JP2012196297A - Medical information image display system and control program thereof - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical information image display system which enables the easy grasp of whether or not a medical information image to be displayed conforms with a predetermined criterion.SOLUTION: The medical information image display system includes: a storage part for storing medical image data; a determination part for determining whether or not the medical image data represents one acquired before a predetermined criterion day; and a display part for displaying a medical information image which is a medical image based on the medical image data and also is in a display form to recognize whether or not the image represents one obtained before the criterion day. A framed medical image G2 where a frame Fr is attached to the medical image is displayed as the medical image in the display form to recognize whether or not the image represents one obtained before the criterion day when the image is the one before the reference day.

Description

  The present invention relates to a medical information image display system for displaying a medical information image and a control program therefor.

  Systems for displaying medical information images such as medical images such as X-ray CT images and MRI images, medical chart images, and interpretation report images are known. As such a medical information image display system, for example, Patent Document 1 discloses a medical information image display system in which an image based on medical image data stored in an image server is displayed on a monitor of an interpretation terminal.

JP 2010-57726 A

  By the way, for example, medical image data with different shooting dates may be stored in the image server for the same patient. In this case, for example, when a radiogram interpreter tries to create an image interpretation report at an image interpretation report terminal for a medical image with the latest photographing date, an old medical image may be erroneously displayed. Therefore, it is desirable that it can be easily confirmed whether or not the latest medical image is displayed. Further, for example, the clinician may compare two medical images before treatment and medical images after treatment side by side. In such a case, it is desirable that both images can be easily distinguished.

  As described above, the medical information image display system capable of easily grasping whether or not the medical information image to be displayed meets a predetermined standard, such as whether or not the photographing date is before the predetermined reference date. Is desired.

  An invention made to solve the above-described problem is a determination unit that determines whether or not medical information image data meets a predetermined criterion, and a medical information image based on the medical information image data, the predetermined information A medical information image display system comprising: a display unit that displays a medical information image in a display form that can distinguish whether or not the above criteria are met.

  According to the invention of the above aspect, since the medical information image in the display form that can distinguish whether or not the predetermined criterion is met is displayed, it is easy to determine whether or not the displayed medical information image meets the predetermined criterion. Can grasp.

1 is a block diagram of a medical information image display system according to the present invention. It is a block diagram of the interpretation terminal in the medical information image display system shown in FIG. It is a block diagram of the image server in the medical information image display system shown in FIG. It is a flowchart which shows the process of acquisition of a medical information image. It is a flowchart which shows the process of a display of a medical information image. It is a figure which shows an example of the medical image (no frame) displayed on the monitor. It is a figure which shows an example of the medical image with a frame displayed on the monitor. It is a figure which shows an example of the medical image and the medical image with a frame which were displayed in parallel on the monitor in the modification of embodiment. It is a figure which shows the other example of a medical image with a frame displayed in parallel on the monitor in the modification of embodiment. It is a figure which shows the other example of the medical image displayed on the monitor.

  Hereinafter, embodiments of the present invention will be described with reference to FIGS. A medical information image display system 100 shown in FIG. 1 includes a HIS (Hospital Information System) 1 and a RIS (Radiology Information System) server (Server) 2 connected via a gateway device 3. In the medical information image display system 1, the RIS server 2, the image interpretation terminal 4, the image interpretation report server 5, the image server 6, and the modality 7 are connected via a network 8. Data is exchanged through the network.

  The HIS 1 has a HIS terminal made up of a general-purpose personal computer (not shown). For example, the clinician uses the HIS terminal to input information on an item (imaging request item) to be requested (examination request) for imaging a medical image, that is, imaging request information. The imaging request information includes information such as the patient's name and ID, the name of the requesting doctor, and imaging modality. In the HIS terminal, a clinician can request imaging. Further, on the monitor of the HIS terminal, a medical image photographed by the modality 7, an interpretation report created by the interpretation terminal 4 and the like are displayed.

  The RIS server 2 stores data such as photographing request information input from the HIS 1 via the gateway device 3. Data such as medical images and interpretation reports displayed on the HIS terminal is output from the image server 6, the interpretation report server 5 and the like to the HIS terminal via the RIS server 2 and the gateway device 3. .

  Data stored in the RIS server 2 is stored in the image interpretation report server 5, the image server 6 and the like via the network 8. Incidentally, the RIS server 2, the interpretation report server 5, and the image server 6 have a known configuration as a server.

