JP2019084366A - Ophthalmologic examination support system and ophthalmologic examination support server - Google Patents

Abstract

To provide a wide spectrum of early detection methods and preventive medical care for ophthalmologic diseases.SOLUTION: A server of an ophthalmologic examination support system according to the embodiment includes: a medical information storage device for storing medical information of each patient; and a management device for managing the medical information. The medical information includes images of the patient's eyes. Associated information associates feature information indicating functional features of an eye of a given patient with the examination conditions of an ophthalmologic examination on the patient. An examination condition acquisition unit analyzes an image retrieved based on the patient information transmitted from a client to determine whether or not the image includes the functional features included in the associated information. The examination condition acquisition unit further acquires, from the associated information, the examination conditions corresponding to the feature information indicating the functional features determined to be included in the image. The client performs control based on the acquired examination conditions.SELECTED DRAWING: Figure 2

Description

  The present invention relates to a system and server for supporting an ophthalmologic examination.

  In ophthalmology, various examination devices are used. Examples thereof include an apparatus (ophthalmologic imaging apparatus) for acquiring an image of an eye to be examined and an apparatus (ophthalmologic measurement apparatus) for measuring characteristics of the eye to be examined. The ophthalmologic imaging apparatus includes an optical coherence tomography apparatus (OCT apparatus), a fundus camera, a slit lamp, a scanning laser ophthalmoscope (SLO), and the like. The ophthalmologic measuring apparatus includes a refractometer, a keratometer, a tonometer, a perimeter, and the like. In addition, multifunction machines configured to be capable of performing two or more types of examinations (photographing and / or measurement) are also used. Furthermore, there is an ophthalmologic examination apparatus (ophthalmologic imaging apparatus, ophthalmologic examination apparatus, computer, etc.) having a function of analyzing data acquired by photographing or measurement.

  In recent years, early detection and early treatment of diseases and preventive medicine have attracted attention, and research on improvement of test accuracy to detect slight symptoms and research on screening tests to investigate the possibility of onset when symptoms do not appear・ Development is in progress. At present, such advanced medical care is hardly provided except for advanced medical institutions such as university hospitals and backbone hospitals.

  On the other hand, patients often visit nearby clinics and the like instead of such advanced medical institutions when they notice symptoms. In addition, conducting an examination before being aware of symptoms is substantially limited to general medical examinations and examinations. Thus, the implementation of screening tests is ideal, but effective and efficient operation is difficult at present.

  In addition, there is also a case where you receive a referral from a clinic or the like and visit another medical institution, but it is necessary to carry out the same examination again, and the time, cost, and physical burden on the patient are large. One reason is that a system for sharing medical chart information and medical images among multiple medical institutions has not been established.

  As mentioned above, a wide variety of tests are performed in ophthalmology. In addition to ophthalmology-specific examinations, examinations common to other medical departments (for example, clinical examinations such as blood examinations and biological examinations) are also performed. The types and number of tests that can be performed differ between advanced medical institutions and others. Thus, the above problems are considered relatively serious in ophthalmology.

JP, 2009-104278, A JP 2002-83058 A JP-A-9-135816 JP, 2013-126422, A JP, 2013-52929, A JP, 2010-193903, A Japanese Patent Application Publication No. 2007-20563

  The purpose of the system and server according to the present invention is to provide broadly a method for early detection of ophthalmic diseases and preventive medicine.

  The ophthalmic examination support system of the embodiment includes a server and a plurality of clients. The server includes a medical information storage device that stores medical information of each patient, and a management device that manages medical information stored in the medical information storage device. The client can communicate with the management device. The ophthalmologic examination support system of the embodiment includes a related information storage unit and an examination condition acquisition unit. The related information storage unit stores in advance related information in which the medical information of the predetermined item and the examination condition of the ophthalmologic examination are associated. The examination condition acquisition unit receives the medical information searched by the management apparatus from the medical information storage device based on the patient information transmitted from any one of the plurality of clients, and the examination condition corresponding to at least a part of the medical information Obtain from related information. The client performs control based on the inspection condition acquired by the inspection condition acquisition unit. Medical information stored in the medical information storage device includes an image of a patient's eye. In the related information, feature information indicating functional features of an eye of a predetermined disease is associated with test conditions of an ophthalmologic examination for the disease. The examination condition acquiring unit analyzes the image searched based on the patient information to determine whether the image includes the functional feature included in the related information, and the functional determined to be included in the image. And a process of acquiring an inspection condition corresponding to the feature information indicating the feature from the related information.

  According to the present invention, it is possible to widely provide an early detection method for ophthalmic diseases and preventive medicine.

It is a schematic diagram showing an example of composition of an ophthalmology examination support system concerning an embodiment. It is a schematic diagram showing an example of composition of an ophthalmology examination support system concerning an embodiment. It is a sequence diagram showing an example of a usage pattern of an ophthalmologic examination support system concerning an embodiment. It is a sequence diagram showing an example of a usage pattern of an ophthalmologic examination support system concerning an embodiment. It is a sequence diagram showing an example of a usage pattern of an ophthalmologic examination support system concerning an embodiment. It is a sequence diagram showing an example of a usage pattern of an ophthalmologic examination support system concerning an embodiment. It is a sequence diagram showing an example of a usage pattern of an ophthalmologic examination support system concerning an embodiment. It is a sequence diagram showing an example of a usage pattern of an ophthalmologic examination support system concerning an embodiment.

  An example of an ophthalmologic examination support system, an ophthalmologic examination support server, and an ophthalmologic examination support apparatus according to an embodiment will be described. The ophthalmologic examination support system includes an ophthalmologic examination support server and an ophthalmologic examination support apparatus. The contents of the documents cited in the present specification can be arbitrarily incorporated into the embodiments of the present invention.

<System configuration>
The structural example of the ophthalmologic examination support system which concerns on embodiment is shown in FIG.1 and FIG.2. The ophthalmic examination system of the embodiment includes a part or all of the system shown in FIG. FIG. 2 shows a configuration example of the system server 10 and the client 1000 included in the system shown in FIG. The client 1000 includes an apparatus installed in a clinic or main hospital. That is, the client 1000 may include the information processing apparatus 110 and / or the ophthalmologic examination apparatus 120 installed in the clinic, and may include the information processing apparatus 210 and / or the ophthalmologic examination apparatus 220 installed in the main hospital. .

  In the ophthalmologic examination support system, the system server 10 mainly provides a service. The service destination includes, for example, a plurality of clinics and a plurality of main hospitals. The system server 10 can communicate with the information processing apparatus 110 and / or the ophthalmologic examination apparatus 120 installed in each clinic. In addition, the system server 10 can communicate with the information processing device 210 and / or the ophthalmologic examination device 220 installed in each main hospital.

Furthermore, the system server 10 can communicate with at least one of the following, for example:
An information processing apparatus installed at a facility for analyzing the result of an ophthalmologic examination (eg, a server 300 installed at an ophthalmologic image analysis center for analyzing an image of an eye, etc.);
An information processing apparatus installed at a facility for analyzing gene information (eg, server 400 installed at a genome analysis center, etc.);
An information processing device installed in a facility for integrated analysis of results of multiple ophthalmologic examinations and results of diagnosis by doctors etc. (Example: Medical information obtained at clinic or main hospital and obtained at ophthalmologic image analysis center A server 500 or the like installed in an integrated analysis center to analyze analysis results and analysis results obtained by the genome analysis center in an integrated manner;
An information processing apparatus installed at a manufacturer that provides products to medical institutions etc. (eg, server 600 installed at pharmaceutical manufacturer, server installed at medical device manufacturer, etc.).

