JP2004201789A - Method of using medical image diagnostic terminal - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a method of using a medical image diagnostic terminal designed for a further use of digitized image data in a diagnosis of an examination image. <P>SOLUTION: The digitized image data are utilized to judge whether a marker is placed or not depending on whether the maximum measurement value of a lesion detected in the examination image is larger than the size of a lesion set depending on an examination purpose and to decide a progress period from the development of the lesion depending on the maximum measurement value of the lesion. <P>COPYRIGHT: (C)2004,JPO&NCIPI

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention is connected via a network to a diagnostic image capturing device that generates a medical image of a patient, and to an image server device that includes an image database that stores medical images generated by the diagnostic image capturing device. The present invention relates to a method of using a medical image diagnostic terminal for providing a medical image to a user.
[0002]
[Prior art]
In recent years, against the background of rapid progress in information processing technology, medical images captured by an X-ray imaging apparatus, a nuclear magnetic resonance apparatus (MRI), and the like have been converted into digital data, and these digitalized medical images have been converted by doctors and the like. A medical image diagnostic system that supports image diagnosis by processing and displaying the processed image on a terminal to be used has been proposed (for example, see Patent Literature 1).
[0003]
In the above proposed system, when a lesion is detected from an examination image that has been converted into digital data, a marker is displayed on a portion where the lesion is detected so that a doctor can easily recognize the lesion.
[0004]
[Patent Document 1]
JP-A-6-325012
[0005]
[Problems to be solved by the invention]
However, in the medical image diagnostic system as described above, when a lesion is detected in an examination image, a recognition assisting function such as marker display is operated for all the lesions on the detected examination image, which hinders the diagnosis. The use of digitized image data is inadequate, for example, there is a possibility that the image data will be lost.
[0006]
The present invention has been made in view of the above circumstances, and has as its object to provide a method of using a medical image diagnostic terminal in which digitized image data is further used in diagnosis of an examination image.
[0007]
[Means for Solving the Problems]
Among the methods of using the medical image diagnostic terminal of the present invention for achieving the above object, the method of using the first medical image diagnostic terminal is as follows:
Utilization connected via a network to a diagnostic image capturing apparatus for generating a medical image of a patient and an image server apparatus having an image database for storing medical images generated by the diagnostic image capturing apparatus In a method of using a medical image diagnostic terminal that provides a medical image to a person,
Instruct and input the purpose of the inspection,
The medical image is characterized in that, among the lesions in the medical image, lesions that match the inspection purpose for which the instruction has been input are displayed with a lesion marker identifying the lesion.
[0008]
In the medical image diagnostic terminal according to the first method for using a medical image diagnostic terminal of the present invention, a lesion that matches an input examination purpose is displayed with a marker attached thereto. Therefore, for example, in the case where the inspection purpose is two types, that is, a health checkup for confirming the presence or absence of a disease and a detailed test for detailed confirmation of a site determined to have the disease, the health checkup is selected as the test purpose. If the test is performed, the marker is not added to the test items that do not support the lesion in other test items in the health check even if the lesion is detected, and the detailed test is selected for the test purpose. A mode can be adopted in which a marker is attached to all the detected lesions. That is, according to the medical image diagnostic terminal according to the first method for using a medical image diagnostic terminal of the present invention, the display mode of the inspection image can be changed depending on the purpose of the inspection by using the digitized image data.
[0009]
Here, in displaying the medical image, a lesion part of the lesion part in the medical image having a size that matches the examination purpose may be displayed with a lesion marker.
[0010]
As described above, the marker may not be attached, but may be determined based on a different lesion size depending on the examination purpose.
[0011]
Among the methods of using the medical image diagnostic terminal of the present invention for achieving the above object, the method of using the second medical image diagnostic terminal is as follows:
A user connected via a network to a diagnostic image capturing device that generates a medical image of a patient and an image server device that includes an image database that stores the medical image generated by the diagnostic image capturing device. In a method of using a medical image diagnostic terminal that provides a medical image toward
The method is characterized in that the diseased part appeared in the medical image, the elapsed time since the occurrence of the lesion is determined, and the medical image is displayed together with information indicating the elapsed time since the occurrence of the lesion or the time of occurrence of the lesion. I do.
[0012]
In the medical image diagnostic terminal according to the second method for using a medical image diagnostic terminal of the present invention, the examination image is displayed together with the time of occurrence of the lesion detected from the examination image or the elapsed time since the occurrence of the lesion. In other words, according to the medical image diagnostic terminal according to the second method for using the medical image diagnostic terminal of the present invention, by using the digitized image data, the elapsed time from the occurrence of the lesion that can be determined by uniform judgment can be determined. Since the display is performed, it is possible to compensate for a lack of experience or a lack of knowledge on the side of viewing the inspection image.
[0013]
Here, in determining the elapsed time from the occurrence of the lesion, the elapsed time or the occurrence time may be determined based on the size of the lesion.
[0014]
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, embodiments of the present invention will be described.
[0015]
Here, an embodiment of the medical image diagnostic program is installed and operated in a personal computer including a diagnostic image capturing apparatus that generates a medical image of a patient and a database that stores medical images captured by the diagnostic image capturing apparatus. Of a medical image diagnostic system including an embodiment of an image server made by the above and an embodiment of a medical image diagnostic terminal made by incorporating and operating an embodiment of a medical image diagnostic program in a personal computer. An embodiment will be described.
