JP2019215591A - Display controller and medical image display system - Google Patents

Abstract

To enable a user to easily recognize an inspection for which image reading needs to be performed preferentially.SOLUTION: According to a control unit 21 of a server device 2, an image reading priority setting screen 330 (336) for inputting the order of preference among a plurality of items in inspection information and a priority condition per item is displayed by an image display device 3, and the order of preference among a plurality of items in inspection information and the priority condition per item having been inputted from the screen are set to a user database 253. Then, the inspection information stored in an inspection information database 252 is sorted and the order of preference of image reading between inspections is determined on the basis of the order of preference among a plurality of items in inspection information and the priority condition per item that have been set, and information relating to an inspection for which image reading needs to be performed preferentially is displayed by display means in a user recognizable manner.SELECTED DRAWING: Figure 5

Description

  The present invention relates to a display control device and a medical image display system.

  Conventionally, a medical image obtained by imaging a patient is registered in a database in association with examination information and the like. The examination information registered in the database can be displayed in a list on an image interpretation terminal for a doctor to perform image interpretation.When performing an image interpretation, the doctor selects an examination to be interpreted from the displayed examination list and interprets the image. It is carried out.

  For example, Patent Literature 1 describes that when an examination list is displayed, an icon indicating that an examination has been interpreted is displayed for an examination that has been interpreted.

JP 2004-287732 A

  However, in the technique described in Patent Literature 1, it is only displayed in the examination list whether or not the interpretation has been completed. Therefore, when there are a plurality of unexamined examinations, the user (doctor) preferentially interprets the interpretation. You have to decide which tests to do. However, it is difficult for the user to instantly judge which examination should be preferentially interpreted from a list with a large amount of information, and it takes time to select examinations. There was a problem that it might happen.

  An object of the present invention is to enable a user to easily recognize an examination to be preferentially interpreted.

In order to solve the above-mentioned problems, a display control device according to the first aspect of the present invention includes:
Storage means for storing a plurality of pieces of inspection information constituted by a plurality of items;
Setting means for setting a priority order among a plurality of items in the inspection information and a priority condition for each item according to a user operation;
Control for determining the priority of image interpretation between examinations based on the priority between the plurality of items and the priority condition for each item in the examination information, and displaying the examination to be preferentially interpreted on the display means so as to be identifiable. Means,
Is provided.

The invention according to claim 2 is the invention according to claim 1,
The control unit determines the image reading priority by executing a sorting process from the item having a higher priority in the examination information.

The invention according to claim 3 is the invention according to claim 1 or 2,
The control means causes the display means to display notification information for notifying a user of the examination to be preferentially interpreted.

The invention according to claim 4 is the invention according to claim 3,
The control means determines an examination in a range in which the interpretation priority is set in advance from the highest as an examination with high urgency to perform the interpretation with priority, and notifies the user of the determined examination with high urgency. Notification information to be displayed on the display means.

The invention according to claim 5 is the invention according to claim 3,
The setting means can further set, in accordance with a user operation, up to which priority item in the examination information is used for determining a highly urgent examination to be performed with priority in interpretation,
The control unit should preferentially interpret the examination corresponding to the examination information in which all the items set by the setting unit as the items used for the determination of the highly urgent examination satisfy the priority condition of the item. A determination is made as a highly urgent test, and notification information for notifying the user of the determined highly urgent test is displayed on the display means.

The invention according to claim 6 is the invention according to any one of claims 3 to 5,
The control means, when the notification information displayed on the display means is designated by a user operation, causes the display means to display an image interpretation screen for interpreting the medical image of the examination notified by the notification information.

The invention according to claim 7 is the invention according to any one of claims 1 to 6,
The setting means can further set a day of the week and / or a time zone for displaying information relating to the examination to be preferentially interpreted according to a user operation,
The control unit determines the image reading priority and displays the examination to be preferentially interpreted only on the day of the week and / or the time zone set by the setting unit.

The medical image display system according to the invention according to claim 8,
Storage means for storing a plurality of pieces of inspection information constituted by a plurality of items;
Setting means for setting a priority order among a plurality of items in the inspection information and a priority condition for each item according to a user operation;
Display means;
A diagnostic reading priority between examinations is determined based on a priority between the plurality of items in the examination information and a priority condition for each of the items, and an examination to be preferentially interpreted is displayed on the display means so as to be identifiable. Control means;
Is provided.

  According to the present invention, it is possible for a user to easily recognize an examination to be preferentially interpreted.

FIG. 1 is a diagram illustrating an example of an overall configuration of a medical image display system according to an embodiment. FIG. 2 is a block diagram illustrating a functional configuration of the server device of FIG. 1. FIG. 2 is a block diagram illustrating a functional configuration of the image display device of FIG. 1. FIG. 7 is a diagram illustrating an example of a radiology priority setting screen. 3 is a flowchart illustrating a display control process A executed by the control unit in FIG. 2. It is a figure showing an example of notice information. It is a figure showing other examples of notice information. It is a figure showing other examples of notice information. It is a figure showing other examples of notice information. FIG. 3 is a diagram illustrating an example of an image interpretation screen. FIG. 14 is a diagram illustrating an example of a radiology priority setting screen on which notification use can be set; It is a figure showing an example of a reading priority order setting screen which can set the day of the week and / or time zone which uses a notice. FIG. 11 is a diagram illustrating an example of an image interpretation priority setting screen on which an urgency determination level can be set. FIG. 11 is a diagram illustrating an example of an image interpretation priority setting screen on which an urgency determination level can be set. 3 is a flowchart illustrating a display control process B executed by the control unit in FIG. 2.

