CN117316425A - Method and system for judging reasonability of lesion position of preliminary report - Google Patents
Method and system for judging reasonability of lesion position of preliminary report Download PDFInfo
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- 230000003902 lesion Effects 0.000 title claims abstract description 228
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- 230000004048 modification Effects 0.000 claims abstract description 48
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- 201000010099 disease Diseases 0.000 claims description 25
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 25
- 210000001165 lymph node Anatomy 0.000 claims description 22
- 238000012550 audit Methods 0.000 abstract description 9
- 238000010586 diagram Methods 0.000 description 24
- 238000003384 imaging method Methods 0.000 description 15
- 238000003745 diagnosis Methods 0.000 description 7
- 210000000056 organ Anatomy 0.000 description 4
- 208000010392 Bone Fractures Diseases 0.000 description 2
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- 206010058467 Lung neoplasm malignant Diseases 0.000 description 2
- 230000036770 blood supply Effects 0.000 description 2
- 210000002808 connective tissue Anatomy 0.000 description 2
- 238000002224 dissection Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 210000004185 liver Anatomy 0.000 description 2
- 210000004072 lung Anatomy 0.000 description 2
- 201000005202 lung cancer Diseases 0.000 description 2
- 208000020816 lung neoplasm Diseases 0.000 description 2
- 238000010606 normalization Methods 0.000 description 2
- 230000036285 pathological change Effects 0.000 description 2
- 231100000915 pathological change Toxicity 0.000 description 2
- 238000012216 screening Methods 0.000 description 2
- 230000008733 trauma Effects 0.000 description 2
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Abstract
The invention provides a method for judging the rationality of a preliminarily reported lesion position, which comprises the following steps: obtaining a modification log of the lesion position of an auditor on a preliminary report; judging the type of the modification log, and if the modification log is that a new anatomical part is reselected on the original lesion position label to serve as a lesion position, acquiring a new anatomical part label; comparing the new anatomical part label with the anatomical part label corresponding to the original lesion position based on the adjacent anatomical part database, and if the new anatomical part label and the anatomical part label are adjacent, determining that the initially reported lesion position is reasonable; if the two are not adjacent, determining that the lesion position of the preliminary report is unreasonable, and automatically displaying the judging result on a single-lesion structured report interface. The invention also discloses a system for judging the reasonability of the lesion position of the preliminary report. The invention can automatically judge the rationality of the lesion position by comparing the lesion position labels of the preliminary report and the audit report with those based on the anatomic logic adjacency.
Description
Technical Field
The invention relates to the field of imaging structured report, in particular to a method and a system for judging the reasonability of a lesion position of a preliminary report.
Background
In the imaging diagnosis report, features of the lesion need to be described as precisely as possible, including accurate description of the lesion. This is very important for improving the quality of image diagnosis, improving the quality of clinical treatment, and continuously improving expert consensus based on big data.
But it is a relatively complex task to improve the quality of the description of the lesion location by a physician. First, the physician must use a canonical lesion location description vocabulary when writing the report; and secondly, judging whether the original lesion position description is reasonable or not through revising the report by the auditor. Often both the first-line reporting physician and the auditor use free text to compose the report, and the logic of the judgment is varied, so that the judgment of the rationality of the description of the lesion position can only be manually considered, and the cost is very high, the quality is uncontrollable, and therefore, the continuous improvement is difficult to form in practice.
Disclosure of Invention
Therefore, the main purpose of the present invention is to provide a method and a system for determining the rationality of the lesion position of the preliminary report, which are based on the characteristics of standardization and normalization of the imaging structural report, and the definition of the adjacent rules of the anatomical part of the imaging structural report, and automatically determine the rationality of the preliminary report on the description position of the lesion according to the result of the audit report, so as to solve the problems in the prior art that the report quality caused by the rationality of the lesion position manually thought by the auditor is uncontrollable, and the continuous improvement is difficult to form in a landing.
In order to achieve the above purpose, the technical scheme of the invention is realized as follows:
in one aspect, the invention provides a method for judging the rationality of a preliminarily reported lesion position, which comprises the following steps: obtaining a modification log of the lesion position of an auditor on a preliminary report; the modification log is: reselecting a new anatomical part on the original lesion position label as one or two of lesion position, adding the lesion position label and deleting the original lesion position label; judging the type of the modification log, and if the modification log is that a new anatomical part is reselected on the original lesion position label to serve as a lesion position, acquiring a new anatomical part label; comparing the new anatomical part label with the anatomical part label corresponding to the original lesion position based on the adjacent anatomical part database, and if the new anatomical part label and the anatomical part label are adjacent, determining that the initially reported lesion position is reasonable; if the two are not adjacent, determining that the lesion position of the preliminary report is unreasonable, and automatically displaying the judging result on a single-lesion structured report interface.
Preferably, the generation method of the adjacent anatomical region database is as follows: dividing an anatomic map in each single-disease structured report template into a plurality of anatomic parts, and setting an anatomic part label for each anatomic part; wherein the anatomical region tag comprises: anatomical site numbering and coordinates of a plurality of points on the anatomical site boundary; wherein the coordinate lines of the plurality of points are the areas of the anatomical part; for each of the anatomical parts, matching its neighboring anatomical part, storing all neighboring anatomical part tags in a set form, and generating the neighboring anatomical part database.
