JP2020057326A - Inspection support device, inspection support system, medical image diagnostic device, and inspection support program - Google Patents

Abstract

To automatically request various apparatuses to perform appropriate processes in appropriate order without any user input in response to changes in information that accompanies medical inspections generated by medical apparatuses.SOLUTION: An inspection support device according to an embodiment includes a monitoring unit, a generation unit, and an execution unit. The monitoring unit monitors information that accompanies a medical inspection generated by an external medical apparatus connected with its own device in a data transmittable/receivable manner and detects changes. When the information that accompanies the medical inspection changes, in response to contents of the change, the generation unit generates a processing scenario that defines a plurality of processes to be requested from at least one of the external apparatus that has transmitted the information accompanying the medical inspection, other external medical apparatuses, and external information processing devices and defines execution order of the processes. The execution unit requests the processes defined in the processing scenario from at least one of the external medical apparatus, other external medical apparatuses, and external information processing devices in the execution order defined in the processing scenario.SELECTED DRAWING: Figure 1

Description

  An embodiment of the present invention relates to an examination support device, an examination support system, a medical image diagnostic device, and an examination support program.

  At present, a user himself / herself, for example, reserves the next examination for an examination appointment apparatus, instructs the medical image diagnosis apparatus to collect a related image, based on information generated by a medical device such as a medical image diagnosis apparatus, Various processes such as error notification to the equipment owned by the serviceman due to the occurrence of the error are performed.

  In order to reduce the burden on the user for these processes, there is known a function of individually or semi-automatically supporting each process individually based on the minimum input of the user and determination of conditions for automatic input.

  However, by individually supporting each task, the burden on the user cannot be sufficiently reduced. This is because there is a case where another process is related to one process, or a case where one process is only one process of a series of procedures including a plurality of processes. For this reason, even if the use of the function to support each process saves the trouble of one process, if the necessity of the next process arises according to the result of this one process, the user can These chained processes must be performed manually after all.

JP 2011-181084 A

  The problem to be solved by the present invention is that, in response to a change in information accompanying a medical examination generated by a medical device, appropriate processing is automatically performed in various devices in an appropriate order without user input. Request execution.

  The inspection support device according to the embodiment includes a monitoring unit, a generation unit, and an execution unit. The monitoring unit monitors information accompanying a medical examination generated by an external medical device connected to the own device so as to be able to transmit and receive data, and detects a change. When there is a change in the information associated with the medical examination, the generation unit determines, according to the content of the change, the external medical device that has transmitted the information associated with the medical examination, another external medical device, and the external information processing device. A processing scenario that defines a plurality of processes required for at least one and defines an execution order of each process is generated. The execution unit requests at least one of the external medical device, another external medical device, and an external information processing device to perform the processing specified in the processing scenario in the execution order specified in the processing scenario.

FIG. 1 is a block diagram showing a configuration example of an inspection support system including an inspection support device according to a first embodiment. The processor of the processing circuit automatically requests at least one of the external devices to execute an appropriate process in an appropriate order without a user's input according to a change in the test accompanying information generated by the external medical device. 9 is a flowchart showing a schematic procedure when performing the operation. FIG. 4 is an explanatory diagram showing an example of a flow of information between components in generation and execution of a processing scenario. FIG. 11 is an explanatory diagram showing an example of information flow between components in generation and execution of a processing scenario when a change in a test state of a patient A is detected as a change in test accompanying information. FIG. 5 is an explanatory diagram showing an example of information flow between components following the process A1 shown in FIG. 4 (5). Description of an example of the information flow between the components following the process B1 shown in FIG. 4 (5), showing an example of the information flow between the components after the reorganization of the processing scenario shown in FIG. 5 (9) FIG. FIG. 16 is an explanatory diagram showing an example in which a process obtained by subdividing the process C2 of the process scenario shown in FIG. 5 (9) is added to the process scenario. FIG. 9 is a block diagram showing a configuration example of an examination support system including a medical image diagnostic device according to a second embodiment.

  Hereinafter, embodiments of an examination support apparatus, an examination support system, a medical image diagnostic apparatus, and an examination support program will be described in detail with reference to the drawings.