[0016]
FIG. 1 is a diagram showing a part of a diagnostic system which is an embodiment of the medical image diagnostic system.
[0017]
The diagnostic system 1 shown in FIG. 1 includes a single server 100, three clients 300, 400, 500, and an image capturing device 800, each of which is configured by a computer system. They are connected to each other via a network 600.
[0018]
The computer system constituting the server 100 is a high-speed and large-capacity computer system generally called a workstation. A user of the diagnostic system 1 can access the database of the server 100 from the clients 300, 400, and 500 via the communication network 600.
[0019]
The server 100 and the clients 300, 400, and 500 receive instructions from the main units 101, 301, 401, and 501, and the main units 101, 301, 401, and 501 each including a CPU, a main storage device, a hard disk, and a communication board. Keyboards for inputting user instructions to the display units 102, 302, 402, and 502 for displaying images and character strings on the display screens 102a, 302a, 402a, and 502a. 103, 303, 403, 503, a mouse 104 for specifying an arbitrary position on the display screens 102a, 302a, 402a, 502a, and inputting an instruction corresponding to an icon or the like displayed at that position at the time of the specification. 304, 404, and 504. In addition, the server 100 and the clients 300, 400, and 500 have FD loading ports 101a, 301a, 401a, and 501a for loading a flexible disk (hereinafter abbreviated as FD), and a CD-ROM. CD-ROM loading ports 101b, 301b, 401b, and 501b for loading.
[0020]
FIG. 2 is a hardware configuration diagram of a server having the appearance shown in FIG.
[0021]
In FIG. 2, a CPU 111 that executes various programs, a RAM 112 that reads out programs stored in the hard disk device 120 and is developed for execution by the CPU 111, a hard disk controller 113, and an FD 710 are mounted, and the FD 710 is accessed. An FD drive 114 and a CD-ROM drive 115 for accessing the CD-ROM 700 are built in, and these various elements and the image display device 102, the display controller 118, the keyboard 103, the keyboard controller 117, and the mouse shown in FIG. The mouse controller 104 and the mouse controller 116 are mutually connected via a bus 110. The communication board 119 is connected to the communication network 600.
[0022]
Note that the hardware configuration of the clients 300, 400, and 500 having the appearance shown in FIG. 1 is almost the same as the configuration of the server 100 shown in FIG.
[0023]
A medical image diagnostic program for an image server for operating the server 100 as an embodiment of the image server is stored in the CD-ROM 700 shown in FIGS. 1 and 2, and the CD-ROM 700 is a CD-ROM. The medical image diagnostic program for the image server loaded in the drive 115 and stored in the CD-ROM 700 is uploaded to the server 100 and stored in the hard disk device 120. Thus, the server 100 operates as an embodiment of the image server. In the following description of the functions, although the functions are performed by combining hardware and software, the functions are denoted by reference numerals attached to the software for convenience.
[0024]
1 and 2 stores a medical image diagnostic program for a medical image diagnostic terminal for causing a client to operate as one embodiment of a medical image diagnostic terminal. The CD-ROM 700 shown in FIG. Is loaded into the CD-ROM drive of the client, and the medical image diagnostic program stored in the CD-ROM 700 is uploaded to the client and stored in the hard disk device. Thus, the clients 300, 400, and 500 operate as one embodiment of the medical image diagnostic terminal.
[0025]
FIG. 3 is a conceptual diagram showing a CD-ROM in which an embodiment of a medical image diagnostic program for an image server is stored.
[0026]
FIG. 3 shows a lesion detection processing unit 1000 which is a component of a medical image diagnosis program for an image server. The lesion detection processing unit 1000 is a lesion detection processing unit in a medical image diagnosis program for an image server. Corresponds to an example.
[0027]
FIG. 4 is a conceptual diagram showing a CD-ROM storing one embodiment of a medical image diagnostic program for a medical image diagnostic terminal.
[0028]
FIG. 4 shows inspection purpose instructing means 3100, lesion elapsed time determining means 3200, and lesion result referring means 3300, which are components of a medical image diagnostic program for a medical image diagnostic terminal. Reference numeral 3100 corresponds to an example of an examination purpose instructing unit in the medical image diagnostic program for the medical image diagnostic terminal. Similarly, the lesion elapsed period determining unit 3200 and the lesion result referring unit 3300 are also used for the medical image diagnostic terminal for the medical image diagnostic terminal. Each corresponds to an example of a lesion elapsed time determination unit and a lesion result reference unit in the program.
[0029]
For details of each unit of the medical image diagnosis program for the image server and the medical image diagnosis program for the medical image diagnosis terminal, see the operation of each unit of the image server 100 which is an embodiment of the image server, and the medical image diagnosis terminal. A description will be given together with the operation of each means of the medical image diagnostic terminals 300, 400, and 500 according to one embodiment.
[0030]
FIG. 5 shows the medical image diagnostic program for the medical image diagnostic terminal installed in the server of FIG. 1 by installing the medical image diagnostic program for the image server on the server of FIG. 1 and operating the server as one embodiment of the image server. 1 is a functional configuration diagram of an embodiment of a medical image diagnostic system when installed in a client and the client is operated as an embodiment of a medical image diagnostic terminal.
