JP5074112B2 - Chemical injection device, fluoroscopic imaging system, computer program - Google Patents

Description

  The present invention relates to a chemical solution injection device that injects a chemical solution from a chemical solution syringe into a subject whose fluoroscopic image data is captured, a fluoroscopic imaging system that includes the chemical solution injection device as a part, and a computer program for the chemical solution injection device.

  At present, as a fluoroscopic imaging apparatus for capturing a tomographic image which is a fluoroscopic image data of a subject, a CT (Computed Tomography) scanner, an MRI (Magnetic Resonance Imaging) apparatus, a PET (Positron Emission Tomography) apparatus, an ultrasonic diagnostic apparatus, etc. is there. Further, as a fluoroscopic imaging apparatus that captures a blood vessel image that is a fluoroscopic image data of a subject, there are a CT angio apparatus, an MRA (MR Angio) apparatus, and the like.

  When using the fluoroscopic imaging apparatus as described above, a chemical solution such as a contrast medium or physiological saline may be injected into a subject, and a chemical solution injection apparatus that automatically executes this injection has also been put into practical use. A general chemical solution injection device holds a chemical solution syringe filled with a chemical solution, and injects a chemical solution into a subject by press-fitting a piston member into the cylinder member.

  Although the fluoroscopic imaging device functions as a stand-alone, normally, a fluoroscopic imaging system including part of the fluoroscopic imaging device is constructed. Such a fluoroscopic imaging system includes, for example, a chart management device, an imaging management device, a fluoroscopic imaging device, a data storage device, an image browsing device, and the like.

  The medical chart management device is generally called a HIS (Hospital Information System) or the like, and manages a so-called electronic medical chart. This electronic medical record is created for each subject.

  For example, when fluoroscopic image data is imaged from a subject, imaging order data is created by the medical record management device based on the electronic medical record of the subject. This imaging order data is generated for each imaging operation in which fluoroscopic image data is imaged from the subject.

  More specifically, the imaging order data includes, for example, imaging work ID (Identity) that is unique identification information, identification information of the fluoroscopic imaging apparatus, a subject ID, imaging start and end dates, and the like.

  Such imaging order data is supplied from the HIS to the imaging management apparatus. The imaging management apparatus is generally called RIS (Radiology Information System) or the like, and stores imaging order data for imaging fluoroscopic image data from a subject.

  The fluoroscopic imaging apparatus acquires imaging order data from the RIS and executes an imaging operation. In that case, in the fluoroscopic imaging apparatus, fluoroscopic image data is captured from the subject corresponding to the imaging order data. The fluoroscopic image data is output with at least a part of the imaging order data by the fluoroscopic imaging device to the data storage device.

  This data storage device is generally called a PACS (Picture Archive and Communication System) or the like, and stores fluoroscopic image data to which imaging order data is added.

  An image browsing apparatus generally called a viewer is connected to the PACS. For example, the image browsing apparatus reads the fluoroscopic image data using the imaging order data as a search key, and displays the fluoroscopic image data.

  Note that when the imaging work is completed as described above, the accounting process for the imaging work is naturally performed. The above-mentioned HIS is generally used as an accounting processing apparatus for executing this accounting processing.

  The above-described accounting process is executed by various accounting-related data such as imaging order data and electronic medical records related to imaging operations. This accounting-related data includes chemical solution condition data such as the cost of the chemical solution consumed in the imaging operation as an essential element.

There are various proposals for the fluoroscopic imaging system as described above (see, for example, Patent Documents 1 and 2).
JP 2001-101320 A JP-A-2005-198808

  In the fluoroscopic imaging system as described above, imaging order data is registered in the RIS based on the electronic medical record stored in the HIS. Then, fluoroscopic image data is imaged by the fluoroscopic imaging device corresponding to the imaging order data from a subject into which a chemical solution such as a contrast medium is injected by the chemical solution injector. The captured fluoroscopic image data is stored in the PACS, and the accounting process for the imaging operation is executed by the HIS.

  This accounting process requires chemical solution condition data such as the cost of the chemical solution consumed in the imaging operation. Therefore, if this chemical condition data is registered in the imaging order data, the HIS can acquire the chemical condition data of the imaging order data from the RIS and use it for the accounting process.

  However, the chemical solution that is actually used in the imaging operation may be changed for on-site judgment or the like. In such a case, when the accounting process is executed with the chemical condition data of the imaging order data, the accounting process does not match the actual imaging operation.

  In an actual medical field, a refill type drug solution syringe is filled with a drug solution, and the accounting process may be executed according to the volume of the drug solution actually injected into the subject. However, the chemical solution injection capacity may change depending on the judgment at the site. Accordingly, it is difficult to register the chemical injection volume in the imaging order data in advance and use it for the accounting process.

  For this reason, in the current medical field, the chemical solution injection device injects the chemical solution from the chemical syringe to the subject, and then the chemical condition data and the chemical injection volume are notified from the injection work site to the accounting processing device online or offline. ing.

  However, for this purpose, it is necessary for an operator to input chemical condition data or the like to the terminal at the site of the injection work. In this case, the work is complicated, the accounting process cannot be started quickly, and an erroneous input may occur.

  The present invention has been made in view of the above-described problems, and a chemical injection device capable of easily and reliably providing chemical accounting condition data of a chemical actually injected into a subject to an accounting processing device, and the chemical injection It is an object of the present invention to provide a fluoroscopic imaging system having a device and a computer program for a chemical injection device.

  The chemical injection device of the present invention includes a chemical syringe in which chemical condition data is recorded, a chemical injection device that injects a chemical into a subject whose fluoroscopic image data is imaged by driving the chemical syringe, and various accounting-related data. An accounting processing apparatus for performing accounting processing of imaging work based on the above, a chemical injection device for a fluoroscopic imaging system, an injection execution mechanism for injecting a chemical by driving a loaded chemical syringe, and injection execution A data input unit that acquires chemical condition data from a chemical syringe loaded in the mechanism, and a data output unit that transmits at least part of the acquired chemical condition data to the accounting processing apparatus as part of accounting related data. .

  Therefore, in the chemical injection device of the present invention, when a chemical syringe is loaded in the injection execution mechanism, chemical condition data recorded in the chemical syringe is acquired by the data input unit. Then, since at least a part of the obtained chemical condition data is transmitted to the accounting processing device by the data output unit, the accounting processing device uses the received chemical condition data as part of the accounting related data for accounting processing. be able to.

  The fluoroscopic imaging system of the present invention includes a chemical syringe in which chemical condition data is recorded, a chemical injection device that injects a chemical into a subject whose fluoroscopic image data is imaged by driving the chemical syringe, and various accounting-related data. A fluoroscopic imaging system including an accounting processing device that performs accounting processing for imaging work based on the accounting processing device, and includes the chemical injection device of the present invention.

  The computer program of the present invention is a computer program for the chemical solution injection device of the present invention, and includes a data input process for acquiring chemical solution condition data from a chemical solution syringe loaded in the injection execution mechanism, and the acquired chemical solution condition data. Data output processing for transmitting at least a part to the accounting processing apparatus as a part of the accounting related data is executed by the chemical injection device.

  It should be noted that the various constituent elements referred to in the present invention only have to be formed so as to realize their functions. For example, dedicated hardware that exhibits a predetermined function, data provided with a predetermined function by a computer program It can be realized as a processing device, a predetermined function realized in the data processing device by a computer program, an arbitrary combination thereof, or the like.

  In addition, the various components referred to in the present invention do not have to be individually independent, but a plurality of components are formed as a single member, and a single component is formed of a plurality of members. It may be that a certain component is a part of another component, a part of a certain component overlaps a part of another component, and the like.

  In addition, the chemical syringe referred to in the present invention may be a prefilled syringe that is filled with a chemical solution by a syringe manufacturer and recorded with chemical solution condition data. However, it may be shipped from a syringe manufacturer to a medical site as a refill syringe, filled with a chemical at the medical site, and recorded with chemical condition data.

  In addition, the liquid condition data referred to in the present invention may be various data used for accounting processing such as prefilled syringe preparation ID, liquid ID, syringe ID, filling capacity, and sales price. However, when various data used for the accounting process is registered in the accounting processing apparatus or the like, the chemical solution condition data may be only ID data that is a search key for the various data.

  In the chemical injection device of the present invention, when a chemical syringe is loaded in the injection execution mechanism, chemical condition data recorded in the chemical syringe is acquired by the data input unit. Then, since at least a part of the obtained chemical condition data is transmitted to the accounting processing device by the data output unit, the accounting processing device uses the received chemical condition data as part of the accounting related data for accounting processing. be able to. The liquid condition data is automatically acquired from the liquid syringe actually used by the liquid injector, and there is no need for the operator to perform an input operation. For this reason, the chemical | medical solution condition data of the chemical | medical solution actually inject | poured into the test subject can be provided to an accounting processor easily and reliably.

  Embodiments of the present invention will be described below with reference to the drawings. 2 and 3, the fluoroscopic imaging system 1000 according to the embodiment of the present invention includes an RIS100 that is an imaging management device, a CT scanner 200 that is a fluoroscopic imaging device, a PACS300 that is a data storage device, and a chemical injection device 400. A control box 500 that is a data control device, an image browsing device 600, and a HIS 900 that is an accounting processing device.

  In the fluoroscopic imaging system 1000 of the present embodiment, as shown in the figure, the HIS 900 is connected to the RIS 100 via a communication network 700 such as a LAN (Local Area Network).

  The RIS 100 and PACS 300 are connected to the CT scanner 200 via communication networks 701 and 702. On the other hand, the control box 500 is also connected to the RIS 100, the PACS 300, and the chemical liquid injector 400 through the communication networks 703 to 705. An image browsing apparatus 600 is connected to the PACS 300 via a communication network 706.

  The fluoroscopic imaging system 1000 of the present embodiment conforms to the so-called DICOM (Digital Imaging and Communication in Medicine) standard. Therefore, the various devices 100 to 600 and 900 mutually communicate various data according to the DICOM protocol.

  In the fluoroscopic imaging system 1000 of the present embodiment, there is one CT scanner 200, PACS 300, chemical solution injector 400, control box 500, and HIS 900, and any combination has a one-to-one relationship.

  The HIS 900 according to the present embodiment is a so-called computer device, and a dedicated computer program is installed. As the computer apparatus executes various processes in response to the computer program, each section such as a chart management unit 901 and an accounting processing unit 902 is logically realized as various functions in the HIS 900.

  The medical chart management unit 901 corresponds to a storage area of an HDD (Hard Disc Drive) recognized corresponding to the above computer program, and stores a so-called electronic medical record. This electronic medical record is created for each subject, for example, a chart ID that is unique identification information, a subject ID for each subject, personal data such as a subject's weight, gender, and age, a chart data about a subject's disease, etc. It consists of text data.

  The accounting processing unit 902 corresponds to a function of a CPU (Central Processing Unit) executing a predetermined process corresponding to a computer program and input data, and will be described based on various accounting-related data. Perform work accounting.

