JP2017191511A - Information processing apparatus, method for controlling the same, and program, and remote interpretation system, method for controlling the same, and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a mechanism that enables, in interpretation work of interpreting a plurality of inspection images, an interpreter to identify the ratio of medical examinees required to take a detailed examination.SOLUTION: An information processing apparatus comprises storage means that stores a result of interpretation of inspection images performed by an interpreter, calculates the ratio of medical examinees required to take a detailed examination in the result of interpretation stored in the storage means, and displays and controls an identification screen that enables the interpreter to identify a calculated calculation result. This enables the interpreter to easily grasp the ratio of medical examinees determined to be required to take a detailed examination.SELECTED DRAWING: Figure 13

Description

  The present invention relates to an information processing apparatus, a control method and program thereof, a remote interpretation system, and a control method and program thereof.

  Medical images taken with various modalities such as X-ray CT and MRI are interpreted by an interpreting doctor who specializes in interpretation, but such interpreting doctors are not located in all hospitals, and there is no interpreting doctor. In this facility, an interpreting doctor is requested to interpret a medical image via an external interpretation center or the like.

  Patent Document 1 discloses a mechanism that can easily perform such a request to an interpreting doctor. Patent Document 1 discloses a remote interpretation system that can grasp the specifications of a terminal used by an interpretation doctor and the state of a network, reduce the burden on the doctor, and level the workload.

JP 2010-134540 A

  By the way, such interpretation work is performed not only in medical images taken at medical institutions, but also in medical institutions (hereinafter referred to as the following), which are performed in companies and at predetermined venues in order to detect diseases such as lifestyle-related diseases at an early stage. It also occurs in group medical examinations (also called requested facilities). In group medical examination, X-ray imaging is usually performed as one of the medical examination items, and an X-ray medical image is taken for each person to be examined. The interpretation of the X-ray medical image thus captured is generally requested by an interpretation center to which a plurality of interpretation doctors specializing in interpretation belong, and in recent years disclosed in the cited document 1. The remote interpretation system that is often used is also adopted. The interpreting doctor interprets such a medical image to determine whether or not a close examination is necessary, and if a close examination is necessary, the doctor interprets that fact to the medical examination organization.

  The rate at which a close examination is required for such interpretation is called the requisite inspection rate (examiners who require close inspection / all examinees), but as an ideal interpretation, although the requisite inspection rate is low, a close inspection is required. It is said that it is desirable to have a high discovery rate that is judged positive when performing

  However, since there are hundreds or thousands of medical images taken in such a group medical examination, if the interpretation is performed with fatigue accumulated in the interpreting doctor, or an inexperienced interpreting doctor may leak In some cases, it may be judged that the detailed inspection is more necessary than necessary, and there may be variations in the required detailed examination rate depending on the situation.

  The present invention has been made in view of the above problems, and an object of the present invention is to provide a mechanism by which an interpreting doctor can easily identify the proportion of examinees who are required to undergo detailed examinations.

  In order to solve the above-described problems, an information processing apparatus according to the present invention is an information processing apparatus used in an interpretation work in which an interpretation doctor interprets a plurality of examination images, and a storage unit that stores the interpretation results of the examination images by the interpretation doctor Display control of a calculation unit that calculates a ratio that the interpretation result stored in the storage unit is a close examination, and an identification screen that allows the interpretation doctor to identify the calculation result calculated by the calculation unit Display control means.

  As described above, according to the present invention, since the interpreting physician can easily identify the proportion of the examinees who need to undergo detailed examination, it is assumed that the interpretation is performed with fatigue accumulated. However, it is possible to perform interpretation work while grasping the current situation.

It is a figure which shows the example of the remote interpretation system structure which concerns on this embodiment. It is a figure which shows the example of the hardware constitutions of the information processing apparatus which concerns on this embodiment. It is a figure which shows the example of a function structure of the remote interpretation system which concerns on this embodiment. It is a flowchart explaining the flow of the whole process until it receives a request from the request | requirement facility 150, and the interpretation result with respect to the said request is returned. 5 is a flowchart for explaining details of a flow of image interpretation processing in S406 of FIG. 6 is a flowchart for explaining the details of the flow of accepting an interpretation result in S521 of FIG. It is an example of the data table managed with a database server. It is an example of the data table managed with a database server. It is an example of an interpretation request input screen. It is an example of an interpretation request list screen. It is an example of a test | inspection list screen. It is an example of the screen used when inputting an interpretation result. It is an example of the screen which displays a detailed examination rate. It is an example of the report which notifies an interpretation result.