[0031]
FIG. 5 shows a diagnostic system 1 including a diagnostic image capturing apparatus 800, an image server 100, a medical image diagnostic terminal 300, and a network 600. It should be noted that the image server 100 also shows a hard disk 120 in which an image database storing an inspection result image output and transmitted from the diagnostic image capturing apparatus 800 is stored.
[0032]
The image server 100 includes a lesion detection processing unit 1000 as hardware, and the medical image diagnostic terminal 300 includes an examination purpose instruction unit 3100, a lesion elapsed period determination unit 3200, and a lesion result reference unit 3300 as hardware. Have.
[0033]
The lesion detection processing unit 1000 performs a detection process of a lesion that appears in the medical image transmitted from the diagnostic image capturing device 800.
[0034]
The inspection purpose instructing means 3100 performs an input process of the inspection purpose. The lesion elapsed time determination means 3200 determines the elapsed time since the occurrence of the lesion based on the size of the lesion. The lesion result reference unit 3300 identifies the lesion in the medical image detected by the lesion detection processing unit 1000, for a lesion having a size that matches the examination purpose instructed and input by the examination purpose instructing unit 3100. The lesion marker to be displayed and the elapsed time of the lesion determined by the lesion elapsed time determination unit 3200 are displayed.
[0035]
Here, the image diagnostic operation of the diagnostic system 1 will be described by taking as an example a case where a patient visits a hospital for a medical examination due to complaint of a chest disorder.
[0036]
In this diagnostic system 1, the examiner is a user of the medical image diagnostic terminal (hereinafter, referred to as a diagnostic terminal) 300 shown in FIG.
[0037]
After receiving the ID number at the general reception, the patient goes to the internal medicine department, and firstly receives an interview and palpation of a consulting physician. The examining physician makes an appointment for a necessary test by inputting the patient's ID number, test name, and test site into the diagnostic terminal 300.
[0038]
FIG. 6 is a diagram showing a screen display of a diagnostic terminal used by a physician when input is made for a patient ID, an examination name, and an examination site.
[0039]
In FIG. 6, an icon “examination appointment” that the consulting physician clicks when making an appointment for an examination is shown in the upper part, and is an icon that the clinician clicks to display a medical image that is an examination result transmitted from the diagnostic image capturing apparatus. 'Confirmation of test results' is shown in the lower row.
[0040]
FIG. 7 is a diagram showing a screen display when the examining physician clicks the icon “examination appointment” in the upper row to make an appointment for an examination.
[0041]
In FIG. 7, an ID input field 310 for inputting a patient ID is provided in the upper part, and an examination name input field 311 for inputting an examination name and an examination for inputting an examination part are provided below the ID input field 310 from the left. A region input column 312 is shown. An inspection name and a region are input in the inspection name input column 311 and the inspection region input column 312, and when the icon “register” shown at the bottom is clicked, these are diagnosed. The diagnostic image capturing apparatus 800 receives these as an examination reservation, and returns the examination ID to the diagnostic terminal 300.
[0042]
FIG. 8 is a diagram showing a state where an input is made in each of the input fields shown in FIG. 7 and the returned examination ID is displayed.
[0043]
In FIG. 8, “L1234” is entered in the ID input box 310, “CT” is entered in the examination name entry box 311, and “lung” is entered in the examination part entry box 312 shown in FIG. The state where the examination ID 'P1234' obtained is displayed in the examination ID display column 313 is shown.
[0044]
Here, as described above, the diagnostic imaging apparatus 800 returns the examination ID 'P1234' to the diagnostic terminal 300, and also transmits the examination ID 'P1234' to the image server 100. The image server 100 receiving the examination ID 'P1234' registers the examination ID 'P1234' in the directory of the image database stored in the hard disk.
[0045]
When the examination appointment is completed by the consulting physician, the patient receives the examination sheet describing the examination contents and goes to the CT examination department, where the CT examination department takes a tomographic photograph of the patient.
[0046]
Next, the examination image photographed by the CT examination is sent from the diagnostic image photographing apparatus 800 to the image server 100 together with the examination ID. If the image data is deleted and it is determined that there is a lesion by comparison with the image data of a normal lung, the feature data of the lesion is detected. The details of the lesion feature amount data will be described later.
[0047]
The image server 100 records the examination image and the feature amount data of the lesion in the image database. This recording is performed in association with the examination ID 'P1234' already registered in the directory of the image database.
[0048]
FIG. 9 is a diagram showing the contents of the directory of the image database in a table.
[0049]
In FIG. 9, in order from the left, an examination ID 'P1234', a patient ID 'L234', a patient name, an examination name 'CT', an examination site 'lung', and an address' I000. Dat 'and an address'b000' where lesion data (feature amount) is recorded are shown. FIG. 9 shows a state in which other examination IDs are also registered in the directory.
[0050]
FIG. 10 is a diagram showing the content of the feature amount data of the lesion recorded at the address 'b000' shown in the 'lesion data' shown in FIG.
[0051]
In FIG. 10, from the left, the X coordinate of the lesion center of gravity “150”, the Y coordinate “202”, the Z coordinate “15”, the volume of the lesion “300”, the etiology “suspicion of lung cancer”, and the maximum measured value of the lesion ” 4 mm 'and the average value of CT values'-100' are shown.
[0052]
The above processing is performed in the image server 100, and when the consulting doctor clicks the icon “check test result” on the screen of the diagnostic terminal 300 shown in FIG. 6, the diagnostic terminal 300 displays the screen shown in FIG.