  The RIS 100 of the present embodiment is also a so-called computer device, and executes various processes corresponding to a dedicated computer program that is installed, thereby order management unit 101, order selection unit 102, integrated control unit 103, etc. Are logically realized as various functions.

  The order management unit 101 corresponds to a storage area of an HDD recognized corresponding to the above-described computer program, and manages imaging order data for imaging fluoroscopic image data from a subject with unique identification information.

  The imaging order data is created based on an electronic medical record acquired from the HIS 900. The imaging order data created in this way includes, for example, imaging work ID that is unique identification information, subject ID and personal data and medical record data of the electronic medical record, identification information of the CT scanner 200, and date and time of start and end of imaging It consists of text data such as a body segment or an imaging region, a product name of a contrast medium which is a chemical solution, and the like.

  The order selection unit 102 corresponds to, for example, a function in which the CPU executes a predetermined process in response to an input operation such as a keyboard, and selects one of a plurality of imaging order data in response to an input operation by an operator. .

  The integrated control unit 103 corresponds to, for example, a function in which the CPU transmits and receives various types of data through a communication I / F (Interface), and receives the selected one imaging order data from the CT scanner 200 and the control box 500. Reply in response to the acquisition request.

  As shown in FIG. 3, the CT scanner 200 according to the present embodiment includes a fluoroscopic imaging unit 201 and an imaging control unit 210 that are imaging execution mechanisms. The fluoroscopic imaging unit 201 captures fluoroscopic image data from the subject. The imaging control unit 210 controls the operation of the fluoroscopic imaging unit 201.

  More specifically, the imaging control unit 210 includes a computer device on which a dedicated computer program is installed. When this computer apparatus executes various processes corresponding to the computer program, the imaging control unit 210 includes a request transmission unit 211, an order reception unit 212, an imaging control unit 213, a data addition unit 214, an image transmission unit 215, Are logically realized as various functions.

  The request transmission unit 211 corresponds to a function for the CPU to transmit and receive various data through a communication I / F in response to an input operation such as a keyboard. The request transmission unit 211 requests the RIS 100 to acquire imaging order data in response to an operator's input operation. Send. The order receiving unit 212 receives imaging order data returned from the RIS 100.

  The imaging control unit 213 controls the operation of the fluoroscopic imaging unit 201 corresponding to the received imaging order data. The data assigning unit 214 assigns imaging order data to the fluoroscopic image data captured by the fluoroscopic imaging unit 201.

  The image transmission unit 215 transmits the fluoroscopic image data to which the imaging order data is added to the PACS 300. The fluoroscopic image data generated as described above includes, for example, bitmap data of a tomographic image.

  The PACS 300 according to the present embodiment includes a database server on which a dedicated computer program is mounted. The PACS 300 receives and stores fluoroscopic image data to which imaging order data is added from the CT scanner 200.

  As shown in FIG. 5, the chemical liquid injector 400 according to the present embodiment includes an injection control unit 401 and an injection execution head 410. The injection control unit 401 controls the operation of the injection execution head 410. As shown in FIG. 6, the injection execution head 410 drives a drug solution syringe 800 that is detachably attached to inject the drug solution into the subject.

  More specifically, the injection control unit 401 includes a main operation unit 402, a touch panel 403, a controller unit 404, a computer unit 405, a communication I / F 406, and the like as shown in FIG.

  The injection execution head 410 is a sub operation in which a syringe holding mechanism 411 that holds the chemical syringe 800 as a part of the injection execution mechanism, a syringe drive mechanism 412 that drives the chemical syringe 800, an operation instruction of the syringe drive mechanism 412, and the like are input. A unit 413, a head display 415 which is a data display device for displaying and outputting various data, and the like.

  The sub operation unit 413 includes a final confirmation switch 414 described later. The head display 415 is directly fixed to the rear side portion of the injection execution head 410 and is disposed in the vicinity of the syringe holding mechanism 411 and the syringe drive mechanism 412.

  Note that there are a plurality of types of chemical syringes 800 according to the present embodiment, and an RFID chip 810 is mounted at a predetermined position in a part thereof. The injection execution head 410 is mounted with an RFID reader 416 at a position where it wirelessly communicates with the RFID chip 810 only when the liquid syringe 800 is properly held by the syringe holding mechanism 411.

  In the RFID chip 810 of the chemical solution syringe 800, at least chemical condition data related to the chemical solution is registered. More specifically, the chemical syringe 800 is a so-called prefilled type that is shipped in a state where the chemical solution is filled, and the chemical condition data is registered in the RFID chip 810 before shipping.

  The chemical condition data includes, for example, various data such as product name, chemical ID, chemical classification, component, viscosity, expiry date, etc. related to the filled chemical, and syringe capacity related to the chemical syringe 800 , Cylinder pressure, cylinder bore, piston stroke, lot number, sales price, and other data.

  In addition, the chemical | medical solution ID of the above-mentioned chemical | medical solution condition data is registered resulting from the chemical classification of the chemical | medical solution, a containing component, and a chemical structure, and is not related to syringe capacity | capacitance etc. For example, if there are products from Company A and Company B as contrast agents for the heart for CT, the type of drug solution “contrast agent for the heart for CT” is common, but is it water-soluble or oily? If the chemical classification such as ionic or nonionic, monomer type or dimer type is different, the chemical ID is different.

  Furthermore, even if the chemical type and chemical classification are common, the chemical ID is different if the contained components are different, and even if the chemical type, chemical class, and contained component are common, for example, the chemical structure of one contained component is the same. If they are different, the chemical ID is different.

  On the other hand, if the same chemical solution is filled in the prefilled type drug syringes with the capacity of "200 (ml)" and "500 (ml)", the drug solution syringe is separate as a product depending on the volume. The chemical ID of the condition data is the same.

  The above-described units are connected to the computer unit 405 of the chemical liquid injector 400. The computer unit 405 performs integrated control corresponding to a computer program in which each connected unit is installed.

  For this reason, the chemical injection device 400 controls the operation of the syringe drive mechanism 412 corresponding to the data input unit 421 that acquires the chemical condition data from the chemical syringe 800 loaded in the syringe holding mechanism 411 and the injection control data that is set. Injection control unit 422, control setting unit 423 that sets at least a part of the obtained chemical solution condition data in injection control unit 422 as at least a part of the injection control data, and at least a part of the chemical condition data when the injection of the chemical solution is completed Each unit logically has various functions such as a data output unit 424 that transmits to the HIS 900 as a part of the accounting related data.

  More specifically, each of the units 421 and 424 of the chemical liquid injector 400 as described above corresponds to a function in which the computer unit 405 performs data communication with the RIS 100 or the PACS 300 through the communication I / F 406 corresponding to the computer program described above. The other units 422 and 423 correspond to functions for the computer unit 405 to execute predetermined data processing.

  As described above, since the chemical syringe 800 is equipped with the RFID chip 810 in which chemical condition data is recorded, the data input unit 421 acquires the chemical condition data from the RFID chip 810 of the chemical syringe 800 by the RFID reader 416. To do.

  The data input unit 421 also acquires at least part of the imaging order data from the RIS 100, and the control setting unit 423 also includes at least part of the acquired imaging order data as at least part of the injection control data. Set to.

  More specifically, as shown in FIG. 8, on the touch panel 403 of the injection control unit 401, for example, a schematic diagram of a front image of a human body and “i” on the upper left of the initial screen of the input operation of injection control data. The operation icon for the acquisition request consisting of is displayed and output.

  Therefore, when the operation icon for the acquisition request is input, a part of the imaging order data is acquired as injection condition data via the control box 500. Then, from this injection condition data, the subject ID, the imaging region, etc. are set in the injection control unit 422 as at least a part of the injection control data.

  Such injection control data includes, for example, protocol data in which the operating stroke and operating pressure of the syringe drive mechanism 412 are set by a predetermined command or the like for each elapsed time.

  The chemical injection device 400 of the present embodiment can automatically set injection control data using the above-described units 421 to 423, etc., but also performs new settings and setting editing of injection control data by manual operation. You can also

  Therefore, as shown in FIG. 7, the chemical injection device 400 includes a condition storage unit 441, an image storage unit 442, a segment display unit 445, a segment input unit 446, a site display unit 447, a site input unit 448, and an operation reading unit 449. Each unit such as the body input unit 451 is also logically realized as various functions.

  The image storage unit 442 of the chemical liquid injector 400 stores schematic images of a plurality of body sections of the human body and a large number of imaging regions in association with each other. The category display unit 445 displays a schematic image of a plurality of body categories stored in the image storage unit 442 in an array corresponding to the human body.

  The section input unit 446 receives an input operation for selecting one of the plurality of body sections output as an image by the section display unit 445 as an input operation for one injection control data. The region display unit 447 displays and outputs a schematic image of at least one imaging region corresponding to the body segment selected by the segment input unit 446. The site input unit 448 accepts an input operation for selecting an imaging site that is displayed and output by the site display unit 447 as an input operation for one injection control data.

  More specifically, in the liquid injector 400, “head, chest, abdomen, legs” are defined as a plurality of body sections, and schematic images corresponding to each of these are registered in the computer unit 405. Yes.

  Therefore, when a predetermined operation is performed on the chemical solution injector 400, a schematic image of “head, chest, abdomen, legs” is displayed and output on the upper part of the screen of the touch panel 403 as shown in FIG. The

  In addition, in the schematic image of the “head” that is the above-described body classification, schematic images such as “brain part, jaw part, and neck part” are registered in association with each other as a plurality of imaging parts. Similarly, the “chest” image is “heart, lung”, the “abdomen” image is “stomach, liver,…”, and the “leg” image is “upper, lower”. ”And the like are registered in association with each other.

  Therefore, when one of the schematic images of the plurality of body ranges displayed and output on the touch panel 403 in the form of a human body is manually operated, the schematic image of the scanner mechanism is displayed and output only above the one schematic image, and is manually operated. Only one schematic image turns bright and the other schematic image turns dark (not shown).

  At the same time, a schematic image of a plurality of related imaging parts is displayed and output at the lower part. Therefore, when one of the schematic images of the plurality of imaging parts displayed and output is manually operated, as shown in FIG. 9, only the one schematic image is turned bright and the other schematic images are turned dark.

  The condition storage unit 441 stores operation condition data of the syringe drive mechanism 412 for each of a large number of imaging parts of the human body. This operating condition data is set, for example, as the total amount of contrast medium injected for each imaging region of the human body.

  The operation reading unit 449 reads the operation condition data corresponding to the imaging region selected by the region input unit 448 from the condition storage unit 441 and sets the operation condition data in the injection control unit 422 as a part of the injection control data.

  The body input unit 451 accepts an input operation of body weight as a human body matter related to imaging of fluoroscopic image data, and sets the body weight in the injection control unit 422 as part of the injection control data.

  More specifically, as described above, when the imaging region is selected by manual operation of the schematic image, when the “condition” operation icon is manually operated, the body weight, the injection volume, the injection time, and the like can be input. It becomes a state. Therefore, in such a state, a numerical value of weight is input. Then, as shown in FIG. 10, these are displayed and set as part of the injection control data.

