture in other total objects of reference, and alternatively store under the situation of definite information of the total object that replaces usefulness, medical imaging save set 1 also can be traced back to the total object that can obtain necessary information.Consequently medical imaging save set 1 can generate the total object of the information that fully comprises the inspection that is used to recreate the past or sequence afterwards.
In addition, the present invention has more than and is limited to the foregoing description self, the implementation phase in the scope that does not break away from its aim, can be out of shape and specialize element.As concrete distortion example, for example as follows.
Also can be installed in the computer such as work station, and on memorizer, they be launched, realize each function of embodiments of the invention 1,2,3 by the program that will carry out corresponding processing.At this moment, also the procedure stores that can make computer carry out this method can be issued in recording mediums such as disk (floppy disk (registered trade mark), hard disk etc.), CD (CD-ROM, DVD etc.), semiconductor memory.
In addition, by the appropriate combination of a plurality of elements that the foregoing description disclosed, can form various inventions.For example also can from the whole elements shown in the embodiment, delete several elements.And then, also can suitably make up the element among the different embodiment.
According to embodiment 1～3, can realize a kind ofly for inspection or the sequence before the system that import to utilize total object, implemented, also can generate image diagnosis support system, the diagnostic imaging support method of total object afterwards.
Claims (14)
1. image diagnosis support system is characterized in that comprising:
The definite information that is identified for determining becoming the specific inspection of formation object of object or sequence is order unit really, and wherein this object has attached photography conditions, camera coverage, become at least one information in the key images position of basis of diagnosis image;
According to the incidental information of at least one image that is associated with above-mentioned specific inspection or sequence, judge in above-mentioned specific inspection or sequence whether exist with reference to first judging unit with image;
Exist above-mentionedly with reference to under the situation of image judging, uses above-mentionedly, generate first generation unit of above-mentioned object with reference at least one information in the photography conditions in usefulness image and the above-mentioned incidental information, camera coverage, the key images position.
2. image diagnosis support system according to claim 1 is characterized in that:
Above-mentioned incidental information also comprises picture position, image direction, image type, inspection UID, sequence UID, checks at least one of entity UID, sequence entity UID except comprising above-mentioned photography conditions, above-mentioned camera coverage, above-mentioned key images position.
3. image according to claim 1 is examined and is supported disconnected system, it is characterized in that also comprising:
Judge do not exist above-mentioned with reference to under the situation of image, use at least one information in photography conditions in the above-mentioned incidental information, camera coverage, the key images position, with at least one image that above-mentioned specific inspection or sequence are associated, generate second generation unit of above-mentioned reference picture.
4. image diagnosis support system according to claim 1 is characterized in that also comprising:
According to above-mentioned definite information, obtain be included in above-mentioned specific inspection or sequence is similarly checked or sequence is relevant object in information first obtain the unit, wherein
Above-mentioned first generation unit uses the above-mentioned information that obtains, and generates and above-mentioned specific inspection or the relevant object of sequence.
5. image diagnosis support system according to claim 4 is characterized in that:
Above-mentioned first obtains under the unit comprises the information relevant with other objects that should reference in the above-mentioned information that obtains the situation, obtains the above-mentioned information in should other objects of reference that is included in.
6. image diagnosis support system according to claim 1 is characterized in that also comprising:
Obtain second of the report that is associated with above-mentioned specific inspection or sequence and obtain the unit;
Whether judgement exists second judging unit of link information of the memory location of the image that expression other inspections different with above-mentioned specific inspection or sequence or sequence be associated in the above-mentioned report that obtains, wherein
Judging under the situation that has above-mentioned link information, above-mentioned first generation unit makes and also comprises the information that is used for definite image that is associated with above-mentioned other inspections of extracting out from above-mentioned link information or sequence.
7. image diagnosis support system is characterized in that comprising:
Be identified for determining comprising definite information order unit really of the medical imaging of a plurality of images;
Judge whether to exist with according to above-mentioned definite definite information and the reference that definite medical imaging is associated with first judging unit of image;
Judge exist above-mentioned with reference to under the situation of image, use above-mentioned with reference to comprising photography conditions, camera coverage with image with from incidental information, becoming at least one the information in the position of key images of basis of diagnosis, the generation unit of formation object according to the definite medical imaging of above-mentioned definite information.
8. image diagnosis support system according to claim 7 is characterized in that:
Above-mentioned definite information is inspection UID or the sequence UID by the DICOM regulation.
9. image diagnosis support system according to claim 7 is characterized in that:
Whether the above-mentioned definite medical imaging of above-mentioned first judgment unit judges comprises with reference to image or the reference image that is associated with above-mentioned definite medical imaging of existence not.
10. image diagnosis support system according to claim 7 is characterized in that also comprising:
Do not exist above-mentionedly judging, generate above-mentioned with reference to second generation unit with image according to above-mentioned definite medical imaging with reference to under the situation of image.
