CN1886745A - Computer aided detection workflow and user interface - Google Patents

Computer aided detection workflow and user interface Download PDF

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Publication number
CN1886745A
CN1886745A CNA2004800350387A CN200480035038A CN1886745A CN 1886745 A CN1886745 A CN 1886745A CN A2004800350387 A CNA2004800350387 A CN A2004800350387A CN 200480035038 A CN200480035038 A CN 200480035038A CN 1886745 A CN1886745 A CN 1886745A
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China
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case
image
aided detection
computer aided
detection report
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CNA2004800350387A
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Chinese (zh)
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R·巴拉苏布拉马尼安
Y·郑
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Eastman Kodak Co
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Eastman Kodak Co
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Abstract

A workflow and user-interface for automated detection system. A user interface method for a computer aided detection system include a plurality of steps: (a) accessing an image case, the image case comprising one or more digital images; (b) identifying a view orientation for each of the one or more digital images; (c) transmitting the image case to an algorithm server for processing of each of the one or more digital images to generate a computer aided detection report for the image case; (d) providing a report system adapted to organize a plurality of computer aided detection reports wherein each of the computer aided detection reports are selectable by an operator for viewing; (e) automatically transmitting the computer aided detection report to the report system; (f) allowing the operator to select the computer aided detection report for viewing; and (g) displaying the selected computer aided detection report on the display.

