JP2016221063A - Medical image management device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical image management device capable of displaying a medical image by a medical image browsing device without delay.SOLUTION: A medical image management device 1 includes: a processing unit 103 for executing storage processing on storage of a plurality of medical images captured by a medical image capturing device 2, and registration processing on registration of incidental information incidental to the medical images; and a transmission/reception unit 111 for transmitting to a display terminal an uncompleted medical image corresponding to an image reading field of a user on the log-in to the display terminal of uncompleted medical images in which at least one of the storage processing and the registration processing is uncompleted.SELECTED DRAWING: Figure 1

Description

  Embodiments described herein relate generally to a medical image management apparatus that manages captured medical images.

  Conventional medical image management systems store medical images taken by medical imaging devices (CR (Computed Radiography) devices, CT (Computed Tomography) devices, MRI (Magnetic Resonance Imaging) devices, etc.)) and medical images such as servers. Send to device. The transmitted medical image is stored in the medical image storage device together with accompanying information attached to the medical image.

  The stored medical image is browsed by a medical image browsing apparatus or the like by a user (such as an interpreting doctor or a clinician) who uses the medical image management system. For example, the user refers to a list of registered medical images displayed on a medical image browsing device (viewer) and selects a medical image to browse. The selected medical image is transmitted from the server to the viewer. Thereby, the user can browse the medical image.

JP 2006-333889 A

  However, in the conventional medical image management system, the storage medium provided in the server and the failure of NAS (Network Attached Storage) used as a part of the server, the concentration of access to the server, the change of the database execution plan, etc. In some cases, there may be a delay in searching for an image desired by the user and registering the image. Due to the delay, there is a problem that medical images that should be browsed immediately (for example, medical images of emergency patients and medical images that are urgently requested for interpretation) cannot be browsed by the viewer.

  An object of the present embodiment is to provide a medical image management apparatus capable of displaying a medical image with a medical image browsing apparatus without delay.

  According to the embodiment, the medical image management apparatus performs a storage process related to storage of a plurality of medical images photographed by the medical image photographing apparatus and a registration process related to registration of incidental information attached to the medical image. And transmitting the incomplete medical image corresponding to the user's interpretation field related to the login to the display terminal among the incomplete medical images in which at least one of the storage process and the registration process is incomplete to the display terminal Transmitting and receiving unit.

1 is a block diagram showing a medical image management apparatus according to a first embodiment and a medical image photographing apparatus and a medical image browsing apparatus connected to the medical image management apparatus via a network. The sequence which shows an example of the process sequence of normal time in the medical image management apparatus shown in FIG. The figure which shows an example of the user login information memorize | stored in the user information database shown in FIG. The figure which shows an example of the user attribute information memorize | stored in the user information database shown in FIG. The sequence which shows an example of the process sequence in case delay of a storage process generate | occur | produces during user login in the medical image management apparatus shown in FIG. The flowchart which shows the flow of the specific process shown in FIG. The sequence which shows an example of a process sequence when the delay of a registration process generate | occur | produces during user login in the medical image management apparatus shown in FIG. The sequence which shows an example of the process sequence in case the storage process delay has generate | occur | produced at the time of user login in the medical image management apparatus shown in FIG. The sequence which shows an example of a process sequence in case the registration process delay has generate | occur | produced at the time of user login in the medical image management apparatus shown in FIG. FIG. 3 is a block diagram showing a medical image management apparatus according to a second embodiment, and a medical image photographing apparatus and a medical image browsing apparatus connected to the medical image management apparatus via a network. The sequence which shows an example of the procedure of the determination process when the storage process delay or the registration process delay occurs during user login in the medical image management apparatus shown in FIG. 8 or FIG.

  Hereinafter, a medical image management apparatus according to an embodiment will be described with reference to the drawings. In the following description, components having substantially the same function and configuration are denoted by the same reference numerals, and redundant description will be given when necessary.

(First embodiment)
FIG. 1 is a block diagram showing a medical image management apparatus 1 according to the first embodiment, a medical image photographing apparatus 2 and medical image browsing apparatuses 3, 4, and 5 connected to the medical image management apparatus 1 via a network. It is. As shown in FIG. 1, the medical image management system includes a medical image management device 1, a medical image photographing device 2, and medical image browsing devices (display terminals) 3, 4, and 5. FIG. 1 shows a case where the medical image management apparatus 1 is connected to a plurality of medical image browsing apparatuses as an example.

