JP2005103030A - Apparatus and program for medical image generation - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a apparatus and a program for medical image generation which allows editing of animation such as extraction of a still image which has the highest utilization value for a medical doctor and other persons making medical practices from the animation photographed by a medical photographing apparatus such as a slit lamp microscope (slit lamp) and an endoscope used at a medical site. <P>SOLUTION: The medical image generation apparatus for performing editing processing of the animation photographed by the medical photographing apparatus and made into electronic information has: an input means for inputting the animation photographed by the medical photographing apparatus; a temporarily storing means for temporarily storing the image inputted by the input means; and an output means which displays a display part for displaying the animation to be stored in the temporarily storing means in a reproducible manner, an operation part for operating the animation displayed by the display part, an extraction part for extracting a desired still image, and a still image display part for displaying the list of the extracted still images on the same screen. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

  The present invention relates to a medical image creation device and a medical image creation program, and more specifically, from a moving image photographed by a medical photographing device such as a slit lamp microscope (slit lamp) or an endoscope used in a medical field, The present invention relates to a medical image creation apparatus and a medical image creation program that enable a person who performs a medical practice such as a doctor to edit a moving image such as extracting a still image having the highest utility value.

Conventionally, a still image of a diseased part of a patient is photographed using a medical photographing apparatus such as a slit lamp microscope (slit lamp) or an endoscope, and the photographed still image is used for medical practice such as medical examination. It was.
However, in a conventional medical imaging apparatus that captures a still image, a portion that depends on the skill level and skill of the person who performs the shooting such as the timing of capturing a still image is large, and thus a person who performs medical practice such as a doctor desires However, there is a problem that still images cannot be obtained.
In order to solve this problem, an endoscope capable of correcting a delay in the timing of a photographing operation has been created in order to photograph a desired still image of an object having a specific movement (Patent Document). 1).
However, in the invention of Patent Document 1, even if a subtle delay in the timing of the photographing operation can be corrected, a large delay cannot be corrected.
In particular, in recent years, in order to solve the above-described problems, medical photographing apparatuses have been developed as apparatuses that photograph moving images instead of still images. In recent years, medical imaging apparatuses store all captured videos in a storage unit, select a still image desired by a medical practitioner from videos stored in the storage unit, and use the still image as a medical We use for act.

However, in the above-described recent medical photographing apparatus, as shown in FIG. 8, in order to extract images after storing all moving images photographed in the storage device, all images must be stored in this storage device. There has been a problem that the equipment relating to the storage means and the cost relating to this equipment become enormous.
In order to solve this problem, an image recording apparatus capable of observing a moving image taken during inspection and recording only a desired moving image has been created (for example, see Patent Document 2).
However, in this image recording apparatus, since the recording is started with a time point that is a predetermined time later from the time point when the recording is instructed as a recording start time point, a video can be used by specifying a short period. There was a problem that necessary still images could not be obtained reliably.
In addition, since this image recording apparatus is intended to store moving images as in the prior art, it eventually requires a large-capacity storage means.

JP 59-70385 A JP-A-9-116872

  The present invention has been made in view of such a situation, and from a moving image photographed by a medical photographing apparatus such as a slit lamp microscope (slit lamp) or an endoscope used in a medical field, a doctor or the like To provide a medical image creation apparatus and a medical image creation program that enable a person who performs a medical practice to edit a moving image such as extracting a still image with the highest use value without saving the moving image. .

