JP2006087601A - Medical image diagnosis supporting system, medical image diagnosis supporting device, medical image diagnosis supporting method, storage medium readable by computer, and computer program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To display a treatment result of an affected position effectively and appropriately for observation, and to adjust display positions of a plurality of three-dimensional images on a screen easily and speedily in a medical image diagnosis apparatus. <P>SOLUTION: A medical image diagnosis supporting apparatus 10 comprises an image server 13 for storing/managing three-dimensional images 101A and 101B constructed by an ultrasonic image diagnostic apparatus 11a along with various image information, a medical image diagnosis supporting device 14 for generating and displaying a treatment margin cross-sectional image 106 from the three-dimensional images 101A and 101B stored in the image server 13, an image display means 15 for displaying the treatment margin cross-sectional image 106 generated by the medical image diagnosis supporting device 14, and an input device 16 which allows an operator to input a command signal to the medical image diagnosis supporting device 14. The ultrasonic image diagnostic apparatus 11a, the image server 13, and the medical image diagnosis supporting device 14 are connected via an LAN (local area network) 18 to allow data communication. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to a technique for constructing and displaying a three-dimensional image including an image of an affected area from image data acquired by imaging an imaged area including the affected area of a patient, and in particular, by displaying a therapeutic effect using the 3D image. The present invention relates to a medical image diagnosis support system, a medical image diagnosis support device, a medical image diagnosis support method, a computer-readable storage medium, and a computer program that can perform treatment support.

  At present, among the three major diseases in Japan, the mortality rate due to cancer diseases is the only increase, and there is a strong social demand not only for diagnosis but also treatment for patients with cancer diseases. Among cancer diseases, liver cancer accounts for about 10% and is increasing.

  With regard to the diagnosis of liver cancer, it has already become possible to detect it at an early stage due to technological progress of medical image diagnostic apparatuses such as an ultrasonic image diagnostic apparatus, MRI (Magnetic Resonance Imaging), and CT (Computerized Tomography).

On the other hand, the following four types of treatments have been implemented for the treatment of liver cancer.
1. Intrahepatic arterial anticancer drug infusion therapy 2. Hepatic artery embolization therapy Minimally invasive treatment 4. Abdominal surgery The most frequently performed is minimally invasive treatment. This is because the treatment is simpler and less burdensome on the patient than other methods. The minimally invasive treatment methods include percutaneous ethanol injection technique (PEIT) and microwave puncture cauterization, which have been performed by monitoring the puncture needle under real-time imaging with an ultrasonic diagnostic imaging device. I came.

  Recently, radiofrequency ablation (RFA) has been in the limelight as one of the ablation treatment methods, and clinical application has been considerably advanced. RFA includes CoolTip, which is a single needle, and RITA, which is a multi-deployment needle, and clinical evaluations are currently underway.

Recently, a method using three-dimensional image display has been proposed in order to accurately treat a puncture needle to reach an affected area (see, for example, Patent Document 1).
JP 2002-224109 A

  In order to determine the therapeutic effect in percutaneous treatment, it is necessary to compare images before and after treatment. However, in the method of displaying images before and after treatment side by side on the same screen, an operator observes the screen to determine the therapeutic effect, but this determination is difficult. Furthermore, if the displayed image is a three-dimensional image, the determination becomes even more difficult.

  In the case of percutaneous treatment, treatment is performed with a slight margin of treatment from the actual affected area in order to prevent recurrence. Observation of the displayed treatment margin image is important to determine whether treatment has been performed accurately, but the conventional method has a problem that the display of the treatment margin image cannot be performed effectively. It was.

  Furthermore, when comparing the size of the affected area with the images before and after the treatment, the imaging region must be set for each of the images acquired before and after the treatment, even though the same imaging region is measured before and after the treatment. There was a problem in operability.

  The present invention has been made in consideration of the above-described circumstances, and is a medical image diagnosis support system, a medical image diagnosis support device, and a medical image diagnosis that can effectively perform image display suitable for observation of a treatment result of an affected area. An object is to provide a support method, a computer-readable storage medium, and a computer program.

  Another object of the present invention is to provide a medical image diagnosis support system, a medical image diagnosis support device, a medical image diagnosis support method, and a computer-readable storage medium capable of easily and quickly adjusting the display position of an image on the screen. And providing a computer program.

