JP4645264B2 - Medical image interpretation management system - Google Patents

Description

  The present invention relates to a medical image interpretation management system that manages interpretation of medical images.

  2. Description of the Related Art Conventionally, in the medical field, CR (Computed Radiography), FPD (Flat Panel Detector), CT (Computed Tomography), MRI (Magnetic Resonance Imaging), ultrasonic diagnostic equipment, etc. that shoot a subject and generate medical images A medical image interpretation management system in which a modality, a management server for storing and managing the generated medical images, an interpretation terminal for acquiring medical images from the management server and performing interpretation diagnosis, etc. are connected by a communication network is constructed. It is becoming.

  In the management server of the medical image interpretation management system, when a medical image is transmitted from the modality, the medical image is assigned to the responsible interpreting doctor, and the medical image is distributed in response to a request from the responsible interpreting doctor. . In general, an interpreting doctor who is in charge of each image of the same series (for example, modality type) of the same patient is determined, and when the management server receives a new medical image, the patient information and series regarding the medical image are received. Based on the information, the medical image is assigned to the interpreting doctor in charge.

In such a medical image interpretation management system, for example, as described in Patent Document 1, it is possible to reassign a medical image once assigned to a certain interpretation doctor to another doctor. .
JP 2002-329190 A

  By the way, the case in which the interpretation doctor in charge requests another doctor to change the interpretation responsibility is the case in which only the medical image for one examination is requested to the resident for study, or the patient is transferred to another interpretation doctor due to a change. There are various cases, such as a case of delegating the authority as a person in charge for the case, and a case of requesting another interpretation doctor to interpret a medical image for one examination by adjusting the schedule.

  However, in the above-mentioned Patent Document 1, medical images that are determined to be uninterpretable by an interpreting doctor in charge of medical images assigned thereto are individually reassigned to other doctors, and the situation at the time of the interpretation request is made. Accordingly, the related medical images cannot be reassigned collectively, and the assignment when the related medical images are generated in the future cannot be set in the system.

  An object of the present invention is to enable setting of allocation of related medical images according to a request situation when a medical image interpretation management system requests an interpretation from an interpreting doctor in charge to another doctor. .

In order to solve the above-mentioned problem, the invention described in claim 1
A medical image management apparatus that stores an input medical image in association with image attribute information including patient information, examination information, and series information related to the medical image, and assigns and manages the medical image to a doctor in charge of the medical image; In a medical image interpretation management system comprising an interpretation terminal that acquires and displays an image from the medical image management apparatus via a communication line,
When changing the responsible interpreting doctor, the setting means for setting the medical image to be changed in patient unit, examination unit, series unit or image unit together with setting of the changing interpretation doctor
The medical image management apparatus is configured to search a medical image to be changed in charge from the storage unit based on a setting from the setting unit, and assign the searched medical image to the changing interpretation doctor. Yes.

The invention according to claim 2 is the invention according to claim 1,
The setting means is configured to be able to set an approved doctor that approves an interpretation result of the medical image to be changed in charge when setting the change in charge.
The medical image management apparatus is characterized in that the approval of the interpretation result for the medical image to be changed is assigned to the set approved doctor.

The invention according to claim 3 is the invention according to claim 1 or 2,
The setting means sets the assignment of an interpreting doctor and / or an approved doctor when a medical image related to a patient currently in charge by the interpreting doctor who is the changing source of the responsible change is input in the future when the changing of the responsible person is set. Configured and possible
The medical image management apparatus, when a medical image relating to a patient currently being handled by the interpretation doctor who is the change source of the charge change is input in the future, the input medical image is set to the interpretation set by the setting unit. It is characterized by assigning to a physician and / or an approved physician.

The invention according to claim 4 is the invention according to claim 3,
The medical image relating to the patient currently in charge of the change interpreting interpreting doctor is the medical image of all the patients currently in charge of the changing change interpreting doctor, and the charge change target It is a medical image of the same patient or a medical image of the same series of the same patient as the subject to be changed.