The invention according to claim 1 is a medical image creation device that edits a moving image photographed and converted into electronic information by a medical photographing device, and an input unit that inputs the moving image photographed by the medical photographing device; Temporary storage means for temporarily storing the image input to the input means, a display section for reproducibly displaying a moving image stored in the temporary storage means, and an operation section for operating the moving image displayed on the display section And an output unit for displaying on the same screen an extraction unit for extracting a desired still image from the moving image and a still image display unit for displaying a list of the extracted still images. A creation device is provided.
The invention according to claim 2 provides the medical image creation apparatus according to claim 1, wherein the output unit includes a moving image display unit that displays a list of moving images stored in the temporary storage unit. .
The invention according to claim 3 provides the medical image creation apparatus according to claim 1, wherein the operation unit can fast-forward and rewind the moving image reproduced on the display unit by a predetermined interval. .
According to a fourth aspect of the present invention, the list-displayed still images displayed in the still image portion include information on a moving image from which the still images are extracted, and when the still image is selected, the display The medical image creating apparatus according to claim 1, wherein a portion of the still image of the moving image from which the still image is extracted is displayed in the unit.
Invention of Claim 5 has the conversion means which can convert the said moving image and / or the said still image into a predetermined image format, The medical in any one of Claim 1 thru | or 4 characterized by the above-mentioned. An image creation apparatus is provided.
According to a sixth aspect of the present invention, there is provided the medical image creation apparatus according to any one of the first to fifth aspects, further comprising a transmission unit that transmits the moving image and / or the still image to an external device.
The invention according to claim 7 provides the medical image creation apparatus according to claim 6, wherein the output means includes an external display unit for displaying a list of still images stored in the external device.

The invention according to claim 8 is a program incorporated in a medical image creation device that edits a moving image photographed by a medical photographing device and converted into electronic information, and inputs the moving image photographed by the medical photographing device An input means for storing, a storage means for temporarily storing the image input to the input means in a temporary storage means, a display section for reproducibly displaying a moving picture stored in the temporary storage means, and the display section It comprises an output unit for operating a displayed moving image and displaying an operation unit for extracting a desired still image from the moving image and a still image display unit for displaying a list of the extracted still images on the same screen. A medical image creation program characterized by the above is provided.
The invention according to claim 9 provides the medical image creation program according to claim 8, wherein the output unit includes a moving image display unit that displays a list of moving images stored in the temporary storage unit. .
The invention according to claim 10 provides the medical image creation program according to claim 8, characterized in that the operation unit can fast-forward and rewind the moving image reproduced on the display unit by a predetermined interval. .
In the invention described in claim 11, the still images displayed in the list displayed in the still image portion include information on moving images from which the still images are extracted, and when the still images are selected, the display 9. The medical image creation program according to claim 8, wherein the still image portion of the moving image from which the still image is extracted is displayed in the section.
The invention according to claim 12 is characterized in that the medical image creation program includes conversion means for converting the moving image and / or the still image into a predetermined image format. A medical image creation program according to any one of 8 to 11 is provided.
The invention according to claim 13 is characterized in that the medical image creation program includes a transmission unit that enables the moving image and / or the still image to be transmitted to an external device. A medical image creation program as described above is provided.
The invention according to claim 14 is the medical image creation program according to claim 8, wherein the output means includes an external display unit for displaying a list of still images stored in the external device.
By providing these inventions, the above problems can be solved.

According to the first aspect of the present invention, the display unit, the operation unit, and the still image display unit are displayed on the same screen. It is possible to provide a medical image creation apparatus that can easily create a medical image.
According to the second aspect of the present invention, it is possible to provide a medical image creation apparatus that allows a person who performs a medical practice to quickly and appropriately select a moving image necessary from a plurality of moving images.
According to the third aspect of the present invention, it is possible to provide a medical image creation apparatus that can reliably obtain a desired still image by finely adjusting the display location of a reproduced moving image.
According to the fourth aspect of the present invention, it is possible to provide a medical image creation apparatus that can display a moving image from a still image and obtain another still image from the moving image.
According to the fifth aspect of the present invention, it is possible to provide a medical image creation apparatus that can easily convert the obtained still image into a format such as DICOM (Digital Imaging and Communications in Medicine).
According to the sixth aspect of the present invention, it is possible to provide a medical image creation device capable of storing a still image in an external storage device or transmitting the still image to a management server that manages the still image via a communication network. .
According to the seventh aspect of the invention, by selecting a still image displayed on the external display unit, a still image stored in the external device in the past is displayed on the display unit and compared with a past still image. It is possible to provide a medical image creation apparatus capable of

