JP2019125375A - Device and method for assisting nuclear medicine testing - Google Patents

Abstract

To provide a technique for assisting nuclear medicine test operation to improve efficiency of nuclear medicine testing.SOLUTION: A nuclear medicine test assistance device (10) comprises; a request acquisition unit (11) for acquiring request information for a nuclear medicine test; an appointment registration unit (12) configured to store test appointment information indicative of a test frame and test type in a test appointment table based on the acquired request information; and an order generation unit (13) configured to identify radiopharmaceuticals corresponding to the test type indicated in the test appointment information and generate order information for the identified radiopharmaceuticals including test date/time information corresponding to the test frame indicated in the test appointment information.SELECTED DRAWING: Figure 1

Description

  The present invention relates to technology for supporting nuclear medicine examinations.

Nuclear medicine tests are tests using radiopharmaceuticals, also called radioisotope (RI) tests. Nuclear medicine examinations include types of examinations separately for organs such as brain, bone, heart, liver, kidney and the like, and are used for diagnosis of functional state of each organ and malignant tumor.
Radiopharmaceuticals have a relatively short shelf life due to the half life of the radionuclide used, so it is difficult to stock them in medical institutions, and they are required to be stably supplied to medical institutions. For this reason, as described in Patent Document 1, a hospital facility provided with a manufacturing apparatus, an inspection apparatus, and a synthesis apparatus for short-lived nuclide ( ¹⁸ F) with short half life provides surplus nuclide to another hospital facility. There are also places where a supply method has been taken in which the positron-emitting CT examination drug is synthesized by the synthesizer from the provided surplus nuclide in the hospital facility and used for the examination.

Patent Document 1 proposes that a short half-life nuclide be effectively used for a medical checkup by calculating a process time based on the half-life of the nuclide and creating a time schedule.
Patent Document 2 discloses the manufacturing ability of the radiopharmaceutical manufacturing base, the temporal distance relationship from the manufacturing base to the hospital, the information on the half life of the nuclide contained in the radiopharmaceutical, and the examination grasped from the request information from the hospital etc. From the date and time, a schedule is prepared so that an appropriate amount can be delivered from the manufacturing site to the hospital on the date of the examination, and a method of instructing the manufacturing site to produce the radiopharmaceutical based on the schedule has been proposed.
Patent Document 3 stores information on jobs from the production of radiopharmaceuticals to medical checkups, information on resources of drug manufacturing sites and medical checkup sites, and information on desired dates and times for medical checkups of the examinees and information on the jobs. It has been proposed to determine the date and time when the radiopharmaceutical can be supplied to the medical examination site based on the above, and to generate a schedule at each site based on the determined date and time and resource information.
In Patent Document 4, the delivery schedule information of the radiopharmaceuticals indicating the shipping source, the delivery destination, the end base, and the time for each base on the transportation route is divided into delivery units simultaneously delivering to one delivery destination, and each client device A method is proposed in which the delivery schedule of radiopharmaceuticals can be quickly shared among multiple departments by displaying on each of the above.

On the other hand, in recent years, role sharing (function sharing) of medical institutions has been promoted from the conventional “one medical institution sees” system. Specifically, roles are shared between a family doctor who performs daily treatment and health management and a regional medical support hospital that performs treatment including more specialized examination and surgery. Due to this role sharing, medical institutions that do not have nuclear medicine examination equipment such as PET devices and SPECT devices ask nuclear medicine examinations to medical institutions that have those equipment and receive the examination results. Explain the condition to the patient.
Note that Patent Document 4 to Patent Document 8 will be described later.

JP 2001-172204 A Japanese Patent Application Publication No. 2003-196404 Unexamined-Japanese-Patent No. 2003-185749 JP, 2016-126386, A Patent 4435234 Patent 5695230 Patent 5669977 Patent 4879901

In the present specification, a medical examination facility having a nuclear medicine examination facility is described as an "examination facility", and a medical institution, a regional comprehensive support center, etc. requesting nuclear examination to the examination facility is an "examination request agency". It is written as However, "examination facility" and "examination request organization" may mean a radiology department and a medical department existing in one hospital having a nuclear medicine examination facility.
Further, in the present specification, in the case of describing as "examination" without supplementary explanation, "nuclear medical examination" shall be meant.

As described above, since it is difficult to stock radiopharmaceuticals, it is necessary for the laboratory to properly grasp the schedule of nuclear medicine examinations and ensure that the types and number of radiopharmaceuticals required will be prepared along the schedule. There is. However, in the above-mentioned role sharing of medical institutions, when the examination requests from the examination request organization are concentrated, necessary radiopharmaceuticals can not be arranged, and it takes time from the examination request to the actual examination. Is also conceivable.
The present invention has been made in view of such circumstances, and provides a technology for supporting the operation of a nuclear medicine test so that the nuclear medicine test can be efficiently performed.

  In each aspect of the present invention, the following configurations are adopted in order to solve the problems described above.

  The first aspect relates to a nuclear medicine examination support device. The nuclear medicine examination support apparatus according to the first aspect comprises a request acquisition unit for acquiring request information of a nuclear medicine examination, and examination reservation information indicating examination frame and examination type based on the acquired request information. The reservation registration unit stored in the table and the radiopharmaceutical corresponding to the examination type of the inspection reservation information are specified, and ordering information of the specified radiopharmaceutical and the inspection date and time information corresponding to the inspection frame of the inspection reservation information And an order generation unit that generates order information including:

  The second aspect relates to a nuclear medicine inspection support method. The nuclear medicine examination support method according to the second aspect acquires request information for a nuclear medicine examination, and stores examination reservation information indicating an examination frame and an examination type in an examination reservation table based on the acquired request information. Identifying a radiopharmaceutical corresponding to the examination type of the examination reservation information, and generating ordering information including ordering date information of the specified radiopharmaceutical and inspection date and time information corresponding to the examination frame of the examination reservation information; Including.

  According to each of the above aspects, it is possible to provide a technology that supports the operation of nuclear medicine inspection so that the nuclear medicine inspection can be efficiently performed.

It is a figure which shows notionally the process structural example of the nuclear medicine test | inspection support server (support server) which concerns on this embodiment. It is a figure which shows cooperation with the surrounding environment in the nuclear medicine test assistance server (support server) which concerns on this embodiment. It is a figure which shows notionally the hardware structural example of the nuclear medicine test | inspection support server (support server) which concerns on this embodiment. It is a figure which shows notionally the process structural example of the nuclear medicine test | inspection support server (support server) which concerns on this embodiment. It is a figure which shows the example of the test | inspection plan table stored in an information storage part. It is a figure which shows the example of the test | inspection reservation table stored in an information storage part. It is a figure which shows the example of the product information table stored in an information storage part. It is a figure which shows the example of a test | inspection reservation condition display. It is a sequence chart which shows the process until nuclear medicine inspection is performed in the nuclear medicine inspection support method concerning this embodiment. It is a sequence chart which shows the process after the result of the nuclear medicine examination in the nuclear medicine examination support method concerning this embodiment was obtained.

Hereinafter, embodiments of the present invention will be described. The embodiments described below are exemplifications, and the present invention is not limited to the configurations of the following embodiments.
Here, a medical examination organization having a nuclear medicine examination facility is described as an “examination facility”, and a medical institution that requests the examination facility to perform a nuclear medicine examination, a regional comprehensive support center, etc. is described as an “examination request agency”. Do. However, "examination facility" and "examination request organization" may mean a radiology department and a medical department existing in one hospital having a nuclear medicine examination facility. In addition, when describing as “examination” without supplementary explanation, “nuclear medicine examination” shall be meant.

First, an outline of a nuclear medicine examination support server (hereinafter referred to as a support server) and a nuclear medicine examination support method according to the present embodiment will be described with reference to FIG.
FIG. 1: is a figure which shows notionally the process structural example of the assistance server 10 which concerns on this embodiment.
The support server 10 according to the present embodiment includes a request acquisition unit 11, a reservation registration unit 12, and an order generation unit 13 as software elements. Each of these software components is realized, for example, by executing a program stored in the memory 2 by a CPU (Central Processing Unit) 1 described later. The program may be installed from, for example, a portable recording medium such as a CD (Compact Disc), a memory card or the like or another computer via the communication unit 4 and stored in the memory 2.

  The request acquisition unit 11 acquires request information for a nuclear medicine examination. The method of obtaining the request information is not limited. For example, the request acquisition unit 11 may acquire request information by e-mail, file transfer, or the like, or may display an input screen on a user terminal and acquire request information input via the input screen. .

The request information to be acquired includes at least information capable of specifying the inspection frame and the inspection type.
The “inspection frame” is provided at least for each inspection date and has the meaning of the inspection time frame. The examination date and time means the day and time zone when the examination is performed. For example, an inspection frame such as a frame starting at 9:00 on August 10, 2016 or a frame starting at 11:00 on the same day is provided. The inspection date and time on which the inspection frame is provided may be in the unit of morning or afternoon.
The “inspection frame” may be provided for each combination of inspection date and inspection equipment when the inspection facility has a plurality of inspection equipment. The inspection facility is a facility that performs nuclear medicine examinations such as a positron emission tomography (PET) device, a single photon emission computed tomography (SPECT) device, etc. . That is, the "inspection frame" may have the meaning of both the inspection time frame and the inspection physical frame. For example, in the case of an examination facility having one PET device and two SPECT devices, the frame for PET examination using a PET device, as the frame at 9:00 on August 10, 2016, the first unit Three inspection frames can be provided, such as a frame for SPECT inspection using the SPECT device of the present invention and a frame for SPECT inspection using a second SPECT device.

"Test species" indicates the type of nuclear medicine test. For example, “test species” includes cerebral blood flow scintigraphy, cerebral receptor scintigraphy, dopamine transporter scintigraphy, myocardial blood flow scintigraphy, bone scintigraphy, gallium scintigraphy and the like.
The “test species” may be information that can identify the radiopharmaceutical used in nuclear medicine examination. For example, the product name or common name of the radiopharmaceutical may be designated as the “test species”, and the purpose of examination such as cerebral infarction, dementia, myocardial infarction, cirrhosis or the like may be designated. In addition, when the radiopharmaceutical can be identified for each site to be examined depending on the examination facility, the site to be examined may be designated as the “examination type”.

The reservation registration unit 12 stores inspection reservation information indicating the inspection frame and the inspection type in the inspection reservation table based on the request information acquired by the request acquisition unit 11. The examination reservation table may be stored in the memory of the support server 10 itself, or may be stored in another device. In addition, when there are a plurality of inspection facilities to be supported by the support server 10, the inspection reservation table may be provided for each of the inspection facilities.
The examination reservation information stored in the examination reservation table is referred to by the examination facility. The examination reservation information stored in the examination reservation table may be used as it is for schedule management of nuclear medicine examination in the examination facility, or at least a part of the examination reservation information is reflected in the examination reservation system in the examination facility It is also good.

The order generation unit 13 specifies the radiopharmaceutical corresponding to the examination type of the examination reservation information, and generates ordering information including ordering date information of the specified radiopharmaceutical which is specified and corresponds to the inspection frame of the examination reservation information Do.
Here, “the examination date and time information corresponding to the examination frame” is information indicating the examination date and time of the radiopharmaceutical for which the radiopharmaceutical ordered by the ordering information is available at the examination date and time indicated by the examination frame.
The generated order information can be used, for example, in a make-to-order production system of a radiopharmaceutical manufacturing facility having a radiopharmaceutical manufacturing facility (hereinafter sometimes referred to as a manufacturing facility). The usage method of the ordering information is not limited. For example, the order information may be transmitted from the support server 10 to the order-to-order production system of the manufacturing facility, or may be transmitted to the manufacturing facility by e-mail, fax, or the like.

The support server 10 according to the present embodiment can execute the nuclear medicine examination support method according to the present embodiment (hereinafter sometimes simply referred to as a support method) by the processing of each processing module as described above. .
That is, the support method according to the present embodiment acquires request information for nuclear medicine examinations, stores examination reservation information indicating examination frames and examination types in the examination reservation table based on the acquired request information, and enters the examination reservation table. The method includes identifying a radiopharmaceutical corresponding to a test type of the information, and generating ordering information that includes ordering information of the specified radiopharmaceutical and verification date information corresponding to the examination frame of the examination reservation information.
Furthermore, the present embodiment may be a program for causing a computer to execute such a support method, or a storage medium on which such a program is stored so as to be readable by a computer.

As described above, in the present embodiment, the examination reservation information is stored in the examination reservation table according to the examination request, and the ordering information of the radiopharmaceutical is generated according to the examination reservation information. Then, the examination reservation information is used by the examination facility to manage the examination reservation schedule, and the ordering information is used to order radiopharmaceuticals used in the nuclear medicine examination by the examination facility.
Therefore, according to the present embodiment, for an examination for which a reservation has been registered, the radiopharmaceuticals necessary for the examination can be reliably ordered, so that it is possible to eliminate the omission in the arrangement of radiopharmaceuticals, and the nuclear medicine examination You can proceed efficiently along the schedule.

