JP3965684B2 - Medical image processing apparatus, medical network system, and program for medical image processing apparatus - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a medical image processing apparatus, a medical network system, and a program for a medical image processing apparatus that receive medical image information from another apparatus, process the image, and output the processed image to another apparatus.
[0002]
[Prior art]
Radiation images are often used for diagnosing diseases, and in order to obtain these radiation images, the radiation transmitted through the subject from the imaging modality radiation irradiation part of CR (computed radiography) is converted into a plate-like stimulable phosphor. After the absorption, the stimulable phosphor is excited while being scanned with a laser beam, for example, so that the radiation energy (radiation image information) accumulated by the absorption by the stimulable phosphor is emitted as fluorescence, A method of photoelectrically converting the fluorescence to obtain a radiation image signal and reading the radiation image is known. Fluorescence generated from the photostimulable phosphor plate is collected by scanning with such laser light, photoelectrically converted by a photomultiplier, this electric signal is amplified, and image processing is performed based on the digital signal converted from this analog signal. As a result, the radiation image is read (see Japanese Patent Application Laid-Open No. 11-344783).
[0003]
Conventionally, when medical image information read and generated by a medical image generation apparatus as described above is sent to an image processing apparatus to perform predetermined image processing and output, the medical printer that is a hard copy apparatus includes a medical printer after image processing. Trimming and output for life size. On the other hand, the image is output to the viewer (other image processing apparatus) in the original size (not trimmed). When output from the viewer (another image processing apparatus) to the hard copy apparatus, the output image is not the same as the directly hard copied image because the trimming position and size of the directly hard copied image are not known. .
[0004]
In this case, when output from the viewer (other image processing device) with original processing or requested image size of DICOM standard, if the output image is larger than the film size, it may be reduced or an error may occur. There is sex. Even when trimming is performed, trimming position information is not in the DICOM standard, and therefore trimming is performed at an appropriate position.
[0005]
[Problems to be solved by the invention]
An object of the present invention is to provide a medical image processing apparatus and a medical network system in which an image printed out from an image processing apparatus and an image printed out via another image processing apparatus are the same image. And It is another object of the present invention to provide a program for a computer of such a medical image processing apparatus.
[0006]
[Means for Solving the Problems]
In order to achieve the above object, a medical image processing apparatus according to the present invention is a medical image processing apparatus that receives medical image information from another apparatus, performs image processing, and outputs the processed image to another apparatus, and is an output destination First output means for outputting image information subjected to the image processing to a hard copy device, and means for outputting to the hard copy device At least one of diagnostic image processing apparatus and reference image processing apparatus When outputting the image information, the image information that has been image-processed under the same trimming condition as the trimming condition in the image processing when output to the hard copy device by the first output means At least one of diagnostic image processing apparatus and reference image processing apparatus And a second output means for outputting to.
[0007]
According to this medical image processing apparatus, an image output from the image processing apparatus to the hard copy apparatus and output from the hard copy apparatus, At least one of diagnostic image processing apparatus and reference image processing apparatus Since the image output to and output from the hard copy apparatus via the image processing is performed under the same trimming conditions, the same image is obtained. Therefore, At least one of diagnostic image processing apparatus and reference image processing apparatus The image output via the, is not reduced unintentionally, cannot be sent due to an error, or is not trimmed at a position contrary to the intention.
[0008]
Another medical image processing apparatus according to the present invention is a medical image processing apparatus that receives medical image information from another apparatus, performs image processing, and outputs the processed image to another apparatus, and outputs the image to a hard copy apparatus as an output destination. First output means for outputting processed image information, and means for outputting to the hard copy device At least one of diagnostic image processing apparatus and reference image processing apparatus When the image information is output to the hard copy apparatus by the first output means, the same trimming condition as the trimming condition in the image processing when output to the hard copy apparatus is added to the image information as supplementary information. At least one of diagnostic image processing apparatus and reference image processing apparatus And a second output means for outputting to.
