JP4695369B2 - Image display method of X-ray imaging apparatus - Google Patents

Description

  The present invention relates to an image display method for operating an X-ray imaging apparatus.

  As shown in FIG. 31, the X-ray imaging apparatus includes an imaging apparatus main body A that performs X-ray imaging of a person (hereinafter referred to as a patient) that is an X-ray imaging target and an operation console B thereof. Are installed in the shooting room, and the console B is installed in the operation room.

As a result of the diagnosis, when a doctor needs X-ray imaging of the patient, the doctor sets the imaging conditions such as the region to be X-rayed, the imaging direction, and the imaging method, along with patient information such as the patient's name and ID. Make a reservation in writing C to the radiographer (X-ray technician). The X-ray technician confirms the patient when the appointment of the X-ray imaging from the doctor is made with the document C, and based on the document C, the operator B is operated to operate the patient data and the imaging of the appointment patient. A condition is entered. Then, in the imaging apparatus main body A, based on the input imaging conditions, the X-ray tube driving conditions and procedures (the part to be imaged by the patient and the posture of the X-ray imaging apparatus for imaging the part or X X-ray imaging of the designated part is performed by correcting the patient's posture. The result of the X-ray imaging (photographed image data) is confirmed on the console B, and the radiographic image data is processed so that it can be used when a doctor diagnoses a patient by performing image processing as necessary. Are managed (see, for example, Patent Document 1).
JP 2000-166908 A

  By the way, in the conventional X-ray imaging, the operator (X-ray technician) goes back and forth between the imaging room and the operation room every time the above procedure is performed, and the work takes time and effort.

  In addition, the captured image data obtained as a result of X-ray imaging is displayed and confirmed on the console, and is managed after image processing is performed as necessary. Both are managed using numbers and symbols. In other words, such numbers and symbols are specific to the patient, and the captured image data and imaging conditions are linked to the patient's name via such numbers and symbols, so that information such as the captured image data and imaging conditions is provided. Is managed.

  For this reason, the necessary data is searched using the patient's name as a keyword. However, there is a possibility that the captured image data may be mixed, and the imaging condition and procedure of the image may be captured. I couldn't know what happened instantly.

  The object of the present invention is to solve such problems and to link necessary data such as imaging conditions, procedures, patient data, and imaging result data to each other automatically and to handle these data in a unified manner. In addition, information necessary for X-ray imaging such as imaging conditions and procedures can be input and adjusted easily and quickly, improving operability and enabling even unskilled engineers to operate easily and accurately. An object of the present invention is to provide an image display method of an X-ray imaging apparatus which can be performed.

In order to achieve the above object, the present invention provides an imaging apparatus main body for irradiating a predetermined part of a patient with X-rays to X-ray the part and generating image data of the taken part. An image display method of an X-ray imaging apparatus including an operation console that acquires generated X-ray imaging image data and displays X-ray imaging image data and data related to X-ray imaging on a display screen. Procedure for patient-related information display area for displaying patient ID and name, examination-related information display area for selectively displaying examination information of examination reserved for patient, and examination information selected in examination-related information display area A procedure detail screen that simultaneously includes a procedure detail display area for making corrections is displayed, and a desired procedure display field is selected from a list of procedures displayed in the procedure detail display area. It is obtained by enabling correct the procedure of selected test information.

Further, according to the present invention, the procedure detail display area allows selection operation of a list of parts displayed so that a display column of various parts can be selected and a display column of various techniques for the part selected in the list of parts. And a list of the above-mentioned procedures to be displayed .

Further, the present invention further displays a display area indicating shooting conditions set in the imaging apparatus main body on the display screen, and changes the shooting conditions by operating the display area indicating the shooting conditions. A shooting condition change screen is displayed .

Further, the present invention relates to an examination related by selecting and displaying a desired procedure display column from the procedure list in the procedure detail display area in a state where none of the examination information displayed in the examination related information display area is selected. The examination information of the procedure selected by the selection operation is additionally displayed in the information display area .

In the present invention, the above-described display screen is provided with an “imaging screen” button so that the examination information is selected in the examination-related information display area and the “imaging screen” button is operated. Instead of the procedure detail display area, an imaging screen display area for displaying the X-ray imaging image data of the patient acquired from the imaging apparatus main body is displayed, and the patient-related information display area, the examination-related information display area, and the imaging screen display area are displayed. A shooting screen including the same is displayed .

Further, according to the present invention, an “edit procedure” button for displaying a screen for editing a procedure for examination information for performing X-ray imaging is displayed on the imaging screen, and the examination information is selected in the examination-related information display area. When the “Edit Procedure” button is operated, a procedure detail display area is displayed instead of the imaging screen display area, and the procedure includes a patient-related information display area, an examination-related information display area, and a procedure detail display area at the same time. A detail screen is displayed .

In the present invention, the above-described imaging screen includes a “past image” button for displaying a screen for selectively displaying data of past X-ray imaging results .

  According to the present invention, since data necessary for X-ray imaging and data of imaging results are automatically and linked to each other and displayed on the screen, these data can be handled centrally, The operability is improved and the operation can be performed easily and accurately.

  Embodiments of the present invention will be described below with reference to the drawings.

  FIG. 1 is a block diagram showing a specific example of an X-ray apparatus using the present invention, in which A is an imaging room, B is an operation room, 1 is an imaging apparatus body, 2 is an operation console, and 3 is a universal imaging stand. 4 is an X-ray high voltage device, 5 is an X-ray imaging device, 6 is an X-ray irradiation unit, 7 is an X-ray tube device, 8 is a variable aperture device, 9 is an FPD (Flat Panel Detector), Reference numeral 10 denotes an arm, 10a denotes a rotating shaft, 11 denotes an infrared remote controller, 12 denotes an image processing apparatus, 13 denotes a console, 14 denotes a display screen, and 15 denotes an optical fiber.

  In this figure, the X-ray apparatus is composed of an imaging apparatus body 1 provided in an imaging room A and an operation console 2 provided in an operation room B. The imaging apparatus body 1 is operated from the operation console 2. In addition, image data of a subject photographed by the photographing apparatus main body can be confirmed on the operation console 2.

  The imaging apparatus main body 1 includes an X-ray high voltage apparatus 4, a universal imaging table 3, an X-ray imaging device 5, and the like. The X-ray imaging device 5 includes an X-ray irradiation unit 6 including an X-ray tube device 7 and a variable aperture device 8 and an FPD (Flat Panel Detector) 9. The X-ray apparatus 5 is supported by an arm 10 having a shape. That is, an X-ray irradiator 6 is attached to one end of the arm 10 and an FPD 9 is attached to the other end, and the arm 10 is mounted on the universal photographing stand by a rotating shaft 10a provided at the center thereof. 3 is attached.

  The X-ray irradiation port of the X-ray irradiation unit 6 and the FPD 9 are opposed to each other, and a patient to be imaged is placed between the X-ray irradiation unit 6 and the FPD 9 and is emitted from the X-ray tube device 7 to be movable. The patient is irradiated with the X-rays focused by the diaphragm 8 and the X-rays transmitted through the patient are received by the FPD 9, thereby obtaining a fluoroscopic image of the patient, that is, a patient image. The data of the patient image P is sent as optical data to the operation console 2 through the optical fiber 15.

  When the universal imaging table 3 rotates the rotation shaft 10a, the arm 10 rotates about the rotation shaft 10a, and the direction of the straight line connecting the X-ray irradiation port of the X-ray irradiation unit 6 and the center point of the FPD 9 Can be changed. Therefore, X-ray irradiation from the X-ray irradiation unit 6 is directed from the lower side upwards, horizontally, or from the upper side downwards, depending on the posture of the patient or the part to be imaged by the patient. It can be changed appropriately. The operation of changing the direction of the X-ray imaging device 5 by the universal imaging table is performed by information (setting information) S1 from the operation console 2. Such setting can also be performed by the infrared remote controller 11. Setting information by infrared rays from the infrared remote controller 11 is received by a sensor (not shown) and sent to the universal photographing stand 3.

  The X-ray high voltage device 4 generates a high voltage for driving the X-ray imager 5. When the setting information S2 and the irradiation command C are sent from the operation console 2, the X-ray high-voltage device 4 is set and driven in a state corresponding to the setting information S2, and generates a high voltage from the universal imaging stand 3 to the X Apply to the X-ray tube device 6 of the X-ray machine 5. Thereby, X-rays are emitted from the X-ray tube device 6. The movable diaphragm device 8 of the X-ray apparatus 5 is set by the setting information S1 from the operation console 2, and the X-ray tube device 6 emits X so that a fluoroscopic image of the patient can be clearly obtained. Determine the aperture of the line and the X-ray irradiation range (irradiation field size) of the patient.

  The operation console 2 includes an image processing device 12 including an image processing unit, a storage device, and a control unit (not shown), and an operation console 13 including a touch panel display screen 14. The console 13 is used for operations of the imaging apparatus main body 1, display of an X-ray image of a patient imaged by the X-ray imaging device 5 of the operation apparatus main body 1, registration of information regarding the patient, confirmation of registration information, and the like. Is. The operation screen and registration screen of the photographing apparatus main body 1 are stored in a storage device (not shown) in the image processing device 12, and such screen is displayed on the display screen 14 of the console 13 to be operated by the operator. Thus, setting information S1, S2 and an irradiation command C are created by a control unit (not shown) of the image processing apparatus 12, and information such as a patient can be registered, and the registration information is displayed on the display screen 14. It can be displayed and confirmed.

  Further, as described above, the patient image P obtained by the FPD 9 of the X-ray imaging device 5 is supplied as optical data to the image processing device 12, and this received patient image is received by an image processing unit (not shown). After predetermined processing is performed, it is stored in the storage device. The stored patient image can be read from the storage device of the image processing device 12 and displayed on the display screen 14 by an operation on the display screen 14 of the console 13.

  In this way, when the operator operates the console 13 on the operation console 2 (setting information S1, S2 and irradiation command C), the imaging apparatus body 1 is controlled to image a predetermined part of the patient. It is also possible to register and confirm information related to the patient to be imaged with the imaging apparatus body 1 (parts to be imaged, imaging schedule, imaging reservation information, etc.), and further, imaging The captured patient image can be displayed to check the imaging state.

  FIG. 2 is a diagram showing the flow of information between the parts in FIG. 1, and parts corresponding to those in FIG.

  In the figure, before imaging, the image processing device 12 applies X-ray high-voltage device 4 to imaging conditions, that is, tube voltage, current sensitivity, and application time of X-ray tube device 7 (X-ray emission time of X-ray tube device 7 ), Information for setting the presence / absence of automatic exposure, fields, and the like is supplied as setting information S2. Thereby, the X-ray high voltage apparatus 4 will be in the state set to this imaging condition. When such imaging conditions are set, an imaging Ready signal is supplied as an irradiation command C from the image processing apparatus 12 to the X-ray high voltage apparatus 4, and the X-ray high voltage apparatus 4 responds to this by performing image processing. A shooting start signal is sent to the device 12. When an X-ray on signal is sent as an irradiation command C from the image processing device 12, the X-ray high voltage device 4 generates a drive voltage in accordance with the set imaging conditions, and the X-ray tube device 7 is driven to generate X-rays. Thereby, X-ray imaging of a patient is performed. At this time, X-ray on (rtn) is sent from the X-ray high-voltage device 4 to the image processing device 12 to notify that X-rays have been emitted, that is, imaging has been performed. The X-ray image obtained by the FPD 9 is supplied to the image processing device 12 as optical data as a patient image.