  Hereinafter, preferred embodiments according to the present invention will be described with reference to the drawings. The present invention is not limited to the illustrated example.

<First embodiment>
(Configuration of Medical Image Display System 100)
First, the configuration of the first embodiment of the present invention will be described.
FIG. 1 shows a system configuration of a medical image display system 100 according to the present embodiment.
As shown in FIG. 1, the medical image display system 100 includes an image generation device 1, a server device 2, and an image display device 3. These devices 1 to 3 are connected to each other via a communication network N constructed in a medical facility such as a LAN (Local Area Network) so that data can be transmitted and received between them. For the communication network N, DICOM (Digital Imaging and Communication in Medicine) standard is applied. The number of each device is not particularly limited.

Hereinafter, each of the constituent devices 1 to 3 will be described.
The image generation device 1 is a modality that captures a subject part in a human body and generates digital data of the captured image (medical image), for example, a CR (Computed Radiography) device, an FPD (Flat Panel Detector) device, a CT ( A Computed Tomography device, an MRI (Magnetic Resonance Imaging) device, an ultrasonic diagnostic device, and the like are applicable.

  The image generating apparatus 1 is an apparatus conforming to the above-mentioned DICOM standard, and is capable of externally inputting various kinds of information (supplementary information) to be attached to each generated medical image, and can also automatically generate the information. As additional information, for example, patient ID, patient name, gender, date of birth, examination ID, examination time, examination conditions (imaging part, imaging direction, body position, etc.), examination description, modality type, interpretation request flag (ON / OFF) and the like. The image generating apparatus 1 adds the additional information and a UID (Unique ID) for identifying the image as header information to the generated medical image and transmits the medical image to the server apparatus 2 via the communication network N.

  The server device 2 stores and manages a plurality of medical images generated by the image generation device 1 in a database (image DB 251). In addition, the server device 2 executes a display control process A, which will be described later, determines the priority of image interpretation between examinations, and causes the image display device 3 to display an examination to be preferentially interpreted on an image basis.

FIG. 2 shows a functional configuration example of the server device 2.
As shown in FIG. 2, the server device 2 includes a control unit 21, an operation unit 22, a display unit 23, a communication unit 24, and a storage unit 25, and each unit is connected by a bus 26.

  The control unit 21 includes a CPU (Central Processing Unit), a RAM (Random Access Memory), and the like. The CPU of the control unit 21 reads various programs such as a system program and a processing program stored in the storage unit 25 and expands them on the RAM, and executes various processes according to the expanded programs. The control unit 21 functions as a setting unit and a control unit by executing a display control process A described later.

  The operation unit 22 includes a keyboard provided with character input keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. Is output to the control unit 21 as an input signal.

  The display unit 23 includes, for example, a monitor such as a CRT (Cathode Ray Tube) and an LCD (Liquid Crystal Display), and displays various screens according to an instruction of a display signal input from the control unit 21.

  The communication unit 24 includes a LAN card and the like, and transmits and receives data to and from an external device connected to the communication network N.

  The storage unit 25 includes, for example, a hard disk drive (HDD) or a nonvolatile semiconductor memory. Various programs are stored in the storage unit 25 as described above. The program stored in the storage unit 25 stores a program for executing a display control process A described later.

  The storage unit 25 includes an image DB (Data Base) 251, an examination information DB 252, and a user DB 253.

The image DB 251 is a database for storing medical images.
The examination information DB 252 is a database for storing information (examination information) related to an examination of a medical image captured in the image DB 251. The examination information stored in the examination information DB 252 includes an examination ID, a patient ID of a subject, a patient's name, gender, date of birth, examination time, examination conditions (imaging part, imaging direction, body position, etc.), and examination description. , Modality type, interpretation request flag (ON / OFF), interpretation status (uninterpreted / interpretation completed), UID of medical image taken by examination, file storage location of medical image, storage location of interpretation report, etc. Is included.

  The user DB 253 is a database for storing user information of users (doctors) who can read medical images stored in the image DB 251. The user information includes login information such as a user ID and a password, a user name, a medical department, and interpretation priority setting information (details will be described later).

  When the medical image is received from the image generating apparatus 1 by the communication unit 24, the control unit 21 stores the received medical image in the image DB 251 and integrates the header information of the received medical image for each examination. Stored in the inspection information DB 252. At this time, the interpretation status information is uninterpreted. When the registration of an interpretation report is instructed from the image display device 3 by the communication unit 24, the control unit 21 stores the registration-instructed interpretation report in the storage unit 25, and changes the interpretation status information to interpretation completion. .

  The image display device 3 is a reading screen for reading a medical image stored in the image DB 251 of the server device 2 (see FIG. 10), a test list screen for selecting a test to be read, and transmitted from the server device 2. This is a terminal device equipped with an image interpretation application for displaying notification information and the like to be received. As the image display device 3, a personal computer, a tablet, a smartphone, or the like is applicable.