Hereinafter, the support server 20 and the support method will be more specifically described in detail.
FIG. 2 is a diagram showing cooperation with the surrounding environment in the support server 20 according to the present embodiment.
First, with reference to FIG. 2, an overview of how a nuclear medicine test is operated and how the operation is supported by the support server 20 will be described.
As shown in FIG. 2, as a surrounding environment of the support server 20, there are an inspection request organization FC1, an inspection facility FC3, and a radiopharmaceutical manufacturing facility (hereinafter sometimes referred to as a manufacturing facility) FC5.
The examination request organization FC1 is a medical doctor who does not have nuclear medicine examination equipment, such as a family doctor or a regional comprehensive support center.
The examination facility FC3 is a medical institution, a medical examination institution, etc. having nuclear medicine examination equipment such as a PET apparatus or a SPECT apparatus.
The manufacturing facility FC5 is a facility that manufactures radiopharmaceuticals used in nuclear medicine examinations performed in the examination facility FC3, and is a radiopharmaceutical manufacturer, a medical institution, or the like.

The examination requesting organization FC1 makes an examination request if it determines that the nuclear medicine examination is necessary for the patient who has come to the hospital.
In response to the inspection request, the support server 20 reserves a nuclear medicine inspection to be performed in the inspection facility FC3. When the examination reservation is confirmed by the examination facility FC3, the support server 20 orders the radiopharmaceutical required for the reserved examination to the manufacturing facility FC5. At this time, the order source is the inspection facility FC3.
The manufacturing facility FC5 manufactures the ordered radiopharmaceutical. The manufactured radiopharmaceutical is delivered to the testing facility FC3 which is the ordering source. The manufacturing facility FC5 operates the made-to-order production management system 27 and the delivery management system 28, and the made-to-order production management system 27 receives an order from the support server 20, and the delivery management system 28 manages the delivery status of the radiopharmaceuticals. There is. If there is a delay in the delivery of the radiopharmaceutical, the delivery management system 28 sends delivery delay information to the inspection facility FC3 and the support server 20.
The support server 20, upon receiving delivery delay information, provides examination schedule information to patients affected by the examination schedule as needed.
When the inspection facility FC3 receives the delivered radiopharmaceutical, it performs a nuclear medicine examination on the patient using the radiopharmaceutical, and sends an examination image and clinical information obtained by the examination to the support server 20.
The support server 20 performs image analysis on the inspection image, and provides the analysis information as a report to the inspection facility FC3 and the inspection request organization FC1. At this time, the support server 20 may acquire the interpretation result information by the specialist based on the analysis information, include the information in the report, and provide the information to the inspection facility FC3 and the inspection request organization FC1, or the inspection facility FC3 based on the analysis information It is also possible to acquire the interpretation result information according to the above and include the information in a report and provide it to the inspection request organization FC1.
The examination facility FC3 and the examination request organization FC11 can give a medical condition explanation to the patient based on the report.

[Nuclear medicine examination support server (support server)]
FIG. 3: is a figure which shows notionally the hardware structural example of the assistance server 20 which concerns on this embodiment.
The support server 20 is a so-called computer, and includes a CPU 1, a memory 2, an input / output interface (I / F) 3, a communication unit 4 and the like.

The CPU 1 may include, in addition to a general CPU, an application specific integrated circuit (ASIC), a DSP (Digital Signal Processor), a GPU (Graphics Processing Unit), and the like. The memory 2 is a random access memory (RAM), a read only memory (ROM), or an auxiliary storage device (such as a hard disk).
The input / output I / F 3 can be connected to a user interface device (not shown) such as a display device or an input device. The display device is a device such as an LCD or a CRT display which displays a screen corresponding to the drawing data processed by the CPU 1 or the like. The input device is a device such as a keyboard, a mouse or the like that receives an input of a user operation. The display device and the input device may be integrated and realized as a touch panel.
The communication unit 4 communicates with other computers via the communication network 8 and exchanges signals with other devices such as a printer. A portable recording medium or the like may also be connected to the communication unit 4.

  The hardware configuration of the support server 20 is not limited to the example of FIG. The support server 20 may include other hardware elements not shown. Also, the number of hardware elements is not limited to the example of FIG. For example, the support server 20 may have a plurality of CPUs 1.

  The support server 20 is communicably connected to the patient terminal 22, the examination request terminal 23, the examination facility terminal 24, the made-to-order production management system 27, the delivery management system 28, and the like. Communication between the support server 20 and other terminals or systems may be one of a Wi-Fi (Wireless Fidelity) network, an Internet communication network, a dedicated network, a LAN (Local Area Network), a WAN (Wide Area Network), etc. It is performed via the communication network 8 formed by one or their combination. The specific form of the communication is not limited.

The patient terminal 22 is a stationary or portable computer used by a patient.
The inspection request terminal 23 is a stationary or portable computer provided in the inspection request organization FC1.
The inspection facility terminal 24 is a stationary or portable computer provided in the inspection facility FC3.
The made-to-order production management system 27 is a system included in the manufacturing facility FC5, and is a system that manages orders and production (production) in the manufacturing facility FC5. The made-to-order production management system 27 may have a known general function.
The delivery management system 28 is a system included in the manufacturing facility FC5, and is a system for managing the delivery of radiopharmaceuticals shipped from the manufacturing facility FC5. The delivery management system 28 may have a known general function.

FIG. 4: is a figure which shows notionally the process structural example of the assistance server 20 which concerns on this embodiment.
The support server 20 includes, as software elements, a display processing unit 30, a request acquisition unit 31, a reservation registration unit 32, a request transmission unit 33, a reply reception unit 34, an order generation unit 35, a delivery information acquisition unit 36, an information provision unit 37, An inspection data acquisition unit 38, an analysis unit 39, an information storage unit 40, and the like are included. Each of these software components is realized, for example, by executing a program stored in the memory 2 by the CPU 1. The program may be installed from, for example, a portable recording medium such as a CD, a memory card or the like or another computer via the communication unit 4 and stored in the memory 2.

The information storage unit 40 is secured in the memory 2 and stores at least an inspection plan table, an inspection reservation table, and a product information table.
The examination plan table stores plan information of nuclear medicine examination in the examination facility FC3, and the examination reservation table stores examination reservation information in the examination facility FC3. The information stored in the inspection plan table and the inspection reservation table indicates various information for each inspection frame. Although the definition of the inspection frame is as described above, in the present embodiment, the inspection frame has the meaning of both the inspection time frame and the inspection physical frame, and is provided for each combination of inspection date and time and inspection equipment. .
The product information table is a table referred to for identifying radiopharmaceuticals to be ordered, and stores information on radiopharmaceuticals.

FIG. 5 is a diagram showing an example of an inspection plan table stored in the information storage unit 40. As shown in FIG.
As shown in FIG. 5, the inspection plan table stores data records for each inspection frame, that is, for each combination of inspection date and time and inspection facility ID, and each data record contains the inspection frame ID of the inspection frame, the number of currently reserved people. And a plurality of data items such as reservation limit number, reservation availability, and reservation non-availability information.
The examination date and time, as described above, means the day and time when the examination is performed.
The inspection facility ID is an identifier of a facility performing a nuclear medicine inspection, and is attached to each PET device and each SPECT device.
The current number of reserved persons is the latest information on the number of subjects who have been reserved in the examination frame.
The reservation limit number is the upper limit number of subjects who can be reserved in the examination frame.
Whether or not reservation indicates whether or not the inspection frame can be reserved for inspection.
The reservation disapproval information indicates the reason or the like when the inspection frame can not be reserved for inspection.
Inspection plan information according to the circumstances of the inspection facility FC3 is stored in the inspection plan table. The support server 20 can also acquire the information of the inspection plan from the inspection facility FC3, and store the information in the inspection plan table for the inspection facility FC3.

FIG. 6 is a diagram showing an example of the examination reservation table stored in the information storage unit 40. As shown in FIG.
As shown in FIG. 6, the examination reservation table stores data records for each examination frame, and each data record contains a plurality of subject ID, examination type, request source ID, order information, etc. for the examination frame. Contains the following data items:
The subject ID is an identifier of the subject of the examination reserved in the examination frame.
The examination type indicates the type of nuclear medicine examination reserved in the examination frame, and one of the types of nuclear medicine examinations that can be inspected by the examination facility corresponding to the examination frame is designated as the examination type.
The request source ID is an identifier of the request source (inspection request organization FC1) that has requested the inspection frame for the inspection reservation. The request source ID may be a request source e-mail address.
The ordering information indicates whether or not the radiopharmaceutical for the examination reserved for the examination frame has been ordered, or its ordering number (ordering ID).

FIG. 7 is a diagram showing an example of a product information table stored in the information storage unit 40. As shown in FIG.
As shown in FIG. 7, the product information table includes, for each combination of inspection equipment ID and inspection type, a data record including data items of radiopharmaceutical product code, product name, and ordering deadline required for the combination. Store. As described above, since the radiopharmaceutical has a short expiration date, ordering of the radiopharmaceutical to the manufacturing facility FC5 has a time limit.
The information storage unit 40 further stores a subject table, a request source table (not shown), and the like. The subject table stores, for each subject, a data record including data items such as a subject ID, a name, a date of birth, a gender, and an e-mail address. The request source table stores data records including data items such as a request source ID, a name, an address, and an e-mail address for each inspection request organization FC1 as a request source.
The information storage unit 40 can also store tables other than the above-described tables.

The display processing unit 30 causes the display device to output the examination reservation status display. In the present embodiment, the display processing unit 30 causes the examination request terminal 23 or the examination facility terminal 24 to output the examination reservation status display.
The “inspection reservation status display” displays the current registration status of the inspection reservation in the inspection facility FC3, and indicates at least inspection availability for each inspection frame.

FIG. 8 is a diagram showing an example of the examination reservation status display. In the example of FIG. 8, the examination reservation status display has a calendar format for two months. The inspection frame is provided for up to three time zones of 9 o'clock, 12 o'clock and 15 o'clock daily, and is not distinguished by the inspection equipment. That is, this inspection reservation status display is the information display of the inspection facility FC3 having only one inspection facility or the information display for each inspection facility.
The reservation slots are shown for the number of examinees that can be inspected (restricted number of reservations) for each examination slot. For example, on June 27, the inspection frame at 9 o'clock, the inspection frame at 12 o'clock, and the inspection frame at 15 o'clock are shown, and each inspection frame shows the reservation frame for two persons. It is done.
Furthermore, the non-reservable inspection frame is shown in a display mode different from that of the reservable inspection frame, and the number of already reserved and the number of reservable in the inspection frame are presented according to the difference in the display mode. For example, the inspection frame at 9:00 on June 27 is shown in a display mode indicating that reservation reservations for a limited number of reservations (two people) have already been registered and reservation is not possible. In the inspection frame, it is shown that a reservation for one person is registered and it is possible to make a reservation for one person still It is indicated by. In addition, on June 6 (the day), it is shown by the display mode which can not be reserved from the problem of order deadline.
In addition, there is also an examination frame that indicates the reason for not being able to make reservations, such as “No at a doctor's doctor business trip” on June 17.

The display processing unit 30 can generate such drawing data of the examination reservation status display based on the information stored in the examination plan table and the examination reservation table. According to such an inspection reservation status display, it is possible to easily grasp the reservation availability for each inspection frame.
Furthermore, in the present embodiment, the display processing unit 30 outputs the examination reservation status display in a state in which the appointmentable examination frame can be designated. Thereby, the user of the inspection request terminal 23 can perform an inspection request for the inspection frame by performing an operation of designating the inspection frame which can be reserved. The display processing unit 30 can also display a screen for inputting the information of the subject and the examination type in accordance with the designation operation of the examination frame.

  Furthermore, the display processing unit 30 can also change the reservation availability for each inspection frame indicated in the inspection reservation status display, based on the information on the ordering deadline of the radiopharmaceutical stored in the product information table. Specifically, the display processing unit 30 can change the inspection frame of any type of radiopharmaceutical for which the order deadline has passed in the inspection reservation status display to the reservation impossible state. In this way, it is possible to eliminate the problem that an examination reservation using a radiopharmaceutical whose ordering deadline has already passed is registered.

  The request acquisition unit 31 corresponds to the above-described request acquisition unit 11, and acquires request information for a nuclear medicine examination. In the present embodiment, the request acquisition unit 31 acquires request information in accordance with the user's input operation at the examination request terminal 23 for which the examination reservation status display is output. For example, the request acquisition unit 31 can acquire request information by an operation of designating a reservable inspection frame in the inspection reservation status display.

The request information is acquired in a state where the inspection frame ID, the subject ID, the inspection type, and the request source ID can be specified. The inspection frame ID is identified, for example, by the designation operation of the inspection frame. The examination type is acquired, for example, by an input operation on an examination type selection screen displayed along with the designation operation. The request source ID is identified by, for example, a login operation at the inspection request terminal 23 before output of the inspection reservation status display. The subject ID is automatically numbered by the request acquisition unit 31 after subject information (name, date of birth, etc.) is acquired by, for example, an input operation on an input screen displayed at the time of specifying the examination frame. Ru. In this case, the request acquisition unit 31 stores the acquired subject information and the numbered subject ID in the above-described subject table.
However, the acquisition method of the request information by the request acquisition unit 31 is not limited to such an example. The request acquisition unit 31 can also acquire the request information by an electronic mail including information that can specify the inspection frame ID, the subject ID, the inspection type, and the request source ID.