The invention according to claim 5 is the invention according to any one of claims 1 to 4,
The medical image management apparatus displays the setting contents by the setting means on the interpretation terminal owned by the change-destination interpretation doctor, and when the acceptance of the setting contents is input from the interpretation terminal, the assignment of the assignment is performed. It is characterized by making changes.

The invention according to claim 6 is the invention according to any one of claims 1 to 5,
The setting means is configured to be able to set a reference doctor for the medical image to be changed in charge at the time of setting the change in charge.
The medical image management apparatus is characterized in that a doctor who can refer to the medical image to be changed in charge is determined based on the setting from the setting unit.

  According to the first aspect of the present invention, in the medical image management system, the medical image to be changed can be set in units of patients, examination units, series units, or image units when changing the interpretation doctor in charge. Because it is possible, it is possible to set only the necessary change settings for the related medical images according to the situation at the time of the interpretation request, and it is possible to easily and efficiently set the change settings. As a result, it is possible to prevent the setting of the change in charge from being lost.

  According to the second aspect of the present invention, since it is possible to set the change of the approved doctor at the same time when setting the change of the interpretation doctor, it is not necessary to separately set the change of the approval doctor. In addition, it becomes possible to easily and efficiently perform the setting process for changing the person in charge, and it is possible to prevent the setting change of the person in charge from being missed.

  According to the third aspect of the present invention, when setting a change in charge of an interpreting doctor, an interpreting doctor when a medical image related to a patient currently in charge by the interpreting doctor who has changed the charge change is input in the future and / or Alternatively, since it is possible to set the assignment of the approved doctor, it is possible to appropriately assign a medical image that will be generated in the future to the interpretation doctor or the approved doctor in charge without any error.

  According to the fourth aspect of the present invention, the medical images of all the patients who are currently in charge of the interpreting doctor who is the change source of the charge change, the medical images of the same patient as the charge change target, or the same patient as the charge change target It is possible to set an assignment when a medical image of the same series is input in the future.

  According to the fifth aspect of the invention, since the assignment is changed after obtaining the consent of the interpretation doctor at the change destination, an unexpected medical image is assigned at the change destination, or a medical image is mistakenly assigned to a doctor who does not exist. It becomes possible to prevent the situation such as being assigned.

  According to the sixth aspect of the present invention, it is possible to change the setting for the reference doctor of the medical image to be changed in charge at the time of setting the changing of the interpretation doctor.

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. However, the scope of the invention is not limited to the illustrated examples.

First, the configuration of the present embodiment will be described.
FIG. 1 is a conceptual diagram showing a system configuration of a medical image interpretation management system 100 in the present embodiment. As shown in FIG. 1, a medical image interpretation management system 100 includes a modality 1, a management server 2 having a DB (Data Base) 27, an interpretation terminal 3, and an approval terminal 4 including a LAN (Local Area Network) and a WAN (Wide). It is connected so as to be able to transmit and receive data via a network N composed of a communication line such as an area network. In general, DICOM (Digital Image and Communications in Medicine) standard is used as a communication method in a hospital. In communication between each device on the network N described above, DICOM MWM (Modality Worklist Management) or DICOM is used. MPPS (Modality Performed Procedure Step) is used. The numbers of modalities 1, interpretation terminals 3, and approval terminals 4 are not particularly limited.

  The modality 1 is, for example, a CR, FPD, CT, MRI, ultrasonic diagnostic apparatus or the like, and digitally converts an image obtained by photographing a human body to generate medical image data. Also, the modality 1 attaches the attribute information regarding the medical image input through an examination reservation receiving terminal (not shown) or input means such as a keyboard, a mouse, and a touch panel to the image data as supplementary information, and transmits it to the management server 2 To do.

  The image data and its accompanying information transmitted from the modality 1 to the management server 2 are transmitted, for example, in a DICOM format file having an image part and a header part. Image data is written in the image portion, and additional information related to the image data is written in the header portion.