  Note that the chemical liquid injector 400 is connected to the HIS 900 via the RIS 100 as described above. For this reason, the data output unit 424 transmits a part of the chemical condition data together with the imaging work ID and the subject ID to the HIS 900 via the RIS 100 as a part of the accounting related data.

  Further, the chemical solution injection device 400 also includes a history generation unit 425 that generates injection history data including an operation history of the syringe drive mechanism 412 corresponding to the injection condition data, and the data output unit 424 displays the generated injection history data. It transmits to PACS300 and it is made to preserve | save with fluoroscopic image data.

  Such injection history data includes, for example, image data of a time-dependent graph in which one of the horizontal axis and the vertical axis is the elapsed time and the other is the injection speed, and the injection control data, the subject ID, the injection work ID, etc. are text data. Is granted.

  The history generation unit 425 also registers at least a part of the chemical condition data transmitted to the HIS 900 as a part of the accounting related data and at least a part of the injection condition data in the injection history data.

  As shown in FIG. 3, the control box 500 according to the present embodiment includes a computer unit 501, a communication I / F 502, and the like on which a dedicated computer program is mounted.

  Also in the control box 500, the computer unit 501 executes various processes corresponding to the computer program. Therefore, in the control box 500, as shown in FIG. 2, each unit such as the acquisition mediation unit 511 and the history transfer unit 514 is logically realized as various functions.

  In response to the acquisition request received from the chemical liquid injector 400, the acquisition mediation unit 511 acquires the imaging order data from the RIS 100, and the chemical liquid injector 400 uses a part of the acquired imaging order data as part of the injection control data. Reply to The history transfer unit 514 receives the injection history data from the chemical solution injection device 400 and transfers it to the PACS 300.

  Therefore, the PACS 300 according to the present embodiment not only stores the fluoroscopic image data received from the CT scanner 200 as described above, but also stores the injection history data received from the control box 500 as described above.

  As described above, the imaging order data is assigned to the fluoroscopic image data, and the imaging work ID of the imaging order data is assigned to the injection history data. Therefore, the imaging order data and the injection history data are stored in the PACS 300 in a state where they are associated with each other by the imaging work ID.

  The image browsing apparatus 600 according to the present embodiment is also a computer apparatus in which a dedicated computer program is installed. As shown in FIG. 3, the image browsing apparatus 600 includes a computer unit 601, a display unit 602, a controller unit 603, a communication I / F 604, and the like.

  The image browsing apparatus 600 includes a data reading unit 611 and a data display unit 612 as shown in FIG. 2 when the computer unit 601 executes various processes corresponding to the computer program.

  The data reading unit 611 corresponds to, for example, a function in which the computer unit 601 accesses the PACS 300 from the communication I / F 604 corresponding to the computer program and input data to the controller unit 603, and is associated with the imaging work ID. The fluoroscopic image data and the injection history data are read from the PACS 300.

  The data display unit 612 corresponds to a function of causing the display unit 602 to display the received data of the communication I / F 604 on the computer unit 601 and displays the read fluoroscopic image data and injection history data.

  Note that the computer program of the RIS 100 as described above stores, for example, imaging order data in which an imaging work ID, a subject ID, and injection condition data are set, and a plurality of imaging orders corresponding to the operator's input operation. Selecting one from the data, returning one selected imaging order data in response to an acquisition request received from the CT scanner 200 or the control box 500, and chemical condition data received from the control box 500 as HIS900 And the like are described as software for causing the RIS 100 to execute the transfer.

  Further, the computer program of the CT scanner 200 transmits, for example, an imaging order data acquisition request to the RIS 100 in response to an input operation by the operator, receives imaging order data returned from the RIS 100, and receives the received imaging. The operation of the fluoroscopic imaging unit 201 is controlled according to the order data, the imaging order data is added to the fluoroscopic image data captured by the fluoroscopic imaging unit 201, and the fluoroscopic image data with the imaging order data is transmitted to the PACS 300. The software is described as software for causing the imaging control unit 210 to execute.

  The computer program of the chemical injection device 400 acquires chemical condition data by the RFID reader 416 from the RFID chip 810 of the chemical syringe 800 loaded in the syringe holding mechanism 411, and acquires imaging order data from the RIS 100, for example. Generating injection control data corresponding to the obtained chemical condition data and imaging order data, controlling the operation of the syringe drive mechanism 412 corresponding to the generated injection control data, the operation control and the chemical condition Generating injection history data corresponding to the data and imaging order data; transmitting the generated injection history data to the PACS 300 and storing it together with the fluoroscopic image data; and sending the chemical condition data to the HIS 900 for accounting processing. Computer unit to be used, etc. It is described as software to be executed by the 05.

  In addition, the computer program of the control box 500 acquires, for example, imaging order data from the RIS 100 in response to an acquisition request of the chemical injection device 400, and returns a subject ID of the acquired imaging order data to the chemical injection device 400. , Receiving the injection history data and the liquid condition data from the liquid injector 400, transferring the received injection history data to the PACS 300, transferring the liquid condition data to the RIS 100, and the like. It is described as software for.

  The computer program of the PACS 300 receives, for example, the fluoroscopic image data to which the imaging order data is assigned from the CT scanner 200 and stores it, and the injection history data to which the imaging work ID of the imaging order data is assigned to the control box 500. The software is described as software for causing the PACS 300 to execute reception and storage from the PACS 300.

  The computer program of the image browsing apparatus 600 reads, for example, the fluoroscopic image data and the injection history data associated with the imaging work ID from the PACS 300, displays the read fluoroscopic image data and the injection history data, Are described as software for causing the computer unit 601 to execute the above.

  The HIS900 computer program is described as software for causing the HIS900 to execute, for example, holding an electronic medical record, using chemical condition data received from the RIS 100 as accounting-related data for accounting processing, and the like. .

  A method for imaging fluoroscopic image data from a subject using the fluoroscopic imaging system 1000 of the present embodiment in the configuration as described above will be described in order below. First, the operator registers imaging order data in the RIS 100 in advance.

  The imaging order data includes, for example, text data such as an imaging work ID, identification information of the CT scanner 200, imaging start and end dates and times, an imaging part, and the like. This imaging order data is usually created based on an electronic medical record for each subject.

  Therefore, an operator who creates imaging order data manually operates the RIS 100 and obtains an electronic medical record from the HIS 900. For this reason, the subject ID, name, weight, and the like are also registered in the imaging order data.

  However, the imaging order data is composed of various data necessary for the imaging operation with the CT scanner 200. For this reason, the data which can specify the injection | pouring operation | work of the chemical | medical solution injection apparatus 400 are not included.

  When an imaging operation is executed in a state where such imaging order data is registered in the RIS 100, one imaging order data corresponding to the imaging operation is selected by the operator manually operating the RIS 100.

  On the other hand, in the field of imaging work, as shown in FIG. 4, a chemical solution injector 400 is disposed in the vicinity of the fluoroscopic imaging unit 201 of the CT scanner 200. A chemical syringe 800 is connected to a subject (not shown) located in the fluoroscopic imaging unit 201 with an extension tube, and the chemical syringe 800 is loaded into the injection execution head 410 of the chemical injection device 400.

  Next, as shown in FIG. 20, when an operator activates the chemical injection device 400 by an input operation of the main operation unit 402 of the injection control unit 401 (step S1), as shown in FIG. A schematic image of a plurality of body sections is displayed and output corresponding to the human body shape (step S2).

  In the liquid injector 400 of the present embodiment, operation control of the syringe drive mechanism 412 based on the injection control data is prohibited in the initial state where the injection control data is not set. And the chemical | medical solution injection apparatus 400 can also set all injection control data manually in the state by which the initial screen was displayed and output as mentioned above, and can also set the one part automatically from imaging order data.

  In the case of manual setting, the operator presses one of the schematic images of the plurality of body sections displayed and output on the touch panel 403 with a finger. Then, only the schematic image of the selected body section is highlighted and the other schematic images are darkened, and a schematic image of the scanner mechanism is displayed and output above the schematic image of the selected body section.

  At the same time, schematic images of a plurality of imaging regions related to the selected body segment are read out below and displayed on the selection screen. Therefore, when the operator performs an input operation with one finger or the like, as shown in FIG. 9, only the selected one schematic image is highlighted and the other schematic images are darkened.

  When an imaging region is selected as described above, in the liquid injector 400, operation condition data corresponding to the imaging region is read and set as injection control data. Further, as shown in FIG. 10, the operator's body weight, injection speed, total injection amount, injection time, etc. are input to the main operation unit 402 by the operator as injection control data (step S4).

  At this time, in the chemical injection device 400 of the present embodiment, it is also confirmed by the RFID reader 416 whether the RFID chip 810 is mounted on the chemical syringe 800 (step S5).

  Therefore, when the RFID chip 810 is mounted on the chemical syringe 800, chemical condition data is acquired by the RFID reader 416 (step S6). As described above, the chemical condition data includes various data such as the product name and expiration date related to the filled chemical, and various data such as the volume and lot number related to the chemical syringe 800.

  Therefore, a part of the chemical solution condition data acquired in this way is displayed and output on the touch panel 403 of the injection control unit 401 and the head display 415 of the injection execution head 410 as shown in FIG. 15 (step S7).

  At this time, on the touch panel 403 and the head display 415, the fact that the displayed chemical solution condition data is acquired from the RFID chip 810 of the chemical syringe 800 is displayed and output by a predetermined logo mark “RFID”.

  Accordingly, the operator confirms the liquid condition data to be displayed as described above and inputs the injection control data (step S8). When the setting of the injection control data is completed in this way (steps S9 and S10), it becomes possible to input the start of injection.

  Therefore, when this injection start is input on the touch panel 403 or the like (step S11), the syringe drive mechanism 412 is controlled in response to the set injection control data. Water and water are injected appropriately.

  In the fluoroscopic imaging system 1000 of the present embodiment, the injection control data can be automatically set in addition to being manually set in the chemical injection device 400 as described above. More specifically, as shown in FIG. 8, the chemical injection device 400 of the present embodiment also displays and outputs an operation icon for an acquisition request on the upper left of the initial screen of the injection operation.

  Therefore, when the operation icon for the acquisition request is manually operated (step S3), the acquisition request is transmitted to the control box 500 as shown in FIG. The control box 500 transfers the acquisition request received from the chemical liquid injector 400 to the RIS 100.

  Then, the RIS 100 returns one imaging order data selected as described above to the control box 500. When receiving the imaging order data from the RIS 100, the control box 500 returns a part of the imaging order data to the drug solution injector 400 as at least a part of the injection condition data.

  More specifically, as described above, the imaging order data includes an imaging work ID, identification information of the CT scanner 200, date and time of imaging start and end, subject ID, name and weight, body classification or imaging site, and the like. .

  Therefore, the control box 500 extracts the imaging work ID, the subject ID and the name and weight, the body classification or the imaging part, and the like from the acquired imaging order data, and returns this to the chemical injection device 400 as injection condition data.

