JP2003093354A - Medical examination apparatus utilizing a mobile information terminal - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical specialist with a means for promptly and accurately grasping patient's circumstances from a remote location. SOLUTION: After an image of a patient's affected region is photographed using a medical photographic apparatus, the data of the photographed affected region is transferred to the mobile information terminal owned by the medical specialist. The specialist stationing at a remote location can confirm a transmitted image of the affected region and accurately grasp the patient's circumstances and make an accurate judgment thereof. The specialist can also obtain a renewed image of the afftected region, when necessary, by transmitting a controlled data on the revised photophraphic scope of the affected region to the medical photographic apparatus through his mobile information terminal.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a technique for diagnosing an affected area image of a patient. Regarding technology.

[0002]

2. Description of the Related Art When an urgent patient such as cerebral hemorrhage or intestinal volvulus is brought in, it is necessary to take a tomographic photograph or a projection photograph of the affected area to grasp the condition of the affected area, and to perform emergency surgery if necessary. In making such a determination, it is important to accurately grasp the condition of the affected area from the captured image, but it is not always easy to grasp the condition of the affected area from the image, and in order to accurately grasp the condition. Often requires the judgment of an experienced specialist.

Of course, a specialist is not always near the site where an emergency patient is brought in. For example, the time when the emergency patient is brought in may be midnight when no specialist is present, or the emergency patient may be brought in while the specialist is on a business trip due to work such as attending a conference. In such a case, the doctor on duty or the doctor in charge looks over the image of the affected area and asks for the judgment of a specialist.

[0004]

However, there is a problem that it is difficult to verbally convey the state of the imaged affected area, and even a specialist may not be able to make an accurate judgment. If it is difficult to make a decision, you must hurry to the scene, or you will have to send an image of the affected area by some method such as facsimile to check.
Even if you send me an image, I have to find a device that can receive the image. Therefore, in any case, there could be cases where it was not possible to make an emergency use.

The present invention has been made to solve the above-mentioned problems in the prior art. When an emergency patient is brought in, the present invention promptly contacts a specialist who is not in the field and the specialist presents a situation of the affected area. It is an object of the present invention to provide a technology capable of accurately grasping and making an accurate judgment.

[0006]

Means for Solving the Problems and Their Actions / Effects In order to solve at least a part of the above problems, the medical diagnostic apparatus of the present invention has the following constitution. That is, a medical diagnostic device for photographing and displaying a diseased part image of a patient, and photographing range setting means for setting a photographing range of the affected part image, and a diseased part image photographing for photographing the affected part image of the set photographing range. Means, image data transmitting means for transmitting the data of the photographed affected area image to a portable information terminal via a communication line, and receiving control data transmitted from the portable information terminal via the communication line, The gist of the present invention is to provide a photographing range changing means for changing the photographing range by controlling the photographing place setting means.

In such a medical diagnostic apparatus, the imaged affected area image is transmitted to the portable information terminal via the communication line, and the imaging range of the affected area image is changed based on the control data received from the portable information terminal. It is possible. Therefore, even if there is no specialist at the scene where the emergency patient is brought in, by transferring the affected part image to the portable information terminal of the specialist, the condition of the affected part can be quickly and accurately transmitted. If necessary, by transmitting control data from the portable information terminal and changing the imaging range of the affected area, the specialist can accurately grasp the condition of the affected area and make an appropriate judgment even when not on site. It becomes possible.

[0008] Such a medical diagnostic apparatus is used for X-ray image, C
The medical diagnostic apparatus can take a diseased part image of any one of a T image, an MR image, an ultrasonic image, and an electrocardiogram image. In order to accurately grasp the condition of the affected area based on these images, since experience is required, it is often necessary to seek the judgment of a distant specialist. Therefore, if it is possible to transfer the affected part image from these medical diagnostic devices to the portable information terminal, it becomes possible for a distant specialist to accurately grasp the condition of the affected part and make an accurate judgment.

The portable information terminal of the present invention corresponding to the above-mentioned medical diagnostic apparatus is a portable information terminal capable of transmitting and receiving data via a communication line, and from the medical diagnostic apparatus for taking an image of an affected part of a patient, Image data receiving means for receiving data of the affected part image via the communication line, affected part image display means for displaying the received affected part image, and control data for changing the imaging range of the affected part image, The gist of the present invention is to include a control data transmission unit that transmits the control data to the medical diagnostic device.

