JP2010172499A - Ultrasonic diagnostic apparatus - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To reduce a load on a user in generating an inspection report by electronically generating the inspection report of a breast concerning an ultrasonic diagnostic apparatus. <P>SOLUTION: The inspection report includes a scheme image 100. A marker 102 is moved by a user thereby to fix the display position of a tumor marker. The position of the marker 102 is recognized in real-time in the ultrasonic diagnostic apparatus, and position information 104 concerning the marker 102 is displayed. The position information 104 includes: information 106 expressing a region to which the marker belongs; and information 108 expressing the orientation of the marker when viewed from a nipple. The position information is automatically reflected on a comments section in the inspection report. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to an ultrasonic diagnostic apparatus, and more particularly to an ultrasonic diagnostic apparatus having a test report creation function.

  Breast ultrasonography to diagnose breast diseases (eg, malignant tumors) does not cause the problem of exposure as seen in mammograms. In breast ultrasound examination, an ultrasound image of a breast is formed and displayed by bringing a probe into contact with the breast and transmitting and receiving ultrasound in that state. The ultrasonic image is a two-dimensional tomographic image, a three-dimensional image, or the like. The presence or absence of a tumor is diagnosed on an ultrasound image, and if a tumor is found, the morphology of the tumor is further diagnosed on the ultrasound image, and in addition, the measurement function installed in the ultrasound diagnostic apparatus Run to measure tumor size (triaxial size), volume, distance from nipple, etc.

  After the breast ultrasound examination, an examination report is created by the examination doctor or examination engineer who performed the examination. The test report can be used to communicate the presence, extent, etc. of the lesion to the treating physician or diagnostician, or can be used to diagnose changes over time in the disease. The contents are desired to be objective and precise. On the other hand, it is also required to reduce the burden when preparing an inspection report.

  Typically, conventionally, an inspection report has been created by hand-writing an ultrasonic diagnosis result on an inspection report sheet. The test report usually has a schematic diagram (schema diagram) simulating both breasts. If a tumor is found on the ultrasound image, the tumor location is marked by hand on the schematic diagram. It had been. In addition, the above measurement results and findings were handwritten in the inspection report.

  Patent Document 1 discloses an ultrasonic diagnostic apparatus having a function of forming a report image (electronic examination report) reflecting a result of breast ultrasonic diagnosis. A graphic corresponding to a schematic diagram representing a breast is displayed on the report image, and an ultrasonic image can be pasted (synthesized) at a desired position there. Patent Document 2 describes that a marker is displayed on a schematic diagram representing a breast. A plurality of sections are set on the schema, but the section where the tumor exists is determined and input by the user. In these conventional techniques, the position information of the tumor marker in the breast coordinate system represented by the schema diagram is not automatically calculated and reflected in the examination report.

JP 2008-154833 A JP 2007-87271 A

  In breast ultrasound diagnosis, it is common to write the region (area) where a tumor is present and the orientation viewed from the nipple in the examination report, and the breast ultrasound diagnostic guidelines also stipulate it. In the past, the region and orientation of the tumor were visually confirmed on the ultrasound image, which was handwritten on the inspection report, and a marker representing the tumor was handwritten on the schema diagram. .

  Japanese Patent Application Laid-Open No. 2004-228561 discloses a technique for creating an inspection report on a screen. However, even if a marker is plotted on an electronic schema image, the position of the marker is not calculated. That is, the schema image functions only as a marker entry column, and the position information is not measured and calculated with the schema image as a background. The plot of the marker on the schema image itself corresponds to the input or designation of the position information. However, the position information is numerically input separately from this, and it is possible to point out the redundant work here. In addition, when plotting a marker on a schema image, there is a risk of misrecognition or the like only by visual confirmation of the marker position in the schema image in order to accurately perform the marker. desired.

  An object of the present invention is to enable an examination report to be quickly created on an ultrasound diagnostic apparatus that displays an ultrasound image in breast ultrasound diagnosis. In particular, it is intended to enable a series of operations from diagnosis to measurement and report creation to be performed efficiently.