  The incidental information includes, for example, patient ID as patient identification information, patient information related to the patient such as patient name, age, and sex, examination ID for identifying examination, imaging date, imaging region, imaging condition ( Examination information relating to examination such as imaging part, imaging direction, etc., series information (modality type such as CR, CT, AE title (identification information for communication of each modality 1 in DICOM standard)), image for identifying an image Examples thereof include image data information such as ID, image file name, number of pixels of image data, sampling pitch, and number of bits. Here, the series information is information for classifying medical images taken in the same examination by system, and may include information on the examination site in addition to the above-described modality type and AE title.

  The management server 2 stores and manages the image data of the medical image generated by the modality 1 in the DB 27 in association with the incidental information, and distributes the image data in response to a request from the image interpretation terminal 3 or the approval terminal 4. This is a medical image management apparatus.

The internal configuration of the management server 2 will be described in detail below with reference to FIG.
FIG. 2 is a block diagram illustrating a functional configuration of the management server 2. As shown in FIG. 2, the management server 2 includes a CPU 21, an operation unit 22, a display unit 23, a RAM 24, a storage unit 25, a communication control unit 26, a DB 27, and the like, and each unit is connected by a bus 28. .

  A CPU (Central Processing Unit) 21 reads a system program stored in the storage unit 25, develops it in a work area formed in the RAM 24, and controls each unit according to the system program. Further, the CPU 21 reads out various processing programs and various application programs stored in the storage unit 25 and develops them in a work area formed in the RAM 24 to execute various processes.

  For example, when the CPU 21 receives an image file including image data of medical images and supplementary information from the modality 1 via the communication control unit 26, the CPU 21 cooperates with the medical image reception processing program stored in the storage unit 25. By the software processing according to the above, the image file is stored in the image DB 271 and the incidental information included in the header portion of the received image file is written in the image management DB 272. Further, the CPU 21 refers to the doctor-in-charge list table 251 and determines an interpretation doctor, an approved doctor, and a reference doctor in charge of the medical image according to the patient ID and series information included in the accompanying information of the received medical image. The determined doctor identification information (doctor ID, name, etc.) is stored in the image management DB 272 in association with the supplementary information of the medical image.

  Further, the CPU 21 executes management server side processing (see FIG. 4) in the interpretation interpretation change processing sequence described later by software processing in cooperation with the program stored in the storage unit 25.

  The operation unit 22 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. The operation signal is input to the CPU 21 through key operations on the keyboard and mouse operations. Output. The operation unit 22 may include a touch panel on the display screen of the display unit 23. In this case, the operation unit 22 outputs an instruction signal input via the touch panel to the CPU 21.

  The display unit 23 is configured by a monitor such as an LCD (Liquid Crystal Display) or a CRT (Cathode Ray Tube), and displays an input instruction, data, or the like from the operation unit 22 in accordance with an instruction of a display signal input from the CPU 21.

  A RAM (Random Access Memory) 24 temporarily stores various programs, input or output data, parameters, and the like that can be executed by the CPU 21 read from the storage unit 25 in various processes that are controlled by the CPU 21. Form a region.

  The storage unit 25 includes an HDD (Hard Disc Drive), a non-volatile semiconductor memory, and the like, and a system program executed by the CPU 21, a medical image reception processing program corresponding to the system program, and an interpretation charge change processing sequence management server Various processing programs including a program for executing the side processing, various application programs, various data, and the like are stored. These various programs are stored in the form of readable program codes, and the CPU 21 sequentially executes operations according to the program codes.

  In addition, the storage unit 25 stores a doctor-in-charge table 251 as illustrated in FIG.

  FIG. 3 shows an example of the attending doctor list table 251. As shown in FIG. 3, the doctor-in-charge list table 251 stores identification information of an interpretation doctor, an approved doctor, and a reference doctor in association with a combination of a patient ID and series information. That is, the doctor-in-charge list table 251 stores identification information for each patient regarding the series of medical image doctors in charge of medical images, approved physicians, and reference physicians.