  Here, a clinic is a medical institution to which a patient first visits, such as a medical clinic, and a general practitioner, for example, provides primary care. On the other hand, the main hospital is a medical institution that is the center of medical care in the area, and is, for example, a large hospital or a university hospital that can provide advanced medical care. Note that the service providing destination according to the embodiment is not limited to medical institutions of such a classification, and may include any medical institution. Further, the service may be provided not only to the hospital but also to a health check center or a medical check center. In particular, the service according to the embodiment may be an information processing apparatus and / or an ophthalmologic examination apparatus installed in any facility. For example, even when an ophthalmologic examination apparatus is installed in a patient's home or a welfare facility for the elderly or the like for home care, or when an ophthalmologic examination apparatus is installed in a pharmacy or an eyeglass shop in a wide area ophthalmologic examination service It is possible to apply the configuration according to the embodiment. In this embodiment, as a typical case, a system including a clinic and a main hospital will be described.

  Further, the information processing apparatus and the ophthalmologic examination apparatus included in the ophthalmologic examination support system are connected to at least the system server 10 via a communication line of an arbitrary form. The communication line of the embodiment includes a wide area network (WAN) such as the Internet or a dedicated line. Furthermore, the communication line of the embodiment may include any communication network such as a local area network such as a hospital LAN built in a medical institution, a cable connecting a plurality of devices, a satellite communication network, and the like. At least a portion of the communication line of the embodiment may be wired, and at least a portion of the communication line of the embodiment may be wireless.

[clinic]
An information processing terminal 110 and an ophthalmologic examination apparatus 120 are installed in the clinic. The information processing terminal 110 is an arbitrary computer used in a clinic. The information processing terminal 110 includes hardware such as a processor and a storage device, and software for executing various information processing (for example, information processing to be described later). The information processing terminal 110 is, for example, a terminal (doctor terminal) used by a doctor or a server of an in-hospital LAN. The information processing terminal 110 is a computer connected to the ophthalmologic examination apparatus 120 by a hospital LAN, a cable, or the like. Alternatively, the information processing terminal 110 may include a processor mounted on the ophthalmologic examination apparatus 120. Further, the information processing terminal 110 may be a portable computer (tablet, notebook computer, etc.) usable outside the clinic, or a computer installed in a vehicle.

  The ophthalmologic examination apparatus 120 is used inside or outside the clinic. The ophthalmologic examination apparatus 120 is an ophthalmologic imaging apparatus and / or an ophthalmologic measurement apparatus. The ophthalmologic imaging apparatus includes an OCT apparatus, a fundus camera, a slit lamp, an SLO, and the like. The ophthalmologic measuring apparatus includes a refractometer, a keratometer, a tonometer, a perimeter, and the like. The ophthalmologic examination apparatus 120 may be a multifunction machine. In addition, the ophthalmologic examination apparatus 120 may have a function of analyzing data acquired by imaging or measurement. One or more ophthalmologic examination devices 120 are installed in the clinic.

[Basic hospital]
An information processing terminal 210 and an ophthalmologic examination apparatus 220 are installed in the main hospital. The information processing terminal 210 and the ophthalmologic examination apparatus 220 may be similar to the information processing terminal 110 and the ophthalmologic examination apparatus 120 of the clinic, respectively. The details of the devices installed in the clinic and main hospital will be described later.

[System server 10]
The system server 10 is managed by, for example, a service provider of the ophthalmologic examination support system. The system server 10 includes hardware such as a processor and a storage device, and software for executing various information processing (for example, information processing to be described later). Details of the system server 10 will be described later.

[Ophthalmic Image Analysis Center Server 300]
The ophthalmologic image analysis center is a facility that analyzes the image acquired by photographing the patient's eye at a clinic or a main hospital. This analysis may include analysis using a computer (application) and analysis by a specialist or the like. The ophthalmologic image analysis center has a database created based on medical information such as analysis results of ophthalmologic images.

  The ophthalmologic image analysis center server 300 may include (or be connected to) one or more computers (processors) for analyzing an image of a patient's eye. The ophthalmologic image analysis center server 300 is equipped with, for example, the latest applications of various types of analysis methods, and provides high-precision and high-accuracy analysis. In addition, the ophthalmologic image analysis center server 300 can provide comprehensive analysis combining a plurality of analysis applications.

  The ophthalmologic image analysis center server 300 has, for example, a function of analyzing an image (OCT image) acquired by an OCT apparatus. Examples of the analysis of the OCT image include segmentation for obtaining a specific tissue or tissue boundary of the eye, and size analysis for obtaining the size (layer thickness, area, volume, etc.) of the specific tissue. Other examples of analysis types that can be executed by the ophthalmologic image analysis center server 300 include: papillary analysis for determining papillary parameters such as the size and shape (tilt etc.) of optic papilla; shape and layer thickness of macular Macular analysis to determine macular parameters such as distribution; Sieve plate analysis to determine lamina cribric parameters such as thickness and shape of the lamina cribulata and distribution of pores; blood vessels such as fundus blood vessel distribution and blood flow dynamics Blood vessel analysis for finding blood flow parameters; Corneal analysis for finding corneal parameters such as the shape of the cornea (curvature etc.) and layer thickness distribution; Angle angle of the corner angle which is the crossing position of the cornea and iris Angle analysis to determine angle parameters of the; Transplant analysis to determine evaluation parameters for intraocular lenses, cell sheets, etc. implanted in the patient's eye. The details of the process executed by the ophthalmologic image analysis center server 300 will be described later.

[Genome Analysis Center Server 400]
The genome analysis center is a facility that performs genetic testing of samples (blood, excision tissue, saliva, urine, hair, sperm, ova etc.) collected from a patient. The genome analysis center also holds a database created based on medical information such as the result of genetic testing.

  The genome analysis center may be able to perform full genome analysis to obtain all genetic information of a patient. Also, the genome analysis center may be able to perform pseudo full genome analysis to obtain pseudo full genetic information of a patient by referring to statistical data of a large number of full genome information. Furthermore, the genome analysis center may be able to determine the risk of a specific disease and the like from the patient's genetic information.

  The genome analysis center server 400 may include (or be connected to) one or more computers (processors) for analyzing patient's genetic information. The genome analysis center server 400, for example, incorporates the latest applications for various types of analysis methods, and provides high-precision and high-accuracy analysis. In addition, the genome analysis center server 400 can provide comprehensive analysis combining a plurality of analysis applications.

Integrated Analysis Center Server 500
An integrated analysis center is a facility that analyzes various examinations and diagnosis results in an integrated manner. This analysis may include analysis using a computer (application) and analysis by a specialist or the like. The integrated analysis center has a database created based on medical information such as various test results and diagnosis results. In the present embodiment, an integrated analysis including at least the analysis result of the ophthalmologic image obtained at the ophthalmologic image analysis center and the result of the genetic test obtained at the genome analysis center is performed. Furthermore, diagnosis results obtained at a clinic or a main hospital may be included.