[0053]
FIG. 11 is a diagram showing a screen display by clicking the icon “confirm inspection result”.
[0054]
FIG. 11 shows both the case where the test result is obtained and the case where the test result is not yet obtained, and shows a state where the test result regarding the CT test of the patient 'L1234' is output.
[0055]
Here, since the examination result for the patient 'L1234' has been output, the consulting doctor clicks on the examination ID 'P1234' to see an examination result image or the like.
[0056]
FIG. 12 is a diagram showing a screen display when the examination ID 'P1234' of the patient ID 'L1234' shown in FIG. 11 is clicked.
[0057]
In FIG. 12, the examination ID 'P1234' and the patient ID 'L1234' are shown in the upper row, and two icons for designating whether the purpose of the examination this time is a medical examination or a detailed examination are shown. It is shown below.
[0058]
FIG. 13 is a diagram showing a screen display when the icon “health checkup” of the two icons shown in FIG. 12 is clicked.
[0059]
FIG. 13 shows, from the top, patient ID 'L1234', name, test ID 'P1234', test name 'CT', test site 'lung', test purpose 'health check', and test result 'observation required'. The inspection result image is also shown.
[0060]
On the other hand, FIG. 14 is a diagram showing a screen display when the icon “fine examination” is clicked instead of the icon “health examination” of the two icons shown in FIG.
[0061]
FIG. 14 shows, from the top, patient ID 'L1234', name, test ID 'P1234', test name 'CT', test site 'lung', test purpose 'fine test', test result 'suspicion of lung cancer'. “Elapsed 6 months” and the inspection result image are shown. Further, a star indicating that a lesion is detected is also displayed at the upper left corner of FIG.
[0062]
Here, in the diagnostic terminal 300, an inspection purpose is input when an inspection result image is displayed, and the displayed image format differs depending on the selected inspection purpose as shown in FIGS. Hereinafter, this will be described.
[0063]
When a test ID is clicked on the screen display shown in FIG. 11, the diagnostic terminal 300 of the diagnostic system 1 reads information such as a test result image from the database of the image server 100 based on the clicked test ID. In the diagnostic terminal 300, when the test result image read from the image database of the image server 100 is a test result image in which a lesion is recognized, the “maximum lesion value” in the lesion data extracted from the test result image. And the inspection purpose selected in the screen display shown in FIG. 12, the display format of the inspection result image is determined.
[0064]
FIG. 15 is a table showing criteria for determining how to display the inspection result image.
[0065]
In FIG. 15, “5 mm” is described corresponding to “health checkup” and “1 mm” is described corresponding to “close-up examination”. This is because the maximum measured value of the lesion is less than 5 mm. When the examination purpose is a health check, or when the maximum measurement value of the lesion is less than 1 mm and the examination purpose is a close examination, as shown in FIG. 13, no marker is used because no noticeable lesion is recognized. .
[0066]
FIG. 16 shows the text written as the “test result” when the maximum measurement value of the lesion is less than 5 mm and the examination purpose is a health examination, or when the maximum measurement value of the lesion is less than 1 mm and the examination purpose is a close examination. It is a figure shown by a table.
[0067]
FIG. 16 shows the “test result” on the display screen when the maximum measurement value of the lesion is less than 5 mm and the examination purpose is a health check, or when the maximum measurement value of the lesion is less than 1 mm and the examination purpose is a close examination. (In FIG. 13, “observation required”) is shown. When the maximum measurement value of the lesion is less than 5 mm and 0.5 mm or more and the examination purpose is “health checkup”, and the maximum measurement value of the lesion is When the inspection purpose is “precision inspection” of less than 1 mm and 0.3 mm or more and “examination inspection”, “observation required” is shown in the “inspection result” on the display screen as in FIG. 13, and the maximum measurement value of the lesion is 0. When the examination purpose is “health checkup” that is less than 5 mm and when the maximum measurement value of the lesion is less than 0.3 mm and the examination purpose is “precision examination”, the “test result” on the display screen is 'Normal' is indicated.
[0068]
Next, when the maximum measured value of the lesion is 5 mm or more and the examination purpose is “health checkup”, or when the maximum measured value of the lesion is 1 mm or more and the examination purpose is “fine examination”, FIG. As shown, the wording of "pathology" of the lesion data shown in FIG. 10 and the time elapsed since the occurrence of the lesion are described in the "test result" on the display screen. A star sign indicating the presence of a lesion, an arrow pointing to the position of the lesion, and a note to the arrow include the same wording as the wording described in the “test result” on the display screen.
[0069]
FIG. 17 is a table showing the relationship between the maximum measured value of a lesion and text indicating the elapsed time since the occurrence of the lesion.
[0070]
FIG. 17 describes a word indicating an elapsed time corresponding to the maximum measured value of the lesion. In the diagnostic terminal 300, when the maximum measured value of the lesion is 5 mm or more and the examination purpose is 'health diagnosis', or when the maximum measured value of the lesion is 1 mm or more and the examination purpose is 'fine examination', Detection and display of a word representing the elapsed time since the occurrence of the lesion, corresponding to the maximum measured value of the lesion, is performed.
[0071]
Here, at the bottom of FIG. 14, an icon “detailed display” not shown in FIG. 13 is shown.
