JP5160110B2 - Image filing system and image display system - Google Patents

Description

  The present invention relates to an image filing system and an image display system, and more particularly to an image filing system and an image display system for filing image data captured and output by an imaging unit.

  An endoscope used for medical practice is provided with an imaging device such as a CCD camera. When performing a medical procedure such as taking a sample of a patient's tissue using an endoscope or peeling the mucous membrane, an endoscopist usually uses this imaging device to target the site of the medical procedure. To capture a movie or still image. As described above, the image data obtained by taking an image while performing a medical practice is extremely important as a record of the implementation of the medical practice.

For this reason, the display screen is divided into video information, diagnostic image information, and audio information so that it can be easily grasped in what situation the collected images were taken in the flow of examination. There has been proposed an examination treatment information recording system for displaying each display area so as to correspond to each display area (see, for example, Patent Document 1). In addition, an endoscope system that reproduces medical information including an endoscopic image or the like based on corrected time information has been proposed in order to faithfully reproduce the content of treatment performed during surgery (for example, a patent) Reference 2).
JP 2004-41605 A JP 2005-95567 A

  However, with the technique described in the above-mentioned patent document, the time taken by the imaging device during the medical practice is only specified. For this reason, for example, the doctor refers to the captured image with respect to the imaging time, which image was captured when the procedure event was performed, and which image was captured when the procedure event was not performed. Remember, you must make a post-test report. For this reason, the doctor must remember what image was captured during the procedure event and what image was captured when the procedure event was not being performed, and the burden on the doctor is excessive. It has become a thing.

  This invention is made | formed in view of such a subject, The objective is to identify easily the image imaged during the implementation act.

  In order to solve the above-described problems, an image filing system according to an aspect of the present invention includes an imaging unit that outputs image data indicating a captured image, a storage unit that stores the output image data, and a predetermined implementation by a user. And an instruction input means for inputting an instruction to start an action implementation period. The storage means stores the image data output by the imaging and the action data for specifying the predetermined action in association with each other when the image pick-up is performed during the execution period instructed to start. .

  According to this aspect, it is possible to associate the image data with the implementation action data when the image is taken by the imaging means. For this reason, it becomes possible to specify easily the image imaged during the implementation act.

  The instruction input means inputs a first instruction input means for inputting an instruction for starting the first implementation period of the first implementation action by the user, and an instruction for starting the second implementation period of the second implementation action by the user. Second instruction input means may be included. The storage means stores the image data output by the imaging and the first implementation action data for specifying the first implementation action in association with each other when imaging by the imaging means is performed during the first implementation period. In the case where imaging is performed by the imaging means during the second implementation period, the image data output by the imaging may be stored in association with the second implementation action data for specifying the second implementation action. . According to this aspect, when imaging is performed in each of a plurality of implementation actions and image data is output, it is possible to easily identify which image data is captured in which implementation action. .

  You may further provide the alerting | reporting means to alert | report to a user that it is in the said implementation period during the implementation period in which the start was instruct | indicated. According to this aspect, the user can accurately grasp that the start period is instructed. For this reason, it can suppress that an implementation act is implemented although the start of an implementation period is not instruct | indicated.

  When the start of the implementation period is instructed, the imaging unit may capture images at predetermined time intervals during the implementation period. According to this aspect, the user can take an image without performing an operation such as pressing a shutter or a switch during the implementation period, for example, and the burden on the user during the implementation period can be reduced. it can.

  The imaging means is provided in the endoscope so that an object of the medical practice by the endoscope can be imaged, and the instruction input means inputs an instruction to start a predetermined medical practice period by the user by the user The storage means, when imaging by the imaging means is performed during the implementation period instructed to start the predetermined medical action, the image data output by the imaging and the predetermined medical action May be stored in association with implementation action data for identifying

  In endoscopy, an endoscopist takes an image of an affected area while performing a procedure. According to this aspect, in endoscopy, it is possible to easily associate image data obtained by imaging at the time of performing a medical practice with the implementation data indicating the medical practice. For this reason, for example, when creating an endoscopic examination report, it is possible to easily identify image data corresponding to a medical practice in endoscopic examination.

  When the first process is executed on the image data stored in association with the predetermined action data, the process is executed to execute the second process that occurs in association with the medical action specified by the predetermined action data Means may further be provided. According to this aspect, for example, when there is a process that is always executed when a certain medical practice is performed, the process can be reliably performed.