  During the communication as described above, as shown in FIG. 11, the chemical liquid injection device 400 displays and outputs guidance data indicating that communication is being performed on the touch panel 403 and the head display 415. For this reason, the user can confirm in real time that the chemical injection device 400 is communicating.

  Furthermore, when injection condition data cannot be acquired due to a communication error or the like, guidance data indicating failure in data acquisition is displayed and output on the touch panel 403 and the head display 415 as shown in FIG. For this reason, the user can quickly recognize the failure of data acquisition and execute a retry or the like.

  In the chemical injection device 400, the injection condition data acquired from the control box 500 in response to the acquisition request (step S12) is displayed and output on the touch panel 403 and the head display 415 as shown in FIGS. Step S13).

  At this time, the name and sex of the subject are also displayed and output as injection condition data, so that the operator confirms the consistency between the injection condition data and the actual subject. In addition to the injection condition data displayed and output as described above, the touch panel 403 and the head display 415 also display and output operation icons for setting whether to use the injection condition data as injection control data. .

  Therefore, when the injection condition data confirmed by the operator is set as injection control data, an operation operation of “use” is input. Then, in the chemical injection device 400 that has detected this (step S14), as shown in FIG. 19, injection condition data is set as injection control data (step S19).

  Furthermore, in the chemical injection device 400 of the present embodiment, when the injection control data is set from the injection condition data as described above (steps S12 to S19), the RFID chip 810 is mounted on the chemical syringe 800 by the RFID reader 416. (Step S15).

  Therefore, when the RFID chip 810 is mounted on the chemical syringe 800, the chemical condition data is acquired by the RFID reader 416 (step S16). As described above, the chemical condition data includes various data such as a chemical ID related to a filled chemical, a product name, an expiration date, and the like, and various data such as a volume and a lot number related to the chemical syringe 800. .

  Therefore, a part of the chemical solution condition data acquired in this way is displayed and output on the touch panel 403 of the injection control unit 401 and the head display 415 of the injection execution head 410 as shown in FIG. 15 (step S17).

  At this time, on the touch panel 403 and the head display 415, the fact that the displayed chemical solution condition data is acquired from the RFID chip 810 of the chemical syringe 800 is displayed and output by a predetermined logo mark “RFID”.

  Furthermore, when the chemical condition data is displayed and output on the touch panel 403 and the head display 415 as described above, an operation icon for setting an instruction to use or not use the chemical condition data as injection control data is also displayed and output.

  Therefore, when using the chemical condition data confirmed by the operator as the injection control data, an operation operation of “use” is input. Then, in the chemical injection device 400 that has detected this (step S18), part of the chemical condition data is set as injection control data (step S19).

  Then, as shown in FIG. 15, the product name, lot number, and the like, which are part of the chemical condition data, are displayed on the touch panel 403 and the head display 415 together with the injection volume that is the injection control data set from the chemical condition data. Is output.

  When the RFID chip 810 is not mounted on the chemical syringe 800, the RFID reader 416 is of course not detected (step S15), and the injection control data set from the injection condition data as described above is used (step S15). Step S19).

  Moreover, in the chemical injection device 400 of the present embodiment, also when the manual setting is performed without setting the injection control data from the injection condition data as described above (steps S4 to S11), the chemical syringe 800 is set as described above. It is effective to acquire chemical condition data from the RFID chip 810 and set it as injection control data (steps S5 to S8).

  As described above, a part of the display of the chemical condition data includes a product name and a expiration date that are useful for the operator to visually confirm. Further, as a matter of course, a part set as the injection control data of the chemical solution condition data includes a capacity and a withstand voltage that are useful as the injection control data.

  As shown in FIG. 13, when the imaging part is registered in the injection condition data but the weight or the like is not registered, the injection control data set from the injection condition data is only the imaging part. In this case, injection control data set from other injection condition data is manually set (steps S20 to S22).

  Also, the injection control data set by the injection condition data and the chemical condition data as described above (steps S19 to S22) can be corrected by the operator's input operation (steps S20 and S21).

  When the injection condition data is acquired from the imaging order data and the setting of the injection control data is completed (steps S12 to S22), the chemical injection device 400 according to the present embodiment can start the chemical injection in this state. It does not become a state.

  Therefore, when the setting of the injection control data is completed as described above (step S22), the operator performs a final confirmation such as whether or not bubbles are mixed in the extension tube, and when this final confirmation is completed, the injection execution head is completed. The final confirmation switch 414 of 410 is input.

  Then, the chemical injection device 400 that has detected this (Step S23) releases the operation lock of the chemical injection assuming that the final confirmation has been executed (Step S24). However, in the chemical injection device 400 according to the present embodiment, even when the final confirmation is executed in this way and the operation lock is released, the chemical injection cannot be executed by itself.

  That is, when the final confirmation switch 414 is input as described above (step S23), the chemical injection device 400 causes the control box 500 to acquire the imaging order data from the RIS 100 again as in the first time, and a part thereof Is acquired again from the control box 500 as injection condition data (step S25).

  Then, the injection condition data set as the injection control data is compared with the injection condition data acquired again (step S26). If the injection condition data does not match with each other, for example, together with error guidance of a confirmation warning such as “the imaging order has been changed, please confirm” (step S27), the acquisition date and time of the first time and the second time A list of items that match and items that do not match, data contents that do not match, and the like are displayed and output on the touch panel 403 and the head display 415 (not shown).

  In this case, for example, when confirmation completion is input to the touch panel 403 and the head display 415, the initial state is restored (step S3). For this reason, the injection operation is not started in a state where the imaging order data is changed.

  On the other hand, when it is confirmed that the injection condition data set as the injection control data matches the injection condition data acquired again (step S26), a state in which an injection start can be input from the touch panel 403 and the head display 415; Become.

  Therefore, when this injection start is input (step S28), the syringe drive mechanism 412 is controlled in response to the set injection control data, so that a contrast medium, physiological saline, Is appropriately injected (step S29).

  At this time, the elapsed time is measured in real time and the actual injection speed is also detected, so that the operation of the syringe drive mechanism 412 is feedback controlled so that the injection speed matches the injection control data.

  Furthermore, a time-lapse graph including the actual injection speed is generated in real time (step S30), and is displayed and output on the touch panel 403 and the head display 415 together with the injection control data (step S31).

  As described above, when the injection control data is manually set without acquiring the injection condition data, the time-lapse graph is displayed and output together with the manually set injection control data, as shown in FIG.

  On the other hand, when the injection condition data and the chemical condition data are acquired and the injection control data is automatically set, as shown in FIG. 19, the time-dependent graph shows the automatically set injection control data, injection condition data, chemical condition data, etc. Is displayed and output. Further, in this case, the imaging start time acquired from the injection condition data is also displayed and output as a predetermined symbol mark on the time-lapse graph.

  Then, when the injection work is completed (step S32), injection history data including a time-dependent graph of the actual injection speed is generated (step S33). When the injection control data is manually set without acquiring the injection condition data, the injection history data generated in this way includes image data of a time-dependent graph and text data of the injection control data set manually.

  When the injection condition data and the chemical solution condition data are acquired and the injection control data is automatically set, the injection history data includes image data of a time-lapse graph and text data of the injection control data and the injection condition data.

  The text data includes, for example, an injection operation ID that is unique identification information for each injection operation, actual injection start and end dates, identification information of the chemical injection device 400, injection control data, and all of the injection control data manually. Information on whether it was entered or partly acquired from imaging order data or partly acquired from chemical condition data, if acquired from imaging order data, acquisition date and time of the first and confirmation, acquired injection condition data and chemical Consists of condition data, etc.

  Further, when chemical condition data is acquired from the RFID chip 810 of the chemical syringe 800, a part of the chemical condition data is also set as text data or the like in the injection history data.

  Such text data includes, for example, information on whether the chemical condition data is acquired from the RFID chip 810 or is manually input, the product name of the chemical, chemical ID, chemical classification, component content, expiration date, cylinder pressure resistance, lot number, sales Price, etc.

  In addition, when the injection operation is completed, the chemical injection device 400 also generates completion notification data that is given at least an injection operation ID and notifies the completion (step S34). Therefore, the chemical injection device 400 that has completed the injection operation transmits completion notification data and injection history data to the control box 500 (step S35).

  Then, the control box 500 transfers the completion notification data received from the chemical solution injector 400 to the RIS 100. The RIS 100 stores the received completion notification data in a state associated with the imaging order data by the injection work ID.

  In addition, the control box 500 transfers the injection history data received from the chemical solution injector 400 to the PACS 300. The PACS 300 stores the received injection history data in a state managed by the imaging work ID.

  In a normal operation, the imaging operation by the CT scanner 200 is started before and after the injection operation by the chemical injection device 400 is completed as described above. In this case, the operator inputs an operation to start imaging to the imaging control unit 210 of the CT scanner 200.

  Then, the imaging control unit 210 of the CT scanner 200 transmits an imaging order data acquisition request to the RIS 100. Then, the RIS 100 returns one imaging order data selected as described above to the CT scanner 200.

  Therefore, in the CT scanner 200, the fluoroscopic imaging unit 201 is controlled in accordance with the imaging order data received by the imaging control unit 210, whereby the imaging operation of the fluoroscopic image data is executed.

  When the fluoroscopic image data is captured from the subject by the fluoroscopic imaging unit 201, the imaging control unit 210 adds imaging order data to the fluoroscopic image data. Next, in the imaging control unit 210, the fluoroscopic image data to which the imaging order data is added is transmitted to the PACS 300.

  The PACS 300 stores the received fluoroscopic image data in a state managed by the imaging work ID of the imaging order data. When the operator browses the fluoroscopic image data, for example, the fluoroscopic image data is read from the PACS 300 by a manual operation of the image browsing device 600.

  In this case, for example, when an imaging operation ID is input as a search key, the fluoroscopic image data of the imaging operation ID is read from the PACS 300 and displayed on the display unit 602 of the image browsing apparatus 600.

  At this time, since the injection history data is also read from the PACS 300 by the imaging work ID, it is displayed and output on the display unit 602 of the image browsing apparatus 600 as necessary.

  According to the injection history data displayed and output in this way, whether all of the injection control data of the injection operation has been manually input, partly acquired from the imaging order data, partly acquired from the chemical condition data, or imaging If it is obtained from the order data, the date and time of the first and confirmation, the obtained injection condition data, etc. are also confirmed.

  Furthermore, when the chemical condition data is acquired from the RFID chip 810, manually input, or acquired from the RFID chip 810 according to the above injection history data, the product name, chemical ID, expiry date, sales price, Etc. are also confirmed.

  In addition, when the injection of the chemical liquid is completed as described above (step S32), the chemical liquid injection device 400 of the present embodiment has acquired the liquid condition data from the RFID chip 810 of the chemical syringe 800 (step S36). A part of the chemical condition data is transmitted as text related data to the control box 500 as text related data together with the imaging work ID and the subject ID (step S37).

