JP2012176000A - Ultrasonic diagnostic apparatus, medical image managing system, and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an ultrasonic diagnostic apparatus, a medical image managing system and a program capable of increasing the efficiency of searching for ultrasonic diagnostic images.SOLUTION: A control unit 208 accepts input from either of a plurality of kinds of parts to be inspected as an input part to be inspected, in relation to the generation of ultrasonic image data by an image generation unit 204. Then the control unit 208 associates a body mark ID that allows identification of the part to be inspected whose input has been accepted with the ultrasonic image data generated by the image generation unit 204. Also, the control unit 208 sets the start and the end of an inspection. The control unit 208 then creates an inspection information file for each inspection such that one inspection is from the set start to end of an inspection. The control unit 208 puts the body mark ID corresponding to one or more ultrasonic image data obtained from the set start to end of the inspection in the inspection information file corresponding to the set inspection.

Description

  The present invention relates to an ultrasonic diagnostic apparatus, a medical image management system, and a program.

  2. Description of the Related Art Conventionally, ultrasonic diagnostic apparatuses are used as medical image diagnostic apparatuses in examinations of various biological tissues such as the heart, limbs, and breasts. In an actual examination scene, ultrasonic diagnostic images of a plurality of parts are acquired for one examination. The ultrasonic diagnostic image acquired in this way is stored in a recording medium or the like as ultrasonic image data for later diagnosis. An interpreter such as a doctor selects an ultrasound diagnostic image of a site to be diagnosed from a plurality of stored ultrasound diagnostic images and displays it on a display device or the like, and performs a diagnosis based on the selected image.

  At this time, it is necessary that the radiogram reader can select an ultrasonic diagnostic image of a desired part. Therefore, in a conventional ultrasonic diagnostic apparatus, symbol image data called a body mark is synthesized and stored with ultrasonic image data to be stored. Then, thumbnails based on the stored ultrasonic image data are displayed as a list. At this time, since the ultrasonic diagnostic image displayed as a thumbnail includes a body mark, it is possible to select an ultrasonic diagnostic image of a desired diagnostic region by visual interpretation of the image reader. Such body marks are particularly useful when selecting images of left and right breasts that are difficult to identify simply by looking at an ultrasound diagnostic image.

  However, there may be very many ultrasonic diagnostic images preserve | saved with respect to one test | inspection. In such a case, it is not only difficult to display a list of a large number of ultrasonic diagnostic images as described above, and to select an ultrasonic diagnostic image of a desired diagnostic part by a radiographer, A different ultrasound diagnostic image may be selected by mistake. In that case, it is necessary to return to the above-described list display and select an ultrasonic diagnostic image again, which causes a reduction in diagnostic efficiency.

  In view of such a problem, in the conventional ultrasonic diagnostic apparatus, when the ultrasonic image data is acquired, incidental information including a body mark ID that is an identifier of the body mark is generated, and the acquired ultrasonic image data is included in the acquired ultrasonic image data. There is one that is stored in association with each other (for example, Patent Document 1). According to such an ultrasonic diagnostic apparatus, it is possible to display only a list of ultrasonic diagnostic images of a desired diagnostic part, so that a desired ultrasonic diagnostic image can be easily selected. Become.

JP 2010-12028 A

  However, the ultrasonic diagnostic apparatus described in Patent Document 1 merely collects incidental information corresponding to ultrasonic image data and forms a table, and the collected incidental information is not organized at all. . Therefore, when searching for ultrasound image data based on the supplementary information, it is necessary to determine whether the supplementary information corresponding to each of the ultrasound image data is the ultrasound image data to be searched. It was. As a result, the processing load at the time of the search is greater and the more stored ultrasound image data, the more time it takes for the reader to select the desired ultrasound diagnostic image. Efficiency will decrease.

  An object of the present invention is to provide an ultrasonic diagnostic apparatus, a medical image management system, and a program capable of improving the search efficiency of ultrasonic image data.

In order to solve the above problems, the invention according to claim 1 is an ultrasonic diagnostic apparatus,
An image processing unit that generates ultrasonic image data based on reflected ultrasonic waves transmitted to the subject;
A storage unit for storing ultrasonic image data generated by the image processing unit;
In connection with the generation of ultrasonic image data by the image processing unit, any input from a plurality of types of examination parts is accepted as an input examination part, and identification information that can identify the examination part from which the input is accepted, Corresponding to the ultrasound image data generated by the image processing unit, setting the start and end of the inspection, generating a management file for each inspection from the start to the end of the set inspection, and setting The identification information corresponding to one or more ultrasonic image data acquired from the start to the end of the performed inspection is included in the management file corresponding to the set inspection, and any selection input from one or more inspections The management file corresponding to the examination for which the input is accepted is identified, and any input from a plurality of types of examination parts is accepted as the selected examination part, and the input Is extracted from the specified management file, ultrasonic image data corresponding to the extracted identification information is read from the storage unit, and the read ultrasonic image data is output. A control unit,
It is provided with.

The invention according to claim 2 is the ultrasonic diagnostic apparatus according to claim 1,
The said control part produces | generates the management file corresponding to the said test | inspection at the time relevant to implementation of a test | inspection.

The invention according to claim 3 is the ultrasonic diagnostic apparatus according to claim 1 or 2,
A communication unit for sending and receiving data to and from external devices via the network
The control unit generates the image file by adding the identification information to the ultrasonic image data, and transmits the generated image file to the image management apparatus connected to the network via the communication unit. It is characterized by.

According to a fourth aspect of the present invention, there is provided an ultrasonic diagnostic apparatus having an image processing unit that generates ultrasonic image data based on a reflected wave of an ultrasonic wave transmitted to a subject, the ultrasonic diagnostic apparatus and a network In a medical image management system including a connected image management device,
The ultrasonic diagnostic apparatus comprises:
A storage unit for storing ultrasonic image data generated by the image processing unit;
A communication unit for transmitting and receiving data to and from an external device via a network;
In connection with the generation of ultrasonic image data by the image processing unit, any input from a plurality of types of examination parts is accepted as an input examination part, and identification information that can identify the examination part from which the input is accepted, Corresponding to the ultrasound image data generated by the image processing unit, setting the start and end of the inspection, generating a management file for each inspection from the start to the end of the set inspection, and setting The identification information corresponding to one or more ultrasonic image data acquired from the start to the end of the performed inspection is included in the management file corresponding to the set inspection, and any selection input from one or more inspections The management file corresponding to the examination for which the input is accepted is identified, and any input from a plurality of types of examination parts is accepted as the selected examination part, and the input Is extracted from the specified management file, ultrasonic image data corresponding to the extracted identification information is read from the storage unit, and the read ultrasonic image data is output. A control unit,
With
The control unit generates the image file by adding the identification information to the ultrasound image data, and transmits the generated image file to the image management apparatus via the communication unit,
The image management device includes:
An image file storage unit for storing an image file transmitted from the ultrasonic diagnostic apparatus;
An input section;
A display for displaying an image;
An image file to which identification information corresponding to the instruction input of the examination site by the input unit is read from the image file storage unit, and the display unit is supervised based on the ultrasonic image data included in the read image file. A display control unit for displaying a sound wave diagnostic image;
It is provided with.

