JP2006277219A - Medical image diagnostic reading system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To improve the reading accuracy in a medical image diagnostic reading system by determining whether diagnostic reading by other doctors is needed or not according to a work state in diagnostic reading, and instructing the diagnostic reading to other doctors if needed. <P>SOLUTION: In this medical image diagnostic reading system, the diagnostic reading work state during formation of report information is monitored in a diagnostic reading terminal 4A, the image processing frequency and the diagnostic reading work time are acquired as diagnostic reading work information, and the diagnostic reading work information is transmitted with the formed report information to a report management server 3. In the report management server 3, the received report information and diagnostic reading work information are analyzed to determine the necessity of double reading, and when double reading is needed, diagnostic reading instruction information is transmitted to a diagnostic reading terminal 4B that is a diagnostic reading terminal of another doctor. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

  The present invention relates to a medical image interpretation system for interpreting medical images and creating a report.

  2. Description of the Related Art Conventionally, interpretation diagnosis is performed in which a doctor interprets a medical image obtained by radiographing a region to be inspected by a patient and creates an observation (comment) as an interpretation report. As a form of this interpretation diagnosis, it is common for a single doctor to interpret a medical image alone, but if a high-level interpretation technique for a specific part or a specific case is required, two people Double reading where each doctor interprets the same medical image individually, and overreading where two doctors at different levels such as the interpreting doctor and the approved doctor who approves the interpretation report individually interpret the same medical image Sometimes it is done.

  As a system to which double reading or overreading is applied, for example, Patent Document 1 discloses a medical image diagnosis system and method in which an administrator confirms a result of a diagnostic interpretation of medical images individually by a plurality of doctors via a network. Are listed.

Patent Document 2 describes a medical report system in which a plurality of signature information can be input with respect to one report, and a search target identifier is inserted into a character string of the input report information and stored.
JP 2002-269534 A JP 2001-125995 A

  By the way, even if it is not an image of a specific case or a specific part where an advanced image interpretation technique is required, it may be difficult to determine a lesion depending on a medical image to be interpreted. In such a case, the doctor must perform interpretation over a long period of time while changing the image processing conditions many times.However, an increase in the amount of work and interpretation over a long period of time leads to a decrease in the visual recognition ability of the doctor. There is a high possibility that the accuracy will decrease.

  An object of the present invention is to determine whether or not an interpretation by another doctor is necessary according to the work situation at the time of interpretation in a medical image interpretation system, and instruct the interpretation to another doctor if necessary. Thus, the interpretation accuracy is improved.

In order to solve the above-mentioned problem, the invention described in claim 1
A plurality of interpretation terminals for displaying a medical image on a display screen and creating an interpretation report of the medical image, and a management server for storing and managing the interpretation reports created by the plurality of interpretation terminals via a communication network Connected medical image interpretation system,
The interpretation terminal is a monitoring result information acquisition means for monitoring the interpretation work status at the time of creating an interpretation report for one medical image and acquiring the monitoring result information;
Interpretation report transmission means for transmitting the acquired monitoring result information to the management server together with information of the created interpretation report;
The management server
Determination means for determining whether or not the one medical image needs to be interpreted by another doctor based on at least the monitoring result information transmitted from the interpretation terminal;
When the determination unit determines that the one medical image needs to be interpreted by another doctor, other interpretation that is different from that of the interpretation terminal that transmits the information indicating the interpretation of the one medical image. Interpretation request transmission means to be transmitted to the terminal;
It is characterized by having.