  Further, the imaging part information and patient information (patient ID, name, etc.) are sent as setting information S1 from the image processing device 12 to the universal imaging stand 3 before imaging. Here, the imaging region information includes a region to be imaged by a patient, arm angle information, SID (Source Image Distance), irradiation field size, additional filter, and the like. The angle of the arm 10 (FIG. 1) (that is, the X-ray irradiation direction) is set based on the imaging part information and the arm angle information, and the state of the movable diaphragm device 8 is determined based on the information such as the irradiation field size and the additional filter. When set, an irradiation field size 2 additional filter is determined, and the diaphragm lamp is lit.

  As described above, the states of the arm 10 and the movable aperture device 8 are set based on the imaging region information, and a high voltage is generated from the X-ray high voltage device 4 by the imaging Ready signal and the X-ray on signal from the image processing device 12. Then, the X-ray tube device 7 is driven and imaging of a designated part of the patient is performed. Then, the X-ray high voltage apparatus 4 sends the setting conditions when the imaging is performed, that is, the imaging execution conditions to the image processing apparatus 12, but the operation cannot be performed under the set imaging conditions (imaging execution conditions). Error information), error information is generated and sent to the image processing device 12. In addition, the movable diaphragm device 8 sends the result of the irradiation field size and the additional filter at the time of photographing to the universal photographing table 3, and the universal photographing table 3 designates the photographing state of the movable diaphragm device by the photographing part information from the result. If there is an error, error information is sent to the image processing device 12.

  In addition, the state of the arm 10 (FIG. 1) and the movable diaphragm device 8 can be set in the same manner by sending the irradiation field size, additional filter, and lighting information of the diaphragm lamp from the infrared remote controller 11 to the universal photographing stand 3. It is also possible to move the arm 10 by sending imaging table movement information.

  Next, based on the operation of the X-ray apparatus shown in FIGS. 1 and 2, an embodiment of the image display method of the X-ray apparatus according to the present invention on the console 13 in FIG. 1 will be described.

  FIG. 3 is a flowchart showing a flow of image display accompanying an initial operation on the console 13 in FIG.

  In the figure, when the X-ray apparatus is turned on (step S1), an initial screen is displayed on the display screen 14 of the console 13 (step S2), and automatically displayed on the login screen after a predetermined time has elapsed. (Step S3).

  FIG. 4 is a diagram showing a specific example of the login screen 20. The login screen 20 includes a name input field 21, a password input field 22, a keyboard 23, an arrangement / character type selection area 24, an operation area 25, and an “OK”. "Button 26 and" clear "button 27.

  The name input field 21 is for inputting the name of an operator who operates the X-ray apparatus, that is, the X-ray engineer. The password input field 22 is for inputting a password assigned to the X-ray engineer. belongs to. At the beginning (initial state) when the login screen 20 starts to be displayed, as shown in white, the name input field 21 is ready for input, and X-rays to be used for this X-ray apparatus from now on. By inputting the name of the engineer himself and operating the “Enter” key 25e in the operation area 25 as described later, it becomes possible to input in the next password input field 22. In other words, the name input field 21 and the password input field 22 can be alternately input every time the “enter” key 25e is operated.

  The name input field 21 and the password input field 22 can be input by operating the keyboard 23. Here, on the keyboard 23, a key layout can be selected by an operation in the layout / character type selection area 24. That is, in the arrangement / character type selection area 24, an arrangement selection button 24a1 that can designate the key arrangement on the keyboard 23 as an alphabetic Qwerty arrangement similar to a personal computer, an arrangement selection button 24a2 that can be designated as an alphabetic ABC arrangement, and a character “ An array selection button 24a3 that can be designated as a JIS layout for “a, i, u,...” And an array selection button 24a4 that can be designated as a 50-sound arrangement for the characters “a, i, u,. Also, for the name input field 21, a character type selection button 24b1 that enables hiragana input, a character type selection button 24b2 that enables katakana input, and a character type selection button 24b3 that allows uppercase alphabet input Also, a character type selection button 24b4 that allows lowercase letters to be input is provided. That. A full / half-width selection button 24c is provided so that half-width and full-width can be selected when the character type selection buttons 24b2 to 24b4 are selected. As a result, for the keyboard layout on the keyboard 23, it is possible to select any one of the alphabetic Qwerty layout, the ABC layout, the JIS layout of the letters “A, I, U,... In addition, hiragana, katakana, uppercase, and lowercase letters can be entered for character input, and full-width and half-width can be selected for katakana, uppercase, and lowercase letters. Here, the key arrangement of the keyboard 23 is displayed in alphabetical Qwerty arrangement, and the case where hiragana input is selected is shown.

  In the following, operable buttons and keys are indicated by a shadow on the right and bottom sides. In the following, it is said that such buttons, keys, or display fields are operable. Further, the operated button is shown in a white display with black and white reversed.

  In the operation area 25, a “conversion” key 25a for converting a character string input to the name input field 21 by the operation of the keyboard 23 into a kanji character, a “margin” key 25b for inputting a margin (note that The keyboard 23 is also provided with a “margin” key), a “delete” key 25c for deleting a character string input to the name input field 21 and the password input field 22 from the back one character at a time, and a name input The “move” key 25d1 for moving the character input position in the field 21 and the password input field 22 to the left, the “move” key 25d2 for moving to the right in the same manner, and the above “determine (Enter)” ”Key 25e.

  The “OK” key 26 is used when there is no error in the input information in the name input field 21 and the password input field 22 and the operation proceeds to the next operation. The “clear” key 27 is displayed on the login screen 20. This is for canceling all operations. When the “clear” key 27 is operated, the state returns to the state where no input is made in the name input field 21 and the password input field 22.

  Here, first, the input to the name input field 21 by the operation of the keyboard 23 is completed, and the name is converted into Kanji notation by operating the conversion key 25a. The entered name is checked to see if it corresponds to a registered name stored in the storage device of the image processing apparatus 12 (FIG. 1). If the entered name is not a registered name (the input is incorrect). This is displayed in the name input field 21 to prompt re-input.

  When it is confirmed that there is no error in the input name and the “OK” key 25e is operated, the input name is determined. Then, when the “OK” key 25e is operated again, the character input to the password input field 22 becomes possible. Therefore, when the password is input by operating the keyboard 23, the image processing apparatus 12 (FIG. 1) also determines whether this password also corresponds to the password stored and registered in the storage device. Whether the name corresponds to the name input in 21 is checked. If the name is not satisfied, this is displayed in the password input field 22 to prompt the user to re-enter the password.

  When there is no error in the input password (in this case, each input character of the password is represented by a mark “*”), this password is determined by operating the “OK” key 25e, and the “OK” button is operated. Then, the reservation registration confirmation screen 30 shown as a specific example in FIG. 5 is displayed (step S4 in FIG. 3).

  Note that these names and passwords can be input to the input fields that have been touched by touching the respective input fields.

  The reservation registration confirmation screen 30 is configured to allow confirmation of patients scheduled to be imaged for each X-ray imaging date and the status of each part in FIG. 1, and displays a list of patients on an “imaging” tab 37. In addition, in order to display the state of each unit, a state display area 31 that indicates the state of the imaging apparatus main body 1, a state display area 32 that indicates setting information of the X-ray high-voltage device 4, and the state of the console 13 (hard disk or A status display area 33 indicating the use status of the printer, a data transfer status, and the like, and a status display area 34 indicating the setting information of the movable aperture device 8 are provided.

  A “display” tab 38, which will be described later, is also provided, and a “shooting” tab 37 and a “display” tab 38 can be selected as appropriate. When the reservation registration confirmation screen 30 starts to be displayed, as a default, “ The contents of the “shoot” tab 37 are displayed.

  The reservation registration confirmation screen 30 is provided with a date field 35 representing today's date, and an “emergency imaging screen selection” button 36, “add patient” button 48, and “imaging screen” button 49, which will be described later. It is provided in an operable state.

  In the “shooting” tab 37, a “date” button 39 displaying the shooting date (examination date) and the shooting date (examination date) displayed on the “date” button 39 are traced back in the past in units of weeks and months. The “date change” key 40a for changing, the “date change” key 40b for changing back to the past in units of days, and the photographing date (inspection date) displayed on the “date” button 39 in the same manner. A “change date” key 41 a for changing in the future in units of weeks and months and a “change date” key 41 b for changing in the future in units of days are operably displayed and displayed on this “date” button 39. There is provided a reservation number display field 42 for displaying the number of inspection reservations on the photographing date. A list 43 of examinations by shooting date displayed on the “date” button 39 is displayed.

In this examination list 43, each examination information 44 includes “examination number (N ₀ )” 43 a, patient “ID (identification code)” 43 b, patient “name” 43 c, patient “age” 43 d, patient “ It is represented by the items of “sex” 43e, “procedure (part to be imaged and imaging method)” 43f, and “state” 43g of imaging.

  As described above, the examination information 44 includes not only the name of the patient but also the ID of the patient, and is managed by the name and ID of the patient. Here, the patient ID has a higher priority than the patient name, and when checking the examination information 44, the patient ID can be checked. Thereby, even if there is a patient with the same surname and the same name, the examination information 44 is not mistaken.

  Further, in this examination list 43, since each examination information 44 is displayed, when the same patient performs imaging on the same day by the same X-ray technician, for example, for different parts, Since the examinations are different from each other, the examination information 44 for each is displayed in the examination list 43 separately. This is the case where the examination of the item “examination number” 43a “25673689” and “96835801473” is displayed for the male patient “XXX” whose item “ID” 43b of the patient is “15006878164” Is shown. In addition, the display column of each test | inspection information 44 is displayed so that operation is possible.

  As shown in FIG. 6, the item “procedure” 43f is divided into the head, the chest, the pelvis, the lower limbs, the neck, the abdomen, and the upper limbs. It is expressed by the combination with the direction at the time of imaging of the patient. The item “state” 43g represents the state of the inspection, and “not yet” is displayed for the inspection information 44 that has not yet been performed. "On the way" is displayed. Note that the completed examination is deleted from the examination list 43.

  For each examination information 44 in the examination list 43, a “reservation edit” button 45 for changing the reservation content and a “cancel” button 46 for canceling the reservation of the examination information 44 are provided to be operable. It has been. When the “cancel” button 46 is touched, the corresponding examination information 44 is deleted from the examination list 43.

  Since the amount of the examination list 43 (number of examination information 44) displayed on the “imaging” tab 37 is limited, the examination list 43 can be scrolled up and down by operating the scroll bar 47. Thus, the inspection information 44 that is not displayed can also be displayed.

  As will be described later, the “add patient” button 48 is used to add a test (patient) to be performed on the date displayed on the “date” button 39, and the “imaging screen” button 49 is As will be described later, this is for displaying an imaging screen related to the examination information 44 displayed in the examination list 43.

