JP2017191519A - Medical image diagnosis support system, method for controlling the same, and program, and information processing apparatus, method for controlling the same, and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a mechanism that can support input of a determination classification indicating a result of determination of interpretation on an inspection image.SOLUTION: A medical image diagnosis support system stores one or a plurality of determination classifications indicating a result of determination of interpretation and corresponding to information on an opinion. The medical image diagnosis support system receives an input of information on an opinion on an inspection image and receives an input to any one of the plurality of determination classifications. When receiving the input, the medical image diagnosis support system receives an input to the stored one or plurality of determination classifications corresponding to the information on the opinion the input of which has been received.SELECTED DRAWING: Figure 17

Description

  The present invention relates to a medical image diagnosis support system, a control method thereof, and a program thereof, and an information processing apparatus, a control method thereof, and a program capable of supporting the input of a judgment category indicating a judgment result of interpretation of an examination image.

  Interpretation of medical images taken with various modalities such as an X-ray CT apparatus and an MRI apparatus is performed by an interpreting doctor who specializes in interpretation. However, interpretation doctors are not at all medical institutions. Therefore, a medical institution without an interpreting doctor requests an interpretation from the interpretation center that undertakes the interpretation.

  The interpretation doctor at the interpretation center interprets medical images received from medical institutions and summarizes the results into an electronic report (hereinafter referred to as an interpretation report). In this interpretation report, the anatomical site where the abnormality is confirmed and the mode of the abnormality are described as the findings of the interpretation doctor.

  For an interpreting physician, the workload for creating such an interpretation report is not small. Therefore, in Patent Document 1, information on the characteristic local structure of the human body around one or more key images selected from a plurality of images constituting a medical image is described in the input field for findings. A mechanism for displaying as a candidate to perform is disclosed.

Japanese Patent Laying-Open No. 2015-187845

  By the way, in group medical examinations performed by a medical examination organization, computer radiography (Computed Radiography, hereinafter referred to as CR) is performed on a specific part. In a group medical examination, it is necessary to take an image of hundreds of medical examinees and create an interpretation report for each medical examiner.

  In the interpretation report in the medical examination, in addition to the findings such as the anatomical site where the abnormality is confirmed and the mode of the abnormality, a determination category that is a standard of the health state is input. This determination category indicates a comprehensive determination result of interpretation such as “no abnormality”, “slight change”, “follow-up observation”, and “necessary precision”. In general, a medical examiner roughly grasps his / her health condition by looking at this judgment category.

  The judgment category input to the interpretation report is somewhat related to the findings entered by the interpretation physician, but there are cases where a unique judgment category cannot be identified from the findings. This is because the determination category is determined depending on the degree of abnormality input as a finding. Therefore, even if the same findings are input, the same determination category is not always input.

  In other words, since the criteria such as which judgment category to use depends on the discretion of the interpreting physician, there is a possibility that the quality of the interpretation report will vary. Moreover, there is a possibility that an erroneous determination category is input due to an input error by the interpretation doctor.

  However, although Patent Document 1 can display a list of local structure information that is likely to be input to an interpretation report by an interpreting physician, it does not consider a mechanism for controlling the input of a judgment category of the interpretation report.

  An object of the present invention is to provide a mechanism capable of supporting the input of a determination category indicating a determination result of interpretation of an inspection image.

  In order to achieve the above object, a medical image diagnosis support system according to the present invention is a medical image diagnosis support system used when an interpreting doctor inputs a finding on an examination image, and is a determination section indicating an interpretation determination result. Storage means for storing one or a plurality of determination sections corresponding to information about findings, and input receiving means for receiving input of information about findings on the inspection image and receiving input for any of the plurality of determination sections. The input accepting means accepts an input for one or a plurality of determination categories stored in the storage means corresponding to the information related to the findings accepted by the input accepting means.

  ADVANTAGE OF THE INVENTION According to this invention, it becomes possible to support the input of the determination classification which shows the determination result of the interpretation with respect to an inspection image.

It is a figure which shows an example of the system configuration | structure of the medical image diagnosis assistance system in embodiment of this invention. It is a figure which shows an example of the hardware constitutions of the interpretation terminal 103 and the interpretation management server 104. It is a figure which shows an example of a function structure of the image interpretation terminal 103, the image interpretation management server 104 grade | etc.,. 10 is a flowchart illustrating an example of a process flow for displaying a work list screen. It is a figure which shows an example of a table structure of the interpretation request management table 500 and the test | inspection management table 510. FIG. It is a figure which shows an example of a screen structure of the work list screen. 5 is a flowchart illustrating an example of a process flow for displaying an examination list screen. 6 is a diagram illustrating an example of a screen configuration of an examination list screen 800. FIG. It is a figure which shows an example of the table structure of the report management table. 10 is a flowchart showing an example of a flow of processing for displaying an observation input screen 1300 and creating an interpretation report. 5 is a diagram illustrating an example of a table configuration of an input code table 1100. FIG. 5 is a diagram illustrating an example of a table configuration of an input control table 1200. FIG. It is a figure which shows an example of a screen structure of the finding input screen 1300. FIG. It is a figure which shows an example of the test | inspection list screen 800 after a finding input was carried out. It is a flowchart which shows an example of the detailed process flow of a finding input process. It is a flowchart which shows an example of the detailed process flow of a finding input process following FIG. 15A. It is a figure which shows an example of the input result in the finding input screen 1300. It is a figure which shows an example of the input result in the finding input screen 1300. It is a figure which shows an example of the input result in the finding input screen 1300. It is a figure which shows an example of the input result in the finding input screen 1300.

  Hereinafter, an embodiment of the present invention will be described in detail with reference to the drawings. In addition, the structure shown below is an example and this invention is not limited to these.

  FIG. 1 shows an example of the system configuration of a medical image diagnosis support system as an information processing system according to this embodiment. In the present embodiment, the medical image diagnosis support system includes a requested facility, an interpretation center, and a data center as the respective bases, and the respective bases are communicably connected via the network 107.

  In the requested facility, a request terminal 101 for making an interpretation request is connected to a LAN (Local Area Network). The interpretation center is connected to a LAN with a business terminal 102 for performing a business relating to an interpretation request and an interpretation terminal 103 for an interpretation doctor to perform interpretation. Further, in the data center, an interpretation management server 104 for managing interpretation requests, an image management server 105 for managing medical images, and a database server 106 for managing various data tables are connected to the LAN. ing. Services provided by various servers connected to the data center are provided as so-called cloud services. In the present embodiment, the description will be divided into three locations, the requested facility, the interpretation center, and the data center. However, since there are various system configurations, the present invention is not limited to this.

  In the present embodiment, the network 107 is assumed to be the Internet protected by a VPN (Virtual Private Network) or the like, but is not limited thereto. Moreover, although the request | requirement facility in this embodiment assumes the medical examination organization which performs a medical examination, it is not restricted to this in particular.