The invention described in claim 2
A plurality of interpretation terminals for displaying a medical image on a display screen and creating an interpretation report of the medical image, a management server for storing and managing the interpretation reports created by the plurality of interpretation terminals, and the interpretation terminal In a medical image interpretation system in which an approval terminal for approving the created interpretation report is connected via a communication network,
The interpretation terminal is a monitoring result information acquisition means for monitoring the interpretation work status at the time of creating an interpretation report for one medical image and acquiring the monitoring result information;
Interpretation report transmission means for transmitting the acquired monitoring result information to the management server together with information of the created interpretation report;
The management server
Determination means for determining whether or not the one medical image needs to be interpreted by another doctor based on at least the monitoring result information transmitted from the interpretation terminal;
An interpretation request transmitting means for transmitting information for instructing interpretation of the one medical image to the approval terminal when it is determined by the determining means that the one medical image needs to be interpreted by another doctor;
It is characterized by having.

The invention according to claim 3 is the invention according to claim 1 or 2,
The monitoring result information acquisition unit monitors the number of image processing and / or interpretation work time when creating the interpretation report, and acquires monitoring result information including the number of image processing and / or interpretation work time when creating the interpretation report. And
The determination means determines whether or not the one medical image needs to be interpreted by another doctor based on at least the number of times of image processing and / or interpretation time transmitted from the interpretation terminal. It is said.

  According to the first aspect of the present invention, a plurality of interpretation terminals for displaying a medical image on a display screen and creating an interpretation report of the medical image, and an interpretation report created by the plurality of interpretation terminals are stored. In a medical image interpretation system in which a management server to be managed is connected via a communication network, the interpretation terminal monitors the interpretation work status when creating an interpretation report for one medical image, and acquires the monitoring result information. The acquired monitoring result information is transmitted to the management server together with the information of the created interpretation report, and the management server interprets the one medical image by another doctor based on at least the monitoring result information transmitted from the interpretation terminal. When it is determined that it is necessary to interpret the one medical image by another doctor, the one medical image Information indicating a shadow to send to other different interpretation terminal is the source of the interpretation terminal. Therefore, the interpretation of the same medical image is automatically instructed to other doctors when necessary according to the work situation at the time of creating the interpretation report. It is possible to shift to this process, and it is possible to improve the interpretation accuracy.

  According to the second aspect of the present invention, a plurality of interpretation terminals for displaying a medical image on a display screen and generating an interpretation report of the medical image, and an interpretation report created by the plurality of interpretation terminals are stored. In a medical image interpretation system in which a management server to be managed and an approval terminal for approving an interpretation report created by an interpretation terminal are connected via a communication network, the interpretation terminal is configured to output an interpretation report for one medical image. Monitors the interpretation work status at the time of creation, acquires the monitoring result information, transmits the acquired monitoring result information to the management server together with the information of the interpretation report, and the management server transmits at least the monitoring result information transmitted from the interpretation terminal Based on the above, it is determined whether or not one medical image needs to be interpreted by another doctor, and one medical image is interpreted by another doctor. If it is determined that there is needed, it transmits the information indicating the interpretation of one medical image into authorization terminal. Therefore, depending on the work situation at the time of the interpretation report creation, the interpretation of the same medical image is instructed to an approved physician who has a different hierarchy from the doctor who automatically performed the interpretation when necessary. Thus, it is possible to easily shift to an overreading process by an approved physician, and it is possible to improve the interpretation accuracy.

  According to the invention described in claim 3, since it is determined whether or not the medical image to be interpreted needs to be interpreted by another doctor based on the number of times of image processing and / or the interpretation work time when creating the interpretation report. It is possible to shift to a double reading or overreading process according to the degree of fatigue of the doctor at the time of creating the interpretation report and the content of the medical image to be interpreted.

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. However, the scope of the invention is not limited to the illustrated examples.

First, the configuration of the present embodiment will be described.
FIG. 1 is a conceptual diagram showing a system configuration of a medical image interpretation system 100 in the present embodiment. As shown in FIG. 1, the medical image interpretation system 100 allows a modality 1, an image server 2, a report management server 3, an interpretation terminal 4, an approval terminal 5, etc. to transmit and receive data via a communication network N. It is connected. The number of each device is not particularly limited.