  In order to solve the above-described problem, a medical image diagnosis support system according to the present invention constructs a three-dimensional image including an image of an affected area from image data acquired by imaging an imaging area including the affected area of a patient. In the diagnostic apparatus, an image server that stores and manages the three-dimensional image constructed by the medical image diagnostic apparatus together with various image information, and generates a treatment margin cross-sectional image from the plurality of three-dimensional images stored in the image server. Medical image diagnosis support apparatus for displaying; image display means for displaying a treatment margin cross-sectional image generated by the medical image diagnosis support apparatus; and input enabling an operator to input a command signal to the medical image diagnosis support apparatus Device, and can communicate data between the medical image diagnostic apparatus, the image server, and the medical image diagnostic support apparatus via a network It was connected.

  The medical image diagnosis support system according to the present invention is a medical image diagnostic apparatus that constructs a three-dimensional image including an image of the affected area from image data acquired by imaging an imaging area including the affected area of a patient. A medical image diagnosis support apparatus for generating and displaying a treatment margin cross-sectional image from a plurality of three-dimensional images constructed by the diagnosis apparatus; and an image display means for displaying the treatment margin cross-section image generated by the medical image diagnosis support apparatus; And an input device that allows an operator to input a command signal to the medical image diagnosis support apparatus, and the medical image diagnosis apparatus and the medical image diagnosis support apparatus are connected via a network so that data communication is possible.

  In order to solve the above-described problem, the medical image diagnosis support apparatus according to the present invention constructs a three-dimensional image including an image of an affected area from image data acquired by imaging an imaging area including the affected area of a patient. In the diagnostic apparatus, a medical image diagnosis support apparatus for generating and displaying a treatment margin cross-sectional image from a plurality of the three-dimensional images, and an image display means for displaying the treatment margin cross-sectional image generated by the medical image diagnosis support apparatus; And an input device that allows an operator to input a command signal to the medical image diagnosis support apparatus.

  In order to solve the above-described problem, the medical image diagnosis support method according to the present invention is a tertiary including an image of an affected area to be treated from image data acquired by imaging an imaging area including an affected area of a patient before and after treatment. In the medical image diagnostic method for constructing an original image and a three-dimensional image including a treatment affected part image, respectively, the same spatial coordinates are obtained by superimposing the three-dimensional image including the treatment target affected part image and the three-dimensional image including the treatment affected part image. A treatment margin three-dimensional image generation step of generating a treatment margin three-dimensional image by generating a difference between each other, and generating a treatment margin three-dimensional image, and a treatment margin cross-sectional image of the treatment margin three-dimensional image viewed from a required cross-sectional direction is generated. A treatment margin cross-sectional image generation step, and a treatment margin cross-sectional image display step in which the treatment margin cross-sectional image is displayed.

  Further, according to the medical image diagnosis support system, medical image diagnosis support device, medical image diagnosis support method, computer readable storage medium, and computer program according to the present invention, a display suitable for observing the treatment result of the affected area is effectively provided. Can be done.

  According to the medical image diagnosis support system, the medical image diagnosis support device, the medical image diagnosis support method, the computer-readable storage medium, and the computer program according to the present invention, the display positions of a plurality of three-dimensional images on the screen can be adjusted quickly and easily. can do.

  Embodiments of a medical image diagnosis support system, a medical image diagnosis support device, a medical image diagnosis support method, a computer-readable storage medium, and a computer program according to the present invention will be described with reference to the accompanying drawings.

  In the accompanying drawings, the same constituent elements are denoted by the same reference numerals, and redundant description is omitted.

  FIG. 1 is a block diagram showing a first embodiment of a medical image diagnosis support system, a medical image diagnosis support device, a computer-readable storage medium, and a computer program according to the present invention.

  FIG. 1 shows a medical image diagnosis support system 10 according to the present invention. This medical image diagnosis support system 10 includes a three-dimensional image including an image of an affected area from image data acquired by imaging an imaging area including the affected area of a patient. A medical image diagnostic apparatus (modality) 11 that constructs 101, for example, an ultrasonic image diagnostic apparatus 11a, and an image server 13 that stores and manages the three-dimensional image 101 constructed by the ultrasonic image diagnostic apparatus 11a together with various image information. And a medical image diagnosis support apparatus 14 that is a computer for generating and displaying a treatment margin cross-sectional image from a plurality of three-dimensional images 101 stored in the image server 13, and the medical image diagnosis support apparatus 14 The image display means 15 for displaying the treatment margin cross-sectional image 106 and the operator can input an operation to the medical image diagnosis support apparatus 14 A force device 16 is provided.

