JP2009060945A - Image reading report system, image reading report creating device, image reading report display device, image reading report display method, and image reading report program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To make inquiries for respective observations and diagnoses clear if a plurality of observations and diagnoses are written in an image reading report by a plurality of image reading doctors. <P>SOLUTION: An image reading doctor belonging to an image reading department 6 reads a medical image 16 and creates an image reading report 20 via an image reading report creating terminal 12. A CPU 30 of the image reading report creating terminal 12 creates the image reading report 20 and report-attached information 21 as well. Observation and diagnosis identification information for identifying the written observation and diagnosis, and writer identification information for identifying the writer such as the image reading doctor who wrote the observation and diagnosis, etc. are correlated and recorded in the report-attached information 21. A CPU 24 of a diagnosis/treatment department terminal 10 selectively extracts and displays the observation and diagnosis written by each image reading doctor based on the report-attached information 21 when the image reading report 20 is displayed on a monitor 26. Accordingly, a requested doctor can easily discriminate the image reading doctor who wrote the observation and diagnosis. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention relates to an interpretation report system that creates and displays an interpretation report in which a plurality of findings are entered by a plurality of entrants, and an interpretation report creation apparatus, an interpretation report display apparatus, and an interpretation report used in the interpretation report system. The present invention relates to a display method and an interpretation report program.

  In medical facilities such as hospitals, CR (Computed Radiography) equipment, CT (Computed Tomography) equipment, MRI (Magnetic Resonance Imaging) equipment, PET (Positron Emission Tomography) equipment, Various medical examination apparatuses (modalities) such as an ultrasonic diagnostic apparatus are widely used. A medical image taken by a modality is used when a doctor diagnoses a patient and plays a major role in determining a patient's symptoms.

  In general, a doctor enrolled in each clinical department requests a specialized interpretation department to interpret the medical image when making a diagnosis based on the medical image. A doctor in the interpretation department interprets the requested medical image, summarizes the results into a report (hereinafter referred to as an interpretation report), and reports it to the requesting doctor. A doctor in each department makes a final diagnosis on the patient based on the interpretation report and confirms the diagnosis.

In recent years, in the medical field, digitization of medical images and medical records has been promoted in order to improve the efficiency of business. Under such circumstances, a system that enables online interpretation work as described above has also been proposed by, for example, Patent Documents 1 to 3.
JP 2001-125995 A JP 2004-305289 A JP 2004-334466 A

  Creation of an interpretation report in the interpretation department is not necessarily performed by one doctor. For example, in an ultrasonic diagnostic examination, a plurality of engineers sequentially add the findings at the time of examination of a medical image to an interpretation report, and the doctor finally interprets the interpretation based on the findings to complete the report. There are also cases where a plurality of doctors interpret a single examination. Furthermore, the number of feature points such as an affected part read from a medical image is not necessarily one when interpretation of one examination is performed. For example, when a patient has cancer, a plurality of affected parts may be read from a medical image such as a primary lesion and a metastatic lesion.

  As described above, when interpretation is performed by a plurality of doctors and a plurality of findings for each feature point read are entered in the interpretation report, which doctor is referred to when the requesting doctor refers to the interpretation report. There is a problem that it is impossible to determine which observation has been entered. If there is no correspondence between the interpretation doctor and the findings, it is not possible to know which doctor should be inquired when the requesting doctor wishes to inquire about the entered findings. For example, when doctor A and doctor B make inquiries about the interpretation report in which the findings are written, even if doctor B asks a question regarding the findings written by doctor A, doctor B answers the question. I can't answer.

  Therefore, if the inquiry destination is not known, it is necessary to confirm the inquiry destination with the interpretation department, which causes a reduction in the work efficiency of the requesting doctor. Similarly, it is a factor that reduces the work efficiency of doctors in the interpretation department, such as having to respond to inquiries regarding findings that are not recognized. For this reason, in a system that performs interpretation work, there is a strong demand for clarifying the correspondence between the doctor who interpreted and the findings entered in the interpretation report.

  As a related technique, Patent Document 1 describes a medical report system in which a plurality of interpretation information of doctors and engineers who read can be input. According to this medical report system, even when an interpretation report is created by a plurality of doctors, etc., the requesting doctor can accurately grasp the information of each doctor. However, in this medical report system, it is only possible to grasp the information of each doctor who has created the interpretation report, and it is not possible to grasp the correspondence between a plurality of findings entered in the interpretation report and each doctor.

  Patent Document 2 describes a medical system in which findings entered in an interpretation report are associated with positions on medical images. According to this medical system, when referring to an interpretation report, it is possible to easily grasp to which position of which medical image the findings are written. The correspondence between multiple findings and each doctor cannot be grasped.

  Furthermore, Patent Literature 3 describes a medical diagnosis report system that stores history information of interpretation reports. According to this medical diagnostic report system, it is possible to confirm the process through which the interpretation report was created, but with this system as well, multiple findings entered in the interpretation report and each doctor It is not possible to grasp the correspondence relationship.

  The present invention has been made in view of the above-described problems, and it is an object of the present invention to clarify the inquiry destination for each finding even when a plurality of findings are entered in an interpretation report by a plurality of doctors. To do.

  In order to achieve the above object, an interpretation report system of the present invention that creates an interpretation report in which a plurality of findings representing medical image interpretation results are entered by a plurality of writers and displays the created interpretation report. , Finding entry means for filling in the findings, finding identification information for identifying the written findings when the findings are filled in via the finding filling means, and filling in the findings Provided with supplementary information creating means for creating report supplementary information recorded in association with writer identification information for identifying a person.

  The display means for displaying the interpretation report, and when displaying the interpretation report on the display means, based on the report supplementary information, the predetermined findings from the findings included in the interpretation report are obtained. It is more preferable to provide display control means for selectively extracting and displaying.

  The interpretation report includes a reference image corresponding to the medical image used for interpretation and a mark displayed on the reference image to indicate the position of the feature point read from the medical image by interpretation. In the report supplementary information, the feature point position information indicating the position of the feature point includes the finding identification information of the finding corresponding to the feature point, and the writer of the writer who entered the finding. Recorded in association with the writer identification information, the display control means extracted when a plurality of the findings and the marks corresponding to each of the plurality of feature points are included in the interpretation report It is preferable that only the mark corresponding to the finding is displayed on the reference image.

  Furthermore, it is preferable that the display control means extracts the findings written by a specific writer based on the report supplementary information.

  The display control means may extract the findings related to the specific feature points based on the report supplementary information.