  The examination support apparatus according to the embodiment automatically performs appropriate processing in an appropriate order without a user's input according to a change in information accompanying a medical examination generated by a medical device, so that the user can This is to reduce the load of the processing that has been performed so far.

  In the following description, the processing performed by the user refers to a specific operation, for example, reservation of the next examination to the examination reservation apparatus, collection instruction of the related image to the medical image diagnosis apparatus, medical image diagnosis apparatus Means an error notification request to the device owned by the serviceman due to the occurrence of the error. The inspection support apparatus according to the embodiment executes processing desired by the user on various devices in accordance with a change in information accompanying the medical inspection generated by the medical device, instead of the user processing. Request to.

  In the following description, a processing scenario defines a procedure for comprehensively managing and executing a plurality of processes that require execution of various devices.

(First embodiment)
FIG. 1 is a block diagram illustrating a configuration example of an inspection support system 10 including an inspection support device 20 according to the first embodiment.

  The examination support system 10 includes an examination support apparatus 20, medical image diagnostic apparatuses 31 and 32, which are connected to the examination support apparatus 20 via a network 100 so as to be able to transmit and receive data to and from each other, an HIS (Hospital Information System) 33, an RIS. (Radiology Information System), PACS (Picture Archiving and Communication Systems) 35, CAD (Computer-aided Detection / Diagnosis, computer-aided diagnosis device) 36, image reading device 37, information processing device 40. The medical image diagnostic apparatuses 31 and 32, the HIS 33, the RIS 34, the PACS 35, the CAD 36, and the image reading apparatus 37 are examples of external medical equipment. In the following description, the external medical devices 31-37 and the information processing device 40 are collectively referred to as external devices as appropriate.

  The medical image diagnostic apparatuses 31 and 32 are apparatuses that generate a medical image by imaging a subject. Examples of the medical image diagnostic apparatuses 31 and 32 include radiological diagnostic apparatuses such as an X-ray diagnostic apparatus, an X-ray CT (Computed Tomography) apparatus, a nuclear medicine diagnostic apparatus, a magnetic resonance imaging (MRI) apparatus, and an ultrasonic wave. A modality such as a diagnostic device can be used.

  Although FIG. 1 shows an example in which the examination support system 10 is connected to two medical image diagnostic apparatuses 31 and 32, the examination support system 10 is connected to one or three or more medical image diagnostic apparatuses. Is also good.

  FIG. 1 shows an example in which the CAD 36 is connected to the inspection support device 20 via the PACS 35, but the CAD 36 may be directly connected to the inspection support device 20 via the network 100.

  The image reading device 37 is a viewer used by an image reader to interpret medical images.

  The information processing apparatus 40 according to the present embodiment is used by a serviceman to maintain and manage the medical image diagnostic apparatus 31. The information processing device 40 is an example of an external information processing device.

  The inspection support device 20 has a communication circuit 21, a storage circuit 22, and a processing circuit 23.

  The communication circuit 21 implements various information communication protocols according to the form of the network 100. The communication circuit 21 connects the inspection support device 20 and the external devices 31-37 and 40 according to the various protocols. An electrical connection or the like via an electronic network can be applied to this connection. Here, the electronic network means an information communication network using telecommunications technology in general. In addition to a wireless / wired hospital backbone LAN (Local Area Network) and the Internet network, a telephone communication line network, an optical fiber communication network, and a cable. Includes communication networks and satellite communication networks.

  The storage circuit 22 has a configuration including a processor-readable recording medium such as a magnetic or optical recording medium or a semiconductor memory. The storage circuit 22 stores, in addition to the examination support program, arbitrary information (hereinafter, referred to as examination accompanying information) accompanying the medical examination acquired from the external medical devices 31 to 37 as needed. The test accompanying information is provided to the storage circuit 22 from the external medical devices 31 to 37 as needed.

  The examination accompanying information includes information indicating the current state of the external medical devices 31-37. For example, the examination-related information includes examination states (information indicating the progress of examinations such as patient registration, examination start, examination, and end of examinations), and operation states of examination systems for medical devices (couch movement, fluoroscopy, imaging, etc.). , The state of the examination system for medical equipment (error information, shutdown, starting, etc.), medical images, and the like. In addition, the inspection accompanying information includes a processing scenario generated by the processing circuit 23.