[0009]
According to this medical image processing apparatus, At least one of diagnostic image processing apparatus and reference image processing apparatus Output to At least one of diagnostic image processing apparatus and reference image processing apparatus Since image processing can be performed with the accompanying information trimming condition, At least one of diagnostic image processing apparatus and reference image processing apparatus The image is processed under the same trimming conditions as the image output to and output from the hard copy device via The An image output from the image processing apparatus to the hard copy apparatus and output from the hard copy apparatus becomes the same image. Therefore, At least one of diagnostic image processing apparatus and reference image processing apparatus The image output via the, is not reduced unintentionally, cannot be sent due to an error, or is not trimmed at a position contrary to the intention.
[0010]
In the image processing apparatus, it is preferable that the trimming condition includes a trimming position and a trimming size on the image.
[0011]
The image information output by the first output unit when the output image information is provided and the trimming condition is changed by displaying the output image information on the display unit. Both the trimming conditions can be automatically made the same by changing the trimming conditions related to the image and the trimming conditions related to the image information output by the second output unit in conjunction with each other. In this case, it may be configured such that whether or not the trimming condition is changed in conjunction can be switched.
[0013]
The medical network system according to the present invention includes the medical image processing apparatus described above, a medical image generation apparatus that generates medical image information and transmits the medical image information to the medical image processing apparatus, and receives the image processed image information from the medical image processing apparatus. A hard copy device that outputs a hard copy, and the image information that has undergone the image processing is received from the medical image processing device, further processed, and output to the hard copy device At least one of diagnostic image processing apparatus and reference image processing apparatus It is characterized by including these.
[0014]
According to this medical network system, the image output from the image processing device to the hard copy device, At least one of diagnostic image processing apparatus and reference image processing apparatus The image output to the hard copy device via the same image becomes the same image. Therefore At least one of diagnostic image processing apparatus and reference image processing apparatus The image output via the, is not reduced unintentionally, cannot be sent due to an error, or is not trimmed at a position contrary to the intention.
[0015]
A program according to the present invention is a program for a computer included in a medical image processing apparatus that receives medical image information from another apparatus, performs image processing, and outputs the processed image to another apparatus. A first output step for outputting the image information after the image processing; and a means for outputting to the hard copy device At least one of diagnostic image processing apparatus and reference image processing apparatus When the image information is output to the image information, the image information that has been image-processed under the same trimming condition as the trimming condition in the image processing when the image information is output to the hard copy device in the first output step. At least one of diagnostic image processing apparatus and reference image processing apparatus And a second output step of outputting to the computer.
[0016]
Another program according to the present invention is a program for a computer included in a medical image processing apparatus that receives medical image information from another apparatus, performs image processing, and outputs the processed image to another apparatus, and is a hard copy that is an output destination A first output step for outputting the image information subjected to the image processing to an apparatus; and means for outputting to the hard copy apparatus At least one of diagnostic image processing apparatus and reference image processing apparatus When the image information is output to the hard copy apparatus in the first output step, the same trimming condition as the trimming condition in the image processing at the time of output to the hard copy apparatus is added to the image information as supplementary information. At least one of diagnostic image processing apparatus and reference image processing apparatus And a second output step of outputting to the computer.
[0017]
According to each program for a computer provided in the above-described medical image processing apparatus, an image output from the image processing apparatus to a hard copy apparatus, At least one of diagnostic image processing apparatus and reference image processing apparatus The computer can be executed such that the image output to the hard copy device via the same image becomes the same image. Therefore, At least one of diagnostic image processing apparatus and reference image processing apparatus The image output via the, is not reduced unintentionally, cannot be sent due to an error, or is not trimmed at a position contrary to the intention.
[0018]
In this case, it is preferable that the trimming condition includes a trimming position and a trimming size on the image.
[0019]
The medical image processing apparatus includes display means for displaying the output image information. When the output image information is displayed on the display means and the trimming condition is changed, the first output means is displayed. By causing the computer to execute a step of changing the trimming condition relating to the image information output by the second output unit and the trimming condition relating to the image information output by the second output unit, both in the medical image processing apparatus. Trimming conditions can be automatically made the same. In this case, it is preferable that whether or not the trimming condition is changed in conjunction can be switched.
[0021]
DETAILED DESCRIPTION OF THE INVENTION
Hereinafter, a medical network system according to an embodiment of the present invention will be described with reference to the drawings. FIG. 1 is a diagram showing a configuration of a medical network system according to an embodiment of the present invention.