  The communication control unit 26 includes a LAN adapter, a router, a TA (Terminal Adapter), and the like, and transmits and receives data to and from each device connected to the network N.

  The DB 27 is a storage unit that stores the image file of the medical image received from the modality 1 and stores the image information of the medical image received from the modality 1 and stored in the image DB 271. The image management DB 272 stores image management information such as a doctor ID of a doctor and a doctor ID of an approved doctor assigned as a person in charge of approval and status information (for example, uninterpreted, interpreted, approved). Each image file stored in the image DB 271 is associated with image management information of the image file stored in the image management DB 272 by an image file name or the like.

  Returning to FIG. 1, the interpretation terminal 3 includes a CPU 31, an operation unit 32, a display unit 33, a RAM 34, a storage unit 35, and a communication control unit 36 (all not shown) connected via a bus 37. Via a terminal such as a PC (Personal Computer) for obtaining medical image data from the management server 2 and displaying it, and for an interpreting doctor or trainee to create a medical image interpretation report (hereinafter referred to as a report). is there. In response to an instruction from the operation unit 32, the CPU 31 of the interpretation terminal 3 performs a software process in cooperation with a program stored in the storage unit 35 to perform the interpretation terminal change process sequence described later or the interpretation process. Terminal 3B side processing is executed.

  The approval terminal 4 is a terminal such as a PC for displaying a report created in the image interpretation terminal 3 and performing approval.

Next, the operation of the present embodiment will be described.
FIG. 4 shows an interpretation interpretation change processing sequence executed in the medical image interpretation management system 100. The interpretation terminal 3A is assumed to be a terminal owned by the doctor A, the interpretation terminal 3B is assumed to be a terminal owned by the doctor B, and the doctor B is requested to interpret the medical image assigned to the doctor A in FIG. An example of a radiogram interpretation change processing sequence in the case of performing is shown.

  When the interpretation terminal 3A is instructed to display the responsible change request screen 331 via the operation unit 32 and the communication control unit 36 transmits a display request for the responsible change request screen 331 to the management server 2 (step S1), the management In the server 2, the image management DB 272 is searched, and an uninterpreted image list is generated among the medical images assigned to the doctor A who is the user of the interpretation terminal 3A, and the data of the image list and the charge change request screen is the interpretation terminal. 3A (step S2), and the charge change request screen 331 is displayed on the display unit 33 of the interpretation terminal 3A (step S3).

  FIG. 5 shows an example of the charge change request screen 331. The charge change request screen 331 shown in FIG. 5 includes an area 331a for specifying a medical image that is a subject of change of charge for an interpreting doctor, and a setting area 331b for performing detailed setting related to charge change.

  The area 331a includes an area R1 for inputting a keyword such as a patient name and a patient ID of a medical image to be changed in charge, and a medical image having the keyword input in the area R1 from an uninterpreted image list. A search button B1 for searching and a list of unread images of the doctor A (a keyword is specified from the region R1 and a search result list when the search is performed) are displayed, and are the basis of the person to be changed. An area R2 for specifying a medical image is included.