[0072]
FIG. 18 is a diagram showing a screen display when the icon “detailed display” shown in the lower part of FIG. 14 is clicked.
[0073]
FIG. 18 illustrates a state in which the detected feature amount of the lesion, that is, the content of the lesion data 'b000' illustrated in FIG. 10 is displayed in a window that is opened separately from the window that displays the inspection result image. ing.
[0074]
As described above, in the diagnostic terminal 300, display of words and the like other than the test result image is determined in accordance with the above algorithm. In the present test for the patient 'L1234', the maximum measured value is 4 mm from the test result image. 13 is detected, the screen display shown in FIG. 13 is displayed when “health diagnosis” is selected as the inspection purpose, and the screen display shown in FIG. 14 is displayed when “precision inspection” is selected as the inspection purpose. It becomes.
[0075]
FIG. 19 is a flowchart of a routine started in the image server of the diagnostic system.
[0076]
The routine shown in FIG. 19 is executed together with the activation of the image server 100. In step S1, it is determined whether an inspection result image has been transmitted from the diagnostic imaging apparatus 800. In step S1, the inspection result is determined. If it is determined that the image has not been transmitted, the process proceeds to step S2, where the diagnostic terminal 300 transmits to the image server 100 an inspection ID indicating that an inspection reservation has been made for the diagnostic image capturing apparatus 800. It is determined whether it has been done. If it is determined in step S2 that the test ID has not been transmitted, the process returns to step S1. If it is determined in step S2 that the examination ID has been transmitted, the process proceeds to step S3, and the image server 100 registers the received examination ID in the directory of the image database 120.
[0077]
On the other hand, when it is determined in step S1 that the test result image has been transmitted from the diagnostic image capturing apparatus 800, the process proceeds to step S4, where the lesion detection processing unit 1000 detects a lesion from the test result image and determines whether a lesion has been detected. If detected, the feature amount of the lesion is extracted. Thereafter, the process proceeds to step S5, and among the examination IDs already registered in the directory of the image database 120 as shown in FIG. 9, the examination ID matching the examination ID added to the examination result image transmitted this time is determined. The examination result image and, when a lesion is detected, the feature data of the lesion are recorded in the image database 120 in association with each other. Then, the process returns to step S1.
[0078]
FIG. 20 is a flowchart of a routine started in the diagnostic terminal of the diagnostic system.
[0079]
The routine shown in FIG. 20 is executed together with the activation of the diagnostic terminal 300. In step S21, the screen display shown in FIG. 6 is performed. Thereafter, the process proceeds to step S22, where it is determined whether or not the icon “test reservation” is clicked among the icons “test reservation” and the icon “check test result” displayed in FIG. If it is determined that "reservation" has been clicked, the flow proceeds to step S23, and the display for examination reservation shown in FIG. 7 is performed. Thereafter, the process proceeds to step S24, and it is determined whether or not the patient ID has been input in the patient ID input column 310, which is a column for inputting the patient ID. If it is determined in step S24 that the patient ID has been input, the process proceeds to step S25, where it is determined whether or not the test name and the test site have been input. In step S25, the test name and the test site have been input. If it is determined that there is, the process proceeds to step S26. In step S26, it is determined whether or not the icon “register” shown at the bottom of FIG. 7 has been clicked. If it is determined in step S26 that the icon “register” has been clicked, the process proceeds to step S27, where the diagnostic image The examination reservation is transmitted to the imaging device 800. Thereafter, the process proceeds to step S28, where it is determined whether or not the examination ID has been returned from the diagnostic image capturing apparatus 800. If it is determined in step S28 that the examination ID has been returned, the process proceeds to step S29, and The obtained examination ID is displayed in the examination ID column 313 shown in FIG. Thereafter, the process returns to step S21.
[0080]
If it is determined in step S24 that the patient ID has not been input in the patient ID input box 310, step S24 is repeated, and if it is determined in step S25 that the examination name and the examination region have not been entered, Step S25 is repeated. If it is determined in step S26 that the icon "register" has not been clicked, step S26 is repeated. If it is determined in step S28 that the test ID has not been returned, step S28 is repeated.
[0081]
On the other hand, if it is determined in step S22 that the icon “test check” has not been clicked, the process proceeds to step S30, and it is determined whether the icon “check test result” has been clicked on the screen display shown in FIG. You. If it is determined in step S30 that the icon "check test result" has been clicked, the flow advances to step S31 to display the screen shown in FIG. Thereafter, the process proceeds to step S32, where it is determined whether or not the target examination ID is clicked to view the examination result image of the patient. (Here, 'P1234'). If it is determined in step S32 that the examination ID has been clicked, the process proceeds to step S33, where the examination result image of the patient and the feature amount data of the lesion are read from the image database 120 of the image server 100 based on the clicked examination ID. Done. Thereafter, the process proceeds to step S34, and the screen display for inputting the inspection purpose shown in FIG. 12 is performed by the inspection purpose instruction means 3100. Thereafter, the process proceeds to step S35, in which it is determined whether or not the icon “health diagnosis” is clicked in FIG. 12. If it is determined in step S35 that the icon “health diagnosis” is clicked, the process proceeds to step S36, and the lesion result is determined. It is determined by the reference unit 3300 with reference to the table shown in FIG. 15 whether the maximum measured value of the detected lesion is 5 mm or more, and it is determined in step S36 that the maximum measured value of the lesion is 5 mm or more. Then, the process proceeds to step S38, at which the lesion elapsed time determination means 3200 extracts a word indicating the elapsed time from the occurrence of the lesion, which is predetermined by the maximum measured value of the lesion and is represented by the table shown in FIG. Is performed. Thereafter, the process proceeds to step S39, and the lesion result reference means 3300 displays the test result image, the words written in the etiology column shown in FIG. 10, the arrow, the elapsed time, and the like as shown in FIG. Thereafter, the process proceeds to step S40, where it is determined whether or not the icon “detailed display” is clicked. If it is determined in step S40 that the icon “detailed display” is not clicked, the process proceeds to step S42. In step S42, it is determined whether or not the icon “end” has been clicked. If it is determined in step S42 that the icon “end” has been clicked, the process returns to step S21. If it is determined in step S36 that the maximum measured value of the lesion is less than 5 mm, the process proceeds to step S37, where the lesion result referring unit 3300 performs the process shown in FIG. 16 according to the examination result image and the maximum measured value of the lesion. Is displayed.