  The image interpretation terminal 4 is a general-purpose personal computer and includes a monitor 41 and a display control unit 42 for executing a display control function for displaying an image on the monitor 41, as shown in FIG. A detailed configuration is omitted here. The interpretation terminal 4 is an example of an embodiment of a terminal device in the present invention. The monitor 41 is an example of an embodiment of a display unit in the present invention. The display control function executes the display control function according to the present invention.

  The image interpretation report server 5 stores information such as an image interpretation report created by the image interpretation terminal 4, the imaging request information, and the date of creation of the image interpretation report.

  As shown in FIG. 3, the image server 6 includes a storage unit 61, a search unit 62, a determination unit 63, and a framed medical information image data creation unit 64. The image server 6 is an example of an embodiment of a server in the present invention.

  The storage unit 61 stores medical information image data (hereinafter referred to as “medical information image data”), a framed medical information image data, and the like. Further, the storage unit 61 stores imaging request information in association with medical image data acquired by the modality 7. The storage unit 61 is an example of an embodiment of a storage unit in the present invention.

  The medical information image is an image related to medical information, and includes a medical image taken by the modality 7 and a medical chart created by a clinician. This medical chart may be an electronic medical record that is written on paper and converted into electronic data.

  Incidentally, the medical information image includes an image of an interpretation report stored in the interpretation report server and displayed on the interpretation terminal 4.

  The search unit 62 searches the medical information image data stored in the storage unit 61. The determination unit 63 determines whether or not the medical information image data stored in the storage unit 61 meets a predetermined standard (determination function). The determination unit 63 is an example of an embodiment of the determination unit in the present invention, and the determination function is an example of an embodiment of the determination function in the present invention.

  The framed medical information image data creation unit 64 creates a frame on the medical information image as medical information image data in a display form that can distinguish whether or not the predetermined criterion is met based on the determination result of the determination unit 63. Medical information image data with a frame to which Fr (see FIG. 7) is attached is created (framed medical information image data creation function). The framed medical information image data creation unit 64 is an example of an embodiment of a creation unit in the present invention. The framed medical information image data creation function is an example of an embodiment of the creation function in the present invention. Furthermore, the frame Fr attached to the medical information image is an example of the bordering embodiment in the present invention.

  As will be described later, in this example, the search target of the search unit 62 and the determination target of the determination unit 63 are medical image data, and the framed medical information image data creation unit 64 includes the framed medical information image data. As described above, data of a framed medical image (see FIG. 7) (hereinafter referred to as “framed medical image data”) is created. The framed medical information image data is an example of an embodiment of medical information image data in a display form in which it can be distinguished whether or not a predetermined criterion is met.

  As the modality 7, for example, an X-ray CT (Computed Tomography) apparatus, an MRI (Magnetic Resonance Imaging) apparatus, an ultrasonic diagnostic apparatus, a general X-ray imaging apparatus, a nuclear medicine diagnostic apparatus, and the like are connected to the network 8.

  Next, the operation of the medical information image display system 100 will be described. First, acquisition of a medical information image will be described based on the flowchart of FIG. Here, a medical image will be described as an example of a medical information image.

  First, in step S1, photographing request information is output from the HIS 1 to the RIS server 2 via the gateway device 3. The imaging request information is output, for example, when a clinician performs an imaging request operation at the HIS terminal. Next, in step S2, the imaging request information stored in the RIS server 2 is stored in the interpretation report server 5 and the image server 6. More specifically, the photographing request information is first stored in the interpretation report server 5 via the network 8.

  Further, the photographing request information stored in the interpretation report server 5 is output to the image server 6 via the network 8 and stored in the storage unit 61 of the image server 6. However, the imaging request information may be stored directly from the RIS server 2 to the image server 6.

  Next, in step S3, a medical image is taken in the modality 7 for the imaging request case. The obtained medical image data is stored in the image server 6 via the network 8. In the image server 6, the medical image data is stored in association with the imaging request information. The image server 6 also stores photographing date information in association with the medical image data. The shooting date information is also stored in the interpretation report server 5.

  Next, display of a medical image will be described based on the flowchart of FIG. Here, a case where a medical image is displayed on the monitor 41 of the image interpretation terminal 4 will be described. First, in step S11, when an operator (for example, an interpreting physician) inputs the name and ID of a patient whose medical image is to be displayed on the interpretation terminal 4, a list of medical images taken for the patient is displayed. Displayed on the monitor 41. Incidentally, the list of medical images includes information for specifying medical images, such as a shooting date and a file name of the medical image.