[0022]
The medical network system shown in FIG. 1 scans a stimulable phosphor panel in which radiographic image information of a subject (patient) is recorded with excitation light, emits light, and photoelectrically converts the light to obtain image information. radiography) medical image generation apparatus 1 for generating a medical image, medical image processing apparatus 2 for inputting an image file from the medical image generation apparatus 1, performing image processing, and outputting image information, and a personal computer (Diagnosis terminal 3) which consists of (personal computer), a workstation, etc., and a radiologist refers to an image and performs a diagnosis.
[0023]
The medical network system of FIG. 1 is composed of a personal computer or workstation that displays an image, and includes a reference terminal 4 that refers to the image but does not perform diagnosis, and a personal computer or workstation that stores image files in an image database. In addition, the image server 5 that can retrieve and read out images from the diagnostic terminal 3 and the reference terminal 4 and the image data from the medical image generation apparatus 1 or the medical image processing apparatus 2 are visualized on a recording medium such as a film or paper. A plurality of printers 6 and 7 which are hard copy devices that output as
[0024]
In the medical network system of FIG. 1, the devices 1 to 7 are connected online via a network 10 so that information can be transmitted to and received from each other.
[0025]
Next, the following items A to H relating to the medical image processing apparatus 2 of FIG. 1 will be described in detail in order.
A. Device configuration
B. information
C. File
D. Input and display of main information
E. Image confirmation procedure
F. output
G. Output image formation
H. Utility functions
[0026]
A. Device configuration
FIG. 2 is a block diagram showing a configuration of the medical image processing apparatus 2.
[0027]
a. A medical image processing apparatus 2 shown in FIG. 2 displays a digital image data obtained by the medical image generating apparatus 1 or the like, which includes a main control apparatus 21 that controls the operation of the entire radiographic imaging system and a CRT display or a liquid crystal panel. And an image display device 22 that can be configured from a personal computer and includes an information input device such as an input keyboard and a mouse.
[0028]
As shown in FIG. 2, the medical image processing apparatus 2 further includes a receiving unit 40 that receives an image file from the image generating apparatus 1 and the like, and information such as an image file received from a hard disk device and a RAM, and image processing. The storage unit 41 that stores the later image information, the image processing unit 42 that performs image processing on the image information in the image file, the output image forming unit 43 that forms an output image to be output to an external device, and the received image information An image confirmation processing unit 45 that displays a reduced image on the image display device 22 for image confirmation or the like. The main control device 21 controls the portions 40 to 43, 45, the display device 22, and the like.
[0029]
b. The functions of the medical image processing apparatus 2 are as follows, and each function is controlled by the main controller 21.
(1) The receiving unit 40 receives an image file from the medical image generating apparatus 1 or the like.
(2) The image file is temporarily stored in the storage unit 41.
(3) The image quality is confirmed with the reduced image created by the image confirmation processing unit 45.
(4) The image processing unit 42 performs image processing.
(5) The output image forming unit 43 forms an output image.
(6) The output image is transferred to an external device such as the image server 5 and the printers 6 and 7 via the network 10.
[0030]
B. information
Information handled by the medical image processing apparatus 2 can be classified into the following five types.
[0031]
a. Condition information
Condition information for receiving an image file and outputting it as a processed image file to an external device such as the image server 5, and includes the following.
(a) Image processing information
This is information regarding gradation processing and frequency processing in the image processing unit 42.
(b) Output device information
This is information related to an external device such as the image server 5 that reproduces and outputs image data. For each output device such as the image server 5, an output area, an enlargement / reduction ratio, an output format (multi-format, divided shooting format), overlay, gradation Specify the presence or absence of processing and frequency processing.
(c) Overlay information
There is information such as presence / absence / position of overlay such as AP / PA / R / L / comment.
(d) Special specification
Protect information: After image output, the image file is saved until protection is removed.
Hold (pending) information: Hold the transfer. Specify this if you want to transfer the image after reviewing it later.
Priority (emergency) information: Specify this when you want to output preferentially, such as in emergency shooting. Registered at the head of the queue.
[0032]
b. Patient information
Information about the patient.