[0082]
Here, when it is determined in step S35 that the icon “health checkup” has not been clicked, the description is returned to the above description.
[0083]
In this case, the process proceeds to step S43, and it is determined whether or not the icon “precise inspection” is clicked on the screen display shown in FIG. If it is determined in step S43 that the icon 'precise examination' has been clicked, the flow advances to step S44, where the lesion result reference means 3300 refers to the table shown in FIG. It is determined whether the measured value is 1 mm or more. In step S44, when it is determined that the maximum measured value of the detected lesion is 1 mm or more, the process proceeds to step S45, but the description after this is the same as the description after step S38, and a description thereof will be omitted. If it is determined in step S44 that the maximum measured value of the detected lesion is less than 1 mm, the process proceeds to step S47. However, the subsequent description is the same as that of step S37, and a description thereof will be omitted.
[0084]
As described above, the diagnostic terminal 300 of the diagnostic system 1 does not attach a marker depending on whether the maximum measured value of the lesion detected from the inspection image is larger than the lesion size set according to the inspection purpose. And the determination of the elapsed period from the occurrence of the lesion according to the maximum measured value of the lesion is performed by using the digitized image data. Note that, in the diagnostic system 1, “health examination” and “precision examination” have been described as examples of examination purposes, but the present invention is not limited to these. When the maximum measurement value of the lesion is equal to or larger than the lesion size set for the purpose of the examination, an example is described in which the elapsed period from the occurrence of the lesion is displayed, but the present invention is not limited to this. Every time a lesion is detected from the image, the elapsed period from the occurrence of the lesion may be displayed regardless of the purpose of the examination. Further, the processing such as step S34 and the screen display of FIG. 12 by the inspection purpose instruction means 3100 may be performed in step S23 together with or before or after the screen display shown in FIG. In this case, the entered examination purpose is registered in the image database 120 in association with the examination ID, and the lesion result reference means 3300 refers to the registered examination purpose and performs a diagnostic image display process. Should be performed. Each unit included in the diagnostic terminal 300 illustrated in FIG. 5 is provided on another computer connected to the network 600, and the diagnostic terminal 300 performs only input and output in cooperation with the other computer. It may be a configuration. The present invention is not limited to the configuration shown in FIG.
[0085]
(Supplementary Note 1) Connected via a network to a diagnostic image capturing apparatus that generates a medical image of a patient and an image server apparatus that includes an image database that stores the medical image generated by the diagnostic image capturing apparatus. In a method of using a medical image diagnostic terminal that provides a medical image to a user,
Instruct and input the purpose of the inspection,
A medical image diagnosis, wherein a medical image is displayed with a lesion marker for specifying a lesion part of a lesion part in the medical image that matches an inspection purpose input and instructed, among the lesion parts in the medical image. How to use the terminal.
[0086]
(Supplementary Note 2) In displaying a medical image, a lesion marker is attached to a lesion having a size that matches an examination purpose among lesions in the medical image and is displayed. How to use the described medical image diagnostic terminal.
[0087]
(Supplementary Note 3) Connected via a network to a diagnostic image capturing device that generates a medical image of a patient and an image server device that includes an image database that stores the medical image generated by the diagnostic image capturing device. In a method of using a medical image diagnostic terminal that provides a medical image to a user,
The method is characterized in that the diseased part appeared in the medical image, the elapsed time since the occurrence of the lesion is determined, and the medical image is displayed together with information indicating the elapsed time since the occurrence of the lesion or the time of occurrence of the lesion. How to use a medical image diagnostic terminal.
[0088]
(Supplementary note 4) The method of using the medical image diagnostic terminal according to Supplementary note 3, wherein the determination of the elapsed time since the occurrence of the lesion includes determining the elapsed time based on the size of the lesion.
