JP2018130454A - Mild cognitive disorder inspection system and mild cognitive disorder inspection program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To improve reliability of a mild cognitive disorder diagnosis.SOLUTION: A mild cognitive disorder inspection system 1 comprises: an automatic point rating part 132 for automatically point rating responses to simple problems, and displaying a result of point rating on a point rating screen; a response reproduction part 134 for reproducing a response to a complicated problem in such a manner as to be able to be visually recognized and/or heard; and a point rating input part 135 for receiving an input for point rating of the response to the complicated problem which is reproduced in such a manner as to be able to be visually recognized and/or heard, and displaying a result of the point rating based on the input on the point rating screen.SELECTED DRAWING: Figure 2

Description

  The present invention relates to a Mild Cognitive Impairment (MCI) inspection system and an MCI inspection program.

  In addition to paper-based testing methods (Hasegawa Simple Cognitive Evaluation Scale, Mini-Mental State Examination (MMSE, etc.)), software programs can be executed on computers. There is a software-based inspection method. The latter is more efficient than the former in that the examiner does not necessarily have to accompany the subject during the examination.

  As an example of a software-based inspection method, for example, there is a system proposed by Patent Document 1. In this conventional system, questions on various examinations for comprehensive examination of a subject's cognitive function, answer reception and scoring, and diagnosis of the presence or absence of MCI based on these examination results are all performed on a computer. In this way, the presence or absence of MCI is objectively diagnosed.

JP 2014-8329 A

  By the way, in order to diagnose not only severe dementia but also MCI with high accuracy, it is necessary to include not only simple problems but also complicated problems.

  However, in the conventional system, all tests are simplified so that almost all processes from each test to diagnosis can be performed automatically. Specifically, the answer format for a task is a selection formula, or the questions are subdivided in one task, making it easier for the subject to answer or to evaluate the answer. And scoring can be done automatically. Due to such simplification of the inspection, the conventional system has a certain limit in improving the reliability of the MCI diagnosis.

  An object of the present invention is to improve the reliability of MCI diagnosis.

The mild cognitive impairment test system of the present invention is
A mild cognitive impairment test system that performs a mild cognitive impairment test that sequentially issues questions for a mild cognitive impairment test and accepts answers to the tasks,
A scoring screen display unit for displaying a scoring screen corresponding to the examination after the examination is executed;
An automatic scoring unit that automatically scores answers to simple tasks among the questions that have been presented and displays the results of the scoring on the displayed scoring screen;
An answer reproduction unit that reproduces an answer to a complex problem out of the given questions in a visible and / or audible manner;
A scoring input unit that accepts an input for scoring an answer to a complex task reproduced visually and / or audibly, and displays a scoring result based on the input on the scoring screen;
Have

The mild cognitive impairment test program of the present invention is
A mild cognitive impairment test program that allows a computer of a mild cognitive impairment test system to implement the function of a mild cognitive impairment test that sequentially issues questions for a mild cognitive impairment test and accepts answers to the tasks,
In the computer,
A scoring screen display function for displaying a scoring screen corresponding to the examination after the examination is executed;
An automatic scoring function that automatically scores answers to simple tasks among the questions that have been presented and displays the results of the scoring on the displayed scoring screen,
An answer reproduction function that reproduces answers to complex problems among the questions that have been presented in a visible and / or audible manner;
A scoring input function for accepting an input for scoring an answer to a complex task reproduced visually and / or audibly, and displaying a scoring result based on the input on the scoring screen;
Is further realized.

  According to the present invention, the reliability of MCI diagnosis can be improved.