(a) Patient ID information
Patient ID number, name, gender, date of birth, etc. are included.
(b) Order information
This is information for which a doctor requests imaging.
Information on the patient's condition, date / time instructions regarding the examination request, etc. are included.
[0033]
c. Implementation information
This is information related to the result of reception and image processing.
(a) Reception result Includes shooting date and time.
(b) Image processing result
This is an image processing parameter calculation result, and image data is subjected to image processing based on this result at the time of output.
(c) System information
A part of system information such as a system configuration at the time of shooting is included.
[0034]
d. System information
(a) Information for managing and controlling the system of FIG.
(b) Configuration of the system of FIG. 1 (external device such as the connected image server 5 and its name).
(c) Parameters and tables for controlling the devices constituting the system of FIG.
(d) Setting information related to the medical image generation apparatus 1 as an input device
(e) Setting information related to the output device, such as printer 6 information and HOST information.
[0035]
e. image data
(a) Image data received from the medical image generation apparatus 1.
(b) Reduced image data for display created from image data for image confirmation
(c) Reduced image data for image processing for image processing of a reduced image for display in the image confirmation processing unit 45.
(d) Output image data subjected to gradation processing, frequency processing, and the like.
[0036]
C. File
Files handled by the medical image processing apparatus 2 are stored in the storage unit 41 and can be classified into the following seven types.
[0037]
a. Condition file
The condition key is a key for setting image processing conditions and output conditions for an image file in advance. There is a condition file corresponding to each condition key. The condition file is composed of the condition information. Imaging site (lung field, abdomen, head, etc.), imaging position (standing position, supine position, etc.), imaging direction (front, side, etc.), patient characteristics (gender, age, physique, etc.), disease name, technician used The name and shooting information corresponding to each are set in advance. Then, main controller 21 sets a condition file group for each of the classified categories, sets a plurality of condition files for each set condition file group, and stores them in storage unit 41. Select one of the most suitable conditions for receiving images.
[0038]
b. Image header file
After reception, an image header file is created. The image header is composed of an imaging reservation file (that is, imaging information and patient information) and imaging execution information. When the user refers to or changes imaging information, patient information, and imaging execution information, the image header file is referred to.
[0039]
c. Reduced image file
This is image data obtained by reducing the image data to a fraction.
(a) Reduced image data for display
The data displayed on the image display device 22 in FIG. 2 uses this reduced display image.
(b) Reduced image data for image processing
This is reduced image data for calculating parameters for performing image processing. The reduction ratio is determined so that one pixel after reduction has the same length specified in advance. Thereby, the difference in the read pixel size can be corrected with the reduced image. The calculation of the image processing parameter is performed on the reduced image processing image, and the image data is not used.
[0040]
d. Image file
(a) The image file includes image supplementary information (image header) and image data.
(b) The image header is composed of condition information, patient information, and implementation information.
The user refers to the condition information, patient information, and implementation information, and refers to the image header when changing.
[0041]
e. Output image file
This is a file of output image data that has been subjected to specified processing among frequency processing, gradation processing, overlay, rotation, and enlargement / reduction.
[0042]
f. System files
The system information is filed.
[0043]
D. Input and display of main information
[0044]
a. Received image information display
Display received images as thumbnails.
[0045]
b. Output information display
(1) Specify the output size, orientation, trimming position, output position, enlargement / reduction method, and the like. Register in the condition file in advance.
(2) When the condition key is selected, an output area and an output image area are determined under a predesignated condition and displayed on the screen of the image display device 22. The size of the output area display area on the screen of the image display device 22 is set as the maximum output area in output. The output area and output image area are displayed graphically in the output area display area. Thereby, selection and confirmation of an appropriate output area and output image area can be performed for each apparatus.
[0046]
c. Overlay information
(1) Designate whether or not to overlay “AP”, “PA”, “R”, “L”, comment, scale, etc., and at which position. Register in the condition file in advance.
(2) The output image is displayed in the output area display area of the screen of the image display device 22, and the overlay information is displayed graphically there.
(3) It is possible to select an appropriate overlay and specify a position.
(4) It can be confirmed that there is no portion hidden behind the overlay. If the overlay causes inconvenience, it can be moved.
