JP2009146179A - Medical diagnostic imaging supporting device and medical diagnostic imaging supporting program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical diagnostic imaging supporting device improving the operability and accuracy in medical chart input. <P>SOLUTION: The medical diagnostic imaging supporting device acquires image information 49 for dentists, tooth position information 50, and electronic medical chart information 100 from the magnetic disk 13, and displays an image 71 and the electronic medical chart information 72 on a screen 70. When an operator selects one or more teeth in the image 71, the medical diagnostic imaging supporting device transfers the portion information 73 regarding the selected teeth to the electronic medical chart information 100 on the magnetic disk 13 through a main memory 14, displays the updated electronic medical chart information 72 on the screen 70. When the medical diagnostic imaging supporting device accepts input of the tooth information 90 regarding the selected teeth when a predetermined operation (for example, a right-click operation by a mouse) is performed after selecting the teeth on the image 71. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention relates to a medical image diagnosis support apparatus that displays a medical image acquired by a medical image capturing apparatus such as an X-ray image capturing apparatus, an X-ray CT apparatus, an MRI apparatus, or an ultrasonic diagnostic apparatus and performs diagnosis support. Specifically, the present invention relates to a medical image diagnosis support apparatus that supports diagnosis of dentist image information.

Generally, the medical image diagnosis support apparatus acquires medical image information from the medical image photographing apparatus, performs image processing on the medical image information, and displays a diagnostic image.
As for dentist image information, the dentist image information of the patient is searched from the image database based on the patient code, the dentist image screen is displayed on a screen different from the chart input screen, and the dentist image screen is referred to. On the other hand, there has been proposed a medical chart creation device that performs an input operation on a medical chart input screen (for example, see [Patent Document 1]).
JP 2005-196660 A

  However, in the conventional chart creating apparatus, the chart input screen and the dentist image screen are displayed separately, and the eye movement may occur in the input operation on the chart input screen, which may cause an input mistake or an operation mistake. There are unresolved issues.

  The present invention has been made in view of the above unsolved problems, and an object of the present invention is to provide a medical image diagnosis support apparatus that can improve operability and accuracy in chart input.

  According to a first aspect of the present invention for achieving the above object, in a medical image diagnosis support apparatus for supporting diagnosis of dentist image information, dentist image information acquisition means for acquiring the dentist image information, and the dentist image Tooth position information acquisition means for acquiring tooth position information indicating the position of the tooth included in the information, display means for displaying the acquired dentist image information and tooth position information, the displayed dentist image information, and Coordinate position setting means for setting a coordinate position in the tooth position information, and selection means for detecting a tooth corresponding to the set coordinate position and making it a selected state or a deselected state based on the coordinate position of the tooth position information A part information acquisition unit that acquires part information indicating a part of the tooth selected by the selection unit; A medical image diagnosis support apparatus characterized by reflecting the electronic medical record information relating to use image information anda electronic chart display means for displaying the electronic medical record information.

  The medical image diagnosis support apparatus of the first invention acquires dentist image information, acquires tooth position information indicating a position of a tooth included in the dentist image information, and displays dentist image information and tooth position information. In the displayed dentist image information and tooth position information, the coordinate position is set, and based on the coordinate position of the tooth position information, the tooth corresponding to the set coordinate position is detected and selected or deselected. Part information such as a tooth number and a tooth type indicating the selected part of the tooth is acquired, and this part information is reflected in the electronic medical record information related to the dentist image information to display the electronic medical chart information.

  The medical image diagnosis support apparatus of the first invention can directly select a tooth and input tooth information on the dentist image information. Further, when selecting a tooth and inputting tooth information, the line of sight does not move away from the dentist image information, so that operability and accuracy in chart input can be improved.

  Regarding the setting of the coordinate position and the selection of the tooth, the coordinate position of one designated point may be set, and the selection state of one tooth corresponding to the set one coordinate position may be changed. Also, the coordinate position on the line between the specified start point and end point is set, and the selection state of one or more teeth corresponding to the coordinate position on the line between the set start point and end point May be changed. Also, the coordinate position in the area designated by the designated start point and end point is set, and one corresponding to the coordinate position in the area designated by the set start point and end point or You may change the selection state of several teeth.