FIG. 3 shows a functional configuration example of the image display device 3.
As illustrated in FIG. 3, the image display device 3 includes a control unit 31, an operation unit 32, a display unit 33, a communication unit 34, and a storage unit 35, and each unit is connected by a bus 36.

  The control unit 31 includes a CPU, a RAM, and the like. The CPU of the control unit 31 reads various programs such as the system program and the image reading application stored in the storage unit 35 and expands them in the RAM, and executes various processes according to the expanded programs.

  The operation unit 32 includes a keyboard provided with character input keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. Is output to the control unit 31 as an input signal. The operation unit 32 may include a touch panel on the display screen of the display unit 33. In this case, the operation unit 32 outputs an instruction signal input via the touch panel to the control unit 31.

  The display unit 33 includes a monitor such as a CRT (Cathode Ray Tube) and an LCD (Liquid Crystal Display), and displays various screens in accordance with an instruction of a display signal input from the control unit 31.

  The communication unit 34 includes a LAN card or the like, and transmits and receives data to and from an external device connected to the communication network N by wire or wirelessly.

The storage unit 35 includes, for example, a hard disk drive (HDD) or a nonvolatile semiconductor memory. The storage unit 35 stores various programs including the system program and the interpretation application as described above.

(Operation of Medical Image Display System 100)
Next, the operation of the medical image display system 100 will be described.

  When the user accesses the image interpretation application for the first time, the control unit 31 of the image display device 3 transmits a new user registration request to the server device 2 by the communication unit 34 according to the image interpretation application. Upon receiving the new user registration request, the control unit 21 of the server device 2 transmits screen information of a user registration screen (not shown) to the image display device 3 via the communication unit 24 and causes the display unit 33 to display the screen information. And input of user information such as login information such as a password, a user name, and a medical department. Further, the control unit 21 transmits the screen information of the interpretation priority setting screen 330 to the image display device 3 to display the screen information on the display unit 33, and determines the priority among the plurality of items in the examination information when determining the interpretation priority. Input of interpretation priority setting information such as the order and priority conditions (priority contents and priority order) for each item is received. Then, the control unit 21 of the server device 2 registers (sets) the input user information and the interpretation priority setting information in the user DB 253.

FIG. 4 shows an example of the interpretation priority setting screen 330. As shown in FIG. 4, the interpretation priority setting screen 330 is a screen for the user to input the interpretation priority setting information. In FIG. 4, a first priority item (for example, a reading status) which should be given the highest priority when determining a reading priority order among a plurality of items in the examination information, and a priority condition (for example, unread) of the item, 2 Second priority item (eg, inspection time) to be given first priority and priority condition of that item (in order of current time), third priority item (eg, modality) to be given third priority, and priority condition of that item (MR, CT) A fourth priority item (for example, an imaging region) to be given fourth priority and a priority condition (head) of the item can be set as image reading priority setting information.
In the present embodiment, an example will be described in which priority levels 1 to 4 (from the first priority item to the fourth priority item) can be set as image interpretation priority items, but the number of priority items is not particularly limited.

  Here, in the interpretation application, an interpretation mode or a setting mode can be designated as an operation mode in the medical image display system 100. The interpretation mode is a mode for a user to interpret a medical image. The setting mode is a mode for changing settings of user information and image interpretation priority setting information. The server apparatus 2 executes a display control process A, which will be described later, as an image reading mode when there is an access from the image reading application of the image display device 3. However, when an operation in the setting mode is instructed by the image reading application, a user setting screen or image reading is performed. A priority setting screen 330 is displayed on the display unit 33, and a change in the setting content is accepted.

  FIG. 5 shows a flowchart of a display control process A executed by the control unit 21 when the image reading application is started in the image display device 3 and the server device 2 is accessed from the image reading application. The display control processing A is executed in cooperation with the control unit 21 and a program stored in the storage unit 25.

  First, the control unit 21 displays a login screen on the display unit 33 of the image display device 3, and performs login authentication based on information input from the login screen (step S1).

  Next, the control unit 21 reads the interpretation priority setting information corresponding to the login user stored in the user DB 253 (step S2).

Next, the control unit 21 sorts the examination information stored in the examination information DB 252 based on the priority condition of the first priority item set in the interpretation priority setting information (step S3), and then sorts the second inspection information. Sorting based on the priority condition of the priority item (step S4), then sorting based on the priority condition of the third priority item (step S5), and then sorting based on the priority condition of the fourth priority item (step S5) S6).
Through the processing in steps S3 to S6, the interpretation priority between examinations is determined.

  Here, steps S2 to S6 are processes performed in the background in the server device 2. During this time, the user operates the operation unit 32 of the image display device 3 and instructs the image interpretation application to display the examination list screen. Etc. can be performed. When the display of the examination list screen is instructed, the control unit 31 of the image display apparatus 3 requests the server apparatus 2 to provide the examination list screen by the communication unit 34. Upon receiving the examination list screen display request, the control unit 21 of the server device 2 waits for the end of step S6, and when step S6 ends, the order of examinations to be preferentially interpreted (the order of higher interpretation priorities). ) Is displayed on the image display device 3. Thereby, the user can easily recognize the examination to be performed with priority on the interpretation. In addition, the user may operate the operation unit 32 to close the screen of the image reading application, and the display control process A is executed in the server device 2 until the user logs out even if the screen of the image reading application is closed.