  The text data transmitted in this way includes, for example, an imaging work ID, a subject ID, a chemical ID, a selling price of the chemical syringe 800, and the like. This accounting related data is transferred from the control box 500 to the HIS 900 via the RIS 100.

  Therefore, in this HIS900, the accounting processing of the imaging operation is executed using the received chemical solution detection data as accounting-related data. In that case, various accounting-related data related to the imaging work are input to the HIS 900 online or manually.

  The HIS 900 acquires the selling price of the chemical syringe 800 used for the imaging operation from the above-described chemical condition data. Since the imaging operation ID and the subject ID are also given to the chemical condition data, the accounting process for each imaging operation is surely executed.

  In the fluoroscopic imaging system 1000 of the present embodiment, when the liquid syringe 800 is loaded in the syringe drive mechanism 412 as described above, the liquid condition data recorded in the liquid syringe 800 is acquired, and the acquired liquid solution At least a part of the condition data is transmitted to the HIS 900. For this reason, in HIS900, the received chemical | medical solution condition data can be utilized for an accounting process as a part of accounting related data.

  The liquid condition data is automatically acquired from the liquid syringe 800 that is actually used by the liquid injector 400, and there is no need for the operator to perform an input operation. Therefore, the chemical condition data of the chemical actually injected into the subject can be provided to the HIS 900 easily and reliably.

  Moreover, the liquid condition data acquired from the liquid syringe 800 to the liquid injector 400 as described above is set as part of injection control data for controlling the operation of the liquid injection. That is, the chemical condition data acquired from the chemical syringe 800 can be used for injection control and accounting processing.

  In particular, in the fluoroscopic imaging system 1000 according to the present embodiment, the RIS 100 stores imaging order data in which a subject ID is set, and the CT scanner 200 captures fluoroscopic image data from the subject corresponding to the imaging order data.

  Then, the liquid injector 400 acquires injection condition data from the RIS 100 as part of the imaging order data. The injection condition data is automatically set in the injection control data together with the chemical condition data, and the injection of the chemical is controlled by the injection control data. For this reason, it is not necessary for the operator to manually input all of the injection control data, and accurate injection control data can be easily set.

  Furthermore, the chemical solution injection device 400 transmits the chemical solution condition data acquired from the chemical solution syringe 800 as described above to the HIS 900 as the accounting related data when the chemical solution injection is completed. Therefore, the chemical condition data of the chemical syringe 800 that has been once loaded into the chemical injector 400 but has not been used after being exchanged is not transmitted to the HIS 900 as accounting related data.

  For this reason, only the chemical condition data of the chemical syringe 800 actually used for the chemical injection can be provided to the HIS 900 at the fastest timing. Therefore, the HIS 900 can quickly execute the accounting process with the chemical condition data of the actually used chemical syringe 800.

  Moreover, the liquid injector 400 also adds the imaging work ID and subject ID of the imaging order data acquired from the RIS 100 as described above to the liquid condition data and transmits it to the HIS 900.

  For this reason, in HIS900, the imaging operation corresponding to the received chemical solution condition data can be specified easily and reliably. Therefore, the accounting process using the chemical condition data as accounting-related data can be accurately executed.

  In addition, since the injection condition data and the chemical condition data that are automatically acquired as described above are displayed and output, the operator can easily and reliably confirm whether the injection condition data and the chemical condition data are appropriate.

  In particular, the name and sex of the subject as the injection condition data, the product name as the chemical condition data, and the like are also displayed and output. For this reason, the operator can easily and surely confirm the consistency between the injection condition data and the actual subject, and whether the chemical solution to be used is appropriate.

  The injection condition data including the subject ID and the like is input using a dedicated icon based on a logo “i” and a schematic image of the human body. For this reason, the operator can intuitively execute the operation for acquiring the injection condition data.

  Further, the chemical condition data acquired from the RFID chip 810 is displayed and output together with a predetermined logo mark “RFID”. Therefore, the operator can intuitively confirm that the displayed chemical solution condition data has been acquired from the RFID chip 810.

  In particular, the display output as described above is displayed and output not only on the touch panel 403 of the injection control unit 401 of the chemical injection device 400 but also on the head display 415 of the injection execution head 410. Therefore, the operator can check the injection condition data and the chemical condition data while working at the position of the injection execution head 410.

  Furthermore, in the fluoroscopic imaging system 1000 of the present embodiment, the chemical condition data is recorded on the RFID chip 810 of the chemical syringe 800, and the chemical injection device 400 acquires the chemical condition data from the RFID chip 810 with the RFID reader 416. . For this reason, the chemical injection device 400 can easily and reliably acquire large-volume chemical solution condition data from the chemical syringe 800.

  In particular, the chemical liquid injector 400 does not acquire chemical condition data unless the chemical syringe 800 is properly loaded. For this reason, it is possible to prevent the chemical liquid injection from being executed in a state where the chemical liquid syringe 800 is not properly loaded.

  Furthermore, when the final confirmation immediately before the injection is input, the chemical injection device 400 according to the present embodiment again acquires the injection condition data as a part of the imaging order data from the RIS 100, and again returns the injection condition data acquired in advance. Confirm the match with the acquired injection condition data.

  Since the chemical solution injection by the injection control data is not executed until the coincidence is confirmed, it is possible to easily and reliably prevent the injection operation from being executed with the inappropriate injection control data.

  For example, when the imaging schedule is suddenly changed and the imaging order data is corrected or deleted, the injection operation is not started corresponding to the first imaging order data.

  Furthermore, since the chemical solution injection device 400 notifies the operator that the imaging order data does not match, the operator can surely recognize and confirm the change of the imaging order data.

  However, when all of the injection control data is manually input, the injection operation can be started when the setting of the injection control data is completed. For this reason, it is possible to appropriately control the prohibition and banning of the injection operation under simple conditions.

  Further, in a general injection operation using the chemical solution injection device 400, the injection control data is set by the injection control unit 401 separated from the injection execution head 410 as described above. The liquid syringe 800 and the condition of the subject are finally confirmed at the position.

  And in the chemical | medical solution injection device 400 of this Embodiment, as mentioned above, the final confirmation switch 414 for acquiring imaging order data again immediately before injection | pouring and confirming a match is arrange | positioned at the injection | pouring execution head 410. FIG.

  Therefore, at the time of final confirmation at the position of the injection execution head 410 which has been conventionally required, it is possible to input the acquisition of imaging order data again and the confirmation of coincidence. Particularly, in this chemical solution injection device 400, the operation lock of the chemical solution injection is not released unless the final confirmation is executed and the final confirmation switch 414 is input.

For this reason, both the unlocking of the injection operation and the reconfirmation of the imaging order data by the input of the completion of the final confirmation can be executed only by inputting one final confirmation switch 414.

  Furthermore, in the chemical solution injection device 400, when an injection operation is executed based on the injection control data, a time-dependent graph is displayed and output in real time. For this reason, the operator can confirm the injection state in real time.

  In particular, when the injection control data is acquired from the PACS 300 and set, the various setting contents are displayed and output together with the time graph. For this reason, the operator can always confirm the setting contents of the injection control data.

  Furthermore, in the chemical injection device 400 of the present embodiment, when imaging order data is acquired from the RIS 100, the imaging start time is displayed and output on a time-dependent graph based on the imaging order data.

  For this reason, the operator can confirm the relationship between the injection state and the imaging start time in real time. In particular, since the imaging start time is displayed and output by a dedicated logo mark, the operator can confirm it intuitively.

  Moreover, in the fluoroscopic imaging system 1000 of the present embodiment, the injection history data is also stored in association with the fluoroscopic image data stored in the PACS 300 as described above. In particular, the injection history data includes part of the injection control data and the chemical condition data.

  For this reason, for example, when browsing fluoroscopic image data, injection history data, injection control data, and chemical condition data can also be confirmed. Therefore, an operator viewing the fluoroscopic image data can check how the chemical solution is injected into the subject when the fluoroscopic image data is captured.

  In addition, as described above, the fluoroscopic image data and the injection history data are related by the imaging work ID, and the imaging work ID is acquired by the liquid injector 400 as imaging order data when the injection control data is automatically set. The

  That is, the imaging order data acquired from the RIS 100 via the control box 500 to the drug solution injector 400 can be used for both setting of injection control data and generation of injection history data.

  Further, even if there is a doubt about the contrast agent injection operation, the injection history data can be confirmed together with the injection control data and the liquid condition data together with the fluoroscopic image data. Therefore, the injection history data, injection control data, and chemical condition data can be used as evidence.

  In particular, since the chemical condition data is included in the injection history data, the chemical condition data can be confirmed together with the injection history data, the injection control data, and the like even when the accounting process is questionable.

  In addition, the various apparatuses 100 to 600 and 900 of the fluoroscopic imaging system 1000 of the present embodiment mutually communicate various data according to the DICOM protocol. Since DICOM communication data is difficult to falsify, the evidence capacity of injection history data, injection control data, and chemical condition data is high.

  In addition, the completion notification data of the injection operation is stored in the RIS 100 from the chemical injection device 400 via the control box 500. In the RIS 100, since the completion notification data is managed in association with the imaging order data, for example, the start time and end time of the chemical solution injection can be notified from the RIS 100 to the CT scanner 200 together with the imaging order data.

  In this case, since the operator who operates the CT scanner 200 can refer to the start time and end time of the chemical injection, the start time of image capturing can be adjusted according to the time.

  In addition, this invention is not limited to the said form, A various deformation | transformation is accept | permitted in the range which does not deviate from the summary. For example, in the above embodiment, the chemical liquid condition data is recorded in the chemical liquid syringe 800 with the RFID chip 810, and the chemical liquid injection device 400 acquires the chemical liquid condition data with the RFID reader 416.

  However, the chemical condition data is recorded on the chemical syringe with a magnetic stripe, a two-dimensional code, or a barcode, and such chemical condition data may be acquired by the chemical injection device with a magnetic head, a two-dimensional scanner, or a line scanner. (Not shown).

  Furthermore, in the said form, it illustrated that the various data were included in the chemical | medical solution condition data currently recorded on the chemical | medical solution syringe 800. FIG. However, the chemical solution condition data recorded in the chemical syringe may be the product ID alone.

  In this case, for example, various data of the chemical condition data as described above are recorded in a database such as HIS900, RIS100, and PACS300 together with the product ID, and the various data of the chemical condition data are searched by the product ID and the chemical injection device. (Not shown).

  In the above embodiment, it is assumed that the chemical syringe 800 is a prefilled syringe and the chemical solution condition data is recorded by the syringe manufacturer. However, the chemical solution syringe may be a refill syringe, and the chemical solution condition data may be recorded at the medical site corresponding to the chemical solution to be filled.

  Further, the volume of the chemical liquid injected by the chemical liquid injection device may be detected as a chemical liquid injection volume, and this chemical liquid injection volume may also be transmitted to the HIS 900 as part of the accounting related data. In this case, for example, the accounting process can be executed in accordance with the volume of the chemical solution injected with the refill syringe.