  As the communication network N, various line forms such as a LAN (Local Area Network), a WAN (Wide Area Network), and the Internet can be applied. Note that wireless communication or infrared communication may be used as long as it is permitted within a medical institution such as a hospital. However, since important patient information is included, it is preferable to encrypt information to be transmitted and received.

  The modality 1 is an image generation apparatus such as CR (Computed Radiography), FPD (Flat Panel Detector), CT (Computed Tomography), MRI (Magnetic Resonance Imaging), or an ultrasonic diagnostic apparatus. The converted image is digitally converted to generate image data of a medical image. The modality 1 has operation means such as a keyboard, a mouse, a touch panel, etc., and image attribute information for each medical image input through these operation means or a test reservation accepting terminal (not shown) as image information. It is attached to the data and transmitted to the image server 2 via the communication network N.

  The incidental information includes, for example, patient ID as patient identification information, patient information related to the patient such as patient name, age, and sex, examination ID for identifying examination, imaging date, imaging region, imaging condition ( Examination information such as body position, shooting direction, etc., image generation device type (modality type), image ID for identifying an image, image data pixel number, sampling pitch, bit number, and other image data information.

  The image server 2 stores and manages the image data of the medical image generated by the modality 1 in a DB (Data Base) in association with the incidental information, and receives the image data in response to a request from the image interpretation terminal 3 3 is supplied.

  The report management server 3 is a management server that stores and manages an interpretation report (hereinafter referred to as a report) created in the interpretation terminal 4 in the report DB 351. When the report management server receives report information and interpretation work information (monitoring result information such as the number of image processes and interpretation work time) from the interpretation terminal 4, it issues a report ID, and the received information corresponds to the report ID. At the same time, it is registered in the report DB 351 and, based on the received information, whether or not double reading is necessary for the medical image corresponding to the report information transmitted from the interpretation terminal 4, that is, another interpretation doctor Whether or not interpretation is necessary is determined. If it is determined that interpretation is necessary, information for instructing interpretation is transmitted to another interpretation terminal 4 that is not the report information transmission source. Details will be described later (see FIG. 4).

Here, the internal configuration of the report management server 3 will be described with reference to FIG.
FIG. 2 is a block diagram showing a functional configuration of the report management server 3. As shown in FIG. 2, the report management server 3 includes a CPU 31, an operation unit 32, a display unit 33, a RAM 34, a storage unit 35, a communication control unit 36, and the like, and each unit is connected by a bus 37.

  A CPU (Central Processing Unit) 31 reads a system program stored in the storage unit 35, develops it in a work area formed in the RAM 34, and controls each unit according to the system program. Further, the CPU 31 reads out various processing programs and various application programs stored in the storage unit 35 and expands them in the work area, and starts the report management server 3 side processing (see FIG. 4) of the double reading transition processing sequence described later. Various processes are executed.

  The operation unit 32 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse, and sends an instruction signal input to the CPU 31 by key operation or mouse operation on the keyboard. Output. The operation unit 32 may include a touch panel on the display screen of the display unit 33. In this case, the operation unit 32 outputs an instruction signal input via the touch panel to the CPU 31.

  The display unit 33 is configured by a monitor such as an LCD (Liquid Crystal Display) or a CRT (Cathode Ray Tube), and displays an input instruction, data, or the like from the operation unit 32 in accordance with an instruction of a display signal input from the CPU 31.

  A RAM (Random Access Memory) 34 temporarily stores various programs, input or output data, parameters, and the like that can be executed by the CPU 31 read from the storage unit 35 in various processes controlled by the CPU 31. Form a region.

  The storage unit 35 is configured by an HDD (Hard Disc Drive), a nonvolatile semiconductor memory, or the like, and stores a system program executed by the CPU 31, various processing programs corresponding to the system program, various application programs, various data, and the like. . These various programs are stored in the form of readable program codes, and the CPU 31 sequentially executes operations according to the program codes.

