JP2003290186A - Medial image apparatus, display method therein and program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To automatically determine the imaging procedure for minimizing the bodily load to a patient where a plurality of images of the patient are imaged, in a medical image apparatus for imaging medical image. <P>SOLUTION: When imaging utilizing readers 3a and 3b is designated with respect to one patient in the reservation data of the patient received from a center server 1, a controller 2 rearranges imaging order so as to perform the imaging of an image due to the reader 3b after respective regions are imaged using the reader 3a to display the rearranged imaging order on a display part 23. Further, when imaging by using a plurality of imaging methods such as simple imaging, imaging by the administration with a contrast medium, or the like, is designated with respect to one patient in reservation data, the controller 2 rearranges the imaging order so as to perform imaging by the administration with the contrast medium after respective regions are imaged by simple imaging to display the rearranged imaging order on the display part 23. <P>COPYRIGHT: (C)2004,JPO

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical image device for taking a medical image, a display method in the medical image device,
And the program.

[0002]

2. Description of the Related Art Conventionally, in the medical field, medical image capturing using radiation such as X-rays has been performed for diagnosing a disease in a patient. In recent years, LAN has been installed in hospitals.
Networks such as (Local Area Network) have been constructed, and various medical image devices such as an X-ray imaging device are connected to the network.

For example, an X-ray imaging apparatus is composed of an apparatus (reading apparatus) for reading an image of a patient with X-rays and a controller for controlling the reading apparatus.
It is connected to a server that manages patient information (hereinafter referred to as a center server) via the network. The center server transmits the imaging reservation information of each patient input by the operator to the controller, and the controller controls the reading device in accordance with the reservation information of each patient transmitted from the center server.

The reservation information transmitted from the center server to the controller includes the name and ID of the patient who is the subject.
In addition, the imaging conditions such as imaging site / direction and imaging method (simple imaging / imaging by administration of contrast agent) are included. Especially when multiple images are required for one patient,
In the reservation information, a plurality of imaging parts / directions are shown as imaging conditions, and based on these imaging parts / directions,
A list of shooting items is displayed on the monitor of the controller.
The image capturing is usually performed in the order listed in the list displayed on the monitor.

[0005]

However, the above-mentioned list of imaging items is a list of imaging items without considering the burden on the patient at the time of imaging. Performing the steps in the order listed can be very burdensome to the patient.

[0006] For example, when the controller receives reservation information regarding the imaging of the waist and chest of a patient, the reservation information indicates in the controller that "imaging of the waist, direction is front,
It is analyzed as follows: "taken in standing position and lying position", "shooting chest, direction is in front, standing position and lying position". Each of them is decomposed into the number of photographed images, and the photographed items are the lumbar standing front, the lumbar lying front, the chest standing front, and the chest lying front.
Here, the controller may receive and register all the reservation information described above. Or, in the controller, number 1 such as "shooting the waist, shooting in the front, standing and lying down" and number 2 "shooting the chest, shooting in the front, standing and lying down" It is also possible to prepare a conversion table storing the correspondence relationship between the shooting information and the shooting information, receive only the number as the reservation information, and acquire the shooting information corresponding to the received number from the conversion table.

When the images are taken in the order described above, the patient is first erected to take an image of the front of the lumbar standing position, then the patient is laid down and the front of the lumbar supine position is taken, and then again. , Taking the image of the front of the chest standing upright with the patient standing, and finally, laying the patient down again and taking the image of the front of the chest lying down, alternating between standing and lying down imaging. Therefore, the burden on the patient increases. In order to avoid this, every time the patient reservation information is transmitted from the center server to the controller, the imaging order specified in the reservation information must be rearranged according to the judgment of the (radiology) technician who operates the controller. However, this rearrangement work is troublesome and troublesome for the engineer.

An object of the present invention is to automatically determine a photographing procedure that minimizes a physical burden on a patient when photographing a plurality of images for one patient in a medical image apparatus for controlling photographing of a medical image. Is to

[0009]

The invention according to claim 1 is
In a medical image device that captures medical images, a receiving unit that receives reservation information related to medical image capturing of a patient, and when a plurality of images are captured for one patient, based on the reservation information received by the receiving unit. A determining unit that determines the order of the plurality of imaging operations for the patient, and a display control unit that causes the display unit to display a plurality of imaging reservation information for the patient in the imaging order determined by the determining unit. It is characterized by that.