The figure which shows the hardware constitutions of the MCI inspection system which concerns on one embodiment of this invention Block diagram schematically showing the functional configuration of the system Figure showing a display example of the main screen after system login The figure which shows the example of a display of the test | inspection data list screen of a MCI test | inspection The figure which shows the example of a display of the question waiting screen in the reproduction | regeneration task immediately after the story of a MCI test | inspection, and a story delay reproduction | regeneration task The figure which shows the example of a display of the question screen in the reproduction | regeneration task immediately after the story of a MCI test | inspection, and a story delay reproduction | regeneration task The figure which shows the example of a display of the reply waiting screen in the reproduction | regeneration task immediately after the story of a MCI test | inspection, and a story delay reproduction | regeneration task The figure which shows the example of a display of the reply screen in the reproduction | regeneration task immediately after the story of a MCI test | inspection, and a story delay reproduction task The figure which shows the example of a display of the reply end screen in the reproduction | regeneration task immediately after the story of a MCI test | inspection, and a story delay reproduction | regeneration task The figure which shows the example of a display of the question screen in the figure reproduction task of MCI inspection The figure which shows the example of a display of the 1st question screen in the clock drawing task of a MCI test | inspection The figure which shows the example of a display of the 2nd question screen in the clock drawing task of a MCI test | inspection The figure which shows the example of a display of the question screen in the math task of a MCI inspection The figure which shows the example of a display of the reply screen in the number assignment subject of a MCI test | inspection The figure which shows the example of a display of the reply waiting screen in the word recall task of MCI inspection The figure which shows the example of a display of the reply screen in the word recall task of MCI inspection The figure which shows the 1st display example with which it uses for layout explanation of the inspection result scoring screen of MCI inspection The figure which shows the 2nd display example with which it uses for layout explanation of the inspection result scoring screen of MCI inspection The figure which shows the example of a display about the part regarding the number-of-choice task in a test result scoring screen The figure which shows the example of a display regarding the part related to the figure reproduction task in an inspection result scoring screen The figure which shows the example of a display of the part regarding the clock drawing task in a test result scoring screen The figure which shows the example of a display about the part regarding the word recall task in a test result scoring screen The figure which shows the example of a display regarding the part about the story delay reproduction task in a test result scoring screen The figure which shows the example of printing of the 1st part of a MCI inspection report The figure which shows the example of printing of the 2nd part of a MCI inspection report

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.

  FIG. 1 is a diagram showing a hardware configuration of a mild cognitive impairment (MCI) test system according to an embodiment of the present invention. The MCI inspection system 1 of the present embodiment includes a control device 10, a storage device 20, a voice input device 30, a voice output device 40, a touch panel display device 50, and a printing device 60. The MCI inspection system 1 is configured such that, for example, a personal computer including the control device 10 and the storage device 20 is communicably connected to the voice input device 30, the voice output device 40, the touch panel display device 50, and the printing device 60. Alternatively, the portable terminal device including the control device 10, the storage device 20, the voice input device 30, the voice output device 40, and the touch panel display device 50 is configured to be communicably connected to the printing device 60. May be.

  The control device 10 includes a computer such as a CPU (Central Processing Unit), for example, and controls the overall operation of the MCI inspection system 1, and in particular, by executing an MCI inspection program, the MCI inspection and subsequent processing (for example, (Scoring and report creation) as well as functions necessary for these settings. The storage device 20 includes, for example, a main storage device such as a RAM (Random Access Memory) and an auxiliary storage device such as a ROM (Read Only Memory). The auxiliary storage device stores an MCI inspection program in advance. Has been. The control device 10 reads at least partly the MCI inspection program stored in the auxiliary storage device according to the required processing contents, expands it in the main storage device, and executes the required processing according to the expanded program. The storage device 20 also has a function of storing set items and answers received from the subject as data.

  The voice input device 30 includes, for example, a microphone, and mainly has a function of accepting an dictation type answer by a subject. The voice output device 40 includes, for example, a speaker, and mainly has a function of outputting guidance and assignments by voice, or reproducing and outputting dictated answers stored at the time of examination as voice. .

  The touch panel display device (hereinafter simply referred to as “display device”) 50 includes, for example, a touch panel type liquid crystal display and the like, and mainly displays a screen used for setting, MCI inspection, and post-processing, or setting, MCI inspection. And a function of accepting an input of a user (examiner or examinee) by a screen touch operation in post-processing.