  Further, as shown in FIG. 2, the storage unit 35 includes a report DB (Date Base) 351 and double reading transition reference information 352.

The report DB 351 uses the report information created in the image interpretation terminal 4 as attribute information about the report data (for example, a report ID for identifying report information, an image ID for identifying image data used for report creation, Interpreting physician ID for identifying the interpreting physician who created the report information, creation date / time of the report information, approved physician ID for identifying the approved physician who approved the report information, approval date / time of the report information, the above-mentioned interpretation work information ) And stored.
The double reading transition reference information 352 stores information serving as a reference when determining whether double reading is necessary. Specifically, as shown in FIG. 3, information on the number of times of image processing and interpretation work time, which are the criteria for determining the necessity of double reading, specific parts requiring double reading (for example, breasts, lung fields, etc.), Character data of a specific case (for example, cancer, microcalcification, tumor, etc.) is stored.

  The communication control unit 36 includes a LAN adapter, a router, a TA (Terminal Adapter), and the like, and controls communication with each device connected to the communication network N.

  Returning to FIG. 1, the interpretation terminal 4 includes a CPU 41, an operation unit 42, a display unit 43, a RAM 44, a storage unit 45, and a communication control unit 46 (all not shown) connected by a bus 47. Is a terminal such as a PC (Personal Computer) for displaying a medical image on a display screen and creating an interpretation report thereof. The CPU 41 of the image interpretation terminal 4 performs an image interpretation report creation process, which will be described later, and an image interpretation terminal 4A side process or an image interpretation terminal 4B side of a double reading transition process sequence by software processing in cooperation with a program stored in the storage unit 45. Various processes including the process (see FIG. 4) are executed.

  The approval terminal 5 includes a CPU 51, an operation unit 52, a display unit 53, a RAM 54, a storage unit 55, and a communication control unit 56 (all not shown) connected by a bus 57, and an approved doctor views an interpretation report. And a terminal such as a PC (Personal Computer) for approval. The CPU 51 of the approval terminal 5 performs various processes including the process of the approval terminal 5 side (see FIG. 4) of the double reading transition process sequence described later by software processing in cooperation with the program stored in the storage unit 55. Execute.

Next, the operation of the present embodiment will be described.
FIG. 4 is a diagram showing a double reading transition processing sequence executed in the medical image interpretation system 100, and FIG. 5 is a diagram schematically showing an outline of the double reading transition processing sequence in FIG. Hereinafter, the double reading transition sequence will be described with reference to FIGS.

  4 and 5, the interpretation terminal 4A is assigned to the doctor A and the interpretation terminal 4B is assigned to the doctor B, and it is necessary to double-read the report created by the doctor A. In this case, a case where doctor B is instructed to perform double reading will be described as an example, but the present invention is not limited to this.

First, an interpretation report creation process is executed in the interpretation terminal 4A (step S1).
In the interpretation report creation process, first, when the image server 2 is accessed via the communication network N based on an operation instruction from the operation unit 42 and a list of medical images is acquired from the image server 2, a medical image is displayed on the display unit 43. A list of images is displayed. When the operation unit 42 selects an image from the list, the image server 2 requests distribution of the image data of the selected image. When the image data is acquired, the display unit 43 interprets the acquired image data. A screen 431 is displayed.

FIG. 6 shows an example of the interpretation screen 431. As shown in FIG. 6, an image display area 431a, a report area 431b, and a diagnosis area 431c are displayed on the interpretation screen 431.
The image interpretation screen 431 displays an image processing button group 431d including an enlarge button, a reduce button, a contrast change button, a density change button, and the like. Image processing is performed on the image displayed in the image display area 431a according to the operated button in the image processing button group 431d, and the processed image is displayed in the image display area 431a. The doctor can operate the buttons of the image processing button group 431d to adjust the display of the image so that it can be easily read.