  Next, as a result of sorting, the control unit 21 determines that the examination having the highest priority is the examination to be performed with the highest priority for the image reading, and notifies the user of the notification information for notifying the user of the examination to be performed with the highest priority. It is generated, transmitted to the image display device 3 by the communication unit 24, and displayed on the display unit 33 (step S7). At this time, the notification information may be transmitted to and displayed on an image display device different from the image display device 3 on which the user performs image interpretation.

  6 to 9 show examples of the notification information displayed on the display unit 33 in step S7.

  FIG. 6 is a diagram illustrating an example of the notification information 331 displayed on the examination list screen when the examination list screen is displayed on the display unit 33. As shown in FIG. 6, the notification information 331 displays information of predetermined items of examination information such as information (patient name, examination time, modality, radiographed part, etc.) relating to examination to be performed with the highest priority. The displayed pop-up screen is displayed in a manner that can be identified by the user. On the pop-up screen, an image interpretation button 331a and a cancel button 331b are displayed. When the interpretation button 331a is pressed by the operation unit 32, the control unit 31 notifies the server device 2 by the communication unit 34 that the notification information 331 is specified.

  FIG. 7 is a diagram illustrating an example of the notification information 332 displayed in the examination list screen when the examination list screen is displayed on the display unit 33. As shown in FIG. 7, the notification information 332 is, for example, information on an examination to be interpreted with the highest priority on the examination list screen, displayed in a color different from other colors so that the user can identify it. When the notification information 332 is pressed by the operation unit 32, the control unit 31 notifies the server device 2 by the communication unit 34 that the notification information 332 is specified.

  FIG. 8 is a diagram illustrating an example of the notification information 333 displayed on the display unit 33 when the screen of the image interpretation application is closed. As shown in FIG. 8, the notification information 333 includes, for example, information (patient name, examination time, modality, etc.) on examinations to be performed with the highest priority on a screen (standby screen or the like) displayed on the display unit 33. The information is displayed as a pop-up screen on which information of a predetermined item of the examination information, such as an imaging part, is displayed in a form that can be identified by the user. When the notification information 333 is pressed by the operation unit 32, the control unit 31 notifies the server device 2 via the communication unit 34 that the notification information 333 has been designated.

FIG. 9 is a diagram illustrating an example of the notification information 334 displayed on the display unit 33 when the screen of the image interpretation application is closed. As shown in FIG. 9, the notification information 334 indicates that there is an examination that should be performed with the highest priority, such as “new examination”, on a screen (standby screen or the like) displayed on the display unit 33. The displayed information is displayed as a pop-up screen. When the notification information 334 is pressed by the operation unit 32, the control unit 31 notifies the server device 2 via the communication unit 34 that the notification information 334 has been designated.
The notification information 334 is effective when the user does not want to display the patient name or the like on the screen when the image reading application is not opened, for example, from the viewpoint of security or the like. The notification information 333 and the notification information 334 are set according to the setting. The notification can be made in any of the modes.

Next, the control unit 21 determines whether or not the communication unit 24 has received the notification that the notification information has been designated from the image display device 3 (Step S8).
When it is determined that the notification information has been specified by the operation unit 32 from the image display device 3 (step S8; YES), the control unit 21 reads the medical image of the examination to be performed with the highest priority. The screen information of the image interpretation screen 335 is generated and transmitted to the image display device 3 by the communication unit 24, and the image interpretation screen 335 is displayed on the display unit 33 (step S9).

  FIG. 10 shows an example of the interpretation screen 335. As shown in FIG. 10, a medical image of an examination to be interpreted with the highest priority is displayed on the image interpretation screen 335. The user interprets the medical image on the interpretation screen 335 and creates an interpretation report. When the creation of the interpretation report is completed, for example, an operation of closing the interpretation screen 335 by the operation unit 32 is performed. When an operation indicating completion of image interpretation is detected by the operation unit 32, the control unit 31 of the image display device 3 transmits a notification of image interpretation completion and an image interpretation report to the server device 2 via the communication unit 34.

  When the communication unit 24 receives the notification of the completion of the interpretation and the interpretation report from the image display device 3 (step S10; YES), the control unit 21 stores the received interpretation report in the storage unit 25, and stores it. The location is added to the examination information of the interpreted examination in the examination information DB 252, and the interpretation status is changed to “interpretation completed” (step S11), and the process proceeds to step S12.

  On the other hand, if it is determined in step S8 that the notification information has not been designated from the image display device 3 by the communication unit 24 within the predetermined time (step S8; NO), the control unit 21 proceeds to step S12. I do.

In step S12, the control unit 21 determines whether a logout request from the image display device 3 has been received by the communication unit 24 (step S12). When determining that the logout request has not been received (step S12; NO), the control unit 21 sorts the examination information stored in the examination DB 252 again based on the interpretation priority setting information read in step S2. (Step S13), the process returns to step S7, and the processes of steps S7 to S12 are repeatedly executed.
In step S13, the sorting in steps S3 to S6 is performed. When a new medical image is transmitted from the image generation device 1 and registered in the image DB 251, sorting can be performed including inspection of the new medical image.

  When determining that the logout request from the image display device 3 has been received by the communication unit 24 (step S12; YES), the control unit 21 ends the display control process A.