  In addition to the dictation type answers described above, there are selection-type answers and description-type answers as answers input from the subject. The display device 50 accepts a response from the subject because it can handle both a selection-type response and a description-type response, but it is convenient. Alternatively, an input device such as a mouse or a pen tablet may be used together or substituted.

  The printing device 60 includes, for example, a printer and has a function of printing an MCI inspection report including an inspection result and a scoring result thereof.

  FIG. 2 is a block diagram schematically showing a functional configuration of the MCI inspection system 1. The MCI inspection system 1 includes an MCI inspection execution unit 110, a setting unit 120, and a post-processing unit 130. The setting unit 120 has a function of presetting the operation of the MCI inspection system 1 related to the execution and subsequent processing of the MCI inspection, whereby the inspector can operate the MCI inspection system 1 according to the operation and use environment. Can be switched. The setting by the setting unit 120 can be executed by tapping a “setting” button on the main screen displayed on the display device 50 after login, for example, as shown in FIG. The MCI inspection execution unit 110 operates according to the setting in the setting unit 120 to execute the MCI inspection, and the post-processing unit 130 operates according to the setting in the setting unit 120 to perform post-processing of the MCI inspection. The MCI inspection by the MCI inspection execution unit 110 can be executed by, for example, tapping a “start inspection” button on the main screen shown in FIG. Further, post-processing by the post-processing unit 130, that is, scoring, report creation, etc. can be executed by tapping a “scoring / printing” button on the main screen shown in FIG. 3, for example.

  The MCI examination execution unit 110 has a task assignment unit 111 and an answer reception unit 112.

  The question assignment unit 111 has a function of setting a preset MCI examination issue via screen display and / or voice output. The answer accepting unit 112 accepts the answer of the selection formula, the description formula and / or the dictation formula by the screen touch operation or the utterance of the subject at the preset time limit when the task is given. It has a function to be stored in the storage device 20 as answer data. The MCI examination execution unit 110 sequentially issues questions and receives answers in a preset order.

  The post-processing unit 130 includes an examination data list display unit 131, a scoring screen display unit 132, an automatic scoring unit 133, an answer reproduction unit 134, a scoring input unit 135, and a report creation unit 136.

  The inspection data list display unit 131 has a function of causing the display device 50 to display a history of MCI inspections performed in the past as, for example, an inspection data list screen shown in FIG. The scoring screen display unit 132 has a function of causing the display device 50 to display an inspection result scoring screen (hereinafter simply referred to as “scoring screen”) including the MCI inspection result selected by the inspector on the inspection data list screen. The automatic scoring unit 133 has a function of automatically scoring the subject's answer and storing the scoring result as data in the storage device 20 and displaying it on the scoring screen. The answer reproducing unit 134 has a function of reproducing the subject's answer so as to be visible and / or audible. The scoring input unit 135 has a function of accepting an examiner's input for scoring the subject's answer and displaying a scoring result based on the input on the scoring screen. The report creation unit 136 has a function of creating an MCI inspection report including the MCI inspection result and the scoring result, and displaying the MCI inspection report on the display device 50 or printing it on the printing device 60.

  The configuration of the MCI inspection system 1 has been described above. Hereinafter, the operation of the MCI inspection system 1 will be described.

  First, the operation at the time of MCI inspection will be described.

  When “start inspection” is selected on the main screen (FIG. 3), the MCI inspection execution unit 110 starts the MCI inspection mode. The MCI inspection mode is started, for example, by inputting and registering subject information. After inputting and registering the subject information, a specific MCI test is performed. Examples of MCI inspection include, for example, a reproduction task immediately after a story, a character deletion task, a graphic copying task, a clock drawing task, a composition task, a numbering task, a subtraction task, a GO / NO-GO task, a word recall task, an orientation task and a story There is a delayed playback issue.