Preferably, for each of said anatomical locations, matching its adjacent anatomical location, the steps comprise: in the same single disease structured report, judging whether the anatomical parts are adjacent or not adjacent in physical position in a two-by-two combined mode; if the anatomical site is a lymph node, all lymph nodes within the same group are defined as adjacent to the anatomical site; if there is a leaf concept for an anatomical site, then all anatomical sites within the same leaf are defined as adjacent anatomical sites.
Preferably, comparing the new anatomical site tag with the anatomical site tag corresponding to the original lesion location based on the adjacent anatomical site database comprises: extracting the anatomical part number corresponding to the original lesion position and a new anatomical part number; whether the new anatomical part number is in the set of anatomical part numbers corresponding to the original lesion position is judged, if so, the new anatomical part number is adjacent to the set, and if not, the new anatomical part number is not adjacent to the set.
Preferably, when the auditor reselects a new anatomical site as a lesion site on the original lesion site label, the method further comprises: and automatically displaying a prompt box of whether the new anatomical part is adjacent to the anatomical part corresponding to the original lesion position or not by the single disease structured report interface, and if the prompt box is incorrectly displayed, saving modification data of the auditor on the adjacent anatomical part of the anatomical part corresponding to the original lesion position.
Preferably, if the modification log is: when the lesion position label is newly added and the original lesion position label is deleted, the method further comprises the following steps: recording the newly added lesion position label and deleting the original lesion position label.
On the other hand, the invention also provides a system for judging the rationality of the preliminarily reported lesion position, which comprises the following steps: the system comprises an acquisition module, a judging module and a determining module, wherein the acquisition module is connected with the judging module and is used for acquiring a modification log of a lesion position on a preliminary report by an auditor; the modification log is: reselecting a new anatomical part on the original lesion position label as one or two of lesion position, adding the lesion position label and deleting the original lesion position label; the judging module is respectively connected with the acquiring module and the determining module and is used for judging the type of the modification log, and if the modification log is that a new anatomical part is reselected on the original lesion position label to serve as a lesion position, a new anatomical part label is acquired; the determining module is connected with the judging module and is used for comparing the new anatomical part label with the anatomical part label corresponding to the original lesion position based on the adjacent anatomical part database, and if the new anatomical part label and the anatomical part label are adjacent, the initially reported lesion position is determined to be reasonable; if the two are not adjacent, determining that the lesion position of the preliminary report is unreasonable, and automatically displaying the judging result on a single-lesion structured report interface.
Preferably, the system further comprises: the database generation module is connected with the determination module and is used for dividing the anatomic graph in each single-disease structured report template into a plurality of anatomic parts and setting an anatomic part label for each anatomic part; wherein the anatomical region tag comprises: anatomical site numbering and coordinates of a plurality of points on the anatomical site boundary; wherein the coordinate lines of the plurality of points are the areas of the anatomical part; for each of the anatomical locations, matching its neighboring anatomical locations, storing all neighboring anatomical location tags in a group, and generating the neighboring anatomical location database.
Preferably, the database generation module further includes: the matching unit is used for judging whether the anatomical parts belong to adjacent or non-adjacent physical positions in a two-to-two combined mode in the same single disease structured report; if the anatomical site is a lymph node, all lymph nodes within the same group are defined as adjacent to the anatomical site; if there is a leaf concept for an anatomical site, then all anatomical sites within the same leaf are defined as adjacent anatomical sites.
Preferably, when the auditor reselects a new anatomical site as a lesion site on the original lesion site label, the determining module further comprises: the prompting unit is used for automatically displaying a prompting frame of whether the new anatomical part is adjacent to the anatomical part corresponding to the original lesion position or not on the single-lesion structured report interface, and if the prompting frame is incorrectly displayed, the modification data of the auditor on the adjacent anatomical part of the anatomical part corresponding to the original lesion position is saved.