  First, the main flow of image interpretation in this embodiment will be described. At the requested facility, the subject is imaged by a modality that is a medical image imaging device, and a medical image is generated. The medical image is, for example, DICOM (Digital Imaging and Communication in Medicine) standard image data. The DICOM standard medical image includes supplementary information called a DICOM tag, and information such as examination date, patient name, examination type, and part is stored in the accompanying information. Further, in group medical examination at a medical examination organization, imaging is performed on a plurality of subjects with a modality, so that a plurality of medical images are generated.

  When the medical image is generated, the medical image is transmitted from the request terminal 101 or the modality to the image interpretation management server 104. Upon receiving this, the image interpretation management server 104 transmits the received medical image to the image management server 105 and stores it in the external memory of the image management server 105.

  When the person in charge of interpretation request work at the requested facility inputs information necessary for the interpretation request (hereinafter referred to as interpretation request information) using the request terminal 101 and instructs the interpretation request, the request terminal 101 The interpretation request information is transmitted to the interpretation management server 104. Upon receiving the interpretation request information from the request terminal 101, the interpretation management server 104 transmits the received interpretation request information to the database server 106 and stores it in the external memory of the database server 106. For example, in the case of a group medical examination, an interpretation request regarding a single group medical examination is made. That is, rather than requesting an interpretation for each medical image, an interpretation request is made so that medical images relating to a plurality of subjects imaged in one group medical examination are collectively read.

  The interpretation management server 104 considers the interpretation doctor's expertise and schedule in accordance with the interpretation request received at the data center in response to an instruction from the business terminal 102 operated by the interpretation center business person. To decide.

  An interpreting doctor who interprets an image corresponds to an interpretation request assigned to himself / herself using the interpretation terminal 103 arranged at the interpretation center (or an interpretation terminal arranged at the interpretation doctor's home). A medical image is downloaded from the image management server 105 and interpreted. Thereafter, the image interpretation doctor creates an image interpretation report describing the findings of the image interpretation results using an application operating on the image interpretation terminal 103. The completed interpretation report is transmitted to the interpretation management server 104, stored in the database server 106, and the request terminal 101 that has requested the interpretation displays the interpretation report. In this example, the example of the interpretation center and the interpretation doctor's home is shown as the interpretation terminal. However, the interpretation terminal may be placed in any location, and may be referred to using a mobile terminal or the like. The interpretation work is performed as described above.

  FIG. 2 is a diagram illustrating an example of the hardware configuration of the image interpretation terminal 103 and the image interpretation management server 104. Note that the hardware configuration shown in FIG. 2 is merely an example, and there are various configuration examples depending on applications and purposes, and the present invention is not limited to this.

  The CPU 201 comprehensively controls each device and controller connected to the system bus 204.

  Further, the ROM 202 or the external memory 211 stores a BIOS (Basic Input / Output System) that is a control program of the CPU 201 and an operating system program (hereinafter referred to as OS). The external memory 211 stores various programs necessary for realizing functions executed by various devices. 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 necessary for execution of processing into the RAM 203 and executing the program.

  The input controller 205 controls input from an input device 209 such as a keyboard or a pointing device such as a mouse.

  The video controller 206 controls display on a display device such as the display 210. The display device is assumed to be a CRT or a liquid crystal display, but is not limited thereto.

  The memory controller 207 controls access to an external memory 211 such as a hard disk, a flexible disk, or a card type memory connected to the PCMCIA card slot via an adapter. The external memory 211 (storage means) stores a boot program, browser software, various applications, font data, user files, editing files, various data, and the like.

  The communication I / F controller 208 is connected to and communicates with an external device via a network, and executes communication control processing on the network. For example, Internet communication using TCP / IP is possible.

  Note that the CPU 201 enables display on the display 210 by executing outline font rasterization processing on a display information area in the RAM 203, for example. Further, the CPU 201 enables a user instruction with a mouse cursor (not shown) on the display 210.

  Various programs and the like used by the various apparatuses of the present invention to execute various processes to be described later are recorded in the external memory 211 and are executed by the CPU 201 by being loaded into the RAM 203 as necessary. Furthermore, definition files and various information tables used by the program according to the present invention are stored in the external memory 211.

  FIG. 3 is a diagram illustrating an example of functional configurations of the image interpretation terminal 103 and the image interpretation management server 104. Note that the functional configuration shown in FIG. 3 is merely an example, and there are various configuration examples depending on applications and purposes, and the present invention is not limited to this. The detailed functions of each functional unit will be described in each flowchart described later.

  The interpretation terminal 103 includes a communication control unit 301, a display control unit 302, an input control unit 303, a variable control unit 304, and a report management unit 305 as functional units.

  The communication control unit 301 is a functional unit for controlling transmission and reception of information with the image interpretation management server 104 and other various devices. The function of the communication control unit 301 transmits various information acquisition requests to the image interpretation management server 104 and other various devices via the network 107, and various information transmitted from the image interpretation management server 104 in response to the acquisition requests. Receive. The communication control unit 301 can also transmit an interpretation report created by an interpretation doctor from the interpretation terminal 103 to the interpretation management server 104.

  The display control unit 302 is a functional unit for displaying various information received by the communication control unit 301 on the display 210 of the image interpretation terminal 103. In addition, the display control unit 302 controls display of information input by the user of the image interpretation terminal 103 on the display 210, and display control of a finding name and a determination name narrowed down according to the information.

  The input control unit 303 is a functional unit for controlling input of information to the screen whose display is controlled by the display control unit 302. The input in the present embodiment includes all operations from the user who operates the image interpretation terminal 103, such as text input, selection of information included in the pull-down list, selection of information on the list screen, button press, and the like. . The input control unit 303 also controls input reception of various information.

  The variable control unit 304 is a functional unit for controlling variables used when various processes are executed by the image interpretation terminal 103. In particular, variable operations such as variable declaration, assignment, and reference can be performed.

  The report management unit 305 is a functional unit for temporarily managing an interpretation report obtained as a result of interpretation by the interpretation terminal 103 until it is transmitted to the interpretation management server 104. The report management unit 305 can generate a report management table for managing the interpretation report in the RAM 203 of the interpretation terminal 103, and can perform addition / update / deletion / retrieval of the record with respect to the report management table. Details of the report management table will be described later.

  Next, the interpretation management server 104 includes a communication control unit 311, an interpretation request management unit 312, an inspection management unit 313, a control information management unit 314, and a report management unit 315 as functional units.

  The communication control unit 311 is a functional unit for controlling transmission / reception of information with the image interpretation terminal 103, the image management server 105, the database server 106, and other various devices. The function of the communication control unit 311 receives various information acquisition requests from the image interpretation terminal 103 via the network 107 and transmits various information acquisition requests stored in the image management server 105 and the database server 106. be able to. Also, various information transmitted from the image management server 105 and the database server 106 can be received in response to the acquisition request.

  The interpretation request management unit 312 is a functional unit for managing the interpretation request information transmitted from the request terminal 101. The interpretation request information is stored in the data table management unit 331 of the database server 106 by the function of the interpretation request management unit 312. In addition, it is possible to instruct the data table management unit 331 of the database server 106 to add / update / delete / search the image interpretation request information as necessary.