  The replay task immediately after a story is a task in which a story that is heard in speech is spoken and spoken immediately after it is heard. The character deletion task is a task of deleting characters displayed on the screen according to a rule. The graphic replication task is a task for imitating a sample graphic and drawing the same graphic. The clock drawing task is, for example, a task of drawing a clock at a specified time using a circle in the drawing area. The configuration task is a task of rearranging pieces having a shape such as a square or a triangle so that the pattern becomes the same as the sample figure, for example. The numbering task is a task of answering numbers read out by voice in the same order first and then in the reverse order. The subtraction task is a task of subtracting a predetermined number (for example, “7”) in order from a predetermined number (for example, “100”). The GO / NO-GO task is a task of tapping a screen in accordance with an animation according to a rule, for example. The word recall task is a task of speaking as long as a word starting from a predetermined character (for example, “ka”) can be conceived. The orientation problem is, for example, a problem of answering the place and time when the MCI inspection is performed. The story delayed playback task is a task that tells what you remember about the story that you heard when you played the playback task immediately after the story. In the following, some questions are taken as an example, and each question and the procedure for accepting answers are outlined.

  When the replay task is presented immediately after the story, the task questioning section 111 first displays a question waiting screen (FIG. 5a) and plays the explanation voice in that state. Here, the subject is required to dictate later the content of the story that flows first. When the “start” button in the question waiting screen is tapped, the task questioning unit 111 switches the screen display to the question screen (FIG. 5b) and plays the sound of the story. After the audio of the story is reproduced, the question assignment unit 111 switches the screen display to the answer standby screen (FIG. 5c). When the “start” button in the screen is tapped, the question assignment section 111 switches the screen display to the answer screen (FIG. 5d), and the answer reception section 112 starts recording, and the dictation formula of the subject The answer is recorded. When the “end” button in the answer screen is tapped, the answer receiving unit 112 stops recording, and the task questioning unit 111 switches the screen display to the answer end screen (FIG. 5e). When the “Yes” button in the answer end screen is tapped, the task assignment section 111 proceeds to the next task. When the “No” button in the answer end screen is tapped, the screen display is returned to the answer waiting screen (FIG. 5c), and the dictated answer of the subject is recorded again according to the above-described procedure.

  When giving a graphic replication task, the task question section 111 first displays the question screen (FIG. 6) and plays the explanation voice in that state. Here, the subject is required to imitate the sample figure displayed on the left side of the question screen and describe the same figure. When the “write” button in the question screen is tapped, the answer reception unit 112 uses a finger, a pen, a mouse, or the like (hereinafter “finger”) in a blank area (drawing area) surrounded by a square on the right side of the screen. Record the descriptive answer drawn by swiping. The drawn content can be partially erased by tapping the “Erase” button in the question screen. When the “end” button in the questioning screen is tapped, the task questioning part 111 switches the screen display to an answer end screen (not shown). When the “Yes” button in the answer end screen is tapped, the task assignment section 111 proceeds to the next task. When the “No” button in the answer end screen is tapped, the screen display is returned to the question screen, and the test subject's descriptive answer is recorded again according to the procedure described above.

  When the clock drawing task is given, the task assignment unit 111 first plays the explanation voice and then displays the first question screen (FIG. 7a). On the first question screen, the subject is required to draw a clock number. The timepiece numbers shown in FIG. 7a are examples of answers. When the “write” button in the question screen is tapped, the answer reception unit 112 records a description-type answer drawn by swiping with a finger or the like in the drawing area on the right side of the screen. The drawn content can be partially erased when the “erase” button in the first question screen is tapped. When the “Exit” button in the first question screen is tapped, the question questioning section 111 switches the screen display to the second question screen (FIG. 7b), and in this case, drawing the time designated by the voice is performed. Asked by the examiner. Note that the clock numbers and clock hands shown in FIG. 7b are examples of answers. When the “write” button in the second question screen is tapped, the answer accepting unit 112 records a description-type answer drawn by swiping with a finger or the like in the drawing area on the right side of the screen. The drawn content can be partially erased by tapping the “erase” button in the second question screen. When the “end” button in the second question screen is tapped, the task question portion 111 switches to an answer end screen (not shown). When the “Yes” button in the answer end screen is tapped, the task assignment section 111 proceeds to the next task. When the “No” button in the answer end screen is tapped, the screen display is returned to the first question screen, and the test subject's descriptive answer is re-recorded according to the procedure order.