[0089]
(Supplementary Note 5) Connected via a network to a diagnostic image capturing apparatus that generates a medical image of a patient, and an image server apparatus that includes an image database that stores the medical image generated by the diagnostic image capturing apparatus. In a medical image diagnostic terminal that provides a medical image to a user,
An inspection purpose instruction means for instructing and inputting an inspection purpose;
A lesion result reference means for displaying a medical image with a lesion marker for identifying a lesion part of the lesion part in the medical image which matches the examination purpose inputted and instructed; A medical image diagnostic terminal, characterized in that:
[0090]
(Supplementary Note 6) A diagnostic image capturing apparatus that generates a medical image of a patient and an image server apparatus that includes an image database that stores medical images generated by the diagnostic image capturing apparatus are connected via a network. In a medical image diagnostic terminal that provides a medical image to a user,
A lesion elapsed time determining means for determining an elapsed time since the occurrence of the lesion, of the lesioned portion appearing in the medical image,
A medical image diagnostic terminal, comprising: a lesion result reference means for displaying a medical image together with information indicating an elapsed time since the occurrence of the lesion or the time of occurrence of the lesion.
[0091]
(Supplementary Note 7) Connected via a network to a diagnostic image capturing device that generates a medical image of a patient and an image server device that includes an image database that stores the medical image generated by the diagnostic image capturing device. A medical image diagnostic program executed in an information processing apparatus comprising: operating the information processing apparatus as a medical image diagnostic terminal that provides a medical image to a user;
The information processing device,
An inspection purpose instruction means for instructing and inputting an inspection purpose;
A lesion result reference means for displaying a medical image with a lesion marker for identifying a lesion part of the lesion part in the medical image which matches the examination purpose inputted and instructed; A medical image diagnostic program that operates as a medical image diagnostic terminal.
[0092]
(Supplementary Note 8) When displaying a medical image, the lesion result reference means attaches a lesion marker to a lesion of a size that matches a purpose of examination among lesions in the medical image and displays the lesion. 8. The medical image diagnostic program according to claim 7, wherein
[0093]
(Supplementary Note 9) Connected via a network to a diagnostic image capturing device that generates a medical image of a patient and an image server device that includes an image database that stores the medical image generated by the diagnostic image capturing device. A medical image diagnostic program executed in an information processing apparatus comprising: operating the information processing apparatus as a medical image diagnostic terminal that provides a medical image to a user;
The information processing device,
A lesion elapsed time determining means for determining an elapsed time since the occurrence of the lesion, of the lesioned portion appearing in the medical image,
A medical image diagnostic program that operates as a medical image diagnostic terminal including a lesion result reference unit that displays a medical image together with information indicating an elapsed time after a lesion has occurred or a lesion occurrence time.
[0094]
(Supplementary note 10) The medical image diagnostic program according to Supplementary note 9, wherein the lesion elapsed time determination unit determines an elapsed time since the occurrence of the lesion based on the size of the lesion.
[0095]
(Supplementary Note 11) A diagnostic image capturing apparatus that generates a medical image of a patient via a network, an image server apparatus that includes an image database that stores medical images generated by the diagnostic image capturing apparatus, and a user In a medical image diagnostic system having a medical image diagnostic terminal that provides a medical image toward
The image server device includes a lesion detection unit that performs a process of detecting a lesion that appears in a medical image,
The medical image diagnostic terminal,
An inspection purpose instruction means for instructing and inputting an inspection purpose;
A medical image is identified for a lesion that matches the examination purpose specified and inputted by the examination purpose designating unit among the lesions in the medical image detected by the lesion construction detection processing unit. A medical image diagnostic system comprising: a lesion result reference means for displaying a lesion marker attached thereto.
[0096]
(Supplementary Note 12) The lesion detection processing means performs a detection process that involves detecting the size of a lesion that appears in a medical image,
The lesion result reference means displays a medical image with a lesion marker attached to a lesion having a size that matches an inspection purpose among lesions in the medical image. Supplementary Note 11 The medical image diagnostic system as described.
[0097]
(Supplementary Note 13) A diagnostic image capturing apparatus that generates a medical image of a patient via a network, an image server apparatus that includes an image database that stores medical images generated by the diagnostic image capturing apparatus, and a user In a medical image diagnostic system having a medical image diagnostic terminal that provides a medical image toward
The image server device includes a lesion detection unit that performs a process of detecting a lesion that appears in a medical image,
The medical image diagnostic terminal,
Based on the detection processing result of the lesion in the lesion detection processing means, a lesion elapsed time determination means for determining the elapsed time since the occurrence of the lesion, of the lesion appearing in the medical image,
A medical image, comprising: a medical image, which is determined by the lesion elapse period determining means, and a lesion result reference means for displaying the elapsed time since the occurrence of the lesion or the information indicating the timing of the occurrence of the lesion. Diagnostic system.
[0098]
(Supplementary Note 14) The lesion part detection processing means performs a detection process involving detection of a size of a lesion part appearing in a medical image,
14. The medical image diagnostic system according to claim 13, wherein the lesion elapsed time determination means determines an elapsed time since the occurrence of the lesion based on the size of the lesion.
[0099]
【The invention's effect】
As described above, according to the method of using the medical image diagnostic terminal of the present invention, further use of digitized image data can be performed in diagnosis of an examination image.
[Brief description of the drawings]
FIG. 1 is a diagram showing a part of a diagnostic system which is an embodiment of a medical image diagnostic system.
FIG. 2 is a hardware configuration diagram of a server having the appearance shown in FIG.
FIG. 3 is a conceptual diagram showing a CD-ROM in which an embodiment of a medical image diagnostic program for an image server is stored.
FIG. 4 is a conceptual diagram showing a CD-ROM storing one embodiment of a medical image diagnostic program for a medical image diagnostic terminal.