[0047]
d. Online information input / output from RIS
(1) Enter an order from a doctor. The input order is converted to the format of this system and saved in the reservation file. The imaging part and the imaging method are converted with the corresponding imaging condition key.
(2) The image header file is converted to the RIS side format and output.
[0048]
e. Image list
Image files can be displayed as a list.
[0049]
E. Image confirmation procedure
a. System behavior when checking images
(1) The image file is received from the medical image generation apparatus 1 and stored in the storage unit 41.
(2) The image file stored in the storage medium of the storage unit 41 is reduced at a reduction rate designated in advance by the image confirmation processing unit 45.
(3) Reduced images are sequentially displayed on the screen of the image display device 22.
(4) After the reception and display are completed, the digital image information is subjected to image processing by a method designated in advance by the photographing condition key and redisplayed on the image display device 22. A reduced image is used to determine image processing parameters.
(5) Redisplay the images that are sequentially displayed on the image display device 22 and subjected to gradation processing after the display is completed.
(6) When the operator determines that the received image displayed on the image display device 22 is a normal image, the operator inputs a key for confirming the end of reception from the character information input device, and the image confirmation ends.
(7) When changing patient information, image processing method, output method, etc., new information can be input from the character information input device.
(8) When the image confirmation key is pressed, the image confirmation of that image is completed and the next image is automatically displayed.
(9) If there is a problem with the image, the image processing can be changed. As the hold, detailed image processing can be changed later.
(10) When the image confirmation key is input, the image confirmation is terminated and the following processing is performed.
(1) The image file is stored in the storage unit 41 as a confirmed image file.
(2) Images for which image confirmation has been completed are registered in a queue for output to an external device.
(3) The next received image file is displayed so that the image can be confirmed.
(11) Image confirmation ends when the hold key is entered.
[0050]
F. output
(1) Output is performed asynchronously with reception and image confirmation.
(2) Queues are created and managed for each external device, and each queue operates independently of each other and does not affect each other. Therefore, output is performed asynchronously for each device.
(3) The queue of which external device the image is registered in is stored in the storage unit 41 as a queue registration table, and is updated and managed every time registration or deletion to the queue.
(4) Images registered in the queue are output to the external device in the order of registration, and images that have been output are deleted from the queue.
(5) When output is executed, the image file stored in the storage unit 41 is specified from the number registered in the queue.
(6) An output image is formed under the conditions stored in the image file. The image header is converted into a format determined for each output device and transferred together with the image data.
[0051]
G. Output image formation
[0052]
a. The output image is formed by the output image forming unit 43 mainly by the following processing.
(1) Image data is read from the storage unit 41 to the image memory.
(2) Perform frequency processing.
(3) Equalization processing
(4) Perform gradation processing
(5) Rotate the image
(6) Perform mirror inversion
(7) Enlarge / reduce
▲ 8 ▼ Perform overlay
[0053]
b. Whether to execute (2) to (8) can be specified for each output device by condition information.
[0054]
c. It is possible to specify that the image data subjected to the processing specified in (2) to (8) is stored as a processed image data file. The reprocessing of the common processing part of the output image to each output device is eliminated.
[0055]
d. For example, when the enlargement / reduction ratio of the output image to each output device is different, if the processed image is stored up to (6), the image processed up to (6) is read when transferred to another device, By processing and transferring only (7) and (8), the time from (2) to (6) can be shortened.
[0056]
e. (5) (6) is executed simultaneously with any one of (2), (3), and (4). Memory access is reduced and processing time can be shortened.
[0057]
H. Utility functions
[0058]
a. It has several functions as a utility for users.
The utility function is limited for each general user, manager, and manufacturer by a password. In particular, changes to information about images require a manager password for security.
[0059]
b. Image file operation
(1) An image file list is displayed, and information about stored images is displayed on the image display device 22 in the order of reception.
(2) When a desired image is selected from the list, patient information, condition information, and an image are displayed in the same form as the screen at the time of image confirmation.
(3) Patient information, image processing method, output method, etc. can be changed.
(4) “Hold” is canceled by reconfirming the image designated “hold” at the time of shooting.
(5) Whether to output to each external device or the output order can be changed.