  In the report supplementary information, image identification information for identifying the reference image included in the interpretation report is recorded in association with the finding identification information and the writer identification information, and the display control means Preferably, when the interpretation report includes a plurality of the reference images, only the reference images related to the extracted findings are displayed based on the report supplementary information.

  Further, when the image interpretation report includes a plurality of the reference images, it is determined whether or not each mark displayed on each of the reference images indicates the same feature point. Means for displaying only one of the reference images when the determination means determines that the marks indicate the same feature point. preferable.

  The interpretation report creating apparatus of the present invention for creating an interpretation report in which a plurality of findings representing the interpretation result of a medical image are entered by a plurality of writers, a finding entry means for entering the findings, and the entry of the findings When the findings were entered through the means, the findings identification information for identifying the entered findings was recorded in association with the entrant identification information for identifying the writer who entered the findings. There is provided an accompanying information creating means for creating report accompanying information.

  Further, the interpretation report display apparatus of the present invention for displaying an interpretation report in which a plurality of findings representing the interpretation result of the medical image are entered by a plurality of writers, the display means for displaying the interpretation report, and the interpretation report as the above-described interpretation report. Report supplementary information recorded by associating the observation identification information for identifying each of the entered findings and the entrant identification information for identifying the entrant who entered each of the findings when displayed on the display means And a display control means for selectively extracting and displaying the predetermined findings from the findings included in the interpretation report.

  Further, the interpretation report display method of the present invention for displaying an interpretation report in which a plurality of findings representing the interpretation result of a medical image are entered by a plurality of writers is provided via the finding entry means for entering the findings. When the is entered, the report incidental information is created by associating the identification information for identifying the entered findings with the identification information for identifying the entrant who entered the findings. And, when displaying the interpretation report on the display means, selectively extracting and displaying a predetermined finding from the findings included in the interpretation report based on the report supplementary information; It is characterized by having.

  Furthermore, the present invention causes a computer to execute a process of creating an interpretation report in which a plurality of findings representing medical image interpretation results are entered by a plurality of writers and a process of displaying the created interpretation report on a display means. When the findings are entered through the finding entry means for filling in the findings, the identification report information for identifying the entered findings and the writer who entered the findings And a supplementary information creating step for creating report supplementary information recorded in association with the identifier identification information for identifying the user.

  In the present invention, when a finding is entered, an incidental report information for identifying the entered finding and an entrant identification information for identifying the entrant who entered the finding are recorded in association with each other. Information was created. Thereby, the doctor who requested the interpretation can know the writer of the doctor or the like who entered each finding by confirming the report supplementary information when he / she wants to make an inquiry about the findings entered in the interpretation report. As described above, according to the present invention, when a plurality of findings are entered in the interpretation report by a plurality of doctors, it is possible to clarify the inquiry destination for each finding.

  Further, when the interpretation report is displayed on the display means, a display control means is provided for selectively extracting and displaying a predetermined finding from each finding included in the interpretation report based on the report supplementary information, for example, If the findings written by a specific writer are extracted, the correspondence between each finding and the writer can be immediately recognized by the requesting doctor.

  FIG. 1 is an explanatory diagram schematically showing the configuration of a medical network system (interpretation report system) 2 constructed in a medical facility such as a hospital. The medical network system 2 includes a plurality of clinical department terminals (interpretation report display devices) 10 installed in each medical department 4 such as surgery and internal medicine, and a plurality of interpretation report creation terminals (interpretation) installed in the interpretation department 6. A report creation device) 12, and a local area network (LAN) 14 that connects each medical department terminal 10 and each interpretation report creation terminal 12 to each other. An image server 18 and a report server 22 are connected to the LAN 14. The image server 18 stores various medical images 16 acquired at the time of examination or the like. The report server 22 stores an interpretation report 20 in which findings and the like when the medical image 16 is interpreted, and report incidental information 21 created corresponding to each interpretation report 20 are stored.

  When performing diagnosis of a patient, a doctor enrolled in each department 4 requests an examination department such as a radiology department as necessary to take a medical image 16 of the patient and interpret the medical image 16. Ask the interpretation department 6. A doctor enrolled in the interpretation department 6 (hereinafter referred to as an interpreting doctor) interprets the medical image 16 in response to a request from each clinical department 4, summarizes the results in an interpretation report 20, and obtains a requesting doctor (hereinafter referred to as the requesting doctor). Report to the requesting physician). Then, the requesting doctor performs a final diagnosis based on the interpretation report 20 from the interpretation department 6 and confirms the diagnosis. The medical network system 2 connects each clinical department terminal 10 and each interpretation report creation terminal 12 via the LAN 14 so that the interpretation request and the interpretation result report can be performed online. To improve efficiency. Note that a plurality of image servers 18 and report servers 22 may be connected to the LAN 14.

  The clinical department terminal 10 is a well-known personal computer, workstation, or the like, and includes a CPU (display control means, determination means) 24 that comprehensively controls each unit of the clinical department terminal 10 and various programs related to the medical network 2. For connecting the HDD 25, the monitor (display means) 26 for displaying the medical image 16 and the interpretation report 20, the mouse 27 and the keyboard 28, which are well-known input devices, and the clinical department terminal 10 to the LAN 14. Communication interface (I / F) 29. The CPU 24 reads the various programs stored in the HDD 25 and controls the clinical department terminal 10 by sequentially processing the read programs. Although the illustration is simplified in FIG. 1, all the clinical department terminals 10 have the same configuration.

  A plurality of interpretation report creation terminals 12 are installed in the interpretation department 6 in accordance with the number of interpretation doctors enrolled in the interpretation department 6. Similarly to the clinical department terminal 10, the interpretation report creation terminal 12 is a well-known personal computer, workstation, or the like, and a CPU (supplemental information creation means) 30 for comprehensively controlling each part of the interpretation report creation terminal 12, and a medical network HDD 31 for storing various programs according to 2, a monitor 32 for displaying a medical image 16, an interpretation report 20, etc., a mouse 33 and a keyboard (finding entry means) 34, which are well-known input devices, and an interpretation report And a communication I / F 35 for connecting the creation terminal 12 to the LAN 14.

  The image server 18 is a so-called PACS (Picture Archiving and Communication System for medical application) server. The image server 18 includes a medical image 16 photographed with various modalities such as CR, CT, and MRI installed in a medical facility, and a medical image 16 sent from another medical facility via a network or media. Etc. are stored. The medical image 16 includes, in addition to a patient image taken with a modality, a reference image used for contrasting a symptom in diagnosis and an image drawn by illustration.