According to the invention described in claim 8, the display unit, the operation unit, and the still image display unit are displayed on the same screen. Can be easily created, and a medical image creation program that allows a processing device having a medical imaging device and an output device to easily function as a medical image creation device can be provided.
According to the ninth aspect of the present invention, it is possible to provide a medical image creation program that allows a person who performs a medical practice to quickly and appropriately select a necessary moving image from a plurality of moving images.
According to the tenth aspect of the present invention, it is possible to provide a medical image creation program capable of reliably obtaining a desired still image by finely adjusting the display location of a reproduced moving image.
The invention according to claim 11 can provide a medical image creation program capable of displaying a moving image from a still image and obtaining another still image from the moving image.
According to the invention described in claim 12, it is possible to provide a medical image creation program capable of easily converting the obtained still image into a format such as DICOM (Digital Imaging and Communications in Medicine).
According to the thirteenth aspect of the present invention, it is possible to provide a medical image creation program capable of storing a still image in an external storage device or transmitting the still image to a management server that manages the still image via a communication network. .
According to the invention described in claim 14, by selecting a still image displayed on the external display unit, a still image stored in the external device in the past is displayed on the display unit and compared with a past still image. It is possible to provide a medical image creation program capable of

The best mode for carrying out the present invention will be described.
The configuration of the present invention will be described with reference to the drawings.
FIG. 1 is a block diagram illustrating a configuration according to the present invention, FIG. 2 illustrates a screen displayed by the medical image creation apparatus according to the present invention, and FIG. 3 illustrates a case where an output unit according to the present invention displays a moving image. FIG. 4 shows an embodiment of the screen when the output means according to the present invention displays a still image. Note that the image displayed on the display unit in FIG. 3 is a moving image displayed on the moving image display unit, and the image displayed on the display unit in FIG. 4 is a still image displayed on the still image display unit. doing.
The medical image creation apparatus (1) of the present invention has an input means (11), a temporary storage means (12), an output means (13), a conversion means (14), and a transmission means (15).

The input means (11) inputs a moving image photographed by the medical photographing apparatus (2) to a temporary storage means (12) described later. This medical imaging apparatus (2) refers to an imaging apparatus for medical examination used in medical institutions such as hospitals, clinics and health examination facilities, such as slit lamp microscopes (slit lamps), endoscopes, etc. A mirror or a surgical microscope can be considered.
When this input means (11) performs input to the temporary storage means (12), it is preferable to convert the image taken by the medical imaging device (2) into a digital signal and input it, and an image of an analog signal Even so, the digital signal is converted by the input means (12) and sent to the temporary storage means (12).
The conversion of the input image into a digital signal is not particularly limited. However, in consideration of operations and storage performed as a medical image (a moving image or a still image described later), the input signal is converted into a digital signal. It is preferable.

The temporary storage means (12) temporarily saves (stores) the moving image photographed by the medical photographing apparatus (2) input by the input means (11).
The temporary storage means (12) is a storage means in which stored contents are lost when the power of a RAM (Random Access Memory) or the like is turned off.
Note that the storage capacity of the temporary storage means (12) is not particularly limited, but the role of the storage means is to temporarily store moving images or still images. It does not matter as long as it can be stored for about 20 seconds, and any capacity of 512 to 1024 MB or more is acceptable.

The output means (13) outputs to the output device (3) such as a screen and displays it.
The screen output (displayed) by the output means (13) to the output device (3) includes a display unit (A), an operation unit (B), a still image display unit (C), a moving image display unit (D), and an extraction unit. (F) is displayed.
The method of display by the output means (13) is not particularly limited. As shown in FIG. 2, the display unit (A), the operation unit (B), and the still image display unit (C ) And the moving image display part (D) are preferable. In FIG. 2, the display unit (A) is arranged at the upper left, the operation unit (B) is arranged at the lower left, the still image display unit (C) is arranged at the upper right, and the moving image display unit (D) is arranged at the lower right. It is not limited.
This is because the moving image can be easily edited on the screen by displaying the screen divided into approximately four parts as shown in FIG. The resolution of the screen is not particularly limited, but the display unit (A), the operation unit (B), the still image unit (C), and the moving image display unit (D) are displayed on one screen. It preferably has a resolution of 1024 pixels or more.
In FIG. 2, a patient display unit (E) indicating patient identification information is arranged on the still image display unit (C), and conversion means (14) is displayed at the bottom of the screen.