With such a portable information terminal, the condition of the affected area can be quickly grasped by receiving the affected area image taken by the medical diagnostic apparatus through the communication line. If necessary, the control data is transmitted to change the imaging range of the affected part image, so that the condition of the affected part can be grasped more accurately. Therefore, if a specialist carries such a mobile information terminal, the specialist can quickly and accurately grasp the condition of the affected area and make an appropriate judgment even when the emergency patient is not present at the site. It becomes possible.

Further, the medical diagnostic system of the present invention corresponding to the above-mentioned medical diagnostic device and portable information terminal is a medical diagnostic system for photographing and displaying an image of an affected part of a patient. Imaging range setting means for setting a range, affected part image photographing means for photographing an affected part image of the set photographing range, and data of the taken affected part image, image data to be transmitted to a portable information terminal via a communication line The portable information terminal includes a transmitting unit and a photographing range changing unit that changes a photographing range of the affected part image, the portable information terminal receives data of the affected part image via a communication line, and displays the received affected part image. An image display means and a control data transmission means for transmitting control data for changing the photographing range of the affected area image to the photographing range changing means via the communication line. The the gist.

In such a medical diagnostic system, the affected part image is transmitted to the portable information terminal possessed by the specialist, the affected part image confirmed by the specialist is confirmed, and if necessary, the control data is transmitted from the portable information terminal, The shooting range of the affected part image can be changed. Therefore, even when there is no specialist at the scene where the emergency patient is brought in, the specialist can quickly and accurately grasp the condition of the affected area and make an accurate judgment.

[0013] Such medical diagnostic device, portable information terminal,
Alternatively, in the medical diagnostic system, by securing a communication line between the medical diagnostic device and the portable information terminal,
The line may be maintained in the connected state and the image data or the control data may be exchanged using this line.

By exchanging image data or control data with a communication line secured, data can be surely and quickly transmitted and received. Therefore, when an emergency patient is brought in, a distant specialist can quickly confirm a necessary affected part image, which in turn makes it possible to make a quick and accurate judgment, which is preferable.

In such a medical diagnostic device, portable information terminal, or medical diagnostic system, information relating to diagnosis is stored for each patient and the information is transmitted to the portable information terminal via a communication line. It may be done.
The information related to the diagnosis stored for each patient includes
In addition to the information for identifying the patient such as the name and address of the patient, it is possible to store information regarding diagnosis such as a medical examination record and a medical history as described in a so-called medical chart. Of course, when the image data of the affected area used for the previous diagnosis exists, the data of the affected area image can be stored. In this way, the specialist can also make a more accurate diagnosis by referring to the information related to these diagnoses in addition to the transmitted affected part image.

When transmitting the information related to the diagnosis to the portable information terminal possessed by the specialist, if the information to be transmitted can be designated from the side of the portable information terminal, the necessary information is surely transmitted. It is preferable that the transmitted information be stored in the mobile information terminal because the necessary information can be confirmed any number of times.

Of course, the information related to the diagnosis stored for each patient may be stored in advance on the portable information terminal side. This is preferable because it is not necessary to send the information necessary for diagnosis to the mobile information terminal, and thus an accurate judgment can be made quickly.

Further, in the above portable information terminal, the display range of the affected part image can be designated on the displayed affected part image, and the data representing the designated display range is used as the control data for medical use. It may be transmitted to the diagnostic device.

In this way, when instructing to change the range of photographing the affected area image, the change range is instructed by designating the display range on the displayed affected area image and transmitting the data indicating the designated display range. By doing so, it becomes possible to simply and accurately instruct the change content.

In addition, in such a portable information terminal, the coordinate value on the affected area image corresponding to the designated display range is detected, and the detected coordinate value is transmitted to the medical diagnostic apparatus as the control data. It may be done.

As the coordinate value corresponding to the designated display range, for example, if the center position of the display range or the coordinate value of the opposite corners is detected and transmitted, the amount of data to be transmitted is reduced. This is preferable because it enables quick transmission.