The invention according to claim 5 is a program,
In the computer provided in the ultrasonic diagnostic apparatus that generates ultrasonic image data based on the reflected wave of the ultrasonic wave transmitted to the subject,
The generated ultrasonic image data is stored in a storage unit, and in relation to the generation of ultrasonic image data, any input from a plurality of types of examination parts is accepted as an input examination part, and the examination in which the input is accepted A management file for each examination in which identification information that can specify a part is associated with the generated ultrasonic image data, the start and end of the examination are set, and the period from the start to the end of the set examination is one examination And including identification information corresponding to one or more ultrasonic image data acquired from the start to the end of the set examination in the management file corresponding to the set examination, Accept any selection input, specify the management file corresponding to the examination for which the input was accepted, and accept any input from multiple types of examination parts as the selected examination part Then, the identification information corresponding to the examination site for which the input has been accepted is extracted from the specified management file, the ultrasound image data corresponding to the extracted identification information is read from the storage unit, and the read ultrasound It functions as a control means for outputting image data.

  According to the present invention, it is possible to improve the search efficiency of ultrasonic image data.

1 is a system configuration diagram of a medical image management system according to the present embodiment. It is a block diagram which shows the functional structure of an ultrasonic diagnosing device. It is a block diagram which shows the functional structure of PACS. It is a flowchart explaining an image file generation process. It is a flowchart explaining an image file generation process. It is a figure explaining a body mark list. It is a figure explaining the image with which the body mark was synthesize | combined. It is a figure explaining the file structure of an image file and a moving image file. It is a figure explaining the file structure of a test | inspection information file. It is a figure explaining the file structure of an index information file. It is a flowchart explaining an inspection image display control process. It is a figure explaining an examination list display screen. It is a figure explaining a site | part list display screen. It is a figure explaining the preserve | saved image list display screen. It is a figure explaining a preservation | save ultrasonic image. It is a flowchart explaining an image data transmission process. It is a flowchart explaining an image reference process.

  Hereinafter, a medical image management system according to an embodiment of the present invention will be described with reference to the drawings. However, the scope of the invention is not limited to the illustrated examples. In addition, in the following description, what has the same function and structure attaches | subjects the same code | symbol, and abbreviate | omits the description.

  As shown in FIG. 1, the medical image management system 100 includes an RIS (Radiological Information System) 10, an ultrasonic diagnostic apparatus 20, a PACS (Picture Archiving and Communication System) 30, and a client terminal 40. I have. Each of the above devices is connected to be able to perform data communication via a communication network N such as a LAN (Local Area Network). The medical image management system 100 may be connected to a modality of a type different from that of the ultrasound diagnostic apparatus 20, for example, CT (Computer Tomography), MRI (Magnetic Resonance Diagnosis Apparatus), CR ( Computer radiography), DR (digital X-ray imaging apparatus), XA (angiographic X-ray diagnostic apparatus), ES (endoscopic apparatus), and the like.

  The RIS 10 performs information management such as medical appointment reservation, diagnosis result report, and results management in the medical image management system 100. The RIS 10 transmits imaging order information generated by an electronic medical chart system or the like (not shown) to the ultrasonic diagnostic apparatus 20.

  The ultrasonic diagnostic apparatus 20 is an apparatus that displays and outputs an ultrasonic image of a state of a living body tissue of a patient (hereinafter sometimes referred to as a subject) according to imaging order information received from the RIS 10. That is, the ultrasonic diagnostic apparatus 20 transmits ultrasonic waves (transmitted ultrasonic waves) to the inside of a subject such as a living body, and also reflects reflected waves (reflected ultrasonic waves: echoes) of the ultrasonic waves reflected within the subject. Receive. The ultrasonic diagnostic apparatus 20 converts the received reflected wave into an electrical signal, and generates ultrasonic image data based on this. The ultrasonic diagnostic apparatus 20 displays the internal state in the subject as an ultrasonic image based on the generated ultrasonic image data. Further, the ultrasonic diagnostic apparatus 20 generates incidental information related to the generated ultrasonic image data based on the imaging order information. The ultrasonic diagnostic apparatus 20 can add the incidental information to the ultrasonic image data, generate an image file composed of DICOM image data in conformity with DICOM (Digital Imaging and Communication in Medicine) standard, and transmit the image file to the PACS 30. it can.

  As shown in FIG. 2, the ultrasonic diagnostic apparatus 20 includes an ultrasonic diagnostic apparatus main body 20a and an ultrasonic probe 20b. The ultrasonic probe 20b transmits ultrasonic waves as described above and receives reflected waves. The ultrasonic diagnostic apparatus main body 20a is connected to the ultrasonic probe 20b via a cable 20c, and transmits an electric signal drive signal to the ultrasonic probe 20b, thereby allowing the ultrasonic probe 20b to be within the subject. To transmit ultrasonic waves. Further, the ultrasonic diagnostic apparatus main body 20a receives a reception signal that is an electrical signal generated by the ultrasonic probe 20b in response to the reflected ultrasonic wave from within the subject received by the ultrasonic probe 20b. The ultrasonic image data is generated as described above.

  The ultrasonic probe 20b includes transducers (not shown) made of piezoelectric elements, and a plurality of the transducers are arranged in a one-dimensional array in the azimuth direction (scanning direction), for example. In the present embodiment, for example, an ultrasonic probe 20b including 192 transducers is used. Note that the vibrators may be arranged in a two-dimensional array. Further, the number of vibrators can be arbitrarily set. In this embodiment, a linear electronic scan probe is used for the ultrasonic probe 20b. However, any of an electronic scanning method or a mechanical scanning method may be used, and a linear scanning method or a sector scanning method may be used. Alternatively, any method of the convex scanning method can be adopted.

  The ultrasonic diagnostic apparatus main body 20a includes, for example, an operation input unit 201, a transmission unit 202, a reception unit 203, an image generation unit 204, an image memory unit 205, a DSC (Digital Scan Converter) 206, and a display unit 207. A control unit 208, a storage unit 209, and a communication unit 210.

  The operation input unit 201 includes, for example, various switches, buttons, a trackball, a mouse, a keyboard, and the like for inputting data such as a command for starting diagnosis and personal information of a subject, and the like. The data is output to the control unit 208.