  The processing circuit 23 realizes a function of controlling the inspection support device 20 in an integrated manner. In addition, the processing circuit 23 reads and executes the examination support program stored in the storage circuit 22 to automatically execute the examination assistance program without user input according to a change in examination accompanying information generated by the external medical devices 31-37. A processor that executes a process for requesting at least one of the external devices 31-37 and 40 to perform an appropriate process in an appropriate order.

  As shown in FIG. 1, the processor of the processing circuit 23 implements a state change monitoring function 231, a processing scenario generation function 232, and a processing scenario execution function 233. Each of these functions is stored in the storage circuit 22 in the form of a program.

  The state change monitoring function 231 detects a change by monitoring the test accompanying information generated by the external medical devices 31-37. When the test accompanying information is provided from the external medical devices 31-37 to the storage circuit 22 as needed, the state change monitoring function 231 can monitor the latest state of the medical devices 31-37 by checking the storage circuit 22. . Further, the state change monitoring function 231 may, for example, periodically request the external medical devices 31 to 37 to transmit the test accompanying information. In addition, all of the test accompanying information that can be provided by the medical devices 31 to 37 may be collected in the storage circuit 22, or some of the test accompanying information set in advance for each medical device may be collected.

  When there is a change in the inspection accompanying information, the processing scenario generation function 232 generates a processing scenario according to the content of the change. The processing scenario is a request for at least one of an external medical device (for example, the medical image diagnostic device 31), another external medical device (for example, the medical devices 32-37), and the information processing device 40, in which the examination accompanying information has changed. This defines a procedure for comprehensively managing and executing a plurality of processes to be performed, and defines a plurality of processing contents and an execution order of each process.

  In addition, the processing scenario generation function 232 configures the processing scenario such that the processing scenario has a processing and execution order in accordance with the latest change content each time the state change monitoring function 231 detects a change in the inspection accompanying information. The processing scenario is reorganized by changing some or all of the plurality of processes to another process, or adding another process.

  The processing scenario generation function 232 uses a parameter obtained by machine learning such as deep learning so that a change in inspection accompanying information is input in advance and a processing scenario corresponding to the change is output. May be determined. In addition, the processing scenario generation function 232 determines a plurality of processes constituting the processing scenario based on the relevance of each of the plurality of processes, and determines a priority between the respective processes of the plurality of processes. The execution order of a plurality of processes in the processing scenario may be determined in advance according to the priority.

  For example, when a plurality of processes to be executed after this process are associated with one process, it is preferable to set priorities in advance. By connecting these processes in order of priority, a processing scenario is generated. In addition, information of a priority task such that this processing can be executed when this processing is completed may be attached to each processing.

  The processing scenario execution function 233 requests the processing specified in the processing scenario to at least one of the external devices 31-37 and 40 in the execution order specified in the processing scenario.

  FIG. 2 shows that the processor of the processing circuit 23 automatically switches to at least one of the external devices 31-37 and 40 without user input in response to a change in the test accompanying information generated by the external medical device 31-37. 9 is a flowchart illustrating a schematic procedure when requesting execution of appropriate processing in an appropriate order. In FIG. 2, reference numerals with a number attached to S indicate each step in the flowchart.

  This procedure is started by acquiring the test accompanying information transmitted from the external medical devices 31-37.

  FIG. 3 is an explanatory diagram showing an example of a flow of information between components in generation and execution of a processing scenario.

  First, in step S1, the state change monitoring function 231 monitors the inspection accompanying information and determines whether or not a change has been detected. When a change is detected (see FIG. 3A), the state change monitoring function 231 gives the details of the change to the processing scenario generating function 232 (see FIG. 3B), and proceeds to step S2. On the other hand, when the change is not detected, the inspection accompanying information is continuously monitored to detect the change.

  Next, in step S2, the processing scenario generation function 232 defines a plurality of processes required for at least one of the external devices 31-37 and 40 according to the content of the change in the inspection accompanying information, and defines each process. A processing scenario that defines the execution order is generated (see FIG. 3C). In addition, the processing scenario generation function 232 outputs the generated processing scenario information to the storage circuit 22 to store it as inspection accompanying information, and also outputs the information to the processing scenario execution function 233 (see FIG. 3 (4)).