A so-called mobile phone can be used as the above-mentioned mobile information terminal. The mobile phone has necessary functions such as a function of receiving an image through a communication line, a function of displaying the received image, and a function of transmitting control data. In addition, since mobile phones are always carried around, there is a high possibility that specialists will always carry them.
Therefore, even when an emergency is required, it is possible to contact a distant specialist quickly and surely to make a decision, which is particularly preferable.

Further, the following medical diagnostic device may be used in place of the above-mentioned medical diagnostic device. That is,
Another medical diagnostic apparatus of the present invention is a medical diagnostic apparatus for photographing and displaying a diseased part image of a patient, and photographing range setting means for setting a photographing range of the affected part image, and the set photographing range. The affected part image photographing means for photographing the affected part image, the portable information terminal selecting means for selecting at least one portable information terminal from the plurality of registered portable information terminals, and the data of the taken affected part image And an image data transmitting means for transmitting to the selected portable information terminal via a communication line.

In such a medical diagnostic apparatus, a plurality of portable information terminals are registered in advance, and when an affected part image is taken, at least one is selected from the registered plurality of portable information terminals. Then, the data of the affected part image is transmitted to the selected portable information terminal. It is preferable to select and transmit the terminal for transmitting the affected part image from the plurality of mobile information terminals registered in advance in this way, since it is possible to reliably and quickly transmit the affected part image.

[0025]

BEST MODE FOR CARRYING OUT THE INVENTION A. First Embodiment: Operation of the present invention
In order to more clearly explain the effect, an example of the present invention will be described. FIG. 1 shows a remote diagnosis system 1 of this embodiment.
It is explanatory drawing which shows the whole 0 structure. The remote diagnosis system 10 of the present embodiment includes a medical imaging device 20 that captures an image of an affected area and a control device 30 that controls the medical imaging device 20.
And a portable information terminal 40 and the like. In this embodiment, the medical imaging device 20 is a CT (Computeri).
I use a computer tomography device that takes zed Tomography images, but I also use X-ray images and MR (M
It is possible to use various types of medical imaging devices for imaging a magnetic resonance image, an ultrasonic image, and the like. The medical imaging device 20 is movable relative to the patient and can capture a CT image at an arbitrary position. In addition, a magnified image of the affected area can be taken if necessary. Such control is performed by the control device 30.

The control device 30 connects a control panel 32 for operating the medical imaging device 20, a controller 33, a monitor 34 for displaying an image of a diseased part that has been taken, and a communication line to a portable information terminal. It is composed of a communication unit 38 and the like for exchanging data with 40. The controller 33 is composed of a so-called microcomputer in which a CPU, a ROM, a RAM, a hard disk HD, etc. are mutually connected by a bus. When the operator of the control device 30 operates the control panel 32 to instruct the operation of the medical imaging device 20, the content thereof is interpreted by the controller 33,
It is converted into appropriate control data and transmitted to the medical imaging apparatus 20. The medical imaging apparatus 20 operates according to the control data thus transmitted. The data of the CT image captured by the medical imaging apparatus 20 is sent to the controller 33 and subjected to necessary processing, and then output from the controller 33 to the monitor 34, so that the captured lesion image is displayed on the monitor 34. Is displayed.

The communication section 3 provided in the control device 30
8, the portable information terminal 4 at a distant place via the wireless station 50.
It is also possible to transmit the affected part image data to 0 or receive the data from the portable information terminal 40.
As the portable information terminal 40, a well-known portable information terminal such as a portable personal computer (mobile computer) can be used, but a so-called portable telephone is used in this embodiment.

In FIG. 1, the communication section 38 is provided outside the building and is connected to the control apparatus main body by wire from the viewpoint of avoiding the occurrence of radio interference to peripheral medical equipment. Of course, the communication unit 38 can be incorporated in the control device body. In such a case, the occurrence of radio interference can be avoided by transmitting data as follows. That is, data is transmitted from the communication unit 38 using weak radio waves or infrared rays that do not cause radio interference, the data is relayed by an antenna provided outside the building, and the radio waves are transmitted to the radio station 50. It may be that. Further, by incorporating the control device 30 into the network, the communication unit 38 to the wireless station 50 provided on the network.
The radio wave may be transmitted to.