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. The embodiment described below shows an example when the present invention is specifically implemented, and is one of the specific embodiments having the configurations described in the claims.

[System configuration]
FIG. 1 shows an example of the overall configuration of a remote interpretation system as an information processing system according to the present embodiment. In the present embodiment, the remote interpretation system includes a data center, a requested facility, an interpretation center, and an interpreting doctor's home as each base, and the respective bases are communicably connected via a network 115. In the present embodiment, the requested facility is described as the requesting side, and the interpretation center and the interpretation doctor are described as the interpretation side.

  Each user who uses the remote interpretation system provides an authentication server (not shown) in the data center at the start of access from the information processing apparatus (109, 112, 113) which is a client terminal arranged at each base. Authentication is performed by the authentication function. After successful authentication, the portal screen is presented on the display of each user's information processing apparatus.

  In the requested facility 150, the medical examination image data (medical image data) of the patient used for remote interpretation is a medical examination venue, a medical examination facility, or a company that conducts a medical examination by using a modality such as a CR (computed radiography) that is an imaging apparatus. After being photographed, they are collected at the request terminal 109 via various recording media, communication means, and the like. Examples of the image data for medical examination include image data of DICOM (Digital Imaging and Communication in Medicine) standard. DICOM standard image data includes patient information such as patient name, patient ID, and patient gender, incidental information including imaging conditions such as modality type, and image data.

  In this embodiment, CR is assumed as a modality used for medical examination. However, as other embodiments, the modality is not limited to this, and is CT (Computed Tomography), MRI (Magnetic Resonance Imaging), and the like. Also good.

  A person in charge of interpretation request work at the requested facility 150 uses the request terminal 109 to input information (request information) required at the time of an interpretation request, and transmits the request information to the data center 152 together with image data. The request information is stored in the database server 117 of the data center 152. The image data is transmitted to the image management server 101 in the data center 152. The image management server 101 issues and stores a unique image ID (identification information) for each image data. At this time, the database server 117 manages interpretation request information in association with requested facility information and the like. In this specification, request information and image data correspond to each other, and request information allocation (distribution) is handled as image data allocation.

  The person in charge of the interpretation center 151 who accepts the interpretation request from the request facility 150 uses the business terminal 112 to check whether or not the interpretation request information is sufficiently input, and distributes each request to the interpretation doctor. Do work. As the sorting work, the person in charge of the job may manually assign the field of expertise of each interpretation doctor, etc., or the field of expertise of each interpretation doctor, the interpretation schedule, etc. are set in advance, and automatic distribution processing is performed. You may sort by doing.

  An image interpretation doctor who performs image interpretation uses an information processing device 113 (or an image interpretation terminal at home) that is an image interpretation terminal arranged in the image interpretation center 151, and performs an image interpretation operation corresponding to an image interpretation request assigned by a business person in charge. Image data is downloaded from the image management server 101 and referred to for interpretation. Thereafter, the interpretation doctor returns the interpretation result information thus interpreted to the data center 152. The interpretation result information transmitted from the interpretation doctor's terminal is stored in the database server 117 of the data center 152. The interpretation result information stored here is stored in association with the request information, that is, managed in a state where the requested facility information and the like can be specified. Thereafter, the interpretation result information is returned to the requesting facility 150 in the form of a report or report, and a series of interpretation work is completed. Here, examples of the interpretation center and the interpretation doctor's home have been shown as the interpretation facility side terminals, but they may be placed in any location and can be referred to using a mobile terminal or the like. I do not care. Further, although an example in which the server in the data center 152 is divided into a plurality of parts has been described, a common image interpretation management server may be provided.

  FIG. 2 is a diagram illustrating an example of a hardware configuration of an information processing apparatus such as various servers and terminals. The CPU 201 comprehensively controls each device and controller connected to the system bus 204. The ROM 202 or the external memory 211 stores a BIOS (Basic Input / Output System), an operating system (OS), and various programs necessary for realizing the functions of each terminal.

  The RAM 203 functions as a main memory, work area, and the like for the CPU 201. The CPU 201 implements various operations by loading a program or the like necessary for executing the processing from the ROM 202 or the external memory 211 to the RAM 203 and executing it. The input controller 205 controls input from an input device 209 such as a pointing device (not shown) such as a keyboard or a mouse. The video controller 206 controls display on the display 210.

  The memory controller 207 controls access to the external memory 211 that stores various data and the like. Examples of the external memory 211 include an external storage device (HD), a flexible disk (FD), and a compact flash (registered trademark) memory connected to the PCMCIA card slot via an adapter. The communication I / F controller 208 performs connection and communication control with an external device via a network (for example, the network 115 shown in FIG. 1). The communication I / F controller 208 can perform communication using TCP / IP, for example.