  Another object of the present invention is to reduce a burden on a user who creates an inspection report.

  Another object of the present invention is to make it possible to read and utilize a marker plot result on a coordinate system on the premise that the schema image has a coordinate system corresponding to the real space. Alternatively, the marker plot operation is to be performed accurately without misunderstanding.

In the ultrasonic diagnostic apparatus according to the present invention, on the display screen on which the ultrasonic image is displayed, a schema image schematically representing the breast is displayed together with the ultrasonic image or separately from the ultrasonic image. Schema image display control means for performing tumor marker display control means for displaying a tumor marker representing a tumor at coordinates registered by a user on the schema image, and a breast defined on the schema image Position information calculation means for calculating position information about the tumor marker according to a diagnostic coordinate system, and position information entry for electronically filling the position information in an examination report including a schema image to which the tumor marker is added Means,
It is characterized by including.

  According to the above configuration, a schema image is displayed on the display screen, and when a user registers (instructs or inputs) coordinates where a tumor exists on the schema image, a tumor marker is displayed at the coordinates. On the schema image, a breast diagnostic coordinate system is defined, that is, a plurality of regions are defined with reference to the nipple position, and an azimuth direction is defined. In the present invention, the ultrasonic diagnostic apparatus calculates the position information about the tumor marker and reflects it in the examination report, so that the contents of the examination report issued electronically or as a paper medium are accurate and reliable. As a result, the accuracy and reliability of tumor diagnosis can be improved.

  Preferably, the breast diagnostic coordinate system is a coordinate system defined by a plurality of regions defining the schema image and an orientation from a nipple position in the schema image, and the positional information on the tumor marker includes the tumor marker This is information indicating the region to which the marker belongs and the orientation in which the tumor marker exists. The plurality of defined areas include, for example, fan-shaped areas A to D each having a spread angle of 90 degrees arranged around the nipple position, and a circular area E around the nipple position. Preferably, the A to D regions are defined in the clockwise direction when viewed from the front in the right breast, and the A to D regions are defined in the counterclockwise direction when viewed from the front in the left breast. Is done. On the other hand, the azimuth direction is preferably specified as a clockwise angle from the nipple position assuming a vertically upward direction at 0 o'clock (0 degree) when assuming a subject in a standing position. It is an azimuth (for example, the downward direction is the 6 o'clock direction or the 180 degree direction).

  Preferably, a coordinate designation marker is displayed on the display screen so that coordinates can be registered by the user, and the position information calculation means is configured to display a position of the coordinate designation marker during the movement operation of the coordinate designation marker. Position information display control means for calculating information and displaying position information about the coordinate designation marker during the movement operation of the coordinate designation marker is provided. According to this configuration, since the marker position information is displayed even in the process of instructing the coordinates to be registered, it is possible to accurately specify the coordinates with reference to the position information. That is, erroneous positioning can be effectively eliminated.

  Preferably, the schema image includes a right breast image and a left breast image, a right breast diagnostic coordinate system is defined in the right breast image, and a left breast diagnostic coordinate system is defined in the left breast image, The position information calculation means calculates position information according to the right breast diagnostic coordinate system if the breast image recognized by the user is a right breast image, and if the breast image recognized by the user is a left breast image, The position information is calculated according to the left breast diagnostic coordinate system. Thus, the right breast and the left breast have the same orientation (both clockwise), while the area division is symmetrical (the right breast is labeled in clockwise order). The left breast is labeled in the counterclockwise order), and it is easy for the examiner to make mistakes and confusions. However, according to the above configuration, the region and orientation are correctly identified, and the burden on the examiner can be greatly reduced.

  Preferably, the schema image display control means includes: a storage unit storing a plurality of different schema images; and a means for causing a user to select a schema image to appear on a display screen from the plurality of schema images. Including. Preferably, the tumor marker display control means includes: a storage unit storing a plurality of different tumor markers; and means for causing a user to select a tumor marker to be displayed on a display screen from the plurality of tumor markers. Including.