FIG. 2 is a functional block diagram showing the configuration of the control device 30 focusing on the function. The function of the control device 30 is mainly the control means 110 that controls the entire device, and the communication means 1 that exchanges data with the portable information terminal.
00 and operating means 120 as the medical imaging apparatus 20 and the like. The operation means 120 includes a photographing means 124 for photographing an affected part image, a measuring means 122 for measuring various information such as a procedure and conditions for photographing at the time of photographing. The control unit 110 exchanges data with the image capturing unit 124 and the measuring unit 122 via the operating unit 120, and the obtained data is transmitted to the communication unit 10.
It is possible to transmit to the portable information terminal via 0.

Further, the control means 110 has an operating means 120.
The data acquired via the above may be stored in the storage unit 130. Alternatively, a patient database 140 for information on each patient as described in a so-called medical chart may be provided and data may be exchanged with the patient database 140 via the control means 110. The patient database 140 includes information for identifying the patient such as the name and address of the patient, a medical examination record,
The medical history, and further, image data of the affected part used for the previous diagnosis can be stored. The control unit 110 can read the data from the storage unit 130 or the patient database 140 as needed and transmit the data to the portable information terminal of the specialist via the communication unit 100.
The mobile information terminal may store the received data in a storage medium and read the data as needed. As the storage medium, various known storage media can be applied as long as it is a small storage medium such as a large-capacity memory or a portable hard disk. Alternatively, the content of the patient database 140 may be stored in a storage medium in advance, or the content of the patient database 140 may be downloaded via a communication line so that the mobile information terminal has the patient database. is there.

FIG. 3 is an explanatory diagram showing the configuration of the monitor 34 of the control device 30. As shown in the figure, the monitor 34 includes a main display section 35, a sub-display section 36, a transfer destination designating section 37 for designating a transfer destination of the affected area image, and the like. The image of the affected area imaged by the medical imaging apparatus 20 is displayed on the main display unit 35. The name of the specialist is registered in advance in the transfer destination designating section 37. By moving the cursor to designate the specialist and clicking the send button at the bottom of the screen, the data of the affected area image displayed on the main display section 35 is displayed. Is transmitted to the portable information terminal 40 carried by the specialist.
In FIG. 3, as an example, a state in which “Professor Suzuki” is designated is shown. The controller 33 stores in advance the number of the portable information terminal 40 of the registered specialist. The transferred image is displayed on the sub display unit 36. By referring to the sub-display unit 36, the portable information terminal 4 of the specialist can be obtained.
The image displayed on the 0 screen can be checked at any time.

The image data transmitted from the control device 30 is transmitted to the portable information terminal 40 of the specialist via the wireless station 50 of the portable telephone. When the image data is sent,
The portable information terminal 40 sounds a predetermined ring tone to notify the arrival of data, and when the specialist performs a predetermined operation, the line is connected and the affected part image is displayed on the screen of the portable information terminal 40. FIG. 4 shows a state in which the transferred affected part image is displayed on the screen of the portable information terminal 40 owned by the specialist. The specialist can confirm the state of the affected area accurately by checking the image displayed on the screen. Therefore, by using the remote diagnosis system 10 as described above, even when an emergency patient is brought in when a specialist is absent, the specialist can accurately grasp the situation of the affected area by transferring the affected area image to the portable information terminal 40 of the specialist. Therefore, it is possible to obtain accurate instructions from a specialist. Further, in the present embodiment, a communication line is connected between the control device 30 that transmits the affected part image and the portable information terminal 40 of the specialist. Therefore, the specialist can use the call function of the portable information terminal 40 to check the matters that are not known from the transferred affected area image with the doctor in charge of the site.

However, it is difficult to judge only from the transferred diseased part image and it is necessary to confirm the image from another angle, or the size of the affected part image is too small to discriminate small parts. Therefore, there may be a case where a new affected part image needs to be transferred. In such a case, the remote diagnosis system 10 of the present embodiment.
Then, from the portable information terminal 40 possessed by the specialist to the control device 3
It is possible to instruct to transmit data to 0 and have a new affected part image transmitted.