  Various programs for realizing the present invention are recorded in the external memory 211 and are executed by the CPU 201 by being loaded into the RAM 203 as necessary. Furthermore, a definition file and various information tables used when the program is executed are also stored in the external memory 211, and detailed description thereof will be described later.

[Function configuration]
FIG. 3 is a diagram illustrating the functional configuration of each server according to the present embodiment.

  As described above, the terminal used by each user is connected to the business server 105 and the image management server 101 via the network 115 so that they can communicate with each other. The database server 117 to which the business server 105 refers to data includes an image interpretation request table, an inspection image table, a report table, an image interpretation result table, an examination rate management table, etc., as shown in FIGS. Is provided and is managed by the data table management unit 331.

  The business server 105 includes a communication control unit 311 that controls communication with the outside, an interpretation request management unit 312, an interpretation result management unit 313, and a report management unit 315.

  When receiving the request information from the request terminal 109 and receiving the request, the interpretation request management unit 312 of the business server 105 analyzes the request information and causes the data table management unit 331 of the database server 117 to update the interpretation request table. Function.

  When the interpretation result management unit 313 of the business server 105 receives the interpretation result information transmitted from the interpretation doctor's terminal, the interpretation result information is stored in the data table management unit 331 of the database server 117, and the report table and the interpretation result table are stored. Function to update.

  In addition, the fine examination rate management unit 314 of the business server 105 updates the fine examination rate (required for detailed examination / all examinees) obtained from the interpretation result of the interpretation doctor's terminal so as to be stored in the precise examination management table. To function.

  When receiving the image data from the request terminal 109 of the request facility 150, the inspection image management unit 321 of the image management server 101 issues and stores a unique image ID 712 (identification information) and an image number 713 for each image data. To function. At that time, the data table management unit 331 of the database server 117 functions to update the inspection image table.

  The information processing apparatus 113 of the interpretation doctor terminal includes a communication control unit 301 that controls communication with the outside, a storage management unit 302, a detailed examination rate calculation unit 303, and a display control unit 304.

  The storage management unit 302 of the information processing device 113 functions to manage the interpretation result before being determined by the interpretation doctor and transmitted to the business server by temporarily storing it in an external memory or the like in the terminal.

  Based on the interpretation results managed by the storage management unit, the fine examination rate calculation unit 303 of the information processing apparatus calculates the fine examination rate (the number of examinees requiring detailed examination (number of examination images) / the number of examinees (number of examination images)). Functions to calculate

  The display control unit 304 of the information processing apparatus functions to perform display control of the screen according to the detailed examination rate calculated by the precise examination rate calculation unit 303. In addition, the display control unit 304 performs control so that the reference value is displayed together with the result of the precision required rate calculated by the precision rate calculating unit 303, or display control according to the value of the precision required rate and the reference value. It can be performed.

[Data table]
Next, an example of each data table stored in the database server 117 will be described with reference to FIGS.

  The interpretation request table shown in FIG. 7A is a table to which the request contents included in the interpretation request information are sequentially added. The request number 701 is allocated for each request, and identifies each request. Name of facility 702, inspection type 703, inspection date 704, request date 705 indicating interpretation request date, interpretation code set ID 706 indicating the code set used by the interpreting doctor to input the interpretation result, designated by the requesting facility A conversion destination code set ID 707 indicating a code set to which the code of the interpretation code set ID 1006 input by the interpretation doctor is to be converted, indicating whether the same request is to be interpreted by a plurality of interpretation doctors, and returned. The report format 708 indicates the format used when the job is executed.

  The examination image table shown in FIG. 7B is a table provided for each image data included in each interpretation request. The examination number 711, the image ID 712, the image number 713, the patient number 714, the patient name 715, the examination date and time. 716 and a modality 717.

  The report table shown in FIG. 7C includes a report ID 721 for identifying each report, an image number 722, a request number 723, and an interpreting doctor who indicates the interpreting doctor who is in charge of interpretation of the examination that is the target of the report. 724, when a plurality of interpreting doctors interpret the same request, the kind 725 indicating the order of interpretation by the present interpreting doctor, interpretation date 726, update date 727, interpretation code set ID 728, conversion destination code It consists of a set ID 729.