  The transmission unit 202 is a circuit that supplies a drive signal, which is an electrical signal, to the ultrasonic probe 20b via the cable 20c and generates transmission ultrasonic waves in the ultrasonic probe 20b under the control of the control unit 208. . The transmission unit 202 includes, for example, a clock generation circuit, a delay circuit, and a pulse generation circuit. The clock generation circuit is a circuit that generates a clock signal that determines the transmission timing and transmission frequency of the drive signal. The delay circuit sets a delay time for each individual path corresponding to each transducer corresponding to the transmission timing of the drive signal, delays the transmission of the drive signal by the set delay time, and transmits the transmission beam constituted by the transmission ultrasonic waves. This is a circuit for focusing. The pulse generation circuit is a circuit for generating a pulse signal as a drive signal at a predetermined cycle. The transmission unit 202 configured as described above drives, for example, a continuous part (for example, 64) of a plurality (for example, 192) of transducers arranged in the ultrasound probe 20b. To generate transmission ultrasonic waves. The transmission unit 202 performs scanning (scanning) by shifting the vibrator to be driven in the azimuth direction every time transmission ultrasonic waves are generated.

  The receiving unit 203 is a circuit that receives a reception signal that is an electrical signal from the ultrasound probe 20b via the cable 20c under the control of the control unit 208. The receiving unit 203 includes, for example, an amplifier, an A / D conversion circuit, and a phasing addition circuit. The amplifier is a circuit for amplifying a received signal with a preset amplification factor for each individual path corresponding to each transducer. The A / D conversion circuit is a circuit for A / D converting the amplified received signal. The phasing addition circuit adjusts the time phase by giving a delay time to each individual path corresponding to each transducer with respect to the A / D converted received signal, and adds these (phasing addition) to generate a sound ray. It is a circuit for generating data.

  The image generation unit 204 performs envelope detection processing, logarithmic amplification, and the like on the sound ray data from the reception unit 203, and adjusts the dynamic range and gain to generate B-mode image data. To do. In other words, the B-mode image data represents the intensity of the received signal by luminance. The image generation unit 204 may generate A-mode image data, M-mode image data, and image data based on the Doppler method, in addition to the B-mode image data.

  The image memory unit 205 is configured by a semiconductor memory such as a DRAM (Dynamic Random Access Memory), for example, and stores the B-mode image data transmitted from the image generation unit 204 in units of frames. That is, it can be stored as frame image data. The stored frame image data is transmitted to the DSC 206 under the control of the control unit 208. The image memory unit 205 is composed of a large-capacity memory capable of holding frame image data for about 10 seconds. For example, the frame image data for the latest 10 seconds is stored by a FIFO (First-In First-Out) method. Retained.

  The DSC 206 converts the frame image data received from the image memory unit 205 into an image signal based on a television signal scanning method, and outputs the image signal to the display unit 207.

  The display unit 207 may be a display device such as an LCD (Liquid Crystal Display), a CRT (Cathode-Ray Tube) display, an organic EL (Electronic Luminescence) display, an inorganic EL display, or a plasma display. The display unit 207 displays an image on the display screen in accordance with the image signal output from the DSC 206. Note that a printing device such as a printer may be applied instead of the display device so that print output is possible.

The control unit 208 includes, for example, a CPU (Central Processing Unit), a ROM (Read Only Memory), and a RAM (Random Access Memory), and reads various processing programs such as a system program stored in the ROM to read the RAM. The operation of each part of the ultrasonic diagnostic apparatus 20 is centrally controlled according to the developed program.
The ROM is configured by a nonvolatile memory such as a semiconductor and the like, and is executable on the system program corresponding to the ultrasound diagnostic apparatus 20 and the system program, for example, image file generation processing, inspection image display control processing, and image described later. Various processing programs for executing data transmission processing and the like, various data such as a gamma table, and the like are stored. These programs are stored in the form of computer-readable program code, and the CPU sequentially executes operations according to the program code. The ROM stores a body mark list which will be described later.
The RAM forms a work area for temporarily storing various programs executed by the CPU and data related to these programs.

  The storage unit 209 is configured by a large-capacity recording medium such as an HDD (Hard Disk Drive), for example, and stores an inspection information file for each inspection including an index information file, an image file, and a moving image file. Each file structure and creation procedure of the index information file, the image file, the moving image file, and the inspection information file will be described later.

  The communication unit 210 includes a LAN adapter, a router, a TA (Terminal Adapter), and the like, and exchanges data with external devices such as the RIS 10, the PACS 30, and the client terminal 40 connected via the communication network N.

  As shown in FIG. 1, the PACS 30 is a database system that stores and manages image files and moving image files (hereinafter also referred to as image files or the like) generated in the ultrasound diagnostic apparatus 20, and performs search and data analysis. is there. The PACS 30 accumulates and stores the image file, for example, in a relational database based on incidental information included in the image file received from the ultrasound diagnostic apparatus 20. Then, the PACS 30 searches the image file or the like using the patient ID or examination ID specified in accordance with the operation instruction from the image interpretation doctor or the like as a search key, and outputs it to the image viewer or imager. When the PACS 30 receives an image file data acquisition request including a search key such as a patient ID and an examination ID from an external device, the PACS 30 searches for an image file or the like corresponding to the acquisition request and transmits the image file to the external device. The PACS 30 in the present embodiment can search for an image file or the like using a body mark ID as a search key, and is configured to facilitate selection of the image file or the like by an interpreting doctor or the like.

  As shown in FIG. 3, the PACS 30 includes a control unit 301, an operation unit 302, a display unit 303, a communication unit 304, and a storage unit 305, and each unit is connected by a bus 306.

  The control unit 301 includes a CPU, a RAM, and the like, and comprehensively controls processing operations of the respective units of the PACS 30. Specifically, the CPU reads various processing programs stored in the storage unit 305 in accordance with an operation signal input from the operation unit 302 or an instruction signal received by the communication unit 304, and is formed in the RAM. The work area is expanded and various processes are performed in cooperation with the program.

  The operation unit 302 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. The control unit 301 receives operation signals input by key operations or mouse operations on the keyboard. Output to.

  The display unit 303 is configured by an LCD and displays various screens based on display data input from the control unit 301.

  The communication unit 304 includes a LAN adapter, a router, a TA, and the like, and transmits / receives data to / from external devices such as the ultrasonic diagnostic apparatus 20 and the client terminal 40 connected via the communication network N.

  The storage unit 305 is configured by a large-capacity recording medium such as an HDD, and stores a control program, parameters and files necessary for executing the program, and the like. In addition, the storage unit 305 stores an image file and a moving image file generated by the ultrasound diagnostic apparatus 20. An image file management database for managing image files and the like is stored in the storage unit 305, and the image files and the like stored in the storage unit 305 are managed in cooperation with the control unit 301. May be.