The manner of instructing from the portable information terminal 40 of the specialist to transmit a new affected part image will be described with reference to FIGS. 5 and 6. After confirming the transferred affected part image (see FIG. 4), when the specialist performs a predetermined operation on the portable information terminal 40, the screen display switches to the display shown in FIG. The specialist can select a corresponding item from the displayed various items by placing the cursor on the portable information terminal 40. For example, when the transferred affected part image is desired to be enlarged, the cursor is moved to the position where "1. Enlarge" is displayed and selected, and the screen display is switched to the display as shown in FIG. In the screen of FIG. 6, by operating the button of the portable information terminal 40 and typing a number from "1" to "5" at a predetermined position on the screen, the degree of enlarging the affected area image can be increased from 1 step to 5 steps. It can be set in the range of. The enlargement magnification per step is preset. After setting the extent to which the image is enlarged in this way, the setting contents are transmitted to the control device 30 by operating the button of the portable information terminal 40.

The setting content transmitted from the portable information terminal 40 of the specialist is the communication unit 3 of the control device 30 via the communication line.
8 is received and displayed on the monitor 34. Based on the content displayed on the monitor 34, the medical doctor in charge of the scene controls the control panel 32.
Is operated to capture a new image of the affected area, and then the image is transferred again to the portable information terminal 40 of the specialist. As a result, a new affected part image as shown in FIG. 7 is displayed on the screen of the specialist's terminal. By confirming the new image of the affected part transferred in this way, the specialist can accurately grasp the condition of the affected part and can give an accurate instruction to the doctor in charge of the site.

Of course, if necessary, a new affected part image can be transmitted any number of times by repeating the above operation. For example, it is assumed that a specialist determines that it is necessary to check the part outside the frame on the right side of the screen by looking at the affected area image shown in FIG. 7. In this case, the specialist performs the predetermined operation again to switch the screen display of the mobile information terminal 40. Next, after moving the cursor and selecting “5. move right” as shown in FIG. 8, a step of moving on the screen shown in FIG. 9 is entered, and new setting contents are transmitted to the control device 30. To do. The control device 30 captures an affected part image according to the newly received control content, and transfers it to the portable information terminal 40 again. As a result, the specialist can confirm the affected part image of the portion outside the right frame in the image shown in FIG. 7. If the specialist determines that he or she wants to see a CT image of a different cross section from the transferred affected part image, for example, by selecting “7. Move to the front” or “8. Move to the back”, You can also check the image.

As described above, even when a specialist is in a remote place, he / she can appropriately grasp the situation of the affected area and make an accurate judgment by appropriately correcting the imaging location of the affected area while looking at the transferred image of the affected area. Can be defeated. In addition, compared to the case where the imaging site is indirectly changed by contacting the doctor in charge at the site, the specialist can directly change the imaging site, so the desired affected area image can be obtained quickly. Becomes

In the above description, a new affected part image is taken every time new setting contents are received, but the following may be done. The affected area image is captured in advance with high resolution and stored in the hard disk of the controller 33. Then, when the setting content for enlarging a part of the affected area image is received from the portable information terminal 40 of the specialist, the stored image is subjected to image processing to create an enlarged image, and the obtained image is obtained. The personal information terminal 4 of the specialist
It may be transferred to 0. This is preferable because it is not necessary to capture a new affected part image each time an instruction from a specialist is received, and the requested affected part image can be transmitted quickly.

Further, in the above description, the setting contents transmitted from the specialist are displayed on the monitor 34, and the doctor in charge of the site operates the control panel 32 based on the display. You can also Control device 30
The communication unit 38 receives the setting contents transmitted from the specialist and transmits the setting contents to the controller 33. The controller 33 generates control data of the medical imaging apparatus 20 based on the received setting content, and transmits the generated control data to the medical imaging apparatus 20 to capture a new affected part image. The new affected part image thus photographed is again transferred to the portable information terminal 40 of the specialist via the communication line.
By doing this, the specialist can confirm the condition of the affected area accurately by checking the appropriate affected area image as if he / she is operating the control device 30 while on the spot while being in a remote place. Becomes

Here, the control data for controlling the medical imaging apparatus 20 is generated by the controller 33 in the control apparatus 30. However, by storing a plurality of basic control codes in the mobile information terminal 40 in advance and combining the control codes according to the contents set by the specialist, it is possible to generate control data on the mobile information terminal side. is there. When the control data is transmitted from the portable information terminal 40 in this way, the controller 33 of the control device 30 may supply the received control data to the medical imaging device 20 as it is.