The request transmission unit 33 transmits the reservation request information to the inspection facility FC3 in accordance with the acquisition of the request information by the request acquisition unit 31. This reservation request information is information that notifies the inspection facility FC3 that an inspection reservation has been requested. The request transmission unit 33 may transmit the request information acquired by the request acquisition unit 31 as it is as reservation request information, or the information obtained by converting the acquired request information into a format easy for the inspection facility FC3 to make a reservation request You may transmit as information. In the latter case, for example, reservation request information indicating information on examination date and time, examination equipment, subject information, examination type, and examination request organization FC1 of the request source is transmitted.
The transmission method of the reservation request information by the request transmission unit 33 is not limited. The request transmission unit 33 may transmit the reservation request information by e-mail, or may transmit the reservation request information using a push type technology. The transmitted reservation information may be displayed on the inspection facility terminal 24 and referred to.

The reply reception unit 34 receives a reply to the reservation request information transmitted by the request transmission unit 33. Specifically, the reply receiving unit 34 receives, from the inspection facility terminal 24, a reply indicating whether or not the request for the examination reservation indicated by the reservation request information is accepted.
There is also no limitation on the method of replying from the inspection facility terminal 24. The inspection facility terminal 24 may reply by e-mail, or may reply by an input operation on the predetermined display outputted by the processing of the display processing unit 30.
In addition, in the examination facility FC3 equipped with a medical system in the facility, when a request for examination reservation is accepted, the reservation request information can be reflected in the medical system.

The reservation registration unit 32 corresponds to the above-described reservation registration unit 12 and specifies an examination frame ID, an examinee ID, an examination type, and a request source ID based on the request information acquired by the request acquisition unit 31. A data record (inspection reservation information) including the specified information is stored in the inspection reservation table.
Furthermore, in the present embodiment, the reservation registration unit 32 checks the examination reservation information corresponding to the request information according to the reply content from the inspection facility FC3 received by the reply reception unit 34 regarding the request information acquired by the request acquisition unit 31. Are determined in the examination reservation table. The reservation registration unit 32 stores examination reservation information when the reply contents indicate acceptance of a request for examination reservation, and does not store examination reservation information when indicating that the request is not accepted.
When the examination registration information is stored in the examination reservation table, the appointment registration unit 32 calculates the number of reserved persons registered in the examination frame based on the examination frame ID of the examination reservation information, and calculates the number of persons as the current appointment of the examination schedule table. Set in the item of the number of people. Furthermore, the reservation registration unit 32 can also set a value indicating reservation impossible in the reservation availability item of the same table, when the current number of reservation persons becomes the reservation limit number of the inspection frame.

The order generation unit 35 corresponds to the above-described order generation unit 13 and identifies the radiopharmaceutical corresponding to the examination type of the examination reservation information stored in the examination reservation table, and is the ordering information of the specified radiopharmaceutical Order information including verification date information corresponding to the inspection frame of the inspection reservation information;
In the present embodiment, the order generation unit 35 searches the product information table using the inspection equipment ID and the inspection type corresponding to the inspection frame ID of the target inspection reservation information as a key, and the inspection indicated by the inspection reservation information Identify the radiopharmaceutical product code and product name required for The order generation unit 35 generates order information including the order ID, the specified product code and product name, the quantity of the product, the verification date and time information corresponding to the inspection frame, and the information of the manufacturing facility FC5 as the order source. . A unique identifier may be assigned to the order ID each time order information is generated.

In the present embodiment, the order generation unit 35 generates the order information each time the reservation registration unit 32 stores new examination reservation information in the examination reservation table. For this reason, whether or not the order information is generated changes in accordance with the contents of the reply from the inspection facility FC3 received by the reply receiving unit 34. In addition, in the order information generated, the quantity of products (radiopharmaceuticals) required in one inspection is set. This makes it possible to prevent the omission of the order for the reserved examination.
However, the order generation unit 35 may generate order information at a predetermined cycle. The order creation unit 35 identifies unscheduled examination reservation information based on the order information in the data record (examination reservation information) stored in the examination reservation table, and generates the order information for the examination reservation information. . The predetermined cycle is set to a cycle that prevents the expiration date of the radiopharmaceutical order before the generation of the order information.

In the present embodiment, when the order generation unit 35 generates the order information, the order generation unit 35 reflects the order ID on the order information of the examination reservation information corresponding to the order information stored in the examination reservation table. Thus, the examination reservation information can be placed in the ordered state.
The order generation unit 35 transmits the generated order information to the made-to-order production management system 27 and the inspection facility FC3. The transmission method of order information to the made-to-order production management system 27 and the inspection facility FC3 is not limited.

The delivery information acquisition unit 36 acquires delivery information of the radiopharmaceutical ordered by the order information described above. The delivery information acquired is information indicating the status of delivery of the radiopharmaceutical.
In the present embodiment, the delivery information acquisition unit 36 acquires delivery information including the order ID from the delivery management system 28. The inspection reservation information corresponding to the delivery information can be specified by the order ID. Further, the delivery information acquiring unit 36 acquires delivery information indicating the degree of delay (for example, one hour delay) only when a delivery delay occurs to an extent that affects the inspection date and time specified in the order information. Good.
The delivery management system 28 can also provide the delivery information to the inspection facility FC3.

The information providing unit 37 provides examination schedule information addressed to the subject indicated by the examination reservation information corresponding to the order information upon the satisfaction of the predetermined condition regarding the delivery information described above.
The examination schedule information to be provided is information that causes the subject to change the scheduled examination schedule or to suggest that it is possible. For example, the examination schedule information indicates that the delivery delay of the radiopharmaceutical has occurred, that the examination schedule may be changed, the necessity of the inquiry to the examination facility FC3 or the examination request organization FC1, and the like. When the examination date and time after the change is decided, the examination date and time after the change may be indicated in the examination schedule information.
The above-mentioned "predetermined condition" is a condition related to delivery information and is a predetermined condition for providing inspection schedule information. For example, in the case where delivery information is provided from the delivery management system 28 only when there is a delivery delay that affects the verification date and time, the fact that the delivery information has been obtained by the delivery information obtaining unit 36 is The predetermined condition is satisfied. In addition, the fact that the delay degree indicated by the delivery information acquired by the delivery information acquisition unit 36 has a high possibility of affecting the inspection date may be considered as “the predetermined condition is satisfied”.

In the present embodiment, the delivery information is acquired only when the delivery delay to an extent that affects the verification date occurs, and the information providing unit 37 is triggered by the delivery information acquisition unit 36 acquiring the delivery information. Then, identification of the addressee's address and provision of examination schedule information are performed as follows. The information providing unit 37 identifies the examination reservation information corresponding to the delivery information from the examination reservation table by the order ID included in the acquired delivery information, and the subject ID of the identified examination reservation information. The email address of the examiner is specified from the subject table. The information provider 37 has identified an email including a predetermined character string “The schedule of the examination may be changed due to the delivery delay of the radiopharmaceutical. Please contact the examination facility FC3 or the examination request organization FC1” Send to the subject's email address.
The information providing unit 37 may also provide inspection schedule information to the inspection request organization FC1. For example, the mail address of the inspection request organization FC1 of the request source can be specified from the request source table by the request source ID of the specified inspection reservation information.
By providing such examination schedule information, it is possible to inform the patient of the possibility of changing the examination schedule due to the delivery delay of the radiopharmaceutical early, etc. Can be prevented in advance.

  Further, the information providing unit 37 can also provide the inspection facility terminal 24 of the inspection facility FC3 as a delivery destination with the delivery information acquired by the delivery information acquiring unit 36. In this case, the delivery information may be notified to the inspection facility terminal 24 by e-mail or the like, or the delivery information may be displayed on the inspection facility terminal 24 in accordance with access from the inspection facility terminal 24. When the delivery information is provided to the inspection facility terminal 24, the delivery information may be acquired from the delivery management system 28 as appropriate regardless of the degree of delivery delay.

The examination data acquisition unit 38 acquires an examination image of a nuclear medicine examination using the radiopharmaceutical ordered by the ordering information. That is, the inspection data acquisition unit 38 can also be called an image acquisition unit. In the present embodiment, the examination data acquisition unit 38 receives examination image data and clinical information from the examination facility terminal 24. The clinical information is information on the subject obtained from the subject in addition to the examination image at the nuclear medicine examination.
The examination image data and the clinical information are received in a state where they can be associated with information that can identify the subject (for example, the subject ID) or information that can identify the examination frame (for example, examination frame ID). The method for providing test image data and clinical information from the test facility FC3 is not limited. For example, the test image data is acquired by the test data acquisition unit 38 by being attached to an e-mail in which the name, sex and birth date of the subject, and clinical information are described. Further, the examination image data may be stored in the shared server together with the file in which the subject ID or the examination frame ID and the clinical information are described, and the examination data acquisition unit 38 may acquire examination image data etc. from the shared server . In addition, the display processing unit 30 displays a registration screen of examination image data and clinical information on the examination facility terminal 24, and the subject information is designated on the registration screen, and the examination image data and clinical information of the subject May be registered.

The analysis unit 39 analyzes the image of the inspection image acquired by the inspection data acquisition unit 38 to generate analysis information.
The examination image obtained by nuclear medicine examination is obtained by administering a radiopharmaceutical containing a radionuclide into the body of a subject and measuring the emitted gamma rays with a detector (PET apparatus or SPECT apparatus) . According to this examination image, it is possible to examine the functions (functions) of organs and tissues by the distribution and accumulation amount of radiopharmaceuticals administered into the body. However, the primary image obtained by the PET apparatus or SPECT apparatus is basically only an image of the distribution of the amount of gamma rays, and it is difficult to obtain a quantitative evaluation result as it is. Therefore, various quantitative analysis methods (such as the methods disclosed in Patent Document 4 to Patent Document 8) corresponding to the inspection type exist.
The analysis unit 39 can execute appropriate analysis processing for each inspection type, and generates analysis information by performing analysis processing corresponding to the inspection type on the inspection image data. For example, an analysis processing program for each inspection type is installed in another computer, and the analysis unit 39 causes the computer to execute analysis processing corresponding to the inspection type, and acquires analysis information as the analysis result from the computer. You may In this way, concentration of the processing load of the CPU 1 due to analysis processing can be prevented.
A known quantitative analysis method may be used for the analysis processing corresponding to each inspection type. Therefore, the specific content of the analysis information generated by the analysis unit 39 is not limited. An analysis image obtained by processing the inspection image, which is a primary image, may be obtained as analysis information, or statistical information obtained from the analysis image may be used as analysis information.

The analysis unit 39 associates the generated analysis information with information that can specify a subject (for example, a subject ID) or information that can specify an examination frame (for example, examination frame ID), and the information storage unit 40. Store in Thus, the information storage unit 40 can also be called an analysis holding unit.
When the analysis information is stored in the information storage unit 40, the information providing unit 37 can provide the analysis information to the inspection request organization FC1 and to the inspection facility FC3. The information providing unit 37 can specify the destination information (e.g., e-mail address) of the inspection request organization FC1 and the inspection facility FC3 from the request source table based on the information associated with the analysis information.
Thus, the analysis process of the inspection image is performed by the analysis unit 39, and the analysis information is provided to the inspection facility FC3, whereby the labor of the analysis work in the inspection facility FC3 can be reduced. In addition, by sequentially upgrading the analysis processing of the analysis unit 39 to the latest analysis technology, high-quality analysis information can be provided to the inspection facility FC3. Furthermore, the effort of updating the analysis software in the inspection facility FC3 can be reduced.

  In addition, the analysis unit 39 acquires the interpretation result information by the inspection facility FC3 based on the analysis information provided by the information providing unit 37, stores the interpretation result information in the information storage unit 40 in association with the above analysis information. You can also. In this case, the information providing unit 37 may provide the interpretation request information together with the analysis information to the examination request organization FC1. In addition, the information providing unit 37 may provide the above analysis information to the terminal of another certified specialist. In this case, the analysis unit 39 acquires the interpretation result information by the specialist, associates the interpretation result information with the above-mentioned analysis information, and stores it in the information storage unit 40, and the information providing unit 37 interprets the interpretation together with the analysis information. Result information may be provided to the inspection facility FC3 and the inspection request organization FC1.

[Nuclear medicine inspection support method]
Hereinafter, the nuclear medicine examination support method according to the present embodiment will be described in detail with reference to FIG. 9 and FIG.
FIG. 9 is a sequence chart showing steps until nuclear medicine examination is performed in the nuclear medicine examination support method according to the present embodiment, and FIG. 10 is a nuclear medicine examination in the nuclear medicine examination support method according to the present embodiment It is a sequence chart which shows the process after a result was obtained.
In the examples of FIGS. 9 and 10, the nuclear medicine examination support method according to the present embodiment is executed by the support server 20 described above. In addition, since the specific content of each process included in this method may be the same as that of what was demonstrated about each processing module which support server 20 has, it abbreviate | omits suitably.

First, the support server 20 causes the examination request terminal 23 to output an examination reservation status display (S11). The support server 20 can generate drawing data of the examination reservation status display based on the information stored in the examination plan table and the examination reservation table. As described above, the examination reservation status display is output in a state in which the appointmentable examination frame can be specified.
Also, prior to this, the support server 20 may execute the login process based on the user information and the like sent from the examination request terminal 23. In the login process, a request source ID capable of identifying the inspection request organization FC1 which is the request source of the inspection may be specified by the user information sent from the inspection request terminal 23.

In the examination request terminal 23, a desired examination frame is designated in the examination frame indicated in the examination reservation status display by the user operation on the examination request terminal 23. Further, the examination type of the examination in the designated examination frame and the information (name, date of birth, etc.) of the subject to receive the examination are input.
Thereby, the support server 20 acquires request information from the inspection request terminal 23 (S12). The request information includes an examination frame ID, an examination type, and subject information.