  Integrated analysis center server 500 may include (or be connected to) one or more computers (processors) for performing integrated analysis of the patient's eye. The integrated analysis center server 500, for example, incorporates the latest applications for various types of analysis methods, and provides high-precision and high-accuracy analysis.

[Pharmaceutical maker server 600]
A drug maker uses data accumulated by an ophthalmologic examination support system (or an information processing device connected thereto) for drug discovery research. The pharmaceutical maker server 600 receives such accumulated data from the system server 10 or another information processing apparatus (ophthalmic image analysis center server 300, genome analysis center server 400, integrated analysis center server 500, etc.).

<Configuration of System Server 10 and Client 1000>
The system server 10 and the client 1000 will be described with reference to FIG.

[Client 1000]
As described above, the client 1000 includes one or more devices installed in a clinic or main hospital. For example, the client 1000 installed in the clinic includes the information processing device 110 and / or the ophthalmologic examination device 120. In addition, the client 1000 installed in the main hospital includes the information processing device 210 and / or the ophthalmologic examination device 220.

  The client 1000 includes a control unit 1100, an inspection unit 1200, a user interface unit (UI unit) 1300, and a communication unit 1400.

(Control unit 1100)
The control unit 1100 includes a processor and controls each unit of the client 1000. For example, control unit 1100 controls examination unit 1200 to perform examination of the patient's eye. The control of the inspection unit 1200 includes control for setting inspection conditions.

(Inspection unit 1200)
The examination unit 1200 performs examination of the patient's eye under the control of the control unit 1100. Examination unit 1200 includes, for example, ophthalmologic examination apparatus 120 or 220.

  When inspection section 1200 has a photographing function, inspection section 1200 includes, for example, an optical system for irradiating light to the patient's eye and an optical system for detecting return light of light irradiated to the patient's eye. . Furthermore, the examination unit 1200 may include other optical systems, such as an optical system for projecting a fixation target onto the patient's eye. Also, the inspection unit 1200 may include a processor for processing the detection result (image signal, video signal, etc.) of the return light.

  An example of the imaging function is OCT. The OCT optical system is configured to divide the light from the light source into the measurement light and the reference light, superimpose the return light of the measurement light from the patient's eye and the reference light to generate interference light, and to detect the interference light. Ru. Furthermore, a processor or the like that forms image data by performing signal processing such as fast Fourier transform (FFT) on the detection result of the interference light is provided. In the optical path (measurement arm) of the measurement light, an optical scanner for scanning the patient's eye with the measurement light, a focusing lens for changing the focus position of the measurement light, and an optical path for changing the length of the measurement arm Various members such as a long change mechanism (corner cube etc.) are provided. Various members such as a polarization controller, an optical attenuator, an optical path length changing mechanism (a reference mirror, a mechanism for moving the same, and the like) are provided in the optical path (reference arm) of the reference light. As inspection conditions for OCT, fixation position (control condition of fixation target projection optical system), light quantity / wavelength (control condition of light source), scanning pattern of measurement light (control condition of optical scanner), focus position (focusing Control condition of lens), optical path length of measurement arm and / or reference arm (control condition of optical path length change mechanism), polarization adjustment state (control condition of polarization controller), light attenuation state (control condition of optical attenuator), etc. . In addition, when the inspection unit 1200 is provided with a function of analyzing an OCT image, the inspection conditions may include parameters in the analysis process.

  The inspection conditions such as the fixation position, the light amount / wavelength, the scanning pattern, and the focus position are similarly applied to the SLO. Further, inspection conditions such as the position of fixation, the amount of light / wavelength, and the position of focus are similarly applied to the case of the fundus camera. When the inspection unit 1200 includes an OCT, an SLO, a fundus camera or the like, alignment that is alignment of the optical system with respect to the patient's eye or focusing of the optical system with respect to the fundus is performed. These are done by projecting indicators onto the patient's eye. Parameters related to such alignment and focusing can be applied as inspection conditions. When the inspection unit 1200 includes a slit lamp, the position (angle) of the illumination optical system or the imaging optical system, the slit width, and the like can be applied to the inspection condition in addition to the light quantity and the wavelength.

  When inspection section 1200 has a measurement function, inspection section 1200 includes, for example, an optical system for irradiating light to the patient's eye and an optical system for detecting return light of light irradiated to the patient's eye. . Furthermore, the examination unit 1200 may include other optical systems, such as an optical system for projecting a fixation target onto the patient's eye. Also, the inspection unit 1200 may include a processor for processing the detection result (image signal, video signal, etc.) of the return light. The measurement function includes, for example, an eye refractive power measurement function (refractometer), a cornea shape measurement function (keratometer), an intraocular pressure measurement function (tonometer), and a visual field inspection function (perimeter). The inspection unit 1200 has a configuration according to the mounted measurement function, and inspection conditions according to this configuration are applied.

(User interface unit 1300)
The user interface unit 1300 includes a display unit 1310 and an operation unit 1320. The display unit 1310 includes a display device provided in the information processing apparatus 110 (210) and a display device provided in the ophthalmologic examination apparatus 120 (220). The operation unit 1320 is a keyboard or a mouse provided to the information processing apparatus 110 (210), a button or a joystick or a knob provided to the ophthalmologic examination apparatus 120 (220), and an operation attachment connected to the ophthalmologic examination apparatus 120 (220) And so on. The display unit 1310 and the operation unit 1320 do not have to be configured as individual devices, and for example, a device such as a touch panel in which a display function and an operation function are integrated may be used.

(Communication unit 1400)
The communication unit 1400 includes a communication interface for communicating with an external device such as the system server 10 or the like. The communication interface has a configuration conforming to the standard of the network used by the ophthalmologic examination support system.

[System server 10]
The system server 10 includes a management device 11 and a medical information storage device 12. The system server 10 may be configured as a server (for example, a cloud server) on a network, or may be installed in a backbone hospital or the like. Alternatively, a configuration similar to that of the system server 10 (for example, a cloud server) disposed on the network may be provided in the main hospital. In addition, a combination of a first server (for example, a cloud server) disposed on the network and a second server provided in the main hospital may be configured to provide the function as the system server 10.

(Medical information storage device 12)
The medical information storage device 12 includes one or more mass storage devices such as hard disk drives, and stores medical information of each patient. Each patient is given identification information. The medical information storage device 12 is provided with, for example, an account for each patient. Alternatively, the medical information storage device 12 is provided with a storage area (folder) for each patient. Medical information includes images (OCT images, SLO images, fundus front images, slit cross-sectional images, etc.), characteristic values (refractive power, corneal curvature, intraocular pressure, etc.), image analysis data, characteristic analysis data, gene information (the analysis thereof Data), diagnosis results (diagnosis report), interpretation results (interpretation report), sample test results (sample test report), and various data related to the patient's eye or the patient.

(Management device 11)
The management device 11 manages the medical information stored in the medical information storage device 12. The management device 11 includes a control unit 111, a related information storage unit 112, a related information management unit 113, a search unit 114, an inspection condition acquisition unit 115, and a communication unit 116.