  As described above, the reservation registration confirmation screen 30 allows confirmation of the state of each part of the X-ray apparatus shown in FIG. 1 and confirmation of the scheduled examination on each imaging date by selecting the “imaging” tab 37. By performing the button operation, it is possible to proceed to the next operation. The above is step S4 in FIG.

  Hereinafter, operations selected on the reservation registration confirmation screen 30 will be described in order.

  On the reservation registration confirmation screen 30, the shooting date displayed on the “date” button 39 can be changed by touching the “date change” keys 40 and 41 on the “shooting” tab 37, and this can be changed. Along with this, the examination list 43 also corresponds to the shooting date displayed on the “date” button 39, but the examination date can also be changed by using the “date” button 39.

  When the “date” button 39 is touched on the reservation registration confirmation screen 30 (step S5 in FIG. 3), a calendar screen 50 showing a specific example is displayed in FIG. On this calendar screen 50, a calendar 51 is displayed together with status display areas 31 to 34 similar to the reservation registration confirmation screen 30 shown in FIG. The display area 51a representing each “day” on the calendar 51 can be operated.

  At the beginning of the display of this calendar 51, the calendar 51 is for the “year, month” displayed on the “date” button 39 (FIG. 5) on the “shooting” tab 37 of the reservation registration confirmation screen 30. A frame-like cursor 51c is attached to the “date” display area 51a displayed on the “date” button 39. That is, the date on which the cursor 51 c is attached is the date specified on the reservation registration confirmation screen 30, and the date displayed on the “date” button 39. Each “day” display area 51a is provided with a reservation status display column 51b indicating the reservation status of the examination (X-ray imaging) on that day so that the daily reservation status can be seen at a glance.

  In this calendar 51, this desired date is designated by touching the desired "day". This touch operation returns to the reservation registration confirmation screen 30 shown in FIG. 5 (step S6 in FIG. 3). At this time, the date (year / month / day) designated on the “date” button 39 of the “shooting” tab 37 is displayed. In addition, the examination list 43 displays a list of examination information 44 taken by the X-ray technician on the designated date.

  Further, on the calendar screen 50 shown in FIG. 7, when it is desired to designate a shooting date of a different month, the “go to the previous month” button 52 or the “go to the next month” button 53 may be touch-operated. When the “go to the previous month” button 52 is operated, the calendar 51 returns to the previous month for each operation, and when the “go to the next month” button 53 is operated, The calendar 51 moves to a later month on a monthly basis for each operation.

  When the “close” button 54 is touched, the calendar screen 50 is closed and the screen returns to the reservation registration confirmation screen 30 shown in FIG. 5 (step S6 in FIG. 3). At this time, the date (inspection date) displayed on the “date” button 39 remains unchanged.

  On this reservation registration confirmation screen 30, it is possible to confirm the information of the patient who is the subject of the X-ray examination by the X-ray engineer, and to edit it as necessary.

  In this case, when the desired examination information 44 is specified by touching the “reservation edit” button 45 in the examination list 43 on the “imaging” tab 37 of the reservation registration confirmation screen 30 (FIG. 3). In step S4, “edit”), an ID input screen 60 shown as a specific example in FIG. 8 is displayed for the patient who receives the designated examination information 44 (step S7 in FIG. 3).

  In this ID input screen 60, a patient related information display area 61 and an examination related information display area 62 are provided together with status display areas 31 to 34 similar to the reservation registration confirmation screen 30 shown in FIG. In the patient-related information display area 61, as patient-related information, main information 61a representing the patient himself / herself such as the patient's ID, name, and age and sub-information 61b representing the patient's related examination department and doctor can be operated. Is displayed. In the examination related information display area 62, information (examination information) 62a reserved for this patient is displayed so as to be operable, and a “reserved number / number of taken images” column 62b of imaging (examination) is displayed. Is done. The examination related information display area 62 is provided with an “operation editing” button 62c so that any of the examination information 62a can be edited.

  Thus, on the ID input screen 60, patient-related information and examination-related information (especially a technique) are displayed at the same time, thereby making it easy to confirm the contents of the patient's examination.

  Further, an “OK” button 63, a “cancel” button 64, a “new” button 65, and a “shooting screen” button 66 are provided on the ID input screen 60 so as to be operable.

  The display fields of the main information 61a and the sub information 61b in the patient related information display area 61 are operation buttons, and the main information 61a and the sub information 61b can be edited by operating these buttons.

  Now, for example, when the display field of “name” which is the main information 61a or “name” which is the pseudonym is touch-operated, patient information editing for editing the patient's name is shown as one specific example in FIG. A screen 70 is displayed (step S8 in FIG. 3). In FIG. 9, parts having the same functions as those shown in the previous drawings are given the same reference numerals.

  On this patient information editing screen 70, a main information display area 71 is displayed. Along with this, a keyboard 23 having the same functions as the login screen 20 shown in FIG. 4, an arrangement / character type selection area 24, an operation area 25, 8 is provided with an “OK” button 63 and a “cancel” button 64 having the same functions as those of the ID input screen 60 shown in FIG. Here, the main information that can be input in the main information display area 71 is “name” and “name”, and for this reason, these display portions can be operated.

  In this case, since the main information 61a such as “name” and “name” is designated in the patient related information display area 61 of the ID input screen 60, the patient information editing screen 70 is displayed and the “name” or In the “name” display field 71a, it is possible to input the patient's name or its pseudonym (in this case, the “name” display field 71a is designated), and the black and white inversion is outlined. It is displayed in an inoperable state with a shadow removed, and it is shown that the patient's name can be edited (input) by operating the keyboard 23. This editing (correction by input, etc.) can be performed by operating the keyboard 23, the array / character type selection area 24, and the operation area 25, as in the login screen 20 shown in FIG. Then, the editing (name input) is determined by touching the “Enter” key 25e, and then the “OK” button 63 is touched to display the main information 61a in the patient related information display area 61. Returning to the display of the ID input screen 60 (FIG. 8) in which the “name” is corrected, and touching the “cancel” button 64, the edited content on the patient information editing screen 70 is canceled and is not edited. Returning to the original content ID input screen 60 (step 9 in FIG. 3).

  When the main information “namae” is specified in the patient related information display area 61 of the ID input screen 60, a patient information editing screen suitable for inputting a pretend pseudonym similar to FIG. 9 is displayed. In the same manner as above, a pseudonym can be entered in the display column of “Name”. 9. On the patient information editing screen 70 shown in FIG. 9, input is made to the “name” display field 71a, and the “Enter” key 25e is touch-operated to determine this input. When the “Enter” key 25e is touched, “name” in the next display field is ready for input, and accordingly, the operation unit for the input is an operation suitable for inputting this “name”. Part. However, here, the operation unit for “name” is the same as the operation unit for “name”, and therefore, the same operation unit as in FIG. 9 is displayed for “name”.

  Further, in the patient related information display area 61 of the ID input screen 60, for example, when the display column of “birth date” which is the main information 61a is touch-operated, the patient's date of birth shown as one specific example in FIG. A patient information editing screen 80 for inputting age, sex, etc. is displayed (step S10 in FIG. 3). The patient information editing screen 80 is provided with a main information display area 81 in which the same information as the main information 61a on the ID input screen 60 shown in FIG. 8 is displayed. Two operation parts 82 and 83 suitable for the above are provided. In the operation unit 82, a numeric keypad 82b for designating numbers, a "year designation" button 82a for designating a year such as the year, Meiji, Taisho, Showa, Heisei, and a "male" button for designating gender 82c, “female” button 82d and “others” button 82e are operably provided. In the operation unit 83, a “delete” key 83a, “move” key 83b, “move” key 83c, and “enter” key 83d having the same functions as those of the operation area 25 of the login screen 20 shown in FIG. It is provided so that it can be operated. Furthermore, an “OK” button 63 and a “cancel” button 64 having the same functions as those of the ID input screen 60 shown in FIG.

  Here, since the main information 61a “birth date” is designated in the patient related information display area 61 of the ID input screen 60 shown in FIG. 8, the patient information editing screen 80 is displayed and the main information display area is displayed. The date of birth (year and date) can be entered in the “birth date” display field 81a at 71, that is, the patient's date of birth can be edited. This editing (correction, etc.) is performed by touching one of the “year designation” buttons 82a on the operation unit 82, so that the year is input in the “birth date” display field 81a. By touching the numeric keypad 82b, the date of the year is input. Further, the examination number No. and the patient ID can be input, and further, the gender display column 82a can be corrected by touching the “male” button 82c and the “female” button 82d.

  Further, when the main information is input, an erroneous input or the like can be corrected by touching the “delete” key 83a or the “move” keys 83b and 83c on the operation unit 83. Further, when the “enter” key 83d is touch-operated, the input in the “birth date” display field 81a is confirmed, and when the “enter” key 83d is touch-operated again, “sex” is displayed. The input in the column 81b is enabled. Hereinafter, similarly, examination No. and patient ID can be made editable. Further, in the “birth date” display field 81a, if the “Enter” key 83d is touched twice without input, the “gender” display field 81b can be entered. It is also possible to edit only the gender by operating the “male” button 82c or the “female” button 82d to input the gender and touching the “Enter” key 83d once again. Similarly, only the inspection number, patient ID, date of birth, or sex can be edited. Note that the “age” in the patient-related information display area 61 on the ID input screen shown in FIG. 8 is automatically determined by the “date of birth”.

  Then, the input of either or both of the “birth date” display field 81a and the “gender” display field 81b is confirmed (touch operation of the “Enter” key 83d), and the “OK” button. When the user touches 63, the input date of birth and gender are corrected, and the screen returns to the ID input screen 60 shown in FIG. 8 (step S11 in FIG. 3). In addition, an input is performed in one or both of the “birth date” display field 81a and the “sex” display field 81b, or the input is not performed and the “cancel” button 64 is touched. When operated, neither the date of birth nor gender is corrected, and the screen returns to the ID input screen 60 shown in FIG. 8 (step S11 in FIG. 3).

  Even when the examination number “No” or the patient “ID” is designated in the patient related information display area 61 of the ID input screen 60 shown in FIG. 8, these display fields can be entered in the same patient edit as in FIG. A screen is displayed. However, in this case, only the numeric keypad is displayed on the operation unit 82 in FIG.

  It should be noted that both the patient information editing screen 70 shown in FIG. 9 and the patient information editing screen 80 shown in FIG. 10 are repeatedly touched with the “Enter” keys 25e and 83d as described above. The patient information display fields to be displayed can be sequentially input. Accordingly, in the patient information editing screen 70 shown in FIG. 9, not only can the display fields “name” and “name” be designated by the operation of the “Enter” key 25e, but also the examination number “No”. And “ID”, “date of birth”, and “gender” of the patient can also be specified. Of course, when these are designated, for example, as shown in FIG. 10, an operation unit corresponding to the designated patient information is displayed. Similarly, in the patient information editing screen 80 shown in FIG. 10, only the examination number “No”, the patient “ID”, “date of birth”, and “sex” are displayed by repeatedly operating the “Enter” key 83d. In addition, the display column “name” and “name” can also be specified. Of course, when these are designated, for example, as shown in FIG. 9, an operation unit corresponding to the designated patient information is displayed.