FIG. 5 shows a medical image diagnostic program for the medical image diagnostic terminal installed in the server shown in FIG. 1 in which the medical image diagnostic program for the image server is installed in the server shown in FIG. 1; 1 is a functional configuration diagram of an embodiment of a medical image diagnostic system when installed in a client and the client is operated as an embodiment of a medical image diagnostic terminal.
FIG. 6 is a diagram showing a screen display of a diagnostic terminal used by a consulting physician.
FIG. 7 is a diagram showing a screen display for a medical doctor to make an examination appointment.
8 is a diagram showing a state in which an input is made in each of the input fields shown in FIG. 7 and the returned examination ID is displayed.
FIG. 9
FIG. 4 is a diagram showing the contents of a directory of an image database in a table.
FIG. 10 is a diagram showing the contents of feature amount data of a lesion recorded at an address shown in 'lesion data' shown in FIG. 9;
FIG. 11 is a diagram showing a screen display by clicking an icon “check test result”.
12 is a diagram showing a screen display when the examination ID 'P1234' of the patient ID 'L1234' shown in FIG. 11 is clicked.
13 is a diagram showing a screen display when an icon “health checkup” of the two icons shown in FIG. 12 is clicked.
FIG. 14 is a diagram showing a screen display when an icon “fine inspection” of the two icons shown in FIG. 12 is clicked.
FIG. 15 is a table showing criteria for determining how to display the inspection result image;
FIG. 16 is a diagram showing a table for managing the size and examination purpose of a lesion in association with words to be displayed as the examination purpose.
FIG. 17 is a table showing a relationship between a maximum measured value of a lesion and a word indicating an elapsed time since the occurrence of the lesion.
FIG. 18 is a diagram showing a screen display when the icon “detailed display” shown in the lower part of FIG. 14 is clicked.
FIG. 19 is a flowchart of a routine started in the image server of the diagnostic system.
FIG. 20 is a flowchart of a routine started in the diagnostic terminal of the diagnostic system.
[Explanation of symbols]
1 diagnostic system
100 server computer
101, 301, 401, 501 Main body
101a, 301a, 401a, 501a FD loading port
101b, 301b, 401b, 501b CD-ROM loading slot
102, 302, 402, 502 display unit
102a, 302a, 402a, 502a Display screen
103, 303, 403, 503 Keyboard
104, 304, 404, 504 mouse
110 bus
111 CPU
112 RAM
113 Hard Disk Controller
114 FD drive
115 CD-ROM drive
116 Mouse Controller
117 Keyboard Controller
118 Display controller
119 Communication board
300, 400, 500 Client computer
310 ID input field
311 Inspection name input field
312 Examination site input field
313 Inspection ID display field
600 Network
700 CD-ROM
800 diagnostic imaging device

Claims (6)

Via a network, a diagnostic image capturing apparatus that generates a medical image of a patient, and an image server apparatus that includes an image database that stores medical images generated by the diagnostic image capturing apparatus. In a method of using a medical image diagnostic terminal that provides a medical image to a person,
Instruct and input the purpose of the inspection,
A medical image diagnosis, wherein a medical image is displayed with a lesion marker for specifying a lesion part of a lesion part in the medical image that matches an inspection purpose input and instructed, among the lesion parts in the medical image. How to use the terminal. 2. The medical image according to claim 1, wherein, when displaying the medical image, a lesion marker having a size corresponding to the examination purpose among the lesions in the medical image is displayed with a lesion marker attached. How to use the diagnostic imaging terminal. Via a network, a diagnostic image capturing apparatus that generates a medical image of a patient, and an image server apparatus that includes an image database that stores medical images generated by the diagnostic image capturing apparatus. In a method of using a medical image diagnostic terminal that provides a medical image to a person,
The method is characterized in that the diseased part appeared in the medical image, the elapsed time since the occurrence of the lesion is determined, and the medical image is displayed together with information indicating the elapsed time since the occurrence of the lesion or the time of occurrence of the lesion. How to use a medical image diagnostic terminal. 4. The method according to claim 3, wherein, when determining the elapsed time since the occurrence of the lesion, the elapsed time is determined based on the size of the lesion. Information processing connected to a diagnostic image capturing apparatus for generating a medical image of a patient and an image server apparatus having an image database for storing medical images generated by the diagnostic image capturing apparatus via a network In a medical image diagnostic program executed in the device and operating the information processing device as a medical image diagnostic terminal for providing a medical image to a user,
The information processing device,
An inspection purpose instruction means for instructing and inputting an inspection purpose;
A lesion result reference means for displaying a medical image with a lesion marker for identifying a lesion part of the lesion part in the medical image which matches the examination purpose inputted and instructed; A medical image diagnostic program that operates as a medical image diagnostic terminal. Information processing connected to a diagnostic image capturing apparatus for generating a medical image of a patient and an image server apparatus having an image database for storing medical images generated by the diagnostic image capturing apparatus via a network In a medical image diagnostic program executed in the device and operating the information processing device as a medical image diagnostic terminal for providing a medical image to a user,
The information processing device,
A lesion elapsed time determining means for determining an elapsed time since the occurrence of the lesion, of the lesioned portion appearing in the medical image,
A medical image diagnostic program that operates as a medical image diagnostic terminal including a lesion result reference unit that displays a medical image together with information indicating an elapsed time after a lesion has occurred or a lesion occurrence time.

Images