  The interpretation result table shown in FIG. 8A is a table provided for each finding. When there are a plurality of findings for one report, the same number of records are added. As items, report ID 731 and finding No. for identifying findings accompanying the report. 732, code type 733 indicating which code set was used for interpretation, finding text 734, part code (1) 735 indicating the part to be found, and part name corresponding to part code (1) 735 A part name (1) 736 indicating a part, a part code (2) 737 indicating a part subjected to a finding, a part name (2) 738 indicating a part name corresponding to the part code (2) 737, a finding indicating a finding It includes a code 739, a finding name 740 indicating a finding corresponding to the finding code 739, a determining code 741 indicating a determination result, and a determining name 742 indicating a determining name corresponding to the determining code 741.

  The precise examination rate management table shown in FIG. 8B is a table that manages the precise examination rate when the interpretation result is received from the interpretation doctor, and is used when determining the precise examination rate that is a reference value. It is. Here, a request number 751, facility name 752, examination type 753, interpretation doctor 754, number of precise examinations required 755, total number of recipients 756, and examination rate 757 are managed.

[Processing flow]
Next, the process from receiving a request from the requesting facility 150 until the report of the interpretation result for the request is returned will be described with reference to the flowcharts of FIGS.

  In the following processing, the CPUs of the information processing apparatuses (109, 112, 113) and the business server 105, which are client terminals that can perform interpretation requests, input of interpretation results, browsing of interpretation results, and the like are stored in each storage unit. This is realized by reading and executing the read program.

  FIG. 4 is a flowchart for explaining the overall flow of processing from receiving a request from the requesting facility 150 to returning an interpretation result for the request. FIG. 5 is a flowchart illustrating details of the flow of the image interpretation process in S406 of FIG. FIG. 6 is a flowchart for explaining the details of the flow of accepting the interpretation result in S521 of FIG.

  First, in S401, the CPU 201 of the information processing apparatus 109 (request facility) displays an interpretation request input screen as shown in FIG. 9 on the display 210 of the information processing apparatus, and accepts input of interpretation request information from the requested facility. When the person in charge of the requested facility inputs interpretation request information and the send button 903 is pressed by an operation of the person in charge of the person in charge of the requested facility, the CPU 201 of the information processing apparatus passes through the interpretation request screen of FIG. The contents of the interpretation request inputted in this way are transmitted from the information processing apparatus (request facility) to the business server 105 (S402).

  Specifically, the person in charge at the requesting facility can check the examination type indicating the examination type, “resident medical examination”, “school / corporate medical examination”, “specific medical examination” via the screen for inputting the interpretation request information in FIG. The information of the interpretation request to the interpreting doctor such as the type of medical examination, the venue code where the examination was performed, the report format of the interpretation result, and the interpretation method indicating whether the interpretation by a plurality of interpreting doctors is desired. At this time, the request information can be registered in the form of an attached file.

  Further, the person in charge at the requesting facility designates the code requested as the interpretation result via the interpretation request input screen. Codes that can be specified include a code that the interpretation center designates as a common code (code set name “common center”), and a code that designates a requested facility that is registered in advance at the contract between the requested facility and the interpretation center (code set name “ AAAA "). If the requested facility code is not specified here, the business server side may handle the code specified by the image interpretation center as the common code.

  When the content of the interpretation request is input by the person in charge at the requested facility and the transmission button 903 shown in FIG. 9 is pressed, the content of the interpretation request input via the interpretation request screen is transmitted to the business server 105.

  In this embodiment, the information processing apparatus (requested facility) executes the processing of S401 and S402. However, as another embodiment, the person in charge of the interpretation center executes the information processing apparatus 112 of the business terminal. Also good. This is because the person in charge at the requesting facility cannot always make an interpretation request from the remote interpretation system. For example, a paper medium in which the interpretation request is entered and a CD-ROM in which the image to be interpreted is stored. This is because the inserted envelope may be sent to the interpretation center. In that case, the interpretation request entered on the paper medium can be operated by the person in charge of the interpretation center inputting it via the information processing device of the business terminal.

  In S403, the CPU 201 of the business server 105 receives an interpretation request from the information processing apparatus, and stores the information on the interpretation request in the interpretation request table of FIG. 7A of the database server. In step S404, the CPU 201 of the business server 105 accepts the assignment of the assigned interpreting doctor by the person in charge of the task. In step S405, the CPU 201 stores the assigned interpreting doctor 1018 in the report table shown in FIG. 7C.

  In step S406, the CPU 201 of the information processing apparatus (each interpreting doctor) receives an input of an interpretation result from the interpreting doctor to whom the interpretation request is assigned. Details of the process of S406 will be described later with reference to FIG.