  When the support server 20 acquires the request information, the support server 20 confirms with the inspection facility FC3 whether or not the inspection reservation indicated by the request information may be registered (S13). Specifically, the support server 20 transmits reservation request information to the inspection facility FC3 and receives a reply from the inspection facility terminal 24. The contents of the reservation request information and the reply are as described above.

  The support server 20 stores the examination reservation information based on the request information acquired in (S12) in the examination reservation table when the reply contents from the examination facility terminal 24 indicate that the requested examination is accepted (S15). ). At this time, the support server 20 numbers the subject ID based on the subject information displayed in the request information acquired in (S12), and the subject ID, the name of the subject, A data record including the date of birth, gender, mail address, etc. is stored in the subject table. In the examination reservation information, the subject ID, the examination frame ID specified by the request information acquired in (S12), the examination type, and the request source ID are set.

  The support server 20 can provide examination guidance information to the subject when the examination reservation information is stored in the examination reservation table (S17). The examination guidance information is guidance information on the examination of the reserved examination frame, and shows examination date, visit time, access information to the examination facility FC3, and the like. The examination guide may be provided to the subject by e-mail addressed to the subject's e-mail address. Furthermore, the support server 20 can also notify the subject of a reminder notification of a reserved examination. The timing at which the reminder notification is issued may be determined in advance, and the reminder notification can prevent the subject from forgetting the examination date and time.

  Subsequently, the support server 20 generates order information based on the examination reservation information stored in the examination reservation table in (S15) (S20). At this time, the support server 20 identifies the inspection equipment ID by the inspection frame ID of the inspection reservation information, and uses it in the inspection indicated by the inspection reservation information based on the inspection equipment ID and the inspection type of the inspection reservation information. Identified radiopharmaceuticals. Further, the support server 20 specifies a verification date and time corresponding to the examination date and time indicated by the examination frame ID of the examination reservation information. As a result, the order information indicates the order ID, the product code and product name of the identified radiopharmaceutical (product), the quantity of the product, the date and time of verification, and information on the inspection facility FC3 as the order source. The order ID may be automatically numbered by the support server 20 each time the order information is generated, and the information on the inspection facility FC3 as the order source is the location and name of the inspection facility FC3, etc. It should just be held beforehand by.

  The support server 20 transmits the generated order information to the made-to-order production management system 27 and the inspection facility FC3 (S21). In the manufacturing facility FC5, a made-to-order production management system 27 and a delivery management system 28 operate. The made-to-order production management system 27 carries out order receiving processing, manufacturing request and the like based on the order placement information. As a result, the manufacturing facility FC5 manufactures the received radiopharmaceutical and sends the radiopharmaceutical to the ordering facility FC3.

  The delivery management system 28 manages the delivery status of the radiopharmaceutical to the inspection facility FC3. The delivery management system 28 notifies the support server 20 and the inspection facility FC3 of delivery information including the order ID, when a delivery delay affecting the verification date and time occurs. Thereby, the support server 20 acquires the delivery information (S23).

When the delivery information is acquired, the support server 20 generates examination schedule information (S25).
The examination schedule information is a fixedly held character string "The schedule of the examination may be changed due to the delivery delay of the radiopharmaceutical. Please inquire to the examination facility FC3 or the examination request organization FC1. Good. Further, the inspection schedule information may indicate the inspection date and time changed due to the delivery delay.

  The support server 20 provides the examination schedule information to the subject (S27). At this time, the support server 20 specifies the examination reservation information corresponding to the delivery information from the examination reservation table by the order ID included in the acquired delivery information, and the subject ID of the identified examination reservation information Thus, the e-mail address of the subject can be specified from the subject table.

  In the examination facility FC3, a nuclear medicine examination is carried out in the reserved examination frame, using the radiopharmaceutical delivered from the manufacturing facility FC5 based on the above-mentioned order information. Specifically, the radiopharmaceutical is administered into the body of a subject, and the emitted gamma rays are measured by a PET device or a SPECT device. In the examination facility FC3, the examination facility terminal 24 transmits examination image data and clinical information which are primary image data acquired by the measurement to the support server 20 as examination result information. However, such inspection result information may be stored in the shared server as long as it can be acquired by the support server 20.

  The support server 20 acquires examination image data and clinical information (S31). The support server 20 receives the information that can identify the subject (for example, the subject ID) or the information that can identify the examination frame (for example, the examination frame ID) in a state where they can be associated. The support server 20 holds the acquired examination image data and clinical information in association with information capable of identifying a subject or information capable of identifying an examination frame.

  Subsequently, the support server 20 performs image analysis of the inspection image based on the inspection image data (S33). Specifically, the support server 20 specifies the examination reservation information stored in the examination reservation table using the information that can identify the subject associated with the examination image data or the information that can identify the examination frame. Then, the image data is subjected to analysis processing corresponding to the inspection type of the inspection reservation information. That is, as described above, the support server 20 can execute a plurality of analysis processes corresponding to a plurality of inspection types.

The support server 20 stores the analysis information obtained by the analysis in the information storage unit 40 in association with the information that can specify the subject or the information that can specify the inspection frame (S35). For example, the support server 20 stores the analysis information in association with the subject ID or the inspection frame ID.
Then, the support server 20 provides the analysis information to the inspection facility FC3 and the inspection request organization FC1 (S37). The analysis information provided to the inspection facility FC3 and the analysis information provided to the inspection request organization FC1 may be different. The support server 20 can specify the address information (e.g., e-mail address) of the inspection request organization FC1 from the request source table based on the information associated with the analysis information, and further, the address information of the inspection facility FC3 (e-mail Address etc.) can be identified. However, the method of providing analysis information is not limited to such an example. The inspection facility terminal 24 and the inspection request terminal 23 may download (acquire) analysis information from the information storage unit 40 of the support server 20. Further, the support server 20 may store analysis information in the shared server, and the inspection facility terminal 24 and the inspection request terminal 23 may acquire the analysis information from the shared server.

[Supplement]
In the above-mentioned embodiment, although one inspection facility FC3 is targeted in order to make the explanation easy to understand, the support server 20 can respectively support the operation of each inspection in a plurality of inspection facilities FC3. When a plurality of inspection facilities FC3 are to be supported, for example, an inspection reservation table and an inspection plan table may be provided for each inspection facility FC3, and an inspection reservation status display may be output for each inspection facility FC3. Good. In this case, the support server 20 may display a screen for selecting the inspection facility FC3 on the inspection request terminal 23, and cause the user of the inspection request terminal 23 to select a desired inspection facility FC3.

[Modification]
The above embodiment is an example, and the format of each table stored in the information storage unit 40 is not limited to the above example.
For example, the inspection frame ID may not be provided, and the inspection frame may be identified by a combination of the inspection date and time and the inspection equipment ID. Further, when there is only one inspection facility of the inspection facility FC3, the inspection frame ID and the inspection equipment ID may not be provided, and the inspection frame may be identified only by the inspection date and time.
Further, the subject may be identified by the name, date of birth, and sex of the subject without providing the subject ID. Similarly, the request source ID may not be used.

Moreover, the above-mentioned each embodiment and each modification can be combined in the range in which the contents do not contradict each other.
Also, part or all of the above content may be specified as follows. However, the above content is not limited to the following description.

(1) A request acquisition unit for acquiring request information on nuclear medicine examinations,
A reservation registration unit that stores inspection reservation information indicating an inspection frame and an inspection type in the inspection reservation table based on the acquired request information;
A radiopharmaceutical corresponding to the examination type of the examination appointment information is specified, and ordering information including ordering date information of the specified radiopharmaceutical corresponding to the examination frame of the examination appointment information is generated. An order generation unit,
Nuclear medicine examination support device provided with
(2) The examination reservation information includes the examination frame or the subject information,
An image acquisition unit for acquiring an inspection image of a nuclear medicine inspection using a radiopharmaceutical ordered by the order information;
An analysis unit that performs image analysis on the acquired inspection image to generate analysis information;
An analysis holding unit that holds the generated analysis information in association with the examination frame or the subject information;
The nuclear medicine test support apparatus according to (1), further comprising:
(3) The examination reservation information includes subject information.
A delivery information acquisition unit for acquiring delivery information of the radiopharmaceutical ordered by the ordering information;
An information providing unit that provides examination schedule information addressed to the subject indicated by the examination reservation information corresponding to the order information upon the satisfaction of the predetermined condition regarding the delivery information;
The nuclear medicine test support apparatus according to (1) or (2), further comprising:
(4) A display processing unit that causes a display device to output an examination reservation status display indicating whether or not reservations can be made for each inspection frame
And further
The display processing unit changes the reservation availability for each inspection frame indicated in the inspection reservation status display, based on the information on the ordering deadline of the radiopharmaceutical.
The nuclear medicine test support device according to any one of (1) to (3).
(5) A request transmission unit for transmitting reservation request information to an examination facility performing a nuclear medicine examination in accordance with acquisition of the request information by the request acquisition unit;
A reply receiving unit that receives a reply to the reservation request information;
And further
The inspection frame is provided for each inspection date and time,
The reservation request information indicates the examination frame, the examination type, the request source organization, and the subject of the nuclear medicine examination.
Whether or not the order information is generated by the order generation unit differs according to the received reply.
The nuclear medicine inspection support device according to any one of (1) to (4).
(6) Obtain request information for nuclear medicine examination,
Storing examination reservation information indicating examination frames and examination types in the examination reservation table based on the acquired request information,
Identifying a radiopharmaceutical corresponding to the test type of the test reservation information;
Generating ordering information that is ordering information of the specified radiopharmaceutical and that includes verification date information corresponding to the examination frame of the examination reservation information;
Nuclear medicine inspection support method including.
(7) The examination reservation information includes the examination frame or the subject information,
Obtain an examination image of a nuclear medicine examination using a radiopharmaceutical ordered by the ordering information,
Image analysis of the acquired inspection image to generate analysis information;
Storing the generated analysis information in association with the examination frame or the subject information;
The nuclear medicine test support method according to (6), further including.
(8) The examination reservation information includes the subject information,
Obtain delivery information of the radiopharmaceutical ordered by the ordering information,
The examination schedule information is provided to the subject indicated by the examination reservation information corresponding to the order information upon the satisfaction of the predetermined condition regarding the delivery information.
The nuclear medicine test support method as described in (6) or (7) which further includes.
(9) The inspection reservation status display indicating the availability of reservation for each inspection frame is output to the display device,
Change the availability of reservation for each examination frame indicated in the examination reservation status display based on the information on the order deadline of the radiopharmaceuticals,
The nuclear medicine test support method according to any one of (6) to (8), further including
(10) With the acquisition of the request information, the reservation request information is transmitted to the inspection facility that performs the nuclear medicine inspection,
Receiving a reply to the reservation request information;
Further include
The inspection frame is provided for each inspection date and time,
The reservation request information indicates the examination frame, the examination type, the request source organization, and the subject of the nuclear medicine examination.
Whether or not the order information is generated differs depending on the received reply,
The nuclear medicine test support method according to any one of (6) to (9).

1 CPU
2 Memory 4 Communication unit 10, 20 Nuclear medicine examination support server (support server)
22 patient terminal 23 examination request terminal 24 examination facility terminal 27 received order production management system 28 delivery management system 30 display processing unit 11, 31 request acquisition unit 12, 32 reservation registration unit 33 request transmission unit 34 reply reception unit 13, 35 order generation unit 36 Transportation information acquisition unit 37 Information provision unit 38 Inspection data acquisition unit 39 Analysis unit 40 Information storage unit

  The present invention relates to technology for supporting nuclear medicine examinations.

Nuclear medicine tests are tests using radiopharmaceuticals, also called radioisotope (RI) tests. Nuclear medicine examinations include types of examinations separately for organs such as brain, bone, heart, liver, kidney and the like, and are used for diagnosis of functional state of each organ and malignant tumor.
Radiopharmaceuticals have a relatively short shelf life due to the half life of the radionuclide used, so it is difficult to stock them in medical institutions, and they are required to be stably supplied to medical institutions. For this reason, as described in Patent Document 1, a hospital facility provided with a manufacturing apparatus, an inspection apparatus, and a synthesis apparatus for short-lived nuclide ( ¹⁸ F) with short half life provides surplus nuclide to another hospital facility. There are also places where a supply method has been taken in which the positron-emitting CT examination drug is synthesized by the synthesizer from the provided surplus nuclide in the hospital facility and used for the examination.

Patent Document 1 proposes that a short half-life nuclide be effectively used for a medical checkup by calculating a process time based on the half-life of the nuclide and creating a time schedule.
Patent Document 2 discloses the manufacturing ability of the radiopharmaceutical manufacturing base, the temporal distance relationship from the manufacturing base to the hospital, the information on the half life of the nuclide contained in the radiopharmaceutical, and the examination grasped from the request information from the hospital etc. From the date and time, a schedule is prepared so that an appropriate amount can be delivered from the manufacturing site to the hospital on the date of the examination, and a method of instructing the manufacturing site to produce the radiopharmaceutical based on the schedule has been proposed.
Patent Document 3 stores information on jobs from the production of radiopharmaceuticals to medical checkups, information on resources of drug manufacturing sites and medical checkup sites, and information on desired dates and times for medical checkups of the examinees and information on the jobs. It has been proposed to determine the date and time when the radiopharmaceutical can be supplied to the medical examination site based on the above, and to generate a schedule at each site based on the determined date and time and resource information.
In Patent Document 4, the delivery schedule information of the radiopharmaceuticals indicating the shipping source, the delivery destination, the end base, and the time for each base on the transportation route is divided into delivery units simultaneously delivering to one delivery destination, and each client device A method is proposed in which the delivery schedule of radiopharmaceuticals can be quickly shared among multiple departments by displaying on each of the above.