  The examination management unit 313 is a functional unit for managing the examination for each medical image transmitted from the request terminal 101. The examination management unit 313 refers to the DICOM tag included in the medical image and acquires information related to the examination that generated the medical image (hereinafter referred to as examination information). For example, it is information such as identification information of a medical image and identification information of a medical examinee. The inspection management unit 313 stores the inspection information acquired in this way in the data table management unit 331 of the database server 106. Further, it is possible to instruct the data table management unit 331 of the database server 106 to add, update, delete, search, etc. examination information as necessary. Further, the examination management unit 313 stores the medical image transmitted from the request terminal 101 in the examination image management unit 321 of the image management server 105 as an examination image. Further, it is possible to instruct the inspection image management unit 321 of the image management server 105 to add / update / delete / search an inspection image as necessary. Hereinafter, the medical image to be interpreted that has been requested to be interpreted is referred to as an inspection image.

  The control information management unit 314 displays the observation name and the determination name displayed on the display 210 by the display control unit 302 of the interpretation terminal 103, and further according to the information input from the user of the interpretation terminal 103. It is a functional unit for managing information for control. Information (hereinafter referred to as an input code) to be displayed on the display 210 of the interpretation terminal 103 as options such as an observation name, a determination name, and a part name is stored in an input code table. The control information management unit 314 stores this input code table in the data table management unit 331 of the database server 106. If necessary, it is possible to instruct the data table management unit 331 of the database server 106 to add / update / delete / search the input code. Similarly, information (hereinafter referred to as display control information) for controlling the display of the observation name and the determination name according to information input from the user of the image interpretation terminal 103 is stored in the display control table. The control information management unit 314 stores this display control table in the data table management unit 331 of the database server 106. If necessary, it is possible to instruct the data table management unit 331 of the database server 106 to add / update / delete / search display control information. Details of the input code table and the display control table will be described later.

  The report management unit 315 is a functional unit for managing the interpretation report created by the interpretation terminal 103. The report management unit 315 acquires the report management table created by the interpretation terminal 103 and stores it in the data table management unit 331 of the database server 106. Then, if necessary, the data table management unit 331 of the database server 106 can be instructed to add, update, delete, search, etc. for the interpretation report.

  The above is an example of the functional configuration of the image interpretation terminal 103 and the image interpretation management server 104. The flow of processing of the present invention will be described below with reference to flowcharts. Detailed processing in which the image interpretation management server 104 instructs the image management server 105 and the database server 106 to add, update, delete, and search various information. Is omitted. In other words, the interpretation management server 104 simply adds, updates, deletes, acquires, etc. various information. That is, these mean that these apparatuses are realized in cooperation by the image interpretation management server 104 instructing the image management server 105 and / or the database server 106.

  FIG. 4 is a flowchart showing an example of the flow of processing for displaying the work list screen 600. Steps S401 to S403 and S405 to S407 described below are processes executed by the CPU 201 of the image interpretation management server 104 operating each function unit. Each step of S404, S408, and S409 is a process executed by the CPU 201 of the image interpretation terminal 103 operating each function unit.

  In step S401, the communication control unit 311 of the image interpretation management server 104 receives the image interpretation request information and the inspection image transmitted from the request terminal 101. The interpretation request information includes information about the interpretation request (number of examinees, requested facility name, examination type, etc.) input by the user operating the request terminal 101. The user of the requesting facility sends an interpretation request to the interpretation doctor by transmitting the interpretation request information. Moreover, you may receive a test | inspection image directly from the modality of a request | requirement facility.

  In step S402, the image interpretation request management unit 312 of the image interpretation management server 104 stores the image interpretation request information received in step S401 in the image interpretation request management table. Specifically, a record is added as a new interpretation request to the interpretation request management table managed by the database server 106, and the received interpretation request is stored in the record.

  An example of the interpretation request management table is shown in FIG. The interpretation request management table 500 shown in FIG. 5A includes a request ID 501, the number of examinees 502, a status 503, a requested facility name 504, an examination type 505, a receipt date 506, an assignment date 507, a delivery date 508, and an interpretation doctor 509. With items. When the interpretation request information is stored in step S402, a new record is created, and unique identification information in the interpretation request management table 500 is stored in the request ID 501. Then, the number of examinees, requested facility name, and examination type included in the interpretation request information are stored in the corresponding items, the status 503 is set to “uninterpreted”, and the current date is stored in the reception date 506.

  In step S402, the examination management unit 313 of the image interpretation management server 104 stores the examination image received in step S401 in the image management server 105 and examines the image ID and the examinee ID acquired from the DICOM tag of the examination image. Store in the management table.

  An example of the inspection management table is shown in FIG. The examination management table 510 shown in FIG. 5B includes items of request ID 511, image ID 512, and examinee ID 513. The request ID 511 stores the request ID 501 of the interpretation request information corresponding to the examination image, and further stores the image ID acquired from the examination image and the examinee ID in corresponding items. If there are a plurality of inspection images, a record is generated in the inspection management table 510 for each inspection image, and various types of information are stored.

  In step S403, the image interpretation request management unit 312 of the image interpretation management server 104 selects an image interpretation request stored in the image interpretation request management table 500 where the image interpretation doctor 509 is blank, that is, an image interpretation doctor in charge of image interpretation is not determined. Extract. Then, an interpreting doctor who is in charge of the extracted interpretation request is determined in consideration of the interpretation doctor's schedule and expertise. When an interpreting doctor in charge of interpretation is determined, the name of the interpreting doctor is stored in the interpreting doctor 509. Further, the date when the interpretation doctor is determined is stored in the allocation date 507 of the interpretation request management table 500, and the delivery date of the interpretation report determined according to a predetermined rule is stored in the delivery date 508.

  After the interpretation doctor determines, the interpretation doctor in charge of interpretation instructs the interpretation terminal 103 to display the interpretation request assigned to him / her in order to start interpretation. Then, in step S <b> 404, the communication control unit 301 of the image interpretation terminal 103 transmits an acquisition request for the image interpretation request information corresponding to the image interpretation request assigned to the image interpretation doctor who operates the image interpretation terminal 103 to the image interpretation management server 104. At this time, information (for example, a user ID and a password) for identifying the interpretation doctor is transmitted together.

  In step S <b> 405, the communication control unit 311 of the image interpretation management server 104 receives an acquisition request information acquisition request transmitted from the image interpretation terminal 103. In step S <b> 406, the image interpretation request management unit 312 of the image interpretation management server 104 acquires from the image interpretation request management table 500 image interpretation request information corresponding to the image interpretation request allocated to the image interpretation doctor who operates the image interpretation terminal 103. Specifically, using the information for identifying the interpreting doctor received in step S405, the interpreting doctor 509 in the interpretation request management table 500 may be searched to obtain the interpretation request information of the hit record.

  In step S407, the communication control unit 311 of the image interpretation management server 104 transmits the image interpretation request information acquired in step S406 to the image interpretation terminal 103. In step S <b> 408, the communication control unit 301 of the image interpretation terminal 103 receives the image interpretation request information transmitted from the image interpretation management server 104. In step S409, the display control unit 302 of the interpretation terminal 103 displays a work list screen including the received interpretation request information on the display 210.