  By including the processing scenario in the inspection accompanying information, the state change monitoring function 231 can detect that at least one of the external devices 31-37 and 40 has changed the inspection accompanying information by executing the processing of the processing scenario. Therefore, it is possible to detect a change in the progress of the processing scenario.

  If the process returns from step S4 to step S1 and a new change in the inspection accompanying information is detected and the process proceeds to step S2, the processing scenario generating function 232 determines whether the content of the newly detected change is Reorganize the processing scenarios so that the processing and execution order are in accordance. When a new change in the test accompanying information is detected, a case where the test accompanying information changes as a result of executing the processing included in the processing scenario is included. As described above, the processing scenario generation function 232 can recursively generate a processing scenario.

  Next, in step S3, the processing scenario execution function 233 requests the processing specified in the processing scenario to at least one of the external devices 31-37 and 40 in the execution order specified in the processing scenario (FIG. 3 (5)).

  Next, in step S4, the processing scenario execution function 233 determines whether all of the plurality of processes specified in the processing scenario have been executed. If all of the steps have been executed, the series of procedures ends. On the other hand, if all the processes have not been executed, the process returns to step S1.

  According to the above procedure, in accordance with a change in the examination accompanying information generated by the external medical devices 31-37, at least one of the external devices 31-37 and 40 is automatically and appropriately input to the external devices 31-37 and 40 in an appropriate order. Execution of appropriate processing can be requested.

  Next, generation and execution of a processing scenario will be described more specifically.

  FIG. 4 is an explanatory diagram showing an example of the flow of information between components in the generation and execution of a processing scenario when a change in the test state of the patient A is detected as a change in the test accompanying information.

  For example, when the medical image diagnostic apparatus 31 receives test accompanying information indicating that patient A is undergoing a test, and then receives test accompanying information indicating that the test is completed, the state change monitoring function 231 detects this change. (See FIG. 4A).

  When notified that the examination state of the patient A has changed from during examination to examination completion (see FIG. 4 (2)), the processing scenario creation function 232 creates a processing scenario and stores information on the created processing scenario. The data is output to the circuit 22 and the processing scenario execution function 233 (see FIG. 4 (4)).

  In the example shown in FIG. 4C, a plurality of processes constituting a processing scenario corresponding to this change are: A1: system state self-check for the medical image diagnostic apparatus 31, B1: transfer of the medical image of the patient A to the CAD. including. Further, as processing on condition that the processing A1 is completed, A2: calling of the next patient and A3: registration of the next patient are included in the processing scenario.

  Therefore, the processing scenario execution function 233 first executes the processing A1 and the processing B1 in parallel (see FIG. 4 (5)).

  FIG. 5 is an explanatory diagram showing an example of the flow of information between the components following the process A1 shown in FIG. 4 (5).

  When requested by the processing scenario execution function 233 to perform a system state self-check, the medical image diagnostic apparatus 31 performs a system state self-check (see FIG. 5 (6)). When an error occurs in the self-check, the state change monitoring function 231 detects the occurrence of the error (see FIG. 5 (7)) and notifies the processing scenario generating function 232 of that (see FIG. 5 (8)). Since an error has occurred in the medical image diagnostic apparatus 31, the processing scenario generation function 232 determines that it is difficult for the next reserved patient to use the medical image diagnostic apparatus 31, and reorganizes the processing scenario (FIG. 5). (See (9)), and outputs the information of the reorganized processing scenario to the storage circuit 22 and the processing scenario execution function 233 (see FIG. 5 (10)).

  In the example shown in FIG. 5 (9), the plurality of processes constituting the reorganized processing scenario are: C1: contact with a serviceman, C2: collection and transfer of logs from the medical image diagnostic apparatus 31, and D2: reservation Includes a request for reassignment of the medical image diagnostic device used by the patient. Also, A2: call of the next patient and A3: registration of the next patient included in the processing scenario before the reorganization are deleted.

  Then, the processing scenario execution function 233 requests the information processing apparatus 40 to perform an operation capable of contacting the serviceman with the processing C1: based on the processing scenario after the reorganization (see FIG. 5 (11)). As an example of the process C1, there is a process of transmitting a videophone call request to the information processing device 40 and requesting an operation according to the incoming call.