On the other hand, in recent years, role sharing (function sharing) of medical institutions has been promoted from the conventional “one medical institution sees” system. Specifically, roles are shared between a family doctor who performs daily treatment and health management and a regional medical support hospital that performs treatment including more specialized examination and surgery. Due to this role sharing, medical institutions that do not have nuclear medicine examination equipment such as PET devices and SPECT devices ask nuclear medicine examinations to medical institutions that have those equipment and receive the examination results. Explain the condition to the patient.
Note that Patent Document 4 to Patent Document 8 will be described later.

JP 2001-172204 A Japanese Patent Application Publication No. 2003-196404 Unexamined-Japanese-Patent No. 2003-185749 JP, 2016-126386, A Patent 4435234 Patent 5695230 Patent 5669977 Patent 4879901

In the present specification, a medical examination facility having a nuclear medicine examination facility is described as an "examination facility", and a medical institution, a regional comprehensive support center, etc. requesting nuclear examination to the examination facility is an "examination request agency". It is written as However, "examination facility" and "examination request organization" may mean a radiology department and a medical department existing in one hospital having a nuclear medicine examination facility.
Further, in the present specification, in the case of describing as "examination" without supplementary explanation, "nuclear medical examination" shall be meant.

As described above, since it is difficult to stock radiopharmaceuticals, it is necessary for the laboratory to properly grasp the schedule of nuclear medicine examinations and ensure that the types and number of radiopharmaceuticals required will be prepared along the schedule. There is. However, in the above-mentioned role sharing of medical institutions, when the examination requests from the examination request organization are concentrated, necessary radiopharmaceuticals can not be arranged, and it takes time from the examination request to the actual examination. Is also conceivable.
The present invention has been made in view of such circumstances, and provides a technology for supporting the operation of a nuclear medicine test so that the nuclear medicine test can be efficiently performed.

  In each aspect of the present invention, the following configurations are adopted in order to solve the problems described above.

The first aspect relates to a nuclear medicine examination support device. Nuclear medicine examination support apparatus according to the first aspect, test査枠and with reference to the examination reservation table for storing examination reservation information indicating a test species, identify radiopharmaceutical based on at least the test species of the examination appointment information And an order generation unit that generates order information including the specified date and time information of the specified radiopharmaceutical and corresponding to the examination frame of the examination reservation information.

A second aspect relates to a nuclear medicine examination support method performed by at least one computer . Nuclear medicine examination support method according to a second aspect, the test査枠and with reference to the examination reservation table for storing examination reservation information indicating a test species, identify radiopharmaceutical based on at least the test species of the examination appointment information And generating ordering information that includes ordering information of the specified radiopharmaceutical, and verification date and time information corresponding to the examination frame of the examination reservation information.

  According to each of the above aspects, it is possible to provide a technology that supports the operation of nuclear medicine inspection so that the nuclear medicine inspection can be efficiently performed.

It is a figure which shows notionally the process structural example of the nuclear medicine test | inspection support server (support server) which concerns on this embodiment. It is a figure which shows cooperation with the surrounding environment in the nuclear medicine test assistance server (support server) which concerns on this embodiment. It is a figure which shows notionally the hardware structural example of the nuclear medicine test | inspection support server (support server) which concerns on this embodiment. It is a figure which shows notionally the process structural example of the nuclear medicine test | inspection support server (support server) which concerns on this embodiment. It is a figure which shows the example of the test | inspection plan table stored in an information storage part. It is a figure which shows the example of the test | inspection reservation table stored in an information storage part. It is a figure which shows the example of the product information table stored in an information storage part. It is a figure which shows the example of a test | inspection reservation condition display. It is a sequence chart which shows the process until nuclear medicine inspection is performed in the nuclear medicine inspection support method concerning this embodiment. It is a sequence chart which shows the process after the result of the nuclear medicine examination in the nuclear medicine examination support method concerning this embodiment was obtained.

Hereinafter, embodiments of the present invention will be described. The embodiments described below are exemplifications, and the present invention is not limited to the configurations of the following embodiments.
Here, a medical examination organization having a nuclear medicine examination facility is described as an “examination facility”, and a medical institution that requests the examination facility to perform a nuclear medicine examination, a regional comprehensive support center, etc. is described as an “examination request agency”. Do. However, "examination facility" and "examination request organization" may mean a radiology department and a medical department existing in one hospital having a nuclear medicine examination facility. In addition, when describing as “examination” without supplementary explanation, “nuclear medicine examination” shall be meant.

First, an outline of a nuclear medicine examination support server (hereinafter referred to as a support server) and a nuclear medicine examination support method according to the present embodiment will be described with reference to FIG.
FIG. 1: is a figure which shows notionally the process structural example of the assistance server 10 which concerns on this embodiment.
The support server 10 according to the present embodiment includes a request acquisition unit 11, a reservation registration unit 12, and an order generation unit 13 as software elements. Each of these software components is realized, for example, by executing a program stored in the memory 2 by a CPU (Central Processing Unit) 1 described later. The program may be installed from, for example, a portable recording medium such as a CD (Compact Disc), a memory card or the like or another computer via the communication unit 4 and stored in the memory 2.

  The request acquisition unit 11 acquires request information for a nuclear medicine examination. The method of obtaining the request information is not limited. For example, the request acquisition unit 11 may acquire request information by e-mail, file transfer, or the like, or may display an input screen on a user terminal and acquire request information input via the input screen. .

The request information to be acquired includes at least information capable of specifying the inspection frame and the inspection type.
The “inspection frame” is provided at least for each inspection date and has the meaning of the inspection time frame. The examination date and time means the day and time zone when the examination is performed. For example, an inspection frame such as a frame starting at 9:00 on August 10, 2016 or a frame starting at 11:00 on the same day is provided. The inspection date and time on which the inspection frame is provided may be in the unit of morning or afternoon.
The “inspection frame” may be provided for each combination of inspection date and inspection equipment when the inspection facility has a plurality of inspection equipment. The inspection facility is a facility that performs nuclear medicine examinations such as a positron emission tomography (PET) device, a single photon emission computed tomography (SPECT) device, etc. . That is, the "inspection frame" may have the meaning of both the inspection time frame and the inspection physical frame. For example, in the case of an examination facility having one PET device and two SPECT devices, the frame for PET examination using a PET device, as the frame at 9:00 on August 10, 2016, the first unit Three inspection frames can be provided, such as a frame for SPECT inspection using the SPECT device of the present invention and a frame for SPECT inspection using a second SPECT device.

"Test species" indicates the type of nuclear medicine test. For example, “test species” includes cerebral blood flow scintigraphy, cerebral receptor scintigraphy, dopamine transporter scintigraphy, myocardial blood flow scintigraphy, bone scintigraphy, gallium scintigraphy and the like.
The “test species” may be information that can identify the radiopharmaceutical used in nuclear medicine examination. For example, the product name or common name of the radiopharmaceutical may be designated as the “test species”, and the purpose of examination such as cerebral infarction, dementia, myocardial infarction, cirrhosis or the like may be designated. In addition, when the radiopharmaceutical can be identified for each site to be examined depending on the examination facility, the site to be examined may be designated as the “examination type”.

The reservation registration unit 12 stores inspection reservation information indicating the inspection frame and the inspection type in the inspection reservation table based on the request information acquired by the request acquisition unit 11. The examination reservation table may be stored in the memory of the support server 10 itself, or may be stored in another device. In addition, when there are a plurality of inspection facilities to be supported by the support server 10, the inspection reservation table may be provided for each of the inspection facilities.
The examination reservation information stored in the examination reservation table is referred to by the examination facility. The examination reservation information stored in the examination reservation table may be used as it is for schedule management of nuclear medicine examination in the examination facility, or at least a part of the examination reservation information is reflected in the examination reservation system in the examination facility It is also good.

The order generation unit 13 specifies the radiopharmaceutical corresponding to the examination type of the examination reservation information, and generates ordering information including ordering date information of the specified radiopharmaceutical which is specified and corresponds to the inspection frame of the examination reservation information Do.
Here, “the examination date and time information corresponding to the examination frame” is information indicating the examination date and time of the radiopharmaceutical for which the radiopharmaceutical ordered by the ordering information is available at the examination date and time indicated by the examination frame.
The generated order information can be used, for example, in a make-to-order production system of a radiopharmaceutical manufacturing facility having a radiopharmaceutical manufacturing facility (hereinafter sometimes referred to as a manufacturing facility). The usage method of the ordering information is not limited. For example, the order information may be transmitted from the support server 10 to the order-to-order production system of the manufacturing facility, or may be transmitted to the manufacturing facility by e-mail, fax, or the like.

The support server 10 according to the present embodiment can execute the nuclear medicine examination support method according to the present embodiment (hereinafter sometimes simply referred to as a support method) by the processing of each processing module as described above. .
That is, the support method according to the present embodiment acquires request information for nuclear medicine examinations, stores examination reservation information indicating examination frames and examination types in the examination reservation table based on the acquired request information, and enters the examination reservation table. The method includes identifying a radiopharmaceutical corresponding to a test type of the information, and generating ordering information that includes ordering information of the specified radiopharmaceutical and verification date information corresponding to the examination frame of the examination reservation information.
Furthermore, the present embodiment may be a program for causing a computer to execute such a support method, or a storage medium on which such a program is stored so as to be readable by a computer.

As described above, in the present embodiment, the examination reservation information is stored in the examination reservation table according to the examination request, and the ordering information of the radiopharmaceutical is generated according to the examination reservation information. Then, the examination reservation information is used by the examination facility to manage the examination reservation schedule, and the ordering information is used to order radiopharmaceuticals used in the nuclear medicine examination by the examination facility.
Therefore, according to the present embodiment, for an examination for which a reservation has been registered, the radiopharmaceuticals necessary for the examination can be reliably ordered, so that it is possible to eliminate the omission in the arrangement of radiopharmaceuticals, and the nuclear medicine examination You can proceed efficiently along the schedule.

Hereinafter, the support server 20 and the support method will be more specifically described in detail.
FIG. 2 is a diagram showing cooperation with the surrounding environment in the support server 20 according to the present embodiment.
First, with reference to FIG. 2, an overview of how a nuclear medicine test is operated and how the operation is supported by the support server 20 will be described.
As shown in FIG. 2, as a surrounding environment of the support server 20, there are an inspection request organization FC1, an inspection facility FC3, and a radiopharmaceutical manufacturing facility (hereinafter sometimes referred to as a manufacturing facility) FC5.
The examination request organization FC1 is a medical doctor who does not have nuclear medicine examination equipment, such as a family doctor or a regional comprehensive support center.
The examination facility FC3 is a medical institution, a medical examination institution, etc. having nuclear medicine examination equipment such as a PET apparatus or a SPECT apparatus.
The manufacturing facility FC5 is a facility that manufactures radiopharmaceuticals used in nuclear medicine examinations performed in the examination facility FC3, and is a radiopharmaceutical manufacturer, a medical institution, or the like.

The examination requesting organization FC1 makes an examination request if it determines that the nuclear medicine examination is necessary for the patient who has come to the hospital.
In response to the inspection request, the support server 20 reserves a nuclear medicine inspection to be performed in the inspection facility FC3. When the examination reservation is confirmed by the examination facility FC3, the support server 20 orders the radiopharmaceutical required for the reserved examination to the manufacturing facility FC5. At this time, the order source is the inspection facility FC3.
The manufacturing facility FC5 manufactures the ordered radiopharmaceutical. The manufactured radiopharmaceutical is delivered to the testing facility FC3 which is the ordering source. The manufacturing facility FC5 operates the made-to-order production management system 27 and the delivery management system 28, and the made-to-order production management system 27 receives an order from the support server 20, and the delivery management system 28 manages the delivery status of the radiopharmaceuticals. There is. If there is a delay in the delivery of the radiopharmaceutical, the delivery management system 28 sends delivery delay information to the inspection facility FC3 and the support server 20.
The support server 20, upon receiving delivery delay information, provides examination schedule information to patients affected by the examination schedule as needed.
When the inspection facility FC3 receives the delivered radiopharmaceutical, it performs a nuclear medicine examination on the patient using the radiopharmaceutical, and sends an examination image and clinical information obtained by the examination to the support server 20.
The support server 20 performs image analysis on the inspection image, and provides the analysis information as a report to the inspection facility FC3 and the inspection request organization FC1. At this time, the support server 20 may acquire the interpretation result information by the specialist based on the analysis information, include the information in the report, and provide the information to the inspection facility FC3 and the inspection request organization FC1, or the inspection facility FC3 based on the analysis information It is also possible to acquire the interpretation result information according to the above and include the information in a report and provide it to the inspection request organization FC1.
The examination facility FC3 and the examination request organization FC11 can give a medical condition explanation to the patient based on the report.

[Nuclear medicine examination support server (support server)]
FIG. 3: is a figure which shows notionally the hardware structural example of the assistance server 20 which concerns on this embodiment.
The support server 20 is a so-called computer, and includes a CPU 1, a memory 2, an input / output interface (I / F) 3, a communication unit 4 and the like.