  In addition, in the patient information editing screen 70 shown in FIG. 9 and the patient information editing screen 80 shown in FIG. 10, the display column of desired patient information can be directly designated by a touch operation.

  As described above, on the patient information editing screen as shown in FIGS. 9 and 10, the operation device suitable for the input in the display field of the patient information designated at this time is displayed. Since unnecessary operation keys are not displayed, the operation can be simplified and the input operation can be performed accurately in a short time.

  In the ID input screen 60 shown in FIG. 8, when any one of the examination information 62a in the examination-related information display area 62 is selected for editing (correction) by touch operation, and then the “manipulation editing” button 62c is touch-operated. A procedure detail screen 90 shown as a specific example in FIG. 11 in which the selected examination information 62a can be edited is displayed (step S12 in FIG. 3).

  In this procedure detail screen 90, the details of the procedure are displayed separately in an “adult” tab 91a and a “child” tab 91b, together with status display areas 31 to 34 similar to the reservation registration confirmation screen 30 shown in FIG. . Here, first, the contents of the “adult” tab 91a are displayed. Further, the information on the patient related information display area 61 and the examination related information display area 62 displayed on the ID input screen 60 shown in FIG. 8 is also reduced to the patient related information display area 61 ′ and the examination related information display area, respectively. 62 '.

  In this examination-related information display area 62 ′, the display portion of each examination information 62a is configured to be operable with a shadow 93. In this case, the examination-related information display area of the ID input screen 60 shown in FIG. Assuming that the examination information 62a of “thoracic vertebra” is selected in 62, the examination information 62a of “thoracic vertebra” is selected by being pushed out with the shadow 93 removed and displayed in white. Displayed in the state. Note that the number of examination information 62a displayed in the examination-related information display area 62 ′ is limited, but the examination-related information display area 62 ′ can be scrolled up and down by touching the scroll bar 94. The inspection information 62a can be displayed.

  In the “Adult” tab 91a, “Body thickness correction” 92a for correcting the X-ray irradiation dose according to the thickness of the X-ray irradiation target site (body thickness: patient's body shape) is displayed. A list 92b of body parts and a list 92c of procedures for the selected part are displayed. The part list 92b includes “Head”, “Neck”, “Chest”, “Upper Ext.”, “Abdomen”, “Pelvis” shown in FIG. (Pelvis) ”,“ Lower Ext. (Lower limbs) ”. These display parts are also provided with shadows 93 and are in the form of buttons that can be touched.

  Here, in the examination-related information display area 62 ′, the examination information 62a of “thoracic vertebra” is selected, and therefore, on the “adult” tab 91a, “Chest (chest)” is selected in the list of parts 92b, In the procedure list 92c, all procedures (examinations) related to this "Chest (chest)" are displayed in a list. This operation can be selected by touching the desired procedure column from the procedure list 92c, whereby the examination information 62a of the procedure “thoracic spine” selected in the examination-related information display area 62 ′ is obtained. The procedure is corrected to the procedure selected in the list 92c. In addition, standard setting information of the X-ray high-voltage apparatus 4 (FIG. 1) for the modified procedure is displayed in the state display area 32, and standard setting information of the movable diaphragm device 8 (FIG. 1) is displayed in the state display area 34. Respectively. Such setting information can be adjusted as described with reference to FIGS. The procedure selected from the procedure list 92c and displayed in the examination-related information display field 62 'is displayed in an inoperable state in which the button for displaying it is shaded and pushed.

  Further, without selecting any of the examination information 62a displayed (reserved) in the examination-related information display area 62 ′, a predetermined part in the part list 92b is selected, and the technique list 92c for this part displayed thereby is selected. When a desired technique is touched and selected, the examination information 62a of the selected technique is added to the examination-related information display area 62 ′. At this time, in the state display area 32, standard setting information of the X-ray high voltage apparatus 4 (FIG. 1) for the added examination information 62a is displayed in the state display area 32, and the movable diaphragm device 8 (FIG. 1). Standard setting information is displayed in the status display area 34, respectively. Such setting information can be adjusted as described with reference to FIGS. In this way, on the procedure detail screen 90, a procedure such as correction or addition of a procedure already reserved can be edited.

  It should be noted that in the “number of images to be captured / number of reserved images” column 62b, the number of examinations (number of images to be photographed) already taken in the examination (X-ray photography) reserved in the examination-related information display area 62 ′ and the entire reserved The number of inspections (reserved number) is displayed, but “0/6” is displayed here. This indicates that six examination reservations have already been made for the patient, but none has been taken.

  As described above, since the part list 92b and the technique list 92c for the selected part are simultaneously displayed on the procedure detail screen 90, it is possible to reliably select and input the examination procedure. Can be performed accurately. In this procedure detail screen 90, an operation area 92a for body thickness correction that must be set for X-ray imaging is displayed on the “adult” tab 91a above the display area of the part list 92b and procedure list 92c. Therefore, the body thickness correction operation is always performed in the work flow for X-ray imaging, so that it is possible to prevent a setting from being forgotten.

  When a desired procedure is selected in the procedure list 92c and the “OK” button 63 is touched, the screen returns to the ID input screen 60 shown in FIG. 8 (step S13 in FIG. 3). In the ID input screen 60, in the examination related information display area 62, the previously selected examination information 62a is replaced with the technique selected in the technique list 92c on the technique detail screen 90 (FIG. 11) and edited. .

  When the patient is a child, the “child” tab 91b is selected. The “child” tab 91b is also provided with information on the child similar to the “adult” tab 91a, and the part to be inspected and the technique for this can be selected in the same manner as described above.

  Further, in the procedure detail screen 90 shown in FIG. 11, when a portion (button) of unnecessary examination information 62a in the examination related information display area 62 ′ is designated by touch operation and a “delete” button 95 is touched, The designated examination information 62a has been deleted from the examination related information display area 62 ′. When the “OK” button 63 is touched to return to the ID input screen 60 shown in FIG. 8, it is also deleted from the examination related information display area 62 of the ID input screen 60. Further, when the “Cancel” button 64 is touched, even if a technique in the technique list 92c is selected, the display content is returned to the ID input screen 60 shown in FIG. 8 without changing (step S13 in FIG. 3). ).

  Further, in the procedure detail screen 90 shown in FIG. 11, a state display area 32 showing the setting state of the X-ray high voltage apparatus 4 (FIG. 1) and a state display area 34 showing the setting state of the movable diaphragm device 8 (FIG. 1) Can be operated, and a function as an operation button is given to the display portion of the set value in each of the status display areas 32 and 34.

  In the status display area 32, a region representing the set voltage applied to the X-ray tube device 7 (FIG. 1) by the X-ray high voltage device 4 is displayed three-dimensionally and functions as a “voltage setting” button 32a to represent the set current. Similarly, the area functions as the “current setting” button 32b, and the area representing the X-ray irradiation time similarly functions as the “irradiation time” button 32c. Similarly, also in the state display area 32, each area | region showing the setting value of the movable aperture stop device 8 functions similarly as an operation button.

  If any one of the operation buttons 32a to 32c is touched in the status display area 32, a shooting condition setting change screen 90A shown as a specific example in FIG. 12 is displayed (step S14 in FIG. 3). This shooting condition setting change screen 90A displays the window of the setting change adjustment unit 96 on the procedure detail screen 90, and is operated by the voltage adjustment unit 96a, the current adjustment unit 96b, and the irradiation time adjustment unit 96c. In addition, an “OK” button 97a and a “cancel” button 97b are provided to be operable. By operating the voltage adjustment unit 96a, the applied voltage in the X-ray tube device 7 can be adjusted / changed, and by operating the current adjustment unit 96b, the drive current in the X-ray tube device 7 can be adjusted / changed, By operating the irradiation time adjusting unit 96c, the X-ray irradiation time by the X-ray tube device 7 can be adjusted / changed. After performing such adjustment, when the “OK” button 97a is touch-operated, the procedure details screen 90 shown in FIG. 11 is returned (step S15 in FIG. 3), and the operation buttons 32a to 32c in the status display area 32 are newly added. The set value set in is displayed. Further, when the “cancel” button 97b in the setting change adjustment unit 96 on the shooting condition setting change screen 90A shown in FIG. 12 is touch-operated, even if the change operation is performed, the procedure detail screen shown in FIG. Returning to 90 (step S15 in FIG. 3).

  Note that the “OK” button 63, the “cancel” button 64, and the “shooting screen” button 66 on the shooting condition setting change screen 90A do not function.

  When the operation button of any setting condition in the state display area 34 indicating the setting state of the movable diaphragm device 8 (FIG. 1) is operated on the procedure detail screen 90 shown in FIG. A shooting condition setting change screen 90B shown as a specific example is displayed in FIG. 13 in which a window of the adjustment unit 98 for performing the operation appears (step S16 in FIG. 3). The adjustment unit 98 allows the setting condition corresponding to the selected operation button to be changed. As a change method, there is an adjustment unit such as the adjustment unit 96 shown in FIG. However, as shown in FIG. 13, there are some which select a preset setting condition. In this case, when any setting condition is selected, the procedure details screen 90 shown in FIG. 11 is returned (step S17 in FIG. 3). In this way, the setting state of the movable diaphragm device 8 (FIG. 1) can be adjusted / changed.

  As described above, in the procedure detail screen 90, when editing or updating the examination information in the examination-related information display area 62 ′, the body thickness correction or the body list 92b in the body thickness correction operation area 92a is performed. Since the examination information is edited by operating the procedure list 92c and the standard X-ray imaging conditions for the edited examination information are simultaneously displayed in the status display areas 32 and 34, the X-ray technician In addition to editing inspection information on the same screen, standard imaging conditions for the edited inspection information can be recognized simultaneously. In addition, since the photographing conditions displayed in the status display areas 32 and 34 are displayed in a changeable manner, it is possible to correct the photographing conditions for editing the inspection information and to correct the work before photographing. It is possible to carry out smoothly and smoothly.

  When the “OK” button 63 is touched on the ID input screen 60 in which each setting condition is edited as described above, the screen returns to the reservation registration confirmation screen 30 shown in FIG. 5 (step 18 in FIG. 3). In this case, as described above, when the patient's related information or examination information is edited, the result is included.

  When the “add patient” button 48 is touched on the reservation registration confirmation screen 30 (step S19 in FIG. 3), or when the “new” button 65 is touched on the ID input screen 60 shown in FIG. The “imaging” tab 101 and the “display” tab 102 can be selected in the same format as the ID input screen 60. The “imaging” tab 101 includes a patient-related information column 103 and an examination-related item. A new registration screen 100 shown as a specific example in FIG. 14 provided with an information column 104 is displayed.

  The new registration screen 100 is for registering examination information for each examination date of a new patient in charge of examination by the X-ray technician. When displayed, the patient-related information display area 103 also displays examination-related information. Area 104 is also blank. This inspection date is designated by an “inspection date” column 106 that can be changed by a touch operation.