  The medical image diagnosis support apparatus 14 can also generate and display a treatment margin cross-sectional image 106 from the three-dimensional image 101 constructed by the ultrasonic image diagnosis apparatus 11a.

  The ultrasonic image diagnosis apparatus 11a, the image server 13, and the medical image diagnosis support apparatus 14 are connected to each other via a hospital network such as a LAN 18 so that data communication is possible.

  The ultrasonic diagnostic imaging apparatus 11a performs echo data acquisition (data acquisition), echo data reconstruction (data reconstruction), and three-dimensional image rendering (rendering).

  The medical image diagnosis support apparatus 14 includes a ROM (Read Only Memory) 21, a CPU (Central Processing Unit) 22, a RAM (Random Access Memory) 23, an external storage device 24, a storage medium drive device 25, and a communication. The ROM 26, the CPU 22, the RAM 23, the external storage device 24, the storage medium driving device 25, and the communication device 26 are respectively connected by a bus 29.

  The ROM 21 stores in advance a basic program for operating the medical image diagnosis support apparatus 14 that is a computer. The basic program implements at least a GUI (Graphical User Interface) capable of performing basic operations using pointing device operations such as keys, trackballs, mice, trackpads, and tablets. The RAM 23 is used as a work area for the CPU 22.

  The storage medium driving device 25 operates the recording medium 30. The recording medium 30 is composed of, for example, a CD (Compact Disk) -ROM. In this CD-ROM, the three-dimensional image including the treatment target lesion image 102A and the three-dimensional image including the treatment lesion image 102B are overlapped and differentiated between the same spatial coordinates, and the difference result is displayed as a graphic to obtain a treatment margin tertiary. A procedure for generating the original image 105, a procedure for generating a cross-sectional image of the treatment margin three-dimensional image 105 viewed from the required cross-sectional direction, and generating a treatment margin cross-sectional image 106 for two-dimensional observation of the treatment margin image 104 A medical image diagnosis support execution program for causing the medical image diagnosis support apparatus 14 to execute the procedure for displaying the treatment margin cross-sectional image 106 and the like is recorded. The storage medium drive device 25 is composed of a CD-ROM drive or the like, reads a medical image diagnosis support execution program from the recording medium 30 under the control of the CPU 22, and stores the medical image diagnosis support execution program or the like as needed. Bridge as recorded in 24.

  The storage medium 30 is not limited to a CD-ROM, and may be a DVD, an FD, or the like when a DVD (Digital Versatile Disk) drive, a flexible disk drive, or the like is provided as the storage medium drive device 25. .

  The external storage device 24 is composed of, for example, an HDD (Hard Disk Drive). As described above, the medical image diagnosis support execution program is recorded (installed) in the external storage device 24, and various computer programs are recorded in advance by a general method.

  The CPU 22 reads a basic program and the like from the ROM 21 and reads a medical image diagnosis support execution program from the external storage device 24 to execute data processing and the like for generating and displaying the treatment margin cross-sectional image 106. In addition to the basic program and the like, a medical image diagnosis support execution program may be recorded in the ROM 21. In this case, the CPU 22 reads the basic program and the medical image diagnosis support execution program from the ROM 21, and a treatment margin. Data processing for generating and displaying the cross-sectional image 106 is executed.

  The display means 15 is composed of a CRT (Cathode Ray Tube) or a liquid crystal display device. Various screens used when generating and displaying the treatment margin cross-sectional image 106 are displayed on the display unit 15 under the control of the CPU 22.

  The input device 16 includes a keyboard, a trackball, a mouse, a trackpad, a tablet, and the like. Various commands and the like corresponding to the operation of the operator are input to the medical image diagnosis support apparatus 14.

  The medical image diagnosis support apparatus 14, the display unit 15, and the input device 16 may be a PC (Personal Computer) in which the medical image diagnosis support apparatus 14, the display unit 15, and the input device 16 are integrated.