According to a second aspect of the present invention, in the medical image apparatus according to the first aspect, the deciding means reads the patient's image in each of the image taking based on the reservation information received by the receiving means. Is determined, and the photographing procedure is determined based on the determined type of the reading device.

According to a third aspect of the present invention, in the medical image apparatus according to the second aspect, the reservation information received by the receiving means specifies a type of a reading device that reads an image of a patient in each image capturing. The determining means determines the shooting procedure based on the type of the reading device designated by the reservation information.

According to a fourth aspect of the present invention, in the medical image apparatus according to the second aspect, information regarding an imaged region, information regarding an imaged region and an image capturing direction, information regarding an imaged region and an inspection technique, an imaged region, an image capturing method, and an inspection technique. Further, a storage unit for storing at least one of the information relating to the imaging device and the type of the reading device used for imaging in association with each other is included in the reservation information received by the receiving unit. At least one of information, information about an imaged part and an imaging direction, information about an imaged part and an inspection technique, information about an imaged part, an imaging method, and an inspection technique is included. From the stored contents, the type of reading device corresponding to the information included in the reservation information is determined, and based on the determined type of reading device. Stomach, is characterized in that to determine the shooting procedure.

According to a fifth aspect of the present invention, in the medical image apparatus according to the first aspect, the deciding means decides a photographing type of each of the image photographing based on the reservation information, and the decided photographing is performed. The feature is that the shooting procedure is determined based on the type.

According to a sixth aspect of the present invention, in the medical image apparatus according to any one of the first to fifth aspects, the display control means has at least an examination technique, an imaged part name, and an imaged direction as the imaging reservation information. The feature is that one is displayed.

According to a seventh aspect of the present invention, in a display method in a medical image device for displaying information regarding imaging of a medical image on a display means, a receiving step of receiving reservation information regarding imaging of a medical image of a patient, and one patient. In the case of performing a plurality of radiographing on the other hand, based on the reservation information received by the receiving step, in the determining step of determining the order of the plurality of radiographing for the patient, and in the order of the radiographing determined by the determining step, A display control step of displaying a plurality of pieces of radiographing reservation information for the patient on the display means.

According to an eighth aspect of the present invention, in the display method for the medical image device according to the seventh aspect, the determining step is based on the reservation information received by the receiving step.
It is characterized in that the type of the reading device that reads the image of the patient is determined in each image capturing, and the imaging procedure is determined based on the determined type of the reading device.

According to a ninth aspect of the present invention, in the display method for the medical image device according to the eighth aspect, the reservation information received in the receiving step includes a type of a reading device that reads an image of a patient in each image capturing. Is specified, and the deciding step decides the photographing procedure based on the type of the reading device designated by the reservation information.

According to a tenth aspect of the present invention, in the display method in the medical image device according to the eighth aspect, information regarding an imaging region, information regarding an imaging region and an imaging direction, information regarding an imaging region and an inspection technique, an imaging region and an imaging method. And at least one piece of information related to the inspection technique and a type of a reading device used for imaging are stored in association with each other, and the reservation information received by the receiving step includes the At least one of information about an imaged part, information about an imaged part and an imaging direction, information about an imaged part and an inspection technique, and information about an imaged part, an imaging method, and an inspection technique is included, and the determining step includes The type of the reading device corresponding to the information included in the reservation information is determined from the stored contents of the storing process, and the determination is made. Based on the type of winding devices, it is characterized by determining the imaging procedure.

According to an eleventh aspect of the present invention, in the display method for a medical image device according to the seventh aspect, the determining step determines and determines the type of image capturing of each image capturing based on the reservation information. It is characterized in that the shooting procedure is determined based on the type of shooting.

The invention according to claim 12 is the invention according to claims 7 to 11.
In the display method for the medical image device according to any one of items 1 to 3, the display control step displays at least one of an inspection technique, an imaged part name, and an imaged direction as the imaging reservation information.

According to a thirteenth aspect of the present invention, a receiving function for receiving reservation information relating to medical image capturing of a patient to a computer for controlling a medical image capturing apparatus for capturing a medical image,
When performing a plurality of radiography for one patient, based on the reservation information received by the reception function, a determination function that determines the order of the plurality of radiography for the patient, and the radiography determined by the determination function. And a display control function of displaying a plurality of pieces of imaging reservation information for the patient on the display means in order.

Therefore, when a plurality of medical images are taken for one patient, the taking procedure considering the patient can be automatically determined, and the physical burden on the patient at the time of taking the images can be reduced. At the same time, the efficiency of the shooting work can be improved.