  In FIG. 1, a medical image management apparatus 1 is connected to three medical image browsing apparatuses 3, 4, and 5. The medical image management apparatus 1, the medical image photographing apparatus 2, and the medical image browsing apparatuses 3, 4, and 5 are connected to a network via interfaces (I / F) 101, 201, 301, 401, and 501. That is, data is exchanged between the medical image management apparatus 1, the medical image photographing apparatus 2, and the medical image browsing apparatuses 3, 4, and 5 through the interfaces 101, 201, 301, 401, and 501. Moreover, the said network is a hospital network, a public communication network, etc., for example. That is, the established standard is appropriately applied to communication between devices and units in FIG.

  The medical image photographing device 2 is a device for photographing a medical image. For example, the medical image photographing apparatus 2 has various modalities such as a CR (Computed Radiography) apparatus, a CT (Computed Tomography) apparatus, and an MRI (Magnetic Resonance Imaging) apparatus. The medical image photographing device 2 outputs the photographed medical image to the medical image management device 1.

  The medical image management apparatus 1 includes an interface (I / F) 101, a processing unit 103, an image storage unit 105, an examination information storage unit 107, a monitoring unit 109, a transmission / reception unit 111, a user information database 113, A device control unit 115.

  The transmission / reception unit 111 receives a medical image output from the medical image photographing apparatus 2. The transmission / reception unit 111 transmits the received medical image to the processing unit 103. In addition, the transmission / reception unit 111 transmits the medical image to at least one of medical image browsing devices 3, 4, and 5 to be described later.

  The processing unit 103 executes a storage process related to storage of medical images transmitted from the transmission / reception unit 111. The processing unit 103 executes the storage process to transmit the medical image to the image storage unit 105, and stores the transmitted medical image in the image storage unit 105. The processing unit 103 includes incidental information (for example, patient ID, patient name, date of birth, sex, reception number, examination date, modality related to imaging, imaging region, etc.) attached to the medical image transmitted from the transmission / reception unit 111 and Registration processing relating to registration of information on a location where a medical image is stored (medical image storage destination information such as a path and an address) is executed. The processing unit 103 executes registration processing to transmit the incidental information and the medical image storage destination information to the examination information storage unit 107 and register them in the examination information storage unit 107. Hereinafter, for convenience of explanation, a medical image in which at least one of storage processing and registration processing executed by the processing unit 103 is incomplete is referred to as an incomplete medical image.

  In response to a browsing request output from at least one of medical image browsing devices 3, 4, and 5 to be described later, the processing unit 103 outputs a medical image to the medical image browsing device that is the browsing request source. Hereinafter, various processes executed in response to a browsing request are referred to as browsing processes.

  The processing unit 103 is in the user's interpretation field (specialized field of interpretation) regarding login to the medical image browsing devices 3, 4, and 5, among unfinished medical images in which at least one of the storage process and the registration process is incomplete. A specifying process related to specifying a corresponding incomplete medical image is executed. The specific process will be described in detail later. The processing unit 103 outputs the incomplete medical image specified by the specifying process to the transmission / reception unit 111 in response to an input of the delay occurrence notification output from the monitoring unit 109 described later. The processing unit 103 includes, for example, a program storage circuit that stores a program and an arithmetic circuit that performs arithmetic processing on a command based on the program read from the program storage circuit.

  The image storage unit 105 stores the medical image transmitted from the processing unit 103 according to the storage process. Note that the storage area in the image storage unit 105 may be in the medical image management apparatus 1 or in an external storage device connected by a network. Further, the image storage unit 105 may be a magnetic disk or an optical disk.

  The examination information storage unit 107 stores the incidental information transmitted from the processing unit 103 in association with the storage destination information of the corresponding medical image according to the registration process. Note that the examination information storage unit 107 may store incidental information in a file format (for example, XML format) or a relational database format.

  The monitoring unit 109 monitors the processing status of storage processing and registration processing executed by the processing unit 103. The monitoring unit 109 outputs a delay occurrence notification indicating the occurrence of a processing delay to the processing unit 103 when at least one of the storage process and the registration process is not completed within a predetermined time. The monitoring unit 109 includes, for example, a program storage circuit and an arithmetic circuit like the processing unit 103.