  In step S <b> 407, the CPU 201 of the business server 105 converts the interpretation result transmitted from the information processing apparatus (each interpretation doctor) into a code requested by the requested facility, and executes a process of creating form data serving as a report.

  In S408, the CPU 201 of the business server 105 transmits a report of interpretation results as shown in FIG. 14 to the requesting facility, and in S409, the CPU 201 of the information processing apparatus (requesting facility) forms a report that is a report of interpretation results. Receive data and exit.

  The interpretation result report 1400 shown in FIG. 14 summarizes the results of a plurality of recipients according to the format specified by the requested facility, and describes the judgments and findings of each recipient. Further, it is also possible to display the precision inspection rate 1401 in the request in an identifiable manner.

  Next, details of a series of processes in which the interpretation doctor inputs an interpretation result for the request will be described with reference to FIG.

  In step S <b> 501, the CPU 201 of the information processing apparatus determines whether a request list acquisition request operation has been received from an interpreting doctor (user) via the portal screen of the remote interpretation system displayed on the display 210 of the information processing apparatus. If it is determined in S501 that the operation has been accepted, the process proceeds to S502, and the CPU 201 of the information processing apparatus makes an acquisition request for the interpretation request list assigned to the interpretation doctor to the business server 105.

  Specifically, by logging in to the portal screen, it can be determined that the request list acquisition request and the inspection image acquisition request for each request have been requested, and when the portal screen is logged in, the interpretation request list is acquired. At the same time, the inspection images are sequentially downloaded from the image management server 101 to the information processing apparatus of the interpretation doctor in the background.

  In step S <b> 503, the CPU 201 of the business server 105 receives an interpretation request list acquisition request from the information processing apparatus. Thereafter, the CPU 201 of the business server 105 identifies the report data of the interpretation doctor who has requested acquisition of the interpretation request list from the report table shown in FIG. 7C, and creates information on the interpretation request list screen (S504). ) To the information processing apparatus (S505).

  In step S506, the CPU 201 of the information processing apparatus receives information on the interpretation request list screen transmitted from the business server 105. In step S507, the interpretation request list screen (FIG. 10) is displayed on the display 210 of the information processing apparatus.

  In step S <b> 508, the CPU 201 of the information processing apparatus determines whether an interpretation request selection operation for starting interpretation is accepted on the interpretation request list screen (FIG. 10). FIG. 10 is an example of an interpretation request list screen. The work list 1002 on the interpretation request list screen 1001 displays a list of requests assigned to the interpretation doctor, and the facility name of the requested facility, request contents, etc. are displayed for each request. Also, if a paper-based medical checkup request was accepted at the time of the interpretation request, it was obtained by scanning the medical checkup request with a scanner when the request number was selected by the interpretation doctor Image data is displayed as attached information 1005.

  If it is determined in S508 that an interpretation request selection operation has been performed, in S509, the CPU 201 of the information processing apparatus displays an examination list screen (FIG. 11) corresponding to the designated request. Specifically, when an interpretation start button 1003 is pressed on any interpretation request list screen 1001 in a state where any request is selected, an examination list screen (FIG. 11) for the request is displayed.

  In step S510, the CPU 201 of the information processing apparatus determines whether an image display instruction has been received on the examination list screen (FIG. 11). When the image display instruction is received, the CPU 201 of the information processing apparatus shifts the process to S511 and starts the image interpretation work.

  FIG. 11 is an example of an inspection list screen (inspection list). The examination list screen 1100 is provided so that findings can be managed for each patient (for each image). The image number 1103, information on the patient to be imaged for the examination image (Patients sex1104, Patents Age1105), and the number of images 1106 are provided. If a finding interpretation is input to the examination image by the interpretation doctor, the content of the finding (1 reading finding presence / absence 1107, 1 reading finding content 1108, 1 reading comprehensive judgment 1109, 1 reading input daily 1110, 1 interpretation doctor 1111) and the like are displayed. The single reading comprehensive determination 1109 receives a determination based on the worse one reading finding content 1108 when a plurality of one reading finding contents 1108 are input for one inspection image.

  When the image display button 1120 is pressed in a state where selection of an inspection image to input a finding from the inspection list (start of interpretation) is received from a user who is an interpretation doctor, the CPU 201 of the information processing apparatus displays an image viewer. Start up and display the inspection image. As a result, the image can be read.

  On the examination list screen, a description 1101 that can identify the number of images that have been input for finding and a description 1102 that requires a detailed examination rate that indicates the percentage of detailed examinations that have been entered for the examinee have been entered. It is possible to identify the detailed examination rate in the current interpretation state.