  The report server 22 stores the interpretation report 20 and report supplementary information 21 created as electronic data by the interpretation report creation terminal 12 and also stores the interpretation report 20 and report supplementary information stored in response to a request from each clinical department terminal 10. 21 is transferred to the requesting department terminal 10.

  When each medical department 4 requests the interpretation department 6 to interpret the medical image 16, as shown in FIG. 2, the interpretation request information 36 is created by the clinical department terminal 10 and transmitted to the report server 22. The interpretation request information 36 includes, for example, patient information, examination information, a requesting department name, a requesting doctor name, and the like. The patient information is information representing personal information of each patient, and includes, for example, a patient name, patient ID, sex, age, date of birth, and past history. The examination information is information representing examinations performed on each patient such as the photographed medical image 16, and includes, for example, photographing items, examination IDs, examination dates, examination equipment, and examination methods of the medical image 16. included. Here, the inspection method refers to the orientation of the patient with respect to imaging of the front and side surfaces, the presence or absence of a contrast agent, and the like. Note that the information included in the interpretation request information 36 is not limited to these.

  The report server 22 is provided with an interpretation request management table 38. Upon receiving the interpretation request information 36 transmitted from each clinical department terminal 10, the report server 22 records the interpretation request information 36 in the interpretation request management table 38, for example, in order of reception date and time.

  FIG. 3 is an explanatory diagram schematically showing the flow of interpretation work in the interpretation department 6. Each interpretation doctor in the interpretation department 6 accesses the interpretation request management table 38 of the report server 22 via the interpretation report creation terminal 12 and refers to each interpretation request information 36 recorded in the interpretation request management table 38. Thus, an interpretation request from each clinical department 4 is confirmed.

  The interpretation work of the interpretation department 6 is composed of primary interpretation, inspection, and approval processes. Each process is performed by different radiographers A, B, and C. When a new interpretation request is applied to the interpretation department 6, first, the interpretation doctor A performs a primary interpretation. The interpretation doctor A interprets the medical image 16 based on the interpretation request information 36 and creates an interpretation report 20. The interpretation report 20 created by the interpretation doctor A is stored in the report server 22 as a provisional report. Next, the image interpretation report 20 created by the primary image interpretation is reviewed by the image interpretation doctor B. The interpreting doctor B who performs the review independently interprets the medical image 16, and adds or corrects findings to the interpretation report 20 as necessary.

  When the review by the image interpretation doctor B is completed, the image interpretation report 20 is then approved by the image interpretation doctor C having the authorization authority. Interpretation doctor C, like interpretation doctor B, adds or corrects findings as necessary, and approves the interpretation report 20. The interpretation report 20 approved by the interpretation doctor C is determined as a diagnosis result in the interpretation department 6 and stored in the report server 22. Further, when the interpretation report 20 is approved by the interpretation doctor C, a notification of interpretation completion of the interpretation request is transmitted to the requesting doctor.

  In the image interpretation department 6, a plurality of image interpretation doctors perform an image interpretation for one image interpretation request in this way, thereby preventing an oversight or a mistake in an affected area. In FIG. 3, three interpretation doctors interpret an interpretation request for one interpretation request. However, the number of interpretation doctors is not limited to this, and may be two, or three or more. But you can.

  FIG. 4 is an explanatory diagram showing an example of an interpretation request selection screen 40 displayed on the monitor 32 of the interpretation report creation terminal 12. Each interpretation request is displayed in a tabular form on the interpretation request selection screen 40. A pointer 42 is displayed on the interpretation request selection screen 40. The pointer 42 moves on the screen in conjunction with the operation of the mouse 33. When the interpretation request selection screen 40 is requested by the interpretation doctor via the mouse 33 or the like, the CPU 30 accesses the report server 22 and reads each interpretation request information 36 recorded in the interpretation request management table 38. Then, an interpretation request selection screen 40 is configured based on each read interpretation request information 36 and displayed on the monitor 32.

  The display column of each interpretation request includes, for example, the reception date / time of the interpretation request information 36, the name of the requested department, the name of the requesting doctor, the status of the interpretation request, and the like. In the status, for example, “unread” is displayed when primary interpretation is not performed. In addition, “waiting for censorship” is displayed when primary interpretation is performed and censorship is not performed, and “waiting for approval” is displayed when censorship is performed and approval is not performed.

  An interpretation button 44 is provided in the display field of each interpretation request. When the mouse 33 is operated to move the pointer 42 onto the interpretation button 44 and the button of the mouse 33 is clicked (hereinafter, this operation is simply referred to as “click”), the interpretation of the medical image 16 corresponding to the interpretation request is performed. Is started.

  Each interpretation doctor in the interpretation department 6 confirms each interpretation request information 36 recorded in the interpretation request management table 38 by using this interpretation request selection screen 40, interprets the requested medical image 16, and interprets the interpretation report 20. Work such as creation.

  FIG. 5 is an explanatory diagram showing an example of the report creation screen 50. The report creation screen 50 is displayed on the monitor 32 by clicking the interpretation button 44 on the interpretation request selection screen 40, for example. The report creation screen 50 is provided with a doctor information display area 51, an examination image display area 52, a finding input area 53, and a key image display area 54. In addition, a pointer 55 is displayed on the report creation screen 50. The pointer 55 moves on the screen in conjunction with the operation of the mouse 33.

  In the doctor information display area 51, a doctor ID display box 56 and a doctor name display box 57 are provided. In the doctor ID display box 56 and the doctor name display box 57, the doctor ID and doctor name of the interpretation doctor who displayed the report creation screen 50 are displayed. The doctor ID and the doctor name may be automatically displayed based on login information to the interpretation report creation terminal 12, or may be input by the interpretation doctor.

  In the examination image display area 52, the medical image 16 corresponding to the selected interpretation request is displayed. The CPU 30 reads the medical image 16 corresponding to the interpretation request from the image server 18 based on the examination ID included in the interpretation request information 36 in response to the interpretation button 44 being clicked, and reads the read medical image 16. Is displayed in the inspection image display area 52.

  The inspection image display area 52 is provided with image advance buttons 58 and 59. When there are a plurality of corresponding medical images 16 such as tomographic images taken by CT, the displayed medical images 16 are switched by clicking the image advance buttons 58 and 59. In this example, the medical image 16 and the finding input area 53 are displayed on the same screen, but a separate monitor is provided to display the medical image 16 and the finding input area 54 on separate monitors (so-called Dual monitor configuration).