The area 331b includes an area 331c for inputting the detailed setting for the subject to be changed this time and an area 331d for inputting the assignment setting of the doctor in charge in the future.
An area 331c includes a selection area R3 for selecting and setting a request unit for changing the charge from “patient unit”, “examination unit”, “series unit”, or “image unit”, and an interpreting doctor who changes the change of charge. A change destination interpretation doctor setting area R4 for inputting a doctor name and a change destination approved doctor setting area R5 for inputting a doctor name of an approved doctor who is in charge of change.
Here, when “patient unit” is selected, interpretation of all the medical images of the same patient as the medical image specified in the region 331a, which is currently in charge of the doctor A of the change source (the medical image to be generated in the future) (Including interpretation) is changed to the interpretation doctor designated in the change-destination interpreting doctor setting area R4, and the setting for changing the approval of the corresponding medical image to the approved doctor designated in the change-destination approved doctor setting area R5 is performed. For example, in FIG. 5, when the doctor A who is the change source is in charge of interpretation of a CT image, a CR image, and an MRI image of a patient (here, patient ID00012), the patient is selected by selecting “patient unit”. It is possible to make a setting for changing the interpretation of the CT image, the CR image, and the MRI image of ID00012 to other doctors including medical images that occur in the future.
When “examination unit” is selected, the interpretation of the medical image of the examination ID specified in the area 331a and handled by the change-source doctor A is changed to the interpretation doctor specified in the change-destination doctor setting area R4. Then, the setting for changing the approval of the corresponding medical image to the approved doctor designated in the change destination approved doctor setting region R5 is performed.
When “series unit” is selected, the interpretation of the medical image of the series specified in the region 331a among the medical images of the examination ID specified in the region 331a and handled by the changing doctor A is changed. The setting is made to change to the interpreting doctor designated in the interpretation doctor setting area R4 and to change the approval of the corresponding medical image to the approved doctor designated in the change destination approved doctor setting area R5. For example, in FIG. 5, when the interpreting doctor who is in charge of the interpretation is interpreting the CT and CR images of the examination ID 003522, the series information of the examination ID 003522 in the region 331a identifies the image of the examination ID 03522. The interpretation of only the CT image can be changed to the interpretation doctor designated in the change destination interpretation doctor setting area R4, and the approval of the corresponding medical image can be changed to the doctor designated in the change destination approval doctor setting area R5.
When “image unit” is selected, the interpretation of the medical image with the image ID specified in the area 331a is changed from the original doctor A to the interpretation doctor designated in the change-destination interpreting doctor setting area R4, and the corresponding medical use is performed. A setting is made to change the image approval to the approved physician designated in the change-destination approved physician setting region R5.

  An area 331d includes an area R6 for designating whether or not to perform assignment setting when a medical image related to a patient currently handled by the doctor A who is a change source is input in the future. An area R7 for selecting and setting from the three levels of "patient", "patient level", and "series level"; an assignment interpreting doctor R8 for inputting a doctor name of an interpreting doctor to be assigned in the future; An assignment destination approved doctor setting region R9 for inputting a doctor name of an approved doctor to be assigned in the future is provided. In R7, when “all patients” is selected, the interpretation of the medical image for all the patients currently in charge of the change-source doctor A will be performed in the future on the interpretation doctor designated in the assigned interpretation doctor setting area R8. The assignment is made to the doctor specified in the assignment-destination approved doctor setting area R9. When “patient level” is selected in R7, the interpretation of the medical image of the same patient as the medical image to be changed this time will be assigned to the interpreting doctor designated in the assignment destination interpreting doctor setting area R8 in the future. Then, a setting for assigning the approval to the doctor designated in the assignment destination approved doctor setting area R9 is performed. When “series level” is selected in R7, the interpretation of the same series of medical images of the same patient as the medical image to be changed this time will be read to the interpretation doctor specified in the assigned interpretation physician setting area R8 in the future. The assignment is made to the doctor specified in the assignment-destination approved doctor setting area R9.

If no change in charge is made for the approved doctor, the change in charge of only the interpreting doctor can be made without entering the change-destination approved doctor and the assigned-destination approved doctor.

  When setting input is performed from the charge change request screen 331 and the “setting” button B2 is pressed, the input content is transmitted to the management server 2. When the “Cancel” button B3 is pressed, the charge change request is canceled and the interpretation charge change processing sequence ends.

  In step S4 of FIG. 4, the setting details of the charge change request are input from the charge change request screen 331 described above, and further assignment setting is specified (step S5; YES), and the assignment assignment target level and When the assignment destination is input (step S6) and the “setting” button B2 is pressed to instruct setting (step S7; YES), the setting content data (setting data) is transmitted via the communication control unit 36 to the management server. 2 (step S9). On the other hand, if the “set” button B2 is not pressed in step S7 (step S7; NO) and the “cancel” button B3 is pressed (step S8; YES), this process ends.