  Further, the processing scenario execution function 233 requests C2: medical image diagnostic apparatus 31 to collect a log, transfers the collected log to the information processing apparatus 40, requests the serviceman to view the log, and also HIS33 and RIS34. D2: A request is made for reassignment processing of the medical image diagnostic apparatus used by the reserved patient (see FIG. 5 (12)).

  FIG. 6 shows an example of the flow of information between the components following the process B1 shown in FIG. 4 (5), and shows the flow of information between the components after the reorganization of the processing scenario shown in FIG. 5 (9). It is explanatory drawing which shows an example.

  In response to a request from the processing scenario execution function 233, the PACS 35 transfers the medical image of the patient A to the CAD 36 (see FIG. 6 (13)). Now, consider the case where the CAD 36 makes a positive judgment on this medical image (see FIG. 6 (14)), and the information on the positive judgment is given to the storage circuit 22 via the PACS 35 (FIG. 6 (15)). reference).

  The state change monitoring function 231 detects a positive determination result (see FIG. 6 (16)) and notifies the processing scenario generating function 232 of that (see FIG. 6 (17)). In response to the CAD 36 making a positive determination, the processing scenario generation function 232 further reorganizes the processing scenario so as to add processing for determining the validity of the positive determination, and provides information on the re-processed processing scenario. Is output to the storage circuit 22 and the processing scenario execution function 233 (see FIG. 6 (19)).

  In this re-composition processing scenario, as shown in FIG. 6, for example, a scenario that is processed in parallel with the processes C1, C2, and D1 includes E1: registration of an additional CT examination to the RIS 34 and E2: CAD image of the patient A to the image reading apparatus. Is added.

  Then, the processing scenario execution function 233 requests the RIS 34 to register an additional CT examination of the patient A based on the processing scenario after the re-editing (see FIG. 6 (20)). Further, the processing scenario execution function 233 requests the E2: image interpretation apparatus to interpret the CAD image of the patient A (see (21) in FIG. 6).

  As shown in FIG. 5-6, even when the inspection accompanying information changes as a result of executing the processing included in the processing scenario, the processing scenario generation function 232 receives the change without receiving the user's input. Processing scenarios can be automatically reorganized as appropriate.

  Further, a process obtained by subdividing one of a plurality of processes constituting the processing scenario may be added to the processing scenario in accordance with a change in the inspection accompanying information.

  FIG. 7 is an explanatory diagram showing an example in which a process obtained by subdividing the process C2 of the process scenario shown in FIG. 5 (9) is added to the process scenario.

  For example, the case where the processing scenario includes C2: collection and transfer of a log from the medical image diagnostic apparatus 31 and the inspection accompanying information of the storage circuit 22 includes information of a component causing an error. Think. In this case, a process C2-1 for collecting the log of the component causing the error is added. In addition, in response to the result that the log of the component has been collected, a process C2-2 that requests the serviceman to transfer the log to the information processing device 40 and view the log is added. Further, a process of compressing a log in a compression format suitable for log transfer may be added. That is, when the processing scenario includes a rough process, the work of subdividing the rough process and executing the process (for example, specifying a part to be collected in a log) is performed by the inspection accompanying information stored in the storage circuit 22. The processing scenario generation function 232 may make a comprehensive judgment using the above, or may leave it to at least one of the corresponding external devices 31-37 and 40.

  The inspection support system 10 including the inspection support device 20 according to the first embodiment automatically triggers a process scenario in which a plurality of processes corresponding to the change are procedurally without a user input, with a change in the test accompanying information as a trigger. Can be generated. For this reason, the whole of a plurality of continuous processes can be executed in an optimal procedure. Further, the inspection support system 10 including the inspection support device 20 can automatically and recursively reorganize the processing scenario each time the inspection accompanying information changes. Due to this reorganization, a plurality of processes constituting the processing scenario and their execution order are optimized at any time according to the current state of the external medical devices 31-37. For example, if an emergency patient comes during a self-check of the system status, the information of this visit is detected as a change in the information accompanying the test, the self-check is stopped, and the current processing scenario is taken for imaging the patient. It can be reorganized into processing scenarios.

  Further, the inspection support apparatus 20 optimizes the execution timing of the processing configuring the processing scenario. For this reason, at least one of the external devices 31-37 and 40 does not need to actively contribute to setting the processing scenario.