  The user information database 113 includes a user ID associated with a user, user name information, user role information (role), user affiliation information (for example, affiliation department), and interpretation field information ( For example, user attribute information relating to modalities and interpretable parts is stored. The user attribute information will be described in detail later. In addition, the user information database 113 includes user ID information, user login status information corresponding to the user ID, and user login related to login terminal information indicating the IDs of the medical image browsing devices 3, 4, and 5 related to the user login. Store information. The user information database 113 may store user attribute information and user login information in a file format (for example, XML format) or a relational database format. The user login information will be described in detail later.

  The user attribute information and the user login information are associated with each other by the user ID information included in the user attribute information and the user ID information included in the user login information.

  The apparatus control unit 115 controls operations of the processing unit 103, the image storage unit 105, the examination information storage unit 107, the monitoring unit 109, the transmission / reception unit 111, and the user information database 113.

  The medical image browsing devices 3, 4, and 5 are devices that browse medical images stored in the medical image management device 1. In the first embodiment, the operations and functions of the medical image browsing devices 3, 4 and 5 are the same, and only the medical image browsing device 3 will be described.

  The medical image browsing apparatus 3 includes an interface (I / F) 301, an operation unit 305, an operation control unit 303, a display unit 309, a display control unit 307, and a terminal control unit 311.

  The operation unit 305 is a device that inputs a command or the like according to the operation of the operator. The operation unit 305 includes, for example, a keyboard, a mouse, a touch panel, a trackball, various buttons, and the like. A user ID, a password, and the like are input to the operation unit 305. The input user ID, password, and the like are transmitted to the medical image management apparatus 1. The operation control unit 303 controls the operation of the operation unit 305.

  The display unit 309 displays a list of medical images specified by the information registered in the examination information storage unit 107. For example, the display unit 309 displays medical images as a list or thumbnail. The display unit 309 may display not only the medical image but also incidental information corresponding to the medical image. The display unit 309 displays the medical image transmitted from the transmission / reception unit 111 on the display device. As the display device, a CRT display, a liquid crystal display (LCD), an organic EL display (OELD), a plasma display, or the like can be used as appropriate. The display control unit 307 controls the operation of the display unit 309.

  The terminal control unit 311 controls operations of the operation control unit 303 and the display control unit 307.

  Hereinafter, in the medical image management apparatus 1 according to the first embodiment, a processing procedure during normal times or when a delay occurs will be specifically described.

  FIG. 2 is a sequence showing an example of a normal processing procedure in the medical image management apparatus 1 shown in FIG. Hereinafter, for convenience of explanation, a case where the medical image browsing apparatus 3 accesses the medical image management apparatus 1 will be described.

  As illustrated in FIG. 2, the medical image browsing apparatus 3 accesses the medical image management apparatus 1 (user login) (sequence SQ101) by inputting a user ID, a password, and the like on the operation unit 305.

  When the medical image browsing apparatus 3 accesses the medical image management apparatus 1, user login information corresponding to the user ID is transmitted from the medical image browsing apparatus 3 via the transmission / reception unit 111 to the user information database 113 (hereinafter referred to as user information DB 113). (Sequence SQ103). By the sequence SQ103, the user login information stored in the user information DB 113 is updated (sequence SQ105). Specifically, the login status information of the user is changed to logged in or logged out. If the user is logged in, the login terminal information is changed to the ID of the medical image browsing device 3.

  Next, user login information is transmitted from user information DB 113 to processing unit 103 (sequence SQ106).

  FIG. 3 is a diagram showing an example of user login information stored in the user information DB 113 shown in FIG. As shown in FIG. 3, the user login information is accessible to the user ID information (000010, 000011, 000020), the login status information (logged in and logged out) of the user corresponding to the user ID, and the medical image management apparatus 1 Log-in terminal information (for example, IDs of medical image browsing devices 3 and 4). The user login information shown in FIG. 3 has a user ID (999999) used in an emergency. In an emergency, all the medical images stored in the image storage unit 105 can be browsed by accessing the medical image management apparatus 1 using the user ID (999999). FIG. 4 is a diagram showing an example of user attribute information stored in the user information DB 113 shown in FIG. As shown in FIG. 4, the user attribute information includes user ID information associated with the user, user name information, user role information (role), user affiliation information (for example, affiliation department), User interpretation field information (for example, modalities and interpretable parts). The user attribute information shown in FIG. 4 has a user ID (999999) used in an emergency. In an emergency, all the medical images stored in the image storage unit 105 can be browsed by accessing the medical image management apparatus 1 using the user ID (999999).