  In the management server 2, when the setting data for the charge change request is received via the communication control unit 26, this setting data is temporarily stored in the RAM 24 (step S10), and the doctor ( Here, an interpretation request notification is transmitted to the interpretation terminal 3 (here, referred to as interpretation terminal 3B) of doctor B) (step S11).

  When the interpretation request notification is received from the management server 2 via the communication control unit 36 in the interpretation terminal 3B, an interpretation request notification screen is displayed on the display unit 33 (step S12). Here, on the interpretation request notification screen (not shown), a message “A request for interpretation has arrived. Do you agree?” And “Accept” to reply to the management server 2 that it is “Accept”. ”Button, a“ reject ”button for replying to the management server 2 that it is“ reject ”, the name of the interpretation doctor of the request source, the requested medical image information (image ID, examination ID, etc.), in the future The setting contents on the above-mentioned charge change screen 331 such as the contents of the assignment setting are displayed. When the “accept” button or “reject button” is pressed, information on acceptance or rejection is returned to the management server 2 (step S13), and the reply result is transferred to the interpretation terminal 3A in the management server 2 (step S14). ). In the interpretation terminal 3A, the reply result is received via the communication control unit 36 and displayed on the display unit 33 (step S15), and when an acknowledgment is transmitted to the management server 2 in response to an operation from the operation unit 32 ( In step S16), the management server 2 receives this confirmation response (step S17). When the change request is accepted in the interpretation terminal 3B (step S18; YES), information on the medical image to be changed in charge of the interpretation doctor based on the setting data from the interpretation terminal 3A stored in the RAM 24 is obtained. Retrieval from the image management DB 272 is performed, and the identification information of the interpreting doctor and / or the approved doctor of the retrieved medical image is replaced, and the assignment is changed. If the setting contents from the interpretation terminal 3A include future assignment settings, the data of the interpreting doctor and / or the approved doctor in the doctor-in-charge list table 251 is replaced based on the setting contents, and future assignment settings are changed. The change is made (step S19), and the process ends. On the other hand, when a rejection is returned from the interpretation terminal 3B (step S18; NO), this process ends.

  After a future assignment setting is made in the interpretation interpretation change processing sequence, when a medical image is received from the modality 1 in the management server 2, the assigned doctor list table 251 whose assignment setting has been changed in the interpretation assignment change processing sequence. Since the interpreting doctor and the approving doctor in charge are determined based on this, it is possible to perform the assignment as set from the charge change request screen 331.

  In the above-described embodiment, the interpretation request notification is transmitted from the management server 2 only to the requesting user and confirmed, but the approval request notification is also transmitted to the approved physician after the change, and the approval is made. It is desirable to notify that a change in charge has occurred.

  As described above, according to the medical image interpretation management system 100, when requesting another doctor to make a change in charge of interpretation, it is not necessary to set each of the medical images to be changed in charge, so that the patient unit Since it can be set collectively in the examination unit, series unit or image unit, it becomes possible to change the person in charge for related medical images according to the situation at the time of request, and change the person in charge. Can be performed easily and efficiently, and the setting change in charge can be prevented from being lost. In addition, since the approval doctor can be changed at the same time as the change of the interpretation doctor, it is not necessary to separately set the change of the approval doctor. In addition, when an interpretation request is made, that is, when a change in charge is set, assignment of a medical image of a patient who is currently in charge of the original interpretation doctor to another interpretation doctor can be set in the future. It is possible to appropriately assign a doctor in charge for a medical image to be performed without error. At this time, all the medical images of all patients who are currently in charge of the change-source interpreting doctor, the medical images of the same patient as the charge change target, or the same series of medical images of the same patient as the charge change target are specified Therefore, it is possible to make detailed settings for future assignments according to the situation at the time of the request. In addition, since the management server 2 reflects the set contents in the DB 27 after obtaining the consent of the interpretation doctor at the change destination, an unexpected medical image is assigned to the change destination or a doctor who does not exist. It is possible to prevent a situation in which a medical image is assigned by mistake.