[0023]

BEST MODE FOR CARRYING OUT THE INVENTION Embodiments of the present invention will be described in detail below with reference to the drawings. First, the configuration will be described.

FIG. 1 is a diagram showing the overall configuration of an image capturing system 100 according to this embodiment. As shown in FIG. 1, the image capturing system 100 includes a center server 1,
The controller 2 and the reader 3a installed in the photographing room,
3b, the center server 1 and the controller 2 are connected via a communication network N such as a LAN, and the controller 2 and the readers 3a and 3b are connected by a reader / controller connecting cable C.

The number of controllers 2 connected to one center server 1 via the communication network N and the number of readers connected to one controller 2 are not particularly limited.

In FIG. 1, the center server 1 is installed in a hospital office or the like, and the hospital information system (H
IS) and a part of radiology information system (RIS) are constructed to manage patient information.
In addition, when the operator inputs the information of each patient who needs to be imaged as a part of the patient information, the center server 1 stores the reservation information for image imaging for these patients in the controller installed in the imaging room. Send to 2. The reservation information includes information such as the patient's ID, name, sex, date of birth, age, imaging conditions (imaging site, standing / recumbent position, imaging method, etc.).

The controller 2 and the readers 3a and 3b
Is installed in the imaging room, and the controller 2 and the readers 3a and 3b constitute an (X-ray) imaging apparatus.

The controller 2, as shown in FIG.
PU 21, input unit 22, display unit 23, communication control unit 24,
It is composed of RAM 25 and ROM 26, and each unit is a bus 2.
Connected by 7.

CPU (Central Processing Unit) 21
Performs various control operations according to various control programs stored in the ROM 26. Specifically, the CPU 21
When the reservation information of the patient who performs a plurality of image capturing operations is received from the center server 1, the processing of rearranging the capturing order specified by the reservation information is executed according to the capturing order rearranging processing program stored in the ROM 26 (FIG. 3). reference).

In this photographing order rearranging process, the CPU 21
Is the leader 3 for one patient in the reservation information.
a, and shooting using the reader 3b is specified,
After the imaging of each part using the reader 3a, the imaging order is rearranged so that the image is captured by the reader 3b, and the rearranged imaging order is displayed on the display unit 23. In addition, in the reservation information, when imaging by a plurality of imaging methods such as simple imaging and imaging by administration of a contrast agent is designated for one patient, the CPU 21 performs, after imaging each part by simple imaging, The imaging order is rearranged so that the imaging is performed by administering the contrast agent, and the rearranged imaging order is displayed on the display unit 23. The CPU 21 has a function as a determining unit and a display controlling unit in the claims.

The input section 22 is provided with various keys such as a character key and a numeric key, and the CPU 21 outputs an operation signal when the key is pressed.
Output to. In addition, the input unit 22 includes a touch panel that is provided so as to cover the display unit 23, and detects and detects the coordinates that are touch-instructed by the coordinate reading principle such as the electromagnetic induction type, the magnetostrictive type, and the pressure sensitive type. The coordinates are output to the CPU 21 as a position signal.

The display unit 23 is an LCD (Liquid Crystal D
It has a display screen such as isplay) and performs a required display according to a display signal input from the CPU 21. FIG. 3 shows a screen display example on the display unit 23.

The communication control unit 24 is composed of a LAN adapter, a router, a TA (Terminal Adapter), etc.
It controls communication with each device connected to the communication network N. The communication control unit 24 has a function as a receiving unit in the claims.

A RAM (Random Access Memory) 25 is
When the CPU 21 executes the various processing programs,
The various programs are expanded in a program storage area (not shown) in the RAM 25, and the data and the like generated when the CPU 21 executes the various processing programs are temporarily stored in the data storage area (not shown).

ROM (Read Only Memory) 26 is a CP
Various control programs such as a photographing order rearrangement processing program executed by U21, data processed by each processing program, and the like are stored.

The ROM 26 has a conversion table in which the imaged region / direction and the type of reader used for the image pickup are stored in association with each other. For example, when the imaging site / direction is the lumbar spine standing front, the leader to be used is the standing reader 3a, and when the imaging site / direction is the lumbar supine front, the reader to be used is the supine reader. 3b. In addition, R
The OM 26 has a function as a storage unit in the claims.

In FIG. 1, readers 3a and 3b are image reading devices for standing and lying down, respectively, and are used for a patient according to a control signal input from the controller 2 when taking an image of the patient. Radiation (for example, X-rays) is applied to read the transmitted light, various processes such as photoelectric conversion and A / D conversion are performed on the read optical image, and the optical image is transmitted to the controller 2.