  FIG. 6 shows an example of the screen configuration of the work list screen. The work list screen 600 is a screen on which a list of interpretation requests assigned to the interpretation doctor who operates the interpretation terminal 103 is displayed. In the work list screen 600 shown in FIG. 6, interpretation requests assigned to “interpretation doctor A” are listed in the interpretation request list 601. The information to be displayed on the work list screen 600 is not limited to the interpretation request information, but may be information on a record in the interpretation request management table 500 including the interpretation request information (for example, status 503, receipt date 506). Next, a flow of processing for operating the work list screen 600 and displaying the examination list screen will be described.

  FIG. 7 is a flowchart illustrating an example of a process flow for displaying the examination list screen 800. Steps S701, S702, S706 to S708, S712, and S713 described below are processes executed when the CPU 201 of the image interpretation terminal 103 operates each function unit. Each step of S703 to S705 and S709 to S711 is a process executed by the CPU 201 of the image interpretation management server 104 operating each function unit.

  In step S701, the input control unit 303 of the interpretation terminal 103 determines whether the interpretation start button 602 included in the work list screen 600 has been pressed in a state where any interpretation request is selected in the interpretation request list 601 of the work list screen 600. Determine whether or not. If it is determined that the interpretation start button 602 has been pressed, the process proceeds to step S702. If it is not determined that the interpretation start button 602 has been pressed, that is, if the interpretation start button 602 has not been pressed, step S701 is repeatedly executed.

  In step S <b> 702, the communication control unit 301 of the image interpretation terminal 103 transmits an examination information acquisition request corresponding to the image interpretation request selected in the image interpretation request list 601 to the image interpretation management server 104.

  In step S <b> 703, the communication control unit 311 of the image interpretation management server 104 receives the search information acquisition request transmitted from the image interpretation terminal 103. In step S <b> 704, the examination management unit 313 of the interpretation management server 104 acquires examination information corresponding to the interpretation request selected in the interpretation request list 601 from the examination management table 510. Specifically, a record (inspection information) having a request ID 511 corresponding to the interpretation request request ID 501 selected in the interpretation request list 601 is searched in the examination management table 510 to obtain all hit records. In the group examination, since a plurality of examinees are imaged by one group examination, a plurality of pieces of examination information may exist even in one interpretation request. For this reason, all hit records are acquired here.

  In step S <b> 705, the communication control unit 311 of the image interpretation management server 104 transmits all inspection information acquired in step S <b> 704 to the image interpretation terminal 103. In step S706, the communication control unit 301 of the interpretation terminal 103 receives the examination information transmitted from the interpretation management server 104. In step S <b> 707, the display control unit 302 of the image interpretation terminal 103 displays an examination list screen including the received examination information on the display 210.

  FIG. 8 shows an example of the screen configuration of the examination list screen. The examination list screen 800 is a screen on which a list of examinations corresponding to the interpretation request selected on the work list screen 600 is displayed. Since the present embodiment assumes a group examination in which one examination is performed for each examinee, a record for each examinee, that is, a record for each examination is displayed in the examination list 801. By pressing the image display button 802, the inspection image of each inspection displayed in the inspection list 801 is displayed, and an input of findings is accepted for each inspection.

  In step S <b> 708, the communication control unit 301 of the image interpretation terminal 103 transmits an inspection image acquisition request for each inspection displayed in the inspection list 801 to the image interpretation management server 104. An inspection image acquisition request indicated by the image ID 512 of each inspection may be transmitted.

  In step S709, the communication control unit 311 of the image interpretation management server 104 receives the inspection image acquisition request transmitted from the image interpretation terminal 103. In step S <b> 710, the inspection management unit 313 of the image interpretation management server 104 acquires an inspection image of each inspection from the image management server 105. What is necessary is just to operate | move so that the test | inspection image which has image ID 512 of each test | inspection may be acquired.

  In step S711, the communication control unit 311 of the image interpretation management server 104 transmits the inspection image acquired in step S710 to the image interpretation terminal 103. In step S <b> 712, the communication control unit 301 of the image interpretation terminal 103 receives the inspection image transmitted from the image interpretation management server 104.

  In step S713, the report management unit 305 of the image interpretation terminal 103 generates a report management table in the RAM 203, and adds a new record corresponding to each examination to the report management table.

  An example of the table configuration of the report management table is shown in FIG. The report management table 900 in FIG. 9 is a data table in which information related to findings input by interpretation is stored. The report management table 900 includes items of report ID 901, request ID 902, image ID 903, examinee ID 904, comprehensive determination 905, first part 906, second part 907, finding 908, determination 909, and finding text 910. The report ID 901 is unique identification information assigned for each interpretation report. The request ID 902, the image ID 903, and the examinee ID 904 are items corresponding to the examination information. The overall determination 905 stores the worst determination among one or a plurality of determinations input to the interpretation report.

  In this embodiment, “A: no abnormality” is the best determination, and the determination becomes worse in the order of “B: slight change”, “C: follow-up observation”, and “D: precision required”. For example, if a plurality of abnormalities are found in one inspection image, a plurality of findings are input. That is, if the interpretation report includes two judgments “C: follow-up observation” and “D: precision required”, “D: precision required” is stored in the overall judgment 905. .

  The first part 906, the second part 907, the finding 908, the determination 909, and the finding text 910 are items in which various information input on the finding input screen is stored. When a plurality of abnormalities are found in one interpretation, a plurality of findings are input, so that the first part 906 and the subsequent parts are divided into a plurality of lines as in the record with the report ID 901 “R001” in FIG. That is, a plurality of findings are managed in association with one interpretation report.

  Next, the flow of processing for operating the examination list screen 800, displaying the finding input screen, and creating an interpretation report will be described.

  FIG. 10 is a flowchart showing an example of the flow of processing for displaying the finding input screen 1300 and creating an interpretation report. Steps S1001, S1002, and S1006 to S1015 described below are processes executed by the CPU 201 of the image interpretation terminal 103 operating each function unit. Further, steps S1003 to S1005, S1016, and S1017 are processes executed by the CPU 201 of the image interpretation management server 104 operating each function unit.

  In step S1001, the input control unit 303 of the image interpretation terminal 103 determines whether the image display button 802 included in the examination list screen 800 has been pressed. If it is determined that the image display button 802 has been pressed, the process proceeds to step S1002. If it is not determined that the image display button 802 has been pressed, that is, if the image display button 802 has not been pressed, step S1001 is repeatedly executed.

  In step S <b> 1002, the communication control unit 301 of the image interpretation terminal 103 transmits an acquisition request for the input code table and the display control table to the image interpretation management server 104. In the observation input screen, in order to easily create an interpretation report by a selection operation from the user of the interpretation terminal 103, a part name, an observation name, and a determination name as selection candidates are necessary. Therefore, in step S1002, an acquisition request for an input code table storing these is transmitted. Further, simply displaying these as selection candidates will cause trouble for the image interpretation doctor to search for an input item. Therefore, the interpretation management server 104 is also requested to display a display control table indicating rules for narrowing down these selection candidates.