  In addition, tooth information related to the selected tooth may be directly input on the dentist image information. For example, a tooth information setting menu for a selected tooth may be displayed on the tooth image. Thereby, the operativity and accuracy which concern on tooth information input can be improved.

  The second invention includes a dentist image information acquisition step for acquiring dentist image information, a tooth position information acquisition step for acquiring tooth position information indicating a tooth position included in the dentist image information, and the acquisition. A display step for displaying dentist image information and tooth position information, a coordinate position setting step for setting a coordinate position in the displayed dentist image information and tooth position information, and a coordinate position of the tooth position information A selection step for detecting a tooth corresponding to the set coordinate position and making it a selected state or a deselecting state; and a portion information acquiring step for acquiring a portion information indicating a tooth portion selected by the selection means And displaying the electronic medical chart information by reflecting the acquired part information on the electronic medical chart information related to the dentist image information. A medical image diagnosis assisting program to be executed and the electronic medical record display step, to a computer.

  The medical image diagnosis support program may be transmitted / received via a network, or may be recorded and distributed on a recording medium.

  ADVANTAGE OF THE INVENTION According to this invention, the medical image diagnosis assistance apparatus which can improve the operativity and accuracy in medical chart input can be provided.

Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings. In the following description and the accompanying drawings, the same reference numerals are given to the constituent elements having the same functional configuration, and the redundant description will be omitted.
In the following embodiments, description will be made assuming that an X-ray CT image or an X-ray CT image is used as medical image information, but the present invention is not limited to this. Medical image information captured by an MRI apparatus or an ultrasonic imaging apparatus may be used as the medical image information.

(1. Configuration of medical image diagnosis support apparatus 1)
First, the configuration of the medical image diagnosis support apparatus 1 will be described with reference to FIG.
FIG. 1 is a hardware configuration diagram of the medical image diagnosis support apparatus 1.
The medical image diagnosis support apparatus 1 includes a CPU 10, a magnetic disk 13, a main memory 14, a mouse 16 and a keyboard 17 connected to the controller 15, a display memory 18, a display 19, an input memory 8, and a pen-type input device 9. The medical image diagnosis support apparatus 1 is connected to a medical image photographing apparatus 11 via a LAN 12.

  The medical image capturing apparatus 11 is an apparatus that captures a medical image such as a tomographic image of a subject. The medical imaging apparatus 11 is, for example, an X-ray CT apparatus, an MRI apparatus, or an ultrasonic imaging apparatus. The medical image diagnosis support apparatus 1 displays a medical image of a subject.

  The CPU 10 is a device that controls the operation of each connected component. The CPU 10 loads a program stored in the magnetic disk 13 and data necessary for program execution into the main memory 14 and executes the program. The magnetic disk 13 is a device that acquires and stores medical images such as tomographic images captured by the medical image capturing device 11 via a network such as the LAN 12. The magnetic disk 13 stores a program executed by the CPU 10 and data necessary for program execution. The main memory 14 stores programs executed by the CPU 10 and the progress of arithmetic processing. The mouse 16, the keyboard 17, and the pen-type input device 9 are operation devices for an operator to give an operation instruction to the medical image diagnosis support apparatus 1. The input memory 8 holds position information designated by the pen-type input device 9. The display memory 18 stores display data to be displayed on a display 19 such as a liquid crystal display or a CRT.

(2. Creation of tooth position information)
Next, the creation of tooth position information will be described with reference to FIGS.
The medical image diagnosis support apparatus 1 creates a tooth frame indicating a position for each tooth based on dentist image information as dentist image information.
FIG. 2 is a flowchart showing the operation of the medical image diagnosis support apparatus 1 in creating tooth position information.

(2-1. Reading image file: Step 1001)
The operator operates the mouse 16 and the keyboard 17 to select dentist image information to be diagnosed from dentist image information photographed by the medical image photographing device 11. The CPU 10 of the medical image diagnosis support apparatus 1 reads the dentist image information selected by the operator from the magnetic disk 13 and stores it in the main memory 14 (step 1001). The dentist image information is handled by an image file in JPEG format or BITMAP format.