  In the interpretation report creation process, the interpretation work status is monitored, and monitoring result information is acquired. Specifically, in the interpretation report creation process, the display start time of the interpretation screen 431 and the pressing time point of the confirmation button 431e are monitored, the time measurement is started at the display start time of the interpretation screen 431, and the time measurement is started when the confirmation button 431e is pressed. Is completed, the interpretation work time is acquired as the monitoring result information. In the interpretation report creation process, the number of operations from the image processing button group 431d is monitored, and the number of times of image processing is acquired as monitoring result information. Thereby, the monitoring result information acquisition means of the present invention is realized. In the interpretation report creation process, only one of the number of times of image processing or the interpretation work time is acquired as the interpretation work status, and the image processing is performed in the report information and interpretation work information analysis process (see FIG. 7) of the report management server 3. Although the necessity of double reading may be determined based on either the number of times or the interpretation work time and the analysis result of the report information, in this embodiment, the accuracy of determining the necessity of double reading is increased. Therefore, both the image processing count and the interpretation work time are acquired as the interpretation work status.

  When an interpretation report is input to the report area 431b by the keyboard of the operation unit 42 and the confirm button 431e is pressed, the time measurement is stopped, and the information input to the report area 431b is the report information and is an image that is monitoring result information The number of processes and the measured interpretation work time are acquired as interpretation work information, and the process proceeds to step S2 in FIG.

  In step S2 of FIG. 4, the report information and the interpretation work information acquired by the interpretation report creation process are transmitted to the report management server 3 via the communication network N (interpretation report transmission means). The report information is accompanied by attribute information such as the image ID of the image data used to create the report information, the interpretation doctor ID of the doctor who created the report, and the report creation date and time.

  When the report management server 3 receives the report information and the interpretation work information from the interpretation terminal 4A (step S3), a report ID for identifying the report information is issued, and the information received together with the report ID is the report DB 351. And stored (step S4). Next, analysis processing of the received report information and interpretation work information is executed (step S5).

FIG. 7 shows analysis processing of report information and interpretation work information executed in the report management server 3. This processing realizes the determination means of the present invention.
First, it is determined whether or not the image processing count of the received interpretation work information exceeds the reference image processing count (reference count) of the double reading transition reference information 352, and the received image processing count exceeds the reference count. If YES (step T1: YES), the process proceeds to step T7, it is determined that double reading is necessary, and the process proceeds to step S6 in FIG.

  If the received image processing count does not exceed the reference count (step T1: NO), the interpretation work time of the received interpretation work information exceeds the reference interpretation work time (reference time) of the double reading transition reference information 352. If it is determined whether or not the received interpretation work time exceeds the reference time (step T2; YES), the process proceeds to step T7, where it is determined that double reading is necessary, The process proceeds to step S6 in FIG.

  When the received interpretation work time does not exceed the reference time (step T2: NO), it is analyzed whether the report data includes character data of a specific part or specific case of the double reading transition reference information 352. (Step T3). As a result of the analysis, when the character data of the specific part is included in the report information (step T4; YES), or the character data of the specific case is included in the report information (step T5; YES), the process is step The process proceeds to T7, where it is determined that double reading is necessary, and the process proceeds to step S6 in FIG.

  As a result of analysis, when the character data of the specific part is not included in the report information (step T4; NO), and the character data of the specific case is not included in the report information (step T5; NO), the double reading is It is determined that it is unnecessary (step T6), and the process proceeds to step S6 in FIG.

  Here, when the number of times of image processing or the interpretation work time exceeds a reference value (reference number, reference time), there is a high possibility that the interpretation accuracy is lowered due to a reduction in the visual interpretation ability of the interpretation doctor due to fatigue. Further, when the number of image processing and the interpretation work time exceed the reference value, it is conceivable that the medical image to be interpreted is difficult to determine the lesion. Therefore, in the present embodiment, it is determined that double reading is necessary for images having the number of times of image processing and interpretation work time exceeding a reference value in addition to conventional images of specific regions and specific cases.