The CPU 1 may include, in addition to a general CPU, an application specific integrated circuit (ASIC), a DSP (Digital Signal Processor), a GPU (Graphics Processing Unit), and the like. The memory 2 is a random access memory (RAM), a read only memory (ROM), or an auxiliary storage device (such as a hard disk).
The input / output I / F 3 can be connected to a user interface device (not shown) such as a display device or an input device. The display device is a device such as an LCD or a CRT display which displays a screen corresponding to the drawing data processed by the CPU 1 or the like. The input device is a device such as a keyboard, a mouse or the like that receives an input of a user operation. The display device and the input device may be integrated and realized as a touch panel.
The communication unit 4 communicates with other computers via the communication network 8 and exchanges signals with other devices such as a printer. A portable recording medium or the like may also be connected to the communication unit 4.

  The hardware configuration of the support server 20 is not limited to the example of FIG. The support server 20 may include other hardware elements not shown. Also, the number of hardware elements is not limited to the example of FIG. For example, the support server 20 may have a plurality of CPUs 1.

  The support server 20 is communicably connected to the patient terminal 22, the examination request terminal 23, the examination facility terminal 24, the made-to-order production management system 27, the delivery management system 28, and the like. Communication between the support server 20 and other terminals or systems may be one of a Wi-Fi (Wireless Fidelity) network, an Internet communication network, a dedicated network, a LAN (Local Area Network), a WAN (Wide Area Network), etc. It is performed via the communication network 8 formed by one or their combination. The specific form of the communication is not limited.

The patient terminal 22 is a stationary or portable computer used by a patient.
The inspection request terminal 23 is a stationary or portable computer provided in the inspection request organization FC1.
The inspection facility terminal 24 is a stationary or portable computer provided in the inspection facility FC3.
The made-to-order production management system 27 is a system included in the manufacturing facility FC5, and is a system that manages orders and production (production) in the manufacturing facility FC5. The made-to-order production management system 27 may have a known general function.
The delivery management system 28 is a system included in the manufacturing facility FC5, and is a system for managing the delivery of radiopharmaceuticals shipped from the manufacturing facility FC5. The delivery management system 28 may have a known general function.

FIG. 4: is a figure which shows notionally the process structural example of the assistance server 20 which concerns on this embodiment.
The support server 20 includes, as software elements, a display processing unit 30, a request acquisition unit 31, a reservation registration unit 32, a request transmission unit 33, a reply reception unit 34, an order generation unit 35, a delivery information acquisition unit 36, an information provision unit 37, An inspection data acquisition unit 38, an analysis unit 39, an information storage unit 40, and the like are included. Each of these software components is realized, for example, by executing a program stored in the memory 2 by the CPU 1. The program may be installed from, for example, a portable recording medium such as a CD, a memory card or the like or another computer via the communication unit 4 and stored in the memory 2.

The information storage unit 40 is secured in the memory 2 and stores at least an inspection plan table, an inspection reservation table, and a product information table.
The examination plan table stores plan information of nuclear medicine examination in the examination facility FC3, and the examination reservation table stores examination reservation information in the examination facility FC3. The information stored in the inspection plan table and the inspection reservation table indicates various information for each inspection frame. Although the definition of the inspection frame is as described above, in the present embodiment, the inspection frame has the meaning of both the inspection time frame and the inspection physical frame, and is provided for each combination of inspection date and time and inspection equipment. .
The product information table is a table referred to for identifying radiopharmaceuticals to be ordered, and stores information on radiopharmaceuticals.

FIG. 5 is a diagram showing an example of an inspection plan table stored in the information storage unit 40. As shown in FIG.
As shown in FIG. 5, the inspection plan table stores data records for each inspection frame, that is, for each combination of inspection date and time and inspection facility ID, and each data record contains the inspection frame ID of the inspection frame, the number of currently reserved people. And a plurality of data items such as reservation limit number, reservation availability, and reservation non-availability information.
The examination date and time, as described above, means the day and time when the examination is performed.
The inspection facility ID is an identifier of a facility performing a nuclear medicine inspection, and is attached to each PET device and each SPECT device.
The current number of reserved persons is the latest information on the number of subjects who have been reserved in the examination frame.
The reservation limit number is the upper limit number of subjects who can be reserved in the examination frame.
Whether or not reservation indicates whether or not the inspection frame can be reserved for inspection.
The reservation disapproval information indicates the reason or the like when the inspection frame can not be reserved for inspection.
Inspection plan information according to the circumstances of the inspection facility FC3 is stored in the inspection plan table. The support server 20 can also acquire the information of the inspection plan from the inspection facility FC3, and store the information in the inspection plan table for the inspection facility FC3.

FIG. 6 is a diagram showing an example of the examination reservation table stored in the information storage unit 40. As shown in FIG.
As shown in FIG. 6, the examination reservation table stores data records for each examination frame, and each data record contains a plurality of subject ID, examination type, request source ID, order information, etc. for the examination frame. Contains the following data items:
The subject ID is an identifier of the subject of the examination reserved in the examination frame.
The examination type indicates the type of nuclear medicine examination reserved in the examination frame, and one of the types of nuclear medicine examinations that can be inspected by the examination facility corresponding to the examination frame is designated as the examination type.
The request source ID is an identifier of the request source (inspection request organization FC1) that has requested the inspection frame for the inspection reservation. The request source ID may be a request source e-mail address.
The ordering information indicates whether or not the radiopharmaceutical for the examination reserved for the examination frame has been ordered, or its ordering number (ordering ID).

FIG. 7 is a diagram showing an example of a product information table stored in the information storage unit 40. As shown in FIG.
As shown in FIG. 7, the product information table includes, for each combination of inspection equipment ID and inspection type, a data record including data items of radiopharmaceutical product code, product name, and ordering deadline required for the combination. Store. As described above, since the radiopharmaceutical has a short expiration date, ordering of the radiopharmaceutical to the manufacturing facility FC5 has a time limit.
The information storage unit 40 further stores a subject table, a request source table (not shown), and the like. The subject table stores, for each subject, a data record including data items such as a subject ID, a name, a date of birth, a gender, and an e-mail address. The request source table stores data records including data items such as a request source ID, a name, an address, and an e-mail address for each inspection request organization FC1 as a request source.
The information storage unit 40 can also store tables other than the above-described tables.

The display processing unit 30 causes the display device to output the examination reservation status display. In the present embodiment, the display processing unit 30 causes the examination request terminal 23 or the examination facility terminal 24 to output the examination reservation status display.
The “inspection reservation status display” displays the current registration status of the inspection reservation in the inspection facility FC3, and indicates at least inspection availability for each inspection frame.

FIG. 8 is a diagram showing an example of the examination reservation status display. In the example of FIG. 8, the examination reservation status display has a calendar format for two months. The inspection frame is provided for up to three time zones of 9 o'clock, 12 o'clock and 15 o'clock daily, and is not distinguished by the inspection equipment. That is, this inspection reservation status display is the information display of the inspection facility FC3 having only one inspection facility or the information display for each inspection facility.
The reservation slots are shown for the number of examinees that can be inspected (restricted number of reservations) for each examination slot. For example, on June 27, the inspection frame at 9 o'clock, the inspection frame at 12 o'clock, and the inspection frame at 15 o'clock are shown, and each inspection frame shows the reservation frame for two persons. It is done.
Furthermore, the non-reservable inspection frame is shown in a display mode different from that of the reservable inspection frame, and the number of already reserved and the number of reservable in the inspection frame are presented according to the difference in the display mode. For example, the inspection frame at 9:00 on June 27 is shown in a display mode indicating that reservation reservations for a limited number of reservations (two people) have already been registered and reservation is not possible. In the inspection frame, it is shown that a reservation for one person is registered and it is possible to make a reservation for one person still It is indicated by. In addition, on June 6 (the day), it is shown by the display mode which can not be reserved from the problem of order deadline.
In addition, there is also an examination frame that indicates the reason for not being able to make reservations, such as “No at a doctor's doctor business trip” on June 17.

The display processing unit 30 can generate such drawing data of the examination reservation status display based on the information stored in the examination plan table and the examination reservation table. According to such an inspection reservation status display, it is possible to easily grasp the reservation availability for each inspection frame.
Furthermore, in the present embodiment, the display processing unit 30 outputs the examination reservation status display in a state in which the appointmentable examination frame can be designated. Thereby, the user of the inspection request terminal 23 can perform an inspection request for the inspection frame by performing an operation of designating the inspection frame which can be reserved. The display processing unit 30 can also display a screen for inputting the information of the subject and the examination type in accordance with the designation operation of the examination frame.

  Furthermore, the display processing unit 30 can also change the reservation availability for each inspection frame indicated in the inspection reservation status display, based on the information on the ordering deadline of the radiopharmaceutical stored in the product information table. Specifically, the display processing unit 30 can change the inspection frame of any type of radiopharmaceutical for which the order deadline has passed in the inspection reservation status display to the reservation impossible state. In this way, it is possible to eliminate the problem that an examination reservation using a radiopharmaceutical whose ordering deadline has already passed is registered.

  The request acquisition unit 31 corresponds to the above-described request acquisition unit 11, and acquires request information for a nuclear medicine examination. In the present embodiment, the request acquisition unit 31 acquires request information in accordance with the user's input operation at the examination request terminal 23 for which the examination reservation status display is output. For example, the request acquisition unit 31 can acquire request information by an operation of designating a reservable inspection frame in the inspection reservation status display.

The request information is acquired in a state where the inspection frame ID, the subject ID, the inspection type, and the request source ID can be specified. The inspection frame ID is identified, for example, by the designation operation of the inspection frame. The examination type is acquired, for example, by an input operation on an examination type selection screen displayed along with the designation operation. The request source ID is identified by, for example, a login operation at the inspection request terminal 23 before output of the inspection reservation status display. The subject ID is automatically numbered by the request acquisition unit 31 after subject information (name, date of birth, etc.) is acquired by, for example, an input operation on an input screen displayed at the time of specifying the examination frame. Ru. In this case, the request acquisition unit 31 stores the acquired subject information and the numbered subject ID in the above-described subject table.
However, the acquisition method of the request information by the request acquisition unit 31 is not limited to such an example. The request acquisition unit 31 can also acquire the request information by an electronic mail including information that can specify the inspection frame ID, the subject ID, the inspection type, and the request source ID.

The request transmission unit 33 transmits the reservation request information to the inspection facility FC3 in accordance with the acquisition of the request information by the request acquisition unit 31. This reservation request information is information that notifies the inspection facility FC3 that an inspection reservation has been requested. The request transmission unit 33 may transmit the request information acquired by the request acquisition unit 31 as it is as reservation request information, or the information obtained by converting the acquired request information into a format easy for the inspection facility FC3 to make a reservation request You may transmit as information. In the latter case, for example, reservation request information indicating information on examination date and time, examination equipment, subject information, examination type, and examination request organization FC1 of the request source is transmitted.
The transmission method of the reservation request information by the request transmission unit 33 is not limited. The request transmission unit 33 may transmit the reservation request information by e-mail, or may transmit the reservation request information using a push type technology. The transmitted reservation information may be displayed on the inspection facility terminal 24 and referred to.

The reply reception unit 34 receives a reply to the reservation request information transmitted by the request transmission unit 33. Specifically, the reply receiving unit 34 receives, from the inspection facility terminal 24, a reply indicating whether or not the request for the examination reservation indicated by the reservation request information is accepted.
There is also no limitation on the method of replying from the inspection facility terminal 24. The inspection facility terminal 24 may reply by e-mail, or may reply by an input operation on the predetermined display outputted by the processing of the display processing unit 30.
In addition, in the examination facility FC3 equipped with a medical system in the facility, when a request for examination reservation is accepted, the reservation request information can be reflected in the medical system.

The reservation registration unit 32 corresponds to the above-described reservation registration unit 12 and specifies an examination frame ID, an examinee ID, an examination type, and a request source ID based on the request information acquired by the request acquisition unit 31. A data record (inspection reservation information) including the specified information is stored in the inspection reservation table.
Furthermore, in the present embodiment, the reservation registration unit 32 checks the examination reservation information corresponding to the request information according to the reply content from the inspection facility FC3 received by the reply reception unit 34 regarding the request information acquired by the request acquisition unit 31. Are determined in the examination reservation table. The reservation registration unit 32 stores examination reservation information when the reply contents indicate acceptance of a request for examination reservation, and does not store examination reservation information when indicating that the request is not accepted.
When the examination registration information is stored in the examination reservation table, the appointment registration unit 32 calculates the number of reserved persons registered in the examination frame based on the examination frame ID of the examination reservation information, and calculates the number of persons as the current appointment of the examination schedule table. Set in the item of the number of people. Furthermore, the reservation registration unit 32 can also set a value indicating reservation impossible in the reservation availability item of the same table, when the current number of reservation persons becomes the reservation limit number of the inspection frame.

The order generation unit 35 corresponds to the above-described order generation unit 13 and identifies the radiopharmaceutical corresponding to the examination type of the examination reservation information stored in the examination reservation table, and is the ordering information of the specified radiopharmaceutical Order information including verification date information corresponding to the inspection frame of the inspection reservation information;
In the present embodiment, the order generation unit 35 searches the product information table using the inspection equipment ID and the inspection type corresponding to the inspection frame ID of the target inspection reservation information as a key, and the inspection indicated by the inspection reservation information Identify the radiopharmaceutical product code and product name required for The order generation unit 35 generates order information including the order ID, the specified product code and product name, the quantity of the product, the verification date and time information corresponding to the inspection frame, and the information of the manufacturing facility FC5 as the order source. . A unique identifier may be assigned to the order ID each time order information is generated.