[0060]
c. Shooting record, irradiation record
(1) The imaging information and patient information are statistically processed and provided to the user as imaging records and irradiation records.
{Circle around (2)} It is possible to output the number of imaging for each imaging region during a designated period, a list of imaging conditions captured in one day, and the like.
[0061]
d. Customization
The screen and operability can be customized for each user.
[0062]
Next, the diagnostic terminal 3 of FIG. 1 which is another medical image processing apparatus with respect to the above-described medical image processing apparatus 2 will be described with reference to the block diagram of FIG.
[0063]
That is, the diagnostic terminal (another medical image processing apparatus) 3 includes, as shown in FIG. 3, a receiving unit 50 that receives an image file from the medical image processing apparatus 2 and the like, a hard disk device, a RAM, and the like. The storage unit 51 that stores information such as the image file and the image information after image processing, the image processing unit 52 that performs image processing on the image information in the image file, and the image server 5 and the printers 6 and 7 output the information. An output image forming unit 53 for forming an output image for the purpose, an image display device 54 for displaying an image-processed digital image made up of a CRT display, a liquid crystal panel, or the like, and the entire terminal 3 such as the portions 50 to 54 And a main control device 55 that controls the operation of the above, and constitutes a so-called “viewer”.
[0064]
In the diagnostic terminal 3, the image processing unit 52 performs image processing on the image information so as to obtain a high-resolution and fine-quality diagnostic image, and displays the fine-quality image on the screen of the image display device 54. .
[0065]
The reference terminal 4 in FIG. 1 is another medical image processing apparatus with respect to the medical image processing apparatus 2 described above, and can be configured as a viewer with the same configuration as in FIG. Note that the reference terminal 4 refers to the image while comparing it with a medical chart or the like, but does not perform diagnosis, so the image quality such as resolution may be inferior to that of the diagnosis terminal 3.
[0066]
Next, when the image information processed by the predetermined trimming condition is output from the image processing apparatus 2 of FIGS. 1 and 2 to the printer 6 and the image information is also output to the diagnostic terminal (viewer) 3, An example in which the image processing apparatus 2 is operated so that it can be output under the same trimming condition as that for output to the printer 6 will be described with reference to the flowchart of FIG.
[0067]
The medical image generation apparatus 1 in FIG. 1 generates and transmits medical image information, and the medical image processing apparatus 2 receives the medical image information (S01). The received image information is subjected to image processing by the image processing unit 42 in FIG. 2 (S02), and image confirmation is performed while being displayed on the image display device 22 in FIG. 2 (S03).
[0068]
Next, when a condition file is selected in the medical image processing apparatus 2, image processing is performed on an output area and an output image area determined on the screen of the image display apparatus 22 of the medical image processing apparatus 2 under predetermined conditions. The processed image is displayed (S04).
[0069]
Note that the size of the output area display area on the screen of the image display device 22 is the maximum output area in the output of the medical image processing apparatus 2. As described above, the output area and the output image area are graphically displayed in the output area display area on the screen of the image display device 22 so that selection and confirmation of an appropriate output region and output image region can be performed for each output destination device. Can be done. The output size, orientation, trimming position, output position, enlargement / reduction method, etc. can be registered in the condition file in advance.
[0070]
Next, the image is displayed on the screen of the image display device 22, the trimming position and the trimming size relating to the image are changed (S05), output to the printer 6 with the changed trimming condition, and the diagnostic terminal (viewer) 3 Is selected (S06), the main controller 21 of the medical image processing apparatus 2 outputs the image processed under the changed trimming condition to the printer 6 and to the diagnostic terminal 3. It is set for the image forming unit 43 and the like (S07), and the image information image-processed under the trimming condition is output to the printer 6, and the image-processed image under the same trimming condition is output to the diagnostic terminal 3. (S09).
[0071]
Further, when it is not selected to output to both under the changed trimming condition (S06), the output image forming unit 43 is set so that an image processed with the changed trimming condition is output to the printer 6 ( In step S08, the image processed under the trimming condition is output to the printer 6 (S09).