The display unit (A) displays the moving image stored in the temporary storage unit (12) so as to be reproducible (see FIG. 3). Since the display unit (A) reproduces a moving image shot by the medical imaging device (2), it is preferable that a screen color of 24 bits or more can be displayed at the above-described resolution.
In FIG. 3, the moving image is stored in the temporary storage means (12), the moving image (moving image file) is displayed on the moving image display section (D) described later, and accordingly, the first moving image is displayed on the display section (A). The part of is displayed.

The operation unit (B) can operate the moving image displayed on the display unit (A). Since the operation unit (B) is displayed on the screen, the operation unit (B) is provided to directly indicate the operation screen by a coordinate input device such as a mouse.
The operation displayed by the operation unit (B) is necessary for playback of a video, such as playback, stop, rewind, fast forward, pause, rewind playback, fast forward playback, video recording and other video switching (B1). Is provided. By having this operation part (B), a moving image can be easily reproduced.

The output means (13) has an extraction unit (F) that can extract an image displayed on the display unit (A) as a still image by the operation unit (B). The extraction unit (F) can be input by inputting coordinates using a mouse or the like, and the image displayed on the display unit (A) can be extracted as a still image. The extraction unit (F) may be anywhere on the same screen as the display unit (A), the operation unit (B), and the still image display unit (C) displayed by the output unit (13). In the drawing of the embodiment (see, for example, FIG. 2), since a still image to be described later displayed on the still image display unit (C) is extracted from the moving image displayed on the display unit (A), the display unit (A) and the still image are displayed. It is provided between the image display parts (C).
FIG. 4 shows a screen in a state where two still images are extracted from the moving image displayed on the moving image display unit (D). At this time, the image displayed on the display unit (A) is a still image displayed on the still image display unit (C) (a still image on the left side of the screen).
For example, as shown in FIG. 5, in a situation where a moving image is being reproduced on the display unit (A) (the upper part of FIG. 5 shows the moving image being reproduced), the doctor operates the extraction unit (F) ( The place where the operation shown in the middle part of FIG. 5 is performed), the still picture when the extraction unit (F) is operated is obtained (the still picture shown in the lower part of FIG. 5 is obtained), and the still picture display part (C) is displayed.
In FIG. 5, three still image extractions are performed in one moving image reproduction.
As shown in FIG. 2, the operation unit (B) has an auxiliary operation unit (B3) capable of fast-forwarding or rewinding an image reproduced (displayed) on the display unit (A) by a predetermined interval. ing. The auxiliary operation unit (B3) fast-forwards or rewinds the displayed image by a predetermined interval and displays it on the display unit (A). In the auxiliary operation unit (B3) shown in FIG. 2, it is displayed as fast forward and rewind so that fast forward and rewind of 30 seconds, 15 seconds, 1 second, and 1 frame can be performed. Absent. The interval between the frames is not particularly limited, and if the user can set as appropriate, the interval desired by the user may be set. In addition, when the frame interval cannot be set as appropriate, it is preferable that the frame interval be as short as possible.
When an operation is performed on the auxiliary operation unit (B3), an image before or after a predetermined interval (operation input by the auxiliary operation unit (B3)) of the moving image displayed on the display unit (A). (Still image) will be displayed. For example, when a rewind (1 second) operation, which is an auxiliary operation, is performed on a moving image that is being played back at 1:30, an image (still image) at the playback time 1:29 is displayed. Become. In this way, a desired image (still image) can be displayed by finely adjusting the moving image or still image displayed on the display unit (A).