  The examination list screen is provided with a save button 1121 and a completion button 1122, and when the save button 1121 is pressed, the current interpretation result is temporarily saved in the information processing apparatus. Further, when the completion button 1122 is pressed, it is possible to transmit the result to the business server to be stored in the interpretation result table 730 after an identification display relating to the accuracy rate described later is made on the assumption that the interpretation process has been completed. .

Next, details of the interpretation result reception process in S511 will be described with reference to FIG.
In S600 of FIG. 6, the CPU 201 of the information processing apparatus activates the image viewer 1200 and displays an inspection image that has received an image display instruction.

  In step S <b> 601, the CPU 201 of the information processing apparatus determines whether an image switching instruction on the image viewer 1200 has been received. Specifically, when the Enter key on the input device 209 of the information processing apparatus is pressed at the time of image display, or on the finding input screen (FIG. 12) displayed on the image viewer, the “Determine and Next” button By pressing 1206, it can be determined that a switching instruction has been accepted. If it is determined that a switching instruction has not been received, the process proceeds to S602. If it is determined that a switching instruction has been received, the process proceeds to S605.

  In step S <b> 602, the CPU 201 of the information processing apparatus determines whether a finding / part selection screen display instruction has been received on the image viewer 1200. Specifically, when a selection operation using a mouse pointer or the like is received on the examination image displayed on the image viewer 1200 by the interpretation doctor, it can be determined that an instruction to display the finding / part selection screen has been received. If the selection operation using the mouse pointer or the like is accepted on the examination image by the interpretation doctor, the process proceeds to S603, and if not, the process proceeds to S601.

  In step S <b> 603, the CPU 201 of the information processing apparatus performs processing for displaying a finding / part selection screen 1201 as illustrated in FIG. 12. In step S604, the CPU 201 of the information processing apparatus accepts an operation from the interpretation doctor on the finding / part selection screen 1201 shown in FIG.

  On the other hand, in step S <b> 605, the CPU 201 of the information processing apparatus determines whether an input of finding contents has already been received. Specifically, the determination can be made based on whether a finding is selected on the finding / part selection screen 1201. If it is determined that there is a finding content, the process proceeds to S606, and the code corresponding to the part / finding / determination selected on the finding / part selection screen 1201 is read in the external memory 211 or the like in the information processing apparatus as a result of the interpretation. If it is determined that there is no finding content, a code corresponding to no abnormality is temporarily stored in the external memory 211 or the like as an interpretation result.

  In step S608, the CPU 201 of the information processing apparatus determines whether there is a next image. If there is a next image, the next inspection image is displayed on the image viewer 1200 in step S609, and the process proceeds to step S601.

  FIG. 12 is an example of a screen used when inputting the interpretation result. FIG. 12A shows a state where the finding / part selection screen 1201 is displayed on the image viewer 1200. FIG. b) is an enlarged view of the finding / part selection screen 1201. FIG. On the image viewer 1200, an examination image designated by an interpreting physician is displayed. When a part selection operation using a mouse pointer or the like is received on the examination image, an observation / part selection screen 1201 in a state where the part is selected. Is displayed on the inspection image. It should be noted that this part can be changed after being selected once.

  In the example of FIG. 12, a schema image of a body part is displayed on the left half of the finding / part selection screen 1201, and a selectable finding type 1202 and a determination result 1203 are displayed on the right half of the finding / part selection screen 1201. An area to be selected and an area for inputting the finding text are provided. When selection / input of findings is received from an interpreting physician with a mouse pointer or the like in a state where a region is selected, findings as an interpretation result corresponding to the designated region are set. That is, the selection of the finding for the part designated by the user from the findings displayed on the right half of the finding / part selection screen 1402 can be received from the interpretation doctor. If it is desired to select a plurality of parts and input findings in one examination image, an item 1205 can be added by pressing a finding addition button 1204.

  In this state, when the “determined and next” button 1206 is pressed by the interpretation doctor with a mouse pointer or the like, information on the code corresponding to the selected part / finding is temporarily stored in the external memory 211 of the information processing apparatus. Memorized. When there is a next inspection image, the next image is displayed on the image viewer 1200.

This is the end of the description of FIG. 6, and the description returns to FIG. 5.
In step S512, the CPU 201 of the information processing apparatus determines whether an instruction to transmit an interpretation result has been received. If it is determined that the instruction has been received, the process proceeds to step S513. Specifically, the determination can be made based on whether or not the completion button 1122 has been pressed in a state where the interpretation of the selected request data has been completed.