  The finding input area 53 is provided with an finding addition button 60a, an entry end button 60b, a primary interpretation end button 60c, a review end button 60d, and a confirmation button 60e. In the finding input area 53, finding input boxes 63a to 63d for inputting findings are displayed. The finding input boxes 63a to 63d are additionally displayed in the finding input area 53 every time the finding addition button 60a is clicked. The interpreting doctor interprets the medical image 16 displayed in the examination image display area 52 and reads feature points such as an affected area from the medical image 16. Then, the interpretation doctor who has performed the interpretation writes the findings in the findings input boxes 63a to 63d via the keyboard 34, and creates the interpretation report 20. At this time, as shown in FIG. 5, the image interpretation doctor separates and fills in the finding input boxes 63a to 63d according to each affected part. Note that the feature points of the medical image 16 include, in addition to the affected part, for example, an affected part trace that has been removed or cured by the treatment.

  The entry end button 60b is a button for temporarily ending creation of the interpretation report 20. When the entry end button 60 b is clicked, the CPU 30 stores the items entered up to that point in the report server 22 as a provisional interpretation report 20. For example, when the interpretation doctor wants to interrupt the creation of the interpretation report 20, he clicks the entry end button 60 b, stores the provisional interpretation report 20 in the report server 22, and ends the interpretation work. When the provisional interpretation report 20 is stored in the report server 22, the next interpretation request 20 is selected and the interpretation report 20 stored in the report server 22 is read out, and the report is generated in the same state as when it was interrupted. A screen 50 is displayed.

  The primary interpretation end button 60c is a button for instructing the end of the primary interpretation. The CPU 30 stores the created interpretation report 20 in the report server 22 in response to the click of the primary interpretation end button 60c, and instructs the report server 22 that the primary interpretation has been completed. The report server 22 stores the received interpretation report 22 and records in the interpretation management table 38 that the primary interpretation of the interpretation request has been completed.

  The review end button 60d is a button for instructing the end of the review. The CPU 30 stores the created interpretation report 20 in the report server 22 in response to the click on the review end button 60d, and instructs the report server 22 that the review has ended. The report server 22 stores the received interpretation report 22 and records in the interpretation management table 38 that the review of the interpretation request has been completed.

  The confirmation button 60e is a button for instructing confirmation of the interpretation report 20. When the confirmation button 60e is clicked, the CPU 30 stores the items entered up to that point in the report server 22 as the confirmed interpretation report 20, and also reports that the interpretation report 20 has been confirmed. 22 is instructed. The report server 22 stores the received interpretation report 22 and records in the interpretation management table 38 that the interpretation request has been approved.

  Further, when the interpretation report 20 is finalized, the CPU 30 notifies the requesting doctor of the end of the interpretation by e-mail or the like based on the information on the requesting doctor included in the interpretation request information 36, for example. In order to prevent an erroneous operation, it is preferable that the primary interpretation end button 60c, the review end button 60d, and the confirmation button 60e can be operated only by an interpreting doctor having a predetermined authority.

  In the key image display area 54, a key image (reference image) 65 obtained by performing image processing such as enlargement / reduction and gradation processing on the medical image 16 is displayed. The key image 65 is displayed in the key image display area 54 by, for example, dragging and dropping the medical image 16 displayed in the examination image display area 52 to the key image display area 54.

  On the key image 65, annotations 66 and 67 composed of a mark indicating the position of a feature point such as an affected part and an annotation are displayed in an overlay manner. The annotations 66 and 67 are displayed as an overlay on the key image 65 by pointing a predetermined position on the key image 65 with the mouse 33 and inputting the annotation via the keyboard 34, for example. Thus, by displaying the annotations 66 and 67, the position of the affected part on the image can be associated with each finding. The key image 65 and the annotations 66 and 67 are stored in the report server 22 as a part of the interpretation report 20.

  Interpreting doctor A who performs primary interpretation selects an interpretation request for which “unread” is displayed in the status from interpretation request selection screen 40, clicks interpretation button 44 of the interpretation request, and creates a report corresponding to the interpretation request. The screen 50 is displayed. The interpreting doctor A who has displayed the report creation screen 50 interprets the medical image 16 displayed in the examination image display area 52. Interpreting doctor A who has performed the interpretation drags and drops the medical image 16 displayed in the examination image display area 52 to the key image display area 54 to display the key image 65 in the key image display area 54.

  As shown in FIG. 5, when two affected parts 1 and 2 are read from the medical image 16 by interpretation, the interpreting doctor A displays the annotation 66 corresponding to the affected part 1 and the annotation 67 corresponding to the affected part 2 with the key image 65. Display above. Based on the result of the interpretation, the interpreting doctor A displaying the annotations 66 and 67 has the findings corresponding to the affected area 1 in the finding input box 63a, the findings corresponding to the affected area 2 in the finding input box 63b, and other findings. Are entered in the finding input box 63c, and the overall interpretation result is entered in the finding input box 63d.

  The interpreting doctor A who has input each finding clicks the primary interpretation end button 60c to end the primary interpretation. As a result, the findings entered in the finding input boxes 63a to 63d, the key image 65, and the annotations 66 and 67 are stored in the report server 22 as the provisional interpretation report 20. At the same time, the completion of primary interpretation is recorded in the interpretation request management table 38. The procedure for creating the interpretation report 20 is not limited to the above, such as displaying the annotations 66 and 67 after inputting each finding first.

  Interpretation doctor B who performs the review selects an interpretation request for which “waiting for review” is displayed in the status from the interpretation request selection screen 40 and clicks the interpretation button 44 of the interpretation request. When the interpretation request button 44 of the interpretation request in the status of waiting for review is clicked, the interpretation report 20 temporarily stored from the report server 22 is read, and the report creation screen 50 is displayed in the same state as at the end of the primary interpretation. The The interpreting doctor B displaying the report creation screen 50 independently interprets the medical image 16 displayed in the examination image display area 52, and checks whether there are any oversights or mistakes in the input findings.

  For example, when the interpretation doctor B performs a primary interpretation (see FIG. 5) in which two affected areas 1 and 2 are read from the medical image 16 and reads a new affected area 3 from the medical image 16, FIG. As shown in FIG. 5, an annotation 68 corresponding to the affected area 3 is displayed on the key image 65. The interpreting doctor B displaying the annotation 68 clicks the add finding button 60a to add a new finding input box 63e, and enters the finding corresponding to the affected part 3 in the added finding input box 63e. In addition, when interpreting doctor B determines that each finding entered in the primary interpretation is deficient or incorrect, correction is made to each entered finding so as to be surrounded by a dotted line in FIG. It should be noted that the dotted frame is shown for convenience in explanation, and is not displayed on the actual report creation screen 50.