The invention has the technical effects that:
the method is based on application of single-disease imaging structural report, and automatically judges the rationality of the lesion position by comparing the lesion position labels of the preliminary report and the audit report and a rule set based on anatomic logic adjacency. The method has low judging cost and high quality, and is helpful for large-scale application and improvement of the diagnosis quality of first-line diagnosticians. Secondly, based on whether the rationality judgment of the lesion position is one of the basic conditions for carrying out the overall quality judgment of the diagnostic report, a foundation is laid for more extensive automatic quality judgment. Meanwhile, based on the sustainable modification of the auditor to the adjacent anatomical part set, the database of the adjacent anatomical parts is more perfected, and the accuracy of system judgment is increased; in addition, in addition to judging the rationality of the first doctor for diagnosing the focus position, the method can also be used for judging the rationality of the focus position automatically generated by the image AI, which is helpful for continuous improvement of the image AI.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this application, illustrate embodiments of the invention and together with the description serve to explain the invention and do not constitute a limitation on the invention. In the drawings:
FIG. 1 is a flowchart of a method for determining the rationality of a preliminarily reported lesion location according to a first embodiment of the invention;
FIG. 2 is a schematic view showing an interface between an anatomical site number and an anatomical site region setting in a method for determining the rationality of a preliminarily reported lesion location according to a first embodiment of the invention;
FIG. 3 is a schematic view showing an interface for setting up adjacent anatomical sites in a method for determining the rationality of a preliminarily reported lesion location according to a first embodiment of the invention;
FIG. 4 is a schematic view showing the anatomy of a lesion in a preliminary report in a method for judging the rationality of a lesion location in the preliminary report according to the first embodiment of the invention;
FIG. 5 is a schematic view of an anatomic site reselected on a primary lesion site label by an auditor in a method for determining the rationality of a preliminarily reported lesion site according to one embodiment of the invention;
FIG. 6 is a schematic diagram showing a method for determining the rationality of a preliminarily reported lesion location according to an embodiment of the invention, wherein a clinician automatically displays the rationality determination result on a report interface after reselecting an anatomical site on a primary lesion location label;
FIG. 7 is a schematic diagram showing a method for determining the rationality of a preliminarily reported lesion location after storing modification data of an auditor's setting of adjacent anatomical sites to anatomical sites corresponding to an original lesion location according to a first embodiment of the invention;
fig. 8 is a schematic diagram of an interface for recording new lesions and deleting original lesions of an auditor in a method for determining rationality of lesion locations of a preliminary report according to a first embodiment of the invention;
FIG. 9 is a schematic diagram of a system for determining the rationality of a preliminarily reported lesion location according to a second embodiment of the invention;
FIG. 10 is a schematic diagram showing the automatic display of the rationality judgment result on the reporting interface after the auditor reselects the anatomical site on the primary lesion position label in the system for judging the rationality of the preliminarily reported lesion position according to the second embodiment of the invention;
FIG. 11 is a schematic diagram of an interface for recording a new lesion of a auditor and deleting an original lesion in a system for judging the rationality of a lesion position of a preliminary report according to a second embodiment of the invention;
FIG. 12 is a schematic diagram showing a system for determining the rationality of a preliminarily reported lesion location according to a third embodiment of the invention;
FIG. 13 is a schematic view showing an interface of the anatomical site numbering and anatomical site region setting in a system for determining the rationality of a preliminarily reported lesion location according to a third embodiment of the invention;
FIG. 14 is a schematic diagram showing a system for determining the rationality of a preliminarily reported lesion location according to a fourth embodiment of the invention;
FIG. 15 is a schematic view of an interface for setting up adjacent anatomical sites in a system for determining the rationality of a preliminarily reported lesion location according to a fourth embodiment of the invention;
FIG. 16 is a schematic diagram showing a system for determining the rationality of a preliminarily reported lesion location according to a fifth embodiment of the invention;
FIG. 17 is a schematic diagram showing the anatomy of a lesion in a preliminary report in a system for judging the rationality of a lesion location in the preliminary report according to a fifth embodiment of the present invention;
FIG. 18 is a schematic view of an anatomic site reselected on a primary lesion site label by an auditor in a judgment system for the rationality of a preliminarily reported lesion site according to a fifth embodiment of the invention;
fig. 19 is a schematic diagram showing a method for determining the rationality of a preliminarily reported lesion position according to a fifth embodiment of the invention after modification data of the adjacent anatomical site setting of an anatomical site corresponding to an original lesion position by an auditor is saved.
Detailed Description
The invention will be described in detail below with reference to the drawings in combination with embodiments.
Judging whether the primary report lesion position of the first doctor is reasonable or not, requiring the auditor to make a judgment, based on the characteristics of standardization and normalization of the imaging structural report, each single-disease imaging structural report has corresponding labels, such as a label of a control, a label of a key image, a label of an anatomical schematic diagram and the like, the inventor utilizes the label data of the imaging structural report and the automatic anatomical connection rule, and automatically judges that the report cannot describe the lesion position accurately according to the modification log of the auditor on the primary report lesion position, so that the judgment cost is low, the judgment quality is high, the imaging structural report is suitable for large-scale application, and the diagnosis quality of the first doctor is improved. The method is suitable for the scene that the imaging preliminary report and the audit report all use the same single disease structured report template.
Example 1
FIG. 1 is a flowchart of a method for determining the rationality of a preliminarily reported lesion location according to a first embodiment of the invention; as shown in fig. 1, the method comprises the steps of:
step S101, obtaining a modification log of a lesion position of an auditor on a preliminary report; the modification log is: reselecting a new anatomical part on the original lesion position label as one or two of lesion position, adding the lesion position label and deleting the original lesion position label;
step S102, judging the type of the modification log, and if the modification log is that a new anatomical part is reselected on the original lesion position label to serve as a lesion position, acquiring a new anatomical part label;
the type of the modification log is judged, and the specific operation is as follows: when the auditing doctor modifies the original lesion position label, the mouse pointer moves to the original lesion position label, the left mouse button double-clicks the original lesion position label, the original lesion position is cancelled, the mouse pointer moves to a new anatomical part, the left mouse button single-clicks the anatomical part, and the new anatomical part is selected, so that the reselection of the anatomical part is completed once.