The still image display unit (C) displays a still image extracted from the moving image displayed on the display unit (A) by the input of the extraction unit (F) of the operation unit (B). The still image display unit (C) displays a list of all the still images extracted from the moving image (see FIG. 4).
The display method of the still image displayed in the still image display section (C) is not particularly limited, and it may be a thumbnail display of the extracted still image (still image reduced display) or a file name. In order to confirm whether the image has been extracted reliably, still image thumbnail display or still image reduction display is preferable. Further, as shown in FIG. 4, the playback time in the moving image from which the still image is extracted may be displayed.
The still image displayed on the still image display unit (C) includes information on the moving image from which the still image is extracted. This moving image information is information for linking to the extracted basic moving image.
Since the still image includes the information of the moving image, when the still image displayed on the still image display unit (C) is selected by a coordinate input device or the like, the still image is displayed on the display unit (A). The still image portion of the extracted moving image is displayed.
For example, assuming that a still image (B) extracted from a moving image displayed at a moving image playback time 1:15 of the moving image (A) is displayed on the still image display unit (C), a user such as a doctor may When an image (B) is selected, an image of the moving image reproduction time 1:15 of this moving image (A) is displayed on the display unit (A).
In FIG. 2, a still image editing unit (C1) for selecting and editing a still image (or still image file) displayed on the still image display unit (C) is provided. File) can be selected or deleted.

The moving image display unit (D) displays a list of moving images stored in the temporary storage means (12). The moving image displayed on the moving image display unit (D) is displayed when temporarily stored in the temporary storage means (12). The method of displaying the moving image displayed on the moving image display unit (D) is not particularly limited, but the first image of the moving image can be displayed in thumbnail display or reduced in order to easily specify the type of moving image. preferable. Moreover, you may display the reproduction time of a moving image.
In FIG. 2, a moving image editing unit (D1) for selecting and editing a moving image (or moving image file) displayed on the moving image display unit (D) is provided. Can be deleted.

The patient display unit (E) displays identification information of the patient who is the owner of the moving image or the still image displayed on the display unit (A).
The patient identification information displayed on the patient display unit (E) is not particularly limited, and is attribute information such as the patient's name, sex, date of birth, and the like.
still. The patient display unit (E) is desirably not displayed when a medical image having confidentiality is displayed.

  The output means (13) may display the printing means (16) as shown in FIG. By providing the printing means (16), the selected still image can be output to the printing apparatus and printed.

  The conversion means (14) can convert still images and moving images (still image files and moving image files) displayed on the still image display unit (C) and the moving image display unit (D) into a predetermined image format. This conversion means (14) can convert into image reference formats such as DICOM (Digital Imaging and Communications in Medicine) and JPEG (Joint Photographic Experts Group). In FIG. 2, the DICOM conversion means (14a) and the storage conversion means (14b) are provided separately as other conversion means.

A transmission means (15) transmits a moving image and / or a still image to an external device. The external device to which the transmission means (15) transmits is not particularly limited. For example, an external storage device provided externally, a management server that manages medical images connected via a communication network, or the like Conceivable.
The operation performed by the transmission means (15) is provided as a transmission section (H) in FIG. 6 between a still image display section (C) and an external display section (G) described later. The transmission unit (H) may be located anywhere on the screen on which the display unit (A), the still image display unit (C), and the external display unit (G) are displayed. Since the image is transmitted to the external device, it is preferably provided between the still image display unit (C) and the external display unit (G). This is because the flow in which the still image is transmitted from the apparatus (1) to the external apparatus is understood by being provided at this place.
FIG. 6 shows an embodiment of a screen when the output means according to the present invention transmits a still image. In the lower right of the screen of FIG. 6, an external display unit (G) for displaying thumbnails of still images stored in the external device that receives the still images transmitted from the device (1) is shown. Yes.
The external display unit (G) displays a still image stored in the external device as a thumbnail (or a reduced still image), so that the still image stored in the external device can be easily confirmed. Further, by selecting a still image (still image displayed as a thumbnail) displayed on the external display unit (G), a still image stored in the external device in the past is displayed on the display unit (A). Can be compared with still images.
In FIG. 6, since the still image of the external display unit (G) is selected as the image displayed on the display unit (A), the operation unit (B) that enables an operation to reproduce a moving image. However, an operation unit (not shown) that can perform image editing such as enlarging or reducing the still image of the external display unit (G) may be provided.
When the external display unit (G) is displayed on the screen, it is preferable to provide an operation unit capable of operating the image in accordance with the image displayed on the external display unit (G). This is because by providing an operation unit corresponding to an image, it is possible to deal with images of any format stored in the external device.