  At the time of the questioning of the math task, the task questioning part 111 first displays the questioning screen (FIG. 8a) and plays the explanation voice and the number voice. Here, the subject is required to answer in the same order for the numbers read out by voice. Thereafter, the task questioning section 111 switches the screen display to the answer screen (FIG. 8b). The answer reception unit 112 records a selection type answer that is input by tapping a number button in the answer screen. When the “confirm” button in the answer screen is tapped, the task question section 111 plays the following explanation voice and numeric voice. Here, the subject is required to answer the numbers read aloud in the reverse order. Then, the answer reception unit 112 records a selection type answer that is input by tapping a numeric button in the answer screen. When the “Confirm” button in the answer screen is tapped, the question assignment section 111 proceeds to the next assignment.

  When answering a word recall task, the task questioning unit 111 first displays the answer waiting screen (FIG. 9a) and plays the explanation voice in that state. Here, the subject is required to speak a word that begins with “ka” in “Kakikukeko”. When the “Start” button in the response waiting screen is tapped, the question assignment unit 111 switches the screen display to the response screen (FIG. 9b), and the response reception unit 112 starts recording, Record dictation answers. When the “end” button in the answer screen is tapped, the answer accepting unit 112 stops the recording, and the task questioning unit 111 switches the screen display to an answer end screen (not shown). When the “Yes” button in the answer end screen is tapped, the task assignment section 111 proceeds to the next task. When the “No” button in the answer end screen is tapped, the screen display is returned to the answer waiting screen, and the dictated answer of the subject is recorded again according to the above-described procedure.

  When the story delayed reproduction task is given, the question assignment unit 111 first displays the answer waiting screen (FIG. 5c) and plays the explanation voice in that state. Here, the subject is required to dictate again the content of the story that flowed before. When the “start” button in the answer waiting screen is tapped, the question assignment section 111 switches the screen display to the answer screen (FIG. 5d), and the answer receiving section 112 starts recording and dictates the subject. Record the answers of the ceremony. When the “end” button in the answer screen is tapped, the answer receiving unit 112 stops recording, and the task questioning unit 111 switches the screen display to the answer end screen (FIG. 5e). When the “Yes” button in the answer end screen is tapped, the task assignment section 111 proceeds to the next task. When the “No” button in the answer end screen is tapped, the screen display is returned to the answer waiting screen (FIG. 5c), and the dictated answer of the subject is recorded again according to the above-described procedure.

  When the execution of a series of MCI inspections ends (end of the MCI inspection mode), the screen display is returned to the main screen (FIG. 3), and the MCI inspection system 1 waits for the next operation.

  Next, operations during post-processing will be described.

  When “Scoring / Printing” is selected on the main screen (FIG. 3), the post-processing unit 130 starts the post-processing mode. The post-processing mode is a mode for the inspector to perform work after the MCI inspection, and mainly includes scoring and report creation. The post-processing mode starts when the inspection data list display unit 131 displays the inspection data list screen (FIG. 4). On the examination data list screen, the date and time of the past MCI examination, the name of the subject subject, etc. are listed as a set of records, and the examiner clicks one of the “Result” buttons. When one of the MCI inspection records is selected by tapping, the scoring screen display unit 132 displays the scoring screen of the MCI inspection record.