(2-2. Determination of Image Analysis Area: Step 1002)
FIG. 3 is an explanatory diagram of determining an image analysis region.
The CPU 10 of the medical image diagnosis support apparatus 1 removes the margin 22 from the dentist image information 21 held in the main memory 14 and determines the image analysis region 23 (step 1002). Thereby, analysis accuracy and processing speed can be improved.

(2-3. Outer tooth frame determination: Step 1003)
FIG. 4 is a diagram illustrating calculation of the tooth end 55.
The CPU 10 of the medical image diagnosis support apparatus 1 performs line scanning in the Y direction on the dentist image information 40 that is the dentist image information 21 in the image analysis area 23. The CPU 10 performs line scanning on the scanning lines 51 and 53 to measure the density distribution 52 and the density distribution 54. The horizontal axis of the density distribution 52 and the density distribution 54 indicates the scanning direction Y, and the vertical axis indicates the standard deviation of the density. The CPU 10 measures the density distribution in the same manner for the other scanning lines. The CPU 10 calculates a position where the standard deviation of the density changes abruptly as in the density distribution 54 and determines the position of the tooth end 55 (tooth number 7) in the dentist image information 41.

FIG. 5 is a diagram illustrating calculation of the median line 57.
The CPU 10 of the medical image diagnosis support apparatus 1 sets a median line 57 at a position that internally divides the tooth ends 55 at both ends into 1: 1 in the dentist image information 42 in which the positions of the tooth ends 55 are determined. The CPU 10 sets a point 56 at a position that internally divides the tooth end 55 and the median line 57 into 1: 1. The CPU 10 determines the curvature of the curve 58 based on five points of the two tooth ends 55, the midline 57, and the two points 56. For calculating the curvature, for example, a quadratic polynomial indicating an ellipse is used. Here, the calculation of the median line 57 is exemplified, but the median line 57 is not limited as long as it is an index for specifying the dentition.

FIG. 6 is a diagram showing determination of the tooth outer frame 60.
The CPU 10 of the medical image diagnosis support apparatus 1 determines the external tooth frame 60 in the dentist image information 43 by moving the curve 59 in the Y direction, and holds it in the main memory 14 (step 1003).

(2-4. Determination of tooth space: Step 1004)
FIG. 7 is a diagram illustrating the determination of the tooth gap line 62.
In the dentist image information 44, the CPU 10 of the medical image diagnosis support apparatus 1 calculates a dividing line from the midline toward both tooth ends at a ratio sampled by setting the distance from the midline to the tooth end as 1. In the dentist image information 44, the CPU 10 divides the scanning region at a position that internally divides the distance between the tooth ends, for example, approximately 1: 2: 1. Thereby, the exposure non-uniformity resulting from the tooth row being curved can be improved. The CPU 10 measures the density distribution on the curve 61 by moving and scanning the curve 61 in the Y direction in the dentist image information 44. In the dentist image information 45, the CPU 10 moves the position of the dividing line to a position that matches the density distribution measured in the regions on both sides in the X direction of the dividing line, and determines the tooth gap line 62 (step 1004). Thereby, the position of the gap line 62 can be determined as an appropriate position even when the teeth are arranged unevenly. The CPU 10 determines a tooth frame 63 indicating a position for each tooth based on the gap line 62.

  When the CPU 10 of the medical image diagnosis support apparatus 1 scans the region from the tooth end to the gingiva in the oral cavity to measure the density distribution and detects a position where the density difference between the tooth and the gap is significant, The wisdom tooth frame 64 is determined at this position. When the tooth is not detected in the scanned area, the CPU 10 determines the tooth frame 65 at the position.

(2-5. Tooth state display: Step 1005)
FIG. 8 is a diagram showing size conversion of dentist image information.
The CPU 10 of the medical image diagnosis support apparatus 1 converts the image analysis size dentist image information 46 into display size dentist image information 47 and expands the dentist image information 47 so that the tooth frames are arranged in a straight line. Thus, dentist image information 48 is created. In the dentist image information 47, the quadrangular tooth frame 66 is arranged in a curved shape, but in the dentist image information 48, it is converted into a rectangular tooth frame 67 and arranged in a straight line.
The CPU 10 superimposes the dentist image information and the tooth frame on the display 19.