  In step S <b> 1003, the communication control unit 311 of the image interpretation management server 104 receives an input code table and display control table acquisition request from the image interpretation terminal 103. In step S1004, the control information management unit 314 of the image interpretation management server 104 acquires the input code table and the display control table from the database server 106. Here, the input code table and the display control table will be described.

  FIG. 11 is a diagram illustrating an example of a table configuration of the input code table. As shown in FIG. 11, the input code table 1100 is a generic term for the first part code table 1110, the second part code table 1120, the finding code table 1130, and the determination code table 1140.

  First, the first part code table 1110 shown in FIG. 11A is a data table in which the name of the direction in which the part for inputting the findings is located is stored. The first part code table 1110 includes items of a first part name 1111 and a first part order 1112. The first part name 1111 stores a name indicating the direction, and the first part order 1112 stores a priority order when the first part name 1111 is displayed on the finding input screen. .

  A second part code table 1120 shown in FIG. 11B is a data table in which names of anatomical parts for inputting findings are stored. The second part code table 1120 includes items of a second part name 1121 and a second part order 1122. The second part name 1121 stores the name of the anatomical part, and the second part order 1122 stores the priority order when the second part name 1121 is displayed on the finding input screen. Has been.

  The finding code table 1130 shown in FIG. 11C is a data table in which the names of findings are stored. The finding code table 1130 includes items of finding name 1131, finding order 1132, and finding tab 1133. The finding name 1131 stores the name of the finding, and the finding order 1132 stores the priority when the finding name 1131 is displayed on the finding input screen. This finding order 1132 is set in advance so that the finding name 1131 that is often used by a radiogram interpreter comes to the top. Specifically, the interpretation reports that have been interpreted up to now are totaled, and the number or frequency of input by the interpretation doctor is stored. Then, the finding names 1131 are sorted in descending order of the number or frequency, and the sorted order (display order) is set as the finding order 1132. By doing so, the finding name 1131 that is often used by the interpretation doctor is preferentially displayed, so that the interpretation doctor can easily find the finding name 1131. Further, this sort may be totaled for interpretation reports read by all interpretation doctors, may be totaled for interpretation reports interpreted by a specific interpretation doctor, or may operate the interpretation terminal 103. The interpretation report of an interpreting doctor who is currently available may be aggregated.

  The finding tab 1133 stores the ID of the tab on which the finding name 1131 is displayed. Since there are many observation names, the observation tab 1133 is provided to classify the observation name 1131 into a plurality of tabs and switch the display of the observation name 1131 for each tab.

  A determination code table 1140 illustrated in FIG. 11D is a data table in which names indicating the determination results of findings are stored. The determination code table 1140 includes items of a determination name 1141 and a determination order 1142. The determination name 1141 (determination category) stores the name of the determination, and the determination order 1142 stores the priority when the determination name 1141 is displayed on the observation input screen.

  The input code table 1100 illustrated in FIG. 11 is merely an example, and there are various configuration examples depending on applications and purposes, and the present invention is not limited to this.

  Next, FIG. 12 is a diagram illustrating an example of a table configuration of the display control table 1200. As shown in FIG. 12, the display control table 1200 is a generic name for the first display control table 1210, the second display control table 1220, and the third display control table 1230.

  The first display control table 1210 in FIG. 12A is a data table that defines display control rules according to the combination of the first part name 1111 and the finding name 1131. This data table indicates that a finding name having “◯” in the first part name column indicates that the finding name is displayed when the first part name is selected. In other words, this data table indicates that a finding name without “○” in the first part name column is hidden when the first part name is selected. ing. For example, when “Left” is selected as the first part name on the finding input screen, a finding name other than “atypical vein” is displayed on the finding input screen, and the finding name “Odd vein” is hidden. Become.

  The second display control table 1220 in FIG. 12B is a data table that defines display control rules according to the combination of the second part name 1121 and the finding name 1131. Similar to the first display control table 1210, in this data table, the observation name with “◯” in the column of the second part name is the name of the finding when the second part name is selected. Is displayed. In other words, this data table indicates that a finding name without “○” in the second part name column is hidden when the second part name is selected. ing. For example, if “upper lung field” is selected as the second part name on the findings input screen, any other than “deviation”, “heart enlargement”, “diaphragm elevation”, “fracture” on the findings input screen Finding names are displayed and these finding names are hidden.

  The display control of the finding name displayed on the finding input screen is performed by the logical product (AND condition) of the rules defined by the first display control table 1210 and the second display control table 1220. That is, after the observation name is displayed and controlled by the first display control table 1210, the display control is further performed by the second display control table 1220. For example, when “left” is selected as the first part name and “upper lung field” is selected as the second part name on the finding input screen, “atypical vein”, “deviation”, “heart expansion”, Finding names other than “diaphragm elevation” and “fracture” are displayed, and these finding names are hidden.

  The third display control table 1230 in FIG. 12C is a data table that defines display control rules according to combinations of the determination name 1141 and the finding name 1131. This data table indicates that a determination name with “O” in the row of observation names indicates that the determination name is displayed when the observation name is selected. That is, this data table indicates that a determination name without “O” in the observation name row is hidden when the observation name is selected. For example, when “emphysema” is selected as a finding name on the finding input screen, a judgment name other than “A: no abnormality” is displayed, and the finding name “A: no abnormality” is not displayed. Thus, the selection of an erroneous determination name can be suppressed by controlling the display of the determination name according to the selected finding name.

  The display control table 1200 illustrated in FIG. 12 is merely an example, and there are various configuration examples depending on applications and purposes, and the present invention is not limited to this.

  Returning to FIG. In step S <b> 1005, the communication control unit 311 of the image interpretation management server 104 transmits the acquired input code table 1100 and display control table 1200 to the image interpretation terminal 103.

  In step S <b> 1006, the communication control unit 301 of the image interpretation terminal 103 receives the input code table 1100 and the display control table 1200 transmitted from the image interpretation management server 104.

  In step S1007, the display control unit 302 of the image interpretation terminal 103 displays on the display 210 a finding input screen that can accept input of information related to the finding.

  An example of the screen configuration of the finding input screen is shown in FIG. A finding input screen 1300 shown in FIG. 13 is a screen for inputting a result obtained by interpreting an inspection image. The finding input screen 1300 displays an inspection image and a dialog for accepting an input of findings. This dialog can be moved freely. The dialog also includes various input parts for inputting findings.

  The first part pull-down list 1301 and the second part pull-down list 1302 are pull-down lists that can accept selection of the first part name 1111 and the second part name 1121, respectively. The observation list 1303 is a selection area in which selection of the observation name 1131 can be accepted. The observation list 1303 is divided into a plurality of tabs, and different observation names can be displayed for each tab. In the screen example of FIG. 13, the observation list 1303 is divided into four tabs. The determination list 1304 is a selection area in which selection of the determination name 1141 can be accepted. The observation text input form 1305 is an input form in which the contents to be sent as additional items can be input as text. The observation display field 1307 is a display in which the contents input to the first part pull-down list 1301, the second part pull-down list 1302, the finding list 1303, and the determination list 1304 are displayed when the find addition button 1306 is pressed. It is an area. Each time the add finding button 1306 is pressed, a line is added to the finding display field 1307. When the enter button 1308 is pressed, the contents of various inputted findings are registered in the report management table 900, and any unread inspection images are displayed.