  The client terminal 40 has a viewer function for displaying a medical image, and is a terminal used for interpretation by an interpreting doctor or the like. The client terminal 40 transmits an image file acquisition request to the PACS 30, and acquires an image file and a moving image file corresponding to the acquisition request from the PACS 30. Then, the client terminal 40 displays an ultrasonic image based on the ultrasonic image data included in the acquired image file or moving image file.

  Next, an image file generation process executed by the control unit 208 of the ultrasonic diagnostic apparatus 20 in the medical image management system 100 configured as described above will be described with reference to FIGS. This image file generation process is a process executed in accordance with the execution of one examination by the ultrasonic diagnostic apparatus 20. For example, the image file generation process is executed according to a predetermined examination execution operation by an operator such as a doctor or a technician.

  First, when the imaging order information is input from the RIS 10 and the patient's personal information is input by the operation input unit 201 (step S101), the control unit 208 starts a scanning operation (step S102). That is, the transmission unit 202 and the reception unit 203 transmit and receive ultrasonic waves, and the image generation unit 204 generates ultrasonic image data. The generated ultrasonic image data is stored in the image memory unit 205 for each frame. Then, an ultrasonic image is displayed on the display unit 207 based on the ultrasonic image data stored in the image memory unit 205. The control unit 208 repeatedly executes the above operation in parallel in the subsequent processing.

  Next, the control unit 208 determines whether or not various parameter settings have been changed by the input from the operation input unit 201 (step S103). The parameters whose settings can be changed by the input of the operation input unit 201 are, for example, a gamma characteristic, a gain, a dynamic range, and the like.

  When the control unit 208 determines that the parameter setting has been changed (step S103: Y), the control unit 208 changes the parameter setting in accordance with the input from the operation input unit 201 (step S104), and then performs the process of step S103. Execute.

  On the other hand, when it is not determined that the parameter setting has been changed (step S103: N), the control unit 208 determines whether or not to end the scanning operation (step S105). That is, the control unit 208 determines whether or not an end operation by the operation input unit 201 for ending one inspection is received. Whether or not the end operation has been accepted may be the time when other patient information is read in addition to the predetermined test end operation.

  When it is not determined that the scanning operation is to be ended (step S105: N), the control unit 208 determines whether or not a freeze operation has been performed by the operation input unit 201 (step S106). That is, the control unit 208 determines whether or not an operation for switching the ultrasonic image displayed as a moving image on the display unit 207 to a still image has been performed.

  When it is determined that the freeze operation has been performed (step S106: Y), the control unit 208 performs image freeze control for fixedly displaying the ultrasonic image displayed on the display unit 207 when the freeze operation is received (step S106). S107). In this embodiment, the scanning operation is stopped in the image freeze control. However, while the ultrasonic image on the display screen is fixedly displayed, the scanning operation may be performed in parallel. On the other hand, when it is not determined that the freeze operation has been performed (step S106: N), the control unit 208 executes the process of step S103.

  Next, the control unit 208 displays a body mark list in a predetermined display area of the display unit 207, and accepts a selection input by the operation input unit 201 (step S108). That is, the control unit 208 accepts an input examination site input by the operation input unit 201.

  For example, as shown in FIG. 6, the body mark list includes the name of the examination part, the body mark indicating the image of the examination part, and the body mark ID for specifying the examination part. The body mark is used for visually specifying the examination site by being synthesized with the ultrasonic image as will be described later. The body mark may be a character / symbol or other figure, and may be in any form as long as the inspection site can be visually recognized by the image reader. Also, a comment input by the operation input unit 201 or the like may be imaged and combined with an ultrasonic image together with the body mark or instead of the body mark. As will be described later, the body mark ID is identification information for enabling a computer such as the control unit 208 to search for an examination site of ultrasonic image data stored in the storage unit 209 or the like. In the body mark ID and body mark in the present embodiment, as shown in FIG. 6, a part is specified such as an abdomen, a leg part, a right breast, a left breast, and the like. You may make it specify the direction of the ultrasonic probe at the time of acquiring ultrasonic image data, and the position which acquired ultrasonic image data. For example, the body mark ID and the body mark that specify that the ultrasound probe is in the horizontal direction in the upper left part of the left breast may be included. The body mark list may be configured not to include a body mark.

  When the control unit 208 receives the selection of the body mark as described above, the control unit 208 combines the image data corresponding to the selected body mark and the image data of the ultrasonic image that is fixedly displayed, An ultrasonic image based on the sound wave image data is displayed on the display unit 207. That is, the control unit 208 displays an ultrasonic image to which the selected body mark image is added on the display unit 207. According to the synthesized ultrasonic image data, for example, as shown in FIG. 7, an image IM in which a small body mark BM appears in the lower right part of the ultrasonic image US displayed large in the center is displayed on the display screen. Is done.

  Next, the control unit 208 determines whether or not an image storage operation has been performed by the operation input unit 201 (step S109). In other words, the control unit 208 determines whether or not an operation for making the image data of the combined ultrasonic image fixedly displayed on the display unit 207 into a file and saving it in the storage unit 209 has been accepted.

  When the control unit 208 determines that an image storage operation has been performed (step S109: Y), the selected body mark and ultrasonic image data corresponding to the combined ultrasonic image fixedly displayed on the display unit 207 are displayed. Based on the above, an image file is created (step S110).

  That is, the control unit 208 first reads out the synthesized ultrasonic image data corresponding to the fixedly displayed ultrasonic image from the image memory unit 205. The control unit 208 converts the read ultrasonic image data into image data for storage. The converted image data is, for example, a bitmap image. The converted image data may be compressed by a compression method such as JPEG (Joint Photographic Experts Group format).

  Next, the control unit 208 adds incidental information to the image data converted as described above, and generates an image file made up of DICOM image data configured as shown in FIG. The incidental information includes, for example, patient information, examination information, series information, and image identification information as shown in FIG.

Patient information includes information on the patient such as sex, date of birth, address, occupation, etc. in addition to the patient name and patient ID. Each information of a patient name and patient ID is based on the imaging order information transmitted from RIS10, for example.
The inspection information includes the inspection date, the storage time of the image file, the body mark ID, the display depth indicating the focus point, the inspection ID for identifying the inspection, the inspection name, the reception number, the inspection purpose, the inspection content, etc. Contains information. The inspection date information is based on, for example, imaging order information transmitted from the RIS 10. For example, the storage time information is generated based on time information output from a built-in clock unit (not shown) when the above-described image storage operation is received.
The series information includes the modality name, the type of ultrasound probe (probe) used, the modality generated in one examination, such as the series number, procedure, imaging location, imaging direction, and imaging technician name. This is information on a series (unit) of a series of medical images. The modality name is a modality name to be used, and is information indicating the ultrasonic diagnostic apparatus in the present embodiment. The probe type information is information indicating the type of the ultrasonic probe 20b connected to the ultrasonic diagnostic apparatus main body 20a, such as a linear scan probe or a convex scan probe, and a frequency type. The probe type information is generated based on information input in advance by the operation input unit 201. Note that when the ultrasound probe 20b is connected to the ultrasound diagnostic apparatus main body 20a, the probe type information may be automatically acquired from the ultrasound probe 20b.
The image identification information is information relating to a medical image such as an SOP (Service Object-Pair class) instance UID (Unique IDentifier), an image number, and an image size for identifying an image.