  Here, when the examination date (for example, 2004/02/26) is designated by the “examination date” column 106 and the “name” or “name” display column 103a in the patient related information display area 103 is touched, 9 is displayed (Step 20 in FIG. 3). In this case, however, the columns 71a, 71b,... In the main information display area 71 are blank, and the name of the new patient and its name are entered by touching the keyboard 23 or the like. be able to. When the input is completed and the “OK” button 26 is touched, the name of the new patient is registered and the new registration screen 100 shown in FIG. 14 is displayed (step S21 in FIG. 3), but the patient related information display area 61 is displayed. In the “name” and “name” fields 103a, the names of the new patients and their assigned names are displayed as described above.

  Further, when a touch operation is performed on the display column 103b for inputting a number such as “birth date” or the display column 103c for “gender” in the patient related information display area 103, a patient information editing screen 80 shown in FIG. 10 is displayed. (Step 22 in FIG. 3). However, in this case, the fields 81a, 811b,... In the main information display area 81 are blank, and the examination number No. of the new patient is touched as described above by touching the numeric keypad 82 or the like. And ID, date of birth, and gender can be entered. When the input is completed and the “OK” button 63 is touched, the screen returns to the new registration screen 100 shown in FIG. 14 (step S23 in FIG. 3), but “examination number No” and “ In the fields 103b of “patient ID”, “birth date”, and “sex”, information on the new patient input as described above is displayed.

  When the “edit procedure” button 105 in the examination related information display area 104 is touched on the new registration screen 100, the procedure detail screen 110 having the same format as the procedure detail screen 90 shown in FIG. 11 is shown in FIG. Displayed as an example (step S24 in FIG. 3). However, in this procedure detail screen 110, the examination related information display area 62 of the information display column 111 is blank, and no new patient information is input in the patient related information display area 61 as described above. Sometimes it is blank.

  In the display column of the sub-information 61b in the patient related information display area 61, if the main information 61a is input, it is automatically input and displayed by using this medical institution database.

  In the procedure detail screen 110, an “adult” tab 111a and a “child” tab 111b are selectively provided in the information display area 111. First, details of the “adult” tab 111a are displayed. The In the “adult” tab 111a, a body thickness correction unit 112a, a list of parts 112b associated with each other, and a list of techniques 112c are provided. When a part to be examined is selected from the part list 112b (the display part is touch-operated), a list of techniques 112c for the part is displayed, and a predetermined technique is selected from the list 112c (touching the display part). Thus, the examination information corresponding to the selection is displayed in the examination-related information display area 62. The selected part 112b1 is displayed in black and white inverted white, and the arrow instruction mark is displayed so as to point to the procedure list 112c, and the displayed procedure list 112c corresponds to the selected part 112b1. It is shown that.

  In this way, each part and procedure required for the new patient can be sequentially selected, and the selection result is for the examination on the examination date designated in the “examination date” column 106 shown in FIG. Are sequentially displayed in the examination-related information display area 62. Then, by touching the “examination date” column 106, the examination date can be changed, and information regarding examinations of this new patient on different examination dates can be sequentially input.

  When inspection information is input to the inspection related information display area 62, the standard X-ray imaging conditions for the input inspection information can be adjusted, as in the procedure detail screen 90 shown in FIG. Are displayed in the state display areas 32 and 34 at the same time, so that the X-ray technician can recognize and adjust the standard imaging conditions of examination information input on the same screen.

  Of the examination information displayed in the examination-related information display area 62 in this way, for unnecessary examination information, touch the display column in which it is displayed, and then touch the “delete” button 95. Can be deleted.

  The “OK” button 63 and “Cancel” button 64 displayed on the procedure detail screen 110 have the same functions as the “OK” button 63 and “Cancel” button 64 shown in FIG. When the “OK” button 63 or the “cancel” button 64 is touched, the screen returns to the new registration screen 100 shown in FIG. 14 (step S25 in FIG. 3). As described above, the related information of the new patient and the examination information thereof are input. Therefore, the display state is the same as that of the ID input screen 60 shown in FIG.

  Then, on the new registration screen 100 displayed by inputting the information of the new patient, when the “OK” button 63 or the “cancel” button 64 is touched, the screen returns to the reservation registration confirmation screen 30 shown in FIG. 3 step S26). At this time, when there is an examination performed on the examination date (imaging date) displayed by the “date” button 39 of the reservation registration confirmation screen 30 among the registered examinations of the new patient input as described above. This inspection information is additionally displayed as inspection information 44.

  The reservation registration confirmation screen 30 shown in FIG. 5 is provided with an “shooting screen” button 49 so that it can be operated. The ID input screen 60 shown in FIG. 8, the procedure detail screen 90 shown in FIG. The new registration screen 100 shown in FIG. 15 and the procedure detail screen 110 shown in FIG. These “shooting screen” buttons 49 and 66 have the same function. When the “shooting screen” buttons 49 and 66 are touch-operated, a shooting screen 120 shown as a specific example in FIG. 16 is displayed (FIG. 3). Steps S27 to S30).

  In the photographing screen 120, in the reservation registration confirmation screen 30 shown in FIG. 5, the examination information 44 displayed first in the examination list 43 whose examination date is today (in this case, the “date” button 39 in FIG. If the inspection date (photographing date) displayed on February 26, 2004 is today, the inspection list 43 displayed on the reservation registration confirmation screen 30 represents the inspection to be performed today. In this case, the examination number No. “256736489”) is designated and displayed in the patient-related information display area 61 ″ and the examination-related information display area 62 ″. The patient related information displayed in this patient related information display area 61 ″ is information related to the patient (test subject) corresponding to the designated examination information 44, and is patient related information on the ID input screen 60 shown in FIG. The information has the same contents as the display area 61.

  Further, in the examination related information display area 62 ″, examination information fields 62a1 relating to all examinations of this patient (that is, the patient whose ID is “15006878164”) whose patient related information is displayed in the patient related information display area 61 ″. 62a2, 62a3, 62a4,... Are operably provided, and examination information such as procedures is displayed for each of them.

  In the date column 35, today's date is displayed, and for a test performed on this date, the corresponding test information column is displayed in white. Here, for the patient with this ID “15006878164”, if examinations of “chest standing LAT” and “thoracic vertebra 2R” are reserved today, examination information fields 62a2 and 62a3 are displayed in white. It will be. Each inspection information column 62a1,... Is provided with a status mark 123 to indicate whether the inspection has been completed or not. The frame-like state marks 123 in the inspection information fields 62a1, 62a2, 62a3, 62a4,... For completed inspections are given, for example, alphabets a, b,. “Chest standing position PA”), for example, “No Image” is added (for example, “thoracic vertebra 2R” in the examination information column 62a3, “thoracic vertebra AP” in the examination information column 62a4, etc.) . In addition, for the examination information that has been photographed but is discarded because the X-ray photographed image is unnecessary for some reason, the information mark 123 is marked with an “x”. The inspection information in the inspection information column 62a1 shows an example.

  Here, when the examination information column 62a2 of the examination reserved today (February 26, 2004) is touch-operated, X-ray imaging of the “chest standing LAT” of the patient is performed on the imaging apparatus body 1 (FIG. 1). The state mark 123 is changed from “No Image” to the alphabet “b”, and the X-ray imaging screen is displayed in the imaging screen display area 121. At this time, an instruction mark 122 indicating the X-ray imaging screen of the imaging screen display area 121 with a white arrow is displayed in the examination information field 62a2 of the examination for which X-ray imaging has been performed, and is displayed in the imaging screen display area 121. Which examination is the X-ray imaging screen to be displayed.

  As described above, since the X-ray imaging screen as a result of X-ray imaging and the patient-related information and examination-related information, in particular, examination-related information (procedure) are simultaneously displayed on the imaging screen 120, this technique is the X-ray. It can be used as reference data for confirming the radiographing screen, and the X-ray radiographing screen can be confirmed accurately and easily.

  In addition, as for the examination information of the already performed X-ray photography, even if the X-ray photography image is discarded as described above, the information related to the procedure other than the X-ray photography image is stored as it is. For this reason, on the imaging screen 120, an examination information field in which the X-ray imaging image is discarded is displayed as in the examination information field 62a1, and this is used later as a reference for setting imaging conditions for X-ray imaging of the same procedure. It becomes possible.

  It should be noted that “2/6” is displayed in the “number of shots / reserved number” field 62b, and there are only 6 items of inspection information as opposed to 6 items of reserved inspections. However, the remaining examination information can be displayed by touching the scroll bar 94.

  An operation area 124 is provided below the shooting screen display area 121, and includes an “image quality adjustment (L (brightness) / W (contrast) / γ (gamma))” button 124a and a “screen change ( Image Proc.) Button 124, "Transfer" button 124, "Printer" button 124, "Archive" button 124, and "Option" button 124 are displayed in an operable manner. Yes.

  When the “image quality adjustment” button 124a is touched (step S34 in FIG. 3), the brightness, contrast, and gamma characteristics of the X-ray imaging screen displayed in the imaging screen display area 121 can be adjusted. When the “change screen” button 124b is touched (step S35 in FIG. 3), the display form of the X-ray imaging screen displayed in the imaging screen display area 121 can be changed, that is, upside down or black and white inversion can be performed. . When the “transfer” button 124c is touch-operated (step S31 in FIG. 3), the X-ray imaging screen displayed in the imaging screen display area 121 can be transferred to another necessary apparatus, and the “print” button When the user touches 124d (step S32 in FIG. 3), the X-ray imaging screen displayed in the imaging screen display area 121 is printed. When the “record” button 124e is touch-operated (step S33 in FIG. 3), the X-ray imaging screen displayed in the imaging screen display area 121 is recorded on the recording medium and stored. Further, the “option” button 124f can change the functions of the “transfer” button 124c, the “print” button 124d, and the “record” button 124e, and when this is touch-operated (step S36 in FIG. 3). A switching screen (not shown) between automatic and manual is displayed, and it is possible to select whether or not to automate the function executed by the “transfer” button 124c, the “print” button 124d, and the “record” button 124e. it can. For example, when the “option” button 124f is touched to display a switching screen, “automatic” is selected on this switching screen, and the “transfer” button 124c is touched, the screen is displayed in the shooting screen display area 121. The X-ray imaging screen is automatically transferred to a predetermined transfer destination or printer. If “Manual” is selected on this switching screen, an operation screen for designating a transfer destination or printer to be transferred is input. When the transfer destination or printer information is input and the “Transfer” button 124c is touched, The image data displayed on the X-ray imaging screen displayed in the imaging screen display area 121 is transferred to the input transfer destination or printer. The same applies to the “print” button 124d and the “record” button 124e.

  FIG. 17 shows a specific example of the image quality adjustment (L / W / γ) screen 130 displayed by touching the “image quality adjustment” button 124a in FIG. 16 (step S34 in FIG. 3). An adjustment area 131, 132, a preset area 133, and an operation area 134 are provided, and an imaging screen display area 121 on which the same X-ray imaging screen as the imaging screen 120 (FIG. 16) is displayed.