The medical image creation apparatus (1) of the present invention has the input means (11), temporary storage means (12), output means (13), conversion means (14), and transmission means (15) as described above. However, if the processing device includes the medical imaging device (2) and the output device (3), the processing device can also be realized by incorporating a program including the above-described means. .
At this time, the program is provided with a storage unit that stores the input image in a temporary storage unit (for example, RAM) or the like included in the processing apparatus.
Further, even if the apparatus is not directly connected to the medical imaging apparatus (2), the same effect as that of the present apparatus can be obtained as long as the apparatus has the above-described means by inputting the moving image information in the input means (11). be able to.

An embodiment in ophthalmology will be described as one preferred embodiment of the present invention with reference to the drawings.
When a patient visits an ophthalmologist due to abnormal vision or the like, the doctor is expected to perform a medical examination using a slit lamp microscope (slit lamp) because the patient's fundus disease is expected.
At this time, the patient sits in front of the slit lamp microscope, and photographing with the slit lamp microscope is performed according to the doctor's instruction (S1).
An image desired by the doctor is taken as a moving image by the slit lamp microscope, and this moving image is sent to the input means (11) (S2).
When the slit lamp microscope and the medical image creation device (1) are connected, a moving image is automatically sent to the input means (11).
The input means (11) sends the moving image to the temporary storage means (12), and the temporary storage means (12) stores the moving image (S3).
At this time, the moving image stored in the temporary storage means (12) is displayed on the moving image display section (D) of the output means (13) (see FIG. 3).

In order to examine the anterior fundus, the doctor selects a moving image (moving image file) displayed on the moving image display unit (D) with a coordinate input device such as a mouse (selects a moving image to be reproduced on the display unit) (S4). ).
The selected moving image is displayed on the display unit (A) (S5).
In order to obtain a desired still image for use in medical practice while viewing the moving image displayed on the display unit (A), the doctor displays the desired image on the extraction unit (F). An operation is performed (S6).
At this time, every time an image desired by the doctor is displayed on the display unit (A), the doctor operates the extraction unit (F) (see FIG. 5). When a still image is extracted while playing back a moving image, the moving portion may be operated using the operation unit (B) in order to display a desired image (still image) on the display unit (A). .
Each time the extraction unit (F) is operated, a still image is created, and a still image (thumbnail indicating a still image file) is displayed on the still image display unit (C) (S7).
Since the patient is removed from the slit lamp microscope (slit lamp) after moving images are obtained with the slit lamp microscope (slit lamp), the still image desired by the doctor can be obtained as in the past. There is no inconvenience for the patient to continue photographing until it is done.

The doctor confirms the still image obtained by operating the extraction unit (F). As shown in FIG. 4, the doctor arbitrarily selects a desired still image from the still image display section (C) and displays it on the display section (A).
At this time, if it is a still image desired by the doctor, medical treatment is performed based on the still image. Even if this still image is different from the still image desired by the doctor, this still image is selected, displayed on the display unit (A), and operated by the auxiliary operation unit (B3) of the operation unit (B). The displayed still image is reproduced as a moving image and finely adjusted, so that the desired image is displayed on the display unit (A) again, so that the desired still image of the doctor can be obtained with certainty.
The obtained still image is displayed on the still image display section (C).
The doctor makes a diagnosis by using these obtained still images.
At this time, since the doctor obtains the still image necessary for the diagnosis, the moving image stored in the temporary storage means (12) is unnecessary and may be deleted. Further, the recording may be erased by stopping the power supply of the apparatus (1).