  Here, the user attribute information and the user login information are associated with each other by the user ID information included in the user attribute information and the user ID information included in the user login information. Accordingly, which medical image browsing devices 3, 4, and 5 are accessing the medical image management device 1, and who is the operator of the medical image browsing devices 3, 4, and 5 accessing the medical image management device 1. Can be identified.

  In the medical image photographing apparatus 2, a medical image is generated (sequence SQ107). The medical image generated by the medical image photographing device 2 is transmitted from the medical image photographing device 2 to the processing unit 103 via the transmission / reception unit 111 (sequence SQ109). After the medical image is transmitted from the medical image photographing apparatus 2 to the processing unit 103 via the transmission / reception unit 111, the storage process is executed by the processing unit 103. Thereby, the medical image is transmitted from the processing unit 103 to the image storage unit 105, and the medical image is stored by the image storage unit 105 (sequence SQ111).

  After the medical image is stored, the registration process is executed by the processing unit 103. Thereby, the supplementary information corresponding to the medical image is transmitted from the processing unit 103 to the examination information storage unit 107, and the supplementary information is stored in the examination information storage unit 107 (sequence SQ113).

  A list of medical image examination information stored in the image storage unit 105 is displayed on the display unit 309 of the medical image browsing apparatus 3 (sequence SQ115). At this time, the medical image is displayed as, for example, a list or a thumbnail. In addition to the medical image, incidental information corresponding to the medical image may be displayed. In response to an instruction from the user, the operation unit 305 refers to the list displayed on the medical image browsing device 3 and selects a medical image to be browsed as an examination image (sequence SQ117).

  Upon selection of the examination image, a browsing request is transmitted from the medical image browsing apparatus 3 to the processing unit 103 via the transmission / reception unit 111 (sequence SQ119).

  The browsing process is executed by the processing unit 103. Thereby, the incidental information is read from the processing unit 103. Further, incidental information is output from the inspection information storage unit 107. Next, a medical image is read out by the processing unit 103 based on the medical image storage destination information output from the examination information storage unit 107. Further, a medical image is output from image storage unit 105 (sequence SQ121).

  The medical image output from the image storage unit 105 is output to the transmission / reception unit 111 via the processing unit 103 (sequence SQ123). The medical image output from the processing unit 103 is transmitted to the browsing request source (the medical image browsing apparatus 3 in FIG. 2) by the transmission / reception unit 111.

  The medical image browsing apparatus 3 displays the medical image transmitted from the transmission / reception unit 111.

  Thereby, the user can browse the medical image.

(Occurrence of storage processing delay during user login)
FIG. 5 is a sequence showing an example of a processing procedure when a storage processing delay (hereinafter referred to as storage processing delay) occurs during user login in the medical image management apparatus 1 shown in FIG. Hereinafter, for convenience of explanation, a case where the medical image browsing apparatus 3 accesses the medical image management apparatus 1 will be described. Moreover, in the following description, description is abbreviate | omitted about the part which overlaps with FIG.

  As shown in FIG. 5, during the login of the user, after the medical image is transmitted from the medical image photographing apparatus 2 to the processing unit 103 (sequence SQ109), the medical image storage process is executed by the processing unit 103. Thereby, the incidental information corresponding to the medical image is transmitted from the processing unit 103 to the examination information storage unit 107 (sequence SQ201).

If a storage process delay occurs, that is, if the storage process is not completed within a predetermined time, a delay occurrence notification is output from monitoring unit 109 to processing unit 103 (sequence SQ203).
In response to the delay occurrence notification, specific processing is executed by processing unit 103 (sequence SQ205). FIG. 6 is a flowchart showing the flow of the specific process shown in FIG. As shown in FIG. 6, the processing unit 103 determines whether or not a delay occurrence notification has been received (step ST11). In response to the input of the delay occurrence notification to the processing unit 103 (Yes in step ST11), based on the user attribute information and the incidental information by the processing unit 103, the user's interpretation field regarding the login to the medical image browsing apparatus 3 is entered. A corresponding incomplete medical image is identified (step ST13). That is, the processing unit 103 extracts the interpretation field of the logged-in user from the user attribute information. Next, the processing unit 103 extracts the imaging part and the device name from the incidental information in the incomplete medical image. Further, the processing unit 103 refers to the extracted interpretation field, the imaging region, and the device name, thereby specifying an incomplete medical image corresponding to the user's interpretation field regarding login.