  Moreover, in the said form, when the chemical | medical solution injection apparatus 400 completed injection | pouring of a chemical | medical solution, it illustrated transmitting chemical | medical solution condition data to HIS900 as a part of accounting related data. However, the chemical solution injection device 400 may store chemical solution condition data, which may be transmitted when requested by the HIS 900.

  Further, in the above embodiment, the chemical injection device 400 is connected to the HIS 900 that executes accounting processing via the control box 500 and the RIS 100, and the chemical condition data is transmitted from the chemical injection device 400 to the control box 500 and the RIS 100 as accounting related data. It is exemplified that the data is transmitted to HIS900 via.

  However, the chemical injection device 400 may be connected to the HIS 900 via only the control box 500, may be connected only via the RIS 100, or may be directly connected (not shown). .

  Moreover, in the said form, it illustrated that HIS900 which performs accounting processing and RIS100 which manages imaging order data were formed separately. However, such HIS and RIS may be integrally formed (not shown).

  In the above embodiment, the chemical injection device 400 automatically sets the injection control data based on the imaging order data acquired from the RIS 100 and the chemical condition data acquired from the chemical syringe 800.

  However, such injection control data is registered in the PACS 300 and the like together with the injection history data and the subject ID, and the injection control data is acquired from the PACS 300 and the like by the subject ID and used for the injection work. Good.

  In this case, when imaging work has been executed in the past by the same subject, the past injection control data can be used again. For this reason, even when a complicated injection operation is set by injection control data, the injection operation can be easily reproduced.

  Further, the injection history data generated together with the injection work in the chemical injection device 400 is registered in the PACS 300 together with the subject ID and the injection history data is acquired from the PACS 300 to the chemical injection device 400 by the subject ID and injected as injection control data. It may be used for work.

  In this case, it is necessary to generate injection control data from the injection history data in the chemical solution injection device 400. However, if the injection history data is registered in the PACS 300, registration of the injection control data can be made unnecessary.

  In addition, the past injection control data acquired from the PACS 300 to the chemical injection device 400 in this way may be automatically adjusted corresponding to the new injection condition data. As such injection condition data, it is possible to use the body weight of the subject, the concentration of the component of the drug solution, the component contained in the drug solution, and the like.

  For example, if the weight of the subject given to the past injection control data acquired from the PACS 300 to the drug injection device 400 is 50 kg and the current weight input to the drug injection device 400 is 60 kg, the injection control data A processing operation such as increasing the injection speed and the total injection amount by 1.2 (= 60/50) times is preferable.

  Similarly, if the component concentration of the chemical liquid given to the past injection control data is 10% and the current component concentration acquired as chemical liquid condition data in the chemical liquid injection device 400 is 20%, injection of the injection control data is performed. Processing operations such as increasing the speed and total injection amount by 0.5 (= 10/20) times are preferable.

  Further, in the above embodiment, the chemical injection device 400 acquires and displays the chemical condition data from the RFID chip 810 mounted on the chemical syringe 800, so that the operator can specify the product name, the contained component, the chemical classification, and the like of the chemical. Exemplified that it can be confirmed.

  However, the RIS 100 stores the chemical condition data of the chemical syringe 800 together with the imaging order data, and the chemical injection device 400 acquires the chemical condition data together with the imaging order data from the RIS 100, and the chemical condition data and the chemical syringe acquired together with the imaging order data. A match may be confirmed with the chemical condition data acquired from 800, and a warning may be output if the chemical condition data does not match (not shown).

  Furthermore, chemical solution injection may be prohibited if the chemical solution condition data do not match. In these cases, it is possible to warn the operator that the drug solution syringe loaded in the drug solution injector is different from the schedule, and it is possible to prevent the drug solution different from the schedule from being easily injected.

  Further, whether or not a warning is required for each subject is set in the imaging order data, and the chemical injection device may notify and output a warning when warning necessity is set for the acquired imaging order data. In this case, the operator can be warned that the subject is allergic. Further, the injection of the chemical solution may be prohibited in the warning state as described above, and this may be reset by the manual operation of the operator who has confirmed the subject.

  Further, the RIS 100 stores imaging order data in which a chemical solution ID unsuitable for injection for each subject is set together with the subject ID as an unsuitable ID, and the chemical solution injection device 400 receives the chemical condition data from the RFID chip 810 of the chemical syringe 800. Obtaining an inappropriate ID from the imaging order data, confirming a match between the chemical ID of the chemical condition data acquired from the chemical syringe 800 and the inappropriate ID acquired from the imaging order data, and the chemical condition data and the inappropriate ID And the warning message such as “This drug cannot be injected into this subject” is displayed on the touch panel, and the injection execution mechanism may be controlled to be inoperable.

  In this case, for example, when the chemical liquid injected into the subject is appropriate for the type of CT contrast agent or the like, but is inappropriate for injection due to the subject's personal reasons such as side effects, the chemical liquid injection device 400 uses this. It can be automatically detected and output to the operator. Therefore, the operator can quickly recognize itself and take measures such as changing the chemical solution.

  On the contrary, the RIS 100 stores imaging order data in which a chemical solution ID unsuitable for injection for each subject is set together with the subject ID as a proper ID, and the chemical solution injection device 400 receives the chemical condition data from the RFID chip 810 of the chemical syringe 800. And the appropriate ID is acquired from the imaging order data, and the match between the chemical ID of the chemical condition data acquired from the chemical syringe 800 and the appropriate ID acquired from the imaging order data is confirmed. If the ID does not match, a warning message such as “This drug cannot be injected into this subject” may be displayed on the touch panel, and the injection execution mechanism may be controlled to be inoperable.

  In particular, when the liquid syringe 800 is loaded into the injection execution head 410, the liquid condition data is automatically acquired, and when the imaging order data is input as the injection control data, the inappropriate ID is also automatically acquired. For this reason, there is no need for a dedicated operation for the acquisition and collation, and the chemical condition data and the inappropriate ID can be collated easily and reliably.

  Similarly, the RIS 100 stores imaging order data in which the components and chemical classification that are inappropriate for injection for each subject are set together with the subject ID as inappropriate components and inappropriate classification, and the chemical injection device 400 stores the chemical syringe 800. In addition, the contained component and chemical classification are acquired from the RFID chip 810, and the inappropriate component and inappropriate classification are acquired from the imaging order data. The included component and chemical classification acquired from the chemical syringe 800 and the inappropriate component acquired from the imaging order data When matching with the inappropriate classification is confirmed, a warning is output when the contained component matches the inappropriate component or the chemical classification matches the inappropriate classification, and the injection execution mechanism may be controlled to be inoperable.

  In these cases, it is possible to manage the suitability of the injection to the subject for each component and chemical classification. For this reason, for example, it is possible to accurately predict whether or not a chemical solution is injected for the first time.

  Further, the work type corresponding to the imaging work is recorded as an appropriate type as at least part of the chemical condition data in the RFID chip 810, the work type is set in the imaging order data, and the appropriate type acquired from the RFID chip 810 is recorded. If the chemical injection device 400 does not match the type and the operation type set in the injection condition data, the warning may be notified.

  In this case, for example, it is possible to prevent a medical error such that an MRI contrast agent is injected into a subject whose fluoroscopic image is captured by the CT scanner 200. On the contrary, the chemical solution injection device 400 sets the chemical solution type corresponding to the imaging operation as an appropriate type in the imaging order data, and the chemical solution injection device 400 sets the chemical solution type acquired from the RFID chip 810 and the appropriate type set in the injection condition data. A warning may be informed if there is no match after matching.

  Similarly, the chemical solution ID corresponding to the imaging operation is set as an appropriate ID in the imaging order data, and the chemical solution injection device 400 uses the chemical solution ID acquired from the RFID chip 810 and the appropriate ID set in the injection condition data. A warning may be informed if there is no match after matching.

  Further, in the above embodiment, the subject ID, the imaging region, and the like are acquired from the imaging order data registered in the RIS 100 by the chemical injection device 400, so that the operator needs to input the subject ID and the like to the chemical injection device 400. In addition, it is illustrated that it is possible to prevent the erroneous input.

  However, some or all of the above-described subject ID, imaging region, and the like may be input to the chemical injection device 400. Further, the fluoroscopic imaging system 1000 has a subject management medium (not shown) for each subject on which at least an RFID chip in which a subject ID is recorded is mounted, and the liquid injector 400 is an RFID chip as the subject management medium. Subject ID may be acquired from.

  The subject management medium as described above can be realized, for example, as a medical record file in which an RFID chip is mounted, a management armband attached to the subject's arm, or the like (not shown).

  In this case, the operator's input operation of the subject ID can be made unnecessary, and erroneous input can be prevented. Furthermore, injection condition data such as an imaging region and body weight may be registered in the RFID chip of such a subject management medium, and this may be acquired by the drug solution injector 400 and used for automatic adjustment of injection control data.

  Further, in the above embodiment, it is exemplified that the change of the imaging order data can be dealt with by the chemical injection device 400 acquiring and confirming the injection condition data of the imaging order data of the RIS 100 immediately before the injection.

  However, the drug injection device 400 also confirms a match between the subject ID acquired from the imaging order data of the RIS 100 and the subject ID acquired from the RFID chip of the subject management medium, and the syringe drive mechanism 412 until the match is confirmed. The operation control may be prohibited, and if a match is not confirmed, a predetermined confirmation warning may be output.

  Further, in the above embodiment, when a plurality of injection control data corresponding to the subject ID provided by the drug solution injection device 400 is registered in the PACS 300, the plurality of injection control data is transmitted from the PACS 300 to the drug solution injection device 400. An example in which the latest one injection control data is selected by the chemical injection device 400 is illustrated.

  However, the latest one injection control data may be selected by the PACS 300 and transmitted to the drug solution injector 400. In this case, a dedicated processing operation is required for the PACS 300, but congestion can be prevented by reducing the transmission data capacity.

  Further, a plurality of injection control data transmitted from the PACS 300 may be displayed in a list by the chemical solution injection device 400, and one of the injection control data displayed in the list may be selected. In this case, the operator can select optimal injection control data as desired. Furthermore, from a plurality of injection control data transmitted from the PACS 300, the chemical solution injection device 400 may select one corresponding to a predetermined condition such as the closest weight.

  Further, in the above embodiment, all of the imaging order data managed by the RIS 100 is acquired in the control box 500, and a part of the imaging order data is acquired as injection condition data from the control box 500 to the chemical solution injector 400. Illustrated. However, all of the imaging order data may be acquired by the liquid injector 400 as injection condition data.

  Furthermore, in the said form, RIS100 was a push type | mold and it illustrated that the control box 500 acquires appropriate imaging order data by a timing. However, the RIS 100 may be a pull type.

  In that case, the CT scanner 200 transmits an imaging order data acquisition request to the RIS 100 together with at least one order search key. Then, the RIS 100 selects and returns one of the plurality of imaging order data corresponding to the acquisition request and the order search key received from the CT scanner 200.

  And the control box 500 transmits the acquisition request of the imaging order data received from the chemical injection device 400 to the RIS 100. Then, the RIS 100 returns one imaging order data selected corresponding to the acquisition request received from the control box 500.