  In step S1008, the variable control unit 304 of the image interpretation terminal 103 declares a variable M and substitutes 0 for the variable M. In step S1009, the variable control unit 304 of the image interpretation terminal 103 increments the variable M. That is, 1 is added to the variable M.

  In step S1010, the display control unit 302 of the image interpretation terminal 103 acquires an inspection image corresponding to the Mth record in the report management table 900 among the inspection images received in step S712, and inputs the findings displayed in step S1007. Display this on the screen. Specifically, an inspection image having the same ID as the image ID 903 of the Mth record is searched from the inspection images received in step S712, and this may be acquired and displayed.

  In step S1011, the interpretation terminal 103 executes a finding input process. The finding input process is a series of processes for inputting findings related to the inspection image on the finding input screen 1300. Details of the finding input process are shown in FIGS. 15A and 15B described later. The findings relating to the inspection image are registered in the report management table 900 by the finding input process.

  In step S1012, the display control unit 302 of the image interpretation terminal 103 displays the contents of the findings input by the finding input process in step S1011 on the examination list 801 on the examination list screen 800. FIG. 14 shows a screen example of a test list screen 800 as a result of displaying the contents of the findings input in step S1012 on the test list 801. As shown in FIG. 14, the comprehensive judgment 905 of the report management table 900 is in the comprehensive judgment column of the examination list 801, and the first part 906, the second part 907, the findings 908, and the judgment 909 are the input findings of the examination list 801. In each column. Further, the finding text 910 is displayed in the finding text column of the examination list 801. In this way, the contents of the findings input by the interpretation doctor are displayed in a list for each examinee, that is, for each examination.

  In step S1013, the variable control unit 304 of the image interpretation terminal 103 determines whether the value stored in the variable M and the number of records stored in the report management table 900, that is, the number of examinations match. If they match, all the inspection images have been inspected. If it is determined that they match, the process proceeds to step S1014. If it is not determined that they match, that is, if there is an unread inspection image, the process returns to step S1009 to accept an input of findings regarding the next inspection image.

  In step S1014, the input control unit 303 of the image interpretation terminal 103 determines whether or not the completion button 803 included in the examination list screen 800 has been pressed. If it is determined that the completion button 803 has been pressed, the process proceeds to step S1015. If it is not determined that the completion button 803 has been pressed, that is, if the completion button 803 has not been pressed, step S1014 is repeatedly executed.

  In step S <b> 1015, the communication control unit 301 of the interpretation terminal 103 transmits the report management table 900 to which the findings are input to the interpretation management server 104. In step S <b> 1016, the communication control unit 311 of the image interpretation management server 104 receives the report management table 900 transmitted from the image interpretation terminal 103. In step S1017, the report management unit 315 of the image interpretation management server 104 transmits the report management table 900 received in step S1017 to the database server 106 and stores it in the database server 106.

  This completes the registration of the interpretation results. That is, when a request for displaying an interpretation result is transmitted from the request terminal 101 to the interpretation management server 104, the interpretation management server 104 acquires the report management table 900 and transmits the content of the findings as the interpretation result to the request terminal 101. The requesting terminal 101 that has received the interpretation result can display the interpretation result on the display 210 of the requesting terminal 101.

  Next, details of the finding input process will be described. It is desirable that the findings can be input as easily as possible. This is because it takes time to input the findings, and if it becomes impossible to devote time to interpretation of the inspection image, there is a possibility that the accuracy of interpretation may be lowered. This is particularly important when the number of examination images to be interpreted is large, such as a group examination. Therefore, in the present embodiment, it is possible to input a finding simply by selecting a finding name or a judgment name, and in order to make it easy to find these options, the options frequently used by the interpretation doctor are preferentially displayed. The options are displayed in the order as shown. Furthermore, by controlling the selectable determination names according to the selected finding names, control is performed so that erroneous determinations are not input. Thus, it is possible to support the interpretation work of the interpreting doctor. Hereinafter, the flow of the finding input process will be described.

  15A and 15B are flowcharts illustrating an example of a detailed processing flow of the finding input processing. Steps S1501 to S1525 described below are processes executed by the CPU 201 of the image interpretation terminal 103 operating each function unit.

  First, a description will be given from FIG. 15A. In step S1501, the input control unit 303 of the image interpretation terminal 103 determines whether “A: no abnormality” is selected in the determination list 1304 of the finding input screen 1300. In the present embodiment, “A: No abnormality” is a determination name 1141 that is selected when an abnormal aspect is not found as a result of interpretation of the displayed inspection image. In step S1501, it is determined whether or not such a determination has been selected from an interpreting doctor. If it is determined that “A: No abnormality” is selected, the process proceeds to step S1518 in FIG. 15B. If it is not determined that “A: no abnormality” is selected, that is, if “A: no abnormality” is not selected, the process proceeds to step S1502.

  In step S1502, the input control unit 303 of the image interpretation terminal 103 determines whether or not the first part pull-down list 1301 of the finding input screen 1300 has been pressed. If it is determined that the first part pull-down list 1301 has been pressed, the process proceeds to step S1503. If it is not determined that the first part pull-down list 1301 has been pressed, that is, if the first part pull-down list 1301 has not been pressed, the process returns to step S1501.

  In step S1503, the display control unit 302 of the image interpretation terminal 103 expands the pull-down list of the first part pull-down list 1301, displays the first part name 1111 as a list, and accepts selection for this. Then, the input control unit 303 of the image interpretation terminal 103 selects the first part name designated by the operation from the user.

  In step S1504, the input control unit 303 of the image interpretation terminal 103 determines whether or not the second part pull-down list 1302 of the finding input screen 1300 has been pressed. If it is determined that the second part pull-down list 1302 has been pressed, the process proceeds to step S1505. If it is not determined that the second part pull-down list 1302 has been pressed, that is, if the second part pull-down list 1302 has not been pressed, step S1504 is repeatedly executed.

  In step S1505, the display control unit 302 of the image interpretation terminal 103 expands the pull-down list of the second part pull-down list 1302, displays the second part name 1121 as a list, and accepts selection for this. Then, the input control unit 303 of the image interpretation terminal 103 selects the second part name designated by the operation from the user.

  As described above, the user who is an interpreting doctor determines the position of the anatomical site where the abnormality has been confirmed (ie, the first site name and the second site name) by executing the steps S1502 to S1505. Can be specified.

  In step S1506, the variable control unit 304 of the image interpretation terminal 103 declares a variable N and substitutes 0 for the variable N. In step S1507, the variable control unit 304 of the image interpretation terminal 103 increments the variable N. That is, 1 is added to the variable N.

  In step S <b> 1508, the display control unit 302 of the image interpretation terminal 103 acquires the finding name 1131 displayed on the Nth tab included in the finding list 1303 of the finding input screen 1300 from the finding code table 1130. Specifically, a record in which the value matching the value indicated by the variable N is stored in the finding tab 1133 is specified in the finding code table 1130, and all the finding names 1131 of the specified records may be acquired.