As described above, by confirming the affected part image transferred via the communication line, correcting the imaging range of the affected part and checking a new affected part image, the patient is brought to the site. Even a non-specialist doctor can accurately grasp the condition of the affected area.

B. Second Embodiment: In the first embodiment described above, when the specialist who receives the affected area image tries to change the display range of the image, the changed contents are described in the control device 30 which has transmitted the affected area image. Sent the data. On the other hand, the coordinate value may be detected on the screen of the mobile information terminal on which the affected part image is displayed, and the detected coordinate value may be transmitted to instruct the change of the display range. Hereinafter, such a second embodiment will be described.

Also in the second embodiment, as in the first embodiment, when the data of the affected part image transmitted from the control device 30 arrives at the portable information terminal 40 and the specialist connects the line, the screen is displayed. An affected part image as shown in FIG. 4 is displayed. For example, when the specialist who viewed the displayed affected part image wants to slightly move the imaging range, the screen of the mobile information terminal 40 is switched and “3. move” is selected. Then, the screen is switched again, and as shown in FIG. 11, an image having the dedicated cursor 42 on the affected part image is displayed. The specialist moves the position of the cursor 42 to the position to bring to the center of the screen on the displayed affected part image, and then presses the send button of the portable information terminal 40. When the send button is pressed, the portable information terminal 40 detects the coordinate value of the cursor 42 on the screen, and the data of the detected coordinate value is sent to the control device 30.
Send to.

When the controller 33 of the control device 30 receives the coordinate values sent in this way, after determining the affected part position to be imaged from the coordinate values, it controls the medical imaging device 20 to take a new image of the affected part. To do. As previously mentioned,
Since the image transmitted to the portable information terminal 40 is displayed on the sub-display section 36 of the monitor 34 provided in the control device 30, it is possible to determine the affected part position to be imaged from the transmitted coordinate values. it can. The control device 30 transmits again the data of the new affected part image thus obtained to the portable information terminal 40 of the specialist.

When the specialist views the screen of the portable information terminal 40 and wants to enlarge and display a part of the affected part image, he / she selects "1. Enlarge" on the screen shown in FIG. . Then, the screen of the mobile information terminal 40 is switched and the screen as shown in FIG. 12 is displayed. A rectangular cursor 44 indicating the enlarged range is displayed together with the affected part image on the screen that is switched and displayed. The position of the upper left corner and the position of the lower right corner of the rectangular cursor 44 are determined by the portable information terminal 40.
It can be moved by operating.
The specialist first moves the position of the upper left corner of the rectangular cursor 44, and then moves the position of the lower right corner of the rectangular cursor 44 to move the rectangular cursor to the portion of the affected area image on the screen that is desired to be enlarged. After enclosing with 44, press the send button. When the send button is pressed, the portable information terminal 40
Detects the coordinate values of the upper left corner and the lower right corner of the rectangular cursor 44, and transmits the set of detected coordinate values to the control device 30.

The controller 33 of the controller 30 extracts two coordinate values from the data transmitted from the portable information terminal 40 and sets the area to be enlarged. Since the affected area image previously transferred to the mobile information terminal 40 is stored in the control device 30, an attempt is made to enlarge the coordinate value of the upper left corner and the coordinate value of the lower right corner transmitted from the mobile information terminal 40. The area can be detected. Next, the controller 33 generates control data so as to capture the detected area, supplies the control data to the medical imaging apparatus 20, and captures a new affected part image. When a new affected part image is obtained in this way, it is transmitted again to the portable information terminal 40 of the specialist via the communication line.

As described above, in the second embodiment, the amount of movement of the affected area image or the enlargement range can be specified on the screen of the portable information terminal 40. Therefore, while seeing the screen of the portable information terminal 40, the specialist can quickly display the optimum affected part image without directly operating the control device 30, and in turn, can make an appropriate judgment quickly. It becomes possible.