In the above-described display control process A, it has been described that the reading priority order between examinations is always determined based on the reading priority setting information during login, and the user is notified of the examination to be performed with priority in interpretation. As shown in FIG. 11, a check box 330a for instructing to use the above notification is provided on the interpretation priority setting screen 330, and the control unit 21 displays the image only when the check box 330a is checked. The control processing A is executed to determine the interpretation priority between examinations and to notify the examination to be preferentially interpreted. When the check is not checked, the examination list screen is displayed on the display unit 33 according to the user operation. It is also possible to perform an operation of displaying and displaying an image reading screen for reading the medical image of the examination selected by the user from the examination list screen (referred to as a normal operation). . The examination list screen displayed in the normal operation is a screen in which examinations are arranged in an order predetermined by the server device 2 such as an examination time order, an examination ID order, or the like.
According to this configuration, it is possible to easily switch whether or not to give notification of an examination to be performed with priority on interpretation according to the operation of the user.

  The determination as to whether or not the check box 330a on the interpretation priority setting screen 330 has been checked can be made by the following method. For example, a notification flag item is added to the interpretation priority setting information of the user DB 253, and information of ON / OFF of the notification flag indicating presence / absence of a check is included in the interpretation priority setting information transmitted from the image display device 3. The control unit 21 stores the information of the notification flag of the interpretation priority setting information received from the image display device 3 in the user DB 253, and refers to the information when the user logs in to display the interpretation priority setting screen 330. It is possible to determine whether the check box 330a is checked.

Further, as shown in FIG. 12, an input field 330 b for inputting a day of the week and / or a time zone to use the notification of the examination to be preferentially interpreted is provided on the image interpretation priority setting screen 330. Only on the day and / or time period designated in the input field 330b, the display control processing A is performed to notify a test to be performed preferentially for interpretation, and the other days and / or time periods are The normal operation described above may be performed.
With this configuration, for example, when the day of the week and / or the time zone for performing image interpretation is determined, only the day of the week and / or the time zone can be set as the time for using the notification. The notification can be prevented from being performed on days and / or time zones where there is no. The load on the server device 2 can also be reduced.

  The day of the week and / or the time zone input from the input field 330b of the interpretation priority setting screen 330 can be specified by the following method. For example, an item of a day and / or a time zone to use a notification is added to the interpretation priority setting information of the user DB 253, and a day and / or a time zone to use the notification to the interpretation priority setting information transmitted from the image display device 3 are added. Include the information. The control unit 21 stores the information of the day of the week and / or the time zone using the notification of the interpretation priority setting information received from the image display device 3 in the user DB 253, and based on the contents registered in the user DB 253. Determine the days and / or times of the day to use the notification.

  Further, in the display control processing A, the examination to be preferentially interpreted is determined by performing sorting in accordance with the priority condition in order from the first priority item, but filtering is performed in accordance with the priority condition in order from the first priority item. Alternatively, only the examinations in which all the set items satisfy the priority condition may be determined as the examinations to be performed with higher priority in the interpretation and the notification may be given. If there is no corresponding test as a result of the filtering, no notification is made.

<Second Embodiment>
Hereinafter, a second embodiment of the present invention will be described.
In the first embodiment, sorting is performed in accordance with the priority order among a plurality of items in the inspection information and the priority condition for each item set by the user, and the inspection having the highest rank is determined as the inspection to be interpreted with the highest priority. In the second embodiment, the user is notified of which priority item among priority-set items is used to determine urgency (referred to as an urgency determination level). In the following, an example will be described in which filtering is performed in order from the first priority item to the item of the set order, and the obtained test is notified to the user as a test having a high urgency to preferentially perform image interpretation.

  In the second embodiment, the storage unit 25 stores a program for executing a display control process B described later. Further, in the user DB 253 of the storage unit 25, items for storing the urgency determination level in addition to the priority between a plurality of items of the examination information and the priority condition for each item are provided as the interpretation priority setting information. .

  Other configurations in the second embodiment are the same as those described in the first embodiment with reference to FIGS. 1 to 3, and thus the description is referred to, and the operation of the second embodiment will be described below. .

  When the user accesses the image interpretation application for the first time, the control unit 31 of the image display device 3 transmits a new user registration request to the server device 2 by the communication unit 34 according to the image interpretation application. Upon receiving the new user registration request, the control unit 21 of the server device 2 transmits screen information of a user registration screen (not shown) to the image display device 3 via the communication unit 24 and causes the display unit 33 to display the screen information. And input of user information such as login information such as a password, a user name, and a medical department. Further, the control unit 21 transmits the screen information of the interpretation priority setting screen 336 to the image display device 3 and causes the display unit 33 to display the screen information, so that the priority among a plurality of items in the examination information when determining the interpretation priority is determined. Input of interpretation priority setting information such as the order, the priority condition for each item, and the urgency determination level is received. Then, the control unit 21 of the server device 2 registers (sets) the input user information and the interpretation priority setting information in the user DB 253.

FIG. 13 shows an example of an interpretation priority setting screen 336 displayed in the setting mode in the second embodiment. As shown in FIG. 13, the image interpretation priority setting screen 336 is a screen for inputting the priority of a plurality of items of inspection information and the priority condition for each item, similarly to the image interpretation priority setting screen 330 shown in FIG. However, the reading priority setting screen 336 is provided with a slider 336a for setting an urgency determination level. The urgency determination level can be set by moving the slider 336a. Items higher than or equal to the priority set to the urgency determination level by the slider 336a are set as items to be used for determination of an urgent examination of image interpretation. For example, when the urgency determination level is set to the third priority item as shown in FIG. 14, the inspection corresponding to the priority condition in all of the items from the first priority item to the third priority item is a test having a high urgency. Is determined as
In the present embodiment, a case where priority levels 1 to 4 (from the first priority item to the fourth priority item) can be set will be described as an example, but the number of priority items is not particularly limited.