  Next, in step S12, when the operator selects an item of a medical image to be displayed on the list, information for specifying the selected medical image is output from the image interpretation terminal 4 to the image server 6. The In step S13, the search unit 62 of the image server 6 is selected by the image interpretation terminal 4 from the medical images stored in the storage unit 61 based on the information input from the image interpretation terminal 4. Search for medical images.

  When a medical image is extracted in step S13, in step S14, the determination unit 63 determines whether or not the extracted medical image satisfies a predetermined criterion. Here, the determination unit 63 determines, as a predetermined reference, whether or not a medical image shooting date satisfies a reference that is before a predetermined reference date.

  If it is determined in step S14 that the shooting date is the same as or later than the predetermined reference date (“NO” in step S14), the process proceeds to step S15. In step S15, the medical image data stored in the storage unit 61 is output to the image interpretation terminal 4, and the display control unit 42 displays the medical image G1 on the monitor 41 as shown in FIG.

  On the other hand, when it is determined in step S14 that the shooting date is before the predetermined reference date (“YES” in step S14), the process proceeds to step S16. In step S16, the framed medical information image data creation unit 64 creates a framed medical image data by adding a frame to the medical image data extracted in step S13. In step S17, the framed medical image data is output to the image interpretation terminal 4, and the display control unit 42 displays the framed medical image G2 based on the framed medical image data on the monitor 41 as shown in FIG. Display. This framed medical image G2 is an image in which a frame Fr of a predetermined color is added around the medical image. Therefore, the framed medical image G2 is a medical image in a display form that can be distinguished from the medical image G1.

  Incidentally, the color and gray level of the frame Fr may be changed stepwise depending on the shooting date, such as every predetermined number of months or years.

  In addition, when the framed medical image G2 is displayed, the medical image G2 ′ from which the frame Fr has been deleted may be displayed by the operation of the operator. Specifically, when the operator inputs an instruction to delete the frame Fr at the interpretation terminal 4, this instruction is output to the image server 6. The image server 6 outputs a medical image without the frame Fr to the interpretation terminal 4 and displays it.

  According to the medical information image display system 100 of the present example described above, the frame Fr is displayed on the medical image G2 whose shooting date is earlier than the reference date, while the shooting date is the same as the reference date or the reference date. The frame Fr is not displayed in the later medical image G1. Therefore, it is possible to easily intuitively grasp whether or not it is before the predetermined reference date.

  Further, in this example, the display form that can distinguish whether or not a predetermined criterion is met is the frame Fr, so that it does not hinder the observation of the medical image and can be easily attached or deleted without changing the medical image. You can also

  Next, a modified example will be described. First, the first modification will be described. On the monitor 41 of the image interpretation terminal 4, for example, two medical images such as a medical image before treatment and a medical image after treatment may be displayed in parallel. Also in this case, when the shooting date of one medical image is before the predetermined reference date and the shooting date of the other medical image is the same date or after the predetermined reference date, as shown in FIG. The display control unit 42 displays the framed medical image G2 and the medical image G1 in parallel.

  In the case where two medical images are displayed in parallel, the framed medical information image data creation unit 64 generates framed medical image data in which a frame is also attached to a medical image whose photographing date is the same or later than a predetermined reference date. You may create it. In this case, as shown in FIG. 9, the framed medical image G2 whose photographing date is earlier than the predetermined reference date and the framed medical image G1 ′ whose photographing date is the same date or after the predetermined reference date, Change the color of the frame Fr. Further, the display form of the frame Fr may be changed between the framed medical image G2 and the framed medical image G1 ′ (for example, one is a predetermined color and the other is a dot or a diagonal line).

  Next, a second modification will be described. In the above embodiment, when a medical image to be displayed on the interpretation terminal 4 is selected, the determination unit 63 makes a determination, and the framed medical information image data generation unit 64 generates the framed medical information image data. However, the framed medical information image data may be created in advance before the medical image to be displayed is selected. In this case, for the medical image data stored in the storage unit 61, the determination unit 63 determines whether or not the photographing date is before the predetermined reference date at a predetermined timing. Then, the framed medical information image data creation unit 64 creates a framed medical information image data by adding a frame to the medical information image data whose photographing date is earlier than a predetermined reference date.