  Returning to FIG. 4, if the report management server 3 does not determine that double reading is necessary as a result of the analysis processing of the report information and the interpretation work information described above (step S6; NO), the process proceeds to step S13. . When it is determined that double reading is necessary (step S6; YES), interpretation instruction information for instructing the interpretation terminal 4B to interpret the medical image interpreted by the interpretation terminal 4A via the communication network N is provided. Is transmitted (step S6; interpretation instruction transmitting means). The interpretation instruction information includes an image ID of a medical image to be interpreted.

  When interpretation instruction information is received from the report management server 3 at the interpretation terminal 4B, an instruction screen for instructing the creation of an interpretation report is displayed on the display unit 43 (see step S8, FIG. 7). When the above-described interpretation report creation processing is executed in response to the operation of the operation unit 42 by the doctor B and the received report information and interpretation work information of the image ID are acquired (step S9), via the communication network N, The acquired report information and interpretation work information are returned to the report management server 3. The report information is accompanied by attribute information such as the image ID of the image data used to create the report information, the interpretation doctor ID of the doctor who created the report, and the report creation date and time.

  In the report management server 3, when report information and interpretation work information returned from the interpretation terminal 4B are received (step S11), a report ID for identifying the report information is issued and received together with the report ID. Information is registered and stored in the report DB 351 (step S12). Then, report approval instruction information is transmitted to the approval terminal 5 via the communication network N (step S13). The report approval instruction information includes, for example, report information and interpretation work information from the interpretation terminal A received in step S3, report information and interpretation work information from the interpretation terminal 4B received in step S11, and the like.

  When the approval terminal 5 receives the report approval instruction information from the report management server, the report approval instruction screen is displayed on the display unit 53 (step S14), the double reading transition sequence ends, and the approval operation in the approval terminal 5 occurs. (Step S15). In addition, when displaying the report information that is determined to be required to be double-reading created by the interpretation terminal 4A in the approval terminal 5, as shown in FIG. 7, the reason why this report is double-reading is displayed. . Here, it is indicated that the number of times of image processing has exceeded the reference number of times or the interpretation work time has exceeded the reference time.

  As described above, according to the medical image interpretation system 100, the interpretation terminal 4A monitors the interpretation work status when creating report information, acquires the number of image processing and the interpretation work time as interpretation work information, and interprets these interpretations. The work information is transmitted to the report management server 3 together with the generated report information. In the report management server 3, the received report information and interpretation work information are analyzed, the necessity of double reading is judged, and when double reading is necessary, the interpretation terminal 4B which is an interpretation terminal of another doctor interprets the interpretation. When the instruction information is transmitted and the report information and the interpretation work information are received from the interpretation terminal 4B, the report information and the interpretation work information from the interpretation terminal 4A and the interpretation terminal 4B are transmitted to the approval terminal 5, and a report approval instruction is performed. .

  Therefore, not only when high-level interpretation techniques such as specific parts and specific cases are required, but also the necessity of double reading is judged according to the work situation at the time of interpretation report creation, and automatically when necessary Since the interpretation report creation instruction is given to the interpretation terminals of other doctors and the double reading is performed, it is possible to improve the interpretation accuracy. Further, not only is it left to the individual interpretation doctor level or individual judgment, but the necessity of double reading is judged using a common standard in the hospital, so that the interpretation accuracy level can be improved.

  Note that the description in the present embodiment described above is an example of the medical image interpretation system 100 according to the present invention, and the present invention is not limited to this.