  In addition, the description content in the said embodiment is a suitable example of the medical image interpretation management system 100 which concerns on this invention, and is not limited to this.

  For example, in the above-described embodiment, it is possible to change the charge of the interpretation doctor, change the assignment of the approved doctor, and change the assignment of the approved doctor, and then set the assignment. However, the present invention is not limited to this. In the change request screen 331, a change destination reference doctor setting area and an assigned reference doctor setting area are provided, and when the change destination and the assigned reference doctor are input from these setting areas, the management server 2 changes the interpretation doctor. It is also possible to change the reference doctor at the same time.

  In addition, the detailed configuration and detailed operation of the components of the medical image interpretation management system 100 according to the present embodiment can be changed as appropriate without departing from the spirit of the present invention.

1 is a diagram showing an overall configuration of a medical image interpretation management system 100 according to the present invention. It is a block diagram which shows the functional structure of the management server 2 of FIG. It is a figure which shows the example of a data structure of the doctor list table 251 of FIG. It is a figure which shows the radiographing charge change process sequence performed in the medical image interpretation management system. It is a figure which shows an example of the charge change request screen 331.

Explanation of symbols

100 Medical Image Interpretation Management System 1 Modality 2 Management Server 3 Interpretation Terminal 4 Approval Terminals 21, 31 CPU
22, 32 Operation unit 23, 33 Display unit 24, 34 RAM
25, 35 Storage unit 251 Physician list table 26, 36 Communication control unit 27 DB
28, 37 bus

Claims (6)

A medical image management apparatus that stores an input medical image in association with image attribute information including patient information, examination information, and series information related to the medical image, and assigns and manages the medical image to a doctor in charge of the medical image; In a medical image interpretation management system comprising an interpretation terminal that acquires and displays an image from the medical image management apparatus via a communication line,
When changing the responsible interpreting doctor, the setting means for setting the medical image to be changed in patient unit, examination unit, series unit or image unit together with setting of the changing interpretation doctor
The medical image management apparatus is configured to search a medical image to be changed in charge from the storage unit based on a setting from the setting unit, and assign the searched medical image to the changing interpretation doctor. Medical image interpretation management system. The setting means is configured to be able to set an approved doctor that approves an interpretation result of the medical image to be changed in charge when setting the change in charge.
The medical image interpretation management system according to claim 1, wherein the medical image management apparatus assigns an approval of an interpretation result for the medical image to be changed in charge to the set approved physician. The setting means sets the assignment of an interpreting doctor and / or an approved doctor when a medical image related to a patient currently in charge by the interpreting doctor who is the changing source of the responsible change is input in the future when the changing of the responsible person is set. Configured and possible
The medical image management apparatus, when a medical image relating to a patient currently being handled by the interpretation doctor who is the change source of the charge change is input in the future, the input medical image is set to the interpretation set by the setting unit. The medical image interpretation management system according to claim 1 or 2, wherein the medical image interpretation management system is assigned to a doctor and / or an approved physician.   The medical image relating to the patient currently in charge of the change interpreting interpreting doctor is the medical image of all the patients currently in charge of the changing change interpreting doctor, and the charge change target The medical image interpretation management system according to claim 3, wherein the medical image interpretation management system is a medical image of the same patient or a medical image of the same series of the same patient as the subject to be changed.   The medical image management apparatus displays the setting contents by the setting means on the interpretation terminal owned by the change-destination interpretation doctor, and when the acceptance of the setting contents is input from the interpretation terminal, the assignment of the assignment is performed. The medical image interpretation management system according to claim 1, wherein the medical image interpretation management system is changed. The setting means is configured to be able to set a reference doctor for the medical image to be changed in charge at the time of setting the change in charge.
6. The medical image management apparatus according to claim 1, wherein the medical image management apparatus determines a doctor who can refer to the medical image to be changed in charge based on a setting from the setting unit. Medical image interpretation management system.

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