  Another aspect of the present invention is an image display system. In this image display system, an imaging unit that outputs image data indicating a captured image, a storage unit that stores the output image data, and an instruction that a user inputs an instruction to start a predetermined implementation period Input means, and display control means for displaying an image on a display using stored image data. The storage means stores the image data output by the imaging in association with the execution action data for specifying a predetermined action when the image pickup means has performed an image during the execution period instructed to start. When the display control means displays the image on the display using the image data associated with the implementation action data, the implementation control data associated with the image data is specified in association with the image. Information indicating an action is displayed on the display.

  According to this aspect, when imaged by the imaging means, the image data and the implementation action data can be associated with each other. For this reason, the implementation action and the image captured during the implementation action are displayed in association with each other. Can do. For this reason, the user can easily specify the image captured during the implementation.

  It should be noted that any combination of the above-described components, and the components and expressions of the present invention replaced with each other among methods, apparatuses, computer programs, recording media storing computer programs, and the like are also aspects of the present invention. It is effective as

  According to the image filing system of the present invention, it is possible to easily specify an image captured during the implementation.

  Hereinafter, embodiments of the present invention (hereinafter referred to as “embodiments”) will be described in detail with reference to the drawings.

  FIG. 1 is a diagram schematically illustrating an overall configuration of an endoscope system 10 according to the present embodiment. The endoscope system 10 includes an endoscope 12, an air / water supply device 60, a light source device 62, an image processor 64, an image forming device 66, and an image filing device 68. In the present embodiment, the image processor 64, the image forming apparatus 66, and the image filing apparatus 68 are configured as separate bodies. However, all or two of them may be provided integrally.

  The endoscope 12 includes an insertion part 14, an operation part 16, a universal cable 18, and a connector part 20. The insertion portion 14 is a portion that is inserted into the body cavity, and is therefore elongated. The insertion portion 14 includes a hard portion 22 that is a tip portion, a flexible tube portion 30 that is connected to one end of the operation portion 16, and a bending portion 28 that is interposed between the hard portion 22 and the flexible tube portion 30. .

  The hard part 22 incorporates an image pickup unit 26 and is therefore formed to be harder than the curved part 28 or the like. The imaging unit 26 has a built-in CCD sensor, and outputs captured video data. An illumination lens (not shown) for irradiating light is provided along with the imaging unit 26. In addition, a treatment instrument insertion hole 24 is formed at the distal end of the hard part 22 to supply air and water to the affected part in the body cavity and project the treatment tool for treating the affected part. The treatment instrument insertion hole 24 and the bending portion 28 are bent by a user operating a vertical bending knob 50 and a horizontal bending knob 52 described later. The flexible tube portion 30 is longer than the hard portion 22 and the bending portion 28 and has flexibility so as to be deformed according to the inserted body cavity shape.

  The operation unit 16 includes a gripping part sequence 32 and an operation part sequence 40 in which both ends are integrally connected to each other. The grasping part sequence 32 is a part grasped by a user such as an endoscopist, and the other end is connected to the flexible tube part 30. The grasping part sequence 32 is formed with a treatment instrument insertion hole 34 for inserting a treatment instrument. A first channel 36 is attached to the treatment instrument insertion hole 34 inside the grasping part sequence 32. The first channel 36 is a flexible tubular member that allows the treatment instrument insertion hole 34 and the treatment instrument insertion hole 24 to communicate with each other through the insertion portion 14 and the grasping portion sequence 32. By inserting the treatment tool from the treatment tool insertion hole 34, the treatment tool can be protruded from the treatment tool insertion hole 24 through the first channel 36.

  The operation unit sequence 40 is provided with an up / down bending knob 50 and a left / right bending knob 52. The user can turn the bending portion 28 and turn the hard portion 22 in a desired direction by rotating the up and down bending knob 50 and the left and right bending knob 52.

  The operation unit sequence 40 includes an air / water supply switch 42, an imaging switch 44, a first technique switch 46, and a second technique switch 48. The air / water supply switch 42 is connected to the air / water supply device 60. In addition, the imaging switch 44, the first technique switch 46, and the second technique switch 48 are connected to the image processor 64.