  As described above, the interpreting doctor B who has corrected the findings and added the overlooked affected part clicks the censor end button 60d to end the censorship. As a result, the interpretation report 20 that has been subjected to additional correction and additional writing is stored in the report server 22. At the same time, the completion of the censorship is recorded in the interpretation request management table 38.

  The interpreting doctor C who approves selects an interpretation request whose status is “Waiting for approval” from the interpretation request selection screen 40 and clicks the interpretation request button 44 of the interpretation request. When the interpretation request button 44 of the interpretation request in the status of waiting for approval is clicked, the interpretation report 20 temporarily stored from the report server 22 is read, and the report creation screen 50 is displayed in the same state as when the inspection is completed. . The interpreting doctor C who has displayed the report creation screen 50 independently interprets the medical image 16 displayed in the examination image display area 52 and confirms that there are no oversights or mistakes in the input findings. Then, the interpretation button 20e is clicked to confirm the interpretation report 20. When the interpretation doctor C approves, the confirmed interpretation report 20 is stored in the report server 22 and the approval is recorded in the interpretation request management table 38. Further, when interpretation doctor C approves, the requesting doctor of the interpretation request is notified by e-mail or the like that the interpretation has ended.

  When the interpretation report 20 is created as described above, the CPU 30 of the interpretation report creation terminal 12 creates report supplementary information 21 together with the interpretation report 20 and stores it in the report server 22 in association with the interpretation report 20. For example, as shown in FIG. 7, the report supplementary information 21 includes writer identification information for identifying the entrant who entered the findings in the interpretation report 20 and each finding entered in the interpretation report 20. It is configured by associating and recording the finding identification information and the affected part position information indicating the position on the medical image 16 of the affected part corresponding to each finding. The information included in the report supplementary information 70 is not limited to the above.

  The writer identification information is constituted by, for example, a doctor ID of a radiogram interpretation doctor or a doctor name. For example, the CPU 30 records the doctor ID and the doctor name displayed in the doctor information display area 51 as the writer identification information when the primary interpretation end button 60c, the censor end button 60d, the confirmation button 60e, or the like is clicked. .

  The finding identification information includes, for example, identification information of the finding input box, information on the start position and end position of the finding entered in the finding input box. For example, when the primary interpretation end button 60c, the inspection end button 60d, the confirmation button 60e, or the like is clicked, the CPU 30 identifies identification information of a finding input box in which findings are newly written, and the start position and end position of the findings The information is recorded as finding identification information in association with the writer identification information. In addition, when there are a plurality of newly entered findings, the CPU 30 creates finding identification information for each finding.

  The affected part position information is composed of, for example, annotation position information. For example, when the primary interpretation end button 60c, the inspection end button 60d, the confirmation button 60e, or the like is clicked, the CPU 30 uses the position information of the annotation newly displayed on the key image 65 as the affected part position information, and the writer identification information , And record in association with the findings identification information. In addition, affected part position information is linked | related with the finding identification information of a corresponding affected part by matching a finding and annotation with the report preparation screen 50, etc. FIG.

  FIG. 7 illustrates the report supplementary information 21 of the image interpretation report 20 created on the report creation screen 50 shown in FIG. The interpretation report 20 is subjected to primary interpretation by the interpretation doctor A. For this reason, in the report accompanying information 21, the doctor ID of the interpretation doctor A and the doctor name are recorded as the writer identification information 1. As shown in FIG. 5, the interpretation doctor A creates four finding input boxes 63a to 63d, and writes the findings in each of them. For this reason, the report incidental information 21 includes the finding identification information 1 corresponding to the finding in the finding input box 63a, the finding identifying information 2 corresponding to the finding in the finding input box 63b, and the finding corresponding to the finding in the finding input box 63c. Identification information 3 and finding identification information 4 corresponding to the finding in the finding input box 63d are recorded in association with the writer identifying information 1, respectively. The findings in the finding input box 63a are described for the affected area 1. Therefore, the affected part position information 1 corresponding to the position of the annotation 66 of the affected part 1 is recorded in the report accompanying information 21 in association with the finding identification information 1. The findings in the finding input box 63b are described for the affected area 2. Therefore, the affected part position information 2 corresponding to the position of the annotation 67 of the affected part 2 is recorded in the report accompanying information 21 in association with the finding identification information 2.

  In the interpretation report 20, a new finding is entered by the interpretation doctor B at the time of review. For this reason, in the report accompanying information 21, the doctor ID of the interpretation doctor B and the doctor name are recorded as the writer identification information 2. Interpretation doctor B makes corrections to the finding input box 63a and the finding input box 63d. For this reason, the report incidental information 21 includes the finding identification information 5 corresponding to the finding added in the finding input box 63a and the finding identification information 6 corresponding to the finding added in the finding input box 63d. It is recorded in association with the identification information 2. The findings in the finding input box 63a are described for the affected area 1 as described above. Therefore, the affected part position information 1 corresponding to the position of the annotation 66 of the affected part 1 is recorded in the report accompanying information 21 in association with the finding identification information 5.

  The interpreting doctor B creates a finding input box 63e and fills in the findings of the affected part 3 newly read at the time of censorship. For this reason, finding identification information 7 corresponding to the finding in the finding input box 63e is recorded in the report supplementary information 21 in association with the writer identification information 2 and the affected part position information corresponding to the position of the annotation 68 of the affected part 3 is recorded. 3 is recorded in association with the finding identification information 7.

  FIG. 8 is an explanatory diagram illustrating an example of a report display screen 80 displayed on the monitor 26 of the medical department terminal 10. The report display screen 80 is displayed on the monitor 26 by, for example, instructing the reading of the interpretation report 20 of the interpretation request after receiving the interpretation completion notification from the interpretation report creation terminal 12. When the requesting doctor instructs the CPU 24 of the medical department terminal 10 to read the interpretation report 20, the interpretation report 20 and the report supplementary information 21 corresponding to the interpretation report 20 are read from the report server 22 and the report display screen 80 is displayed. Is displayed on the monitor 26. The requesting doctor confirms the interpretation report 20 via the report display screen 80 to make a final diagnosis for the patient. FIG. 8 illustrates a report display screen 80 when the image interpretation report 20 created on the report creation screen 50 shown in FIG. 6 is read.