Description

Computer aided detection workflow and user interface
Technical field
The present invention relates to detect automatically workflow and the user interface of using, be specifically related to help to realize that film or numerical data are to the input of computer aided detection (CAD) arithmetic server and the system that shows examining report to the radiologist.
Background technology
Computer aided detection (CAD) just is being applied to assisting health care/medical doctor as replenishing of the traditional image diagnosing method that depends on visual analysis.
The CAD of X ray mammography film or digital picture analyzes and relates to the digitizing of traditional X-ray sheet or the input of numerical data, and utilizes the CAD processing server to handle input digital image shows the candidate region of possibility display abnormality with generation CAD report.
The inspection of a kind of well-known X ray mammography is that the examination that asymptomatic patient carries out is detected.Usually, need several mammograms (taking) that the set of diagrams picture of the whole volumes that cover each breast is provided from different angles.A kind of convention is to obtain four views (two of each breast) in the North America, respectively along (CC) end to end position and the shooting of outer lateral oblique position (MLO) plane.But, under special circumstances, may need to obtain a plurality of views of four views that are different from standard.Described special circumstances can also comprise does inspection to asymptomatic patient, and the radiologist may need the view that adds or along the view of the axle different with the MLO axle with standard CC in this case.
Need a kind of workflow and user interface to come the application of integrated CAD in clinical workflow, additional with as to traditional image diagnosing method.
Summary of the invention
The objective of the invention is provides integrated workflow and simple user interface tech for computer aided detection (CAD) application that can use in existing clinical setting.
Any purpose that is provided only as an illustration the property example provide, and such target may be the typical target of one or more embodiment of the invention.By invention disclosed, can realize other expectation target of the present invention and intrinsic advantage, or the order be known to those skilled in the art.The present invention is limited by the accompanying claims.
The invention provides a kind of method, be used to obtain one group of mammogram, send to CAD application program and display result.This method may further comprise the steps: digital breast X-ray sheet group, described breast X-ray line sheet group are by barrier paper (separator sheet) tissue of tape label and color, perhaps import the detection to many digital breast X-ray sheets; Automated graphics quality control (QC); Send to arithmetic server so that handle described image sets; The layout (hanging protocol) of utilizing user expectation then shows CAD result to digital picture with soft copy or paper copy form.When in the examination environment, using described application program, can utilize very simple user interface visit result subsequently.
According to one aspect of the present invention, the workflow that is used for automatic checkout system and the method and system of user interface are provided.The user interface method that is used for computer-aided detection system comprises a plurality of steps, comprising: (a) image case of visit, this case comprises one or more digital pictures; (b) to each the identification direction of observation in described one or more digital pictures; (c) described image case is sent to arithmetic server, thereby each image of handling in described one or more digital picture is reported with the computer aided detection that generates this image case; (d) provide a kind of reporting system of organizing many parts of computer aided detection reports that is applicable to, wherein every part of computer aided detection report can be selected to watch by the operator; (e) the computer aided detection report is sent to described reporting system automatically; (f) allow the operator to select described computer aided detection report to watch; (g) on display, show selected computer aided detection report.
Description of drawings
According to following more specific description as shown in drawings, aforesaid and other purpose, the feature and advantage of the present invention will be known for the preferred embodiments of the present invention.In conjunction with the accompanying drawings, according to the following detailed description, other features and advantages of the present invention are with high-visible, wherein:
Fig. 1 and Fig. 2 show the diagram according to system embodiment of the present invention.
Fig. 3 A-3G shows according to exemplary collection user interface of the present invention.
Fig. 4 A-4B shows exemplary result report user interface.
Embodiment
Below be the detailed description to the preferred embodiment of the present invention, marked reference number in the accompanying drawing, wherein identical reference number is represented components identical in the structure in the middle of every width of cloth accompanying drawing.
The present invention is devoted to be used for the method and system of the workflow and the user interface of automatic checkout system.
In the following description, by the exemplary embodiment of breast x-ray examination program optimum feature of the present invention has been described.However, it should be understood that the present invention is not limited to this embodiment.In fact, the present invention can be applied to many other fields of medical imaging equally.
Fig. 1 and Fig. 2 have schematically shown the embodiment of the system that is used to realize method of the present invention.This system generally includes case input system (CIS), CAD algorithm (arithmetic server) and reporting terminal (RS).CIS obtains digitized image, implementation quality is controlled, discerned automatically direction of observation, extracts tag identifier, and digital picture (case) is sent to arithmetic server.CIS can also operational system routine maintenance program (comprising digital quantizer), history log is provided, and can be linked to data storage bank so that the digital picture that storage is obtained.
Can constitute a case with belonging to same patient and lumping together as the image sets of the part of aforementioned inspection.A case can comprise one or more film images.Usually use barrier paper to separate the case that is placed on the digital quantizer.CIS detects barrier paper automatically, and the set of films between two barrier papers is woven to a case.Barrier paper has color and tape label, so that the user can discern easily.Can also print unique symbol on the barrier paper, this symbol is discerned by CIS.Also can on barrier paper, comprise unique identifier, for example sequence number.Label is positioned at along the diverse location at barrier paper top, thus how many cases that have that make the user to find out together to pile up.Case is passed through bar code recognition.CIS uses the existing bar code that maybe need not customize to discern each case and their digital picture.Bar code makes it possible to follow the tracks of case and identifies case easily at RS in whole C AD process.If without any bar code can use, then provide a plurality of solder joints so that the input identification code perhaps be automatically internal identification code of generation of each case.
In case, then can pile up film by any order for each case has read bar code.Keep apart described case by barrier paper then, and overlay on the digital quantizer.Case will be lined up and be scanned automatically after stacking.