  The universal cable 18 has one end connected to the operation unit sequence 40 and the other end connected to the connector unit 20. The connector part 20 is provided with an air / water supply cap 54. Inside the connector portion 20, the second channel 38 is attached to the air / water feed cap 54. The second channel 38 is a flexible tubular member, and communicates the air / water supply cap 54 and the first channel 36 through the universal cable 18 and the operation unit sequence 40. The air / water supply cap 54 is connected to the air / water supply device 60. Thereby, the air / water supply device 60 can supply air / water to the affected area through the second channel 38, the first channel 36, and the treatment instrument insertion hole 24.

  A light guide is connected to the connector 58, and this light guide is connected to the illumination lens of the hard part 22 through the universal cable 18, the operation part 16, and the insertion part 14. When the connector 58 is attached to the connector unit 20, the light source device 62 is optically connected to the irradiation lens through this light guide, and can irradiate the affected area with light. The image processor 64 is connected to the connector 56 via the scope cable 55. The image processor 64 is connected to the imaging unit 26, the imaging switch 44, the first technique switch 46, and the second technique switch 48 by attaching the connector 56 to the connector unit 20.

  A keyboard 70 and a display 72 are connected to the image processor 64. An image forming device 66 is connected to the image processor 64, and the image forming device 66 is connected to an image filing device 68. The image filing device 68 is connected to a display 74, a keyboard 76, and a mouse 78. Instead of the keyboard 70 and the display 72, or instead of the display 74, the keyboard 76, and the mouse 78, an input / output touch panel may be used.

  FIG. 2 is a functional block diagram of the endoscope system 10 according to the present embodiment. Each of the image processor 64, the image forming apparatus 66, and the image filing apparatus 68 includes a CPU that executes various arithmetic processes, a ROM that stores various control programs, and a RAM that is used as a work area for data storage and program execution. Have. In FIG. 2, the image processor 64, the image forming apparatus 66, and the image filing apparatus 68 are depicted as functional blocks realized by cooperation of hardware such as CPU, RAM, and ROM, and software. Therefore, these functional blocks can be realized in various forms by a combination of hardware and software.

  The air / water supply device 60 includes an air / water supply switch signal acquisition unit 80. The air / water switch signal acquisition unit 80 acquires an air / water switch signal when the user presses the air / water switch 42 of the endoscope 12.

  The image processor 64 includes a video acquisition unit 82, a display control unit 84, an imaging switch signal acquisition unit 86, a first procedure switch signal acquisition unit 88, and a second procedure switch signal acquisition unit 90. The video acquisition unit 82 acquires video data output from the imaging unit 26. The image processor 64 continuously outputs the acquired video data to the image forming apparatus 66. The display control unit 84 displays an image on the display 72 using the acquired video data and the like.

  The imaging switch signal acquisition unit 86 acquires an imaging switch signal when the imaging switch 44 is pressed by the user. The image processor 64 transmits a release signal to the image forming apparatus 66 when the imaging switch signal is acquired. The first technique switch signal acquisition unit 88 acquires a first technique switch signal when the first technique switch 46 is pressed by the user. When acquiring the first technique switch signal, the image processor 64 transmits the first technique ID to the image forming apparatus 66. The second procedure switch signal acquisition unit 90 acquires a second procedure switch signal when the second procedure switch 48 is pressed by the user. When acquiring the second technique ID, the image processor 64 transmits the second technique ID to the image forming apparatus 66.

  The image forming apparatus 66 includes an image acquisition unit 92, a release signal acquisition unit 94, a technique ID acquisition unit 96, a time measurement unit 98, and an imaging information generation unit 100. The release signal acquisition unit 94 acquires the release signal transmitted from the image processor 64. When the release signal is acquired, the image acquisition unit 92 captures video data continuously received from the image processor 64 and acquires still image data. Of course, the image acquisition unit 92 may acquire moving image data. The procedure ID acquisition unit 96 refers to the first procedure ID and the second procedure ID transmitted from the image processor 64 (hereinafter, the first procedure ID and the second procedure ID are collectively referred to as “procedure ID” as necessary). get. The time measuring unit 98 measures the current time and outputs time data indicating the current date, time, and minute. The imaging information generation unit 100 generates imaging information data using image data, time data, and a technique ID. The image processor 64 transmits the generated imaging information data to the image filing device 68.