(Second embodiment)
FIG. 8 is a block diagram illustrating a configuration example of an examination support system 10A including a medical image diagnostic apparatus 31A according to the second embodiment. In the medical image diagnostic apparatus 31A and the examination support system 10A according to the second embodiment, the medical image diagnostic apparatus 31A includes the configuration of the examination support apparatus 20 according to the first embodiment in the medical image diagnostic apparatus 31 according to the first embodiment. The medical image diagnostic apparatus 31 and the inspection support system 10 according to the first embodiment differ from the medical image diagnosis apparatus 31 and the inspection support system 10 in that the inspection support apparatus 20 is deleted.

  Since other configurations and operations are not substantially different from those of the medical image diagnostic apparatus 31 and the examination support system 10 shown in FIG. 1, the same configurations are denoted by the same reference numerals and description thereof is omitted. In FIG. 8, illustration of the external devices 32-37 and 40 is omitted. The medical image diagnostic apparatus 31A according to the second embodiment may be used instead of the examination support apparatus 20 according to the first embodiment, or may be used together with the examination support apparatus 20 by being mutually connected to the network 100. In the present embodiment, the external medical devices 32-37 and the information processing device 40 are collectively referred to as external devices, and the medical image diagnostic device 31A is referred to as its own device.

  As the medical image diagnostic apparatus 31A, modalities such as an X-ray diagnostic apparatus, an X-ray CT apparatus, a nuclear medicine diagnostic apparatus, an MRI apparatus, and an ultrasonic diagnostic apparatus can be used. In the following description, an example is shown in which the medical image diagnostic apparatus 31 is replaced with the medical image diagnostic apparatus 31A according to the present embodiment in the examination support system 10 according to the first embodiment.

  The medical image diagnostic apparatus 31A includes an imaging apparatus 60 that images a subject and outputs image data, and a console 70 that generates a medical image based on the image data.

  The console 70 has a display 71, an input interface 72, a storage circuit 73, a communication circuit 74, and a processing circuit 75.

  The display 71 is configured by a general display output device such as a liquid crystal display or an OLED (Organic Light Emitting Diode) display, and displays various information under the control of the processing circuit 75. The input interface 72 may be a general one such as a trackball, a switch, a button, a mouse, a keyboard, a touch pad for performing an input operation by touching an operation surface, a non-contact input circuit using an optical sensor, and a voice input circuit. It is realized by an input device and outputs an operation input signal corresponding to a user operation to the processing circuit 75.

  The storage circuit 73 has the same configuration and operation as the storage circuit 22 according to the first embodiment, stores an examination support program, and accompanies a medical examination obtained as needed from the own apparatus 31A and the external medical equipment 32-37. Is stored (hereinafter referred to as inspection accompanying information). The test accompanying information is provided to the storage circuit 22 from the external medical devices 31 to 37 as needed.

  The communication circuit 74 has the same configuration and operation as the communication circuit 21 according to the first embodiment.

  The processing circuit 75 realizes a function of controlling the medical image diagnostic apparatus 31A. Further, the processing circuit 75 reads out and executes the examination support program stored in the storage circuit 73, and thereby responds to the change of the examination accompanying information generated by the own device 31A and the external medical devices 32-37, thereby allowing the user to input the examination assistance program. A processor that automatically executes a process for requesting at least one of the own device 31A and the external devices 32-37, 40 to perform an appropriate process in an appropriate order without input.

  As shown in FIG. 8, the processor of the processing circuit 75 includes an imaging control function 751, an error management function 752, a system state management function 753, an image generation function 754, a state change monitoring function 231A, a processing scenario generation function 232A, and a processing scenario. The execution function 233A is realized. Each of these functions is stored in the storage circuit 73 in the form of a program.

  The imaging control function 751 controls the imaging device 60 to capture a medical image of the subject. The information on the examination state (examination start, examination, end of examination, etc.) output by the imaging control function 751 and the information on the operation state of the imaging device 60 (couch movement, fluoroscopy, imaging, etc.) are stored in the storage circuit as occasional examination information. 73 is stored.

  The error management function 752 has a self-check function, and also detects an error occurrence location of its own device and manages an error log. The information indicating the error occurrence status output from the error management function 752 is stored in the storage circuit 73 as necessary as inspection accompanying information.