In the above description, the portable information terminal 40 is used.
After moving the cursor to a desired position on the affected area image, the coordinate value of the cursor is detected, and the detected coordinate value is transmitted to the control device 30. However, the present invention is not limited to this, and for example, as shown in FIG. 11 or 12, an image in which the cursor is moved to a desired position on the affected area image may be directly transmitted to the control device 30. The control device 30 receiving such image data,
An image with a cursor is displayed on the monitor 34. By checking the image displayed on the monitor 34 and operating the control device 30, the doctor in charge of the scene to which the emergency patient has been brought in can take an image of the affected part according to the intention of a specialist who is far away. .

Although various embodiments have been described above, the present invention is not limited to all the embodiments described above, and can be implemented in various modes without departing from the scope of the invention.

For example, instead of exchanging data while the communication line is still connected, the affected part image data may be transmitted using the mail function of the portable information terminal. Looking at the transmitted image of the affected area, the setting contents set by the specialist are returned using the mail reply function. In this way, it is preferable to use the reply function of the mail to send the setting contents surely and easily.

[Brief description of drawings]

FIG. 1 is an explanatory diagram showing a configuration of a remote diagnosis system of this embodiment.

FIG. 2 is a functional block diagram showing a configuration of a control device focusing on functions.

FIG. 3 is an explanatory diagram illustrating a monitor configuration of a control device.

FIG. 4 is an explanatory diagram showing a state in which an affected part image transferred from the control device is displayed on the screen of the portable information terminal.

FIG. 5 is an explanatory diagram showing a state where the imaging range of the affected area image is being corrected on the screen of the portable information terminal in the first embodiment.

FIG. 6 is an explanatory diagram showing a state in which the degree of enlargement of an affected area image is set on the screen of the portable information terminal in the first embodiment.

FIG. 7 is an explanatory diagram showing a state in which a new affected part image enlarged by a set magnification and transferred from the control device is displayed on the screen of the portable information terminal.

FIG. 8 is an explanatory diagram showing a state where the imaging range of the affected area image is being moved on the screen of the portable information terminal in the first embodiment.

FIG. 9 is an explanatory diagram showing a state in which a moving amount of an affected area image is set on the screen of the portable information terminal in the first embodiment.

FIG. 10 is an explanatory diagram showing a state in which the imaging range of the affected area image is being corrected on the screen of the mobile information terminal in the second embodiment.

FIG. 11 is an explanatory diagram showing a state where a cursor is moved on the screen of the portable information terminal in the second embodiment to set the moving amount of the affected part image.

FIG. 12 is an explanatory diagram showing a state in which a cursor is moved on the screen of the mobile information terminal in the second embodiment to set the enlargement range of the affected part image.

[Explanation of symbols]

10 ... Remote diagnosis system 20 ... Medical imaging device 30 ... Control device 32 ... Control panel 33 ... Controller 34 ... Monitor 35 ... Main display section 36 ... Sub-display 37 ... Transfer destination designation section 38 ... Communication section 40 ... Portable information terminal 42 ... Cursor 44 ... Rectangular cursor 50 ... Wireless station 100 ... Communication means 110 ... Control means 120 ... Operating means 122 ... Measuring means 124 ... Imaging means 130 ... Storage means 140 ... Patient database

─────────────────────────────────────────────────── ─── Continuation of front page (51) Int.Cl. ⁷ Identification code FI theme code (reference) H04M 11/00 301 H04B 7/26 MH04Q 7/38 109M F term (reference) 4C027 AA02 JJ03 KK03 KK05 5B085 BE07 BG00 5K067 AA21 BB27 DD52 EE02 EE10 FF23 GG01 GG11 5K101 KK13 KK19 LL12 NN06 NN18

Claims (14)