  The image filing device 68 includes an imaging information acquisition unit 102, a display control unit 104, and a storage unit 106. The imaging information acquisition unit 102 acquires imaging information data received from the image forming apparatus 66. The display control unit 104 displays an image on the display 74 using the acquired image data or the like. The storage unit 106 is configured by a storage device such as a hard disk or flash memory that retains stored contents even when power supply is stopped, and includes image data, imaging time data, and procedure ID data included in the acquired imaging information data. Is stored.

  FIG. 3 is a flowchart showing an operation procedure during the endoscopic examination of the endoscope system 10 according to the present embodiment. The processing in this flowchart starts when the power of each device included in the endoscope system 10 is turned on and the endoscopy is started by the endoscopist.

  In the endoscope system 10 according to the present embodiment, the user first inputs a patient ID for identifying a patient to the image processor 64 using the keyboard 70. The image processor 64 stores the patient ID input to a storage unit such as a RAM.

  In the endoscope system 10 according to the present embodiment, different procedure events can be associated with the first procedure switch 46 and the second procedure switch 48 (hereinafter collectively referred to as “procedure switch” as necessary). It has become. The user can input an instruction to start the implementation period of the procedure event by pressing the procedure switch associated with the procedure event to be performed using the endoscope 12. As described above, the first technique switch 46 and the second technique switch 48 function as instruction input means for inputting an instruction to start a procedure event execution period by the user.

  Specifically, when associating a procedure event with the first procedure switch 46 and the second procedure switch 48, the user performs a predetermined input to the image processor 64 using the keyboard 70 or the like, whereby the first procedure switch signal And the first procedure ID indicating the first procedure event are associated with each other, and the second procedure switch signal and the second procedure ID indicating the second procedure event are associated with each other. The correspondence relationship between the designated procedure switch signal and procedure data is stored in a storage unit such as a RAM of the image processor 64. In the example in this flowchart, it is assumed that the first technique switch 46 is associated with mucosal detachment, which is one of the treatments, and the second technique switch 48 is associated with tissue collection for biopsy. Therefore, the first technique switch signal and the first technique ID indicating mucosal detachment are associated with each other, and the second technique switch signal and the second technique ID indicating tissue sampling are associated with each other, and the corresponding relationship is stored. Stored in the means.

  When the procedure switch is pressed by the user in the endoscope 12 (S10), if the pressed switch is the first procedure switch 46, the first procedure switch signal acquisition unit 88 acquires the first procedure switch signal, If it is the procedure switch 48, the 2nd procedure switch signal acquisition part 90 will acquire a 2nd procedure switch signal (S12).

  When the image processor 64 acquires the first technique switch signal, the image processor 64 sets the first technique flag to ON, starts the period of mucosal detachment, and transmits the first technique ID to the image forming apparatus 66. Further, when the second processor switch signal is acquired, the image processor 64 sets the second procedure flag to ON, starts the tissue collection execution period, and transmits the second procedure ID to the image forming apparatus 66 (S14). ). The image forming apparatus 66 stores the received procedure ID in a storage unit such as a RAM (S18).

  In S12, after acquiring the first technique switch signal and then acquiring it again, the image processor 64 sets the first technique flag to OFF to end the period of mucosal detachment, and the image forming apparatus 66 receives the first technique switch signal. Request information for deleting the ID is transmitted. When the image forming apparatus 66 receives the request information when the first procedure ID is already stored in the storage unit, the image forming apparatus 66 deletes the stored first procedure ID from the storage unit.

  Similarly, in S12, after acquiring the second technique switch signal and then acquiring it again, the image processor 64 sets the second technique flag to OFF, ends the tissue collection execution period, and causes the image forming apparatus 66 to 2 Request information for deleting a technique ID is transmitted. When receiving the request information when the second procedure ID is already stored in the storage unit, the image forming apparatus 66 deletes the stored second procedure ID from the storage unit.

  Thus, the first technique switch 46 and the second technique switch 48 also function as instruction input means for inputting an instruction to end the execution period of the procedure event by the user. Of course, a switch for inputting an instruction to start a procedure event execution period and a switch for inputting an instruction to end the procedure event execution period may be provided separately.