11. image diagnosis support system according to claim 7 is characterized in that also comprising:
Obtain the unit of obtaining of the report that is associated with above-mentioned definite medical imaging;
Whether judgement exists second judging unit of link information of the memory location of the image that expression other medical imagings different with above-mentioned definite medical imaging are associated in the above-mentioned report that obtains, wherein
Judging under the situation that has above-mentioned link information, above-mentioned first generation unit makes also to comprise in above-mentioned object and is used for information definite and the above-mentioned image of extracting out from above-mentioned link information that is associated.
12. an image diagnosis support system is characterized in that comprising:
The definite information that is identified for determining becoming the specific inspection of formation object of object or sequence is order unit really, and wherein this object has attached photography conditions, camera coverage, become at least one information in the key images position of basis of diagnosis image;
Obtain the unit of obtaining of the report that is associated with above-mentioned specific inspection or sequence;
Whether judgement exists the judging unit of link information of the memory location of the image that expression other inspections different with above-mentioned specific inspection or sequence or sequence be associated in the above-mentioned report that obtains;
Judging under the situation that has above-mentioned link information, use is determined at least one information in the photography conditions, camera coverage, key images position of the incidental information of the information of the image that is associated with above-mentioned other inspections or sequence, at least one image of being associated with above-mentioned specific inspection or sequence from above-mentioned link information being used for of extracting out, and generates the generation unit of above-mentioned object.
13. a diagnostic imaging support method is characterized in that may further comprise the steps:
Determine to become the specific inspection or the sequence of the formation object of object, wherein this object has attached photography conditions, camera coverage, has become at least one information in the key images position of basis of diagnosis image;
According to the incidental information of at least one image that is associated with above-mentioned specific inspection or sequence, judge in above-mentioned specific inspection or sequence, whether to exist with reference to using image;
Exist above-mentionedly with reference to under the situation of image judging, uses above-mentionedly, generate above-mentioned object with reference at least one information in the photography conditions in usefulness image and the above-mentioned incidental information, camera coverage, the key images position.
14. a diagnostic imaging support method is characterized in that may further comprise the steps:
Be identified for determining comprising definite information of the medical imaging of a plurality of images;
Judge whether to exist with according to above-mentioned definite definite information and the reference image that definite medical imaging is associated;
Judge exist above-mentioned with reference to under the situation of image, use above-mentioned with reference to comprising photography conditions, camera coverage with image with from incidental information, becoming at least one the information in the position of key images of basis of diagnosis, formation object according to the definite medical imaging of above-mentioned definite information.
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| JP2007-116124 | 2007-04-25 | ||
| JP2007116124 | 2007-04-25 | ||
| JP2008066065A JP5305700B2 (en) | 2007-04-25 | 2008-03-14 | Image diagnosis support system and image diagnosis support method |
| JP2008-066065 | 2008-03-14 |
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| CN101292903A true CN101292903A (en) | 2008-10-29 |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103258111A (en) * | 2012-02-17 | 2013-08-21 | 西门子公司 | Structured, image-assisted finding generation |
| CN103681459A (en) * | 2012-09-05 | 2014-03-26 | 中芯国际集成电路制造(上海)有限公司 | Method for improving gap filling capability of pre-metal dielectric |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| WO2012096109A1 (en) * | 2011-01-11 | 2012-07-19 | 株式会社 東芝 | Diagnostic imaging device, diagnostic imaging method, medical image server, and medical image storing method |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| JP4389011B2 (en) * | 2004-04-07 | 2009-12-24 | 国立大学法人名古屋大学 | MEDICAL REPORT CREATION DEVICE, MEDICAL REPORT CREATION METHOD, AND PROGRAM THEREOF |
| JP4580700B2 (en) * | 2004-06-28 | 2010-11-17 | 株式会社東芝 | Medical image display device |
| US7873526B2 (en) * | 2005-05-30 | 2011-01-18 | Kabushiki Kaisha Toshiba | Medical report producing apparatus, medical report referencing apparatus, and method for producing medical report |
| JP5283839B2 (en) * | 2005-11-25 | 2013-09-04 | 東芝メディカルシステムズ株式会社 | Medical diagnostic imaging system |
| JP5231720B2 (en) * | 2006-04-24 | 2013-07-10 | 株式会社東芝 | Image display system and image display apparatus |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103258111A (en) * | 2012-02-17 | 2013-08-21 | 西门子公司 | Structured, image-assisted finding generation |
| CN103681459A (en) * | 2012-09-05 | 2014-03-26 | 中芯国际集成电路制造(上海)有限公司 | Method for improving gap filling capability of pre-metal dielectric |
| CN103681459B (en) * | 2012-09-05 | 2016-03-30 | 中芯国际集成电路制造(上海)有限公司 | Improve the method for before-metal medium layer gap-fill capabilities |
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| CN101292903B (en) | 2010-09-29 |
| JP5305700B2 (en) | 2013-10-02 |
| JP2008289855A (en) | 2008-12-04 |
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