  Here, in the image reading application, as in the first embodiment, the image reading mode or the setting mode can be designated as the operation mode in the medical image display system 100. When login is performed by the image reading application of the image display device 3, the server device 2 executes a display control process B described later as an image reading mode. When an operation in the setting mode is instructed by the image reading application, the user setting screen is displayed. And the display priority setting screen 336 is displayed on the display unit 33, and a change in the setting content is accepted.

Hereinafter, the operation of the display control process B will be described.
FIG. 15 shows a flowchart of a display control process B executed by the control unit 21 when the image reading application is activated in the image display device 3 and the server device 2 is accessed from the image reading application. The display control process B is executed in cooperation with the control unit 21 and a program stored in the storage unit 25.

  First, the control unit 21 displays a login screen on the display unit 33 of the image display device 3, and performs login authentication based on information input from the login screen (step S21).

  Next, the control unit 21 reads the interpretation priority setting information corresponding to the login user stored in the user DB 253 (step S22).

Next, the control unit 21 sorts the examination information stored in the examination DB 252 based on the priority condition of the first priority item set in the interpretation priority setting information (step S23), and then sorts the second priority. Sorting is performed based on the priority condition of the item (step S24), then sorting based on the priority condition of the third priority item (step S25), and then sorting based on the priority condition of the fourth priority item (step S26). ).
Through the processing in steps S23 to S26, the interpretation priority between examinations is determined.

  Here, steps S22 to S26 are processes performed in the background in the server device 2. During this time, the user operates the operation unit 32 of the image display device 3 and instructs the image interpretation application to display the examination list screen. Etc. can be performed. When the display of the examination list screen is instructed, the control unit 31 of the image display apparatus 3 requests the server apparatus 2 to provide the examination list screen by the communication unit 34. Upon receiving the display request for the examination list screen, the control unit 21 of the server device 2 waits for the end of step S26, and when step S26 ends, the order of examinations to be preferentially interpreted (the order of higher interpretation priority). ) Is displayed on the image display device 3. Thereby, the user can easily recognize the examination to be performed with priority on the interpretation. Further, the user may operate the operation unit 32 to close the screen of the image interpretation application, and the display control process B is executed in the server device 2 until the user logs out even if the screen of the image interpretation application is closed.

  Next, the control unit 21 refers to the urgency determination level of the interpretation priority setting information, and uses items higher than or equal to the priority set in the urgency determination level of the examination information to urgently perform the urgency to perform image interpretation. Is determined (step S27). Specifically, the inspection information is filtered based on the priority conditions of the items that are equal to or higher than the priority set in the urgency judgment level, and the urgency at which the inspection that satisfies the priority conditions of all items should be prioritized for interpretation should be performed. Is determined to be a high test.

Next, the control unit 21 determines whether there is a highly urgent test (step S28).
If it is determined that there is a highly urgent examination (step S28; YES), the control unit 21 generates notification information for notifying the user of a highly urgent examination that should be performed with priority in interpretation, and generates the communication unit. The image data is transmitted to the image display device 3 by the control unit 24 and displayed on the display unit 33 of the image display device 3 (step S29).
As the form of the notification information, the notification information 331 to 334 shown in FIGS. 6 to 9 can be used. When there are a plurality of tests with high urgency, information on one of them is displayed, and the number of cases with the other tests with high urgency is displayed.
When the notification information is pressed by the operation unit 32, the control unit 31 of the image display device 3 notifies the server device 2 by the communication unit 34 that the notification information is specified.

The control unit 21 determines whether or not the communication unit 24 has received notification that the notification information has been specified from the image display device 3 (step S30).
When it is determined that the notification information has been specified from the image display device 3 (step S30; YES), the control unit 21 reads the notified medical image of the examination with high urgency. Is generated and transmitted to the image display device 3 by the communication unit 24, and the image reading screen 335 (see FIG. 10) is displayed on the display unit 33 (step S31).

  When an operation indicating completion of image interpretation is detected by the operation unit 32, the control unit 31 of the image display device 3 transmits a notification of image interpretation completion and an image interpretation report to the server device 2 via the communication unit 34.

  When the communication unit 24 receives the notification of the completion of the interpretation and the interpretation report from the image display device 3 (step S32; YES), the control unit 21 stores the received interpretation report in the storage unit 25, and stores it. The location is added to the examination information of the interpreted examination in the examination information DB 252, and the interpretation status is changed to "interpretation completed" (step S33).