Step S103, comparing the new anatomical part label with the anatomical part label corresponding to the original lesion position based on the adjacent anatomical part database, and if the new anatomical part label and the anatomical part label are adjacent, determining that the initially reported lesion position is reasonable; if the two are not adjacent, determining that the lesion position of the preliminary report is unreasonable, and automatically displaying the judging result on a single-lesion structured report interface.
The generation method of the adjacent anatomical part database comprises the following steps: dividing an anatomic map in each single-disease structured report template into a plurality of anatomic parts, and setting an anatomic part label for each anatomic part; wherein the anatomical region tag comprises: anatomical site numbering and coordinates of a plurality of points on the anatomical site boundary; wherein the coordinate lines of the plurality of points are the areas of the anatomical part; for each of the anatomical parts, matching its neighboring anatomical part, storing all neighboring anatomical part tags in a set form, and generating the neighboring anatomical part database.
FIG. 2 is a schematic view showing an interface between an anatomical site number and an anatomical site region setting in a method for determining the rationality of a preliminarily reported lesion location according to a first embodiment of the invention; as shown in fig. 2, each single disease structured report template has an anatomic map of its corresponding disease, the anatomic map is divided according to physical locations, and each anatomic site is provided with an anatomic site tag, and the defined format is as follows: id () pointlist (), where id is the anatomy part number, pointlist is the coordinates of several points on the anatomy part boundary, the line between these points being the anatomy part region.
Wherein for each of said anatomical locations, matching its adjacent anatomical location, the steps comprise: in the same single disease structured report, judging whether the anatomical parts are adjacent or not adjacent in physical position in a two-by-two combined mode; if the anatomical site is a lymph node, all lymph nodes within the same group are defined as adjacent to the anatomical site; if there is a leaf concept for an anatomical site, then all anatomical sites within the same leaf are defined as adjacent anatomical sites.
In the same image structured report, all the optional lowest anatomical structures are defined in a pairwise combination mode to determine whether the anatomical physical positions are adjacent or not, and the adjacent anatomical positions are automatically marked as not adjacent if the adjacent anatomical positions are not defined for reducing the defined intensity.
Wherein, there are two kinds of special anatomic relation definitions, all lymph nodes in the same group are defined as anatomic adjacency, each lymph node is defined as anatomic non-adjacency with other lymph nodes outside the group;
for organs like lung and liver, there is a natural concept of "leaves", which have independent blood supply, and there is a connective tissue such as a septum between the leaves and connected, and anatomical concepts below all "leaves", which are required to be connected to the name of the superior "leaf" in a tree form, are in parallel relationship, and belong to the physical concept of the organ.
Wherein, based on adjacent anatomical region database, compare new anatomical region label with anatomical region label that original pathological change position corresponds, include: extracting the anatomical part number corresponding to the original lesion position and a new anatomical part number; whether the new anatomical part number is in the set of anatomical part numbers corresponding to the original lesion position is judged, if so, the new anatomical part number is adjacent to the set, and if not, the new anatomical part number is not adjacent to the set.
And under the condition of a plurality of parallel focuses, the system judges one by one and displays the judging result on a structured report interface.
Eliminating emergency scenes: for emergency patient reporting, the decision logic described above is not used. Because of severe but less sensitive imaging of the anatomical site, such as trauma, fracture, hemorrhage, etc., in emergency, the positional history of such scene lesions is particularly important, and the judgment is extremely complex, temporarily irrespective of coverage.
FIG. 3 is a schematic view showing an interface for setting up adjacent anatomical sites in a method for determining the rationality of a preliminarily reported lesion location according to a first embodiment of the invention; as shown in fig. 3, all anatomical site numbers of the lung cancer screening V2.0 structured report template are listed on the interface in columns, with the right side displaying adjacent anatomical site numbers for selection, and the numbers on the right side are selected into the queue of each anatomical site number on the left side by means of a hook.
And judging whether the original part number and the new part number are adjacent or not according to the comparison in the setting of the adjacent anatomical parts, and prompting a user if the original part number and the new part number are not adjacent. If the rule is inaccurate, the arrangement of adjacent parts is continuously perfected.
Wherein when the auditor reselects a new anatomical site as a lesion site on the original lesion site label, the method further comprises: and automatically displaying a prompt box of whether the new anatomical part is adjacent to the anatomical part corresponding to the original lesion position or not by the single disease structured report interface, and if the prompt box is incorrectly displayed, saving modification data of the auditor on the adjacent anatomical part of the anatomical part corresponding to the original lesion position.
FIG. 4 is a schematic view showing the anatomy of a lesion in a preliminary report in a method for judging the rationality of a lesion location in the preliminary report according to the first embodiment of the invention; as shown in FIG. 4, the preliminary reporting physician selected the focal location as supraclavicular lymph node, with site number AT101.