  The control unit 208 saves the image file created as described above in the storage unit 209 (step S111). Then, the control unit 208 performs freeze release control for switching the display on the display unit 207 from fixed display to moving image display (step S112), and executes the process of step S102.

  On the other hand, when the control unit 208 does not determine in step S109 that an image storage operation has been performed (step S109: N), the control unit 208 determines whether or not a moving image storage operation has been performed by the operation input unit 201 as illustrated in FIG. (Step S113). In other words, the control unit 208 determines whether or not an operation for making the moving image data of the ultrasound image in the last 10 seconds before the freeze operation and making the file stored in the storage unit 209 is accepted.

When the control unit 208 determines that a moving image saving operation has been performed (step S113: Y),
The moving image data is generated based on each ultrasonic image data generated in the latest 10 seconds (step S114). In other words, the control unit 208 first reads out each ultrasonic image data generated 10 seconds before the freeze operation is received from the image memory unit 205. Then, the control unit 208 synthesizes the body mark image data with each of the read ultrasound image data. Then, the control unit 208 generates moving image data in a predetermined compression format so that each ultrasonic image data obtained by combining the body mark image data can be visually recognized as a moving image. The video data compression format is, for example, AVI (Audio-Video Interleaved format) or MPEG2 (Moving Picture Experts Group 2).

  Next, the control unit 208 adds incidental information to the moving image data generated as described above, and generates a moving image file composed of DICOM image data (step S115). The procedure for generating a moving image file is the same as that of the above-described image file except that the image data is replaced with moving image data.

  The control unit 208 stores the moving image file generated as described above in the storage unit 209 (step S116). Then, the control unit 208 performs freeze release control for switching the display on the display unit 207 from fixed display to moving image display (step S117), and executes the process of step S102.

  Further, when the control unit 208 does not determine in step S113 that there is a moving image saving operation, that is, when there is a cancel operation (step S113: N), the control unit 208 does not execute the processing of steps S114 to S116. The process of step S117 is executed.

  When the control unit 208 determines that the scanning operation is to be ended in step S105 after the image file and the moving image file are generated as described above (step S105: Y), as shown in FIG. Create (step S118). That is, the control unit 208 creates an inspection information file that is a file for each inspection, assuming that one inspection is completed.

  As shown in FIG. 9, the inspection information file is a management file created for each inspection, and includes an index information file and one or more image files and moving image files created as described above. Yes.

As shown in FIG. 10, the index information file is configured to include a basic information part and an image information part.
The basic information section includes a patient name, patient ID, and examination date common to each acquired image file and moving image file, and is created based on, for example, imaging order information transmitted from the RIS 10.
The image information portion includes one or more pieces of image information. Image information is created by the number of image files and moving image files created in one examination. The image information includes information about each acquired image file and moving image file, such as file information, storage time, probe type, body mark ID, and display depth. The file information is information for specifying the location of the corresponding image file or moving image file by the control unit 208, and includes, for example, a path and a file name. Each information of storage time, probe type, body mark ID, and display depth is information extracted from incidental information included in the corresponding image file or moving image file.

  When the inspection information file is created as described above, the control unit 208 stores the created inspection information file in the storage unit 209 (step S119), and ends this process.

  Next, an inspection image display control process executed by the control unit 208 of the ultrasonic diagnostic apparatus 20 will be described with reference to FIG. This inspection image display control process is a process executed in response to an inspection information file reference request. For example, the inspection image display control process is executed in response to a predetermined inspection information file reference request operation by the operation input unit 201.

  First, the control unit 208 reads out the basic information part included in the index information file among the inspection information files stored in the storage unit 209, and displays an inspection list based on the basic information part (step S201). That is, the control unit 208 displays an examination list display screen S1 including an examination list L as shown in FIG. 12 on the display unit 207 based on the patient name, patient ID, examination date, and the like included in the basic information part.

  The control unit 208 waits for selection of any inspection target from the inspection list L (step S202), and executes the process of step S203. Specifically, the control unit 208 moves the pointer PT displayed on the examination list display screen S1 in accordance with the operation of the trackball included in the operation input unit 201. Then, the control unit 208 displays the inspection target displayed superimposed on the pointer PT in a shaded display. Then, when a predetermined selection operation is performed by the operation input unit 201, the control unit 208 sets the inspection target displayed in a shaded area as a selection target.

  Next, the control unit 208 reads out the selected index information file to be inspected (step S203). That is, the control unit 208 reads each information of the image information unit that has not been read from the index information file.

  The control unit 208 displays a part list for selecting a part in the selected examination target on the display unit 207 (step S204). Specifically, the control unit 208 displays a part list display screen S2 as shown in FIG. 13 on the display unit 207 based on the basic information part of the index information file. On the part list display screen S2, information on the patient ID, patient name, and examination date is displayed at the top, and button images B1 to B4 indicating the part are displayed at the bottom.

  Then, the control unit 208 waits for a selection from the parts displayed on the part list display screen S2 (step S205), and executes the process of step S206. That is, the control unit 208 executes the process of step S206 after accepting an input of the selected examination site by the operation input unit 201. Specifically, the control unit 208 moves the pointer PT displayed on the part list display screen S2 in accordance with the operation of the trackball included in the operation input unit 201. Then, the control unit 208 displays the part button displayed superimposed on the pointer PT in a shaded display. Then, when a predetermined selection operation is performed by the operation input unit 201, the control unit 208 selects a part corresponding to the shaded button as a selection target.

  The control unit 208 refers to the body mark ID in each piece of image information included in the index information file, and lists an image file and a moving image file that match the body mark ID corresponding to the selected part (step S206).

  The control unit 208 creates thumbnail data corresponding to the image file and moving image file listed as described above (step S207). Specifically, the control unit 208 reads the image file and the moving image file with reference to the file information included in each image information, and the control unit 208 reads the image data and the image data included in the read image file and the moving image file. Create thumbnail data based on video data.

  The control unit 208 displays a list of thumbnails corresponding to the selected part on the display unit 207 based on the thumbnail data created as described above (step S208). Specifically, the control unit 208 displays a saved image list display screen S3 as shown in FIG. 14 on the display unit 207 based on the created thumbnail data. On the stored image list display screen S3, information on the patient ID, patient name and examination date, and the selected part are displayed at the top, and thumbnails TN1 to TN3 are displayed side by side at the bottom. In the case where all thumbnails cannot be displayed in one screen, for example, all thumbnails can be displayed by scroll display. Further, the example shown in FIG. 14 shows a case where the right breast is selected as the selected part. That is, thumbnails TN1 to TN3 based on image data and moving image data including the body mark of the right breast are displayed side by side on the stored image list display screen S3 shown in FIG.