  The adjustment area 131 is for adjusting the brightness and contrast of the X-ray imaging screen displayed in the imaging screen display area 121, and includes a scale 131d representing the brightness and adjustment buttons 131a, 131b, which are movable on the scale 131d. An adjustment button 131c movable along the scale 131d is provided so as to be operable. The interval between the adjustment buttons 131a and 131b represents the contrast, and the position of the adjustment button 131c with respect to the scale 131d represents the brightness. Therefore, the contrast can be adjusted by changing the interval between the adjustment buttons 131a and 131c, and the brightness can be adjusted by changing the position of the adjustment button 131c. In addition, a “+ −” button 131e for brightness adjustment and a “+ −” button 131f for contrast adjustment are provided, and the brightness and contrast can be adjusted by operating these buttons.

  The adjustment area 132 is for adjusting the gamma characteristic of the X-ray imaging screen displayed in the imaging screen display area 121, and the gamma characteristic can be adjusted by operating the “+ −” button 132a. However, by operating the “adjustment” button 132b, the gamma characteristics can be adjusted by sequentially switching a plurality of preset gamma characteristics. In the characteristic display area 132c, the set gamma characteristic is displayed. When the gamma characteristic displayed here is a preset gamma characteristic, the number is displayed in the display area 132d. Is displayed.

  In the preset area 133, initial characteristics such as brightness, contrast, and gamma characteristics preset for each part to be examined (such as the head and chest shown in FIG. 6) can be set and changed. For example, “Preset1” The button 133a is a setting / change button for the “head”, and the “Preset2” button 133b is a setting / change button for the “chest”.

  When the image quality adjustment screen 130 starts to be displayed, the brightness, contrast, and gamma characteristics of the X-ray imaging screen displayed in the imaging screen display area 121 are set to the initial characteristics preset in the preset area 133. These characteristics can be adjusted by adjusting operations 131 and 132.

  When the “Initialize” button 134a is touched in the operation area 134, each characteristic adjusted so far is canceled and returned to the initial characteristic. Further, when the “Invert” button 134b is touched, the X-ray imaging screen displayed in the imaging screen display area 121 is reversed in black and white. This may make it easier to see the X-ray imaging screen.

  After the adjustment as described above, when the “OK” button 63 is touch-operated, the screen returns to the imaging screen 120 shown in FIG. 16 (step S37 in FIG. 3), and the newly set brightness and contrast are displayed in the shooting screen display area 121. The X-ray imaging screen is displayed with the gamma characteristic. When the “Cancel” button 64 is touch-operated on the image quality adjustment screen 130, the setting of the characteristics on the image quality adjustment screen 130 is canceled and the screen returns to the imaging screen 120 shown in FIG. 16 (step S37 in FIG. 3), and the shooting screen display is displayed. In the area 121, the X-ray imaging screen is displayed with the original brightness, contrast, and gamma characteristics.

  Even when the “screen change” button 124 b in the operation area 124 of the imaging screen 120 is touched, although not shown, the screen change screen is displayed in the same manner and the X-ray imaging screen displayed in the imaging screen display area 121 is displayed. Can be changed in display mode such as upside down or black and white inversion.

  In the imaging screen 120 shown in FIG. 16, in the status display areas 31, 32, and 34, each part for the X-ray imaging examination in which X-ray imaging is performed next in the examination information column displayed in the examination-related information area 62 ″. 1 is displayed.In this case, since the X-ray inspection in which the inspection information is displayed in the inspection display field 62a3 is the next inspection, The state of each part with respect to this examination is displayed, and here, the respective statuses for the examination of “thoracic vertebra 2R” displayed in the examination information column 62a3 are displayed. In the status display areas 32 and 34, as described with reference to FIGS. 12 and 13, the conditions of the X-ray high voltage device 4 (FIG. 1) and the variable aperture device 8 (FIG. 1), that is, the imaging conditions are changed and adjusted. So that it can be operated.

  As shown in FIG. 16, in the state where the examination result in the examination information column 62a2 is displayed in the imaging screen display area 121, for the examination to be performed next to the patient, the examination information column 62a3 is touched, and then By touching the “edit procedure” button 125, the procedure can be changed for the examination in the examination information column 62a3.

  As described above, when a touch operation is performed, a procedure detail screen 140 shown as a specific example in FIG. 18 is displayed (step S38 in FIG. 3). This procedure detail screen 140 is displayed in the same format as the procedure detail screen 90 shown in FIG. For this reason, the patient-related information display area 61 ″ and the examination-related information display area 62 ″ are assigned the same reference numerals to the portions corresponding to the imaging screen 120, but the other areas correspond to the portions corresponding to FIG. Are given the same reference numerals.

  On this procedure detail screen 140, it is possible to edit a procedure change or add a new procedure (examination) for an examination that has not yet been performed, but to edit an examination that has already been performed. I can't. Therefore, in this case, the inspection information columns 62a1 and 62a2 are inspected and cannot be edited.

  In the case of editing, as in the procedure detail screen 90 shown in FIG. 11, a touch operation is performed on the inspection information column (for example, the inspection information column 62a3) of the inspection to be edited (the touch operation is performed as shown in the figure). The inspection information column 62a3 is displayed in black-and-white reversal (outlined)), the part to be inspected in the part list 92b, and the inspection technique in the technique list 92c are selected by touch operation. Thereby, the technique of this inspection information column (in this case, inspection information column 62a3) is changed, and the inspection content is changed. Also in this case, as with the procedure detail screen 90 in FIG. 11, the imaging conditions, that is, the standard setting information of the X-ray high voltage apparatus 4 (FIG. 1) for this modified procedure is moved to the status display area 32. Standard setting information of the aperture device 8 (FIG. 1) is simultaneously displayed in the status display area 34, respectively. Such setting information can be adjusted as described with reference to FIGS.

  Also, if the examination information column is not selected in the examination-related information display area 62 ″ and the selection operation is performed in the part list 92b and the technique list 92c, the technique of the selected part is used as a new examination. It will be added to the display area 62 ″. Also in this case, as in the procedure detail screen 90 in FIG. 11, standard setting information of the X-ray high voltage apparatus 4 (FIG. 1) for this modified procedure is displayed in the state display area 32 and the movable aperture device 8 (FIG. The standard setting information 1) is displayed in the status display area 34, respectively. Such setting information can be adjusted as described with reference to FIGS.

  In the column 62b of “number of images to be taken / reserved number”, the number of examinations (number of images to be taken) already taken for the examination (X-ray photography) reserved in the examination-related information display area 62 ″ and the entire reserved number are recorded. The number of inspections (reserved number) is displayed. Here, “2/6” is displayed. This indicates that six examination reservations have been made for the patient, and two of them have already been taken.

  If an examination information field for an examination that has not been performed in the examination-related information display area 62 ″ is selected by touching and the “delete” button 95 is touched, the examination information field is deleted and the examination is deleted. Is done.

  When the “OK” button 63 is touched after editing is performed as described above, the screen returns to the shooting screen 120 shown in FIG. 16 (step S39 in FIG. 3). In the imaging screen 120, the examination information display field 62 "is edited. When the" cancel "button 64 is touched on the procedure detail screen 140 shown in FIG. 18, the imaging shown in FIG. Returning to the screen 120 (step S39 in FIG. 3), the editing result on the procedure detail screen 140 is canceled, and the examination information display column 62 "is not edited.

  Further, when a “past image” button 126 provided in the patient related information display area 61 ″ of the imaging screen 120 is touch-operated, a past image confirmation screen 150 shown as a specific example in FIG. 19 is displayed (FIG. 3). Step S40).

  In the past image confirmation screen 150, an X-ray image of a patient (here, a patient whose patient ID is “15006878164”) displayed in the patient-related information display area 61 ″ on the imaging screen 120 shown in FIG. An image can be confirmed, and one of the images is displayed in the shooting screen display area 151. This past image confirmation screen 150 is also provided with a patient related information display field 61 ″ for this patient and a past examination information related display area 152 that displays examination information related to an already performed examination. "Is displayed with the same information as the patient related information display column 61" on the imaging screen 120 shown in FIG. 16, and in the past examination information related display area 152, the patient displayed in this patient related information display column 61 ". The display column of inspection information regarding the already performed inspection (X-ray imaging), that is, the inspection information columns 152a1, 152a2, and 152a3 are displayed so as to be capable of touch operation. Here, three inspection information fields 152a1 to 152a3 are displayed in the inspection related information display area 152. If there is more past inspection information, the scroll bar 153 is operated. , It can be displayed.

  When one of the inspection information fields 152a1 to 152a3 in the inspection related information display area 152, for example, the inspection information field 152a2 is selected by touching, the inspection (X-ray imaging) of the selected inspection information field 152a2 is performed. An X-ray imaging screen is displayed in the imaging screen display area 151. At this time, the selected examination information field 152a2 is displayed in a white and black inverted form, and an arrow instruction mark 154 is displayed on the selected examination information field 152a2 so as to indicate the photographing screen display area 151. The X-ray imaging screen displayed in the imaging screen display area 151 indicates that the examination “thoracic vertebra 2R” is in the examination information column.

  In this manner, the X-ray imaging results of each past examination displayed in the past examination-related information display field 152 can be confirmed, and a reference for determining imaging conditions in X-ray imaging for newly performing this. It can be.

  After such confirmation, when the “Close” button 155 is touched, the shooting screen 120 shown in FIG. 16 is restored (step S40 in FIG. 3).

  In this imaging screen 120 shown in FIG. 16, the X-ray imaging screen in the imaging screen display area 121 is confirmed, or the examination related information display area 62 ″ is edited and the imaging conditions are adjusted in the status display areas 32 and 34. Thereafter, when the “shooting end” button 126 is touched, the screen returns to the reservation registration confirmation screen 30 shown in FIG. 5 (step S42 in FIG. 3).

  The above is the description when the “shooting” tab 37 is selected on the reservation registration confirmation screen 30 shown in FIG. 5. However, when the “display” tab 38 is selected, input is made on the login screen 20 (FIG. 4). It is possible to display a list of examinations and a list of patients of the name and password of the X-ray engineer (the X-ray engineer). The same applies to the ID input screen 30 (FIG. 8), the new registration screen 100 (FIG. 14), and the shooting screen 120 (FIG. 16).

  When the reservation registration confirmation screen 30 shown in FIG. 5 or the “display” tab 38 is selected on each of the above screens (step S43 in FIG. 3), the processing flow shown in FIG. 20 is obtained, and the inspection shown as a specific example in FIG. A list screen 160 is displayed. The examination list screen 160 is an expanded version of the contents of the “display tab” 38. The expanded contents include an “examination list” tab 161a and a “patient list” tab 161b. The contents of the “inspection list” tab 161a, that is, the inspection list 162 is expanded.

  In the “examination list” tab 161 a, a list of examinations so far represented by examination information 162 a including examination No (number), patient ID, patient name, examination date, age, sex, and procedure, ie, examination list The display field of each inspection information can be operated. In the first touch operation, the display field is specified and the display field is displayed in black and white inversion, and the designation is canceled when the touch operation is performed again. To the original display state.

  In the “examination list” tab 161a, a “selection study” button 163 for selecting and displaying desired examination information 162a from the examination list 162 is operably provided. Therefore, when a predetermined inspection, for example, inspections of inspection Nos. “3655698745” and “4255698745” are touched, these are designated and the display state shown in the figure is displayed. When the “inspection selection” button 163 is touched in this state, FIG. As a specific example, the selected inspection list screen 170 displaying only the inspection information 162a of the selected inspection is displayed in the inspection display area 171 (step S44 in FIG. 20).