After each case of scanning, determine the direction (any face and direction of observation) of every film automatically and it is shown to the user so that checking.From film, extract patient's sign and be shown to the user.If this case has been passed through quality control, then it is sent to arithmetic server automatically; In addition, the user has an opportunity manually to ignore quality control and this case is sent to arithmetic server.
Fig. 3 A-3G shows the user interface according to case entry terminal of the present invention (CIS).More specifically, Fig. 3 A-3G shows the exemplary display screen of the display of CIS.
With reference to Fig. 3 A, in scan screen, the user can watch the formation of scanning, and this formation is filled by bar code or manual key entry.Scan queue is by visual display, and after scanning a case, can watch its digital picture by selecting it, for example by clicking (if using equipment of mouse type) or touch screen (if using touch-screen display) thereon.This formation also allows by using " being badly in need of (rush) " button/numeral 10 to insert and scan at once case.Other numeral allows other operation, for example, and " removing (clear) " 11, " helping (help) " 12, " withdrawing from (exit) " 13.Viewing area 14 can provide the information about mode of operation.
The tag/label 15 that is arranged in the top of Fig. 3 A screen shows that to the user user just operates at the sweep test of user interface.
Shown in Fig. 3 B, when case of scanning, image is shown on the right side window of this screen in Fig. 3 B with rotation of " piling up " pattern and demonstration.Described digital picture is piled up with the same sequence that is scanned with them.This pattern has shown the process that image just is being scanned in the process hurdle of bottom of screen.
In case finish described case, be before next case is prepared the space emptying view, and showing that all images (shown in Fig. 3 C) rearranges and redirects all images before.Can watch the case of being finished by the name of selection/click case in formation.
Turn to Fig. 3 D now, pop-up window 16 shows described case and final direction classification.Shown in Fig. 3 D, pop-up window (being also referred to as the balloon window sometimes) has covered the information that has shown on the screen.Pop-up window can provide the user profile about image qc (quality control) and state (for example, whether described case has sent to arithmetic server).
Formation view (being presented at the left side of main screen) has shown case identifier (being shown as bar code in Fig. 3 D) at left column, and row have shown several Status Types on the right side.When case was imported at first, state was shown as " waiting in line ".Then, Once you begin this case is scanned, state is shown as " scanning ".After finishing scanning, state is shown as " scanning ".After case is finished scanning, described state also will indicate this case to send to CAD, perhaps also not send (and preferably pointing out why also do not send).For example, if this case QC (quality control) failure, state will reflect this point.
The further feature of CIS can comprise: (1) is used for the very big figure directive command of demonstration film on digital quantizer, (2) touch quick help pop-up window, (3) to the real-time demonstration of digitized film and scanning mode, (4) case in the formation can move, (5) case can abnormal end when digital conversion, and the numbering of image is configurable in (6) case.
CIS can comprise maintenance function, as shown in the display screen of Fig. 3 E.The tag/label 17 that is arranged in the top of Fig. 3 E screen is expressed as " maintenance ", and it shows that to the user user just operates in the service portion in user interface.
This maintenance function allows the user to carry out some general system maintenances, includes, but are not limited to the quality control of digital quantizer.Described screen makes the user to carry out by " guide " pattern and safeguards, but other embodiment also is feasible, and it is known to those skilled in the art that.
By using this screen, which test (if any) user can select to move.Depend on various factors, can impel the user to move specific test, described factor includes, but are not limited to the time span after test last time.
Described test can comprise the ability of manual calibration digital quantizer.Can also utilize the response of phantom film (step wedge) test digital quantizer.Can use the mammogram of sample to test the response of digital quantizer with known response.The others of digital quantizer can be checked/be tested to other test, such as noise response, linearity, consistance, reproducibility or the like.
With reference now to Fig. 3 F,, maintenance screen can provide graphic result to the user, comprises image that demonstration has just scanned and shows historical results with the form of table and figure.
The another kind of screen that CIS can adopt is called log screen, shown in Fig. 3 G.The tag/label that is arranged in Fig. 3 G the top of screen is expressed as " daily record ", and it shows that to the user user is just in the daily record part operation of user interface.
By the usage log screen, can show the input history of case.What comprise in this demonstration can be and relevant data such as case identifier, scanning mode, sweep time, QC result, CAD state.
Fig. 4 A and 4B show the operation report terminal and report operable screen in CAD result's the process.More specifically, reporting terminal (RS) allows the user to browse the digitized image with CAD mark.
With reference to figure 4A, this screen of RS has shown that is checked a tabulation.The tag/label that is arranged in Fig. 4 A bottom of screen is expressed as " check tabulation ", and it shows that to the user user is just in the inspection tabulation part operation of reporting terminal.
This screen can show all available cases, and allows user by selecting/case of click to select this case-specific.Available case can sort in many ways: by the digitizing order; By ordering case sign; Order by artificial definition; The random order of case sign; Select random order of patient's mark and label or the like.
Fig. 4 B shows another screen of RS.This screen has shown the image of the case with (alternatively) CAD mark.The tag/label that is arranged in Fig. 4 B bottom of screen is expressed as " CAD report ", and it shows that to the user user just operates at the CAD of reporting terminal report section.
This screen allows the user to select an image and amplify it so that watch.The user can also select/click to move to back one or previous case by single.CAD mark (being placed on the image in order to show candidate's out-of-the way position) can be selected by single/click to activate or deactivation (promptly opening or closing).
Utilize operable other function of this screen to comprise: (1) is extracted patient's sign and with its amplification, is discerned this patient so that guarantee the radiologist; (2) auto contrast of image adjusts, in order to improve the observing effect of breast tissue; (3) for the CAD mark uses empty (transparent) geometric figure, so that do not hide image; (4) ability of the size/shape of modification CAD mark; (5) user can select sensitivity and singularity operating point in successive range; (6) user can select sensitivity and singularity operating point by the number of replacing the CAD mark; The number of image is configurable in (7) cases; (8) ability of the some hanging protocols of support.
The demonstration of CAD mark can also obtain by hard copy (promptly printing) form.Screen display among the RS can be used to provide this feature.Can allow user's configuring print option, the ability that comprises the geometric configuration of selecting the CAD mark (comprise sky/transparent), use automatic figure contrast to strengthen, show the ability of patient's sign, also how to provide the option (for example hanging protocol) of display image simultaneously for the user.