[0072]
As described above, when printing out from the medical image processing apparatus 2 via the diagnostic terminal (viewer) 3, since the image has already been trimmed with the same trimming size, there is no need to newly trim the printer 6. The received image is output by circumscribing the output area of a recording medium such as a film. Accordingly, since the trimming size is the same in the medical image processing apparatus 2 and the diagnostic terminal (viewer) 3, that is, the aspect ratio is the same, they are output as the same image. If the trimming size is the same, the image size output from the medical image processing apparatus 2 to the printer 6 and the image size output from the medical image processing apparatus 2 to the diagnostic terminal (viewer) 3 are different from the printer 6. Is output as an image of the same size.
[0073]
As described above, according to the present embodiment, when the trimming position and the trimming size on the image are changed, the same trimming condition changed in conjunction with both the printer 6 and the diagnostic terminal (viewer) 3 is changed. Can be set. Accordingly, the image information output from the diagnostic terminal (viewer) 3 is output to the printer 6, and the image output from the printer 6 is output directly from the medical image processing apparatus 2 to the printer 6 and output from the printer 6. The same image as
[0074]
Further, whether or not to change the trimming condition in conjunction with the printer 6 and the diagnostic terminal (viewer) 3 can be selected in step S06, and can be configured to be switchable. Conventionally, only the printer 6 is changed, or the printer 6 and the diagnostic terminal (viewer) 3 are changed separately, but the trimming condition is linked to both the printer 6 and the diagnostic terminal (viewer) 3. Can be changed.
[0075]
In step S06, the same trimming conditions changed for both the printer 6 and the diagnostic terminal (viewer) 3 can be set uniformly. The same trimming is performed for the printer 6 and the diagnostic terminal (viewer) 3. Conditions can be set automatically.
[0076]
As described above, the image directly output from the medical image processing apparatus 2 and output from the printer 6 and the image output from the printer 6 via the diagnostic terminal (viewer) 3 become the same image. The image output via the (viewer) 3 is not reduced unintentionally, cannot be sent due to an error, or is not trimmed at a position contrary to the intention.
[0077]
It is needless to say that the same configuration as described above can be applied to another printer 7 and another viewer (reference terminal 4) in FIG.
[0078]
Further, the storage unit 41 of the medical image processing apparatus 2 in FIG. 2 stores a program programmed so as to execute each step in the flowchart of FIG. A program can be read and executed.
[0079]
As described above, the present invention has been described with reference to the embodiments. However, the present invention is not limited to these embodiments, and various modifications can be made within the scope of the technical idea of the present invention. For example, as a medical image generation apparatus, a radiographic imaging apparatus using an X-ray flat panel detector, in addition to a CR apparatus that reads a radiographic image from a stimulable phosphor panel in which radiographic image information of a patient is recorded, Medical image generators such as CT (computed tomography), MRI (magnetic resonance imaging), DR (digital radiography), US (ultrasound) Of course, these medical image generation apparatuses may be connected to the medical network system according to the present invention.
[0080]
In step S08 of FIG. 4, the changed trimming condition can be set for the diagnostic terminal (viewer), and the changed trimming condition is set for either the printer or the diagnostic terminal. Can be configured to select.
[0081]
Further, when the trimming condition is not changed in step S05, it can be configured to move to step S06, and as described above, it can be output to the printer and output to the diagnostic terminal (viewer) under the same trimming condition.
[0082]
In step S09 in FIG. 4, the image information image-processed under a predetermined trimming condition is directly output to the printer 6, and the image information image-processed under the same trimming condition as the trimming condition is output to the diagnostic terminal 3. However, the present invention is not limited to this. For example, when outputting to the diagnostic terminal 3, the same trimming condition as the trimming condition is output to the diagnostic terminal 3 together with the image information as supplementary information. Alternatively, the diagnostic terminal 3 may perform image processing under the trimming conditions included in the accompanying information and then output the image to the printer 6.
[0083]
【The invention's effect】
According to the present invention, an image printed out from the image processing apparatus; At least one of diagnostic image processing apparatus and reference image processing apparatus A program for a medical image processing apparatus, a medical network system, and a medical image processing apparatus that can be the same as an image printed out via the network can be provided.
[Brief description of the drawings]
FIG. 1 is a diagram showing a configuration of a medical network system according to an embodiment of the present invention.
2 is a block diagram showing a configuration of the medical image processing apparatus 2 of FIG.