  The modality 11 is not limited to the ultrasonic diagnostic imaging apparatus 11a, but an X-ray diagnostic apparatus, an X-ray CT (Computerized Tomography) apparatus, a magnetic resonance diagnostic apparatus, and a nuclear medicine having a function of acquiring and processing volume data. It may be a diagnostic device or the like.

  In the medical image diagnosis support system 10, the image processing apparatus is integrated with the ultrasonic image diagnosis apparatus 11a. However, the image processing apparatus may be separated from each other.

  Next, a medical image diagnosis support system, a medical image diagnosis support method, a computer readable storage medium, and a medical image diagnosis support method using a computer program according to the present invention will be described with reference to the flowchart shown in FIG. .

  Prior to treating the affected area of the patient as the subject, the imaging area including the affected area of the patient to be treated is imaged by the ultrasonic diagnostic imaging apparatus 11a of the medical image diagnosis support system 10, and echo data is collected. In the collection of echo data, two-dimensional tomographic image (two-dimensional tomographic plane) data is obtained. The three-dimensional echo data collection method includes a parallel method in which the probe is moved in parallel according to a probe moving method when collecting a two-dimensional tomographic plane, a fan method in which the probe is moved in a fan shape, and a rotate method in which the probe is rotated 180 degrees. . By obtaining a plurality of two-dimensional tomographic planes during the movement of these probe movement methods, three-dimensional echo data having a shape corresponding to each probe movement method as a whole in the X, Y, Z coordinate space Is acquired. FIG. 3 shows three-dimensional echo data in the case of the parallel method.

  Next, data reconstruction is performed by the ultrasonic diagnostic imaging apparatus 11a. In this data reconstruction, the collected echo data is converted into a set of cubes (voxels).

  Next, the ultrasonic image diagnostic apparatus 11a constructs a three-dimensional image 101A in the imaging region. The construction of the three-dimensional image 101A is performed by a volume rendering method that is a general technique, but particularly when the construction of the three-dimensional image 101A is desired to be performed quickly, the scan line method, marching cube method, or the like is used. The construction of the three-dimensional image 101A is also effective.

  In the ultrasonic diagnostic imaging apparatus 11a, a measurement ROI (Region of Interest) 103A is set so as to include the treatment target affected part image 102A appearing in the three-dimensional image 101A. The measurement ROI 103A may be set by the image server 13. The setting of the measurement ROI 103A may be performed manually by the operator while viewing the three-dimensional image 101A displayed on the screen of the display unit 15, or is automatically performed based on the spatial coordinates given in advance. Also good.

  The three-dimensional image 101A is input to the image server 13 via the LAN 18, and stored and managed by the image server 13. Further, the image server 13 stores various image information that can determine the size, position, and viewpoint direction of the 3D image 101A on the display screen, for example, Depth, Zoom, and pixel size, together with the 3D image 101A. . Further, information such as the spatial coordinates of the measurement ROI 103A set in the three-dimensional image 101A and information on the measurement result such as blood flow are stored together with the three-dimensional image 101A.

  Percutaneous treatment such as ablation (RFA: Radio-Frequency Ablation) is performed on the affected area of the patient.

  After percutaneous treatment such as ablation treatment, an imaging region including the affected area of the patient is imaged by the ultrasonic diagnostic imaging apparatus 11a, and echo data is collected, echo data is reconstructed and three-dimensionally operated in the same manner as before treatment. The image 101B is constructed.

  The three-dimensional image 101B is input to the image server 13 via the LAN 18, and stored and managed by the image server 13. Also, the image server 13 stores various image information that can determine the size, position, and viewpoint direction of the 3D image 101B on the display screen, such as Depth, Zoom, and pixel size, together with the 3D image 101B. .

  Next, the operator uses the input device 16 to execute a medical image diagnosis support execution program. When this medical image diagnosis support execution program is executed, first, the CPU 22 of the medical image diagnosis support apparatus 14 receives a plurality of tertiary inputs from the image server 13 via the LAN 18 and the communication device 26 of the medical image diagnosis support apparatus 14. The original images are overlaid and differentiated between the same space coordinates, and the difference result is graphically generated to generate the treatment margin three-dimensional image 105 (step S1).

  Here, the three-dimensional image 101A including the treatment target affected part image 102A managed by the image server 13 and the three-dimensional image 101B including the treated affected part image 102B are different in depth, zoom, pixel size, and the like. Therefore, when the 3D images 101A and 101B are displayed on the screen as they are, there are differences in the size, position, and viewpoint direction of the 3D images 101A and 101B on the screen.