  Preferably, the examination report includes a finding column, and the finding column includes a plurality of tumor information display units associated with a plurality of tumor identifiers, and each tumor information display unit includes the position information, And the comment inputted by the user is displayed. Since it is possible to systematically manage comments on measurement results, position information, shapes, etc. for each individual tumor (that is, a lesion), the content of the examination report can be improved.

  The present invention includes an image forming unit that forms an ultrasound image of a breast based on a reception signal obtained by transmitting and receiving ultrasound to and from the breast, a measuring unit that measures a tumor on the ultrasound image of the breast, An ultrasonic diagnostic apparatus including an examination report creating means for creating an examination report in which the measurement result of the tumor is entered, wherein the examination report creating means displays a schema image schematically representing a breast on a display screen. Defined on the schema image, a schema image display control means for making the tumor marker display control means for displaying a tumor marker representing a tumor at coordinates registered by the user on the schema image, A position information calculation means for calculating position information about the tumor marker according to a breast diagnosis coordinate system; The position information to the inspection report containing over Ma image, characterized in that it comprises a position information entry means to be filled electronically, the.

  ADVANTAGE OF THE INVENTION According to this invention, a test report can be rapidly produced on the ultrasound diagnosing device which displays an ultrasound image in a breast ultrasound diagnosis. In particular, a series of operations from diagnosis to measurement and report creation can be performed efficiently. Alternatively, since the schema image has a coordinate system corresponding to the real space, the marker plot result in the coordinate system can be read and used, or the marker plot operation can be performed accurately.

1 is a block diagram showing an overall configuration of an ultrasonic diagnostic apparatus according to the present invention. It is a figure which shows the edit screen of an inspection report. It is a figure for demonstrating the several area | region and azimuth | direction defined on a schema image. It is a figure which shows the schema image in which one tumor marker was represented. It is a figure which shows the schema image in which the some tumor marker was represented. It is a figure which shows the schema image with another form. It is a figure which shows an example of the mark separation state in the schema image shown in FIG. It is a figure which shows the other example of the mark separation state in the schema image shown in FIG. It is a figure for demonstrating a finding column. It is a figure for demonstrating the structural example of test | inspection report information. 3 is a flowchart for explaining an operation example of the apparatus shown in FIG. 1.

  DESCRIPTION OF EXEMPLARY EMBODIMENTS Hereinafter, preferred embodiments of the invention will be described with reference to the drawings.

  FIG. 1 shows a preferred embodiment of an ultrasonic diagnostic apparatus according to the present invention, and FIG. 1 is a block diagram showing the overall configuration thereof. The ultrasonic diagnostic apparatus according to the present embodiment particularly has a function of performing an ultrasonic examination of the breast, and specifically has an examination report editing function described later.

  The probe 10 is a transducer that is used in contact with the body surface. In this embodiment, the transducer 10 is in contact with the breast on the breast. A 1D array transducer is provided in the probe 10. The 1D array transducer is composed of a plurality of transducer elements, and thereby an ultrasonic beam is formed, and the ultrasonic beam is electronically scanned. As electronic scanning methods, electronic sector scanning, electronic linear scanning, and the like are known. The probe 10 may be provided with a 2D array transducer so that three-dimensional echo data is captured.

  The transmission / reception unit 12 functions as a transmission beamformer and a reception beamformer. At the time of transmission, a plurality of transmission signals are supplied from the transmission / reception unit 12 to the 1D array transducer in the probe 10, thereby forming a transmission beam. At the time of reception, the reflected wave from the living body is received by the 1D array transducer, and thereby a plurality of reception signals are output from the 1D array transducer to the transmission / reception unit 12. A phasing addition process is applied to the plurality of reception signals, and the reception signal after phasing addition, that is, beam data is output to the signal processing unit 14. The signal processing unit 14 includes a known circuit such as a detection circuit or a logarithmic compression circuit, and the beam data after the signal processing is output to the image forming unit 16.