  In the selected inspection list screen 170, only the inspection information 162a selected on the “inspection list” tab 161a of the inspection list screen 160 (FIG. 21) is displayed on the “inspection” tab 161a. Otherwise, the inspection list screen 160 is displayed. It is the same. Also in the examination list screen 170, when the “Study List” button 171 is touched on the selected examination list screen 170 displayed in the examination list 162, the examination list screen 160 shown in FIG. 21 is displayed again (FIG. 20). Step S45).

  The examination list screen 160 shown in FIG. 21 is provided with an operation area 164, which includes a “Display” button 164a, an “All Select” button 164b, and a “Transfer” button 165a. , A “Printer” button 165b, an “Archive” button 165c, and an “Option” button 165d are displayed to be operable.

  The “All Select” button 164b is in a state where all the inspection information 162a in the inspection list 162 is selected by touching the button. When the “All Select” button 164b is touched again, the selection of the inspection information can be canceled including the case where the inspection information is selected here.

  Here, the “Transfer” button 165a, the “Printer” button 165b, the “Archive” button 165c, and the “Option” button 165d are operated on the photographing screen 120 shown in FIG. The “Transfer” button 124c, the “Printer” button 124d, the “Archive” button 124e, and the “Option” button 124f provided in the area 124 have the same functions. When the “option” button 124f is set to manual, the “transfer” button 124c is selected in a state where any or all of the examination information 162a is selected as described above in the same manner as described with reference to FIG. When the touch operation is performed, the selected inspection information is transferred to the designated transfer destination, and the “print” button 124d is clicked. When the operation is performed, the selected inspection information is printed by the designated printer, and when the “record” button 124e is touched, the selected inspection information is recorded by the designated recording device. Become. In the same manner as described with reference to FIG. 16, when the “option” button 124f is set to automatic, any one of the “transfer” button 124c, the “print” button 124d, and the “record” button 124e is touched. When operated, the selected inspection information 162a is automatically transferred to a predetermined transfer destination, printed by a predetermined printer, or recorded by a predetermined recording device.

  The above is also the same for the selected examination list screen 170 shown in FIG. 22, and an operation area 164 similar to the examination list screen 160 is provided, and the above operation is performed on the selected examination information 162a. Can be done.

  When one of the examination information 162a in the examination list 162 is selected as described above on the examination list screen 160 shown in FIG. 21 and the “display button” 164a in the operation area 164 is touched, FIG. An imaging result display screen 180 showing a specific example is displayed (step S46 in FIG. 20). Alternatively, when any one of the inspection information 162a in the inspection list 161a is selected on the selected inspection list screen 22 shown in FIG. 22 and the “display” button 164a in the operation area 164 is touched, FIG. An imaging result display screen 180 showing a specific example is displayed (step S48 in FIG. 20).

  In this imaging result display screen 180, for the selected examination information 162a, a patient related information display area 61 ″ similar to the imaging screen 120 shown in FIG. 16 and an examination related information display area 62 ″ for the patient displayed there are displayed. By selecting one of the inspection information fields 62a1 to 62a3 of the inspection-related information display area 62 ″ (the display of the selected inspection information field and the display of the instruction mark 122 are shown in the imaging screen shown in FIG. 120), an X-ray imaging screen for the selected examination information field is displayed in the imaging screen display area 181.

  This imaging result display screen 180 is also provided with an operation area 124 similar to that of the imaging screen 120 shown in FIG. 16, and by operating this area, the X-ray imaging screen displayed in the imaging screen display area 181 is shown in FIG. The same processing as that of the shooting screen 120 shown in FIG.

  A “Detail Info.” Button 182 provided in the examination-related information display area 62 ″ is a hop-up display of the imaging conditions set by the examination information selected in the examination-related information display area 62 ″. Now, when the examination information column 62a2 is selected in the examination-related information display area 62 "and the" detailed information "button 182 is touched, the selected examination is performed in the status display area 32. X-ray setting information at this time is displayed, and setting information of the variable aperture device 8 (FIG. 2) when the selected examination is performed is displayed in the status display area 34.

  After confirming the photographing result on the photographing result display screen 180, when the “Selected Study” button 183 is touched, the screen returns to the selected examination list screen 170 as shown in FIG. 22 (step of FIG. 20). S49). In the selected examination list screen 170 in this case, the examination information 162a in the examination information column displayed in the examination related information display area 62 ″ of the imaging result display screen 180 (FIG. 23) is displayed as the selected examination information. When the “Study List” button 184 is touched on the imaging result display screen 180, the screen returns to the examination list screen 160 shown in FIG.

  When the “previous examination (Prev. Study)” button 185 is touch-operated on the imaging result display screen 180, the imaging result display screen 180 displays the examination list screen 160 (see FIG. 6) rather than the examination information 162a currently displayed. 21), the same information about the previous examination information is displayed, and when the “Next Study” button 186 is touched, the examination list screen 160 (FIG. 21) is displayed rather than the examination information 162a currently displayed. ) To display the same information about the next inspection information. As a result, it is possible to confirm the previous or next inspection information without returning to the inspection list screen 160.

  By the way, in the examination list screen 160 of FIG. 21, the “examination list” tab 161a is selected, and it is possible to confirm each information related to the examination (that is, X-ray imaging). By selecting the “patient list” tab 161b displayed on the examination list screen 160 by performing a chitter operation, it is possible to confirm information on the patient in charge of the X-ray technician.

  That is, when the “patient list” tab 161b is selected on the examination list screen 160, a patient list screen 190 shown as a specific example in FIG. 24 is displayed (step S50 in FIG. 20). This patient list screen 190 is obtained by expanding the patient list 191 on the “display” tab 38. The patient list 191 displays patient information 192 as a list, and the patient information 192 includes its ID, name, age, and gender. When all the patient information 192 cannot be displayed at once, the patient information 192 in which the patient list 191 is not displayed as a scroll can be displayed by operating the scroll bar 194.

  Further, a selection mark 192a is provided for each patient information 192. When any one of the patient information selection marks 192a is selected, this selection is made between the selected patient information 192 and the next patient information 192. The examination information 193 of the already performed examination of the patient in the patient information is displayed (here, it is assumed that there are three examinations already performed on the selected patient). When the selection mark 192a is touched again, the display of the examination information 193 is finished, and the display returns to a state where a list of only the patient information 192 is displayed. By touching the displayed examination information 193, the display is selected in a white / black inverted state. Moreover, this selection is canceled by touching again.

  This patient list screen 190 is also provided with a previous operation area 164, which is similar to the operation in the operation area 164 on the examination list screen 160 shown in FIG. Will be performed. For example, when the “All Select” button 164b is touched, the inspection information 193 is displayed. When the “All Select” button 164b is touched again, the inspection information 193 is not displayed. Thus, only the patient information 192 is displayed.

  One patient information 192 is selected and its examination information 193 is displayed, and one or more desired examination information among the examination information 193 is selected (these are displayed in white as described above). When the “Selected Study” button 163 is touched, a selected patient list screen 200 shown as a specific example in FIG. 25 is displayed (step S51 in FIG. 20).

  The selected patient list screen 200 is the same as the selected examination list screen 170 shown in FIG. 22, but the patient information 192 ′ selected on the patient list screen 190 (FIG. 24) and the selected examination information 193 ′. Is displayed. Other than this, since it is the same as the selected examination list 170, description thereof is omitted. Also in the selected patient list screen 200, when the “examination list” button 171 is touch-operated, the display returns to the patient list screen 190 shown in FIG. 24 (step S52 in FIG. 20).

  Further, when the “display” button 164a is touched with one examination information 193 selected on the patient list screen 190 shown in FIG. 24 or the selected patient list screen 200 shown in FIG. 25 (step of FIG. 20). 23, the imaging result display screen 180 shown in FIG. 23 is displayed. When the “examination list” button 184 is touched on the imaging result display screen 180, the patient list screen 190 shown in FIG. Returning to (Step S54 in FIG. 20), when the “test selection” button 183 is touched, the screen returns to the selected patient list screen 200 shown in FIG. 25 (Step S56 in FIG. 20).

  In this way, since the examination list and the patient list can be displayed, the patient list can be displayed by selecting the patient in the patient list, so that a new X-ray imaging is performed. In this case, it can be used as a reference for setting the shooting conditions.

  Here, the examination list screen 160 (FIG. 21) is displayed together with the selection of the “display” tab 38, and the patient list 190 (FIG. 24) is displayed by the operation on the examination list screen 160. On the contrary, the patient list 190 may be displayed together with the selection of the “display” tab 38, and the examination list screen 160 may be displayed by the operation on the patient list 190.

  By the way, the reservation registration confirmation screen 30 (FIG. 5), ID input screen 60 (FIG. 8), new registration screen 100 (FIG. 14), examination list screen 160 (FIG. 21), selected examination list screen 170 (described above) 22), an imaging result display screen 180 (FIG. 23), a patient list screen 190 (FIG. 24), and a selected patient list screen 200 (FIG. 25), an “emergency imaging screen” button 36 is operably provided. When there is a patient who needs X-ray imaging (examination) urgently, it is possible to cope with this. FIG. 26 is a flowchart showing a specific example of a screen display flow when the “emergency shooting screen” button 36 is touched.

  When there is a patient who needs urgent X-ray imaging (hereinafter referred to as an emergency examination patient), the apparatus shown in FIG. 1 is activated to display the reservation registration confirmation screen 30 shown in FIG. When the button 36 is touch-operated or when there is an emergency examination patient while working on the above-mentioned screen display, if the “emergency imaging screen” button 36 is touch-operated on the displayed screen, one example is shown in FIG. An emergency procedure input screen 210 shown as an example is displayed (step S60 in FIG. 26). This emergency procedure input screen 210 has the same format as the procedure detail screen 110 (FIG. 15) for deciding a procedure for a new patient and inputting examination information. FIG. 27 shows a portion corresponding to FIG. The duplicate description with the same reference numerals is omitted.

  In the displayed emergency procedure input screen 210, the patient related information display area 61 and the examination related information display area 62 are blank. However, an examination number (number) is automatically assigned to the emergency examination patient, and accordingly, the assigned examination number is displayed in the “examination No” column 61a1 of the main information 61a in the patient related information display area 61. Automatically entered and displayed.

  Further, for example, the “adult” tab 111a is selected on the emergency procedure input screen 210, and the “adult” tab 111a is operated by the body thickness correction unit 112a, the part list 112b, and the procedure list 112c. It is displayed as possible. In the technique list 112c, the technique at the part selected in the part list 112b is displayed. By operating the list 112b of the parts and the list 112c of the procedures, the examination information is input in the examination related information display area 62.

  That is, when a predetermined body thickness is set by the body thickness correction unit 112a and a predetermined part necessary for an emergency examination patient, for example, “chest” 112b1 is selected by touching the part list 112b, the procedure list 112c is displayed. This is for the procedure for the region “chest” 112b1, the display column for the “chest” 112b1 is displayed in black and white, and the indication of the arrow indicating that this list of procedures is for the region “chest” 112b1 The mark is displayed.