  Then, the control unit 208 waits for selection from any of the thumbnails displayed on the stored image list display screen S3 (step S209), and executes the process of step S210. Specifically, the control unit 208 moves the pointer PT displayed on the stored image list display screen S3 in accordance with the operation of the trackball included in the operation input unit 201. Then, the control unit 208 highlights the thumbnail displayed so as to be superimposed on the pointer PT. Then, the control unit 208 selects the highlighted thumbnail as a selection target when a predetermined selection operation is performed by the operation input unit 201.

  The control unit 208 displays an ultrasonic image corresponding to the selected thumbnail on the display unit 207 (step S210), and ends this process. Specifically, the control unit 208 reads out image data or moving image data corresponding to the selected thumbnail from the storage unit 209 and develops it in the image memory unit 205. The control unit 208 outputs the image data and moving image data expanded in the image memory unit 205 to the DSC 206, converts them into image signals, and outputs them to the display unit 207. The control unit 208 causes the display unit 207 to display an ultrasonic image corresponding to the image signal output from the DSC 206. As a result, a stored ultrasound image S4 as shown in FIG. The stored ultrasound image S4 includes the ultrasound image IM generated from the image data as described above and the patient's personal information PI.

  In the present embodiment, as described above, an ultrasonic image of a diagnosis target can be displayed on the display unit 207 by designating a site to be diagnosed as a test target by an interpreter such as a doctor. As a result, it is possible to display an ultrasonic image of a desired diagnostic site regardless of the visual observation of the image interpreter, and to easily select the ultrasonic image. In addition, it is possible to reduce an error in selecting an ultrasound image by a radiographer. That is, it is possible to suppress a decrease in diagnostic efficiency. The present embodiment is particularly effective for an image that is difficult to determine which image is just by visually confirming the ultrasound image, such as ultrasound images of left and right breasts. In addition, if the ultrasonic diagnostic apparatus 20 according to the present embodiment can classify the image file and the moving image file for each body mark ID, the ultrasonic image can be displayed separately for each diagnostic region. It is.

  Furthermore, in this embodiment, since it is possible to search for an ultrasound image to be diagnosed without referring to all image information, the acquisition speed of image information corresponding to stored image data and moving image data is reduced. The In addition, since it is not necessary to display ultrasonic images or thumbnails corresponding to all image data stored in the storage unit 209, the processing load on the ultrasonic diagnostic apparatus 20 is reduced, and the diagnostic part desired by the interpreter is reduced. It becomes possible to quickly display the ultrasonic image. That is, the search efficiency of ultrasound image data in the ultrasound diagnostic apparatus 20 is improved, and as a result, a decrease in diagnosis efficiency is suppressed.

  In this embodiment, since an inspection information file is created every time inspection is completed, file management can be performed efficiently.

  In the medical image management system 100 according to the present embodiment, the ultrasonic diagnostic apparatus 20 generates and stores an image file and a moving image file in the DICOM image data format. Therefore, by transmitting the image file and the moving image file generated in the ultrasonic diagnostic apparatus 20 to the PACS 30, the ultrasonic image included in the image file and the moving image file can be displayed on the PACS 30.

  Image data transmission processing executed by the control unit 208 of the ultrasonic diagnostic apparatus 20 in the medical image management system 100 according to the present embodiment will be described with reference to FIG. This image data transmission process is executed in response to a predetermined image transmission operation by the operator.

  First, the control unit 208 selects an image file and a moving image file to be transmitted to the PACS 30 (step S301). Specifically, for example, the control unit 208 displays a list of image files and moving image files to be transmitted to the PACS 30 on the display unit 207. Then, the control unit 208 selects an image file and a moving image file to be transmitted according to the selection operation by the operation input unit 201.

  Next, the control unit 208 transmits the image file and the moving image file that are targeted for transmission as described above to the PACS 30 (step S302). That is, the control unit 208 transmits an image file and a moving image file to the PACS 30 configured on the communication network N via the communication unit 210.

  The control unit 301 of the PACS 30 stores the image file and the moving image file transmitted from the ultrasound diagnostic apparatus 20 in the storage unit 305 as needed.

  Next, image reference processing executed by the control unit 301 of the PACS 30 in the medical image management system 100 according to the present embodiment will be described with reference to FIG. This image reference process is a process executed in response to a reference request for an image file and a moving image file. For example, the image reference process is executed in response to a predetermined image file reference request operation by the operation unit 302.

  First, when the control unit 301 receives an input of a reference condition from the operation unit 302 (step S401), the control unit 301 refers to the incidental information included in the image file and the moving image file stored in the storage unit 305 and inputs the reference condition. The image files and moving image files that match the above are listed (step S402). The reference condition is, for example, a patient name, an examination date, a body mark type, and the like.

  The control unit 301 creates thumbnail data corresponding to the listed image file and moving image file (step S403). Specifically, the control unit 301 creates thumbnail data based on the image data and the moving image data included in the image file and the moving image file.

  Based on the thumbnail data created as described above, the control unit 301 displays thumbnails corresponding to image files and moving image files that match the reference conditions on the display unit 303 (step S404).

  The control unit 301 waits for selection of any one of the thumbnails displayed on the display unit 303 (step S405), and displays an ultrasonic image corresponding to the selected thumbnail on the display unit 303 (step S406). Exit. Specifically, the control unit 301 reads image data or moving image data corresponding to the selected thumbnail from the storage unit 305. The control unit 301 displays an ultrasonic image on the display unit 303 based on the read image data or moving image data. As a result, an image similar to the stored ultrasound image displayed on the display unit 207 of the ultrasonic diagnostic apparatus 20 is displayed on the display unit 303.

  In the present embodiment, as described above, an image file and a moving image file including the body mark ID in the incidental information are created and stored in the storage unit 209 of the ultrasonic diagnostic apparatus 20. The image file and the moving image file created in this way are transmitted to the PACS 30 at a later timing. Thereby, even in the PACS 30 connected to the ultrasonic diagnostic apparatus 20 via a network, an ultrasonic image of a desired diagnostic site can be displayed regardless of the visual observation of the image reader, and the selection of the ultrasonic image is facilitated. Will be able to. In addition, it is possible to reduce an error in selecting an ultrasound image by a radiographer. That is, it is possible to suppress a decrease in diagnostic efficiency. In addition, if the body mark ID can be specified in the PACS 30, it can be easily applied to a conventional medical image management system without adding special communication data or a communication algorithm, thereby suppressing an increase in cost. be able to.