(3. Entering parts of electronic medical record information)
Next, the part input of the electronic medical record information will be described with reference to FIGS.
FIG. 9 is a flowchart showing the operation of the medical image diagnosis support apparatus 1 in the part input of the electronic medical record information.
FIG. 10 is a diagram showing a flow of operation of the medical image diagnosis support apparatus 1 in the part input of the electronic medical record information.
The magnetic disk 13 of the medical image diagnosis support apparatus 1 stores dentist image information 49, tooth position information 50, tooth information 90, and electronic medical record information 100. These pieces of information may be stored in a storage device or database system other than the magnetic disk 13 and acquired via a network. The tooth position information 50 is tooth position information such as a tooth frame created by the processing of FIG.

(3-1. Display of dentist image information and tooth frame: step 2001)
FIG. 11 is a diagram showing a screen 70 displayed on the display 19.
The CPU 10 of the medical image diagnosis support apparatus 1 displays the screen 70 on the display 19 based on the dentist image information 49, the tooth position information 50, and the medical record information 100 read from the magnetic disk 13 (step 2001).
On the screen 70, an image 71 and electronic medical record information 72 are displayed. The image 71 displays dentist image information 111 including a tooth image and a tooth frame 112. In the electronic medical record information 72, a date 113, a site 114, a treatment 115, and a score 116 are displayed.

(3-2. Position designation / range designation: Step 2002)
FIG. 12 is a diagram showing the coordinate information 80.
The CPU 10 of the medical image diagnosis support apparatus 1 holds the coordinate information 80 of the tooth frame 112 in the image 71 on the screen 70 in the main memory 14. In the coordinate information 80, four-point coordinates 82 are recorded for each tooth number 81 of the tooth frame 112.
When the operator performs position designation or range designation on the image 71 on the screen 70 with the mouse 16, the CPU 10 of the medical image diagnosis support apparatus 1 holds the coordinates designated by the position designation or range in the main memory 14 (step 2002). .

(3-3. Acquisition of site information: step 2003)
FIG. 13 is a flowchart showing the operation of the medical image diagnosis support apparatus 1 in the part information acquisition (step 2003).
When the operator clicks one point inside the tooth frame 112 (“one point click” in step 2021), the CPU 10 of the medical image diagnosis support apparatus 1 executes one tooth number selection process (step 2022). When the operator performs a drag and drop operation on the tooth frame 112 (“drag and drop” in step 2021), the CPU 10 determines whether or not the range designation mode is set (step 2023).

When a drag and drop operation is performed with the inside of the tooth frame 112 as the starting point (starting point), the CPU 10 determines that the mode is not the range designation mode (NO in step 2023), and executes a multiple tooth number selection process. (Step 2024). When a drag and drop operation is performed with the outside of the tooth frame 112 as the starting point (starting point), the CPU 10 determines that the mode is the range designation mode (YES in step 2023), and executes a multiple range selection process. (Step 2025).
In the single tooth number selection process (step 2022), the multiple tooth number selection process (step 2024), or the multiple range selection process (step 2025), the CPU 10 acquires the part information 73 about the selected tooth and stores it in the main memory 14. Hold (step 2003). The acquisition of the part information 73 will be described later.

(3-3-1. Teeth number selection process: Step 2022)
FIG. 14 is a flowchart showing one tooth number selection process (step 2022).
FIG. 15 is a diagram showing an image 120 displayed on the screen 70.
When the operator clicks one point inside the tooth frame 121 with the mouse 16, the CPU 10 of the medical image diagnosis support apparatus 1 stores the coordinates clicked on the one point in the main memory 14. The CPU 10 reads the coordinates clicked on one point from the main memory 14 (step 3001). The CPU 10 initializes the tooth frame counter i (step 3002).