FIG. 5 is a schematic view of an anatomic site reselected on a primary lesion site label by an auditor in a method for determining the rationality of a preliminarily reported lesion site according to one embodiment of the invention; as shown in FIG. 5, the prompt box displays "new site is not anatomically adjacent to the original site" after the auditor reselects the site. Prompting an auditor, and in the adjacent anatomical part database, if the new part is not adjacent to the original part, the auditor re-selects the adjacent anatomical part to the background and stores the selected adjacent anatomical part. Namely: AT103 and AT101, a102 should also be adjacent.
New part: the supraclavicular lymph node, part number AT103, is shown in the arrangement of fig. 3 as being adjacent to AT102 only for the original part AT101, so the cue is not adjacent, but the auditor judges that AT103 should be adjacent to AT101, a102 according to the principle of physical dissection.
FIG. 6 is a schematic diagram showing a method for determining the rationality of a preliminarily reported lesion location according to an embodiment of the invention, wherein a clinician automatically displays the rationality determination result on a report interface after reselecting an anatomical site on a primary lesion location label; as shown in fig. 6, when reporting and auditing, according to the number of the focal anatomical part of the auditor, searching for the adjacent part number, if the number of the focal part of the reporting doctor is in the number set, the reporting doctor describes the reasonable focal position, and automatically displays the judging result on the structural reporting interface; examples: the auditor marks the focus anatomical part number AT103, and queries the adjacent part numbers AT101, AT102 according to the configuration rule, and reports that one or more of the AT101, AT102 and AT103 are reasonable if the auditor marks the AT101, the AT102 and the AT 103.
FIG. 7 is a schematic diagram showing a method for determining the rationality of a preliminarily reported lesion location after storing modification data of an auditor's setting of adjacent anatomical sites to anatomical sites corresponding to an original lesion location according to a first embodiment of the invention; as shown in fig. 7, the auditor performs the re-choosing configuration of the adjacent anatomical region according to the prompt information, and does not need to continuously improve the database of the adjacent anatomical region after the initial one-time definition, so that the system judgment result is more accurate.
Wherein if the modification log is: when the lesion position label is newly added and the original lesion position label is deleted, the method further comprises the following steps: recording the newly added lesion position label and deleting the original lesion position label.
For the auditor to delete or add lesions to the original lesion in the preliminary report, the structured reporting system records a log of these actions, recording a list of deleted and added lesions in these cases. Deleting/adding lesions involves an assessment of the ability of the primary reporting physician to diagnose the condition comprehensively, and is not a consideration in assessing the rationality of lesion location. Therefore, only records are recorded in the invention so as to be used for corresponding statistics later, but the data is not used for judging the rationality of the focus position.
Fig. 8 is a schematic diagram of an interface for recording new lesions and deleting original lesions of an auditor in a method for determining rationality of lesion locations of a preliminary report according to a first embodiment of the invention; as shown in fig. 8, the recording information includes: structured report ID, anatomy part number, add or delete flag (f_type_id=1: add; f_type_id=0: delete;), audit user ID, time of operation.
The embodiment of the invention automatically judges the rationality of the lesion position by comparing the lesion position labels of the preliminary report and the audit report and the rule set based on the adjacency of anatomical logic based on the application of the single-disease imaging structured report. The method has low judging cost and high quality, and is helpful for large-scale application and improvement of the diagnosis quality of first-line diagnosticians. Secondly, based on whether the rationality judgment of the lesion position is one of the basic conditions for carrying out the overall quality judgment of the diagnostic report, a foundation is laid for more extensive automatic quality judgment. In addition, in addition to judging the rationality of the first doctor for diagnosing the focus position, the method can also be used for judging the rationality of the focus position automatically generated by the image AI, which is helpful for continuous improvement of the image AI.
Example two
FIG. 9 is a schematic diagram of a system for determining the rationality of a preliminarily reported lesion location according to a second embodiment of the invention; as shown in fig. 9, the system includes: an acquisition module 10, a judgment module 20, and a determination module 30, wherein,
the obtaining module 10 is connected with the judging module 20 and is used for obtaining a modification log of the lesion position of the auditor on the preliminary report; the modification log is: reselecting a new anatomical part on the original lesion position label as one or two of lesion position, adding the lesion position label and deleting the original lesion position label;
the judging module 20 is respectively connected to the acquiring module 10 and the determining module 30, and is configured to judge a type of the modification log, and acquire a new anatomical location label if the modification log is that a new anatomical location is reselected on the original lesion location label to serve as a lesion location;
the type of the modification log is judged, and the specific operation is as follows: when the auditing doctor modifies the original lesion position label, the mouse pointer moves to the original lesion position label, the left mouse button double-clicks the original lesion position label, the original lesion position is cancelled, the mouse pointer moves to a new anatomical part, the left mouse button single-clicks the anatomical part, and the new anatomical part is selected, so that the reselection of the anatomical part is completed once.
The determining module 30 is connected to the judging module 20, and is configured to compare the new anatomical site label with the anatomical site label corresponding to the original lesion position based on the adjacent anatomical site database, and determine that the initially reported lesion position is reasonable if the new anatomical site label and the anatomical site label are adjacent; if the two are not adjacent, determining that the lesion position of the preliminary report is unreasonable, and automatically displaying the judging result on a single-lesion structured report interface.