  Mucosal detachment and tissue collection are different procedure events and are not performed simultaneously. Therefore, even if the image processor 64 has acquired the first technique switch signal, if the second technique flag is set to ON, the tissue collection execution period has already started, so the image forming apparatus No first procedure ID is transmitted to 66. Further, even when the image processor 64 acquires the second procedure switch signal, if the first procedure flag is set to ON, the mucosal detachment period has already started, so that image formation is performed. The first procedure ID is not transmitted to the device 66. For procedures that may be performed simultaneously, each procedure ID may be transmitted to the image forming apparatus 66 when each procedure occurs.

  When the power of each component of the endoscope system 10 is turned on, the display control unit 84 continuously displays the video imaged by the imaging unit 26 on the display 72. While the first procedure flag is set to ON, the display control unit 84 displays “mucosal detachment” in a letter superimposed on the video displayed on the display 72 or on the side of the video. The user is informed that peeling is being performed (S16). When the first technique flag is set to OFF, the display control unit 84 deletes the characters “mucosal detachment” displayed on the display 72.

  While the second procedure flag is set to ON, the display control unit 84 notifies the user that the tissue collection is being performed by displaying the same as “Tissue collection” (S16). . When the second technique flag is set to OFF, the display control unit 84 deletes the characters “tissue collection” displayed on the display 72. As described above, the display control unit 84 and the display 72 function as notification means for notifying the user that the procedure event instructed to start using the first procedure switch 46 or the second procedure switch 48 is being performed.

  Even if the display control unit 84 acquires the first technique switch signal, the display 72 displays “mucosal detachment” during the tissue collection period when the second technique flag is set to ON. Is not displayed. Further, even when the second control switch signal is acquired, the display control unit 84 displays “tissue collection” on the display 72 during the mucosal detachment period when the first procedure flag is set to ON. Is not displayed.

  Further, while the first technique flag is set to ON, the display control unit 84 notifies the user that mucosal detachment is being performed by displaying a graphic indicating mucosal detachment instead of the mucosal detachment character. May be. In addition, while the second technique flag is set to ON, the display control unit 84 notifies the user that the tissue sampling is being performed by displaying a figure indicating the tissue sampling instead of the tissue sampling character. May be.

  Furthermore, the image processor 64 may be provided with a speaker and an audio control unit that acquires audio data stored in a storage unit such as a ROM and outputs audio from the speaker. When the first technique flag is set to ON, the voice control unit may output a sound or message from the speaker indicating that the period of mucosal detachment has been started. When the first technique flag is set to OFF A sound or a message indicating that the period of mucosal detachment has ended may be output from the speaker. In addition, when the second procedure flag is set to ON, the voice control unit may output a sound or a message indicating that the tissue collection execution period has been started from the speaker, and the second procedure flag is set to OFF. When set, a sound or message may be output from the speaker to the effect that the period of mucosal detachment has ended.

  Next, when the imaging switch 44 is pressed by the user in the endoscope 12 (S20), the imaging switch signal acquisition unit 86 of the image processor 64 acquires the imaging switch signal (S22). When the imaging switch signal is acquired, the image processor 64 transmits a release signal to the image forming apparatus 66 (S24).

  When receiving the release signal, the image acquisition unit 92 captures video data and acquires still image data (S26). When the image data is acquired, the imaging information generation unit 100 determines whether the procedure ID is stored in the storage unit (S28). When the procedure ID is stored (Y in S28), the imaging information generation unit 100 generates imaging information data with a procedure (S30). When the procedure ID is not stored (N in S28), the imaging information generation unit 100 generates imaging information data without a procedure (S32).

  Here, the data structure of the imaging information data without a procedure is shown in FIG. 4A, and the data structure of the imaging information data with a procedure is shown in FIG. 4B. The imaging information generation unit 100 acquires imaging time data 114 indicating the imaging time, that is, the time when the release signal is acquired, from the time measurement unit 98, and acquires the patient ID 113 stored in the storage unit. When the procedure ID is not stored in the storage unit, the imaging information generation unit 100, as shown in FIG. 4A, the imaging information data without the procedure including the acquired image data 112, patient ID 113, and imaging time data 114. 110 is generated. When the procedure ID is stored in the storage unit, the imaging information generation unit 100 includes the acquired image data 112, patient ID 113, imaging time data 114, and stored procedure ID 116, as shown in FIG. The imaging information data 118 with a technique including is generated. Hereinafter, the imaging information data 110 without a technique and the imaging information data 118 with a technique are collectively referred to as “imaging information data” as necessary.