(Control unit 111)
The control unit 111 includes a processor, and controls each unit of the management apparatus 11 (system server 10).

(Related information storage unit 112)
The related information storage unit 112 stores in advance related information in which the medical information of the predetermined item and the examination condition of the ophthalmologic examination are associated.

  The item of medical information included in the related information is selected according to the type and conditions of the ophthalmologic examination. As examples of items of medical information, items included in image analysis data, items included in characteristic analysis data, items included in gene information (the analysis data thereof), items included in diagnosis results, items included in interpretation results, There are items included in the sample test results. Specific examples of items of medical information include a parameter indicating the thickness (distribution) of a predetermined layer of the retina, a parameter indicating the shape of the optic nerve head, a parameter indicating the defect state of the retinal nerve fiber layer (RNFL), and hemorrhage near the optic nerve head There are a parameter indicating a condition, a parameter indicating a choroidal atrophy condition around the optic disc, and the like. These items are related to glaucoma. Further, as items related to age-related macular degeneration, a parameter indicating the state of neovascularization extending from the choroid to the surface of the retina, a parameter indicating the distribution of drusen, a parameter indicating the exfoliation state of the retinal pigment epithelium (RPE), macular There are parameters that indicate the condition of lower bleeding. These parameters are acquired by analysis processing using a computer, interpretation by a specialist and diagnosis. In addition, the character string information (disease name, findings, medicine name administered, numerical value, etc.) included in the interpretation report, diagnosis report, and sample test report, and characteristic items obtained from image information (such as a schema) It is also possible to use as.

  The inspection conditions included in the related information are not only the various parameters as described above, but also a combination of inspection type (and / or analysis type), a plurality of inspection types (and / or analysis types) (inspection menu / analysis menu), It may include the type of computer program for performing one or more examinations (and / or analysis types). For example, one or more test types for a specific disease (glaucoma, age-related macular degeneration, diabetic retinopathy, etc.), one or more analysis types for a specific disease, a type of computer program for performing such a test and / or analysis and so on.

  Some examples of relevant information are described. The related information storage unit 112 may store at least one of the first related information and the second related information described below.

  In the first related information, related gene information of a predetermined disease is associated with test conditions of an ophthalmologic examination for the disease. For example, the first relevant information is information indicating a gene associated with the onset risk of glaucoma, and examination conditions of an ophthalmologic examination for glaucoma (3D OCT scan, peripapillary OCT scan, fundus photography, RNFL analysis, papillary shape analysis, sieve Association with the plate analysis etc.). In addition, the first related information is information indicating a gene associated with the risk of developing age-related macular degeneration, and examination conditions of an ophthalmologic examination for age-related macular degeneration (macular three-dimensional OCT scan, fundus photography, drusen analysis, RPE Association with analysis etc.).

  In the second related information, feature information indicating a morphological feature and / or a functional feature of an eye of a predetermined disease is associated with an examination condition of an ophthalmologic examination for the disease. The morphological features are features that can be identified visually, such as the shape, size, arrangement, and color of the eye site (fundus, anterior segment, etc.). The morphological features are identified, for example, from the image. As a specific example, optic papilla (C / D ratio, R / D ratio, size, etc.), lesion (drusen, hemorrhage, neovascularization, etc.), hemorrhage, neovascularized blood from frontal images acquired by OCT, fundus camera or SLO Etc. are identified. Moreover, from the cross-sectional image (B scan image, three-dimensional image, etc.) acquired by OCT, optic nerve head (cross-sectional shape, inclination, size, etc.), macular (cross-sectional shape, etc.), lesion (drusen, edema, etc.), layer thickness , Layer defects, etc. are identified. The functional features are features relating to the function as a living tissue, and examples thereof include features of blood flow dynamics (blood flow rate, blood flow velocity, etc.) of fundus blood vessels, and features of circulation of fluid in the eye.

  For example, the second relevant information is information indicating morphological features of the glaucoma eye (peripapillary RNFL thickness threshold, papillary rim thickness threshold, etc.), and examination conditions for ophthalmologic examination for glaucoma (3D OCT scan, peripapillary OCT Association with scan, fundus imaging, RNFL analysis, nipple shape analysis, phloem plate analysis, etc.) may be included. In addition, the second related information is information indicating morphological features of age-related macular degeneration (Drusen distribution, RPE peeling, etc.), and examination conditions of ophthalmologic examination for age-related macular degeneration (macular three-dimensional OCT scan, fundus photography , Drusen analysis, RPE analysis, etc.).

(Related information management unit 113)
The related information management unit 113 manages related information. For example, the related information management unit 113 updates the related information. An example of the update process is described below. The update process is performed at an arbitrary timing. For example, update processing can be performed periodically. Alternatively, the update process can be executed in response to an instruction from a doctor or a manager. Further, the updating process can be executed according to the degree of accumulation of medical information.

  When the first example of the update processing is applied, the client 1000 transmits the medical information (image, test result, diagnosis result, etc.) including the test data of the patient's eye acquired by the test unit 1200 to the patient information (patient identification information). Etc.) to the management device 11. The control unit 111 stores the medical information input from the client 1000 in the medical information storage device 12. The related information management unit 113 updates related information by statistically processing medical information of a plurality of patients stored in the medical information storage device 12.

  This update process is performed, for example, as follows. First, the related information management unit 113 selectively acquires medical information on the related information to be updated from the medical information storage device 12. The selection process includes, for example, a process of searching for an item of medical information included in the related information and an examination condition as a query. Thereby, medical information including the item and the inspection condition is acquired. Next, the related information management unit 113 extracts information on the item and information on the examination condition from the acquired medical information. Subsequently, the related information management unit 113 obtains a statistical relationship between the extracted information on the item and the information on the inspection condition. This process includes, for example, a process of obtaining statistical values such as average, variation (standard deviation, variance), median, mode, maximum value, minimum value and the like. In addition, the process of determining the correlation between both parameters may be included. Also, this statistical process may be performed including information included in the current related information or information used to create the current related information. In this way, new related information about the item and the inspection condition is created, thereby replacing the current related information. A series of such processing is performed for each piece of relevant information.

  Even in the case where the second example of the update process is applied, the client 1000 transmits the medical information (image, test result, diagnosis result, etc.) including the test data of the patient's eye acquired by the test unit 1200 to the patient information (patient) It transmits to the management apparatus 11 with identification information etc.). The control unit 111 transfers the input examination data (such as an image) to a computer (such as the ophthalmologic image analysis center server 300) installed in the examination data analysis organization. The analysis result of the examination data is input to the management device 11 and stored in the medical information storage device 12. The related information management unit 113 updates related information by statistically processing medical information (including analysis results of examination data) of a plurality of patients stored in the medical information storage device 12. This statistical process may be performed as in the first example.

(Search unit 114)
The search unit 114 searches the medical information storage device 12 for medical information based on the patient information input from the client 1000. As described above, the medical information storage device 12 stores medical information for each patient. Patient information input from the client 1000 includes identification information of the patient. The search unit 114 searches for medical information using the patient identification information as a query.

(Inspection condition acquisition unit 115)
The examination condition acquisition unit 115 receives the medical information searched by the search unit 114, and acquires examination conditions corresponding to at least a part of the medical information from the related information.