Claims (11)

1. user interface method that is used for computer-aided detection system, this method comprises:
Access graph is as case, and this image case comprises one or more digital pictures;
Be each the image recognition direction of observation in described one or more digital pictures;
This image case sent to arithmetic server so that handle each image in described one or more digital picture, thereby be that this image case generates computer aided detection report;
Provide to be applicable to the reporting system of organizing a plurality of computer aided detection reports, wherein each computer aided detection report can be selected to watch by the operator;
The computer aided detection report is sent to described reporting system automatically;
Allow the operator to select computer aided detection report to watch; And
On display, show selected computer aided detection report.
2. the described method of claim 1 also is included in the image case is sent to before the arithmetic server step to the automatic application quality control algolithm of each image in one or more digital pictures automatically.
3. the described method of claim 1, a plurality of image cases of access wherein, each image case comprises a bar code.
4. the described method of claim 1, a plurality of image cases of access wherein, these a plurality of image cases are separated by barrier paper.
5. the described method of claim 1, wherein access graph comprises the step of the one or more digital pictures of digitizing as the step of case, this method also is included in the step of the state of display digit step on the display.
6. the described method of claim 1, wherein access graph comprises the step of digitized image case as the step of case, this method also comprises the step that allows the digitized priority of operator's differentiate between images case.
7. the described method of claim 1 also is included in the image case is sent to the step that direction of observation is confirmed or readjust before to arithmetic server.
8. the described method of claim 1, also comprise the permission step that at least one item is watched for the operator below showing on the display: (a) the digitizing history of image case, (b) tabulate by the image case of case identifier ordering, (c) tabulate by the image case of scanning mode ordering, (d) tabulate by the image case of ordering sweep time, (e) tabulate by the image case of quality control index order, or (f) tabulate by the image case of treatment state ordering.
9. the described method of claim 1, also comprise the step of permission: (a) attended operation, (b) scanner calibration, (c) scanner thermodynamic state verification according to operator's following at least one the operation of selection execution, (d) provide history list, or (e) provide the maintenance suggestion.
10. user interface method that is used for computer-aided detection system, this method may further comprise the steps:
The a plurality of image cases of access, each image case comprises a plurality of digital pictures;
Described a plurality of image cases are sent to arithmetic server automatically so that handle each case in described a plurality of image case, thereby be each case generation computer aided detection report in a plurality of image cases, wherein sending order selects one of following mode to pre-determine by the operator: by the digitizing order, numerical order by case identifier, or the numerical order by patient's distinguishing mark, or the order by artificial definition;
Provide to be applicable to the reporting system of organizing a plurality of computer aided detection reports, wherein each computer aided detection report can be selected to watch by the operator;
The computer aided detection report is sent to described reporting system automatically;
Allow the operator to select one of computer aided detection report to watch; And
On display, show selected computer aided detection report.
11. a user interface method that is used for computer-aided detection system, this method may further comprise the steps:
The a plurality of image cases of access, each image case comprises a plurality of digital pictures;
Described a plurality of image cases are sent to arithmetic server automatically so that handle each case in described a plurality of image case, thereby be that each case in a plurality of image cases generates computer aided detection report;
Provide to be applicable to the reporting system of organizing a plurality of computer aided detection reports, wherein each computer aided detection report can be selected to watch by the operator;
The computer aided detection report is sent to described reporting system automatically;
Allow the operator to select one of computer aided detection report to watch; And
On display, show selected computer aided detection report, and show that the step of selected report finished by following steps:
For relevant image case is determined in selected report;
For described relevant image case determines that the patient identifies;
For each image in a plurality of digitized images of described associated picture case is carried out automatic picture contrast adjustment;
Determine the CAD mark size.
CNA2004800350387A 2003-11-26 2004-11-19 Computer aided detection workflow and user interface Pending CN1886745A (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US52521603P 2003-11-26 2003-11-26
US60/525,216 2003-11-26
US10/992,042 2004-11-18

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107408284A (en) * 2015-04-07 2017-11-28 富士胶片株式会社 Diagnosis and treatment servicing unit and its method of work and working procedure and diagnosis and treatment accessory system
US20200303049A1 (en) * 2019-03-22 2020-09-24 Shanghai United Imaging Healthcare Co., Ltd. System and method for generating imaging report
CN113808181A (en) * 2020-10-30 2021-12-17 上海联影智能医疗科技有限公司 Medical image processing method, electronic device and storage medium

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107408284A (en) * 2015-04-07 2017-11-28 富士胶片株式会社 Diagnosis and treatment servicing unit and its method of work and working procedure and diagnosis and treatment accessory system
CN107408284B (en) * 2015-04-07 2021-11-16 富士胶片株式会社 Diagnosis and treatment support device, operation method thereof, recording medium, and diagnosis and treatment support system
US20200303049A1 (en) * 2019-03-22 2020-09-24 Shanghai United Imaging Healthcare Co., Ltd. System and method for generating imaging report
US11574716B2 (en) * 2019-03-22 2023-02-07 Shanghai United Imaging Healthcare Co., Ltd. System and method for generating imaging report
CN113808181A (en) * 2020-10-30 2021-12-17 上海联影智能医疗科技有限公司 Medical image processing method, electronic device and storage medium

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