The still image obtained as described above can be converted into a desired image format by the converting means (14).
Moreover, it can transmit to the management server which manages the medical apparatus and medical information which are provided outside this apparatus (1) by the transmission means (15) of this apparatus (1). At this time, the display unit (A) displays a thumbnail display of the still image stored by the connected management server or the like, so that the still image can be taken out from the management server or the transmitted still image can be taken out. Can be checked whether it is stored on the management server side.

It is a block diagram which shows the structure which concerns on this invention. The screen which the medical image creation apparatus of this invention displays is shown. An example of a screen when the output unit according to the present invention displays a moving image is shown. An embodiment of the screen when the output means according to the present invention displays a still image is shown. It is an image figure which shows the process at the time of operation of an extraction part. An example of a screen when the output means according to the present invention transmits a still image is shown. 3 shows a flowchart for creating a still image of the medical image creation apparatus according to the present invention. It is a block diagram which shows the structure of the conventional medical image production apparatus.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 ... Medical image creation apparatus 11 ... Input means 12 ... Temporary storage means 13 ... Output means 14 ... Conversion means 15 ... Transmission means A ... Display part B ... Operation part C ... Still image display part D ... Video display part F ... Extraction part

Claims (14)

In a medical image creation device that edits a moving image photographed by a medical photographing device and converted into electronic information,
Input means for inputting the moving image photographed by the medical photographing apparatus;
Temporary storage means for temporarily storing the image input to the input means;
A display unit that reproducibly displays a moving image stored in the temporary storage unit, an operation unit that operates the moving image displayed on the display unit, an extraction unit that extracts a desired still image from the moving image, and the extracted still image Output means for displaying a still image display section for displaying a list of images on the same screen;
A medical image creation device comprising:   The medical image creation apparatus according to claim 1, wherein the output unit includes a moving image display unit that displays a list of moving images stored in the temporary storage unit.   The medical image creation apparatus according to claim 1, wherein the operation unit is capable of fast-forwarding and rewinding a moving image reproduced on the display unit by a predetermined interval. The still images displayed in a list displayed in the still image portion include information on a moving image from which the still images are extracted,
2. The medical image creation apparatus according to claim 1, wherein when the still image is selected, the still image portion of the moving image from which the still image is extracted is displayed on the display unit.   5. The medical image creation apparatus according to claim 1, further comprising a conversion unit capable of converting the moving image and / or the still image into a predetermined image format.   The medical image creation apparatus according to claim 1, further comprising a transmission unit configured to transmit the moving image and / or the still image to an external device.   The medical image creation apparatus according to claim 6, wherein the output unit includes an external display unit that displays a list of still images stored in the external device. A program incorporated in a medical image creation device that edits a moving image photographed by a medical photographing device and converted into electronic information,
Input means for inputting the moving image photographed by the medical photographing apparatus;
Storage means for temporarily storing the image input to the input means in a temporary storage means;
A display unit that reproducibly displays a moving image stored in the temporary storage unit, an operation unit that operates a moving image displayed on the display unit, an extraction unit that extracts a desired still image from the moving image, and the extracted still image A medical image creation program comprising: a still image display unit for displaying a list of images; and output means for displaying on a same screen.   9. The medical image creation program according to claim 8, wherein the output unit includes a moving image display unit that displays a list of moving images stored in the temporary storage unit.   9. The medical image creation program according to claim 8, wherein the operation unit is capable of fast-forwarding and rewinding a moving image reproduced on the display unit by a predetermined interval. The still images displayed in a list displayed in the still image portion include information on a moving image from which the still images are extracted,
9. The medical image creation program according to claim 8, wherein when the still image is selected, the still image portion of the moving image from which the still image is extracted is displayed on the display unit.   The medical image creation program according to any one of claims 8 to 11, further comprising conversion means for converting the moving image and / or the still image into a predetermined image format.   The medical image creation program according to any one of claims 8 to 12, further comprising transmission means for transmitting the moving image and / or the still image to an external device.   The medical image creation program according to claim 8, wherein the output unit includes an external display unit that displays a list of still images stored in the external device.

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