When the coordinates clicked on one point are not included inside the i-th tooth frame (i) (NO in step 3003), the CPU 10 shifts the processing to step 3009.
CPU10 acquires the part information 73 and the tooth information 90 of the said tooth frame (i), when the coordinate clicked by one point is contained inside the i-th tooth frame (i) (step 3003 YES) (step 3003) 3004 and step 3005). The part information 73 is information related to a tooth part such as a tooth number and a tooth type. The CPU 10 acquires the part information 73 based on the tooth number 81 of the coordinate information 80 held in the main memory 14. The tooth information 90 is information regarding the tooth type (anterior teeth, premolars, molars), the number of root canals, abutment teeth, and missing teeth. When there is no or all of the tooth information 90 on the magnetic disk 13, the CPU 10 sets a standard value as an initial value.

If the i-th tooth frame (i) has not been selected, the CPU 10 sets the tooth frame (i) to the selected state (NO in step 3006 and step 3007), and if it has been selected, the tooth frame The selected state (i) is canceled (YES in step 3006 and step 3008). When the tooth frame counter i has not reached the total number of tooth frames (NO in step 3009), the CPU 10 increments the tooth frame counter i (step 3010) and repeats the processing from step 3003.
The CPU 10 displays the selected tooth frame 121 and the tooth number 122 in a specific color or highlighted manner so that they can be identified.

(3-3-2. Multiple tooth number selection process: Step 2024)
FIG. 16 is a flowchart showing the multiple tooth number selection process (step 2024).
FIG. 17 is a diagram showing an image 130 displayed on the screen 70.
When the operator performs a drag-and-drop operation with the mouse 16 from the start point 135 (start point) inside the tooth frame 131 to the end point 136 (end point) inside the tooth frame 133 through the inside of the tooth frame 132, medical image diagnosis The CPU 10 of the support apparatus 1 holds the coordinates from the dragged and dropped start point 135 to end point 136 in the main memory 14. The CPU 10 reads out the coordinates from the dragged start point 135 to end point 136 from the main memory 14 (step 4001). The CPU 10 initializes the tooth frame counter i (step 4002).

If none of the coordinates from the start point 135 to the end point 136 dragged and dropped inside the i-th tooth frame (i) is included (NO in step 4003), the CPU 10 shifts the processing to step 4009. .
When any of the coordinates from the start point 135 to the end point 136 dragged and dropped inside the i-th tooth frame (i) is included in the CPU 10 (YES in step 4003), the CPU 10 The part information 73 and the tooth information 90 are acquired (step 4004 and step 4005).

The processing from step 4006 to step 4010 is the same as the processing from step 3006 to step 3010 in FIG.
The CPU 10 displays a specific color or highlight on the plurality of tooth frames 131 to 133 and the plurality of tooth numbers 134 in a selected state so that they can be identified.

(3-3-3. Multiple Range Selection Processing: Step 2025)
FIG. 18 is a flowchart showing the multiple range selection process (step 2025).
FIG. 19 is a diagram showing an image 140 displayed on the screen 70.
When the operator performs a drag-and-drop operation with the mouse 16 from the start point 141 (start point) outside the tooth frame to the end point 142 (end point), the CPU 10 of the medical image diagnosis support apparatus 1 starts the drag-and-drop start point. The coordinates 141 and the coordinates of the end point 142 are held in the main memory 14. The CPU 10 reads the coordinates of the dragged start point 141 and the end point 142 from the main memory 14 (step 5001). The CPU 10 initializes the tooth frame counter i (step 5002).

The CPU 10 sets the area 143 whose range is specified by the start point 141 and the end point 142. The region 143 is, for example, a rectangular region having a start point 141 and an end point 142 as diagonal vertices.
When the i-th tooth frame (i) does not fit in the region 143 (NO in step 5003), the CPU 10 shifts the processing to step 5009.
When the i-th tooth frame (i) fits in the region 143 (YES in Step 5003), the CPU 10 acquires the part information 73 and the tooth information 90 of the tooth frame (i) (Step 5004 and Step 5005).

The processing from step 5006 to step 5010 is the same as the processing from step 3006 to step 3010 in FIG.
The CPU 10 displays a specific color or highlight on the plurality of tooth frames 145 to 147 and the plurality of tooth numbers 144 in a selected state so that they can be identified.