  The related information associates the medical information of the predetermined item with the examination condition. The examination condition acquisition unit 115 first determines, for each piece of medical information input from the search unit 114, whether the medical information corresponds to a predetermined item. This process is performed, for example, by determining whether the item indicated by the medical information is included in the related information. That is, this process is performed by determining whether the item indicated by the medical information corresponds to any of the predetermined items. Thereby, medical information corresponding to the predetermined item is extracted from the medical information searched by the search unit 114.

  Subsequently, the examination condition acquisition unit 115 acquires examination conditions associated with the extracted medical information from the related information. Some examples of the process performed by the inspection condition acquisition unit 115 will be described below.

  The first example will be described. In this example, the aforementioned first related information is referred to. The first related information associates the related gene information of a predetermined disease with the test conditions of the ophthalmologic examination for the disease. The test condition acquisition unit 115 first extracts gene information from the medical information searched by the search unit 114. If gene information is not included, the process according to this example is not performed.

  When the medical information includes gene information, the test condition acquisition unit 115 determines whether the gene information includes any of the related gene information included in the first related information. This determination process is performed, for example, by searching for gene information (such as a gene sequence) of the patient for whether a gene associated with the risk of developing a specific disease (for example, glaucoma) is included. Alternatively, this determination process is performed by searching for a test report contained in the information (such as a character string) indicating a specific disease or included in the genetic information of the patient.

  If it is determined that the patient's genetic information does not contain any related genetic information, then the process according to the present example ends here. On the other hand, when it is determined that the gene information of the patient includes any of the related gene information included in the first related information, the test condition acquiring unit 115 determines the test condition corresponding to the related gene information as the first related Get from the information. Thereby, test conditions corresponding to the related gene of a specific disease are selected.

  The selected test conditions include one or more test types (and / or one or more analysis types) for diagnosing the disease, test parameters, types of computer programs for the test, and the like. When the type of computer program is acquired, the inspection condition acquisition unit 115 can acquire a computer program (examination application, analysis application, etc.) of the type from a program storage unit (not shown). The acquired computer program is sent to the client 1000 and installed. When various applications are installed in the client 1000 in advance, there is no need to acquire and transmit a computer program, and if information indicating the type of computer program acquired from the first related information is transmitted to the client 1000 It is enough.

  The second example will be described. In this example, the second related information described above is referred to. The second related information associates feature information indicating morphological features and / or functional features of an eye of a predetermined disease with test conditions of an ophthalmologic examination for the disease. The examination condition acquisition unit 115 first extracts an image of the patient's eye from the medical information searched by the search unit 114. When the image is not included, the process according to this example is not performed.

  If the medical information includes an image, the examination condition acquisition unit 115 analyzes the image to determine whether the image includes any of the morphological feature and / or the functional feature indicated in the second related information It judges whether or not. This determination process includes, for example, image analysis (for example, segmentation) for specifying an image area corresponding to a specific part of a patient's eye, and an image for obtaining the form (shape, size, arrangement, etc.) of the specified image area. And processing. Further, this determination processing may include image processing for obtaining functional information such as fundus blood flow.

  Subsequently, the inspection condition acquisition unit 115 acquires, from the second related information, an inspection condition corresponding to the feature information indicating the morphological feature and / or the functional feature determined to be included in the image. Thereby, test conditions corresponding to the disease identified from the morphological characteristics or functional characteristics of the patient's eye are selected. The inspection conditions to be selected are the same as in the first example.

  In some cases, it is possible to specify a site depicted in an image included in medical information without analyzing the image. For example, information (such as fixation position information) indicating a region to be imaged may be attached to the image. Further, the same applies to the case where the imaging region can be specified from other information (for example, a region name, a disease name, a schema, etc. described in a diagnostic report or an interpretation report) included in medical information. In such a case, the examination condition acquisition unit 115 can select one or more images from the plurality of images included in the medical information and execute the above process. It is also possible to execute the above process by selecting an image that is particularly focused on an interpretation report or the like.

  The third example will be described. In the second example, the inspection condition acquisition unit 115 executes image analysis, but in this example, the image analysis data received from the ophthalmologic image analysis center server 300 or the like is referred to. Further, in the present example, second related information is referred to as in the second example.

  The examination condition acquisition unit 115 first extracts image analysis data of the patient's eye from the medical information searched by the search unit 114. When the image analysis data is not included, the process according to this example is not executed.

  When medical analysis information includes image analysis data, the test condition acquisition unit 115 determines whether the image analysis data corresponds to any of the morphological feature and / or the functional feature indicated in the second related information. . This determination process is executed, for example, by searching information (character string, numerical value, etc.) corresponding to the morphological feature and / or the functional feature indicated in the second related information in the image analysis data.

  Subsequently, the inspection condition acquisition unit 115 acquires, from the second related information, the inspection condition corresponding to the feature information indicating the morphological feature and / or the functional feature determined to be applicable to the image analysis data.

  In the second and third examples, the image of the patient's eye may be an OCT image. The OCT image is high definition, and not only the surface but also the deep part of the tissue can be visualized, which is effective for early detection of a disease.

(Communication unit 116)
The communication unit 116 includes a communication interface for communicating with an external device such as the client 1000, the ophthalmologic image analysis center server 300, the genome analysis center server 400, the integrated analysis center server 500, and the pharmaceutical maker server 600. The communication interface has a configuration conforming to the standard of the network used by the ophthalmologic examination support system.

  In the present specification, “processor” is, for example, a central processing unit (CPU), a graphics processing unit (GPU), an application specific integrated circuit (ASIC), a programmable logic device (for example, a simple programmable logic device (SPLD), a CPLD). It means a circuit such as (Complex Programmable Logic Device) or FPGA (Field Programmable Gate Array). The processor implements the function according to the embodiment by, for example, reading and executing a program stored in a memory circuit or a memory device. The memory circuit or at least a portion of the memory device may be included in the processor.

<Use form>
Several examples of usage patterns of the ophthalmologic examination support system according to the embodiment will be described.

[Usage 1]
The first mode of use is shown in FIG.

(S1: Transmission of patient information)
The user of the client 1000 (doctor, comedical, etc.) inputs patient information of one patient to the client 1000. The patient information includes, for example, a patient ID in the clinic and / or patient identification information in the present system. When only the patient ID is included, the client 1000 or the system server 10 stores in advance information (such as table information) indicating the correspondence between the patient ID and the patient identification information, and corresponds to the patient ID at any stage. Identify patient identification information.

  Input of patient information may be performed in any manner. For example, patient information is manually input via a keyboard or graphical user interface (GUI). Alternatively, patient information can be read from a patient card (IC card, magnetic card, etc.). It is also possible to input patient information using biometric information (fingerprint, iris pattern, etc.).

  The communication unit 1400 receives control of the control unit 1100, and transmits at least patient identification information (or patient ID) of the input patient information to the management apparatus 11. At this time, identification information of the client 1000 (or its installation facility or user) is also transmitted along with the patient information.

(S2: Search for medical information)
The communication unit 116 of the management apparatus 11 receives the patient information transmitted from the client 1000 in step S1 and sends the patient information to the control unit 111. The control unit 111 sends the patient identification information included in the patient information to the search unit 114. The search unit 114 acquires medical information corresponding to the patient identification information input from the control unit 111 from the medical information storage device 12. The search unit 114 sends the acquired medical information to the examination condition acquisition unit 115.