  In step S513, the CPU 201 of the information processing apparatus calculates a requisite detection rate (percentage of patients who need a close inspection) of the interpretation result. Specifically, by using the information stored in the memory or the like in the information processing apparatus in S606 and S607, it is possible to obtain the required detailed examination rate by dividing the number of examinees requiring a detailed examination by the total number of examinees. .

  In step S514, the CPU 201 of the information processing apparatus performs control so as to display an identification screen 1300 (FIG. 13) that allows an interpreting doctor to identify the detailed examination rate that is the calculation result calculated in step S513.

  FIG. 13A shows an example of such an identification screen 1300. The display 1301 confirms that the interpretation result is to be transmitted to the business server, and the value 1303 of the examination rate, the number of examinees required and the examinees. A value 1302 indicating a number is provided to be displayed. Further, a display 1304 that can identify whether the current interpretation result is within the education range may be provided together with an allowable range that is a reference value of the accuracy rate. Such reference values can be used as received from the business server in advance, and are not limited to a uniform allowable range, but also an allowable range obtained from the average age of the examinees included in the request. In some cases, a change in the necessitated detailed examination rate may be observed, so that the allowable range according to the medical examination type 902 can be set.

  Further, as other reference values, the average examination rate 1305 of the entire medical examination center (request facility), the average examination rate 1306 of the whole interpretation center, and the average examination rate 1307 of the interpretation doctor may be displayed. it can. Note that the business server can set such a reference value by using a value such as the precision rate 757 managed by the precision rate management table in the database.

  Further, as shown in FIG. 13B, the CPU 201 of the information processing apparatus determines that the precision inspection rate is within the specified range when the precision inspection value 1303 is outside the allowable range provided as the reference value. A warning 1314 indicating that it is off can also be given. When a fixed value is set as the reference value instead of a range, it is determined that the difference between the reference value and the precision rate is within a predetermined range, and is not within the predetermined range. You may warn that it is.

  When the “yes” button 1308 is pressed by the user who is an interpretation doctor on such an identification screen 1300, it is assumed that the interpretation result transmission is agreed, and in S515, the CPU 201 of the information processing apparatus sends the interpretation result to the business server. Send.

  In S516, the CPU 201 of the business server 105 receives the interpretation result information transmitted from the information processing apparatus and stores it in the interpretation result table in FIG. 8 (a) and FIG. 8 (b) in the database (S517).

  As described above, according to the present invention, the interpreting physician can easily grasp the ratio of the examinees who need to undergo a detailed examination at the time of interpretation. Even if it is a situation where a shallow interpretation doctor thinks that there is no omission, even if it is a situation where it is judged that a detailed examination is necessary more than necessary, the interpretation work will be performed while grasping the situation such as the current precise examination rate and reference value be able to. As a result, it is possible to prevent the examinee from being forced to perform an unnecessary detailed examination.

  The present invention can be implemented as a system, apparatus, method, program, storage medium, or the like, and can be applied to a system including a plurality of devices. You may apply to the apparatus which consists of one apparatus.

  Note that the present invention includes a software program that implements the functions of the above-described embodiments directly or remotely from a system or apparatus. The present invention also includes a case where the system or the computer of the apparatus is achieved by reading and executing the supplied program code.

  Accordingly, since the functions of the present invention are implemented by computer, the program code installed in the computer also implements the present invention. In other words, the present invention includes a computer program itself for realizing the functional processing of the present invention.

  In that case, as long as it has the function of a program, it may be in the form of object code, a program executed by an interpreter, script data supplied to the OS, and the like.

  Examples of the recording medium for supplying the program include a flexible disk, hard disk, optical disk, magneto-optical disk, MO, CD-ROM, CD-R, and CD-RW. In addition, there are magnetic tape, nonvolatile memory card, ROM, DVD (DVD-ROM, DVD-R), and the like.

  As another program supply method, a browser on a client computer is used to connect to an Internet home page. The computer program itself of the present invention or a compressed file including an automatic installation function can be downloaded from the homepage by downloading it to a recording medium such as a hard disk.

  It can also be realized by dividing the program code constituting the program of the present invention into a plurality of files and downloading each file from a different homepage. That is, a WWW server that allows a plurality of users to download a program file for realizing the functional processing of the present invention on a computer is also included in the present invention.

  In addition, the program of the present invention is encrypted, stored in a storage medium such as a CD-ROM, distributed to users, and key information for decryption is downloaded from a homepage via the Internet to users who have cleared predetermined conditions. Let me. It is also possible to execute the encrypted program by using the downloaded key information and install the program on a computer.