In the present embodiment, the order generation unit 35 generates the order information each time the reservation registration unit 32 stores new examination reservation information in the examination reservation table. For this reason, whether or not the order information is generated changes in accordance with the contents of the reply from the inspection facility FC3 received by the reply receiving unit 34. In addition, in the order information generated, the quantity of products (radiopharmaceuticals) required in one inspection is set. This makes it possible to prevent the omission of the order for the reserved examination.
However, the order generation unit 35 may generate order information at a predetermined cycle. The order creation unit 35 identifies unscheduled examination reservation information based on the order information in the data record (examination reservation information) stored in the examination reservation table, and generates the order information for the examination reservation information. . The predetermined cycle is set to a cycle that prevents the expiration date of the radiopharmaceutical order before the generation of the order information.

In the present embodiment, when the order generation unit 35 generates the order information, the order generation unit 35 reflects the order ID on the order information of the examination reservation information corresponding to the order information stored in the examination reservation table. Thus, the examination reservation information can be placed in the ordered state.
The order generation unit 35 transmits the generated order information to the made-to-order production management system 27 and the inspection facility FC3. The transmission method of order information to the made-to-order production management system 27 and the inspection facility FC3 is not limited.

The delivery information acquisition unit 36 acquires delivery information of the radiopharmaceutical ordered by the order information described above. The delivery information acquired is information indicating the status of delivery of the radiopharmaceutical.
In the present embodiment, the delivery information acquisition unit 36 acquires delivery information including the order ID from the delivery management system 28. The inspection reservation information corresponding to the delivery information can be specified by the order ID. Further, the delivery information acquiring unit 36 acquires delivery information indicating the degree of delay (for example, one hour delay) only when a delivery delay occurs to an extent that affects the inspection date and time specified in the order information. Good.
The delivery management system 28 can also provide the delivery information to the inspection facility FC3.

The information providing unit 37 provides examination schedule information addressed to the subject indicated by the examination reservation information corresponding to the order information upon the satisfaction of the predetermined condition regarding the delivery information described above.
The examination schedule information to be provided is information that causes the subject to change the scheduled examination schedule or to suggest that it is possible. For example, the examination schedule information indicates that the delivery delay of the radiopharmaceutical has occurred, that the examination schedule may be changed, the necessity of the inquiry to the examination facility FC3 or the examination request organization FC1, and the like. When the examination date and time after the change is decided, the examination date and time after the change may be indicated in the examination schedule information.
The above-mentioned "predetermined condition" is a condition related to delivery information and is a predetermined condition for providing inspection schedule information. For example, in the case where delivery information is provided from the delivery management system 28 only when there is a delivery delay that affects the verification date and time, the fact that the delivery information has been obtained by the delivery information obtaining unit 36 is The predetermined condition is satisfied. In addition, the fact that the delay degree indicated by the delivery information acquired by the delivery information acquisition unit 36 has a high possibility of affecting the inspection date may be considered as “the predetermined condition is satisfied”.

In the present embodiment, the delivery information is acquired only when the delivery delay to an extent that affects the verification date occurs, and the information providing unit 37 is triggered by the delivery information acquisition unit 36 acquiring the delivery information. Then, identification of the addressee's address and provision of examination schedule information are performed as follows. The information providing unit 37 identifies the examination reservation information corresponding to the delivery information from the examination reservation table by the order ID included in the acquired delivery information, and the subject ID of the identified examination reservation information. The email address of the examiner is specified from the subject table. The information provider 37 has identified an email including a predetermined character string “The schedule of the examination may be changed due to the delivery delay of the radiopharmaceutical. Please contact the examination facility FC3 or the examination request organization FC1” Send to the subject's email address.
The information providing unit 37 may also provide inspection schedule information to the inspection request organization FC1. For example, the mail address of the inspection request organization FC1 of the request source can be specified from the request source table by the request source ID of the specified inspection reservation information.
By providing such examination schedule information, it is possible to inform the patient of the possibility of changing the examination schedule due to the delivery delay of the radiopharmaceutical early, etc. Can be prevented in advance.

  Further, the information providing unit 37 can also provide the inspection facility terminal 24 of the inspection facility FC3 as a delivery destination with the delivery information acquired by the delivery information acquiring unit 36. In this case, the delivery information may be notified to the inspection facility terminal 24 by e-mail or the like, or the delivery information may be displayed on the inspection facility terminal 24 in accordance with access from the inspection facility terminal 24. When the delivery information is provided to the inspection facility terminal 24, the delivery information may be acquired from the delivery management system 28 as appropriate regardless of the degree of delivery delay.

The examination data acquisition unit 38 acquires an examination image of a nuclear medicine examination using the radiopharmaceutical ordered by the ordering information. That is, the inspection data acquisition unit 38 can also be called an image acquisition unit. In the present embodiment, the examination data acquisition unit 38 receives examination image data and clinical information from the examination facility terminal 24. The clinical information is information on the subject obtained from the subject in addition to the examination image at the nuclear medicine examination.
The examination image data and the clinical information are received in a state where they can be associated with information that can identify the subject (for example, the subject ID) or information that can identify the examination frame (for example, examination frame ID). The method for providing test image data and clinical information from the test facility FC3 is not limited. For example, the test image data is acquired by the test data acquisition unit 38 by being attached to an e-mail in which the name, sex and birth date of the subject, and clinical information are described. Further, the examination image data may be stored in the shared server together with the file in which the subject ID or the examination frame ID and the clinical information are described, and the examination data acquisition unit 38 may acquire examination image data etc. from the shared server . In addition, the display processing unit 30 displays a registration screen of examination image data and clinical information on the examination facility terminal 24, and the subject information is designated on the registration screen, and the examination image data and clinical information of the subject May be registered.

The analysis unit 39 analyzes the image of the inspection image acquired by the inspection data acquisition unit 38 to generate analysis information.
The examination image obtained by nuclear medicine examination is obtained by administering a radiopharmaceutical containing a radionuclide into the body of a subject and measuring the emitted gamma rays with a detector (PET apparatus or SPECT apparatus) . According to this examination image, it is possible to examine the functions (functions) of organs and tissues by the distribution and accumulation amount of radiopharmaceuticals administered into the body. However, the primary image obtained by the PET apparatus or SPECT apparatus is basically only an image of the distribution of the amount of gamma rays, and it is difficult to obtain a quantitative evaluation result as it is. Therefore, various quantitative analysis methods (such as the methods disclosed in Patent Document 4 to Patent Document 8) corresponding to the inspection type exist.
The analysis unit 39 can execute appropriate analysis processing for each inspection type, and generates analysis information by performing analysis processing corresponding to the inspection type on the inspection image data. For example, an analysis processing program for each inspection type is installed in another computer, and the analysis unit 39 causes the computer to execute analysis processing corresponding to the inspection type, and acquires analysis information as the analysis result from the computer. You may In this way, concentration of the processing load of the CPU 1 due to analysis processing can be prevented.
A known quantitative analysis method may be used for the analysis processing corresponding to each inspection type. Therefore, the specific content of the analysis information generated by the analysis unit 39 is not limited. An analysis image obtained by processing the inspection image, which is a primary image, may be obtained as analysis information, or statistical information obtained from the analysis image may be used as analysis information.

The analysis unit 39 associates the generated analysis information with information that can specify a subject (for example, a subject ID) or information that can specify an examination frame (for example, examination frame ID), and the information storage unit 40. Store in Thus, the information storage unit 40 can also be called an analysis holding unit.
When the analysis information is stored in the information storage unit 40, the information providing unit 37 can provide the analysis information to the inspection request organization FC1 and to the inspection facility FC3. The information providing unit 37 can specify the destination information (e.g., e-mail address) of the inspection request organization FC1 and the inspection facility FC3 from the request source table based on the information associated with the analysis information.
Thus, the analysis process of the inspection image is performed by the analysis unit 39, and the analysis information is provided to the inspection facility FC3, whereby the labor of the analysis work in the inspection facility FC3 can be reduced. In addition, by sequentially upgrading the analysis processing of the analysis unit 39 to the latest analysis technology, high-quality analysis information can be provided to the inspection facility FC3. Furthermore, the effort of updating the analysis software in the inspection facility FC3 can be reduced.

  In addition, the analysis unit 39 acquires the interpretation result information by the inspection facility FC3 based on the analysis information provided by the information providing unit 37, stores the interpretation result information in the information storage unit 40 in association with the above analysis information. You can also. In this case, the information providing unit 37 may provide the interpretation request information together with the analysis information to the examination request organization FC1. In addition, the information providing unit 37 may provide the above analysis information to the terminal of another certified specialist. In this case, the analysis unit 39 acquires the interpretation result information by the specialist, associates the interpretation result information with the above-mentioned analysis information, and stores it in the information storage unit 40, and the information providing unit 37 interprets the interpretation together with the analysis information. Result information may be provided to the inspection facility FC3 and the inspection request organization FC1.

[Nuclear medicine inspection support method]
Hereinafter, the nuclear medicine examination support method according to the present embodiment will be described in detail with reference to FIG. 9 and FIG.
FIG. 9 is a sequence chart showing steps until nuclear medicine examination is performed in the nuclear medicine examination support method according to the present embodiment, and FIG. 10 is a nuclear medicine examination in the nuclear medicine examination support method according to the present embodiment It is a sequence chart which shows the process after a result was obtained.
In the examples of FIGS. 9 and 10, the nuclear medicine examination support method according to the present embodiment is executed by the support server 20 described above. In addition, since the specific content of each process included in this method may be the same as that of what was demonstrated about each processing module which support server 20 has, it abbreviate | omits suitably.

First, the support server 20 causes the examination request terminal 23 to output an examination reservation status display (S11). The support server 20 can generate drawing data of the examination reservation status display based on the information stored in the examination plan table and the examination reservation table. As described above, the examination reservation status display is output in a state in which the appointmentable examination frame can be specified.
Also, prior to this, the support server 20 may execute the login process based on the user information and the like sent from the examination request terminal 23. In the login process, a request source ID capable of identifying the inspection request organization FC1 which is the request source of the inspection may be specified by the user information sent from the inspection request terminal 23.

In the examination request terminal 23, a desired examination frame is designated in the examination frame indicated in the examination reservation status display by the user operation on the examination request terminal 23. Further, the examination type of the examination in the designated examination frame and the information (name, date of birth, etc.) of the subject to receive the examination are input.
Thereby, the support server 20 acquires request information from the inspection request terminal 23 (S12). The request information includes an examination frame ID, an examination type, and subject information.

  When the support server 20 acquires the request information, the support server 20 confirms with the inspection facility FC3 whether or not the inspection reservation indicated by the request information may be registered (S13). Specifically, the support server 20 transmits reservation request information to the inspection facility FC3 and receives a reply from the inspection facility terminal 24. The contents of the reservation request information and the reply are as described above.

  The support server 20 stores the examination reservation information based on the request information acquired in (S12) in the examination reservation table when the reply contents from the examination facility terminal 24 indicate that the requested examination is accepted (S15). ). At this time, the support server 20 numbers the subject ID based on the subject information displayed in the request information acquired in (S12), and the subject ID, the name of the subject, A data record including the date of birth, gender, mail address, etc. is stored in the subject table. In the examination reservation information, the subject ID, the examination frame ID specified by the request information acquired in (S12), the examination type, and the request source ID are set.

  The support server 20 can provide examination guidance information to the subject when the examination reservation information is stored in the examination reservation table (S17). The examination guidance information is guidance information on the examination of the reserved examination frame, and shows examination date, visit time, access information to the examination facility FC3, and the like. The examination guide may be provided to the subject by e-mail addressed to the subject's e-mail address. Furthermore, the support server 20 can also notify the subject of a reminder notification of a reserved examination. The timing at which the reminder notification is issued may be determined in advance, and the reminder notification can prevent the subject from forgetting the examination date and time.

  Subsequently, the support server 20 generates order information based on the examination reservation information stored in the examination reservation table in (S15) (S20). At this time, the support server 20 identifies the inspection equipment ID by the inspection frame ID of the inspection reservation information, and uses it in the inspection indicated by the inspection reservation information based on the inspection equipment ID and the inspection type of the inspection reservation information. Identified radiopharmaceuticals. Further, the support server 20 specifies a verification date and time corresponding to the examination date and time indicated by the examination frame ID of the examination reservation information. As a result, the order information indicates the order ID, the product code and product name of the identified radiopharmaceutical (product), the quantity of the product, the date and time of verification, and information on the inspection facility FC3 as the order source. The order ID may be automatically numbered by the support server 20 each time the order information is generated, and the information on the inspection facility FC3 as the order source is the location and name of the inspection facility FC3, etc. It should just be held beforehand by.

  The support server 20 transmits the generated order information to the made-to-order production management system 27 and the inspection facility FC3 (S21). In the manufacturing facility FC5, a made-to-order production management system 27 and a delivery management system 28 operate. The made-to-order production management system 27 carries out order receiving processing, manufacturing request and the like based on the order placement information. As a result, the manufacturing facility FC5 manufactures the received radiopharmaceutical and sends the radiopharmaceutical to the ordering facility FC3.

  The delivery management system 28 manages the delivery status of the radiopharmaceutical to the inspection facility FC3. The delivery management system 28 notifies the support server 20 and the inspection facility FC3 of delivery information including the order ID, when a delivery delay affecting the verification date and time occurs. Thereby, the support server 20 acquires the delivery information (S23).