  After the specific processing by the processing unit 103 is executed, the specified incomplete medical image is output to the transmission / reception unit 111 (sequence SQ207). The medical image output from the processing unit 103 is transmitted to the medical image browsing apparatus 3 by the transmission / reception unit 111 (sequence SQ208).

  The medical image browsing apparatus 3 displays the medical image transmitted from the transmission / reception unit 111 (sequence SQ209).

  For example, when a medical image having “chest: CR (simple X-ray)” as supplementary information corresponds to a storage processing delay, the processing unit 103 uses the user attribute information shown in FIG. The user ID (Saburo doctor) whose interpretation field is “CR: chest” is specified. Next, the processing unit 103 specifies the ID of the medical image browsing apparatus “logged in” using the specified user ID (doctor Saburo) and the user login information illustrated in FIG. 3. The processing unit 103 outputs a medical image having “chest: CR (simple X-ray)” as incidental information to the transmission / reception unit 111. The transmission / reception unit 111 transmits a medical image having the chest part: CR (simple X-ray) as supplementary information to the medical image browsing apparatus corresponding to the ID specified in the login terminal information in advance.

  Thus, the user can view the medical image even when a storage processing delay occurs during user login.

(Registration processing delay during user login)
FIG. 7 is a sequence diagram illustrating an example of a processing procedure when registration processing delay (hereinafter referred to as registration processing delay) occurs during user login in the medical image management apparatus 1 illustrated in FIG. 1. Hereinafter, for convenience of explanation, a case where the medical image browsing apparatus 3 accesses the medical image management apparatus 1 will be described. Moreover, in the following description, description is abbreviate | omitted about the part which overlaps with FIG.

  As shown in FIG. 7, after the medical image is transmitted from the medical image photographing apparatus 2 to the processing unit 103 via the transmission / reception unit 111 (sequence SQ109), the medical image storage process is executed by the processing unit 103. Thereby, the medical image is transmitted from the processing unit 103 to the image storage unit 105, and the medical image is stored by the image storage unit 105 (sequence SQ301).

  After the medical image is stored, the registration process is executed by the processing unit 103. As a result, incidental information corresponding to the medical image is transmitted from the processing unit 103 to the examination information storage unit 107 (sequence SQ303).

  When a registration processing delay occurs, processing unit 103 outputs a delay notification from monitoring unit 109 to processing unit 103 (sequence SQ303).

  Specific processing is executed by processing unit 103 (sequence SQ307). After the specific processing by the processing unit 103 is executed, the specified incomplete medical image is output to the transmission / reception unit 111 (sequence SQ309). The medical image output from the processing unit 103 is transmitted to the medical image browsing device 3 by the transmission / reception unit 111 (sequence SQ310).

  The medical image browsing apparatus 3 displays the medical image transmitted from the transmission / reception unit 111 (sequence SQ311).

  For example, when a medical image having “chest: CR (simple X-ray)” as incidental information corresponds to a registration processing delay, the processing unit 103 uses the user attribute information shown in FIG. The user ID (Saburo doctor) whose interpretation field is “CR: chest” is specified. Next, the processing unit 103 specifies the ID of the medical image browsing apparatus “logged in” using the specified user ID (doctor Saburo) and the user login information illustrated in FIG. 3. The processing unit 103 outputs a medical image having “chest: CR (simple X-ray)” as incidental information to the transmission / reception unit 111. The transmission / reception unit 111 transmits a medical image having the chest part: CR (simple X-ray) as supplementary information to the medical image browsing apparatus corresponding to the ID specified in the login terminal information in advance.

  As a result, the user can view the medical image even if a registration processing delay occurs during user login.

(Occurrence of storage processing delay at the time of user login)
FIG. 8 is a sequence illustrating an example of a processing procedure when a storage processing delay occurs at the time of user login in the medical image management apparatus 1 illustrated in FIG. 1. Hereinafter, for convenience of explanation, a case where the medical image browsing apparatus 3 accesses the medical image management apparatus 1 will be described.

  In the medical image photographing apparatus 2, a medical image is generated (sequence SQ401). The medical image generated by the medical image photographing device 2 is transmitted from the medical image photographing device 2 to the processing unit 103 via the transmission / reception unit 111 (sequence SQ403). After the medical image is transmitted from the medical image photographing apparatus 2 to the processing unit 103, the storage process is executed by the processing unit 103. As a result, incidental information corresponding to the medical image is transmitted from the processing unit 103 to the examination information storage unit 107 (sequence SQ405).