  The image forming unit 16 is configured by a digital scan converter (DSC) in the present embodiment, and applies a coordinate conversion process, an interpolation process, and the like to a plurality of input beam data. A mode image is formed. Of course, other ultrasonic images such as a three-dimensional image may be formed. Image data output from the image forming unit 16 is sent to the display unit 20 via the display processing unit 18, and a tomographic image of the breast is displayed on the display unit 20. Ultrasonic diagnosis is performed on a target breast at a plurality of positions, and a plurality of images obtained thereby are stored in a storage unit 30 described later.

  The calculation control unit 22 is constituted by a CPU and an operation program. In FIG. 1, the measurement function of the calculation control unit 22 is represented as a measurement unit 24, and the report generation function is a report generation unit 26. It is expressed as The measurement unit 24 is a module for performing distance measurement or the like on the ultrasonic image. The report creation unit 26 is a module that creates an electronic examination report in which the result of breast ultrasound diagnosis is written. This will be described in detail later.

  The operation panel 28 includes a keyboard and a trackball. Using the operation panel 28, the user can perform marker positioning and the like, which will be described later. The storage unit 30 is a unit that stores image data and an inspection report. The communication unit 32 is a module for exchanging data with an external computer or an ultrasonic diagnostic apparatus. The display processing unit 18 has a function of combining an ultrasonic image and a graphic image.

  FIG. 2 illustrates an editing screen displayed when an inspection report is created. That is, measurement is performed after ultrasonic inspection, and then an inspection report is created. At that stage, a screen as shown in FIG. 2 is displayed. Reference numeral 100 denotes a schema image as a graphic image. The specific configuration will be described later with reference to FIG. Reference numeral 102 represents a marker. Specifically, the marker 102 is a coordinate designation marker. The user can freely move the position of the marker 102, the marker 102 is positioned at the position where the tumor is present based on observation of the ultrasonic image, and by performing a predetermined input operation at that time, The position is registered as a coordinate where a tumor exists, and a tumor marker described later is displayed on the coordinate. The schema image is specifically composed of a right breast schema image 100R and a left breast schema image 100L. Symbols R and L representing the right breast and the left breast are added to each schema image.

  Below the schema image 100 is a tool area having a plurality of buttons, which includes a column 112 for selecting the form of the tumor marker. There are shown eight tumor shapes having different shapes, and a button 112a for selecting one of the shapes is displayed at the top of each shape. A column 110 for designating a tumor ID (identification number) is provided in the lower row, and the column 110 has six buttons 110R for the right breast and six buttons 110L for the left breast. . Reference numeral 114 denotes a column for selecting a schema image type, and two buttons are prepared therein, and either type of schema image can be selectively used. Position information 104 is displayed at the top of the schema image 100. This position information 104 includes an area 106 to which the marker 102 belongs and an orientation 108 in which the marker exists. On the right side, the measurement result associated with the currently focused tumor, that is, the selected tumor ID (for example, Rt. T1) is displayed (see reference numeral 116). Here, the measurement result represents the size of the tumor in each of the X, Y, and Z directions.

  FIG. 3 shows the schema image 100 extracted. As described above, the schema image 100 is roughly divided into a right breast schema image 100R and a left breast schema image 100L. Here, focusing on the right breast schema image 100R, five regions A to E are defined in the right breast schema image 100R. The central reference point 102 corresponds to the nipple position, and the area A-D is defined as a fan-shaped area around it as a reference. The opening angle of the area A-D is 90 degrees. The arrangement order is clockwise.