  The scoring screen mainly includes a subject information display unit, an assignment name display unit, an answer content display unit, a scoring display unit, a total score display unit, and an examination time display unit, as shown in FIG. 10A, for example. In the subject information display section, information registered in advance regarding the subject who is the subject of the MCI examination to be scored is displayed. In the assignment name display section, the assignment name of the MCI examination included in the MCI examination to be scored is displayed. In the response content display section, the response result of the subject for each task is displayed. The answer result may be displayed automatically by the post-processing unit 130 based on the answer data, or may be displayed by the inspector who has input on the scoring screen. In the scoring display section, scoring regarding answers to each assignment is displayed. The scoring may be automatically calculated based on the answer data (automatic scoring), or the inspector may input for scoring on the scoring screen and display the scoring according to the input. (Semi-automatic scoring). The total of the points displayed on the scoring display unit is displayed on the total score display unit. In the examination time display section, the time required for the MCI examination to be scored is displayed. The examinee information display section, assignment name display section, response content display section, and scoring display section constitute a test result editing screen, with the subject information display section displayed at the top and continued to the bottom. An assignment name display section, an answer content display section, and a scoring display section are displayed side by side for each assignment. If these cannot be displayed on the display device 50 at once, the display area can be shifted by scrolling the screen as shown in FIGS. 10a and 10b, for example.

  In the scoring screen, as described above, the answer to the assignment is automatically displayed based on the answer data, or displayed based on the input of the examiner. Further, as described above, there are automatic scoring and semi-automatic scoring as to scoring regarding answers. These will be described below by taking some problems as examples.

  For example, in a quoting task, the answer to the question that has been asked is a selective answer in which the subject selectively operates one of the numeric keys, and it is easy to collate and score the answer result with the correct answer It is a simple task that can be done easily. Therefore, in the present embodiment, for example, scoring for a numbering task is automatically performed. That is, for example, for the math task, the automatic scoring unit 133 automatically scores the selection type answer by the subject (see FIG. 11). This automatic scoring may be executed when the scoring screen is displayed, or may be executed in parallel with the MCI examination. The automatic scoring unit 133 displays the scoring result on the scoring screen.

  For example, a graphic replication task is a descriptive answer that the subject can freely describe with a finger etc. for the answer to the question that has been presented. However, it is a complicated problem that is not always easy. Therefore, in this embodiment, for example, scoring for a graphic copying task is not automatically performed. That is, for example, for a graphic replication task, the answer reproduction unit 134 displays a description type answer by the subject on the answer display unit on the scoring screen based on the answer data, for example, as an answer result as shown in FIG. By doing so, it is possible to confirm the answer by the visual inspection of the inspector. In the response display section of the graphic replication task, evaluation items for evaluating the response (for example, “almost molded” as shown in the figure) are displayed. A check mark can be entered. When the inspector inputs a check mark, the scoring input unit 135 accepts the input, and displays a score corresponding to the input on the scoring display unit on the scoring screen as a result of scoring.

  For example, the clock drawing task is a complex task that requires evaluation of a descriptive answer, like the graphic copying task. Therefore, in the present embodiment, for example, scoring for the clock drawing task is not automatically performed, and the answer reproduction unit 134 displays the answer in the descriptive form by the subject on the scoring screen based on the answer data. As shown in FIG. 13, for example, the result is displayed as an answer result on the part, thereby enabling the examiner to check the answer visually. In the response display section of the graphic replication task, multiple evaluation items (for example, “appropriate number array” as shown in the figure) for evaluating the response are displayed, and the inspector checks the corresponding location. When an operation for inputting a mark is performed, the scoring input unit 135 receives the input, automatically calculates a score corresponding to the input, for example, a score corresponding to the number of check marks, and this is used as a result of scoring. And display it on the scoring display section on the scoring screen.

  For example, a word recall task is an dictation-type answer that allows the subject to freely dictate the question, and it is not always easy to collate and score the answer with the correct answer. It's not a complicated task. Therefore, in the present embodiment, for example, scoring for the word recall task is not automatically performed. For example, an audio playback button is displayed in the task name display section of the word recall task (see FIG. 14), and when this button is tapped, the answer reproduction section 134 utters the voice of the dictated answer by the subject, By reproducing the response result based on the response data, it is possible to confirm the response by listening to the inspector. In the answer display section of the word recall task, a plurality of correct answer input fields are displayed side by side as evaluation items together with numbers (see FIG. 14). When the examiner hears the correct answer (correct answer) of the examinee, the correct answer can be entered in the correct answer input column in order from the first. The scoring input unit 135 automatically calculates a score corresponding to the input, for example, a score corresponding to the number of input evaluation items (input number), and displays this on the scoring display unit on the scoring screen as a result of scoring. Display.