FIG. 10 is a schematic diagram showing the automatic display of the rationality judgment result on the reporting interface after the auditor reselects the anatomical site on the primary lesion position label in the system for judging the rationality of the preliminarily reported lesion position according to the second embodiment of the invention; as shown in fig. 10, when reporting and auditing, according to the number of the focal anatomical part of the auditor, searching for the adjacent part number, if the number of the focal part of the reporting doctor is in the number set, the reporting doctor describes the reasonable focal position, and automatically displays the judging result on the structural reporting interface; examples: the auditor marks the focus anatomical part number AT103, and queries the adjacent part numbers AT101, AT102 according to the configuration rule, and reports that one or more of the AT101, AT102 and AT103 are reasonable if the auditor marks the AT101, the AT102 and the AT 103.
FIG. 11 is a schematic diagram of an interface for recording a new lesion of a auditor and deleting an original lesion in a system for judging the rationality of a lesion position of a preliminary report according to a second embodiment of the invention; as shown in fig. 10, the recording information includes: structured report ID, anatomy part number, add or delete flag (f_type_id=1: add; f_type_id=0: delete;), audit user ID, time of operation.
The embodiment of the invention automatically judges the rationality of the lesion position by comparing the lesion position labels of the preliminary report and the audit report and the rule set based on the adjacency of anatomical logic based on the application of the single-disease imaging structured report. The method has low judging cost and high quality, and is helpful for large-scale application and improvement of the diagnosis quality of first-line diagnosticians. Secondly, based on whether the rationality judgment of the lesion position is one of the basic conditions for carrying out the overall quality judgment of the diagnostic report, a foundation is laid for more extensive automatic quality judgment. Meanwhile, based on the sustainable modification of the auditor to the adjacent anatomical part set, the database of the adjacent anatomical parts is more perfected, and the accuracy of system judgment is increased; in addition, in addition to judging the rationality of the first doctor for diagnosing the focus position, the method can also be used for judging the rationality of the focus position automatically generated by the image AI, which is helpful for continuous improvement of the image AI.
Example III
FIG. 12 is a schematic diagram showing a system for determining the rationality of a preliminarily reported lesion location according to a third embodiment of the invention; as shown in fig. 12, the system further includes: a database generating module 40, connected to the determining module 30, for dividing the anatomical map in each single disease structured report template into a plurality of anatomical parts, and setting an anatomical part label for each anatomical part; wherein the anatomical region tag comprises: anatomical site numbering and coordinates of a plurality of points on the anatomical site boundary; wherein the coordinate lines of the plurality of points are the areas of the anatomical part; for each of the anatomical locations, matching its neighboring anatomical locations, storing all neighboring anatomical location tags in a group, and generating the neighboring anatomical location database.
FIG. 13 is a schematic view showing an interface of the anatomical site numbering and anatomical site region setting in a system for determining the rationality of a preliminarily reported lesion location according to a third embodiment of the invention; as shown in fig. 13, each single disease structured report template has an anatomic map of its corresponding disease, the anatomic map is divided according to physical locations, and each anatomic site is provided with an anatomic site tag, and the defined format is as follows: id () pointlist (), where id is the anatomy part number, pointlist is the coordinates of several points on the anatomy part boundary, the line between these points being the anatomy part region.
Example IV
FIG. 14 is a schematic diagram showing a system for determining the rationality of a preliminarily reported lesion location according to a fourth embodiment of the invention; as shown in fig. 14, the database generating module 40 further includes: a matching unit 402, configured to determine, in a two-by-two combination manner, whether the anatomical parts belong to adjacent or non-adjacent physical locations in the same single disease structured report; if the anatomical site is a lymph node, all lymph nodes within the same group are defined as adjacent to the anatomical site; if there is a leaf concept for an anatomical site, then all anatomical sites within the same leaf are defined as adjacent anatomical sites. In the same image structured report, all the optional lowest anatomical structures are defined in a pairwise combination mode to determine whether the anatomical physical positions are adjacent or not, and the adjacent anatomical positions are automatically marked as not adjacent if the adjacent anatomical positions are not defined for reducing the defined intensity.
Wherein, there are two kinds of special anatomic relation definitions, all lymph nodes in the same group are defined as anatomic adjacency, each lymph node is defined as anatomic non-adjacency with other lymph nodes outside the group;
for organs like lung and liver, there is a natural concept of "leaves", which have independent blood supply, and there is a connective tissue such as a septum between the leaves and connected, and anatomical concepts below all "leaves", which are required to be connected to the name of the superior "leaf" in a tree form, are in parallel relationship, and belong to the physical concept of the organ.
Wherein, based on adjacent anatomical region database, compare new anatomical region label with anatomical region label that original pathological change position corresponds, include: extracting the anatomical part number corresponding to the original lesion position and a new anatomical part number; whether the new anatomical part number is in the set of anatomical part numbers corresponding to the original lesion position is judged, if so, the new anatomical part number is adjacent to the set, and if not, the new anatomical part number is not adjacent to the set.
And under the condition of a plurality of parallel focuses, the system judges one by one and displays the judging result on a structured report interface.