  The line 122 represents the vertical direction from the nipple when assuming a subject in a standing position, and this is the direction of 0 degrees, that is, the 0 o'clock direction. Then, an angle θ, that is, an azimuth is defined in the clockwise direction therefrom. In the present embodiment, in the ultrasonic diagnostic apparatus, the position of the marker 102 on the schema image is monitored in real time, that is, where the marker 102 belongs to the areas A to E is determined at any time, and the marker The azimuth in which 102 is present, that is, the angle θ is monitored in real time. Here, reference numeral 102 is a vector representing the direction in which the marker 102 exists from the reference point 120. Incidentally, the region E is a circular region near the nipple. The area indicated by reference numeral 118 may be an independent area, or the area may be regarded as a part of the area D. In defining the areas A to D, each area may be defined within the circular range shown in the figure, or each area may be defined including the outside beyond the circular range. Good.

  In the left breast schema image 100L, the definition of the azimuth is exactly the same as that of the right breast, that is, the azimuth is defined in the clockwise direction with the nipple as a reference. On the other hand, the regions are labeled in order from the vertical direction to the counterclockwise direction, that is, the direction of naming is opposite to that of the left breast. In the present embodiment, as shown in FIG. 2, the position of the marker in the attention state is observed even while the marker is being moved on the screen, and the position information 104 (see FIG. 2) is observed accordingly. ) Is displayed in real time. Of course, the position information 104 is also displayed when the coordinates where the tumor is present are registered, and the information is also reflected in a separate observation column (described later). If the position information can be referred to during or after the positioning of the marker, there is an advantage that the marker can be positioned accurately, that is, an erroneous marker setting can be effectively excluded. Incidentally, although the time expression is adopted in the present embodiment as the expression of the azimuth, it may be expressed by an angle. That is, in the present embodiment, the time from 0:00 to 12:00 corresponds to 360 degrees. Although the azimuth determination increment is 30 minutes in this embodiment, it may be in 15 minute increments or in 10 minute increments. Alternatively, the azimuth may be expressed with finer steps.

  In addition, as position information, the distance from the center point, that is, the reference point may be displayed in addition to the belonging region and the existing orientation. Moreover, you may make it display the depth information etc. in which the tumor exists as needed.

  FIG. 4 shows an example of a schema image in which one tumor marker is represented. In this embodiment, the shape of the tumor marker can be selected by the user, that is, the optimal marker shape corresponding to the tumor shape observed on the ultrasound image can be selected and reflected in the examination report. It is. In FIG. 1, a substantially circular marker is selected, and a tumor ID T1 is displayed in association with the marker. In addition, the region where the tumor T1 is present and the orientation are represented in the upper part of the schema image.

  FIG. 5 shows a schema image with a plurality of tumor markers. Tumor markers T1, T2, and T3 are displayed for the right breast, and a tumor marker T1 is displayed for the left breast. As described above, in the present embodiment, a plurality of tumor markers can be displayed, and any number of tumor markers can be displayed at desired positions for the left and right breasts.

  FIG. 6 shows another type of schema image. The schema image 124 is roughly divided into a right breast schema image 126 and a left breast schema image 128. The right breast schema image 126 is composed of an image 126A viewed from the front and an image 126B viewed from the side. Similarly, the left breast schema image 128 includes an image 128A viewed from the front and an image 128B viewed from the side.

  FIG. 7 shows the left breast schema image 128 shown in FIG. 6 as an enlarged view. The image 128A corresponds to a front view when facing the breast, that is, an XY plane. Here, the Y axis corresponds to the vertical axis, and the X axis is an axis orthogonal to the vertical axis. On the other hand, an image 128B is displayed next to it, which represents the YZ plane. Z corresponds to an axis in the depth direction, that is, the depth direction, and is orthogonal to the Y axis and the X axis. The image 128A and the image 128B have a common Y axis.

  In the present embodiment, when the position of the tumor is registered in the image 128A corresponding to the front view and the tumor marker 130 is displayed there, at the same time, the positioning marker 134 is automatically displayed on the image 128B viewed from the side. Is displayed as a derivative. In the display, the marker 134 is displayed at the same height as the height in the Y-axis direction where the tumor marker 130 is displayed. That is, since the position in the Y direction when viewed from the front surface should match the position in the Y direction when viewed from the side surface, the marker 134 is at the same height from the viewpoint of reducing the burden of position designation by the user. Is displayed. Therefore, the user can designate the depth at which the tumor exists only by moving the marker 134 in the Z direction, that is, the left-right direction on the paper surface, and can display the tumor marker at the position.