  The report display screen 80 is provided with an information display area 81 for displaying various information, a finding display area 82 for displaying findings, and a key image display area 83 for displaying key images 65. ing. In addition, a pointer 84 is displayed on the report display screen 80. The pointer 84 moves on the screen in conjunction with the operation of the mouse 27. In the information display area 81, a patient information display box 85 and an examination information display box 86 are provided. In each of the boxes 85 and 86, patient information and examination information of the examination requested to be interpreted are displayed.

  In the finding display area 82, a confirmed information display box 90 and finding display boxes 91a to 91e are displayed. In the confirmation information display box 90, the date and time when the interpretation report 20 is confirmed and the name of the interpretation doctor who confirmed the interpretation report 20 are displayed. The finding display boxes 91a to 91e are displayed corresponding to the finding input boxes 63a to 63e created on the report creation screen 50. In addition, each finding entered in the report creation screen 50 is displayed in each finding display box 91a to 91e. In the key image display area 83, the key image 65 pasted and displayed on the report creation screen 50 and the annotations 66 to 68 are displayed.

  The finding display area 82 is provided with a plurality of buttons for switching the findings to be displayed. Each button is configured to display a finding confirmed by the interpretation department 6 and to display only a finding entered by a predetermined interpretation doctor. Therefore, on the report display screen 80 in FIG. 8 corresponding to the interpretation report 20 created on the report creation screen 50 shown in FIG. 6, the confirmation button 94a for displaying the confirmed findings and the findings entered by the interpreting doctor A Is provided, and an interpreting doctor B button 94c for displaying the findings entered by the interpreting doctor B is provided. When configuring the report display screen 80, the CPU 24 of the medical department terminal 10 refers to the report supplementary information 21 and displays each button based on each recorded identifier identification information.

  When the confirmation button 94a is clicked, the CPU 24 displays the findings confirmed by the interpretation department 6 in the finding display area 82 based on the interpretation report 20 as shown in FIG. When the interpretation doctor A button 94b is clicked, the CPU 24 extracts the findings entered by the interpretation doctor A from the interpretation report 20 based on the report supplementary information 21, and the findings entered by the interpretation doctor A as shown in FIG. Are displayed in the observation display area 82. At this time, as shown in FIG. 9, the CPU 24 displays only the annotations 66 and 67 corresponding to the affected areas 1 and 2 on which the interpretation doctor A has entered the findings based on the report supplementary information 21 on the key image 65. Then, the annotation 68 corresponding to the affected part 3 is hidden.

  When the interpretation doctor B button 94c is clicked, the CPU 24 extracts the findings entered by the interpretation doctor B from the interpretation report 20 based on the report supplementary information 21, and the findings entered by the interpretation doctor B as shown in FIG. Are displayed in the observation display area 82. At this time, as shown in FIG. 10, the CPU 24 displays on the key image 65 only the annotations 66 and 68 corresponding to the affected areas 1 and 3 on which the interpretation doctor B has entered the findings based on the report supplementary information 21. Then, the annotation 67 corresponding to the affected area 2 is hidden.

  In FIG. 10, the findings added by the interpretation doctor B are surrounded by a dotted frame. This dotted frame may not actually be displayed, or may be displayed in order to emphasize that the findings have been added by interpretation doctor B. Further, the enhancement of the findings is not limited to being surrounded by a frame, but may be performed by changing the display color, for example. Furthermore, not only the highlight display but also the findings of the interpreting doctor requested to be displayed may be displayed and the others may be hidden as shown in FIG. In addition, as described above, display of arbitrary character strings in the respective finding display boxes 91a to 91e, highlighting, and the like are the start position and the end position of each finding recorded in the finding identification information of the report supplementary information 70. Based on the above information.

  Next, the operation of the medical network system 2 configured as described above will be described with reference to the flowchart shown in FIG. A doctor enrolled in each department 4 requests the interpretation department 6 to interpret the medical image 16 as necessary. The requesting doctor creates interpretation request information 36 via the clinical department terminal 10 and transmits it to the report server 22. Upon receiving the interpretation request information 36, the report server 22 records the interpretation request information 36 in the interpretation request management table 38.

  Each interpretation doctor in the interpretation department 6 confirms the interpretation request from each department 4 via the interpretation request selection screen 40 (see FIG. 4), and performs the primary interpretation, inspection, and approval as described above. A report 20 is created. When creating the interpretation report 20, the CPU 30 of the interpretation report creation terminal 12 creates report supplementary information 21 (see FIG. 7) corresponding to the interpretation report 20. When the interpretation report 20 is determined, the CPU 30 stores the interpretation report 20 and the corresponding report supplementary information 21 in the report server 22. Then, after storing the interpretation report 20 and the report supplementary information 21 in the report server 22, the CPU 30 transmits a notification of completion of interpretation to the requesting doctor.

  The requesting doctor who has received the notification of the completion of interpretation reads the interpretation report 20 from the report server 22 via the clinical department terminal 10. The CPU 24 of the medical department terminal 10 instructed to read the interpretation report 20 from the requesting doctor accesses the report server 22 and reads the interpretation report 20 and the report incidental information 21 corresponding thereto. The CPU 24 that has read the image interpretation report 20 and the report-accompanying information 21 configures a report display screen 80 based on these information and displays it on the monitor 26. Further, when displaying the report display screen 80, the CPU 24 displays the findings determined by the image interpretation department 6 in the finding display area 82 as shown in FIG. When the report display screen 80 is displayed, the requesting doctor confirms the interpretation report 20 via the report display screen 80 and makes a final diagnosis for the patient.

  When the interpretation doctor A button 94b is clicked, the CPU 24 displaying the report display screen 80 displays only the findings written by the interpretation doctor A in the observation display area 82, as shown in FIG. Similarly, when the interpretation doctor B button 94c is clicked, the CPU 24 displays only the findings entered by the interpretation doctor B in the observation display area 82, as shown in FIG. Further, when the confirmation button 94a is clicked in a state where only the findings of the interpretation doctors A and B are displayed, the CPU 24 displays the findings confirmed by the interpretation department 6 in the observation display area 82 as in the initial state. . Thus, by selectively extracting and displaying the findings entered by each interpreting physician, it is possible to easily determine which interpreting physician has entered the finding. In addition, since only the findings of a desired interpretation doctor can be referred to, it is possible to improve the visibility of the interpretation report 20.