  For example, the delayed story reproduction task is a complex task that requires the evaluation of the dictation answer as well as the word recall task. Therefore, in the present embodiment, for example, scoring for the story delay reproduction task is not automatically performed, and the answer reproduction unit 134 performs the dictation expression by the subject according to the tap operation of the sound reproduction button (see FIG. 15). The voice of the answer is reproduced as the answer result based on the answer data, thereby enabling the answer confirmation by the inspector's listening. In the answer display section of the story delayed playback task, a plurality of keywords or key phrases (for example, “in Niigata city” as shown in the figure) representing the contents of the story are displayed side by side as evaluation items along with check boxes. (See FIG. 15). When the inspector hears the subject's correct answer and performs an operation to input a check mark at the corresponding location, the scoring input unit 135 accepts the input and receives a score corresponding to the input, for example, a check mark The score corresponding to the number is automatically calculated, and this is displayed on the scoring display section on the scoring screen as a scoring result.

  The scoring screen display unit 132 automatically adds the results scored automatically or semi-automatically as described above, and displays the total score on the total score display unit on the scoring screen.

  When the “print” button (see FIG. 10 a) is tapped on the scoring screen, the report creation unit 136 creates an MCI inspection report having a format as shown in FIGS. 16 a and 16 b based on the display content of the scoring screen, for example. It is created and printed by the printing device 60. In the present embodiment, the MCI inspection report is divided into a first part page summarizing automatic scoring results for simple tasks and a second part page summarizing semi-automatic scoring results for complex tasks. . In this way, in the case of relatively severe cognitive impairment, the score of the first part and the score of the second part are both low, while in the case of relatively mild cognitive impairment, The tendency that the score of one part becomes high and the score of the second part becomes low appears. Therefore, the presence / absence of cognitive impairment and light weight can be diagnosed more accurately than simply judging cognitive impairment based on the total score.

  When finishing the scoring, when the inspector taps the “END” button on the scoring screen, the inspection data list display unit 131 displays the inspection data list screen (FIG. 4). At this time, the scoring results are stored as scoring data. Therefore, when the examiner sequentially selects and displays a plurality of past test results, the examiner can see the temporal change of the test results and can objectively determine the progress of cognitive impairment and the like.

  Further, when the “end” button on the inspection data list screen is tapped, the post-processing unit 130 ends the post-processing mode, the screen display is returned to the main screen (FIG. 3), and the MCI inspection system 1 Wait for the next operation.

  As described above, according to the present embodiment, the MCI inspection system 1 that performs the MCI inspection that sequentially issues the questions for the MCI inspection and accepts the responses to the problems is an answer to a simple problem. An automatic scoring unit 132 that automatically displays the result of the scoring on the scoring screen, an answer reproduction unit 134 that reproduces a response to a complex task in a viewable and / or audible manner, a viewable and And / or a scoring input unit 135 that accepts an input for scoring an answer to a complicated task reproduced so as to be audible and displays a scoring result based on the input on the scoring screen.

  As a result, for example, for a simple task that is relatively easy to make a correct / incorrect determination, such as a selection-type answer, the correct / incorrect determination is made automatically, for example, as a descriptive expression and / or dictation-type answer. Because it is possible to evaluate the results of MCI tests through complex judgments that are relatively difficult, it is more reliable to include not only severe cognitive impairment but also mild cognitive impairment. Can be inspected.