  Therefore, first, the CPU 22 stores various image information such as Depth, Zoom and pixel size stored together with the 3D image 101A managed by the image server 13, and Depth, Zoom and pixel size stored together with the 3D image 101B. One or both of various image information such as the above are corrected. In this way, the CPU 22 corrects one or both of the various image information managed together with the 3D image 101A and the various image information managed together with the 3D image 101B, so that the CPU 22 can correct the 3D image 101A. , 101B, three-dimensional images 101a, 101b are created in which the size, position, and viewpoint direction on the screen are matched and various image information is corrected (step S1a).

  Here, when the three-dimensional image 101a is created, the treatment planned affected part image 102A and the measurement ROI 103A in the three-dimensional image 101A appear in the three-dimensional image 101a as the treatment planned affected part image 102a and the measurement ROI 103a, respectively.

  The CPU 22 displays on the screen of the display means 15 the three-dimensional image 101b in which various pieces of image information such as depth, zoom, and pixel size are corrected. Further, as a comparison with the three-dimensional image 101b, the three-dimensional image 101a in which various image information such as Depth, Zoom, and pixel size is corrected is superimposed on the three-dimensional image 101b and displayed on the screen of the display means 15. (Step S1b). That is, the three-dimensional image 101a and the three-dimensional image 101b are superimposed on the screen so that the position can be changed.

  Further, the operator operates the input device 16 such as a keyboard or a trackball to align the three-dimensional images 101a and 101b displayed on the screen of the display unit 15 on the screen, and the three-dimensional image on the screen. Finely adjust the positions of both the images 101a and 101b. When finely adjusting the positions of both the three-dimensional images 101a and 101b, if the three-dimensional images 101a and 101b are displayed superimposed on the screen of the display unit 15, both of the three-dimensional images 101a and 101b may not be identified. is there. In that case, the input device 16 such as a keyboard or a trackball is operated so that the three-dimensional images 101a and 101b can be switched so that one of the three-dimensional images 101a and 101b can be selectively displayed on the front. To do.

  When the operator finely adjusts the positions of the three-dimensional images 101 a and 101 b displayed on the screen of the display unit 15 on the screen, the CPU 22 positions the three-dimensional images 101 a and 101 b on the screen of the display unit 15. Is determined (step S1c).

  When the positions of the three-dimensional images 101a and 101b on the screen of the display unit 15 are determined, the CPU 22 superimposes the three-dimensional image 101a and the three-dimensional image 101b to change the luminance value between the same spatial coordinates (the luminance value). A difference) is obtained, and spatial coordinates whose luminance value change exceeds a required value are extracted (step S1d). Then, the CPU 22 generates a treatment margin three-dimensional image 105 including the treatment margin part image 104 by graphicizing the set region of the extracted spatial coordinates (step S1e).

  Here, the difference between the three-dimensional image 101a and the three-dimensional image 101b is set as the treatment margin three-dimensional image 105 including the treatment margin image 104, so that an image other than the treatment target affected part image 102a in the three-dimensional image 101a can be obtained. The images other than the treatment affected part image 102b in the three-dimensional image 101b are canceled out. Therefore, it is possible to provide the treatment margin three-dimensional image 105 in which only the treatment margin portion image 104 is graphically displayed.

  Next, the CPU 22 generates a cross-sectional image obtained by viewing the treatment margin three-dimensional image 105 generated in step S1 from the required cross-sectional direction, and generates a treatment margin cross-sectional image 106 for two-dimensional observation of the treatment margin portion image 104. (Step S2).

  Next, the treatment margin cross-sectional image 106 generated in step S2 is displayed on the screen of the display means 15 (step S3).

  FIG. 4 is a diagram showing a treatment margin cross-sectional image 106 displayed on the screen of the display unit 15.

  In step S1, a three-dimensional image 101a including a treatment target affected part image 102a and a three dimensional image 101b including a treated affected part image 102b are generated. Then, a treatment margin three-dimensional image 105 including a treatment margin image 104 is generated from the difference between the three-dimensional images 101a and 101b. FIG. 4 shows a cross-sectional image obtained by viewing the treatment margin three-dimensional image 105 from the required cross-sectional direction, for example, the cross-sectional direction F, and this cross-sectional image is displayed on the display unit 15 as the treatment margin cross-sectional image 106.