(3-4. Tooth information setting: Step 2004)
FIG. 20 is a diagram illustrating the tooth information 90.
The tooth information 90 is recorded in association with a tooth number 91, a tooth type 92 (anterior tooth, premolar, molar), a root canal number 93, an abutment tooth 94, and a missing tooth 95.

FIG. 21 is a diagram showing a screen 150 when setting tooth information.
FIG. 22 is a diagram showing a tooth information setting menu 160.
When the mouse 16 is operated to set the tooth frame 151 on the screen 150 in a selected state and a predetermined operation (for example, a right click operation with the mouse 16) is performed as it is, a tooth information setting menu 152 is displayed. Note that a hierarchical tooth information setting menu 160 may be displayed as shown in FIG. An initial value is set in the tooth information setting menu 152 based on the tooth information 90 stored in the magnetic disk 13 or the main memory 14. When there is no or all of the tooth information 90 in the magnetic disk 13 and the main memory 14, the standard value is set as the initial value.
When the operator selects or inputs a setting value from the tooth information setting menu 152, the CPU 10 of the medical image diagnosis support apparatus 1 updates the tooth information 90 in the main memory 14 (step 2004).

(3-5. Transferring part information to electronic medical record information and displaying electronic medical record information: Step 2005 and Step 2006)
FIG. 23 is a diagram showing a screen 170 on which electronic medical record information 172 is displayed.
The CPU 10 of the medical image diagnosis support apparatus 1 transfers the part information 73 acquired in the process of step 2003 and the tooth information 90 updated in the process of step 2004 from the memory 14 to the magnetic disk 13 and reflects them in the electronic medical record information 100 ( Step 2005). The CPU 10 displays on the screen 170 the electronic medical record information 172 in which the part information 73 regarding the selected tooth and the input tooth information 90 are reflected. In the electronic medical chart information 172 of FIG. 23, part information 173 indicating the treated tooth is displayed.

(4. Effects, etc.)
Through the above process, the medical image diagnosis support apparatus 1 acquires the dentist image information 49, the tooth position information 50, and the electronic medical record information 100 from the magnetic disk 13, and displays the image 71 and the electronic medical record information 72 on the screen 70. To do. When the operator selects one or more teeth in the image 71, the medical image diagnosis support apparatus 1 transfers the part information 73 about the selected tooth to the electronic medical record information 100 on the magnetic disk 13 through the main memory 14. And reflected in the electronic medical record information 72 of the screen 70 for display. In addition, when a predetermined operation (for example, a right click operation with a mouse) is performed as it is after selecting a tooth on the image 71, the medical image diagnosis support apparatus 1 accepts input of tooth information 90 regarding the selected tooth.

  In the embodiment of the present invention, tooth selection and tooth information input can be performed directly on dentist image information. Further, when selecting a tooth and inputting tooth information, the line of sight does not move away from the dentist image information, so that operability and accuracy can be improved.

  The preferred embodiments of the medical image diagnosis support apparatus according to the present invention have been described above, but the present invention is not limited to such examples. It will be apparent to those skilled in the art that various changes or modifications can be conceived within the scope of the technical idea disclosed in the present application, and these are naturally within the technical scope of the present invention. Understood.

Hardware configuration diagram of medical image diagnosis support apparatus 1 The flowchart which shows operation | movement of the medical image diagnosis assistance apparatus 1 in preparation of tooth position information Illustration of determining the image analysis area The figure which shows calculation of the tooth end 55 The figure which shows calculation of the median line 57 The figure which shows the determination of the tooth outer frame 60 The figure which shows determination of the tooth space line 62 Diagram showing size conversion of dentist image information The flowchart which shows operation | movement of the medical image diagnosis assistance apparatus 1 in the site | part input of electronic medical chart information The figure which shows the flow of operation | movement of the medical image diagnosis assistance apparatus 1 in the site | part input of electronic medical record information The figure which shows the screen 70 displayed on the display 19 The figure which shows the coordinate information 80 The flowchart which shows operation | movement of the medical image diagnosis assistance apparatus 1 in site | part information acquisition (step 2003). Flow chart showing one tooth number selection process (step 2022) The figure which shows the image 120 displayed on the screen 70 Flow chart showing multiple tooth number selection processing (step 2024) The figure which shows the image 130 displayed on the screen 70 Flow chart showing multiple range selection processing (step 2025) The figure which shows the image 140 displayed on the screen 70 The figure which shows the tooth information 90 The figure which shows the screen 150 at the time of tooth information setting The figure which shows the tooth information setting menu 160 The figure which shows the screen 170 on which the electronic medical chart information 172 was displayed