When the delivery information is acquired, the support server 20 generates examination schedule information (S25).
The examination schedule information is a fixedly held character string "The schedule of the examination may be changed due to the delivery delay of the radiopharmaceutical. Please inquire to the examination facility FC3 or the examination request organization FC1. Good. Further, the inspection schedule information may indicate the inspection date and time changed due to the delivery delay.

  The support server 20 provides the examination schedule information to the subject (S27). At this time, the support server 20 specifies the examination reservation information corresponding to the delivery information from the examination reservation table by the order ID included in the acquired delivery information, and the subject ID of the identified examination reservation information Thus, the e-mail address of the subject can be specified from the subject table.

  In the examination facility FC3, a nuclear medicine examination is carried out in the reserved examination frame, using the radiopharmaceutical delivered from the manufacturing facility FC5 based on the above-mentioned order information. Specifically, the radiopharmaceutical is administered into the body of a subject, and the emitted gamma rays are measured by a PET device or a SPECT device. In the examination facility FC3, the examination facility terminal 24 transmits examination image data and clinical information which are primary image data acquired by the measurement to the support server 20 as examination result information. However, such inspection result information may be stored in the shared server as long as it can be acquired by the support server 20.

  The support server 20 acquires examination image data and clinical information (S31). The support server 20 receives the information that can identify the subject (for example, the subject ID) or the information that can identify the examination frame (for example, the examination frame ID) in a state where they can be associated. The support server 20 holds the acquired examination image data and clinical information in association with information capable of identifying a subject or information capable of identifying an examination frame.

  Subsequently, the support server 20 performs image analysis of the inspection image based on the inspection image data (S33). Specifically, the support server 20 specifies the examination reservation information stored in the examination reservation table using the information that can identify the subject associated with the examination image data or the information that can identify the examination frame. Then, the image data is subjected to analysis processing corresponding to the inspection type of the inspection reservation information. That is, as described above, the support server 20 can execute a plurality of analysis processes corresponding to a plurality of inspection types.

The support server 20 stores the analysis information obtained by the analysis in the information storage unit 40 in association with the information that can specify the subject or the information that can specify the inspection frame (S35). For example, the support server 20 stores the analysis information in association with the subject ID or the inspection frame ID.
Then, the support server 20 provides the analysis information to the inspection facility FC3 and the inspection request organization FC1 (S37). The analysis information provided to the inspection facility FC3 and the analysis information provided to the inspection request organization FC1 may be different. The support server 20 can specify the address information (e.g., e-mail address) of the inspection request organization FC1 from the request source table based on the information associated with the analysis information, and further, the address information of the inspection facility FC3 (e-mail Address etc.) can be identified. However, the method of providing analysis information is not limited to such an example. The inspection facility terminal 24 and the inspection request terminal 23 may download (acquire) analysis information from the information storage unit 40 of the support server 20. Further, the support server 20 may store analysis information in the shared server, and the inspection facility terminal 24 and the inspection request terminal 23 may acquire the analysis information from the shared server.

[Supplement]
In the above-mentioned embodiment, although one inspection facility FC3 is targeted in order to make the explanation easy to understand, the support server 20 can respectively support the operation of each inspection in a plurality of inspection facilities FC3. When a plurality of inspection facilities FC3 are to be supported, for example, an inspection reservation table and an inspection plan table may be provided for each inspection facility FC3, and an inspection reservation status display may be output for each inspection facility FC3. Good. In this case, the support server 20 may display a screen for selecting the inspection facility FC3 on the inspection request terminal 23, and cause the user of the inspection request terminal 23 to select a desired inspection facility FC3.

[Modification]
The above embodiment is an example, and the format of each table stored in the information storage unit 40 is not limited to the above example.
For example, the inspection frame ID may not be provided, and the inspection frame may be identified by a combination of the inspection date and time and the inspection equipment ID. Further, when there is only one inspection facility of the inspection facility FC3, the inspection frame ID and the inspection equipment ID may not be provided, and the inspection frame may be identified only by the inspection date and time.
Further, the subject may be identified by the name, date of birth, and sex of the subject without providing the subject ID. Similarly, the request source ID may not be used.

Moreover, the above-mentioned each embodiment and each modification can be combined in the range in which the contents do not contradict each other.
Also, part or all of the above content may be specified as follows. However, the above content is not limited to the following description.

(1) A request acquisition unit for acquiring request information on nuclear medicine examinations,
A reservation registration unit that stores inspection reservation information indicating an inspection frame and an inspection type in the inspection reservation table based on the acquired request information;
A radiopharmaceutical corresponding to the examination type of the examination appointment information is specified, and ordering information including ordering date information of the specified radiopharmaceutical corresponding to the examination frame of the examination appointment information is generated. An order generation unit,
Nuclear medicine examination support device provided with
(2) The examination reservation information includes the examination frame or the subject information,
An image acquisition unit for acquiring an inspection image of a nuclear medicine inspection using a radiopharmaceutical ordered by the order information;
An analysis unit that performs image analysis on the acquired inspection image to generate analysis information;
An analysis holding unit that holds the generated analysis information in association with the examination frame or the subject information;
The nuclear medicine test support apparatus according to (1), further comprising:
(3) The examination reservation information includes subject information.
A delivery information acquisition unit for acquiring delivery information of the radiopharmaceutical ordered by the ordering information;
An information providing unit that provides examination schedule information addressed to the subject indicated by the examination reservation information corresponding to the order information upon the satisfaction of the predetermined condition regarding the delivery information;
The nuclear medicine test support apparatus according to (1) or (2), further comprising:
(4) A display processing unit that causes a display device to output an examination reservation status display indicating whether or not reservations can be made for each inspection frame
And further
The display processing unit changes the reservation availability for each inspection frame indicated in the inspection reservation status display, based on the information on the ordering deadline of the radiopharmaceutical.
The nuclear medicine test support device according to any one of (1) to (3).
(5) A request transmission unit for transmitting reservation request information to an examination facility performing a nuclear medicine examination in accordance with acquisition of the request information by the request acquisition unit;
A reply receiving unit that receives a reply to the reservation request information;
And further
The inspection frame is provided for each inspection date and time,
The reservation request information indicates the examination frame, the examination type, the request source organization, and the subject of the nuclear medicine examination.
Whether or not the order information is generated by the order generation unit differs according to the received reply.
The nuclear medicine inspection support device according to any one of (1) to (4).
(6) Obtain request information for nuclear medicine examination,
Storing examination reservation information indicating examination frames and examination types in the examination reservation table based on the acquired request information,
Identifying a radiopharmaceutical corresponding to the test type of the test reservation information;
Generating ordering information that is ordering information of the specified radiopharmaceutical and that includes verification date information corresponding to the examination frame of the examination reservation information;
Nuclear medicine inspection support method including.
(7) The examination reservation information includes the examination frame or the subject information,
Obtain an examination image of a nuclear medicine examination using a radiopharmaceutical ordered by the ordering information,
Image analysis of the acquired inspection image to generate analysis information;
Storing the generated analysis information in association with the examination frame or the subject information;
The nuclear medicine test support method according to (6), further including.
(8) The examination reservation information includes the subject information,
Obtain delivery information of the radiopharmaceutical ordered by the ordering information,
The examination schedule information is provided to the subject indicated by the examination reservation information corresponding to the order information upon the satisfaction of the predetermined condition regarding the delivery information.
The nuclear medicine test support method as described in (6) or (7) which further includes.
(9) The inspection reservation status display indicating the availability of reservation for each inspection frame is output to the display device,
Change the availability of reservation for each examination frame indicated in the examination reservation status display based on the information on the order deadline of the radiopharmaceuticals,
The nuclear medicine test support method according to any one of (6) to (8), further including
(10) With the acquisition of the request information, the reservation request information is transmitted to the inspection facility that performs the nuclear medicine inspection,
Receiving a reply to the reservation request information;
Further include
The inspection frame is provided for each inspection date and time,
The reservation request information indicates the examination frame, the examination type, the request source organization, and the subject of the nuclear medicine examination.
Whether or not the order information is generated differs depending on the received reply,
The nuclear medicine test support method according to any one of (6) to (9).

(8) A nuclear medicine examination support method executed by at least one computer, comprising:
  Referring to an examination reservation table storing examination reservation information indicating an examination frame and an examination type,
  Identifying a radiopharmaceutical based on at least the examination type of the examination reservation information;
  Generating ordering information that is ordering information of the specified radiopharmaceutical and that includes verification date information corresponding to the examination frame of the examination reservation information;
  Nuclear medicine inspection support method including.
(9) Identifying unscheduled examination reservation information among the examination reservation information stored in the examination reservation table, in a cycle where the order deadline for radiopharmaceuticals is not missed.
  Further include
  The order information is generated for the unscheduled examination reservation information.
  The nuclear medicine test support method as described in (8).
(10) When the order information is generated, the order reservation identifier corresponding to the generated order information is reflected on the examination reservation information corresponding to the generated order information stored in the inspection reservation table.
  The nuclear medicine test support method according to (8) or (9), further including
(11) The examination reservation information includes the examination frame or the subject information,
  Obtain an examination image of a nuclear medicine examination using a radiopharmaceutical ordered by the ordering information,
  Image analysis of the acquired inspection image to generate analysis information;
  Storing the generated analysis information in association with the examination frame or the subject information;
  The nuclear medicine test support method according to any one of (8) to (10), further including
(12) The examination reservation information includes subject information.
  Obtain delivery information of the radiopharmaceutical ordered by the ordering information,
  The examination schedule information is provided to the subject indicated by the examination reservation information corresponding to the order information upon the satisfaction of the predetermined condition regarding the delivery information.
  The nuclear medicine test support method according to any one of (8) to (11), further including
(13) The inspection reservation status display indicating the availability of reservation for each inspection frame is output to the display device,
  Change the availability of reservation for each examination frame indicated in the examination reservation status display based on the information on the order deadline of the radiopharmaceuticals,
  The nuclear medicine test support method as described in any one of (8) to (12) which further includes.
(14) With the acquisition of the request information, the reservation request information is transmitted to the examination facility that conducts the nuclear medicine examination,
  Receiving a reply to the reservation request information;
  Further include
  The inspection frame is provided for each inspection date and time,
  The reservation request information indicates the examination frame, the examination type, the request source organization, and the subject of the nuclear medicine examination.
  Whether or not the order information is generated differs depending on the received reply,
  The nuclear medicine test support method according to any one of (8) to (13).

1 CPU
2 Memory 4 Communication unit 10, 20 Nuclear medicine examination support server (support server)
22 patient terminal 23 examination request terminal 24 examination facility terminal 27 received order production management system 28 delivery management system 30 display processing unit 11, 31 request acquisition unit 12, 32 reservation registration unit 33 request transmission unit 34 reply reception unit 13, 35 order generation unit 36 Transportation information acquisition unit 37 Information provision unit 38 Inspection data acquisition unit 39 Analysis unit 40 Information storage unit

Claims (6)

A request acquisition unit for acquiring nuclear medicine inspection request information;
A reservation registration unit that stores inspection reservation information indicating an inspection frame and an inspection type in the inspection reservation table based on the acquired request information;
A radiopharmaceutical corresponding to the examination type of the examination appointment information is specified, and ordering information including ordering date information of the specified radiopharmaceutical corresponding to the examination frame of the examination appointment information is generated. An order generation unit,
Nuclear medicine examination support device provided with The examination reservation information includes the examination frame or the subject information,
An image acquisition unit for acquiring an inspection image of a nuclear medicine inspection using a radiopharmaceutical ordered by the order information;
An analysis unit that performs image analysis on the acquired inspection image to generate analysis information;
An analysis holding unit that holds the generated analysis information in association with the examination frame or the subject information;
The nuclear medicine test support apparatus according to claim 1, further comprising: The examination reservation information includes subject information.
A delivery information acquisition unit for acquiring delivery information of the radiopharmaceutical ordered by the ordering information;
An information providing unit that provides examination schedule information addressed to the subject indicated by the examination reservation information corresponding to the order information upon the satisfaction of the predetermined condition regarding the delivery information;
The nuclear medicine test support apparatus according to claim 1, further comprising: A display processing unit that causes a display device to output an examination reservation status display indicating availability of reservation for each inspection frame;
And further
The display processing unit changes the reservation availability for each inspection frame indicated in the inspection reservation status display, based on the information on the ordering deadline of the radiopharmaceutical.
The nuclear medicine test support device according to any one of claims 1 to 3. A request transmission unit that transmits reservation request information to an examination facility performing a nuclear medicine examination in accordance with acquisition of the request information by the request acquisition unit;
A reply receiving unit that receives a reply to the reservation request information;
And further
The inspection frame is provided for each inspection date and time,
The reservation request information indicates the examination frame, the examination type, the request source organization, and the subject of the nuclear medicine examination.
Whether or not the order information is generated by the order generation unit differs according to the received reply.
The nuclear medicine test support device according to any one of claims 1 to 4. Obtain request information for nuclear medicine examination,
Storing examination reservation information indicating examination frames and examination types in the examination reservation table based on the acquired request information,
Identifying a radiopharmaceutical corresponding to the test type of the test reservation information;
Generating ordering information that is ordering information of the specified radiopharmaceutical and that includes verification date information corresponding to the examination frame of the examination reservation information;
Nuclear medicine inspection support method including.

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