Here, when a storage processing delay occurs, a delay occurrence notification is output from monitoring unit 109 to processing unit 103 (sequence SQ407).
During the storage process delay, the medical image browsing apparatus 3 accesses the medical image management apparatus 1 (user login) (sequence SQ409) by inputting the user ID, password, and the like in the operation unit 305.

  By accessing the medical image management apparatus 1, user login information of the user corresponding to the user ID is transmitted from the medical image browsing apparatus 3 to the user information DB 113 via the transmission / reception unit 111 (sequence SQ411). By the sequence SQ411, the user login information stored in the user information DB 113 is updated (sequence SQ413).

  Next, user login information is transmitted from user information DB 113 to processing unit 103 (sequence SQ414).

  Specific processing is executed by processing unit 103 (sequence SQ415). After the specific process by the processing unit 103 is executed, the specified incomplete medical image is output to the transmission / reception unit 111 (sequence SQ417). The medical image output from processing unit 103 is transmitted to medical image browsing apparatus 3 by transmission / reception unit 111 (sequence SQ418).

  The medical image browsing device 3 displays the medical image transmitted from the transmission / reception unit 111 (sequence SQ419).

  For example, when a storage processing delay has occurred for a medical image having “chest: CR (simple X-ray)” as supplementary information before user login, the following processing is executed. At the time of user login, the processing unit 103 specifies the user ID (00000020) using the ID of the logged-in medical image browsing apparatus and the user login information. In the user attribute information, when the role corresponding to the specified user ID (00000020) is “interpretation physician” and the interpretation field is “CR: chest”, the processing unit 103 selects “chest: CR (simple X-ray). ) A medical image having “” as supplementary information is output to the transmission / reception unit 111. The transmission / reception unit 111 transmits a medical image having “chest: CR (simple X-ray)” as supplementary information to the medical image browsing apparatus corresponding to the ID of the logged-in medical image browsing apparatus in advance.

  As a result, the user can view the medical image even when a storage processing delay occurs at the time of user login.

(Registration processing delay at user login)
FIG. 9 is a sequence illustrating an example of a processing procedure when a registration processing delay occurs at the time of user login in the medical image management apparatus 1 illustrated in FIG. 1. Hereinafter, for convenience of explanation, a case where the medical image browsing apparatus 3 accesses the medical image management apparatus 1 will be described. Moreover, in the following description, description is abbreviate | omitted about the part which overlaps with FIG. 2 and FIG.

  After the medical image is transmitted from the medical image photographing apparatus 2 to the processing unit 103 (sequence SQ403), the storage processing is executed by the processing unit 103. By executing the storage process, the medical image is transmitted from the processing unit 103 to the image storage unit 105, and the medical image is stored by the image storage unit 105 (sequence SQ501).

  After the medical image is stored, the registration process is executed by the processing unit 103. As a result, incidental information corresponding to the medical image is transmitted from the processing unit 103 to the examination information storage unit 107 (sequence SQ503).

  Here, when a registration processing delay occurs, a delay occurrence notification is output from monitoring unit 109 to processing unit 103 (sequence SQ505).

  During the registration processing delay, the medical image browsing apparatus 3 accesses the medical image management apparatus 1 (user login) (sequence SQ507) by inputting the user ID, password, and the like in the operation unit 305.

  By accessing the medical image management apparatus 1, user login information of the user corresponding to the user ID is transmitted from the medical image browsing apparatus 3 to the user information DB 113 via the transmission / reception unit 111 (sequence SQ509). Through the sequence SQ509, the user login information stored in the user information DB 113 is updated (sequence SQ510).

  Next, user login information is transmitted from user information DB 113 to processing unit 103 (sequence SQ511).

  In response to the user login information being transmitted from the user information DB 113 to the processing unit 103, the processing unit 103 executes specific processing (sequence SQ513).

  After the specific processing by the processing unit 103 is executed, the specified incomplete medical image is output to the transmission / reception unit 111 (sequence SQ515). The medical image output from the processing unit 103 is transmitted to the medical image browsing device 3 by the transmission / reception unit 111 (sequence SQ516).