Eliminating emergency scenes: for emergency patient reporting, the decision logic described above is not used. Because of severe but less sensitive imaging of the anatomical site, such as trauma, fracture, hemorrhage, etc., in emergency, the positional history of such scene lesions is particularly important, and the judgment is extremely complex, temporarily irrespective of coverage.
FIG. 15 is a schematic view of an interface for setting up adjacent anatomical sites in a system for determining the rationality of a preliminarily reported lesion location according to a fourth embodiment of the invention; as shown in fig. 15, all anatomical site numbers of the lung cancer screening V2.0 structured report template are listed on the interface in columns, with the right side displaying adjacent anatomical site numbers for selection, and the numbers on the right side are selected into the queue of each anatomical site number on the left side by means of a hook.
And judging whether the original part number and the new part number are adjacent or not according to the comparison in the setting of the adjacent anatomical parts, and prompting a user if the original part number and the new part number are not adjacent. If the rule is inaccurate, the arrangement of adjacent parts is continuously perfected.
Example five
FIG. 16 is a schematic diagram showing a system for determining the rationality of a preliminarily reported lesion location according to a fifth embodiment of the invention; as shown in fig. 16: when the auditor reselects a new anatomical site as a lesion site on the original lesion site label, the determining module 30 further includes: and the prompting unit 302 is configured to automatically display a prompting frame of whether the new anatomical part is adjacent to the anatomical part corresponding to the original lesion position on the single-lesion structured report interface, and if the prompting frame is displayed incorrectly, save modification data set by the auditor on the adjacent anatomical part of the anatomical part corresponding to the original lesion position.
FIG. 17 is a schematic diagram showing the anatomy of a lesion in a preliminary report in a system for judging the rationality of a lesion location in the preliminary report according to a fifth embodiment of the present invention; as shown in FIG. 17, the preliminary reporting physician selected the focal location as supraclavicular lymph node, with site number AT101.
FIG. 18 is a schematic view of an anatomic site reselected on a primary lesion site label by an auditor in a judgment system for the rationality of a preliminarily reported lesion site according to a fifth embodiment of the invention; as shown in FIG. 18, the prompt box displays "new site is not anatomically adjacent to the original site" after the clinician reselects the site. Prompting an auditor, and in the adjacent anatomical part database, if the new part is not adjacent to the original part, the auditor re-selects the adjacent anatomical part to the background and stores the selected adjacent anatomical part. Namely: AT103 and AT101, a102 should also be adjacent.
New part: the supraclavicular lymph node, part number AT103, is shown in the arrangement of fig. 3 as being adjacent to AT102 only for the original part AT101, so the cue is not adjacent, but the auditor judges that AT103 should be adjacent to AT101, a102 according to the principle of physical dissection.
Fig. 19 is a schematic diagram showing modification data of an auditor for setting adjacent anatomical parts of an anatomical part corresponding to an original lesion position in a method for determining reasonability of a preliminarily reported lesion position according to a fifth embodiment of the invention, where the schematic diagram is shown in fig. 19: in order to enable the auditor to carry out re-choosing configuration of the adjacent anatomical parts according to the prompt information, the database of the adjacent anatomical parts is continuously improved without finishing the definition at one time at first, so that the judgment result of the system is more accurate.
From the above description, it can be seen that the above embodiments of the present invention achieve the following technical effects: the embodiment of the invention automatically judges the rationality of the lesion position by comparing the lesion position labels of the preliminary report and the audit report and the rule set based on the adjacency of anatomical logic based on the application of the single-disease imaging structured report. The method has low judging cost and high quality, and is helpful for large-scale application and improvement of the diagnosis quality of first-line diagnosticians. Secondly, based on whether the rationality judgment of the lesion position is one of the basic conditions for carrying out the overall quality judgment of the diagnostic report, a foundation is laid for more extensive automatic quality judgment. Meanwhile, based on the sustainable modification of the auditor to the adjacent anatomical part set, the database of the adjacent anatomical parts is more perfected, and the accuracy of system judgment is increased; in addition, in addition to judging the rationality of the first doctor for diagnosing the focus position, the method can also be used for judging the rationality of the focus position automatically generated by the image AI, which is helpful for continuous improvement of the image AI.
It will be apparent to those skilled in the art that the modules or steps of the invention described above may be implemented in a general purpose computing device, they may be concentrated on a single computing device, or distributed across a network of computing devices, or they may alternatively be implemented in program code executable by computing devices, such that they may be stored in a memory device for execution by the computing devices, or they may be separately fabricated into individual integrated circuit modules, or multiple modules or steps within them may be fabricated into a single integrated circuit module. Thus, the present invention is not limited to any specific combination of hardware and software.
The above description is only of the preferred embodiments of the present invention and is not intended to limit the present invention, but various modifications and variations can be made to the present invention by those skilled in the art. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (10)
1. A method for determining rationality of a preliminarily reported lesion location, comprising:
obtaining a modification log of the lesion position of an auditor on a preliminary report; the modification log is: reselecting a new anatomical part on the original lesion position label as one or two of lesion position, adding the lesion position label and deleting the original lesion position label;
judging the type of the modification log, and if the modification log is that a new anatomical part is reselected on the original lesion position label to serve as a lesion position, acquiring a new anatomical part label;
comparing the new anatomical part label with the anatomical part label corresponding to the original lesion position based on the adjacent anatomical part database, and if the new anatomical part label and the anatomical part label are adjacent, determining that the initially reported lesion position is reasonable; if the two are not adjacent, determining that the lesion position of the preliminary report is unreasonable, and automatically displaying the judging result on a single-lesion structured report interface.