  The system state management function 753 outputs information on the activation state (shutdown, activation, etc.) of the operating system of the own device. The information on the activation state is also stored in the storage circuit 73 as needed as inspection accompanying information. Further, the medical image generated by the image generation function 754 based on the image data generated by the imaging device 60 is also stored in the storage circuit 73 at any time as inspection accompanying information.

  The state change monitoring function 231A, the processing scenario generation function 232A, and the processing scenario execution function 233A are a state change monitoring function 231, a processing scenario generation function 232, and a processing scenario of the processing circuit 23 of the inspection support apparatus 20 according to the first embodiment. The same function as the execution function 233 is included.

  Further, the inspection accompanying information includes information output by the functions 751-754 of the own device 31A. For this reason, the state change monitoring function 231A also monitors the inspection accompanying information generated by the own device 31A to detect a change.

  Similarly, when there is a change in the inspection accompanying information generated by the own device 31A, the processing scenario generation function 232A requests the own device 31A and at least one of the external devices 32-37, 40 according to the content of the change. A plurality of processes to be performed are defined, and a processing scenario in which the execution order of each process is defined is generated.

  Similarly, the processing scenario execution function 233A includes, in the execution order defined in the processing scenario, components of the own device 31A including an imaging control function 751, an error management function 752, a system state management function 753, and an image generation function 754, and an external device. Request processing specified in the processing scenario to at least one of the devices 32-37 and 40.

  Similarly to the test support system 10 including the test support device 20 according to the first embodiment, the test support system 10A including the medical image diagnostic device 31A according to the second embodiment triggers the change by using the change in the test accompanying information as a trigger. It is possible to automatically generate a processing scenario in which a plurality of processes corresponding to the procedures are made into a procedure without user input, and to automatically and recursively reorganize the processing scenario whenever the inspection accompanying information changes.

  In addition, according to the medical image diagnostic apparatus 31A according to the second embodiment, the examination support apparatus 20 can be omitted, so that the examination support system 10A can be made compact.

  According to at least one embodiment described above, according to a change in information accompanying a medical examination generated by a medical device, an appropriate order is automatically applied to various devices in an appropriate order without user input. Execution of processing can be requested.

  The state change monitoring function 231, the processing scenario generation function 232, and the processing scenario execution function 233 of the processing circuit 23 in the first embodiment are examples of a monitoring unit, a generation unit, and an execution unit, respectively, in the claims. Further, an error management function 752, a state change monitoring function 231A, a processing scenario generation function 232A, and a processing scenario execution function 233A of the processing circuit 75 according to the second embodiment respectively include an error management unit, a monitoring unit, It is an example of a section and an execution section. Further, the imaging device 60 in the present embodiment is an example of an imaging unit in the claims.

  In the above embodiments, the term “processor” may be, for example, a dedicated or general-purpose CPU (Central Processing Unit), a GPU (Graphics Processing Unit), or an application-specific integrated circuit (ASIC). A circuit such as a programmable logic device (for example, a Simple Programmable Logic Device (SPLD), a Complex Programmable Logic Device (CPLD), and an FPGA) is meant. The processor realizes various functions by reading and executing the program stored in the storage medium.

  Further, in the above embodiment, an example in which a single processor of the processing circuit realizes each function has been described. However, a processing circuit is configured by combining a plurality of independent processors, and each processor realizes each function. Is also good. In the case where a plurality of processors are provided, the storage medium for storing the program may be provided separately for each processor, or one storage medium may collectively store programs corresponding to the functions of all processors. Is also good.

  Although some embodiments of the present invention have been described, these embodiments are presented as examples and are not intended to limit the scope of the invention. These embodiments can be implemented in other various forms, and various omissions, replacements, and changes can be made without departing from the spirit of the invention. These embodiments and their modifications are included in the scope and gist of the invention, and are also included in the invention described in the claims and equivalents thereof.