(S3: Acquisition of inspection conditions)
The examination condition acquisition unit 115 acquires examination conditions corresponding to at least a part of the medical information input from the search unit 114 in step S2 from the related information stored in the related information storage unit 112. The inspection condition acquisition unit 115 sends the acquired inspection conditions to the control unit 111.

(S4: Transmission of inspection conditions)
The control unit 111 controls the communication unit 116 to transmit the test condition input from the test condition acquisition unit 115 in step S3 to the client 1000 that is the transmission source of the patient information.

  Note that the transmission source of the patient information and the transmission destination of the examination condition may be different. In that case, the transmission destination of the inspection condition is set in advance or is set each time using the client 1000 or the like.

(S5: Display of inspection conditions)
The communication unit 1400 of the client 1000 receives the inspection condition transmitted from the management apparatus 11 in step S4 and sends it to the control unit 1100. The control unit 1100 causes the display unit 1310 to display this inspection condition. At this time, a predetermined screen (GUI) is displayed on the display unit 1310, and the inspection conditions are presented on this screen.

(S6: Change inspection conditions)
The user of the client 1000 confirms the inspection conditions displayed in step S5. When a change (correction, addition, deletion, etc.) of the inspection condition is desired, the user performs an operation using the operation unit 1320. The control unit 1100 stores the change content by the user together with the inspection condition input to the client 1000 in step S4. Alternatively, the control unit 1100 substitutes the changed inspection condition. Alternatively, the control unit 1100 replaces the inspection condition input to the client 1000 in step S4 with the changed inspection condition.

(S7: Setting of inspection conditions)
The control unit 1100 sets, in the inspection unit 1200, the inspection condition input in step S4 or the inspection condition changed in step S6. That is, the control unit 1100 changes the setting of the inspection unit 1200 based on the inspection condition.

(S8: Conduct of inspection)
Examination unit 1200, for example, carries out examination of the patient's eye in response to an instruction from the user. The acquired examination data is stored in a database (such as an electronic medical record system) in the medical institution. Further, the examination data is sent to the management apparatus 11 together with the patient information and stored in the medical information storage apparatus 12.

[Usage 2]
The second mode of use is shown in FIG.

(S11 to S14)
Steps S11 (transmission of patient information), S12 (retrieval of medical information), S13 (acquisition of examination conditions) and S14 (transmission of examination conditions) are steps S1, S2, S3 and S4 of the first usage pattern, respectively. Is the same as

(S15: Setting of inspection conditions)
In the present use mode, the display of the inspection condition by the client 1000 (S5) and the change of the inspection condition by the user (S6) are not performed, and the following processing is performed.

  The communication unit 1400 of the client 1000 receives the inspection condition transmitted from the management apparatus 11 in step S14 and sends the inspection condition to the control unit 1100. The control unit 1100 changes the setting of the inspection unit 1200 based on the inspection condition.

(S16: Conduct of inspection)
And inspection is carried out in the same manner as step S8 of the first usage pattern.

[Usage pattern 3]
The third mode of use is shown in FIG. In the present use form, the client 1000 is the information processing apparatus 110 (or 210). An ophthalmologic examination apparatus 120 (or 220) is connected to the client 1000.

(S21 to S24)
Steps S21 (transmission of patient information), S22 (retrieval of medical information), S23 (acquisition of examination condition) and S24 (transmission of examination condition) are respectively steps S1, S2, S3 and S4 of the first usage pattern. Is the same as

(S25: Transfer of inspection conditions)
The communication unit 1400 of the client 1000 receives the inspection condition transmitted from the management apparatus 11 in step S24 and sends the inspection condition to the control unit 1100. The control unit 1100 controls the communication unit 116 to send this inspection condition to the ophthalmologic examination apparatus 120 (or 220).

  The change may be made before transferring the inspection condition. The change of the inspection condition is performed, for example, through the display of the inspection condition as in the first usage pattern.

(S26: Setting of inspection conditions)
The processor included in the ophthalmologic examination apparatus 120 (or 220) changes the setting of the examination unit 1200 based on the examination condition input from the client 1000 (the information processing apparatus 110 (or 210)) in step S25.

(S27: Conduct of inspection)
The ophthalmologic examination apparatus 120 (or 220) carries out the examination in the same manner as step S8 of the first usage pattern.

[Use pattern 4]
In the first to third usage modes, the management apparatus 11 includes the related information storage unit 112, the inspection condition acquisition unit 115, and the like, but a storage device having the same function as the related information storage unit, and the inspection condition acquisition unit It is possible to provide the client 1000 with a processor having the same function as the above. When such a configuration is applied, the fourth to sixth use modes can be implemented. The fourth mode of use is shown in FIG.

(S31, S32)
Steps S31 (transmission of patient information) and S32 (retrieval of medical information) are the same as steps S1 and S2 of the first usage pattern, respectively.

(S33: Transmission of medical information)
The control unit 111 of the management apparatus 11 of the system server 10 controls the communication unit 116 to transmit the medical information searched by the search unit 114 in step S32 to the client 1000 that is the transmission source of the patient information.

  The transmission source of patient information and the transmission destination of medical information may be different. In that case, the transmission destination of the medical information is set in advance or is set each time using the client 1000 or the like.

(S34: Extraction of specific information)
The communication unit 1400 of the client 1000 receives the medical information transmitted from the management apparatus 11 in step S33 and sends the medical information to the control unit 1100. A processor that functions as an examination condition acquisition unit extracts specific information from the medical information. The specific information is information corresponding to medical information of a predetermined item included in the related information. The process of extracting specific information from the medical information of the patient is, for example, a process performed by the examination condition acquiring unit 115 to extract medical information corresponding to a predetermined item from among the medical information searched by the search unit 114. It is executed in the same way.

(S35: Acquisition of inspection conditions)
The processor functioning as the inspection condition acquisition unit acquires the inspection condition corresponding to the specific information extracted in step S34 from the related information stored in the storage device functioning as the related information storage unit. The acquired inspection conditions are sent to the control unit 1100.

(S36: Display of inspection conditions)
The control unit 1100 causes the display unit 1310 to display the inspection condition input in step S35. This process is performed in the same manner as step S5 of the first usage pattern.

(S37 to S39)
Steps S37 (change inspection conditions), S38 (setting inspection conditions) and S39 (conduct inspection) are respectively the same as steps S6, S7 and S8 of the first usage pattern.

[Usage pattern 5]
The fifth mode of use is shown in FIG.

(S41 to S45)
Steps S41 (transmission of patient information), S42 (research of medical information), S43 (transmission of medical information), S44 (extraction of specific information) and S45 (acquisition of examination information) are respectively of the fourth usage pattern. This is the same as steps S31, S32, S33, S34 and S35.

(S46: Setting of inspection conditions)
In the present use mode, the display of the inspection condition by the client 1000 (S36) and the change of the inspection condition by the user (S37) are not performed, and the control unit 1100 controls the inspection unit 1200 based on the inspection condition acquired in step S45. Change settings.