Next, the operation of this embodiment will be described. The shooting order rearranging process executed by the controller 2 will be described with reference to FIG.

When the patient reservation information is received from the center server 1, the CPU 21 displays a photographing condition list on the display unit 23 based on the received reservation information. For example,
The shooting condition list is the lumbar standing front, the lumbar supine front,
FIG. 3A shows a display example on the display unit 23 in the case of displaying in front of the chest standing front and the chest lying front.

Next, when the rearrangement of the photographing order is designated by the operation of the input unit 22, the CPU 21 causes the reader 3a to operate.
After completion of all the shooting by, the shooting order designated by the reservation information is changed so as to shift to the shooting by the reader 3b. In the case of the shooting conditions shown in FIG.
Refers to the conversion table stored in the ROM 26,
The reader 3a is determined as a reader used for photographing the lumbar standing front and the chest standing front, and the reader 3b is determined as a reader used for the lumbar recumbent front and chest lying front, and the shooting order is Change in order. Then, the CPU 21 displays the changed shooting order on the display unit 23, as shown in FIG.

When the plurality of shooting conditions indicated in the reservation information are only simple shooting, the CPU 21 rearranges the shooting order based on the type of the reader as described above. If there is a mixture of radiographing with the administration of contrast agent, contrast agent radiographing requires more time than simple radiographing.Therefore, perform simple radiographing first, and start the contrast agent radiographing after all simple radiographing is completed. Rearrange the shooting order.

For example, the photographing condition list is a simple abdomen,
When the abdominal contrast agent and the chest are listed in the order of simple, the CPU 21 changes the imaging order to the order of so that the contrast agent is imaged after the simple imaging is completed. In addition, the order of photography is the input unit 2 by the photographer.
The number can be changed as appropriate by inputting operation 2 and the like.

As described above, according to the controller 2 of this embodiment, the readers 3a and 3b can be used for one patient.
When a plurality of images are captured using the image capturing device, the imaging order is automatically determined so that the image capturing by the reader 3a is completed after the image capturing by the reader 3a is completed. It is not necessary to repeatedly go back and forth between the positions 3 and 3b, and the burden on the patient during image capturing is reduced.

Further, when a plurality of simple photographings and an image photographing by the administration of the contrast agent are required, the contrast medium photographing requires more time than the simple photographing, so that all the simple photographings are performed first, and the contrast is imaged after the simple photographing is completed. By performing the agent photographing, the efficiency of the photographing work can be improved.

The description contents in this embodiment are as follows.
Modifications can be made as appropriate without departing from the spirit of the present invention.
For example, in the present embodiment, the imaging procedure is determined based on the reader type and the imaging method, but the imaging procedure is determined based on the cassette type, the imaging site, etc. in addition to the reader type and the imaging method. Good.

Further, the ROM 26 may store a rank table in which the shooting rank of each shooting condition is set, and the shooting rank may be determined based on the setting contents of the rank table. Further, in the present embodiment, the controller 2 receives the reservation information from the center server 1 via the communication network N, but it may be received by the input operation of the input unit 22 of the controller 2.

Further, in the present embodiment, the controller 2
Has received the reservation information transmitted from the center server 1, but the controller 2 itself acquires the reservation information from the center server 1 or a file shared in the communication network N. You may do it.

Further, in the present embodiment, the controller 2
Received the reservation information in which the imaging region / direction was designated, and determined the type of reader for reading the image of the patient based on the received reservation information by referring to the conversion table stored in the ROM 26. Alternatively, the type of reader may be included in the reservation information itself, and the type of reader may be read directly from the reservation information.

[0049]

According to the present invention, when a plurality of medical images are taken for one patient, the taking procedure in consideration of the patient can be automatically determined, so that the physical burden on the patient at the time of taking the images is increased. Can be reduced and the efficiency of the shooting operation can be improved.

[Brief description of drawings]

FIG. 1 is a diagram showing an overall configuration of an image capturing system 100 according to an embodiment of the present invention.

FIG. 2 is a block diagram showing an internal configuration of a controller 2 shown in FIG.

FIG. 3 is a display example of an imaging condition list when receiving patient reservation information (FIG. 3A) and a table of the imaging condition list after the imaging order is changed by the imaging order rearranging process of the present embodiment. The figure which shows an example (the same figure (b)).