  The requesting doctor, for example, clicks the interpretation doctor A button 94b and the interpretation doctor B button 94c when there is a question for each finding, and displays only the findings entered by the interpretation doctors A and B. As a result, it is possible to know which of the interpretation doctors A and B has filled in the finding that is desired to be asked, so there is no worry of making a mistake in the questioning partner. In addition, each interpreting doctor in the interpretation department 6 does not receive questions regarding findings that have not been filled in, so he / she responds to the requesting doctor that he / she has not filled in or forwards the questions to the interpreting doctor who has filled in the findings. There is no need for trouble. As described above, according to the present embodiment, it is possible to prevent troubles caused by mistaken interpretation doctors asking the requesting doctor, so that it is possible to improve the efficiency of operations between the requesting doctor and the interpretation doctor.

  In the above embodiment, by selectively extracting and displaying the findings entered by each interpretation doctor, it is possible to determine which interpretation doctor has entered the findings, but not limited to this, For example, by referring the report supplementary information 21 itself to the requesting doctor, the requesting doctor may determine the correspondence between each finding and each interpretation doctor.

  In the above-described embodiment, only the interpretation doctor is shown as the finding entry person. However, the finding entry person is not limited to this, and may be, for example, a laboratory technician or a nurse.

  Furthermore, in the above embodiment, the medical department terminal 10 is used as an interpretation report display device, and each request is extracted and displayed when the requesting doctor refers to the interpretation report 20, but the present invention is not limited to this. Alternatively, for example, the interpretation report creation terminal 12 may be an interpretation report display device, and each finding may be extracted and displayed when an interpreting doctor who performs approval refers to the interpretation report 20.

  When the interpretation report creation terminal 12 is an interpretation report display device, education of each interpretation doctor can be supported by using the present invention at a conference (study session) in the interpretation department 6. For example, in the above example, the interpretation doctor A is urged to interpret again with only the findings of the interpretation doctor A displayed. The interpretation doctor A interprets whether there is any other affected area, and the findings of the interpretation doctor B are displayed. Thereby, the interpretation doctor A can recognize an overlooked finding.

  Next, a second embodiment of the present invention will be described with reference to FIGS. Note that the same functions and configurations as those of the above embodiment are denoted by the same reference numerals, and detailed description thereof is omitted. In the report display screen 100 shown in FIG. 12, a confirmation button 102a, an affected area 1 button 102b, an affected area 2 button 102c, and an affected area 3 button 102d are provided in the finding display area 82. When configuring the report display screen 100, the CPU 24 of the medical department terminal 10 displays the buttons 102 a to 102 d based on the affected part position information included in the report supplementary information 21.

  When the confirmation button 102a is clicked, the CPU 24 displays the findings confirmed by the image interpretation department 6 in the finding display area 82, as shown in FIG. On the other hand, when the affected part 1 button 102b is clicked, the CPU 24 extracts a finding corresponding to the affected part 1 from the interpretation report 20 based on the report supplementary information 21, and only the finding corresponding to the affected part 1 is shown in FIG. Is displayed in the finding display area 82. At this time, the CPU 24 provides two display boxes 104 and 105 in the finding display area 82. The display box 104 displays the findings of the interpreting doctor A, and the display box 105 displays the findings of the interpreting doctor B. In this way, the CPU 24 extracts findings corresponding to the affected area 1 and displays each finding in the finding display area 82 for each entered doctor. Each display box 104, 105 is provided with creator information display sections 104a, 105a. Each creator information display section 104a, 105a displays the date and time when the findings were entered and the name of the interpreting doctor who entered the findings.

  Further, when the affected part 1 button 102 b is clicked, the CPU 24 displays only the annotation 66 corresponding to the affected part 1 on the key image 65. Similarly, when the affected area 2 button 102c and the affected area 3 button 102d are clicked, only the findings and annotations corresponding to the affected areas are displayed.

  In the first embodiment, the findings entered by each interpretation doctor are selectively extracted and displayed. However, in this embodiment, the findings of each affected area are selectively extracted and displayed. did. With this configuration, the requesting doctor can refer to only the findings of the desired affected area, and therefore the readability of the interpretation report 20 can be improved. Further, if the creator information display sections 104a and 105a are provided, it is possible to discriminate the interpreting doctor who entered each finding, so that the same effect as in the first embodiment can be obtained.

  Next, a third embodiment of the present invention will be described with reference to FIGS. In each of the embodiments described above, an example in which one key image 65 is included in the interpretation report 20 is shown. However, in tomography such as CT, a plurality of key images 110 and 112 are interpreted as shown in FIG. It may be included in the report 20. In such a case, when the image interpretation report 20 is first created by the image interpretation report creation terminal 12, as shown in FIG. 15, the identification information of each key image 110, 112 is recorded in association with the report supplementary information 21.

  When the affected area 1 button 102b is clicked on the report display screen 100, only the key image 110 corresponding to the affected area 1 is displayed in the key image display area 83 based on the report incidental information 21, and the affected area 2 button 102c, When the affected area 3 button 102 d is clicked, only the key image 112 corresponding to the affected areas 2 and 3 is displayed in the key image display area 83 based on the report incidental information 21. Thus, by displaying only the corresponding key image, the correspondence between each finding, each affected part, and each key image becomes clear, and the readability of the interpretation report 20 can be improved. In the present embodiment, the two key images 110 and 112 are shown, but the number of key images may be two or more.

  Further, when a plurality of interpreting doctors perform interpretation for one interpretation request, different key images 114 and 116 are used even though they are the same affected area, such as affected area 2 and affected area 3 in FIG. Annotations 118 and 119 may be added. Therefore, the CPU 24 of the medical department terminal 10 determines whether or not the annotations 118 and 119 indicate the same affected part. For example, the distance between the slice images to which the annotations 118 and 119 are attached is calculated from the position on the image and the slice thickness setting for tomography, and the distance is within a predetermined range. It is done by checking whether it is in or not. Note that the predetermined range may be a value input by the user who has read the image as the size of the lesion, or a value automatically measured by CAD or the like.

  As a result of the above determination, the CPU 24 that determines that the annotations 118 and 119 indicate the same affected area displays only one of the key images 114 and 116 in the key image display area 83. Thus, when annotations indicating the same affected area are displayed on a plurality of key images, the interpretation report 20 is displayed by performing determination as described above and displaying only one of the key images. Can be improved.