Next, the control unit 21 determines whether a logout request from the image display device 3 has been received by the communication unit 24 (Step S34).
When determining that the logout request has not been received (step S34; NO), the control unit 21 determines whether there is an unreported highly urgent test (step S35).
When it is determined that there is an unreported highly urgent test (step S35; YES), the control unit 21 returns to step S29 and performs the processing of steps S29 to S33 for the unreported highly urgent inspection of the image interpretation. Do.
When it is determined that there is no unreported highly urgent examination (step S35; NO), the control unit 21 examines the examination stored in the examination information DB 252 based on the interpretation priority setting information read in step S22. The information is sorted again (step S36), and the process returns to step S27. When a new medical image is transmitted from the image generation device 1 and registered in the image DB 251, sorting can be performed including inspection of the new medical image.
When determining that the logout request has been received from the image display device 3 (step S34; NO), the control unit 21 ends the display control process B.

On the other hand, when it is determined in step S28 that there is no highly urgent test (step S28; NO), or that the notification information has been designated from the image display device 3 in step S30 by the communication unit 24 within a predetermined time. When determining that the logout request has not been received (step S30; NO), the control unit 21 determines whether a logout request from the image display device 3 has been received by the communication unit 24 (step S37). When determining that the logout request has not been received (step S37; NO), the control unit 21 proceeds to step S36.
When determining that the logout request has been received (step S37; YES), the control unit 21 ends the display control process B.

  In step S27 of the display control process B, the inspection information is filtered using the priority conditions of the items whose priority is equal to or higher than the priority set in the urgency determination level, and the inspection information corresponding to the inspection information that satisfies the priority conditions of all items is corresponded. Although it is determined that the examination should be performed with high urgency and that the interpretation should be performed with priority given to the examination, as a result of the sorting in steps S23 to S26, the examination corresponding to a predetermined number of pieces of examination information from the highest rank is determined. May be determined as a highly urgent test that should be performed with priority on image interpretation.

Also, in the display control process B, it has been described that, during log-in, the interpretation priority between examinations is always determined based on the interpretation priority setting information, and the user is notified of the examination with high urgency of interpretation. As in the first embodiment, a check box is provided on the interpretation priority setting screen 336 to instruct the use of a notification of an examination with high urgency of interpretation (see FIG. 10). Only when the check box is checked, the display control process B is executed to determine the priority of image interpretation between examinations and to notify of an examination with a high urgency of image interpretation. Accordingly, an operation of displaying an examination list screen on the display unit 33 and displaying an image interpretation screen of a medical image of the examination selected by the user from the examination list screen (called a normal operation) may be performed. There. The examination list screen displayed in the normal operation is a screen in which examinations are arranged in an order predetermined by the server device 2 such as an examination time order, an examination ID order, or the like.
According to this configuration, it is possible to easily switch whether or not to give notification of an examination to be performed with priority on interpretation according to the operation of the user.

In the same manner as in the first embodiment, an input field for inputting the day of the week and / or the time zone for using the notification of an examination with high urgency of image interpretation is provided on the image interpretation priority setting screen 336 (see FIG. 11). The unit 21 performs the above-described display control processing B to notify the examination with high urgency of image interpretation only on the day of the week and / or the time of day specified in the input field, and other days and / or time of day. May be the normal operation described above.
With this configuration, for example, when the day of the week and / or the time zone for performing image interpretation is determined, only the day of the week and / or the time zone can be set as the time for using the notification. The notification can be prevented from being performed on days and / or time zones where there is no. The load on the server device 2 can also be reduced.

As described above, according to the control unit 21 of the server device 2, the image reading priority setting screen 330 (336) for inputting the priority between a plurality of items in the inspection information and the priority condition for each item is displayed. The information is displayed on the device 3, and the priority order between a plurality of items input from the screen and the priority condition for each item are set in the user DB 253. Then, based on the set priorities among the plurality of items and the priority conditions for each item, the inspection information stored in the inspection information DB 252 is sorted from the item having the highest priority, and the interpretation priority between the inspections is determined. The information is determined on the examination to be preferentially interpreted on the display means.
Therefore, the user can set the criterion of the examination to be preferentially interpreted by the priority between the items, and easily recognize the examination to be preferentially interpreted determined according to the criterion. Becomes possible. As a result, unlike the related art, it is not necessary to determine the examination to be performed with priority on the examination list screen having a large amount of information, and the time for selecting the examination to be interpreted can be greatly reduced. Efficiency can be improved.

For example, the control unit 21 causes the image display device 3 to display notification information for notifying the user of an examination to be performed with priority on image interpretation.
Therefore, regardless of whether or not the examination list screen is open, the user can easily recognize the examination to be preferentially interpreted.

Further, for example, the control unit 21 sorts the inspection information stored in the inspection information DB 252 based on the priority order among a plurality of items and the priority condition for each item, and sorts the inspection information in a predetermined number range from the top. An examination corresponding to the examination information is determined as an examination with high urgency to be preferentially interpreted, and notification information for notifying the user of the determined examination with high urgency is displayed on the image display device 3.
Therefore, it is possible for the user to easily recognize a highly urgent examination that should be preferentially interpreted.

Further, for example, the control unit 21 may determine a priority between a plurality of items in the test information, a priority condition for each item, and a highly urgent test in which up to which priority item is to be preferentially interpreted. An image reading priority setting screen 336 for inputting whether to use the image is displayed on the image display device 3, and all items set as items to be used for determination of an inspection with high urgency are set to inspection information satisfying the priority condition of the item. The corresponding examination is determined as a highly urgent examination to be preferentially interpreted, and notification information for notifying the user of the decided urgent examination is displayed on the image display device 3.
Therefore, it is possible for the user to easily recognize a highly urgent examination that should be preferentially interpreted.