  The operator observes the two-dimensional treatment margin image 104 in the treatment margin cross-sectional image 106 shown in FIG. 4, and further operates the input device 16 to change the required cross-sectional direction while changing the required cross-sectional direction. By observing the two-dimensional treatment margin part image 104 in 106, the treatment margin for the treatment affected part can be observed three-dimensionally.

  FIG. 5 is a view showing a first modification of the treatment margin cross-sectional image 106 displayed on the screen of the display means 15.

  FIG. 5 synthesizes the treatment margin three-dimensional image 105 generated in step S1 and the three-dimensional image 101a including the treatment target affected part image 102a determined in step S1c. A cross-sectional image viewed from a direction, for example, the cross-sectional direction G, is generated, and this cross-sectional image is displayed as a treatment margin cross-sectional image 106. In the treatment margin cross-sectional image 106, the treatment margin portion image 104 and the treatment planned affected portion image 102a may be relatively indistinguishable. In this case, the display form of the treatment margin image 104, for example, transparency is set so that both can be relatively distinguished.

  In addition, the treatment target affected part image 102a may be displayed as a graphic. In that case, the display form of the treatment target affected part image 102a can also be set so that both can be relatively distinguished.

  The operator observes the two-dimensional treatment margin portion image 104 in the treatment margin cross-sectional image 106 shown in FIG. 5, and further operates the input device 16 to change the required cross-sectional direction while changing the required cross-sectional image. By observing the two-dimensional treatment margin part image 104 in 106, the treatment margin for the treatment affected part can be observed three-dimensionally.

  FIG. 6 is a view showing a second modification of the treatment margin cross-sectional image 106 displayed on the screen of the display means 15.

  FIG. 6 synthesizes the treatment margin three-dimensional image 105 generated in step S1 and the measurement ROI 103a in the three-dimensional image 101a including the treatment target affected part image 102a, and displays the synthesized three-dimensional image in the required cross-sectional direction, For example, a cross-sectional image viewed from the cross-sectional direction H is generated, and this cross-sectional image is displayed as a treatment margin cross-sectional image 106. In this treatment margin cross-sectional image 106, the treatment margin portion image 104 and the image of the measurement ROI 103a may be relatively indistinguishable. In this case, the display form of the treatment margin image 104 or the measurement ROI 103a, for example, transparency is set so that the two can be relatively distinguished.

  Note that the position and size of the measurement ROI 103a displayed on the screen of the display unit 15 as shown in FIG. 6 can be adjusted by the operator by an operation using the input device 16 such as a key and a trackball.

  Further, the CPU 22 calculates the change amount and rate of change of the blood flow from the measurement result such as the blood flow stored in the image server 13 and the measurement result for the adjusted measurement ROI 103a, and displays the calculation result on the screen. You can also

  The operator observes the two-dimensional treatment margin image 104 in the treatment margin cross-sectional image 106 shown in FIG. 6, and further operates the input device 16 to change the required cross-sectional direction while changing the required cross-sectional direction. By observing the two-dimensional treatment margin part image 104 in 106, the treatment margin for the treatment affected part can be observed three-dimensionally.

  According to the medical image diagnosis support system 10, the medical image diagnosis support device 14, the medical image diagnosis support method, the computer-readable storage medium, and the computer program according to the present invention, the three-dimensional image 101a (101A) of the affected part acquired before and after the treatment , 101b (101B), the treatment margin cross-sectional image 106 is generated from the luminance value change in the same space coordinates and displayed, and thus display suitable for observing the treatment result of the affected area can be effectively performed.

  According to the medical image diagnosis support system 10, the medical image diagnosis support device 14, the medical image diagnosis support method, the computer-readable storage medium, and the computer program according to the present invention, the three-dimensional images 101A of the affected area acquired before and after the treatment The three-dimensional images 101a and 101b are generated and displayed by matching the various image information of 101B, and the display position of the three-dimensional images 101a and 101b on the screen is adjusted by fine adjustment of the position on the screen by the operator. Easy and quick adjustment.

  FIG. 7 is a block diagram showing a second embodiment of a medical image diagnosis support system, a medical image diagnosis support device, a medical image diagnosis support method, a computer-readable storage medium, and a computer program according to the present invention.