  In each of the above-described embodiments, an example in which one interpretation report 20 is created for one interpretation request is shown. However, the present invention is not limited to this, and for example, an interpretation doctor for one interpretation request. A plurality of interpretation reports 20 may be created for each. When a plurality of interpretation reports 20 are created for a single interpretation request, the report display screen 80 may be configured by extracting findings from each interpretation report 20.

  In each of the above embodiments, one report supplementary information 21 is created. However, the present invention is not limited to this. For example, the report supplementary information 21 is created in a plurality of units for each finding. May be. In each of the above embodiments, the report supplementary information 21 is created by the interpretation report creation terminal 12. However, the present invention is not limited to this. For example, based on information sent from the interpretation report creation terminal 12, a report is generated. The report supplementary information 21 may be created by the server 22.

  Furthermore, in the above-described embodiment, the findings are extracted by the clinical department terminal 10 and the report display screen 80 is configured. However, the present invention is not limited to this. For example, the report display screen 80 is configured by the report server 22. Then, it may be transferred to the clinical department terminal 10. Further, the present invention may be configured in the form of a program.

It is explanatory drawing which shows the structure of a medical network system roughly. It is explanatory drawing which shows the flow of an interpretation request schematically. It is explanatory drawing which shows roughly the flow of the interpretation work in an interpretation department. It is explanatory drawing which shows an example of an interpretation request selection screen. It is explanatory drawing which shows an example of a report creation screen. It is explanatory drawing which shows the report preparation screen by which correction correction was performed by review. It is explanatory drawing which shows an example of report supplementary information. It is explanatory drawing which shows an example of a report display screen. It is explanatory drawing which shows the report display screen which displayed only the finding of the interpretation doctor A. It is explanatory drawing which shows the report display screen which displayed only the findings of the interpretation doctor B. It is a flowchart which shows the procedure of interpretation work. It is explanatory drawing which shows an example of the report display screen which displayed the finding for every affected part. It is explanatory drawing which shows the report display screen which displayed only the finding of the affected part. It is explanatory drawing which shows an example of the report display screen which displayed the some key image. It is explanatory drawing which shows report supplementary information including the identification information of a key image. It is explanatory drawing which shows the example in which the annotation of the same affected part was provided to each of several key images.

Explanation of symbols

2 Medical network system (interpretation report system)
10 Clinical department terminal (interpretation report display device)
12 Interpretation report creation terminal (interpretation report creation device)
16 Medical Image 20 Interpretation Report 21 Report Accompanying Information 24 CPU (Display Control Unit, Judgment Unit)
26 Monitor (display means)
30 CPU (Attachment information creation means)
34 Keyboard (Means to fill in findings)

Claims (11)

In an interpretation report system for creating an interpretation report in which a plurality of findings representing the interpretation results of medical images are entered by a plurality of writers and displaying the created interpretation report,
A finding entry means for filling in the findings;
When the finding is entered through the finding filling means, the identification information for identifying the entered finding is associated with the identifying information for identifying the writer who entered the finding. An interpretation report system characterized by comprising supplementary information creating means for creating report supplementary information recorded in this manner. Display means for displaying the interpretation report;
Display control means for selectively extracting and displaying predetermined findings from the findings included in the interpretation report based on the report supplementary information when displaying the interpretation report on the display means; The image interpretation report system according to claim 1, further comprising: The interpretation report includes a reference image corresponding to the medical image used for interpretation, and a mark displayed on the reference image to indicate the position of the feature point read from the medical image by interpretation. Included
In the report supplementary information, the feature point position information indicating the position of the feature point includes the finding identification information of the finding corresponding to the feature point and the writer identifying information of the writer who entered the finding. Associated records,
The display control means uses only the marks corresponding to the extracted findings for reference when a plurality of the findings and marks corresponding to the plurality of feature points are included in the interpretation report. The image interpretation report system according to claim 2, wherein the image interpretation report system is displayed on an image.   4. The image interpretation report system according to claim 2, wherein the display control means extracts the findings written by a specific writer based on the report-accompanying information.   4. The image interpretation report system according to claim 3, wherein the display control means extracts the findings relating to the specific feature point based on the report supplementary information. In the report supplementary information, image identification information for identifying the reference image included in the interpretation report is recorded in association with the finding identification information and the writer identification information,
The display control means displays only the reference image related to the extracted finding based on the report supplementary information when the interpretation report includes a plurality of the reference images. The interpretation report system according to any one of claims 3 to 5. A determination unit configured to determine whether or not each mark displayed in each reference image indicates the same feature point when the interpretation report includes a plurality of the reference images; Provided,
The display control unit displays only one of the reference images when the determination unit determines that the marks indicate the same feature point. The interpretation report system according to Item 6. In an interpretation report creating apparatus for creating an interpretation report in which a plurality of findings are entered by a plurality of writers, the findings representing the interpretation results of medical images are entered.
A finding entry means for filling in the findings;
When the finding is entered through the finding filling means, the identification information for identifying the entered finding is associated with the identifying information for identifying the writer who entered the finding. An interpretation report creating apparatus, comprising: supplementary information creating means for creating report supplementary information recorded in this manner. In an interpretation report display device for displaying an interpretation report in which a plurality of findings representing the interpretation result of a medical image are entered by a plurality of writers,
Display means for displaying the interpretation report;
When displaying the interpretation report on the display means, the identification information for identifying the entered findings is associated with the identification information for identifying the entrant who entered the findings. An interpretation report display apparatus comprising: display control means for selectively extracting and displaying predetermined findings from the findings included in the interpretation report based on the recorded report supplementary information . In an interpretation report display method for displaying an interpretation report in which a plurality of findings by a plurality of writers are filled in with findings indicating the interpretation result of a medical image,
When the finding is entered through the finding filling means for filling in the finding, the finding identifying information for identifying the entered finding and the entry for identifying the writer who entered the finding Creating report incidental information recorded in association with the user identification information;
A step of selectively extracting and displaying a predetermined finding from the findings included in the interpretation report based on the report supplementary information when the interpretation report is displayed on the display means. An interpretation report display method characterized by In an interpretation report program for causing a computer to execute a process of creating an interpretation report in which a plurality of findings indicating the interpretation results of a medical image are entered by a plurality of writers and a process of displaying the created interpretation report on a display means ,
When the finding is entered through the finding filling means for filling in the finding, the finding identifying information for identifying the entered finding and the entry for identifying the writer who entered the finding An interpretation report program characterized by comprising an accompanying information creating step for creating report accompanying information recorded in association with person identification information.

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