  In the example shown in FIG. 8, when the tumor marker 136 is displayed in advance in the image 128B, the marker 140 is displayed at the same height as the height in the Y-axis direction of the marker 136 in the image 128A as described above. In that case, a marker 140 is displayed at the center in the X direction. This provides the advantage that the marker 140 can be positioned with minimal movement. Of course, the user can separately determine the position in the Y direction of the separately derived marker 140.

  When electronic entry of the tumor marker on the schema image is completed by the process as described above, the screen shown in FIG. 9 can be displayed by performing a predetermined operation. A finding column 142 is displayed below the schema image 100. The finding column 142 is roughly divided into a right breast finding column 142R and a left breast finding column 142L. Each finding column 142R and 142L has a tumor information entry column associated with the tumor ID 144a. Specifically, the tumor information entry column includes an area entry column 144b, an orientation entry column 144c, and a comment entry column 144d. Composed.

  Here, the area and orientation are automatically calculated as described above, and are automatically entered. The comment is written as text data with an arbitrary content by the user, and for example, a finding related to a shape related to the tumor is written. In this embodiment, position information and comments can be managed while associating each tumor with a tumor ID in this way, so that confusion in preparing an examination report can be prevented, and the creation can be performed in a short time. There is. As will be described later, the examination result is also managed in association with the tumor ID.

  FIG. 10 shows a configuration example of the inspection report information 200. The examination report information 200 includes basic information 202, schema information 204, tumor information 206, comment information 208, measurement data 210, and the like. The basic information 202 is information for specifying a date, a patient, and the like. The schema information 204 is information for specifying the type selected as the schema image. Specifically, the tumor information 206 includes a plurality of pieces of individual information managed for each tumor, and the individual information is represented by reference numerals 206a, 206b, and 206c in FIG. Specifically, the individual information 206a includes marker information and position information on the schema coordinate system, where the marker information is information indicating marker display coordinates, marker type, etc., and the position information is the marker information as described above. This is information indicating the region to which the file belongs and the direction in which it exists. The comment information is managed for each tumor and is entered as text data by the examiner. The measurement data 210 is managed for each tumor. For example, the measurement data is data on the size in the X direction, the Y direction, the Z direction, and the distance from the nipple. The measurement data may be managed in association with the inspection report information 200 instead of taking the measurement data into the inspection report information 200. An ultrasound image group 212 is associated with the inspection report information 200, that is, it is possible to specify an ultrasound image set associated therewith from the inspection report information 200.

  Next, the operation of the ultrasonic diagnostic apparatus according to the present embodiment, particularly the operation related to the inspection report editing, will be described with reference to FIG. First, in S10, an ultrasonic diagnosis is executed, whereby a plurality of ultrasonic images are stored on the storage unit. In S12, the measurement is executed using the ultrasonic image. S14 and subsequent steps correspond to the inspection report creation process. Specifically, in S14, the schema type (schema image type) is selected by the user. In S16, the tumor ID is designated by the user, and in S18, coordinates for making the tumor marker appear for the tumor specified by the tumor ID are designated. Prior to or after that, the shape or type of tumor marker is selected. In S20, it is determined whether marker display is performed for other tumors, and a necessary number of markers are set for each of the right breast and the left breast. In S22, a comment is entered by the user for each tumor. In that case, the finding column is used as described above.