(S47: Conduct of inspection)
Then, the inspection is carried out in the same manner as step S39 of the fourth usage pattern.

[Usage pattern 6]
A sixth mode of use is shown in FIG. In this usage pattern, as in the third usage pattern, the client 1000 is the information processing apparatus 110 (or 210), and the client 1000 is connected to the ophthalmologic examination apparatus 120 (or 220).

(S51 to S55)
Steps S51 (transmission of patient information), S52 (research of medical information), S53 (transmission of medical information), S54 (extraction of specific information) and S55 (acquisition of examination information) are respectively of the fourth usage pattern. This is the same as steps S31, S32, S33, S34 and S35.

(S56: Transfer of inspection conditions)
The control unit 1100 of the client 1000 controls the communication unit 116 to send the examination conditions acquired in step S55 to the ophthalmologic examination apparatus 120 (or 220).

  The change may be made before transferring the inspection condition. The change of the inspection condition is performed, for example, through the display of the inspection condition as in the first usage pattern.

(S57: Setting of inspection conditions)
The processor included in the ophthalmologic examination apparatus 120 (or 220) changes the setting of the examination unit 1200 based on the examination condition input from the client 1000 (the information processing apparatus 110 (or 210)) in step S56.

(S58: Conduct of inspection)
The ophthalmologic examination apparatus 120 (or 220) carries out the examination in the same manner as step S39 of the fourth usage pattern.

  The above is a typical example of the use form which can be implemented using the ophthalmologic examination support system concerning this embodiment, and it is also possible to apply use forms other than these.

[Operation / effect]
The operation and effects of the ophthalmologic examination support system according to the embodiment will be described.

  The ophthalmologic examination support system according to the embodiment includes a server (system server 10) and a plurality of clients (1000). The server includes a medical information storage device (12) that stores medical information of each patient, and a management device (11) that manages medical information stored in the medical information storage device. Each client can communicate with the management device.

  The ophthalmologic examination support system according to the embodiment includes a related information storage unit and an examination condition acquisition unit. The related information storage unit and the inspection condition acquisition unit are disposed at arbitrary positions. For example, the related information storage unit is disposed in at least one of the server, one or more clients, and other locations. Alternatively, the related information storage units may be distributed and disposed in at least two of the server, one or more clients, and other locations. Similarly, the inspection condition acquisition unit may be disposed in at least one of the server, one or more clients, and other locations. Alternatively, the inspection condition acquisition units may be distributed and disposed in at least two of the server, one or more clients, and other locations.

  The related information storage unit stores in advance related information in which the medical information of the predetermined item and the examination condition of the ophthalmologic examination are associated. The examination condition acquisition unit receives the medical information searched by the management apparatus from the medical information storage device based on the patient information transmitted from any one of the plurality of clients, and the examination condition corresponding to at least a part of the medical information Obtain from related information.

  The client includes a control unit (1100) that performs control based on the inspection condition acquired by the inspection condition acquisition unit. The control executed by the controller may include any process.

  As a first example of control, the control unit can cause the display device (display unit 1310) to display the inspection conditions acquired by the inspection condition acquisition unit.

  In a second example of control, the client comprises a test unit (1200) for testing the patient's eye. The control unit can control the inspection unit based on the inspection condition acquired by the inspection condition acquisition unit. That is, the control unit can set the inspection condition acquired by the inspection condition acquisition unit in the inspection unit.

  In a third example of control, a client (information processing device 110, 210) can communicate with an ophthalmologic examination device (120, 220) for examining a patient's eye. The control unit can transfer the examination conditions acquired by the examination condition acquisition unit to the ophthalmologic examination apparatus. The ophthalmologic examination apparatus can perform examination based on the examination condition input from the client.

  As described above, the ophthalmologic examination support system according to the embodiment is configured to acquire appropriate examination conditions corresponding to the medical information of the patient from the related information, and provide the examination conditions to the client installed in the clinic or the like. Therefore, appropriate ophthalmologic examination can be performed under appropriate conditions also in a clinic or the like. As a result, it is possible to widely provide an early detection method for ophthalmic diseases and preventive medicine.

  In embodiments, the medical information stored in the medical information storage device may include genetic information of the patient. Further, the related information may include first related information in which related gene information of a predetermined disease and test conditions of an ophthalmologic examination for the disease are associated. Furthermore, the inspection condition acquisition unit may include a first acquisition unit capable of executing the following two processes. The first acquisition unit determines whether the gene information searched based on the patient information includes any of related gene information included in the first related information. Furthermore, the first acquisition unit acquires, from the first related information, the test condition corresponding to the related gene information determined to be included in the gene information.

  According to this configuration, it is possible to specify the test condition from the onset risk of the predetermined disease and the like obtained from the patient's genetic information and provide it to the client. Therefore, it is possible to widely provide an early detection method and preventive medicine for ophthalmic diseases that can be identified from genes.

  In embodiments, the medical information stored in the medical information storage device may include an image of the patient's eye. Further, the related information may include second related information in which feature information indicating morphological features and / or functional features of an eye of a predetermined disease is associated with examination conditions of an ophthalmologic examination regarding the disease. Furthermore, the inspection condition acquisition unit may include a second acquisition unit capable of executing the following two processes. The second acquiring unit analyzes the image retrieved based on the patient information to determine whether the image includes any of the morphological feature and / or the functional feature included in the second related information. Furthermore, the second acquisition unit acquires, from the second related information, inspection conditions corresponding to the feature information indicating the morphological feature and / or the functional feature determined to be included in the image. The image in the present example may include an OCT image.

  According to this configuration, it is possible to identify the morphological feature or the functional feature of the eye of the predetermined disease from the image of the patient's eye, and to provide the client with the examination condition corresponding thereto. Therefore, it is possible to widely provide an early detection method for preventive eye diseases and preventive medicine that can be identified from images of patient eyes.

  In embodiments, the medical information stored in the medical information storage device may include image analysis data obtained by analysis of an image of a patient's eye. Further, the related information may include second related information in which feature information indicating morphological features and / or functional features of an eye of a predetermined disease is associated with examination conditions of an ophthalmologic examination regarding the disease. Furthermore, the inspection condition acquisition unit may include a third acquisition unit capable of executing the following two processes. The third acquisition unit determines whether the image analysis data searched based on the patient information corresponds to any of the feature information included in the second related information. Furthermore, the third acquisition unit acquires, from the second related information, an inspection condition corresponding to the feature information determined to be applicable to the image analysis data. The image in the present example may include an OCT image.

  According to this configuration, it is possible to specify morphological features or functional features of an eye of a predetermined disease from image analysis data of a patient's eye, and to provide the client with inspection conditions corresponding thereto. Therefore, it is possible to widely provide an early detection method for preventive eye diseases and preventive medicine that can be identified from images of patient eyes.

  An ophthalmologic examination support server (system server 10) according to the embodiment will be described. The ophthalmologic examination support server includes a medical information storage unit (medical information storage device 12), a related information storage unit (112), a communication unit (116), a search unit (114), and an examination condition acquisition unit (115). Equipped with The medical information storage unit stores medical information of each patient. The related information storage unit stores in advance related information in which the medical information of the predetermined item and the examination condition of the ophthalmologic examination are associated. The communication unit receives patient information transmitted from any one of a plurality of clients. The search unit searches for medical information from the medical information storage device based on the received patient information. The examination condition acquisition unit acquires, from the related information, examination conditions corresponding to at least a part of the retrieved medical information. The communication unit transmits the acquired examination condition to the client that has transmitted the patient information.