  For example, if a registration processing delay has occurred for a medical image having “chest: CR (simple X-ray)” as supplementary information before user login, the following processing is executed. At the time of user login, the processing unit 103 specifies the user ID (00000020) using the ID of the logged-in medical image browsing apparatus and the user login information. In the user attribute information, when the role corresponding to the specified user ID (00000020) is “interpretation physician” and the interpretation field is “CR: chest”, the processing unit 103 selects “chest: CR (simple X-ray). ) A medical image having “” as supplementary information is output to the transmission / reception unit 111. The transmission / reception unit 111 transmits a medical image having “chest: CR (simple X-ray)” as supplementary information to the medical image browsing apparatus corresponding to the ID of the logged-in medical image browsing apparatus in advance.

  The medical image browsing apparatus 3 displays the medical image transmitted from the transmission / reception unit 111 (sequence SQ517).

  Accordingly, the user can view the medical image even when a registration processing delay occurs at the time of user login.

According to the configuration described above, the following effects can be obtained.
According to the above configuration, in the medical image management apparatus 1 according to the first embodiment, the processing unit 103 executes storage processing and registration processing. The transmission / reception unit 111 browses an incomplete medical image corresponding to the user's interpretation field related to the login to the medical image browsing device among incomplete medical images in which at least one of the storage process and the registration process is incomplete. Send to device. Thereby, even when at least one of the storage process and the registration process is delayed, the medical image can be transmitted to the medical image browsing apparatus in advance. That is, a medical image desired by the user can be displayed without delay on the medical image browsing apparatus. For example, the user can refer to a desired medical image even when storage processing delay and registration processing delay occur.

  For these reasons, medical images to be viewed (medical images of emergency patients, medical images that have been requested to be read in an emergency, etc.) can be read without delay. For example, the medical image management apparatus 1 has a storage medium provided in the server and a failure such as NAS (Network Attached Storage) used as a part of the server, concentration of access to the server, change of an execution plan of the database, etc. Even if a delay related to image search and image registration desired by the user occurs, the medical image to be browsed can be browsed by the medical image browsing apparatus.

  From the above, the medical image management apparatus 1 according to the first embodiment can improve the quality and efficiency of medical practice, for example.

  The image storage unit 105 may output a first error message to the monitoring unit 109 when the storage process is not completed within a predetermined time. Further, the inspection information storage unit 107 may output a second error message to the monitoring unit 109 when the registration process is not completed within a predetermined time. The monitoring unit 109 may output a delay occurrence notification to the processing unit 103 in response to at least one of the first error message and the second error message.

(Second Embodiment)
FIG. 10 is a block diagram showing a medical image management apparatus 1 according to the second embodiment, and a medical image photographing apparatus 2 and medical image browsing apparatuses 3, 4, and 5 connected to the medical image management apparatus 1 via a network. It is. In the following description, components having substantially the same functions and configurations shown in FIG. 1 are denoted by the same reference numerals, and redundant description will be given when necessary.

  As illustrated in FIG. 10, the processing unit 103 has created a report indicating an interpretation result by a user (for example, an interpreting doctor) for the incidental information corresponding to the specified incomplete medical image, or is currently creating the report. The determination process regarding the determination of the presence / absence of information regarding is executed. The determination process will be described in detail later.

  The transmission / reception unit 111 does not transmit an incomplete medical image that has been determined to have been generated by the determination process or is accompanied by information related to the generation of the report.

  Hereinafter, in the medical image management apparatus 1 according to the second embodiment, a procedure of determination processing when a storage processing delay or a registration processing delay occurs will be specifically described.

  FIG. 11 is a sequence illustrating an example of a procedure of determination processing when a storage processing delay or a registration processing delay occurs during user login in the medical image management apparatus 1 illustrated in FIG. 8 or 10. In the following description, the description overlapping with FIG. 2, FIG. 5, FIG. 7, FIG. 8, and FIG.

  After the specific process is executed by the processing unit 103 (sequence SQ205), the determination process is executed by the processing unit 103.

  For example, the processing unit 103 extracts information related to report creation (hereinafter referred to as report information) from incidental information corresponding to the specified incomplete medical image. Processing unit 103 determines in the extracted report information whether or not there is information regarding whether or not a report has been created (sequence SQ601).

  If the report has been created or is not being created, an incomplete medical image is output from the processing unit 103 to the transmission / reception unit 111 (sequence SQ603). The medical image output from processing unit 103 is transmitted to medical image browsing apparatus 3 by transmission / reception unit 111 (sequence SQ605).

  When the report has been created or the report is being created, the transmission / reception unit 111 does not transmit the incomplete medical image corresponding to the incidental information having information regarding the report being created or being created.