  Further, the image file and the moving image file stored in the storage unit 209 of the ultrasonic diagnostic apparatus 20 are configured to be transmitted to the PACS 30 as they are. That is, since the image file and the moving image file in which the supplementary information is added to the image data and the moving image data are transmitted to the PACS 30, the image is transmitted to other devices such as a medical image management device like a conventional ultrasonic diagnostic device. It is not necessary to create various information for specifying image data and moving image data every time a file or the like is transmitted, and data transmission efficiency is improved.

  As described above, according to the embodiment of the present invention, the image generation unit 204 generates ultrasonic image data based on the reflected ultrasonic wave transmitted to the subject. The storage unit 209 stores the ultrasound image data generated by the image generation unit 204. The control unit 208 accepts any input from a plurality of types of examination sites as an input examination site in association with the generation of ultrasound image data by the image generation unit 204. Then, the control unit 208 associates the body mark ID that can specify the examination site for which the input has been received, with the ultrasonic image data generated by the image generation unit 204. In addition, the control unit 208 sets the start and end of the inspection. Then, the control unit 208 creates an inspection information file for each inspection with one inspection from the start to the end of the set inspection. Then, the control unit 208 includes the body mark ID corresponding to one or more ultrasonic image data acquired from the start to the end of the set inspection in the inspection information file corresponding to the set inspection. The control unit 208 accepts any selection input from one or more examinations. Then, the control unit 208 specifies an examination information file corresponding to the examination for which the input has been accepted. Then, the control unit 208 accepts any input from a plurality of types of examination parts as a selected examination part. Then, the control unit 208 extracts the body mark ID corresponding to the examination site for which the input has been accepted, from the identified examination information file. Then, the control unit 208 reads out ultrasonic image data corresponding to the extracted body mark ID from the storage unit 209. Then, the control unit 208 outputs the read ultrasonic image data. As a result, it is possible to display an ultrasonic image of a desired diagnostic site regardless of the visual observation of the image interpreter, and to easily select the ultrasonic image. In addition, it is possible to reduce an error in selecting an ultrasound image by a radiographer. In addition, since ultrasound image data to be diagnosed can be searched without referring to information regarding all the ultrasound image data, the search efficiency of ultrasound image data is improved. In addition, since it is not necessary to display all stored ultrasonic images, the processing load is reduced, and an ultrasonic image of a diagnostic site desired by the image interpreter can be displayed quickly.

  Further, according to the embodiment of the present invention, the control unit 208 generates an inspection information file corresponding to the inspection at a time related to the execution of the inspection. As a result, file management can be performed efficiently.

  Further, according to the embodiment of the present invention, the communication unit 210 transmits / receives data to / from an external device via the communication network N. The control unit 208 adds the body mark ID to the ultrasonic image data and generates an image file. Then, the control unit 208 transmits the generated image file to the PACS 30 connected on the communication network N via the communication unit 210. As a result, even in a network-connected image management apparatus, it is possible to display an ultrasonic image of a desired diagnostic site regardless of the visual observation of the image reader, and to facilitate selection of the ultrasonic image. become. In addition, it is possible to reduce an error in selecting an ultrasound image by a radiogram interpreter, and to suppress a decrease in diagnostic efficiency. Further, since it can be easily applied to a conventional medical image management system, an increase in cost can be suppressed.

  Further, according to the embodiment of the present invention, the image generation unit 204 of the ultrasonic diagnostic apparatus 20 generates ultrasonic image data based on the reflected ultrasonic wave transmitted to the subject. The storage unit 209 stores the ultrasound image data generated by the image generation unit 204. The communication unit 210 transmits / receives data to / from an external device via the communication network N. The control unit 208 accepts any input from a plurality of types of examination sites as an input examination site in association with the generation of ultrasound image data by the image generation unit 204. Then, the control unit 208 associates the body mark ID that can specify the examination site for which the input has been received, with the ultrasonic image data generated by the image generation unit 204. In addition, the control unit 208 sets the start and end of the inspection. Then, the control unit 208 creates an inspection information file for each inspection with one inspection from the start to the end of the set inspection. Then, the control unit 208 includes the body mark ID corresponding to one or more ultrasonic image data acquired from the start to the end of the set inspection in the inspection information file corresponding to the set inspection. The control unit 208 accepts any selection input from one or more examinations. Then, the control unit 208 specifies an examination information file corresponding to the examination for which the input has been accepted. Then, the control unit 208 accepts any input from a plurality of types of examination parts as a selected examination part. Then, the control unit 208 extracts the body mark ID corresponding to the examination site for which the input has been accepted, from the identified examination information file. Then, the control unit 208 reads out ultrasonic image data corresponding to the extracted body mark ID from the storage unit 209. Then, the control unit 208 outputs the read ultrasonic image data. In addition, the control unit 208 adds the body mark ID to the ultrasonic image data to generate an image file. Then, the control unit 208 transmits the generated image file to the PACS 30 via the communication unit 210. The storage unit 305 of the PACS 30 stores the image file transmitted from the ultrasonic diagnostic apparatus 20. The control unit 301 reads out from the storage unit 305 an image file to which a body mark corresponding to an instruction input of an examination site by the operation unit 302 is added. The control unit 301 displays an ultrasound diagnostic image on the display unit 303 based on the ultrasound image data included in the read image file. As a result, in the ultrasonic diagnostic apparatus, it is possible to display an ultrasonic image of a desired diagnostic site regardless of visual observation by a radiogram interpreter, and to facilitate selection of the ultrasonic image. In addition, it is possible to reduce an error in selecting an ultrasound image by a radiogram interpreter. In addition, since ultrasound image data to be diagnosed can be searched without referring to information regarding all the ultrasound image data, the search efficiency of ultrasound image data is improved. In addition, since it is not necessary to display all stored ultrasonic images, the processing load is reduced, and an ultrasonic image of a diagnostic site desired by the image interpreter can be displayed quickly. On the other hand, an image management apparatus connected to a network can also display an ultrasonic image of a desired diagnostic site regardless of visual observation by a radiogram reader, and facilitate selection of an ultrasonic image. Become. In addition, it is possible to reduce an error in selecting an ultrasound image by a radiogram interpreter, and to suppress a decrease in diagnostic efficiency. Further, since it can be easily applied to a conventional medical image management system, an increase in cost can be suppressed.

  The description in the embodiment of the present invention is an example of the medical image management system according to the present invention, and the present invention is not limited to this. The detailed configuration and detailed operation of each functional unit constituting the medical image management system can be changed as appropriate.

  In the present embodiment, the ultrasound diagnostic apparatus performs an operation for retrieving ultrasonic image data. However, an external device performs an operation for retrieving ultrasonic image data stored in the ultrasound diagnostic apparatus. May be. For example, request information for ultrasound image data is transmitted from a client terminal. The request information includes information for specifying the inspection target and the body mark ID. Then, the ultrasonic diagnostic apparatus receives this and searches the ultrasonic image data, and displays the ultrasonic diagnostic image based on the search result and the extracted ultrasonic image data.