[Explanation of symbols]

1 Center server 2 controller 21 CPU 22 Input section 23 Display 24 Communication control unit 25 RAM 26 ROM 27 bus 3a, 3b reader 100 image capturing system N communication network C reader / controller connection cable

Claims (13)

[Claims] 1. A medical image device for photographing a medical image, a receiving means for receiving reservation information regarding medical image photographing of a patient, and a receiving means for receiving a plurality of photographing for one patient. A determination unit that determines the order of the plurality of imaging operations for the patient based on the reservation information, and a display control that causes the display unit to display the plurality of imaging reservation information items for the patient in the imaging order determined by the determination unit. A medical image device comprising: 2. The deciding means decides a type of a reading device for reading an image of a patient in each of the image taking, based on the reservation information received by the receiving means, and takes an image based on the decided type of the reading device. The medical image device according to claim 1, wherein a procedure is determined. 3. The reservation information received by the receiving unit specifies the type of a reading device that reads the image of the patient in each of the image captures, and the determining unit reads the reading specified by the reservation information. The medical imaging apparatus according to claim 2, wherein the imaging procedure is determined based on the type of the apparatus. 4. At least one of information about an imaged region, information about an imaged region and an image capturing direction, information about an imaged region and an inspection technique, information about an imaged region, an image capturing method, and an inspection technique, and information used for image capturing. The reservation information received by the reception unit further includes a storage unit that stores the type of the reading device in association with each other, and the reservation information received by the reception unit is related to the imaging region, the imaging region and the imaging direction, the imaging region, and the inspection technique. At least one of the information, the imaged region, the information about the imaging method, and the inspection technique is included, and the determination unit reads the storage content of the storage unit and corresponds to the information included in the reservation information. 3. The image capturing procedure is determined based on the determined type of the reading device and the type of the reading device. Use imaging device. 5. The deciding means decides a photographing type of each of the image photographing based on the reservation information, and determines a photographing procedure based on the decided photographing type. 1. The medical image device according to 1. 6. The medical device according to claim 1, wherein the display control means displays at least one of an inspection technique, an imaging site name, and an imaging direction as the imaging reservation information. Imaging device. 7. A display method in a medical image device for displaying information on imaging of a medical image on a display means, a receiving step of receiving reservation information on imaging of a medical image of a patient, and a plurality of imagings for one patient. When performing, a plurality of imaging reservations for the patient in the determining step for determining the order of the plurality of imagings for the patient based on the reservation information received by the receiving step, and for the plurality of imagings for the patient in the imaging order determined by the determination step. A display control step for displaying information on a display means, and a display method in a medical image device. 8. The deciding step decides a type of a reading device for reading an image of a patient in each of the image taking based on the reservation information received in the receiving step, and takes an image based on the decided type of the reading device. The display method in a medical image device according to claim 7, wherein a procedure is determined. 9. The reservation information received in the receiving step specifies the type of a reading device that reads the image of the patient in each of the image captures, and the determining step includes the reading specified in the reservation information. 9. The display method in the medical image device according to claim 8, wherein the imaging procedure is determined based on the type of device. 10. At least one of information about an imaged region, information about an imaged region and an image capturing direction, information about an imaged region and an inspection technique, information about an imaged region, an image capturing method, and an inspection technique, and information used for image capturing. The reservation information received in the receiving step further includes a storage step of associating and storing the type of the reading device with each other, and the reservation information received in the reception step relates to information about the imaging site, imaging site and imaging direction, imaging site and inspection technique. At least one of information, information regarding an imaging region, an imaging method, and an inspection technique is included, and in the determining step, the reading device corresponding to the information included in the reservation information from the storage content of the storage step. 9. The shooting procedure is determined based on the determined type of the reading device and the type of the reading device. Display method in medical imaging apparatus. 11. The determining step determines a shooting type of each image shooting based on the reservation information, and determines a shooting procedure based on the determined shooting type. 7. The display method in the medical image device according to 7. 12. The medical device according to claim 7, wherein the display control step displays at least one of an inspection technique, an imaging site name, and an imaging direction as the imaging reservation information. Display method in image device. 13. A reception function for receiving reservation information on medical image capturing of a patient to a computer for controlling a medical image capturing apparatus for capturing medical images, and the reception function when a plurality of images are captured for one patient. Based on the reservation information received by the function, a determination function for determining the order of the plurality of imaging for the patient, and a plurality of imaging reservation information for the patient in the display order determined by the determination function on the display unit. Display control function to display and a program to realize.