Further, when the notification information displayed on the image display device 3 is designated by a user operation, the control unit 21 displays an image interpretation screen 335 for interpreting the medical image of the examination notified by the notification information. To be displayed.
Therefore, the user can immediately start image reading without performing an operation of selecting the notified inspection on the inspection list screen and opening the image reading screen, thereby improving convenience.

The interpretation priority setting screen 330 (336) is configured to be able to set a day of the week and / or a time zone to be used for notification of information on examinations to be preferentially interpreted. And / or only in the time zone, the interpretation priority between examinations is determined, and a notification of examinations to be preferentially interpreted is made.
Therefore, when the day and / or time period for performing image interpretation is determined, only the day and / or time period can be set as the notification time, and the day and / or time period for which notification is not required. Can be prevented from being notified.

  The description in the above embodiment is a preferable example of the present invention, and the present invention is not limited to this.

  For example, in the above embodiment, the functions as the setting unit and the control unit are provided on the server device 2 side, and the image display device 3 as the display unit displays the information regarding the examination to be performed with priority on the image reading. The function as the setting means and the control means may be provided on the image display device 3 side. For example, the information of the test information DB 252 and the user DB 253 stored in the server device 2 may be acquired by the image display device 3, and the control unit 31 of the image display device 3 may perform the display control processing A or B. Then, when displaying the image interpretation screen, the medical image to be interpreted may be acquired from the server device 2 and the image interpretation screen may be displayed. Further, the image display device 3 may further include a storage unit, and all functions as a setting unit and a control unit may be performed by the image display unit 3.

  In the above-described embodiment, the display control process A and the display control process B are performed during login, and a notification of an examination to be preferentially interpreted is given to the image display device 3. Regardless of whether or not the image display device 3 performs the display control process A and the display control process B in the background, the image display device 3 may be notified of an examination to be preferentially interpreted. In addition to the image display device 3 for performing image interpretation, for example, notification information of an examination to be preferentially interpreted on another image display device that is registered in advance such as a smartphone or a tablet that does not have an image interpretation application. May be transmitted and displayed.

  Further, in the above description, an example in which a hard disk, a semiconductor non-volatile memory, or the like is used as a computer-readable medium of the program according to the present invention is disclosed, but the present invention is not limited to this example. As another computer-readable medium, a portable recording medium such as a CD-ROM can be applied. Further, as a medium for providing the data of the program according to the present invention via a communication line, a carrier wave (carrier wave) is also applied.

  In addition, the detailed configuration and detailed operation of each device constituting the medical image display system can be appropriately changed without departing from the spirit of the present invention.

REFERENCE SIGNS LIST 100 medical image display system 1 image generation device 2 server device 21 control unit 22 operation unit 23 display unit 24 communication unit 25 storage unit 251 image DB
252 inspection information DB
253 User DB
26 bus 3 image display device 31 control unit 32 operation unit 33 display unit 34 communication unit 35 storage unit 36 bus

Claims (8)

Storage means for storing a plurality of pieces of inspection information constituted by a plurality of items;
Setting means for setting a priority order among a plurality of items in the inspection information and a priority condition for each item according to a user operation;
Control for determining the priority of image interpretation between examinations based on the priority between the plurality of items and the priority condition for each item in the examination information, and displaying the examination to be preferentially interpreted on the display means so as to be identifiable. Means,
A display control device comprising:   The display control device according to claim 1, wherein the control unit determines the interpretation priority by performing a sorting process from a higher-priority item in the examination information.   3. The display control device according to claim 1, wherein the control unit causes the display unit to display notification information for notifying a user of the examination to be preferentially interpreted.   The control means determines an examination in a range in which the interpretation priority is set in advance from the highest as an examination with high urgency to perform the interpretation with priority, and notifies the user of the determined examination with high urgency. The display control device according to claim 3, wherein notification information for performing the display is displayed on the display unit. The setting means can further set, in accordance with a user operation, up to which priority item in the examination information is used for determining a highly urgent examination to be performed with priority in interpretation,
The control unit should preferentially interpret the examination corresponding to the examination information in which all the items set by the setting unit as the items used for the determination of the highly urgent examination satisfy the priority condition of the item. 4. The display control device according to claim 3, wherein the display control unit determines a highly urgent test and causes the display unit to display notification information for notifying a user of the determined urgent test. 5.   The control unit, when notification information displayed on the display unit is designated by a user operation, causes the display unit to display an image interpretation screen for interpreting a medical image of the examination notified by the notification information. Item 6. The display control device according to any one of Items 3 to 5. The setting means can further set a day of the week and / or a time zone for displaying information relating to the examination to be preferentially interpreted according to a user operation,
7. The control unit according to claim 1, wherein the determination unit determines the interpretation priority and displays the examination to be preferentially interpreted only on the day and / or time zone set by the setting unit. 8. 3. The display control device according to 1. Storage means for storing a plurality of pieces of inspection information constituted by a plurality of items;
Setting means for setting a priority order among a plurality of items in the inspection information and a priority condition for each item according to a user operation;
Display means;
A diagnostic reading priority between examinations is determined based on a priority between the plurality of items in the examination information and a priority condition for each of the items, and an examination to be preferentially interpreted is displayed on the display means so as to be identifiable. Control means;
Medical image display system comprising:

Images