  Further, in the present embodiment, the ultrasonic image data extracted as a search result from the ultrasonic image data stored in the ultrasonic diagnostic apparatus is output to the display unit, but is externally connected to the ultrasonic diagnostic apparatus. The ultrasonic image data may be output to a display device, a printing device, or an external device connected to a network or the like.

  Further, in this embodiment, the inspection information file is created at the timing of the end of the inspection as the time related to the execution of the inspection, but it may be the timing of the start of inspection or during the inspection. Further, the examination information file may be created at a time not related to the examination such as a shutdown process in the ultrasonic diagnostic apparatus.

  In the present embodiment, the ultrasonic diagnostic apparatus is configured on the medical image management system. However, the ultrasonic diagnostic apparatus may be configured not to be connected to the network. At this time, the image file and the moving image file stored in the ultrasonic diagnostic apparatus may be input to the image management apparatus offline using a portable recording medium such as a CD-ROM.

  In this embodiment, when a freeze operation is performed, a body mark selection operation is accepted, and after that, an image data and moving image data saving operation is accepted, and then an image file or the like is created. After the operation, after a storage operation for image data or the like is received, a body mark selection operation may be received, and then an image file or the like may be created.

  Further, in the present embodiment, the moving image data is created based on the ultrasonic image data up to 10 seconds before receiving the freeze operation. However, the moving image data including the ultrasonic image data generated after receiving the freeze operation is included. Data may be created. For example, moving image data is created for 10 seconds before and after the timing when the freeze operation is accepted.

  In this embodiment, every time image data and moving image data are generated, an image file and a moving image file to which supplementary information is added are created and stored in the storage unit of the ultrasonic diagnostic apparatus. The file is read and sent to the image management device such as PACS. However, the image data and the moving image data are stored in the storage unit as they are without creating the image file and the moving image file, and attached to the image management device when they are transmitted. You may make it produce | generate the image file and moving image file to which information was added.

  In the present embodiment, an example in which a hard disk, a semiconductor nonvolatile memory, or the like is used as a computer-readable medium for the program according to the present invention is disclosed, but the present invention is not limited to this example. As another computer-readable medium, a portable recording medium such as a CD-ROM can be applied. A carrier wave is also used as a medium for providing program data according to the present invention via a communication line.

DESCRIPTION OF SYMBOLS 100 Medical image management system 20 Ultrasonic diagnostic apparatus 201 Operation input part 204 Image generation part 205 Image memory part 207 Display part 208 Control part 209 Storage part 30 PACS
301 Control Unit 302 Operation Unit 303 Display Unit 305 Storage Unit

Claims (5)

An image processing unit that generates ultrasonic image data based on reflected ultrasonic waves transmitted to the subject;
A storage unit for storing ultrasonic image data generated by the image processing unit;
In connection with the generation of ultrasonic image data by the image processing unit, any input from a plurality of types of examination parts is accepted as an input examination part, and identification information that can identify the examination part from which the input is accepted, Corresponding to the ultrasound image data generated by the image processing unit, setting the start and end of the inspection, generating a management file for each inspection from the start to the end of the set inspection, and setting The identification information corresponding to one or more ultrasonic image data acquired from the start to the end of the performed inspection is included in the management file corresponding to the set inspection, and any selection input from one or more inspections The management file corresponding to the examination for which the input is accepted is identified, and any input from a plurality of types of examination parts is accepted as the selected examination part, and the input Is extracted from the specified management file, ultrasonic image data corresponding to the extracted identification information is read from the storage unit, and the read ultrasonic image data is output. A control unit,
An ultrasonic diagnostic apparatus comprising:   The ultrasonic diagnostic apparatus according to claim 1, wherein the control unit generates a management file corresponding to the inspection at a time related to the execution of the inspection. A communication unit for sending and receiving data to and from external devices via the network
The control unit generates the image file by adding the identification information to the ultrasonic image data, and transmits the generated image file to the image management apparatus connected to the network via the communication unit. The ultrasonic diagnostic apparatus according to claim 1 or 2, wherein An ultrasonic diagnostic apparatus having an image processing unit that generates ultrasonic image data based on reflected ultrasonic waves transmitted to the subject, and an image management apparatus connected to the ultrasonic diagnostic apparatus via a network. In the medical image management system including
The ultrasonic diagnostic apparatus comprises:
A storage unit for storing ultrasonic image data generated by the image processing unit;
A communication unit for transmitting and receiving data to and from an external device via a network;
In connection with the generation of ultrasonic image data by the image processing unit, any input from a plurality of types of examination parts is accepted as an input examination part, and identification information that can identify the examination part from which the input is accepted, Corresponding to the ultrasound image data generated by the image processing unit, setting the start and end of the inspection, generating a management file for each inspection from the start to the end of the set inspection, and setting The identification information corresponding to one or more ultrasonic image data acquired from the start to the end of the performed inspection is included in the management file corresponding to the set inspection, and any selection input from one or more inspections The management file corresponding to the examination for which the input is accepted is identified, and any input from a plurality of types of examination parts is accepted as the selected examination part, and the input Is extracted from the specified management file, ultrasonic image data corresponding to the extracted identification information is read from the storage unit, and the read ultrasonic image data is output. A control unit,
With
The control unit generates the image file by adding the identification information to the ultrasound image data, and transmits the generated image file to the image management apparatus via the communication unit,
The image management device includes:
An image file storage unit for storing an image file transmitted from the ultrasonic diagnostic apparatus;
An input section;
A display for displaying an image;
An image file to which identification information corresponding to the instruction input of the examination site by the input unit is read from the image file storage unit, and the display unit is supervised based on the ultrasonic image data included in the read image file. A display control unit for displaying a sound wave diagnostic image;
A medical image management system comprising: In the computer provided in the ultrasonic diagnostic apparatus that generates ultrasonic image data based on the reflected wave of the ultrasonic wave transmitted to the subject,
The generated ultrasonic image data is stored in a storage unit, and in relation to the generation of ultrasonic image data, any input from a plurality of types of examination parts is accepted as an input examination part, and the examination in which the input is accepted A management file for each examination in which identification information that can specify a part is associated with the generated ultrasonic image data, the start and end of the examination are set, and the period from the start to the end of the set examination is one examination And including identification information corresponding to one or more ultrasonic image data acquired from the start to the end of the set examination in the management file corresponding to the set examination, Accept any selection input, specify the management file corresponding to the examination for which the input was accepted, and accept any input from multiple types of examination parts as the selected examination part Then, the identification information corresponding to the examination site for which the input has been accepted is extracted from the specified management file, the ultrasound image data corresponding to the extracted identification information is read from the storage unit, and the read ultrasound A program that functions as control means for outputting image data.

Images