  In step S1509, the display control unit 302 of the image interpretation terminal 103 narrows down the finding name 1131 acquired in step S1508 according to the first part name 1111 and the second part name 1121 selected in steps S1503 and S1505. This will be specifically described. First, regarding the combination of the finding name 1131 acquired in step S1508 and the first part name 1111 selected in step S1503, whether or not “◯” is attached in the first display control table 1210 received in step S1006. Confirm. A finding name 1131 of a combination without “◯” is excluded from the display target. Whether or not the combination of the finding name 1131 remaining as a display target and the second part name 1121 selected in step S1505 is marked with “◯” in the second display control table 1220 received in step S1006. Confirm. A finding name 1131 of a combination without “◯” is excluded from the display target. The finding name 1131 remaining after the two narrowing down is the finding name displayed on the Nth tab of the finding list 1303.

  In step S1510, the variable control unit 304 of the interpretation terminal 103 determines whether or not the value stored in the variable N matches the number of tabs in the observation list 1303. That is, it is determined whether step S1508 and step S1509 have been executed for all tabs. If it is determined that they match, the process proceeds to step S1511. If it is not determined that they match, that is, if there is an unprocessed tab, the process returns to step S1507. In this way, for each tab of the finding list 1303, the finding names belonging to the tab are narrowed down by the selected first part name and second part name.

  In step S1511, the display control unit 302 of the image interpretation terminal 103 sorts the finding names 1131 narrowed down as display targets in step S1509 for each tab according to the priority order indicated by the finding order 1132 in the finding code table 1130. In step S1512, the display control unit 302 of the image interpretation terminal 103 displays the finding names belonging to the tab sorted in step S1511 on the currently selected tab in the finding list 1303.

  Here, each step from step S1502 to step S1512 will be described in detail using a finding input screen 1300 shown in FIG. First, it is assumed that “right” is selected as the first part name 1111 from the first part pull-down list 1301 in step S1503. Furthermore, it is assumed that “upper lung field” is selected as the second part name 1121 from the second part pull-down list 1302 in step S1505. Then, all finding names 1131 are acquired from the finding code table 1130 in step S1508, and the display target is narrowed down for each tab of the finding list 1303 in step S1509. Here, a description will be given by taking the tab “1” as an example.

  The finding name 1131 belonging to the tab “1” refers to the finding code table 1130 shown in FIG. 11 as “bra”, “nodular lesion”, “pulmonary emphysema”, “deviation”, “pacemaker”, “heart enlargement”. 6 can be acquired. Then, referring to the first display control table 1210, the combination of these finding names and the “right” selected as the first part name is excluded from the display names without “○”. To do. Since all of these six are marked with “O”, in this case, there is nothing to exclude from the display target. Further, referring to the second display control table 1220, the combination of these observation names and the “upper lung field” selected as the second part name is used to display the observation names without “O”. Exclude from Referring to the second display control table 1220 in FIG. 12B, among these six, “deviation” and “heart expansion” are not marked with “O” in the combination with “upper lung field”. Therefore, these two are excluded from the display target. In other words, among the finding names belonging to the tab “1”, four items that remain as display targets after narrowing down are “bra”, “nodular lesion”, “pulmonary emphysema”, and “pacemaker”. Therefore, as shown in FIG. 16, these are displayed on the tab “1” of the observation list 1303. The same applies to the other tabs.

  Returning to the description of FIG. In step S1513, the input control unit 303 of the image interpretation terminal 103 selects any finding name displayed in the finding list 1303 in accordance with an operation from the user.

  The description is moved to FIG. 15B. In step S1514, the display control unit 302 of the image interpretation terminal 103 narrows down the determination name 1141 of the determination code table 1140 according to the finding name selected in step S1513. This will be specifically described. First, for the combination of the determination name 1141 acquired from the determination code table 1140 and the finding name selected in step S1513, it is confirmed whether or not “◯” is attached in the third display control table 1230 received in step S1006. To do. A combination determination name 1141 without “◯” is excluded from the display target. The determination name 1141 remaining after the narrowing down is a determination name displayed in the determination list 1304.

  In step S1515, the display control unit 302 of the image interpretation terminal 103 displays the determination name 1141 narrowed down in step S1514 on the determination list 1304. In this embodiment, since all determination names 1141 are displayed in the determination list 1304 in advance, control is performed so that the determination names 1141 excluded by the narrowing down in step S1514 are not displayed. That is, the determination names excluded by the narrowing down in step S1514 and the determination names not excluded are displayed so as to be distinguishable.

  Here, each step from step S1513 to step S1515 will be described in detail using a finding input screen 1300 shown in FIG. First, it is assumed that “emphysema” is selected as the finding name 1131 from the finding list 1303 in step S1513. In step S1514, all determination names 1141 are acquired from the determination code table 1140. Then, referring to the third display control table 1230, the combination of the acquired determination name 1141 and the selected “emphysema” is excluded from the display target. Referring to the third display control table 1230 in FIG. 12C, since “O” is not attached to the combination of “emphysema” and “A: no abnormality”, “A: no abnormality” is displayed. Excluded from. Other judgment names are displayed because they are marked with “O”.

  The narrowed determination name 1141 is displayed in the determination list 1304. As described above, since the determination name 1141 is originally displayed in the determination list 1304 in this embodiment, “A: no abnormality” excluded from the display target is hidden. The result is a finding input screen 1300 shown in FIG.

  Returning to the description of FIG. In step S <b> 1517, the input control unit 303 of the interpretation terminal 103 accepts text input for the finding text input form 1305 provided in the finding input screen 1300. When text is input, the input text is displayed in 1305 on the finding text input form. FIG. 18 shows a finding input screen 1300 in which the input of information related to findings is completed. FIG. 18 shows a result in which “C: follow-up” is further selected in the determination list 1304 on the finding input screen 1300 shown in FIG. 17 and some text is entered in the finding text input form 1305.

  In step S1518, the input control unit 303 of the image interpretation terminal 103 determines whether or not the finding addition button 1306 included in the finding input screen 1300 has been pressed. The finding addition button 1306 is a button that is pressed when it is desired to add contents different from the contents of the findings currently input. In some cases, an abnormal state exists in a plurality of parts in an inspection image. In such a case, a plurality of findings can be input by pressing this button. If it is determined that the finding addition button 1306 has been pressed, the process proceeds to step S1519. If it is not determined that the finding addition button 1306 has been pressed, that is, if the finding addition button 1306 has not been pressed, the process proceeds to step S1523.

  In step S <b> 1519, the report management unit 305 of the image interpretation terminal 103 registers various information input on the finding input screen 1300 in the report management table 900. The registration destinations of various types of input information are the first part 906, the second part 907, the finding 908, the determination 909, and the finding text 910 of the record relating to the currently displayed examination image. If nothing is stored in the overall determination 905, the determination name stored in the determination 909 is stored. If the determination name is already stored in the comprehensive determination 905, the determination name stored in the determination 909 is compared with the determination name stored in the comprehensive determination 905, and the worse determination is determined as the comprehensive determination 905. Store.

  In step S1520, the display control unit 302 of the image interpretation terminal 103 displays information related to the currently input finding in the finding display field 1307 of the finding input screen 1300. In the present embodiment, the first part name, the second part name, the finding name, and the determination name selected on the finding input screen 1300 are displayed. In the present embodiment, the input finding text is not displayed in the finding display field 1307, but it may be displayed together.

  In step S1521, the report management unit 305 of the image interpretation terminal 103 adds a new record to the report management table 900. The new record here is a record associated with the examination information of the examination currently being interpreted. For example, referring to FIG. 9, it is necessary to associate a plurality of findings with one piece of examination information as indicated by a record whose report ID 901 of the report management table 900 is “R001”. Therefore, in step S1521, a new record is created for each item from the first part 906 to the finding text 910, and linked to the examination information currently being examined.

  In step S1522, the display control unit 302 of the image interpretation terminal 103 clears all the information input on the finding input screen 1300 and returns to the initial state. At this time, the information displayed in the observation display field 1307 is not cleared and is left as it is. Also, a new line is added to the observation display field 1307. For example, when the finding addition button 1306 is pressed on the finding input screen 1300 shown in FIG. 18, the information related to various inputted findings is cleared as shown in FIG. However, the information displayed in the observation display field 1307 is retained without being cleared, and a new line is added to the observation display field 1307. By repeating this, it is possible to input a plurality of findings for one examination. When step S1522 is completed, the process returns to step S1501.

  On the other hand, in step S1523, the input control unit 303 of the image interpretation terminal 103 determines whether or not the determination button 1308 provided in the finding input screen 1300 has been pressed. That is, it is determined whether or not there is an instruction to complete the interpretation of the inspection image being displayed. If it is determined that the enter button 1308 has been pressed, the process proceeds to step S1524. If it is not determined that the enter button 1308 has been pressed, that is, if the enter button 1308 has not been pressed, the process returns to step S1518.

  In step S <b> 1524, the report management unit 305 of the image interpretation terminal 103 registers various information input on the finding input screen 1300 in the report management table 900. The process of step S1524 is the same as that of step S1519.

  In step S1525, the display control unit 302 of the image interpretation terminal 103 clears all the information input on the finding input screen 1300 and returns to the initial state. At this time, the information displayed in the finding display field 1307 is also cleared, and the finding display field 1307 is returned to one line. When all the settings are returned to the initial state in this way, the finding input process is terminated. That is, the process proceeds to step S1012, and if there is an unread inspection image, the next inspection image is displayed, and if not, the finding input ends.

  As described above, according to the present embodiment, it is possible to support the input of the determination category indicating the determination result of the interpretation of the inspection image.

  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.

  Therefore, in order to realize (executable) the functional processing of the present invention by a computer, the program code itself installed in the computer also realizes 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 request terminal 102 business terminal 103 interpretation terminal 104 interpretation management server 105 image management server 106 database server 201 CPU
202 ROM
203 RAM
204 System bus 205 Input controller 206 Video controller 207 Memory controller 208 Communication I / F controller 209 Input device 210 Display 211 External memory

Claims (11)

A medical image diagnosis support system used when an interpretation doctor inputs findings on an examination image,
A storage section for storing one or a plurality of determination sections corresponding to information regarding findings, which is a determination section indicating a determination result of interpretation;
An input receiving unit that receives input of information about findings on the inspection image and receives input to any of a plurality of determination categories, and
The medical image diagnosis support system, wherein the input receiving unit receives an input for one or a plurality of determination categories stored in the storage unit, corresponding to information related to the findings received by the input receiving unit. . The medical image diagnosis support system includes:
Further comprising display control means for displaying information relating to findings on the inspection image and the plurality of determination sections,
The display control means displays the one or a plurality of determination categories stored in the storage means corresponding to information related to the findings received by the input receiving means in an identifiable manner. The medical image diagnosis support system described in 1.   The display control means hides one or a plurality of determination categories stored in the storage means corresponding to information relating to the findings received by the input receiving means. The medical image diagnosis support system described.   4. The medical image according to claim 2, wherein the display control unit displays a screen including information relating to findings on the inspection image, a dialog including the plurality of determination categories, and the inspection image. 5. Diagnosis support system.   5. The medical image according to claim 1, wherein the input receiving unit receives an input to any one of a plurality of determination categories after receiving an input of information regarding findings on the examination image. 6. Diagnosis support system.   The medical image diagnosis support system according to any one of claims 1 to 5, wherein the information on the findings is a finding name indicating an abnormal aspect included in the examination image. A medical image diagnosis support system that includes a storage unit that stores one or a plurality of determination sections corresponding to information relating to findings, which is a determination section that indicates a determination result of interpretation, and is used when the interpretation doctor inputs findings on the examination image. Control method,
The input receiving unit of the medical image diagnosis support system includes an input receiving step of receiving input of information related to findings on the examination image and receiving input to any of the plurality of determination categories,
The input accepting step accepts an input for one or a plurality of determination categories stored in the storage unit corresponding to the information relating to the findings accepted in the input accepting step. Control method. A medical image diagnosis support system that includes a storage unit that stores one or a plurality of determination sections corresponding to information relating to findings, which is a determination section that indicates a determination result of interpretation, and is used when the interpretation doctor inputs findings on the examination image. A program capable of executing the control method of
The medical image diagnosis support system,
While accepting input of information related to findings on inspection images, it functions as an input accepting means for accepting input for any of a plurality of judgment categories,
The program according to claim 1, wherein the input accepting unit accepts an input for one or a plurality of determination categories stored in the storage unit, corresponding to information relating to the findings received by the input accepting unit. An information processing apparatus used when an interpreting doctor inputs findings on an examination image,
A storage section for storing one or a plurality of determination sections corresponding to information regarding findings, which is a determination section indicating a determination result of interpretation;
An input receiving unit that receives input of information about findings on the inspection image and receives input to any of a plurality of determination categories, and
The information processing apparatus, wherein the input receiving unit receives an input for one or a plurality of determination categories stored in the storage unit, corresponding to information related to the findings received by the input receiving unit. Control of an information processing apparatus that includes a storage unit that stores one or a plurality of determination sections corresponding to information on findings, and that is used when the interpretation doctor inputs findings on the examination image. A method,
The input receiving unit of the information processing apparatus includes an input receiving step of receiving an input of information regarding findings on the inspection image and receiving an input to any of the plurality of determination categories,
The control of the information processing apparatus characterized in that the input receiving step receives an input for one or a plurality of determination categories stored in the storage unit corresponding to the information related to the findings received in the input receiving step. Method. Control of an information processing apparatus that includes a storage unit that stores one or a plurality of determination sections corresponding to information on findings, and that is used when the interpretation doctor inputs findings on the examination image. A program capable of executing the method,
The information processing apparatus;
While accepting input of information related to findings on inspection images, it functions as an input accepting means for accepting input for any of a plurality of judgment categories,
The program according to claim 1, wherein the input accepting unit accepts an input for one or a plurality of determination categories stored in the storage unit, corresponding to information relating to the findings received by the input accepting unit.

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