  Further, the functions of the above-described embodiments are realized by the computer executing the read program. In addition, based on the instructions of the program, an OS or the like running on the computer performs part or all of the actual processing, and the functions of the above-described embodiments can also be realized by the processing.

  Further, the program read from the recording medium is written in a memory provided in a function expansion board inserted into the computer or a function expansion unit connected to the computer. Thereafter, the CPU of the function expansion board or function expansion unit performs part or all of the actual processing based on the instructions of the program, and the functions of the above-described embodiments are realized by the processing.

  The above-described embodiments are merely examples of implementation in carrying out the present invention, and the technical scope of the present invention should not be construed as being limited thereto. That is, the present invention can be implemented in various forms without departing from the technical idea or the main features thereof.

101 image management server, 109 request terminal, 112 business terminal, 113 interpretation terminal

Claims (13)

An information processing apparatus used for interpretation work in which an interpretation doctor interprets a plurality of examination images,
Storage means for storing the interpretation result of the examination image by the interpretation doctor;
A calculation means for calculating a ratio that the interpretation result stored in the storage means is a close examination required;
Display control means for controlling display of an identification screen that enables the interpretation doctor to identify the calculation result calculated by the calculation means;
An information processing apparatus comprising: A reception unit that receives a transmission instruction for transmitting the interpretation result stored in the storage unit to a server provided to be communicable with the information processing apparatus;
The information processing apparatus according to claim 1, wherein the display control unit performs control so that the identification screen is displayed when a reception instruction is received by the reception unit.   3. The information processing according to claim 1, wherein the display control unit performs display control on the identification screen so that the ratio calculated by the calculation unit and the reference value of the close-inspection required can be identified. apparatus.   4. The display control unit according to claim 3, wherein the display control unit performs display control on the identification screen so as to be able to identify whether the ratio calculated by the calculation unit is within a range of a reference value of the fine inspection. Information processing device.   The information processing apparatus according to claim 3, wherein the reference value is provided according to a medical examination type designated at the time of request.   The information processing apparatus according to claim 3, wherein the reference value is stored in correspondence with the age of the examinee.   5. The information processing apparatus according to claim 3, wherein the reference value is determined according to an average of interpretation results managed by the server.   The information processing apparatus according to claim 3, wherein the reference value is determined according to a requested facility. A method for controlling an information processing apparatus that includes a storage unit that stores an interpretation result of an inspection image by an interpretation doctor, which is used in an interpretation operation in which an interpretation doctor interprets a plurality of inspection images.
A calculation step of calculating a ratio that the interpretation result stored in the storage means is a close examination required;
A display control step for controlling display of an identification screen that enables the interpretation doctor to identify the calculation result calculated in the calculation step;
A control method characterized by comprising: A program that can be installed in an information processing apparatus that includes a storage unit that stores an interpretation result of an inspection image by an interpretation doctor, which is used in an interpretation operation in which an interpretation doctor interprets a plurality of inspection images.
The information processing apparatus;
A calculation means for calculating a ratio that the interpretation result stored in the storage means is a close inspection,
Display control means for controlling display of an identification screen that enables the interpretation doctor to identify the calculation result calculated by the calculation means;
A program characterized by functioning as A remote interpretation system including an information processing device used for interpretation work in which an interpretation doctor interprets a plurality of examination images,
Storage means for storing the interpretation result of the examination image by the interpretation doctor;
A calculation means for calculating a ratio that the interpretation result stored in the storage means is a close examination required;
Display control means for controlling display of an identification screen that enables the interpretation doctor to identify the calculation result calculated by the calculation means;
A remote interpretation system characterized by comprising: A method for controlling a remote interpretation system comprising an information processing device having a storage means for storing a result of interpretation of an examination image by an interpretation doctor, which is used for interpretation work in which an interpretation doctor interprets a plurality of examination images,
A calculation step of calculating a ratio that the interpretation result stored in the storage means is a close examination required;
A display control step for controlling display of an identification screen that enables the interpretation doctor to identify the calculation result calculated in the calculation step;
A control method characterized by comprising: A program that can be installed in a remote interpretation system that includes an information processing device that includes a storage unit that stores an interpretation result of an examination image by an interpreting doctor, which is used for interpretation work in which an interpretation doctor interprets a plurality of examination images.
The remote interpretation system;
A calculation means for calculating a ratio that the interpretation result stored in the storage means is a close inspection,
Display control means for controlling display of an identification screen that enables the interpretation doctor to identify the calculation result calculated by the calculation means;
A program characterized by functioning as

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