  The created framed medical information image data is stored in the storage unit 61. When a medical image whose photographing date is earlier than a predetermined reference date is selected as a medical image to be displayed in the image interpretation terminal 4, a framed image that is created in advance and stored in the storage unit 61 is selected. Medical information image data is output to the interpretation terminal 4 and displayed.

  As mentioned above, although this invention was demonstrated by the said embodiment, of course, this invention can be variously implemented in the range which does not change the main point. For example, the medical information image and the framed medical information image may be displayed on a monitor of another device such as the HIS 1 HIS terminal.

  In the above embodiment, a medical image is described as an example of a medical information image. However, the present invention can be similarly applied to medical information images other than medical images. For example, when displaying the chart image stored in the image server 6 on the HIS terminal, if the chart creation date is not the latest, the chart image with a frame with a frame around it is displayed. If it is the latest, the chart image may be displayed as it is.

  Moreover, you may apply when displaying the image of an interpretation report on the said interpretation terminal 4 or the said HIS terminal. In this case, although not particularly illustrated, the interpretation report server 5 determines whether the interpretation report satisfies a predetermined standard (for example, whether the creation date or the data storage date is the latest date). Or a framed medical information image data creation unit that creates data of a framed interpretation report image in which a frame is displayed on the image of the interpretation report.

  Further, the present invention is not limited to the case where the image server 6 includes the determination unit 63 and the framed medical information image data creation unit 64. For example, the image interpretation terminal 4 may include the determination unit 63 and the framed medical information image data creation unit 64. The determination unit 63 and the framed medical information image data creation unit 64 are not limited to a single apparatus. For example, the image server 6 may include the determination unit 63, and the image interpretation terminal 4 may include the framed medical information image data generation unit 64.

  The medical information image display system according to the present invention may be realized in a single device, and the storage unit, the determination unit, and the display unit in the present invention may be provided in one device.

  Further, the frame Fr is an example of an edge in the present invention. However, the edge here is not limited to a frame attached to all four sides of the medical information image, and only one side, two sides, or three sides. It may be attached. For example, as shown in FIG. 10, a medical information image G3 that does not satisfy a predetermined standard may be displayed as an image in which the band-shaped portion Be is displayed as a border on only one side. Further, any display form that can distinguish whether or not a predetermined standard is satisfied may be used. For example, although not particularly illustrated, a background color of a medical information image that does not satisfy a predetermined standard, The background color of the medical information image that satisfies the predetermined standard may be a different color.

41 Monitor (display unit)
61 Storage Unit 63 Determination Unit 64 Medical Information Image Data Creation Unit with Frame (Creation Unit)
100 Medical Information Image Display System

Claims (11)

A determination unit for determining whether the medical information image data meets a predetermined criterion;
A display unit for displaying a medical information image based on the medical information image data, the medical information image having a display form capable of distinguishing whether or not the predetermined information is met,
A medical information image display system comprising:   The medical information image display system according to claim 1, further comprising a storage unit that stores the medical information image data.   3. The medical device according to claim 1, further comprising: a creation unit that creates a medical information image in a display form capable of distinguishing whether or not the predetermined criterion is met based on a determination result of the determination unit. Information image display system.   The medical information image display according to any one of claims 1 to 3, further comprising a storage unit that stores data of a medical information image in a display form capable of distinguishing whether or not the predetermined criterion is met. system.   The medical information image display system according to claim 4, wherein a medical information image based on medical information image data stored in the storage unit is displayed on the display unit.   The medical information image display system according to claim 1, wherein the predetermined reference includes a time element.   The medical information image display system according to claim 6, wherein the predetermined reference is related to whether or not the medical information image is created before a predetermined reference date. A server and a terminal device connected to the server via a network,
The determination unit is provided in the server,
The medical information image display system according to any one of claims 1 to 7, wherein the display unit is provided in the terminal device.   The medical information image according to any one of claims 1 to 8, wherein the medical information image in a display form capable of distinguishing whether or not the predetermined criterion is met is an image in which a border is displayed. Display system. On the computer,
A determination function for determining whether the medical information image data meets a predetermined criterion;
A display control function for displaying a medical information image based on the medical information image data, the medical information image having a display form capable of distinguishing whether or not the predetermined information is met,
A control program for a medical information image display system, characterized in that On the computer,
11. The medical information according to claim 10, wherein a creation function for creating a medical information image in a display form capable of distinguishing whether or not the predetermined criterion is met is executed based on a determination result by the determination function. Control program for image display system.

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