3 is a block diagram showing a configuration of a diagnostic terminal (viewer) 3 in FIG. 1. FIG.
FIG. 4 is a flowchart showing an operation in the medical image processing apparatus of the present embodiment.
[Explanation of symbols]
1 Medical image generation device
2 Medical image processing device
3 Diagnosis terminal and viewer (other image processing devices)
4 Reference terminal and viewer (other image processing devices)
6, 7 Printer (hard copy device)
10 network
21 Main controller
22 Image display device
43 Output image forming unit

Claims (11)

A medical image processing apparatus that receives medical image information from another apparatus, performs image processing, and outputs the processed image to another apparatus,
First output means for outputting the image information subjected to the image processing to a hard copy device as an output destination;
When outputting the image information to at least one of a diagnostic image processing apparatus and a reference image processing apparatus having means for outputting to the hard copy apparatus, and outputting to the hard copy apparatus by the first output means And second output means for outputting image information image-processed under the same trimming condition as the trimming condition in the image processing to at least one of the diagnostic image processing apparatus and the reference image processing apparatus. A medical image processing apparatus. A medical image processing apparatus that receives medical image information from another apparatus, performs image processing, and outputs the processed image to another apparatus,
First output means for outputting the image information subjected to the image processing to a hard copy device as an output destination;
When outputting the image information to at least one of a diagnostic image processing apparatus and a reference image processing apparatus having means for outputting to the hard copy apparatus, and outputting to the hard copy apparatus by the first output means And second output means for outputting the same trimming condition as the trimming condition in the image processing to the at least one of the diagnostic image processing apparatus and the reference image processing apparatus together with the image information as supplementary information. A medical image processing apparatus.   The medical image processing apparatus according to claim 1, wherein the trimming condition includes a trimming position and a trimming size on the image. Comprising display means for displaying the output image information;
When the output image information is displayed on the display means and the trimming condition is changed, the trimming condition relating to the image information output by the first output means and the image information output by the second output means The medical image processing apparatus according to claim 1, wherein the trimming condition is changed in conjunction with the medical image processing apparatus.   The medical image processing apparatus according to claim 4, wherein whether or not to change the trimming condition can be switched. The medical image processing apparatus according to any one of claims 1 to 5 , a medical image generation apparatus that generates medical image information and transmits the medical image information to the medical image processing apparatus, and the medical image processing A hard copy device that receives a hard copy from the device, outputs a hard copy, receives the image processed image information from the medical image processing device, performs further image processing, and outputs the image information to the hard copy device, and a reference image A medical network system comprising: at least one of processing devices . A program for a computer included in a medical image processing apparatus that receives medical image information from another apparatus, performs image processing, and outputs the processed image to another apparatus,
At least one of a first output step for outputting the image information subjected to the image processing to a hard copy device as an output destination, and a diagnostic image processing device and a reference image processing device having means for outputting to the hard copy device When outputting the image information, the diagnostic image processing apparatus uses image information image-processed under the same trimming condition as the trimming condition in the image processing when the image information is output to the hard copy apparatus in the first output step. and a second output step and the program for causing the computer to perform outputting at least one of the reference image processing apparatus. A program for a computer included in a medical image processing apparatus that receives medical image information from another apparatus, performs image processing, and outputs the processed image to another apparatus,
At least one of a first output step for outputting the image information subjected to the image processing to a hard copy device as an output destination, and a diagnostic image processing device and a reference image processing device having means for outputting to the hard copy device When outputting the image information, the diagnostic image processing apparatus together with the image information includes the same trimming condition as the trimming condition in the image processing when the image information is output to the hard copy apparatus in the first output step. And a second output step of outputting to at least one of the reference image processing apparatus . The program according to claim 7 or 8 , wherein the trimming condition includes a trimming position and a trimming size on the image. The medical image processing apparatus comprises display means for displaying the output image information,
When the output image information is displayed on the display means and the trimming condition is changed, the trimming condition relating to the image information output by the first output means and the image information output by the second output means The program according to claim 7 , 8 or 9 , causing the computer to execute a step of changing the trimming condition in relation to the computer. The program according to claim 10 , wherein whether or not to change the trimming condition can be switched.

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