  For example, in the above embodiment, the interpretation accuracy is improved when the number of image processing or interpretation work time during interpretation exceeds a reference value, or when character data of a specific part or specific case is included in the report information. Therefore, although double reading is performed, overreading may be performed to improve the interpretation accuracy. As described above, overreading means that two or more doctors having different hierarchies individually interpret the same medical image and create a report. In the analysis processing of the report information and the interpretation work information in FIG. 7, it is judged that the number of image processing times or the interpretation work time has exceeded the reference value, or the character data of the specific part or specific case is included in the report information. In this case, the interpretation management information is transmitted from the report management server 3 to the approval terminal 5, and the approval terminal 5 creates a report for the same medical image, thereby realizing overreading.

  In addition, the detailed configuration and detailed operation of the components of the medical image interpretation system 100 according to the present embodiment can be changed as appropriate without departing from the spirit of the present invention.

1 is a diagram showing an overall configuration of a medical image interpretation system 100 according to the present invention. It is a block diagram which shows the functional structure of the report management server 3 of FIG. It is a figure which shows the data storage example of the double reading transition reference | standard information 352 of FIG. It is a figure which shows the double reading transfer process sequence performed in the medical image interpretation system 100 of FIG. FIG. 5 is a diagram schematically showing an outline of a double reading transition processing sequence of FIG. 4. It is a figure which shows an example of the interpretation screen 431 displayed on the display part of the interpretation terminal 4 of FIG. It is a flowchart which shows the analysis process of the report information and interpretation work information which are performed by CPU31 of FIG.

Explanation of symbols

DESCRIPTION OF SYMBOLS 100 Medical image interpretation system 1 Modality 2 Image server 3 Report management server 4 Image interpretation terminal 5 Approval terminal 31 CPU
32 Operation unit 33 Display unit 34 RAM
35 storage unit 351 report DB
352 Double Reading Transition Criteria Information 36 Communication Control Unit 37 Bus

Claims (3)

A plurality of interpretation terminals for displaying a medical image on a display screen and creating an interpretation report of the medical image, and a management server for storing and managing the interpretation reports created by the plurality of interpretation terminals via a communication network Connected medical image interpretation system,
The interpretation terminal is a monitoring result information acquisition means for monitoring the interpretation work status at the time of creating an interpretation report for one medical image and acquiring the monitoring result information;
Interpretation report transmission means for transmitting the acquired monitoring result information to the management server together with information of the created interpretation report;
The management server
Determination means for determining whether or not the one medical image needs to be interpreted by another doctor based on at least the monitoring result information transmitted from the interpretation terminal;
When the determination unit determines that the one medical image needs to be interpreted by another doctor, other interpretation that is different from that of the interpretation terminal that transmits the information indicating the interpretation of the one medical image. Interpretation instruction information transmission means to be transmitted to the terminal;
A medical image interpretation system characterized by comprising: A plurality of interpretation terminals for displaying a medical image on a display screen and creating an interpretation report of the medical image, a management server for storing and managing the interpretation reports created by the plurality of interpretation terminals, and the interpretation terminal In a medical image interpretation system in which an approval terminal for approving the created interpretation report is connected via a communication network,
The interpretation terminal is a monitoring result information acquisition means for monitoring the interpretation work status at the time of creating an interpretation report for one medical image and acquiring the monitoring result information;
Interpretation report transmission means for transmitting the acquired monitoring result information to the management server together with information of the created interpretation report;
The management server
Determination means for determining whether or not the one medical image needs to be interpreted by another doctor based on at least the monitoring result information transmitted from the interpretation terminal;
Interpretation instruction information transmitting means for transmitting information for instructing interpretation of the one medical image to the approval terminal when it is determined by the determining means that the one medical image needs to be interpreted by another doctor; ,
A medical image interpretation system characterized by comprising: The monitoring result information acquisition unit monitors the number of image processing and / or interpretation work time when creating the interpretation report, and acquires monitoring result information including the number of image processing and / or interpretation work time when creating the interpretation report. And
The determination means determines whether or not the one medical image needs to be interpreted by another doctor based on at least the number of times of image processing and / or interpretation time transmitted from the interpretation terminal. The medical image interpretation system according to claim 1 or 2.

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