  Alternatively, the RIS 100 returns a plurality of imaging order data in response to the acquisition request received from the CT scanner 200. In this case, the CT scanner 200 receives an operation for selecting one of the returned plurality of imaging order data, and notifies the RIS 100 of the selected imaging order data.

  Alternatively, the RIS 100 searches for a part from a plurality of imaging order data in response to the acquisition request received from the CT scanner 200 and the order search key, and sends back a part. The CT scanner 200 accepts an operation for selecting one of the returned imaging order data, and notifies the RIS 100 of the selected imaging order data.

  Therefore, when the control box 500 transfers the acquisition request for the imaging order data to the RIS 100, the RIS 100 returns one imaging order data notified from the CT scanner 200 in response to the acquisition request received from the control box 500. .

  By doing as described above, even when the RIS 100 is a pull type, the control box 500 can acquire appropriate imaging order data, and can give imaging work ID and the like to the injection history data.

  Furthermore, in the said form, it illustrated that the control box 500 acquires imaging order data from RIS100. However, the RIS 100 and the CT scanner 200 may be connected via the control box 500, and the control box 500 may acquire imaging order data transmitted from the RIS 100 to the CT scanner 200.

  Further, the control box 500 may be connected to the CT scanner 200 without being connected to the RIS 100, and the control box 500 may acquire imaging order data from the CT scanner 200.

  In this case, for example, the control box 500 transfers an acquisition request received from the chemical solution injector 400 to the CT scanner 200, and the CT scanner 200 returns imaging order data in response to the acquisition request received from the control box 500. That's fine.

  Alternatively, the CT scanner 200 may accept an operation for selecting one of a plurality of imaging order data returned from the pull-type RIS 100 and transfer the selected imaging order data to the control box 500.

  Further, the control box 500 may be connected to the RIS 100 and the CT scanner 200, the first imaging order data may be acquired from the RIS 100, and the confirmation imaging order data may be acquired from the CT scanner 200.

  Further, in the above embodiment, the injection history data and injection control data generated by the chemical solution injection device 400 are stored in the PACS 300 together with the fluoroscopic image data generated by the CT scanner 200.

  However, the injection history data and the injection control data may be transmitted from the chemical injection device 400 to the RIS 100 via the control box 500, and the injection history data and the injection control data may be stored in the RIS 100. In this case, the RIS 100 can manage the imaging order data, the injection history data, and the injection control data in association with the work ID.

  Even in this case, the fluoroscopic image data registered in the PACS 300 is also given the work ID of the imaging order data, so that the fluoroscopic image data can be associated with the injection history data and the injection control data.

  Further, in the above embodiment, the entire imaging order data is given to the fluoroscopic image data and stored in the PACS 300. However, only the imaging work ID of the imaging order data may be assigned to the fluoroscopic image data.

  Even in this case, the fluoroscopic image data can be associated with the injection history data and the injection control data by the imaging work ID, and the imaging order data can be read from the RIS 100 by the imaging work ID.

  Further, only the imaging work ID of the imaging order data may be attached to the fluoroscopic image data, and the entire imaging order data may be added to the injection history data or the injection control data. The imaging order data is transmitted to the fluoroscopic image data, the injection history data, or the injection. It may be assigned to control data. Further, the entire display image of the touch panel 403 and the head display 415 of the chemical liquid injector 400 may be included in the injection history data.

  Moreover, in the said form, it illustrated only that injection | pouring control data was set to the chemical | medical solution injection apparatus 400. FIG. However, the injection control data may be notified from the chemical injection device 400 to the control box 500, and the injection control data may be notified from the control box 500 to the RIS 100. In this case, the injection control data can be notified from the RIS 100 to the CT scanner 200 together with the imaging order data.

  Therefore, since the operator who operates the CT scanner 200 can refer to the injection control data, the imaging operation can be adjusted according to the injection control data. It is not impossible to automatically adjust the imaging operation based on the injection control data acquired by the imaging control unit 210 of the CT scanner 200.

  Moreover, in the said form, after completing injection | pouring log | history data with the chemical | medical solution injection apparatus 400, transmitting to the control box 500 was illustrated. However, the chemical injection device 400 may distribute the injection history data to the control box 500 and transmit it, and the control box 500 may complete the injection history data.

  More specifically, the chemical solution injection device 400 transmits injection control data, start date and time, etc. to the control box 500 at the start of injection, sequentially transmits the injection speed and the like in the injection process, and transmits end date, etc. at the end of injection. In this case, the injection history data can be completed and output from various data accumulated by the control box 500 from the start of injection to the end of injection.

  Further, in the above embodiment, the various devices 100 to 600, 900 exemplify that the evidence ability such as injection history data is high by mutually communicating various data in the DICOM format that is difficult to falsify. However, the chemical injection device 400 may generate injection history data in a data format that is difficult to falsify, such as PDF (Portable Document Format).

  Similarly, the injection history data received in the JPEG (Joint Photographic Coding Experts Group) format from the chemical solution injector 400 may be converted into the PDF format by the control box 500. Furthermore, the chemical injection device 400 and the control box 500 may be connected to a so-called Internet, and an electronic signature may be acquired and added to the injection history data.

  Further, in the above embodiment, it is exemplified that the head display 415 is directly attached to the lower side from the rear part of the left side surface before the injection execution head 410. However, such a head display 415 only needs to be able to confirm the screen without hindering the operation of the injection execution head 410.

  For this reason, as shown in FIG. 23, the head display 415 may be mounted on the right side surface of the injection execution head 410, may be mounted on the front portion, or may be mounted on the upper side. Further, as shown in FIG. 24, the head display 415 may be mounted on the injection execution head 410 so as to be movable by a movable arm 418 or the like.

  Furthermore, in the said form, the chemical | medical solution injection apparatus 400 illustrated inject | pouring a contrast agent and the physiological saline into a test subject with the two chemical | medical solution syringes 800. However, the chemical solution injection device may inject a contrast medium, physiological saline, or the like as a chemical solution into the subject using one chemical solution syringe 800 (not shown).

  Moreover, in the said form, CT scanner 200 was used as a fluoroscopic imaging device, and it illustrated that the chemical | medical solution injection device 400 inject | poured the contrast agent for CT as a chemical | medical solution. However, the fluoroscopic imaging apparatus may be composed of an MRI, PET apparatus, ultrasonic diagnostic apparatus, or the like, and the chemical solution injection apparatus may inject a contrast agent for the apparatus.

  Furthermore, in the said form, it illustrated that CT scanner 200 and the chemical | medical solution injection device 400 operate | move stand-alone individually. However, the CT scanner 200 and the chemical solution injector 400 may link various operations through data communication.

  Moreover, in order to simplify description in the said form, it illustrated that each part of the fluoroscopic imaging system 1000 was one each. However, in a large-scale hospital or the like, each of the plurality of fluoroscopic imaging systems 1000 has one RIS 100, CT scanner 200, chemical injection device 400, and control box 500, and the plurality of fluoroscopic imaging systems have PACS 300 and image browsing. A structure sharing the apparatus 600 may be used (not shown). However, even in such a case, a plurality of hardware such as the RIS 100, the PACS 300, and the image browsing apparatus 600 may be connected in parallel (not shown).

  Further, in the above embodiment, the fluoroscopic image data, the injection history data, and the injection control data are stored in one PACS 300. However, hardware for storing fluoroscopic image data, injection history data, and injection control data may be formed separately and connected via a communication network.

  Moreover, in the said form, RIS100, CT scanner 200, PACS300, the chemical | medical solution injection apparatus 400, the control box 500, the image browsing apparatus 600, HIS900 are formed separately, and it is connected by the communication networks 700-706. Illustrated.

  However, the various devices 100 to 600, 900 as described above may be integrally formed by various combinations. For example, the injection control unit 401 and the control box 500 of the chemical liquid injector 400 are integrally formed, the RIS 100 and the PACS 300 are integrally formed thereon, and the PACS 300 and the image browsing device 600 are integrally formed. It is also possible.

  It is also possible that the RIS 100 and the PACS 300 are integrally formed in the control box 500, the control box 500, the PACS 300, and the image browsing apparatus 600 are integrally formed.

  Furthermore, the imaging control unit 210, the RIS 100, and the control box 500 of the CT scanner 200 are integrally formed, and the imaging control unit 210, the PACS 300, and the control box 500 of the CT scanner 200 are integrally formed. It is also possible for the image browsing apparatus 600 to be formed integrally therewith.

  In addition, the image browsing apparatus 600 and the PACS 300 can be integrally formed, and the control box 500 and the imaging control unit 210 of the CT scanner 200 can be integrally formed.

  Furthermore, in the above-described embodiment, it is exemplified that each unit of the various apparatuses 100 to 600 and 900 is logically realized as various functions by the operation of the computer apparatus corresponding to the computer program.

  However, each of the units can be formed as unique hardware, and a part can be formed as software and a part can be formed as hardware.

  Needless to say, the above-described embodiment and a plurality of modifications can be combined within a range in which the contents do not conflict with each other. In the above-described embodiments and modifications, the structure of each part has been specifically described. However, the structure and the like can be variously changed within a range that satisfies the functions of the present invention.

It is a typical block diagram which shows the logic structure of the chemical injection device of embodiment of this invention. It is a typical block diagram which shows the logical structure of a fluoroscopic imaging system. It is a block diagram which shows the physical structure of a fluoroscopic imaging system. It is a perspective view which shows the external appearance of the fluoroscopic imaging unit of CT scanner, and the injection execution head of a chemical | medical solution injection apparatus. It is a perspective view which shows the external appearance of a chemical injection device. It is a disassembled perspective view which shows the injection execution head of a chemical injection device with a chemical syringe. It is a typical block diagram which shows the other logical structure of a chemical injection device. It is a typical front view which shows the initial state by which the schematic image of the body division was displayed and output on the display screen of the chemical injection device. It is a typical front view which shows the display state from which the body division and the imaging region were selected. It is a typical front view which shows the state by which injection control data was displayed and output. It is a typical front view which shows the state by which the guidance message during acquisition of test subject ID was displayed and output. It is a typical front view which shows the state by which the guidance message of the subject ID acquisition error was displayed and output. It is a typical front view showing the state where one injection condition data was displayed and outputted. It is a typical front view which shows the state by which other injection condition data were displayed and output. It is a typical front view which shows the state by which the chemical | medical solution condition data was displayed and output. It is a typical front view which shows the display state to which injection | pouring control data was set. It is a typical front view which shows the state by which the guidance message of the collation error of test subject ID was displayed and output. It is a typical front view which shows the state where the time-dependent graph was displayed and output when the chemical | medical solution injection | pouring operation | movement was performed by the injection control data set manually. FIG. 6 is a schematic front view showing a state in which a time-lapse graph is displayed and output when a chemical solution injection operation is executed based on chemical solution condition data and injection control data automatically set based on injection condition data. It is a flowchart which shows the first half part of processing operation of a chemical injection device. It is a flowchart which shows the latter half part of the processing operation of a chemical injection device. It is a typical time chart which shows the processing operation of a fluoroscopic imaging system. It is a perspective view which shows the external appearance of the injection execution head of the chemical | medical solution injection apparatus of one modification. It is a perspective view which shows the external appearance of the injection execution head of the chemical | medical solution injection apparatus of another modification.