2. The method for determining the rationality of a preliminarily reported lesion location according to claim 1, wherein the method for generating the database of adjacent anatomical sites comprises:
dividing an anatomic map in each single-disease structured report template into a plurality of anatomic parts, and setting an anatomic part label for each anatomic part; wherein the anatomical region tag comprises: anatomical site numbering and coordinates of a plurality of points on the anatomical site boundary; wherein the coordinate lines of the plurality of points are the areas of the anatomical part;
for each of the anatomical parts, matching its neighboring anatomical part, storing all neighboring anatomical part tags in a set form, and generating the neighboring anatomical part database.
3. The method of claim 2, wherein said step of matching each of said anatomical sites to its adjacent anatomical site comprises:
in the same single disease structured report, judging whether the anatomical parts are adjacent or not adjacent in physical position in a two-by-two combined mode;
if the anatomical site is a lymph node, all lymph nodes within the same group are defined as adjacent to the anatomical site;
if there is a leaf concept for an anatomical site, then all anatomical sites within the same leaf are defined as adjacent anatomical sites.
4. The method according to claim 2, wherein comparing the new anatomical region label with the anatomical region label corresponding to the original lesion position based on the adjacent anatomical region database, comprises: extracting the anatomical part number corresponding to the original lesion position and a new anatomical part number; whether the new anatomical part number is in the set of anatomical part numbers corresponding to the original lesion position is judged, if so, the new anatomical part number is adjacent to the set, and if not, the new anatomical part number is not adjacent to the set.
5. The method of claim 4, wherein when the auditor reselects a new anatomical site as a lesion site on the original lesion site label, the method further comprises: and automatically displaying a prompt box of whether the new anatomical part is adjacent to the anatomical part corresponding to the original lesion position or not by the single disease structured report interface, and if the prompt box is incorrectly displayed, saving modification data of the auditor on the adjacent anatomical part of the anatomical part corresponding to the original lesion position.
6. The method of claim 1, wherein if the modification log is: when the lesion position label is newly added and the original lesion position label is deleted, the method further comprises the following steps: recording the newly added lesion position label and deleting the original lesion position label.
7. A system for determining the rationality of a preliminarily reported lesion location, the system comprising: the device comprises an acquisition module, a judging module and a determining module, wherein,
the acquisition module is connected with the judging module and is used for acquiring a modification log of the lesion position of the auditor on the preliminary report; the modification log is: reselecting a new anatomical part on the original lesion position label as one or two of lesion position, adding the lesion position label and deleting the original lesion position label;
the judging module is respectively connected with the acquiring module and the determining module and is used for judging the type of the modification log, and if the modification log is that a new anatomical part is reselected on the original lesion position label to serve as a lesion position, a new anatomical part label is acquired;
the determining module is connected with the judging module and is used for comparing the new anatomical part label with the anatomical part label corresponding to the original lesion position based on the adjacent anatomical part database, and if the new anatomical part label and the anatomical part label are adjacent, the initially reported lesion position is determined to be reasonable; if the two are not adjacent, determining that the lesion position of the preliminary report is unreasonable, and automatically displaying the judging result on a single-lesion structured report interface.
8. The system for determining the rationality of a preliminarily reported lesion location according to claim 7, further comprising: the database generation module is connected with the determination module and is used for dividing the anatomic graph in each single-disease structured report template into a plurality of anatomic parts and setting an anatomic part label for each anatomic part; wherein the anatomical region tag comprises: anatomical site numbering and coordinates of a plurality of points on the anatomical site boundary; wherein the coordinate lines of the plurality of points are the areas of the anatomical part; for each of the anatomical parts, matching its neighboring anatomical part, storing all neighboring anatomical part tags in a set form, and generating the neighboring anatomical part database.
9. The system for determining the rationality of a preliminarily reported lesion location according to claim 8, wherein the database generation module further comprises: the matching unit is used for judging whether the anatomical parts belong to adjacent or non-adjacent physical positions in a two-to-two combined mode in the same single disease structured report; if the anatomical site is a lymph node, all lymph nodes within the same group are defined as adjacent to the anatomical site; if there is a leaf concept for an anatomical site, then all anatomical sites within the same leaf are defined as adjacent anatomical sites.
10. The system for determining the rationality of a preliminarily reported lesion location according to claim 8, wherein when an auditor reselects a new anatomical site as a lesion location on an original lesion location label, the determining module further comprises: the prompting unit is used for automatically displaying a prompting frame of whether the new anatomical part is adjacent to the anatomical part corresponding to the original lesion position or not on the single-lesion structured report interface, and if the prompting frame is incorrectly displayed, the modification data of the auditor on the adjacent anatomical part of the anatomical part corresponding to the original lesion position is saved.
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