  When necessary procedures are selected by touch operation in the procedure list 112c, the selected procedures are input as inspection information 62a and displayed in the inspection related information display area 62 as shown in FIG. . Further, as shown in the figure, if four pieces of examination information 62a are input, “0/4” is displayed in the “shooting number / reserved number” column 62b.

  Each time the inspection information is input, the above-described standard imaging conditions for the input inspection information are displayed in the display areas 32 and 34 so as to be adjustable. Thereby, the imaging conditions for the inspection information can be recognized and adjusted every time the inspection information is input.

  After inputting the examination information 62 a as described above, the information on the emergency examination patient can be inputted to the patient related information display area 61 by touching the “patient information input” button 211.

  That is, when the “patient information input” button 211 is touch-operated, an emergency ID input screen 220 shown as a specific example in FIG. 29 is displayed (step S61 in FIG. 26). As in the case of the ID input screen 60 shown in FIG. 8, the emergency ID input screen 220 displays a patient related information display area 61 and an examination related information display area 62. In the patient related information display area 61, main information 61 is displayed. , Each item “ID”, “Name”, “Name”, “Birth date”, “Age”, “Gender” on the emergency examination patient is blank and can be operated (that is, input is possible) ) Is displayed in the state. In the sub-information 61b column of the patient related information display area 61, if it is already registered in the server, such as a medical department or a doctor, it is automatically input and displayed.

  When the main information 61 is input, an item to be input in the patient related information display area 61 is designated by a touch operation, as in the ID input screen 60 (FIG. 8). Thereby, the patient information input screen 230 shown as one specific example in FIG. 30 when the item “name” is touched is displayed (step S62 in FIG. 26).

  The patient information input screen 230 is the same as the patient information editing screen 70 shown in FIG. 9, and the “name” of the emergency patient and its name “name” can be input by the same operation. . After these inputs, if the “OK” button 63 is touch-operated, the screen returns to the emergency ID input screen 220 shown in FIG. 29 (step S63 in FIG. 26). In FIG. 30, parts corresponding to those in FIG.

  Further, in the emergency ID input screen 220 shown in FIG. 29, when any of the items “ID”, “birth date”, “age”, and “gender” in the patient related information display area 61 is designated by a touch operation, the details are displayed. If the description is omitted, a patient information input screen similar to the patient information editing screens 70 and 80 shown in FIGS. 9 and 10 is displayed, and the items can be input in the same manner. Further, when the “edit procedure” button 62c is touched on the emergency ID input screen 220 shown in FIG. 29, a procedure edit screen similar to the procedure edit screen shown in FIG. 11 is displayed. The procedure (deletion, addition, etc.) entered on the screen 210 (FIGS. 27 and 28) can be performed.

  When the “OK” button 63 is touch-operated on the emergency ID input screen 220 shown in FIG. 29, the screen returns to the emergency procedure input screen 210 shown in FIG. 28 in which patient information and examination information have been input (step S 64 in FIG. 26). When the “imaging screen” button 66 is touch-operated on the procedure input screen 210, the display shifts to the display of the imaging screen 120 shown in FIG. 16 (step S65 in FIGS. 26 and 3), and X-ray imaging of the emergency examination patient can be performed. It becomes like this.

FIG. 1 is a block diagram showing a specific example of an X-ray apparatus using the present invention. FIG. 2 is a diagram showing the flow of information between the units in FIG. It is a flowchart which shows the flow of the image display accompanying initial operation with the console in FIG. It is. It is a figure which shows one specific example of the login screen displayed by FIG.3 S3. It is a figure which shows one specific example of the reservation registration confirmation screen displayed by step S4 of FIG. It is a figure which shows the example of the item "procedure" 43f on the reservation registration confirmation screen shown in FIG. It is a figure which shows one specific example of the calendar screen displayed by operation of the reservation registration confirmation screen shown in FIG. It is a figure which shows one specific example of ID input screen displayed by operation of the reservation registration confirmation screen shown in FIG. It is a figure which shows one specific example of the patient information edit screen displayed by operation of ID input screen shown in FIG. It is a figure which shows one specific example of the patient information edit screen displayed by operation of ID input screen shown in FIG. It is a figure which shows one specific example of the procedure detail screen displayed by operation of the ID input screen shown in FIG. It is a figure which shows one specific example of the imaging condition setting change screen displayed by operation of the procedure detail screen shown in FIG. It is a figure which shows one specific example of the imaging condition setting change screen displayed by operation of the procedure detail screen shown in FIG. FIG. 6 is a diagram showing a specific example of a new registration screen displayed by an operation such as a reservation registration confirmation screen shown in FIG. 5. It is a figure which shows one specific example of the procedure detail screen displayed by operation of the new registration screen shown in FIG. FIG. 6 is a diagram illustrating a specific example of a shooting screen displayed by an operation such as a reservation registration confirmation screen illustrated in FIG. 5. FIG. 17 is a diagram showing a specific example of an image quality adjustment (L / W / γ) screen displayed by operating the shooting screen shown in FIG. 16. It is a figure which shows one specific example of the procedure detail screen displayed by operation of the imaging | photography screen shown in FIG. It is a figure which shows one specific example of the past image confirmation screen displayed by operation of the imaging | photography screen shown in FIG. FIG. 6 is a flowchart showing a specific example of a flow of screen display by selecting a “display” tab on the reservation registration confirmation screen shown in FIG. 5. FIG. 6 is a diagram showing a specific example of an examination list screen displayed by selecting a “display” tab on the reservation registration confirmation screen shown in FIG. 5. It is a figure which shows one specific example of the selected test | inspection list screen displayed by operation of the test | inspection list screen shown in FIG. It is a figure which shows one specific example of the imaging result display screen displayed by operation of the test | inspection list screen shown in FIG. It is a figure which shows one specific example of the patient list screen displayed by operation of the test | inspection list screen shown in FIG. It is a figure which shows one specific example of the selected patient list screen displayed by operation of the patient list screen shown in FIG. 6 is a flowchart showing a specific example of a screen display flow in the operation when the “emergency shooting screen” button such as the reservation registration confirmation screen shown in FIG. 5 is operated. FIG. 27 is a diagram showing a specific example of an emergency procedure input screen in the flowchart shown in FIG. 26. It is a figure which shows a state when test | inspection information is input on the emergency technique input screen shown in FIG. It is a figure which shows one specific example of the emergency ID input screen displayed by operation of the emergency procedure input screen shown in FIG. It is a figure which shows an example of the patient information input screen displayed by operation of the emergency ID input screen shown in FIG. It is a figure which shows schematically the prior art example of the conventional X-ray imaging apparatus.

Explanation of symbols

A imaging room B operation room 1 imaging device main body 2 operation console 3 universal imaging stand 4 X-ray high voltage device 5 X-ray imaging device 6 X-ray irradiation unit 7 X-ray tube device 8 variable aperture device 9 FPD
DESCRIPTION OF SYMBOLS 10 Arm 10a Rotating shaft 12 Image processing device 13 Console 14 Display screen 20 Login screen 30 Reservation registration confirmation screen 31 Image display device status display area 32 X-ray setting information display area 33 Console status display area 34 Variable aperture device Status display area 36 "Emergency imaging screen" button 37 "Imaging" tab 38 "Display" tab 43 List of examinations 44 Examination information 50 Calendar screen 60 ID input screen 61, 61 ', 61 "Patient related information display area 62, 62 ', 62 "Examination related information display area 62a, 62a1-62a4 Examination information 70 Patient information edit screen 80 Patient information edit screen 90 Procedure detail screen 92b List of parts 92c List of procedures 90A, 90B Imaging condition setting change screen 96, 98 Adjustment Part 100 New Registration Screen 101 “Shooting” Tab 102 Display tab 103 Patient related information display area 104 Examination related information display area 110 Procedure detail screen 112b List of parts 112c List of procedures 120 Imaging screen 121 Imaging screen display area 122 Instruction mark 123 Status mark 124 Operation area 130 Image adjustment (L / (W / γ) screen 131, 132 adjustment area 133 preset area 134 operation area 140 detailed procedure screen 150 past image confirmation screen 151 imaging screen display area 152 past examination information related display area 152a1 to 152a3 examination information column 154 instruction mark 160 examination list screen 161a “Examination List” Tab 161b “Patient List” Tab 162 Examination List 162a Examination Information 164 Operation Area 170 Selected Examination List Screen 180 Imaging Result Display Screen 181 Imaging Screen Display area 190 patient list screen 191 patient list 192 patient information 193 examination information 200 Selected patient list screen 210 emergency procedure input screen 220 emergency ID input screen 230 the patient information input screen

Claims (7)

An X-ray imaging image data generated by the imaging apparatus main body for generating X-ray imaging of the X-ray image of the X-ray image by irradiating a predetermined area of the patient and X-ray imaging of the X-ray image In an image display method of an X-ray imaging apparatus comprising:
A patient-related information display area for displaying a patient ID and name on the display screen, an examination-related information display area for selectively displaying examination information of an examination reserved for the patient, and the examination-related information display area A procedure detail screen that simultaneously includes a procedure detail display area for correcting the procedure for the selected examination information is displayed.
An X-ray imaging apparatus characterized in that, by selecting and operating a display column of a desired procedure from a list of procedures displayed in the procedure detail display area, the procedure of the selected examination information can be corrected . Image display method. In claim 1,
In the procedure detail display area, a list of parts displayed so that a display column of various parts can be selected and a display column of various techniques for the part selected in the list of parts are displayed so as to be selectable. An image display method for an X-ray apparatus, comprising a list of procedures . In claim 1 or 2 ,
On the display screen, a display area indicating shooting conditions set in the imaging apparatus body is further displayed.
An image display method of an X-ray imaging apparatus , wherein an imaging condition change screen for changing the imaging condition is displayed by operating a display area indicating the imaging condition . In any one of Claims 1-3 ,
In a state where none of the examination information displayed in the examination-related information display area is selected, the examination-related information is selected and operated from the list of procedures in the procedure detail display area. An image display method for an X-ray imaging apparatus , wherein examination information of the procedure selected by the selection operation is additionally displayed in a display area . In any one of Claims 1-4 ,
On the display screen, a “shooting screen” button is provided to be operable,
When the examination information is selected in the examination-related information display area and the “imaging screen” button is operated, the X-ray imaging of the patient acquired from the imaging apparatus main body instead of the procedure detail display area An imaging screen display area for displaying image data is displayed, and an imaging screen including the patient-related information display area, the examination-related information display area, and the imaging screen display area is displayed. Image display method of the apparatus. In claim 5,
On the imaging screen, a “edit procedure” button for displaying a screen for editing a procedure for examination information for performing X-ray imaging is displayed.
When the examination information is selected in the examination-related information display area and the “edit technique” button is operated, the procedure detail display area is displayed instead of the imaging screen display area, and the patient-related information display is performed. An image display method for an X-ray imaging apparatus, wherein the procedure detail screen including an area, the examination-related information display area, and the procedure detail display area is displayed at the same time . In claim 5 or 6,
An image display method for an X-ray imaging apparatus, wherein the imaging screen includes a “past image” button for displaying a screen for selectively displaying data of past X-ray imaging results .

Images