Explanation of symbols

100 RIS
DESCRIPTION OF SYMBOLS 101 Order management part 102 Order selection part 103 Integrated control part 200 CT scanner 201 Perspective imaging unit 210 Imaging control unit 211 Request transmission part 212 Order reception part 213 Imaging control part 214 Data provision part 215 Image transmission part 300 PACS
400 Chemical Solution Injection Device 401 Injection Control Unit 402 Main Operation Unit 403 Touch Panel 404 Controller Unit 405 Computer Unit 406 Communication I / F
410 injection execution head 411 syringe holding mechanism 412 syringe drive mechanism 413 sub operation unit 414 final confirmation switch 415 head display 416 RFID reader 418 movable arm 421 data input unit 422 injection control unit 423 control setting unit 424 data output unit 425 history generation unit 441 Condition storage unit 442 Image storage unit 445 Division display unit 446 Division input unit 447 Part display unit 448 Part input unit 449 Motion reading unit 451 Body input unit 500 Control box 501 Computer unit 502 Communication I / F
511 Acquisition mediation unit 514 History transfer unit 600 Image browsing device 601 Computer unit 602 Display unit 603 Controller unit 611 Data reading unit 612 Data display unit 700 to 706 Communication network 800 Chemical solution syringe 810 RFID chip 900 HIS
901 Medical record management unit 902 Accounting processing unit 1000 Perspective imaging system

Claims (25)

Imaging based on medical solution syringes in which medical solution condition data including product names are recorded, a medical solution injection device for injecting a medical solution to a subject whose fluoroscopic image data is captured by driving the medical solution syringe, and various accounting-related data An accounting processing device for performing accounting processing of work, and the chemical injection device of the fluoroscopic imaging system,
An injection execution mechanism that drives the loaded chemical solution syringe to execute the injection of the chemical solution;
A data input unit for acquiring the chemical condition data from the chemical syringe loaded in the injection execution mechanism;
A data output unit that transmits at least a part of the acquired chemical solution condition data to the accounting apparatus as a part of the accounting-related data;
An injection control unit for controlling the operation of the injection execution mechanism corresponding to the injection control data set;
A control setting unit that sets at least a part of the acquired chemical condition data in the injection control unit as at least a part of the injection control data;
Have
The fluoroscopic imaging system further includes an external processing device that holds imaging order data for each imaging operation in which the fluoroscopic image data is captured from the subject,
The data input unit also acquires at least a part of the imaging order data from the external processing device,
The control setting unit also sets at least a part of the acquired imaging order data in the injection control unit as at least a part of the injection control data,
The imaging order data includes the product name,
The external processing device holds the imaging order data in which at least a part of the chemical condition data is set,
A data confirmation unit for confirming the match between the product name included in the acquired imaging order data and the product name included in the acquired chemical condition data;
A chemical injection device further comprising a warning notification unit that outputs a warning if the product names do not match . The chemical syringe is equipped with an RFID (Radio Frequency Identification) chip in which the chemical condition data is recorded,
The chemical liquid injection device according to claim 1, wherein the data input unit acquires the chemical liquid condition data from the RFID chip of the chemical syringe.   3. The chemical solution injector according to claim 1, wherein when the injection of the chemical solution is completed, the data output unit transmits at least a part of the chemical condition data as a part of the accounting related data to the accounting processing device. The injection control unit detects a volume of the injected drug solution as a drug solution injection volume,
The said liquid output apparatus is a chemical | medical solution injection apparatus as described in any one of Claim 1 thru | or 3 which transmits the said chemical | medical solution injection capacity | capacitance to the said accounting processing apparatus as a part of the said accounting related data. The chemical solution injection device according to any one of claims 1 to 4, wherein the data output unit also transmits at least part of the imaging order data to the accounting processing device. The data output unit is connected to the accounting processing device via the external processing device, and at least a part of the chemical condition data is used as a part of the accounting related data via the external processing device. The chemical | medical solution injection | pouring apparatus as described in any one of Claim 1 thru | or 5 which transmits to an accounting processing apparatus. In the fluoroscopic imaging system, the accounting processing device and the external processing device are integrally formed,
The data output unit according to at least a portion of said liquid condition data acquired the imaging order data the accounting unit in any one of claims 1 to 6, transmitted as part of the accounting related data Chemical injection device. The chemical injection device according to any one of claims 1 to 7, wherein the injection control unit prohibits the chemical injection when the chemical condition data does not match. In the imaging order data, warning necessity is set for each subject,
The chemical injection device according to any one of claims 1 to 8 , further comprising a warning notification unit configured to notify and output a warning when a warning necessity is set in the acquired imaging order data. The chemical syringe is recorded as an appropriate type of work type corresponding to the imaging work as at least a part of the chemical condition data,
In the imaging order data, the work type is set,
A data collating unit that collates the appropriate type of the acquired chemical condition data with the work type of the imaging order data;
The chemical injection device according to any one of claims 1 to 9 , further comprising a warning notification unit that notifies a warning when the appropriate type and the work type do not match. In the chemical syringe, the chemical type is recorded as at least part of the chemical condition data,
In the imaging order data, the chemical type corresponding to the imaging operation is set as an appropriate type,
A data collating unit that collates the chemical type of the acquired chemical condition data with the appropriate type of the imaging order data;
The chemical solution injection device according to any one of claims 1 to 10 , further comprising a warning notification unit that issues a warning when the chemical type and the appropriate type do not match. In the chemical syringe, a chemical ID is recorded as at least part of the chemical condition data,
In the imaging order data, the chemical condition data suitable for the imaging work is set as a proper ID,
A data collating unit that collates the chemical ID of the acquired chemical condition data with the appropriate ID of the imaging order data;
The chemical injection device according to any one of claims 1 to 11 , further comprising a warning notification unit that issues a warning when the chemical ID and the appropriate ID do not match. In the chemical syringe, a chemical ID is recorded as at least part of the chemical condition data,
In the imaging order data, the medical solution ID unsuitable for injection for each subject is set as an unsuitable ID,
A data collating unit for collating the chemical solution ID of the acquired chemical solution condition data with the inappropriate ID of the imaging order data;
The chemical injection device according to any one of claims 1 to 12 , further comprising a warning notification unit that issues a warning when the chemical ID matches the inappropriate ID. In the chemical syringe, at least a component of the chemical is recorded as at least part of the chemical condition data,
The imaging order data is set as an unsuitable component at least the contained component unsuitable for injection for each subject.
A data collating unit that collates the contained component of the acquired chemical condition data with the inappropriate component of the imaging order data;
Liquid injector according to any one of the warning notification unit and said containing component gives a warning and aligned with the inappropriate ingredient claims 1 comprises further 13. The chemical syringe is recorded with at least a chemical classification of the chemical as at least part of the chemical condition data,
In the imaging order data, at least the chemical classification unsuitable for injection is set as an unsuitable classification for each subject.
A data collation unit that collates the chemical classification of the acquired chemical condition data with the inappropriate classification of the imaging order data;
Liquid injector according to any one of the a warning notification unit which chemical classification gives a warning and aligned with the inappropriate classification claims 1 comprises further 14. An image that stores a condition storage unit that stores operation condition data of the injection execution mechanism for each of a large number of imaging parts of the human body, and a schematic image of a plurality of body sections of the human body and a large number of imaging parts in association with each other. A storage unit, a segment display unit that displays a plurality of schematic images of the body segments in an array corresponding to the human body, and a segment input unit that receives an input operation for selecting one of the plurality of body segments that are displayed and output And a part display unit that displays and outputs a schematic image of at least one of the imaging parts corresponding to the selected body segment, and a part input part that receives an input operation for selecting the imaging part that is output and displayed. An operation reading unit that sets the operation condition data corresponding to the selected imaging region in the injection control unit as a part of the injection condition data;
The control setting unit, when the imaging part is included in at least a part of the acquired imaging order data, uses the operation condition data corresponding to the operation reading unit as a part of the injection condition data. liquid injector according to any one of claims 1 to 15 is set to part. The fluoroscopic imaging system further includes a data storage device that stores the captured fluoroscopic image data,
The chemical solution injection device according to any one of claims 1 to 16 , wherein the data output unit transmits at least a part of the chemical solution condition data to the data storage device and stores the data together with the fluoroscopic image data. The fluoroscopic imaging system further includes a data storage device that stores the captured fluoroscopic image data,
A history generation unit that generates injection history data including an operation history of the injection execution mechanism corresponding to the injection condition data;
The data output unit, liquid injector according to any one of claims 1 to 17 and transmits the generated the injection history data to the data storage device is stored with the fluoroscopic image data. The chemical liquid injection device according to claim 18 , wherein the history generation unit registers at least part of the injection condition data in the injection history data. The chemical injection device according to claim 18 or 19 , wherein the history generation unit registers at least part of the chemical condition data in the injection history data. 21. The chemical solution injection device according to claim 20 , wherein the history generation unit registers at least a part of the chemical solution condition data transmitted to the accounting processing device as a part of the accounting related data in the injection history data. Chemical liquid syringe in which chemical liquid condition data is recorded, chemical liquid injection device for injecting chemical liquid into a subject whose fluoroscopic image data is imaged by driving the chemical liquid syringe, and accounting processing of imaging work based on various accounting related data A fluoroscopic imaging system having an accounting processing device for executing
A fluoroscopic imaging system comprising the chemical injection device according to any one of claims 1 to 21. Fluoroscopic imaging system according to claim 22 that an external processing device, Yusuke further fluoroscopic image data from the subject to hold the imaging order data for each imaging job to be imaged. A data storage device for storing the captured fluoroscopic image data,
The fluoroscopic imaging system according to claim 22 or 23 , comprising the chemical injection device according to any one of claims 17 to 21 . A computer program for the chemical injection device according to any one of claims 1 to 21,
The imaging order data includes the product name,
The external processing device holds the imaging order data in which at least a part of the chemical condition data is set,
A data input process for acquiring the liquid condition data from the liquid syringe loaded in the injection execution mechanism;
A data output process for transmitting at least a part of the obtained chemical condition data to the accounting apparatus as a part of the accounting related data;
An injection control process for controlling the operation of the injection execution mechanism corresponding to the injection control data set;
A control setting process for setting at least a part of the acquired chemical condition data in the injection control unit as at least a part of the injection control data;
In the data input process, also obtain at least a part of the imaging order data from the external processing device,
In the control setting process, at least a part of the acquired imaging order data is also set in the injection control unit as at least a part of the injection control data,
A data confirmation process for confirming a match between the product name included in the acquired imaging order data and the product name included in the acquired chemical condition data;
A warning notification process for notifying and outputting a warning if the product names do not match;
A computer program for causing the medicinal solution injection device to execute.

Images