Explanation of symbols

1 ... Medical image diagnosis support apparatus 10 ... CPU
11 ... Medical imaging device 12 ... LAN
13 ......... Magnetic disk 14 ......... Main memory 15 ......... Controller 16 ......... Mouse 17 ......... Keyboard 18 ......... Display memory 19 ......... Display 21, 40, 41, 42, 43, 44, 45, 46, 47, 48 ......... Dentist image information 23 ......... Image analysis area 52, 54 ......... Density distribution 55 ......... End of tooth 57 ......... Medium line 60 ......... Outer tooth frame 62 ... …… Tooth gap line 63, 64, 65, 66, 67 ……… Tooth frame 70, 170 ……… Screen 71 ……… Image 72, 172 ……… Electronic medical record information 73 ……… Part information 80 ……… Coordinate information 90 ......... Tooth information 100 ......... Electronic medical record information 152, 160 ......... Tooth information setting menu 173 ......... Part information

Claims (7)

In a medical image diagnosis support apparatus that supports diagnosis of dentist image information,
Dentist image information acquisition means for acquiring the dentist image information;
Tooth position information acquisition means for acquiring tooth position information indicating the position of the tooth included in the dentist image information;
Display means for displaying the acquired dentist image information and tooth position information;
Coordinate position setting means for setting a coordinate position in the displayed dentist image information and tooth position information;
Based on the coordinate position of the tooth position information, a selection means for detecting a tooth corresponding to the set coordinate position and making it a selected state or a deselected state;
Part information acquisition means for acquiring part information indicating a tooth part selected by the selection means;
An electronic medical chart display means for displaying the electronic medical chart information by reflecting the acquired part information on the electronic medical chart information related to the dentist image information;
A medical image diagnosis support apparatus comprising:   The coordinate position setting means sets a designated coordinate position of one point, and the selection means changes a selection state of one tooth corresponding to the set coordinate position of one point. The medical image diagnosis support apparatus according to claim 1.   The coordinate position setting means sets the coordinate position on the line between the designated start point and end point, and the selection means sets the coordinate position on the line between the set start point and end point. The medical image diagnosis support apparatus according to claim 1 or 2, wherein a selection state of one or a plurality of corresponding teeth is changed.   The coordinate position setting means sets the coordinate position in the area designated by the designated start point and end point, and the selection means is designated by the range by the set start point and end point. The medical image diagnosis support apparatus according to any one of claims 1 to 3, wherein a selection state of one or a plurality of teeth corresponding to a coordinate position in the region is changed.   The tooth information input means for directly inputting tooth information related to the tooth selected by the selecting means on the dentist image information is provided. Medical image diagnosis support device. The part information acquisition means acquires a tooth number and a tooth formula of the tooth that is in the selected state as the part information,
The electronic medical record information display means reflects and displays the tooth number and the tooth type acquired as the part information in the electronic medical record information. Medical image diagnosis support device. Dentist image information acquisition step for acquiring dentist image information;
Tooth position information acquisition step for acquiring tooth position information indicating the position of the tooth included in the dentist image information;
A display step for displaying the acquired dentist image information and tooth position information;
A coordinate position setting step for setting a coordinate position in the displayed dentist image information and tooth position information;
Based on the coordinate position of the tooth position information, a selection step for detecting a tooth corresponding to the set coordinate position and selecting or canceling the tooth;
A part information acquisition step for acquiring part information indicating a part of a tooth selected by the selection unit;
An electronic medical chart display step of displaying the electronic medical chart information by reflecting the acquired part information on the electronic medical chart information related to the dentist image information;
Medical image diagnosis support program for causing a computer to execute the program.

Images