[Claims] 1. A medical diagnostic apparatus for photographing and displaying a diseased part image of a patient, wherein photographing range setting means for setting a photographing range of the affected part image, and photographing the affected part image of the set photographing range. Affected part image photographing means, image data transmitting means for transmitting the data of the photographed affected part image to the portable information terminal via the communication line, and receiving control data transmitted from the portable information terminal via the communication line And a photographing range changing means for changing the photographing range by controlling the photographing place setting means. 2. A medical diagnostic apparatus for photographing and displaying a diseased part image of a patient, wherein photographing range setting means for setting a photographing range of the affected part image, and photographing the affected part image of the set photographing range. The affected area image capturing means, the portable information terminal selecting means for selecting at least one portable information terminal from a plurality of previously registered portable information terminals, and the data of the captured affected area image are selected. A medical diagnostic apparatus comprising: an image data transmitting unit that transmits the image data to a portable information terminal via a communication line. 3. The medical diagnostic apparatus according to claim 1 or 2, wherein the affected part image capturing means is an X-ray image, a CT image, an MR image, an ultrasonic image, or an electrocardiogram as the affected part image. A medical diagnostic device that is a means for photographing any of the images. 4. The medical diagnostic apparatus according to claim 1 or 2, wherein the communication line is secured between the mobile information terminal and the image data or the control data. A medical diagnostic device having a communication line securing means for maintaining a connected state by a communication. 5. The medical diagnostic apparatus according to claim 1, wherein patient information storage means for storing information related to diagnosis for each patient, and information related to diagnosis stored for each patient. From
A medical diagnostic device, comprising: a patient information reply unit that returns the information specified by the portable information terminal via the communication line. 6. A portable information terminal capable of transmitting and receiving data via a communication line, the image receiving data of the affected part image from the medical diagnostic apparatus for photographing an affected part image of a patient via the communication line. A mobile phone provided with data receiving means, affected part image display means for displaying the received affected part image, and control data transmitting means for transmitting control data for changing the imaging range of the affected part image to the medical diagnostic apparatus. Information terminal. 7. The portable information terminal according to claim 6, wherein the communication line is secured between the medical diagnostic apparatus and the medical diagnostic apparatus to exchange the image data or the control data. A medical diagnostic apparatus having a communication line securing means. 8. The portable information terminal according to claim 6, further comprising: display range designating means for designating a display range of the affected area image on the displayed affected area image, wherein the control data transmission means includes the control unit. A portable information terminal which is means for transmitting, as data, data representing the designated display range. 9. The portable information terminal according to claim 8, further comprising coordinate value detection means for detecting coordinate values on the affected area image corresponding to the designated display range, wherein the control data transmission means is A portable information terminal which is a means for transmitting the detected coordinate value as the control data. 10. The portable information terminal according to claim 6, further comprising a diagnostic information storage unit that receives and stores information related to a diagnosis stored for each patient via the communication line. . 11. A medical diagnostic system for photographing and displaying a diseased part image of a patient, wherein photographing range setting means for setting a photographing range of the affected part image, and photographing the affected part image of the set photographing range. Affected part image photographing means, data of the photographed affected part image, image data transmitting means for transmitting to the portable information terminal via a communication line, and a photographing range changing means for changing the photographing range of the affected part image, The mobile information terminal receives the data of the affected part image via a communication line, and displays the received affected part image, the affected part image display means, and the control data for changing the imaging range of the affected part image, the communication. A medical diagnostic system comprising: a control data transmitting unit that transmits the image capturing range changing unit via a line. 12. The medical diagnostic system according to claim 11, further comprising communication line securing means for securing the communication line and maintaining a connection state for exchanging the image data or the control data. The medical diagnostic system, wherein the image data transmitting means and the control data transmitting means are means for transmitting each data via the secured communication line. 13. The medical diagnostic system according to claim 11, wherein the portable information terminal includes a display range designating unit for designating a display range of the affected part image on the displayed affected part image, the control The data transmission unit is a portable information terminal that is a unit that transmits, as the control data, data representing the designated display range. 14. The medical diagnostic system according to claim 11, wherein the patient information storage means stores information related to diagnosis for each patient, and the information related to the diagnosis stored for each patient. From the inside
Patient information return means for returning the information specified by the mobile information terminal via the communication line, the mobile information terminal transmitting from among information related to the diagnosis stored for each patient. A medical diagnostic system comprising information designating means for designating information to be transmitted via a communication line.