  FIG. 7 shows a medical image diagnosis support system 10A according to the present invention. This medical image diagnosis support system 10A is a three-dimensional image including an image of an affected area from image data acquired by imaging an imaging area including the affected area of a patient. Medical image diagnostic apparatus 11 that constructs 101, for example, an ultrasonic image diagnostic apparatus 11a, and a medical image that is a computer for generating and displaying a treatment margin cross-sectional image from the three-dimensional image 101 of this ultrasonic image diagnostic apparatus 11a The diagnostic support apparatus 14 includes an image display unit 15 that displays a treatment margin cross-sectional image 106 generated by the medical image diagnosis support apparatus 14, and an input device 16 that can be operated and input to the medical image diagnosis support apparatus 14 by an operator. It is done.

  In the medical image diagnosis support system 10A, the medical image diagnosis support device 14, the computer readable storage medium, and the computer program, the medical image diagnosis support method shown in FIG. The same operation as in the flowchart is performed.

  According to the medical image diagnosis support system 10A, the medical image diagnosis support device 14, the medical image diagnosis support method, the computer readable storage medium, and the computer program according to the present invention, the three-dimensional image 101a (101A) of the affected part acquired before and after the treatment , 101b (101B), the treatment margin cross-sectional image 106 is generated from the luminance value change in the same space coordinates and displayed, and thus display suitable for observing the treatment result of the affected area can be effectively performed.

  According to the medical image diagnosis support system 10A, the medical image diagnosis support device 14, the medical image diagnosis support method, the computer readable storage medium, and the computer program according to the present invention, the three-dimensional images 101A of the affected area acquired before and after the treatment The three-dimensional images 101a and 101b are generated and displayed by matching the various image information of 101B, and the display position of the three-dimensional images 101a and 101b on the screen is adjusted by fine adjustment of the position on the screen by the operator. Easy and quick adjustment.

1 is a block diagram showing a first embodiment of a medical image diagnosis support system, a medical image diagnosis support device, a computer-readable storage medium, and a computer program according to the present invention. The flowchart which shows the medical image diagnosis assistance method which concerns on this invention. The figure explaining acquisition of three-dimensional echo data. The figure which shows the treatment margin cross-sectional image displayed on the screen of a display means. The figure which shows the 1st modification of the treatment margin cross-sectional image displayed on the screen of a display means. The figure which shows the 2nd modification of the treatment margin cross-sectional image displayed on the screen of a display means. The block diagram which shows 2nd Embodiment of the medical image diagnosis assistance system, medical image diagnosis assistance apparatus, computer-readable storage medium, and computer program which concern on this invention.

Explanation of symbols

10, 10A Medical image diagnosis support system 11 Medical image diagnosis apparatus (modality)
13 Image Server 14 Medical Image Diagnosis Support Device 15 Display Unit 16 Input Device 18 LAN
101A, 101a Three-dimensional images 101B, 101b including a treatment-affected part image Three-dimensional images 102A, 102a including a treatment-affected part image 102B, 102b Treatment-affected part images 103A, 103a Measurement ROI
104 treatment margin image 105 treatment margin three-dimensional image 106 treatment margin cross-sectional image

Claims (14)