  As described above, according to the ultrasonic diagnostic apparatus of the present embodiment, the position information about the tumor marker is automatically calculated when the examination report is generated, and is displayed on the screen. This has the advantage that misidentification can be prevented and the work can be performed quickly. In the above-described embodiment, when a schema image viewed from the front and a schema image viewed from the side are displayed together, the vertical coordinate is used among the coordinates specified in one schema image. Since the vertical position of the marker to be initially displayed in the schema image can be automatically determined, there is an advantage that the burden on the user can be reduced and erroneous setting can be prevented in advance. In the above-described embodiment, the user is selected for the shape of the tumor marker. However, the color, size, and the like may be further variably set by the user. Moreover, you may make it display a comment by a pop-up system by instruct | indicating a tumor marker.

  10 probe, 16 image forming unit, 18 display processing unit, 22 calculation control unit, 24 measurement unit, 26 report creation unit, 100 schema image, 102 marker, 104 position information.

Claims (8)

A schema image display control means for displaying on the display screen on which the ultrasound image is displayed, together with the ultrasound image or separately from the ultrasound image, a schema image that schematically represents the breast;
Tumor marker display control means for displaying a tumor marker representing a tumor at coordinates registered by a user on the schema image;
Position information calculating means for calculating position information about the tumor marker according to a breast diagnostic coordinate system defined on the schema image;
Position information entry means for electronically filling the position information in an examination report including a schema image to which the tumor marker is added;
An ultrasonic diagnostic apparatus comprising: The apparatus of claim 1.
The breast diagnostic coordinate system is a coordinate system defined by a plurality of regions defining the schema image and an orientation from a nipple position in the schema image,
The ultrasonic diagnostic apparatus according to claim 1, wherein the position information about the tumor marker is information representing a region to which the tumor marker belongs and an orientation in which the tumor marker exists. The apparatus of claim 2.
On the display screen, a coordinate designation marker is displayed to allow the user to register coordinates,
The position information calculation means calculates position information about the coordinate designation marker during the movement operation of the coordinate designation marker,
Position information display control means for displaying position information about the coordinate designation marker during the movement operation of the coordinate designation marker is provided.
An ultrasonic diagnostic apparatus. The device according to any one of claims 1 to 3,
The schema image includes a right breast image and a left breast image,
A right breast diagnostic coordinate system is defined for the right breast image, and a left breast diagnostic coordinate system is defined for the left breast image;
The position information calculation means calculates position information according to the right breast diagnostic coordinate system if the breast image recognized by the user is a right breast image, and if the breast image recognized by the user is a left breast image Calculating the position information according to the left breast diagnostic coordinate system;
An ultrasonic diagnostic apparatus. The apparatus according to any one of claims 1 to 4,
The schema image display control means includes:
A storage unit storing a plurality of different schema images;
Means for allowing a user to select a schema image to appear on a display screen from the plurality of schema images;
An ultrasonic diagnostic apparatus comprising: The device according to any one of claims 1 to 5,
The tumor marker display control means,
A storage unit storing a plurality of different tumor markers,
Means for allowing the user to select a tumor marker to appear on the display screen from the plurality of tumor markers;
An ultrasonic diagnostic apparatus comprising: The device according to any one of claims 1 to 6,
The inspection report includes a finding column,
The finding column has a plurality of tumor information display units associated with a plurality of tumor identifiers,
In each of the tumor information display units, the position information and a comment input by the user are displayed.
An ultrasonic diagnostic apparatus. An image forming means for forming an ultrasound image of the breast based on a received signal obtained by transmitting and receiving ultrasound with respect to the breast;
Measuring means for measuring a tumor on the ultrasound image of the breast;
A test report creating means for creating a test report in which the measurement result of the tumor is written;
In an ultrasonic diagnostic apparatus including
The inspection report creation means includes:
A schema image display control means for displaying a schema image schematically representing the breast on the display screen;
Tumor marker display control means for displaying a tumor marker representing a tumor at coordinates registered by a user on the schema image;
Position information calculating means for calculating position information about the tumor marker according to a breast diagnostic coordinate system defined on the schema image;
Position information entry means for electronically filling the position information in an examination report including a schema image to which the tumor marker is added;
An ultrasonic diagnostic apparatus comprising: