JP2018106335A - Information processing apparatus, method for controlling information processing apparatus, and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a mechanism that enables a user to easily recognize medical examinees with severe symptoms in displaying results of image reading of a plurality of inspection images as a list.SOLUTION: An information processing apparatus determines the order to display results of reading of a plurality of inspection images input by a radiologist so that pieces of priority information indicating the priority of the results of reading are arranged in descending order.SELECTED DRAWING: Figure 14

Description

  The present invention relates to an information processing device, a control method for the information processing device, and a program, and more particularly, to a mechanism that allows a user to easily recognize a patient who has severe symptoms when displaying interpretation results for a plurality of examination images in a list. .

  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 request such an interpretation 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.

  Interpretation results obtained by interpretation by a remote interpretation system are output as a list-form form for each group medical examination unit. Conventionally, the form has been output in the order of the medical examination number of the examinee.

  Therefore, even if there is a seriously ill patient who needs urgent action, it may be at the bottom of the form depending on the consultation number, especially when the number of examinees is large. Could be delayed.

  An object of the present invention is to provide a mechanism that allows a user to easily recognize a patient who has severe symptoms when displaying interpretation results for a plurality of examination images in a list.

  The present invention provides a management means for managing interpretation results input by a radiogram interpreter for a plurality of examination images and priority information indicating a priority order for each interpretation result, and the plurality of examinations managed by the management means. Display control means for controlling the interpretation results for images to be displayed in a list, and the management means for displaying the interpretation results for the plurality of inspection images controlled to be displayed in a list by the display control means. Determining means for determining the priority order information for each interpretation result managed in step S1 in descending order.

  In addition, the present invention is a control method for an information processing apparatus including a management unit that manages interpretation results input by an interpretation doctor for a plurality of examination images and priority information indicating a priority order for each interpretation result. A display control step of controlling the display control means of the information processing apparatus to display a list of the interpretation results for the plurality of examination images managed by the management means, and a determination means of the information processing apparatus, The display order of the interpretation results for the plurality of inspection images controlled to be displayed in a list in the display control step is determined so that the priority information for each interpretation result managed by the management unit is in descending order. And a determining step.

  In addition, the present invention can be read and executed by an information processing apparatus including a management unit that manages interpretation results input by an interpretation doctor for a plurality of examination images and priority information indicating a priority order for each interpretation result. A display control unit that controls the information processing apparatus to display a list of the interpretation results for the plurality of inspection images managed by the management unit; and a list that is displayed by the display control unit. The order of display of the interpretation results with respect to the plurality of inspection images to be controlled is functioned as a determination unit that determines the priority information for each interpretation result managed by the management unit in descending order. .

  According to the present invention, when displaying the interpretation results for a plurality of examination images in a list, a user can easily recognize a patient who has a severe symptom.

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. 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 figure which shows an example of a screen structure of the finding input screen 1300. FIG. 10 is a flowchart illustrating an example of a flow of rearrangement processing of interpretation reports included in a report management table. It is a figure which shows an example of the transition of the report management table 900 at the time of the rearrangement process of an interpretation report. It is a figure which shows an example of the transition of the report management table 900 at the time of the rearrangement process of an interpretation report. It is an example of a form of an interpretation report. 10 is a flowchart illustrating an example of a flow of rearrangement processing of interpretation reports included in a report management table. It is a figure which shows an example of the report management table 900 after execution of the rearrangement process of an interpretation report.

  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. The display control unit 302 controls display of information input by the user of the image interpretation terminal 103 on the display 210.

  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 is a functional unit for managing observation names and determination names displayed on the display 210 by the display control unit 302 of the image interpretation terminal 103. 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. Details of the input code 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.

  Further, the report management unit 315 can rearrange the interpretation reports included in the report management table created by the interpretation terminal 103 according to the priority (priority information).

  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 group medical examination, since a plurality of examinees are imaged in one group medical examination, a plurality 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 medical examination in which an examination is performed once 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 judgment 905, first part 906, second part 907, finding 908, judgment 909, finding text 910, and emergency 911. Prepare. 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, the finding text 910, and the emergency 911 are items in which various types of information input on the finding input screen are stored. When a plurality of abnormalities are found in one interpretation, a plurality of findings are input, so the first part 906 and the subsequent parts are divided into a plurality of lines, as in the record with the report ID 901 “R002” 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 input code table acquisition request 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.

  In step S <b> 1003, the communication control unit 311 of the image interpretation management server 104 receives an input code table acquisition request from the image interpretation terminal 103. In step S <b> 1004, the control information management unit 314 of the image interpretation management server 104 acquires an input code table from the database server 106. Here, the input code 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 stores the first part name 1111.

  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 an item of a second part name 1121. The second part name 1121 stores the name of the anatomical part.

  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 has an item of finding name 1131. The finding name 1131 stores the name of the finding.

  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 priority order 1142. The determination name 1141 (determination classification) stores a determination name, and the priority order 1142 stores a priority order (also referred to as weight or importance) preset for each determination name 1141. The priority order 1142 is used when rearranging the interpretation reports in step S1017 of FIG.

  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.

  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 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 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.

  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 medical examination. Therefore, in this embodiment, it is possible to input a finding simply by selecting a finding name or a determination name.

  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.

  A check box 1309 checks the check box 1309 when an abnormality that requires urgent action is observed in the inspection image.

  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 receives an input of findings regarding the examination image (specifically, input of the first part pull-down list 1301 to the finding text input form 1305 and the check box 1309) on the finding input screen 1300. Execute the process.

  The contents of various findings accepted for the examination image by the finding input process are registered in the report management table 900 when the decision button 1308 is pressed.

  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, the finding text 910, and the emergency 911 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. The emergency 911 stores “◯” when there is an input in the check box 1309 (emergency information in the present invention), and stores nothing when there is no input in the check box 1309.

  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. 12 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. 12, the comprehensive judgment 905 of the report management table 900 is in the comprehensive judgment column of the examination list 801, the first part 906, the second part 907, the findings 908, the judgment 909, and the emergency 911 are in the examination list 801. Is displayed in the input findings 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 executes rearrangement processing of the image interpretation reports included in the report management table 900 received in step S1016. Details of the processing in step S1018 will be described later with reference to FIG.

  In step S1018, the report management unit 315 of the image interpretation management server 104 transmits the report management table 900 rearranged 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, the first embodiment of the interpretation report rearrangement process in step S1017 of FIG. 10 will be described with reference to FIG.

  FIG. 14 is a flowchart showing an example of the flow of rearrangement processing of the interpretation reports included in the report management table 900.

  15A and 15B are diagrams illustrating an example of the transition of the report management table 900 when the interpretation report rearrangement process of FIG. 14 is executed. Note that (1) in FIG. 15A shows the report management table 900 before the interpretation report rearrangement processing is executed.

  In step S1401, the report management unit 315 of the image interpretation management server 104 identifies an image interpretation report with “◯” in the emergency 911 among the image interpretation reports included in the report management table 900, and stores the image interpretation report in the report management table. On top of 900.

  In (1) of FIG. 15A, the interpretation report with the report ID 901 “R005” corresponds to this, and as shown in (2) of FIG. 15A, the report ID 901 “R005” is arranged at the top of the report management table 900. Be replaced.

  In step S <b> 1402, the report management unit 315 of the image interpretation management server 104 includes a comprehensive determination 905 for each of the image interpretation reports not included in the emergency 911 among the image interpretation reports included in the report management table 900, and a determination code table 1140. The interpretation reports are rearranged in descending order of priority with reference to the priority order 1142 of the line that matches the judgment name 1141 in the middle.

  In step S1402, the priority order information for each interpretation result managed by the management means is the display order of the interpretation results for the plurality of inspection images controlled to be displayed in a list by the display control means in the present invention. It is an example of the determination means which determines so that it may become high order.

  In (2) of FIG. 15A, the interpretation report with the report ID 901 “R002” has the highest priority, the interpretation reports with the report ID 901 “R003” and “R004” have the next highest priority, and the report ID 901 has “ Since the interpretation report of “R001” has the lowest priority, the interpretation report is rearranged in the order of FIG. 15B (3).

  If there is an interpretation report with the same priority, such as an interpretation report with the report ID 901 “R003” or “R004” (“YES” in step S1403), the report management unit 315 of the interpretation management server 104 receives the examination. The person IDs 904 are rearranged in ascending order (step S1404).

  The image interpretation reports rearranged in the process of FIG. 14 are received by the image interpretation management server 104 when the request terminal 101, the business terminal 102, and the image interpretation terminal 103 request the image interpretation management server 104 to display the form of the image interpretation report. 900 is acquired, and the report of the interpretation report is transmitted to the request terminal 101, the business terminal 102, and the interpretation terminal 103. Then, the request terminal 101, the business terminal 102, and the image interpretation terminal 103 that have received the report of the interpretation report display the report of the interpretation report on the display 210 of each terminal (an example of display control means in the present invention).

  The interpretation report forms displayed on the display 210 of the request terminal 101, the business terminal 102, and the interpretation terminal 103 are, for example, the interpretation report forms shown in FIG.

  The report 1600 of the interpretation report shown in FIG. 16 summarizes the results of a plurality of examinees according to a predetermined format, and describes the judgments and findings of each examinee. Note that the interpretation report is arranged in the order from the top of the report management table 900 after being rearranged in the process of FIG.

  In addition, the interpretation report with “◯” attached to the emergency 911 can be displayed so that the user can be identified as indicated by the emergency mark 1601. In addition, as a method of displaying so that the user can be identified, the color of the interpretation report with “◯” in the emergency 911 may be changed.

  When displaying the report 1600 of the interpretation report, the interpretation report with a more severe symptom, in particular, the interpretation report that is urgently required to be dealt with is displayed at a higher level so that the user can recognize these interpretation reports and the interpretation report of the interpretation report is displayed. It becomes possible to respond to the subject patient more quickly.

  Next, a second embodiment of the interpretation report rearrangement process according to the present invention will be described with reference to FIG. In interpretation work, a single interpretation image is interpreted by a single interpreting doctor, and after the first interpretation image is interpreted by a first interpreting doctor, a second interpretation is performed while referring to the interpretation results of the interpretation doctor. Double interpretation in which the doctor interprets the same examination image, and after the first interpretation doctor interprets one examination image, the second interpretation doctor interprets the same examination image without referring to the interpretation result of the interpretation doctor There is blind double interpretation. Which interpretation pattern is used for interpretation can be specified by the requesting facility or the person in charge of the interpretation center.

  The interpretation report rearrangement process of FIG. 14 of the first embodiment assumes single interpretation and double interpretation among these interpretation patterns (in the case of double interpretation, rearrangement is based on the comprehensive judgment 905 of the second person). In the second embodiment, an interpretation report rearrangement process assuming blind double interpretation will be described.

  Note that step S1701 in FIG. 17 is the same as step S1401 in FIG. 14 and steps S1704 to S1706 in FIG. 17 are the same as steps S1402 to S1404 in FIG.

  In step S1702, the report management unit 315 of the interpretation management server 104 determines whether the current interpretation request is blind double interpretation, and if it is blind double interpretation, the process proceeds to step S1703. The process proceeds to S1704.

  In step S <b> 1703, the report management unit 315 of the image interpretation management server 104 displays an interpretation report having different comprehensive judgments 905 between the first interpreting doctor and the second interpreting doctor, that is, an interpretation report having a different priority in the emergency 911. Rearrange so that it is next to the attached interpretation report.

  The report management table 900 after executing the processing of step S1703 is, for example, FIG.

  FIG. 18 is a diagram showing an example of the report management table 900 after the interpretation report rearrangement process of FIG. 17 is executed. Since this is a blind double interpretation, two interpretation results are registered for each report ID 901. .

  In FIG. 18, since the general judgment 905 of the interpretation report with the report ID 901 “R004” is different, the report ID 901 with “◯” in the emergency 911 is rearranged to be next to “R005”. Yes.

  As shown in FIG. 18, by raising the priority of the interpretation reports having different overall judgments 905 between the first interpretation doctor and the second interpretation doctor, the presence of the interpretation report is noticed to the user (especially the person in charge of the job). It is possible to take early measures such as requesting the interpretation doctor to interpret the image ID 903 that is the object of the interpretation report again.

  As described above, according to the present invention, when displaying the interpretation results for a plurality of examination images as a list, a user can easily recognize a patient who has severe symptoms.

  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 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 (7)

A management means for managing interpretation results input by an interpretation doctor for a plurality of examination images and priority information indicating a priority order for each interpretation result;
Display control means for controlling the interpretation results for the plurality of inspection images managed by the management means to be displayed in a list;
The display order of the interpretation results for the plurality of inspection images controlled to be displayed in a list by the display control means is determined so that the priority information for each interpretation result managed by the management means is in descending order. An information processing apparatus comprising: determining means. The management means further manages emergency information that can be specified as an examination image that requires an emergency response input by an interpreting doctor when the examination image is an examination image that requires an emergency response. And
The determination means displays the interpretation results for the plurality of examination images so that the interpretation results for the examination images for which emergency information is managed by the management means are displayed with the highest priority by the display control means. The information processing apparatus according to claim 1, wherein the order is determined.   In the case where a plurality of interpretation results by the same interpreting doctor are input for one examination image, the determination unit uses the priority order information for the interpretation result having a higher priority order information, and The information processing apparatus according to claim 1, wherein the display order of the interpretation results for the inspection image is determined.   When the interpretation results by a plurality of interpreting doctors are input for one examination image and the interpretation results by the respective interpreting doctors are different, the determining means determines the display order of the interpretation results for the examination image. 4. The information processing apparatus according to claim 1, wherein the information processing device is determined so as to be earlier than a display order of other interpretation results. The management means manages identification information capable of uniquely identifying the inspection image,
The determination unit uses the identification information of each of the plurality of inspection images managed by the management unit when there are a plurality of inspection images having the same priority information for the interpretation result. The information processing apparatus according to claim 1, wherein the display order of the interpretation results for an image is determined. A control method for an information processing apparatus including a management unit that manages interpretation results input by an interpreting physician for a plurality of examination images and priority information indicating a priority order for each interpretation result,
A display control step of controlling the display control means of the information processing apparatus to display a list of the interpretation results for the plurality of inspection images managed by the management means;
Priority information for each interpretation result managed by the management means with respect to the display order of the interpretation results for the plurality of examination images controlled by the determination means of the information processing apparatus to be displayed in a list in the display control step And a determination step of determining so that the values are in descending order. A program that can be read and executed by an information processing apparatus including a management unit that manages interpretation results input by an interpretation doctor for a plurality of examination images and priority information indicating a priority order for each interpretation result,
The information processing apparatus;
Display control means for controlling the interpretation results for the plurality of inspection images managed by the management means to be displayed in a list;
The order of display of the interpretation results for the plurality of inspection images controlled to be displayed in a list by the display control means so that the priority information for each interpretation result managed by the management means is in descending order. A program characterized by functioning as a program.

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