  In addition, according to the present embodiment, descriptive answers and dictation answers are stored as answer data, and are reproduced so that they can be visually and audibly reproduced at the time of scoring. Can be considered. In particular, by browsing the inspection results of the past multiple times selectively from the inspection data list screen and comparing the difference between the descriptive answer or dictation answer, for example, the clock number drawn in the clock drawing task is It is also possible to see changes that are difficult to appear in scoring, such as being biased to the right.

  Further, according to the present embodiment, the evaluation item for evaluating the response reproduced so as to be visible and / or audible and the evaluation result input in the evaluation item are displayed on the scoring screen. The score corresponding to the evaluation result is displayed on the scoring screen as a result of scoring. In other words, for complex issues that are relatively difficult to determine correctness, such as descriptive and / or dictated responses, the results of MCI tests can be evaluated semi-automatically through human judgment. It is possible to achieve both efficiency and reliability.

  The preferred embodiments of the present invention have been described above by way of examples. However, it is apparent that various modifications can be made by those skilled in the art without departing from the spirit of the present invention.

  The mild cognitive impairment test system and the mild cognitive impairment test program of the present invention are useful as a system and program for supporting a mild cognitive impairment test.

DESCRIPTION OF SYMBOLS 1 Mild cognitive impairment test | inspection (MCI) system 10 Control apparatus 20 Memory | storage device 30 Audio | voice input apparatus 40 Audio | voice output apparatus 50 Touch-panel-type display apparatus 60 Printing apparatus 110 MCI test | inspection execution part 111 Question-taking part 112 Answer reception part 120 Setting part 130 Post-processing Section 131 Inspection data list display section 132 Scoring screen display section 133 Automatic scoring section 134 Answer reproduction section 135 Scoring input section 136 Report creation section

Claims (6)

A mild cognitive impairment test system that performs a mild cognitive impairment test that sequentially issues questions for a mild cognitive impairment test and accepts answers to the tasks,
A scoring screen display unit for displaying a scoring screen corresponding to the examination after the examination is executed;
An automatic scoring unit that automatically scores answers to simple tasks among the questions that have been presented and displays the results of the scoring on the displayed scoring screen;
An answer reproduction unit that reproduces an answer to a complex problem out of the given questions in a visible and / or audible manner;
A scoring input unit that accepts an input for scoring an answer to a complex task reproduced visually and / or audibly, and displays a scoring result based on the input on the scoring screen;
A mild cognitive impairment testing system. Answers to simple tasks include choice-type answers, answers to complex tasks include descriptive and / or dictation-type answers,
The mild cognitive impairment inspection system according to claim 1. The scoring screen display unit selectively displays a scoring screen corresponding to a plurality of mild cognitive impairment tests performed in the past according to a selection operation.
The mild cognitive impairment test system according to claim 1 or 2. The scoring screen display unit displays an evaluation item on the scoring screen for evaluating an answer reproduced so as to be visible and / or audible,
The scoring input unit accepts input of the evaluation result in the displayed evaluation item, displays the evaluation result on the scoring screen, and uses the score according to the evaluation result as a scoring result on the scoring screen. To display
The mild cognitive impairment test system according to any one of claims 1 to 3. It further has a report creation unit that creates a report by dividing it into a first part that summarizes responses to simple tasks and their scoring results and a second part that summarizes responses to complex tasks and their scoring results,
The mild cognitive impairment test system according to any one of claims 1 to 4. A mild cognitive impairment test program that allows a computer of a mild cognitive impairment test system to implement the function of a mild cognitive impairment test that sequentially issues questions for a mild cognitive impairment test and accepts answers to the tasks,
In the computer,
A scoring screen display function for displaying a scoring screen corresponding to the examination after the examination is executed;
An automatic scoring function that automatically scores answers to simple tasks among the questions that have been presented and displays the results of the scoring on the displayed scoring screen,
An answer reproduction function that reproduces answers to complex problems among the questions that have been presented in a visible and / or audible manner;
A scoring input function for accepting an input for scoring an answer to a complex task reproduced visually and / or audibly, and displaying a scoring result based on the input on the scoring screen;
This is a mild cognitive impairment test program.