  As described above, the ophthalmologic examination support server according to the embodiment is configured to acquire appropriate examination conditions corresponding to the medical information of the patient from the related information, and provide the examination conditions to the client installed in the clinic or the like. Therefore, appropriate ophthalmologic examination can be performed under appropriate conditions also in a clinic or the like. As a result, it is possible to widely provide an early detection method for ophthalmic diseases and preventive medicine.

  An ophthalmologic examination support apparatus (client 1000) according to the embodiment will be described. The ophthalmologic examination support apparatus includes a communication unit (1400) and a control unit (1100). The communication unit is a server that manages medical information of each patient, and transmits patient information to a server that stores in advance related information in which the medical information of a predetermined item and the examination condition of the ophthalmologic examination are associated. Further, the communication unit receives, from the server, the examination condition acquired from the related information based on the patient information. The control unit performs control based on the received inspection condition.

  As described above, the ophthalmologic examination support apparatus according to the embodiment is installed in a clinic or the like, receives appropriate examination conditions acquired from related information from the server according to the medical information of the patient, and executes control based thereon be able to. Therefore, appropriate ophthalmologic examination can be performed under appropriate conditions also in a clinic or the like. As a result, it is possible to widely provide an early detection method for ophthalmic diseases and preventive medicine.

  A computer program for realizing at least a part of the processes included in the embodiment can be stored in a computer readable recording medium. Examples of the recording medium include a semiconductor memory, an optical disc, a magneto-optical disc, a magnetic storage medium, and the like. Moreover, it is also possible to transmit and / or receive this computer program through a network such as the Internet or LAN.

  The configuration described above is merely an example of the embodiment. What is intended to practice the present invention can optionally be subjected to any modification (omission, substitution, addition, etc.) within the scope of the gist of the invention.

10 System server 11 Management device 111 Control unit 112 Related information storage unit 113 Related information management unit 114 Search unit 115 Examination condition acquisition unit 116 Communication unit 12 Medical information storage device 110, 210 Information processing device 120, 220 Ophthalmic examination device 1000 Client 1100 Control unit 1200 Inspection unit 1300 User interface unit 1310 Display unit 1320 Operation unit 1400 Communication unit

Claims (8)

A server comprising: a medical information storage device for storing medical information of each patient; and a management device for managing the medical information stored in the medical information storage device;
An ophthalmic examination support system comprising: a plurality of clients capable of communicating with the management apparatus;
A related information storage unit which stores in advance related information in which medical information of a predetermined item and the examination condition of the ophthalmologic examination are associated;
The management apparatus receives medical information retrieved from the medical information storage device based on patient information transmitted from any one of the plurality of clients, and the examination condition corresponding to at least a part of the medical information is the relevant information And an inspection condition acquisition unit acquired from the
The client includes a control unit that performs control based on the inspection condition acquired by the inspection condition acquisition unit,
The medical information stored in the medical information storage device includes an image of a patient's eye,
In the related information, feature information indicating functional features of an eye of a predetermined disease is associated with test conditions of an ophthalmologic examination for the disease,
The examination condition acquisition unit analyzes the image searched based on the patient information to determine whether the image includes a functional feature included in the related information, and it is determined that the image is included in the image. An ophthalmologic examination support system, which executes a process of acquiring examination conditions corresponding to feature information indicating a functional feature from the related information. A server comprising: a medical information storage device for storing medical information of each patient; and a management device for managing the medical information stored in the medical information storage device;
An ophthalmic examination support system comprising: a plurality of clients capable of communicating with the management apparatus;
A related information storage unit which stores in advance related information in which medical information of a predetermined item and the examination condition of the ophthalmologic examination are associated;
The management apparatus receives medical information retrieved from the medical information storage device based on patient information transmitted from any one of the plurality of clients, and the examination condition corresponding to at least a part of the medical information is the relevant information And an inspection condition acquisition unit acquired from the
The client includes a control unit that performs control based on the inspection condition acquired by the inspection condition acquisition unit,
The medical information stored in the medical information storage device includes image analysis data acquired by analysis of an image of a patient's eye,
In the related information, feature information indicating functional features of an eye of a predetermined disease is associated with test conditions of an ophthalmologic examination for the disease,
The examination condition acquiring unit determines that the image analysis data searched based on the patient information corresponds to any one of the feature information included in the related information, and the image analysis data is determined to correspond. An ophthalmologic examination support system, which executes a process of acquiring examination conditions corresponding to feature information from the related information. The ophthalmologic examination support system according to claim 1 or 2, wherein the feature information indicating the functional feature includes a parameter related to any of a blood vessel and a blood flow. The ophthalmologic examination support system according to claim 3, wherein the blood vessel related parameter includes a fundus blood vessel distribution parameter. The ophthalmologic examination support system according to claim 3, wherein the parameter related to blood flow includes a parameter related to any one of blood flow volume and blood flow velocity. The ophthalmologic examination support system according to any one of claims 1 to 5, wherein the image includes an OCT image acquired by optical coherence tomography. A medical information storage unit for storing medical information of each patient;
A related information storage unit which stores in advance related information in which medical information of a predetermined item and the examination condition of the ophthalmologic examination are associated;
A communication unit for receiving patient information transmitted from any one of a plurality of clients;
A search unit for searching for medical information from the medical information storage unit based on the received patient information;
An examination condition acquisition unit that acquires examination conditions corresponding to at least a part of the retrieved medical information from the related information;
The communication unit transmits the inspection condition acquired by the inspection condition acquisition unit to the client.
The medical information stored in the medical information storage unit includes an image of a patient's eye,
In the related information, feature information indicating functional features of an eye of a predetermined disease is associated with test conditions of an ophthalmologic examination for the disease,
The examination condition acquisition unit analyzes the image searched based on the patient information to determine whether the image includes a functional feature included in the related information, and it is determined that the image is included in the image. An ophthalmologic examination support server, which executes a process of acquiring examination conditions corresponding to feature information indicating a functional feature from the related information. A medical information storage unit for storing medical information of each patient;
A related information storage unit which stores in advance related information in which medical information of a predetermined item and the examination condition of the ophthalmologic examination are associated;
A communication unit for receiving patient information transmitted from any one of a plurality of clients;
A search unit for searching for medical information from the medical information storage unit based on the received patient information;
An examination condition acquisition unit that acquires examination conditions corresponding to at least a part of the retrieved medical information from the related information;
The communication unit transmits the inspection condition acquired by the inspection condition acquisition unit to the client.
The medical information stored in the medical information storage unit includes image analysis data acquired by analysis of an image of a patient's eye,
In the related information, feature information indicating functional features of an eye of a predetermined disease is associated with test conditions of an ophthalmologic examination for the disease,
The examination condition acquiring unit determines that the image analysis data searched based on the patient information corresponds to any one of the feature information included in the related information, and the image analysis data is determined to correspond. An ophthalmologic examination support server, which executes a process of acquiring examination conditions corresponding to feature information from the related information.

Images