In a medical image diagnostic apparatus for constructing a three-dimensional image including an image of an affected area from image data obtained by imaging an imaging area including the affected area of a patient,
An image server for storing and managing a three-dimensional image constructed by the medical image diagnostic apparatus together with various image information;
A medical image diagnosis support device for generating and displaying a treatment margin cross-sectional image from the plurality of three-dimensional images stored in the image server;
Image display means for displaying a treatment margin cross-sectional image generated by the medical image diagnosis support apparatus;
An input device that allows an operator to input a command signal to the medical image diagnosis support apparatus, and the medical image diagnosis apparatus, the image server, and the medical image diagnosis support apparatus are connected via a network so that data communication is possible. A medical image diagnosis support system characterized by that. In a medical image diagnostic apparatus for constructing a three-dimensional image including an image of an affected area from image data acquired by imaging an imaging area including the affected area of a patient,
A medical image diagnosis support apparatus for generating and displaying a treatment margin cross-sectional image from a plurality of three-dimensional images constructed by the medical image diagnostic apparatus;
Image display means for displaying a treatment margin cross-sectional image generated by the medical image diagnosis support apparatus;
And an input device that allows an operator to input a command signal to the medical image diagnosis support apparatus, and the medical image diagnosis apparatus and the medical image diagnosis support apparatus are connected via a network so that data communication is possible. Medical image diagnosis support system. In a medical image diagnostic apparatus for constructing a three-dimensional image including an image of an affected area from image data acquired by imaging an imaging area including the affected area of a patient,
A medical image diagnosis support apparatus for generating and displaying a treatment margin cross-sectional image from a plurality of the three-dimensional images;
Image display means for displaying a treatment margin cross-sectional image generated by the medical image diagnosis support apparatus;
A medical image diagnosis support apparatus comprising an input device that allows an operator to input a command signal to the medical image diagnosis support apparatus. A medical image diagnostic method for constructing a three-dimensional image including an image of an affected area to be treated and a three-dimensional image including an image of an affected area from image data acquired by imaging an imaging area including the affected area of a patient before and after treatment, respectively. In
A treatment in which a 3D image including the image of the affected area to be treated and a 3D image including the image of the affected area to be treated are overlapped and differentiated between the same spatial coordinates, and the difference result is graphically generated to generate a treatment margin 3D image Margin 3D image generation process;
A treatment margin cross-sectional image generation step for generating a treatment margin cross-sectional image obtained by viewing the treatment margin three-dimensional image from the required cross-sectional direction;
A medical image diagnosis support method comprising: a treatment margin cross-sectional image display step for displaying the treatment margin cross-sectional image. In the treatment margin three-dimensional image generation step, one or both of various image information of the three-dimensional image including the treatment target affected part image and various image information of the three-dimensional image including the therapeutic affected part image is corrected, and the treatment is performed. A three-dimensional image including a planned affected area image, and a three-dimensional image including the planned affected area image and the three-dimensional image including the treated affected area image on the screen are matched in size, position, and viewpoint direction, and various image information is corrected. 5. The medical image diagnosis support method according to claim 4, wherein a three-dimensional image including the treatment affected part image is superimposed on a screen. The three-dimensional image including the treatment target affected part image and the three-dimensional image including the therapeutic affected part image are superimposed on the screen in a position-changeable manner in the treatment margin three-dimensional image generation step. 5. The medical image diagnosis support method according to 4. The three-dimensional image including the treatment planned diseased part image and the treatment so that one of the three-dimensional image including the treatment planned diseased part image and the three-dimensional image including the treatment affected part image can be selectively displayed on the front screen. The medical image diagnosis support method according to claim 6, wherein a three-dimensional image including an affected part image is displayed in a switchable manner. In the treatment margin three-dimensional image generation step, a three-dimensional image including the treatment target affected part image and a three dimensional image including the treatment target part image are superimposed on a screen to obtain a luminance value change between the same spatial coordinates, 5. The medical image diagnosis support method according to claim 4, wherein spatial coordinates whose luminance value changes exceed a required value are extracted, and a set area of the extracted spatial coordinates is graphicized. In the treatment margin cross-sectional image generation step, the three-dimensional image including the treatment margin three-dimensional image and the treatment target affected part image are combined, and a cross-sectional image obtained by viewing the combined three-dimensional image from a required cross-sectional direction is generated, 5. The medical image diagnosis support method according to claim 4, wherein in the treatment margin cross-sectional image display step, the cross-sectional image is displayed as the treatment margin cross-sectional image. The medical image diagnosis support method according to claim 9, wherein a display form of the treatment margin part image is set so that the treatment margin part image and the treatment target affected part image can be relatively distinguished from each other. The medical image diagnosis support method according to claim 9, wherein the treatment target affected part image is displayed as a graphic. In the treatment margin cross-sectional image display step, the treatment margin three-dimensional image and the measurement ROI set by the three-dimensional image including the treatment target affected part are combined, and the combined three-dimensional image is viewed from the required cross-sectional direction. The medical image diagnosis support method according to claim 4, wherein in the treatment margin cross-sectional image display step, the cross-sectional image is displayed as the treatment margin cross-sectional image. A computer-readable recording medium having recorded thereon a computer program for executing the method according to any one of claims 4 to 12. A computer program for causing a computer to execute the method according to any one of claims 4 to 12.

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