10, 10A Inspection support system 20 Inspection support device 31 Medical image diagnostic device 31A Medical image diagnostic device 32 Medical image diagnostic device 37 Interpretation device 40 Information processing device 60 Imaging device 231, 231A State change monitoring function 232, 232A Processing scenario generation function 233 233A Processing scenario execution function 751 Imaging control function 752 Error management function 753 System status management function 754 Image generation function

Claims (10)

A monitoring unit that monitors information accompanying a medical examination generated by an external medical device connected to the own device so that data can be transmitted and received and detects a change,
When there is a change in the information accompanying the medical examination, at least one of the external medical device, the other external medical devices, and the external information processing device that transmitted the information accompanying the medical examination according to the content of the change. A generation unit that generates a processing scenario that defines a plurality of processes to be requested and defines an execution order of each process;
An execution unit that requests at least one of the external medical device, the other external medical device, and the external information processing device to perform a process specified in the processing scenario in an execution order specified in the processing scenario. When,
Inspection support device provided with The generation unit includes:
Every time there is a change in the information accompanying the medical examination, some or all of the plurality of processes constituting the processing scenario being executed by the execution unit so that the processes and the execution order conform to the content of the change. To another process to reorganize the processing scenario,
The inspection support device according to claim 1. The generation unit includes:
Each time there is a change in the information accompanying the medical examination, a process obtained by subdividing one of the plurality of processes constituting the process scenario being executed by the execution unit according to the content of the change is performed. Add to the processing scenario,
The inspection support device according to claim 1. The monitoring unit is
A change in information accompanying the medical examination according to the processing requested by the execution unit in at least one of the external medical device, the other external medical device, and the external information processing device; and information on the processing scenario. Detecting a change in the progress of the processing scenario based on the
The inspection support device according to claim 1. The generation unit includes:
According to the relevance of each of the plurality of processes and the priority of each process, determine an execution order of the plurality of processes,
The inspection support device according to claim 1. The plurality of processes include:
A process of requesting a self-check of the system state to the medical image diagnostic device as the external medical device, a process of requesting image reading to the image reading device as the other external medical device, and a process of requesting the external information processing device. Requesting a service person to perform an operation capable of notifying that an error has occurred in the external medical device.
The inspection support apparatus according to claim 1. The external medical device,
Including a medical image diagnostic device,
The information accompanying the medical examination is:
Information indicating the progress of the examination by the medical image diagnostic apparatus, information indicating the operation state of the imaging apparatus of the medical image diagnostic apparatus, information indicating the activation state of the medical image diagnostic apparatus, error information of the medical image diagnostic apparatus, Including at least one piece of information of
The inspection support device according to claim 1. At least one medical device for transmitting information accompanying a medical test generated by the device,
An examination support apparatus connected to the medical device so as to be able to transmit and receive data, and receiving information accompanying the medical examination,
With
The inspection support device,
A monitoring unit that monitors a change in information accompanying the medical examination received from the medical device,
When there is a change in the information associated with the medical examination, a request is made to at least one of the medical device, the other medical device, and the information processing apparatus that transmitted the information associated with the medical examination, according to the content of the change. A generation unit that defines a plurality of processes and generates a processing scenario that defines an execution order of each process;
An execution unit that requests a process defined in the processing scenario to at least one of the medical device, the other medical device, and the information processing device in an execution order defined in the processing scenario;
Having,
Inspection support system. An imaging unit that captures a medical image of the subject;
An error management unit that detects an error occurrence location of the own device and manages an error log;
A monitoring unit that monitors information accompanying the medical examination generated by the own device and detects a change,
When there is a change in the information accompanying the medical examination, a plurality of processes required for at least one of the own device, the external medical device, and the external information processing device are defined according to the content of the change, and each process is defined. A generation unit that generates a processing scenario that defines the execution order of
An execution unit that requests at least one of a component of the device itself, the other external medical device, and the external information processing device to perform a process defined in the processing scenario in an execution order defined in the processing scenario. When,
Medical image diagnostic apparatus comprising: On the computer,
A step of monitoring information accompanying a medical examination generated by an external medical device connected to the own device so as to be able to transmit and receive data and detecting a change,
When there is a change in the information accompanying the medical examination, at least one of the external medical device, the other external medical devices, and the external information processing device that transmitted the information accompanying the medical examination according to the content of the change. Generating a processing scenario that defines a plurality of processes to be requested and the execution order of each process; and
Requesting the processing specified in the processing scenario for at least one of the external medical device, the other external medical device, and the external information processing device in the execution order specified in the processing scenario;
Inspection support program for running

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