  The medical image browsing apparatus 3 displays the medical image transmitted from the transmission / reception unit 111 (sequence SQ607).

  As a result, it is possible to prevent duplicate medical images that have already been created or that are being created.

According to the configuration described above, the following effects can be obtained.
According to the configuration described above, in the medical image management apparatus 1 according to the second embodiment, the processing unit 103 interprets the incidental information corresponding to the identified incomplete medical image by the user (for example, an interpreting doctor). A determination process related to determination of whether or not there is information relating to the report being created or information being created is executed. Next, the transmission / reception unit 111 determines that the incomplete medical image determined to have been created by the determination process or attached with information related to the generation of the report is not transmitted. As a result, it is possible to prevent the incomplete medical images for which reports have been created or for which reports are being created from being duplicated and transmitted to a plurality of medical image browsing apparatuses.

  Therefore, the medical image management apparatus 1 according to the second embodiment can improve the quality and efficiency of medical practice, for example.

  The determination process may be incorporated in the first embodiment. That is, the determination process can also be applied when a storage process delay and a registration process delay occur during user login, and when a storage process delay and a registration process delay occur when the user logs in.

  Further, the first and second embodiments may have a medical report creation device and the like. In addition, each device and each unit in the first and second embodiments may be incorporated in another system or device. For example, the image storage unit 105 is not necessarily provided by the medical image management apparatus 1 itself, and may be provided on a network. The monitoring unit 109 may be realized as a function of the processing unit 103. That is, the physical arrangement of each device and each part in the first and second embodiments is not limited.

  Further, when an emergency patient is operated with a specific patient ID (for example, “99999”, etc.) and a medical image including the emergency patient ID in the incidental information is received from the medical imaging apparatus 2, the emergency patient Before performing the registration process and storage process of the medical image, or in parallel with the registration process and storage process of the medical image, the transmission process of the medical image to the medical image browsing apparatus for emergency patients is executed. Also good. In this case, when the medical image browsing device assigned for handling an emergency patient receives a medical image including the emergency patient ID in the incidental information, the medical image browsing device notifies the user with a sound or a display, or receives the medical image. If it is configured to display at the same time, it becomes more practical.

  As mentioned above, although some embodiment of this invention was described, these embodiment is shown as an example and is not intending limiting the range of invention. These novel embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the scope of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, and are included in the invention described in the claims and the equivalents thereof.

  DESCRIPTION OF SYMBOLS 1 ... Medical image management apparatus, 103 ... Processing part, 105 ... Image storage part, 107 ... Examination information storage part, 109 ... Monitoring part, 111 ... Transmission / reception part, 113 ... User information database, 115 ... Apparatus control part, 2 ... Medical Image photographing apparatus 101, 201, 301, 401, 501 ... interface (I / F), 303 ... operation control unit, 305 ... operation unit, 307 ... display control unit, 309 ... display unit, 311 ... terminal control unit, 3 4, 5 ... Medical image browsing device.

Claims (4)

A processing unit that performs a storage process related to storage of a plurality of medical images captured by the medical image capturing apparatus and a registration process related to registration of incidental information attached to the medical image;
Transmission / reception for transmitting to the display terminal the incomplete medical image corresponding to the user's interpretation field regarding login to the display terminal among incomplete medical images in which at least one of the storage processing and the registration processing is incomplete And a medical image management apparatus. A monitoring unit that monitors the processing status of the storage process and the registration process;
The monitoring unit outputs a delay occurrence notification indicating the occurrence of a processing delay to the processing unit, triggered by at least one of the storage processing and the registration processing being incomplete within a predetermined time,
The medical image management apparatus according to claim 1, wherein the processing unit outputs the incomplete medical image corresponding to the interpretation field to the transmission / reception unit in response to an input of the delay occurrence notification. An image storage unit for storing the medical image;
An inspection information storage unit for storing the incidental information; and
The image storage unit outputs a first error message to the monitoring unit when the storage process is not completed within the predetermined time,
The inspection information storage unit outputs a second error message to the monitoring unit when the registration process is incomplete within the predetermined time,
The medical image management apparatus according to claim 2, wherein the monitoring unit outputs the delay occurrence notification to the processing unit in response to input of at least one of the first error message and the second error message.   4. The transmission / reception unit according to claim 1, wherein, when the incidental information corresponding to the incomplete medical image includes information regarding whether a report has been created or is being created, the incomplete medical image is not transmitted. 5. The medical image management apparatus according to claim 1.