  Returning to FIG. When the imaging information data is generated, the image forming device 66 transmits the generated imaging information data to the image filing device 68 (S34). If there is image data, patient ID, imaging time data, and procedure ID included in the received imaging information data, the imaging information acquisition unit 102 stores them in association with each other (S36). As described above, when the first procedure switch 46 or the second procedure switch 48 is used to capture an image during the execution period instructed to start the procedure event, the storage unit 106 stores the image data output by the imaging and The procedure ID indicating the procedure event is stored in association with each other.

  After the imaging information data obtained by imaging during the endoscopy is stored in the storage unit 106, the user performs a predetermined input operation using the keyboard 76 and the mouse 78, whereby the stored imaging is performed. When displaying the image captured in the endoscopic examination on the display 74 using the image data included in the information data, the display control unit 104 associates the image with the procedure associated with the image data. The procedure event indicated by the ID is displayed on the display 74 (S38). Thus, the endoscope system 10 also functions as an image display system that displays an image captured during an endoscopic examination.

  Here, FIGS. 5 and 6 show examples of inspection image list screens that display captured images. When a predetermined input operation is performed by the user, the display control unit 104 acquires imaging information data including the same patient ID, and uses the acquired imaging information data to perform an endoscope performed on the patient with the patient ID. The images captured in the inspection are converted into thumbnails and displayed on the inspection image list screen 120 shown in FIG. At this time, the display control unit 104 collects thumbnails indicating the appearance of images captured during one procedure event so as to overlap each other, and in the vicinity thereof, for example, “mucosal detachment” or “tissue sampling” Displays the name of the procedure event in characters. In addition, the display control unit 104 derives the imaging order by using the imaging time data included in the imaging information data, and displays the thumbnails of the images captured during the execution of one procedure event. The thumbnails are arranged in the order of imaging. In FIG. 5, a total of eight images have been captured in an endoscopic examination for a single patient, and images with imaging order 1 and 2 are taken when no procedure event is being performed, and images with imaging order 3 to 6 are taken. Is taken when the mucous membrane is peeled off, and the images of the order 7 and 8 are taken as an example when the images are taken when the tissue sampling is carried out.

  When a predetermined input operation is performed by the user, the display control unit 104 displays an inspection image list screen 122 shown in FIG. The imaging information data including the same patient ID is acquired, the image data included in the imaging information data is converted into thumbnails, and displayed on the examination image list screen 122 in the order of imaging. At this time, the display control unit 104 displays a thumbnail of image data corresponding to either no procedure event or procedure event on the examination image list screen 122. When the user clicks on the tab above the inspection image list screen 122, thumbnails of image data corresponding to the procedure event corresponding to the clicked tab are displayed on the inspection image list screen 122. In FIG. 6, a display mode when an image with an imaging order of 3 to 6 is taken when mucosal detachment is performed is shown as an example.

  FIG. 7 is a functional block diagram of the image display system 150 according to the present embodiment. The image display system 150 includes an endoscope system 10 and a client terminal 130. In FIG. 7, the client terminal 130 is depicted as a functional block realized by cooperation of hardware such as CPU, RAM, and ROM, and software. Therefore, these functional blocks can be realized in various forms by a combination of hardware and software.

  The client terminal 130 is connected to the display 132, the mouse 136, and the keyboard 134, and is connected to the image filing device 68 via the network 128. The client terminal 130 includes an imaging information acquisition unit 138, a display control unit 140, a first technique determination unit 142, a second technique determination unit 144, an order issue unit 146, and a storage unit 148. The imaging information acquisition unit 138 acquires the received imaging information data. The display control unit 140 controls an image displayed on the display 132.

  The first procedure determination unit 142 uses the acquired imaging information data to determine whether or not the procedure event that is performed when the image data included in the imaging information data is captured requires a biopsy. judge. The second procedure determination unit 144 uses the acquired imaging information data to determine whether or not the procedure event that was performed when the image data included in the imaging information data was captured was a treatment. The order issuing unit 146 issues a pathological examination order by transmitting order information to a client terminal (not shown) of the pathological examination department.

  FIG. 8 is a flowchart showing an operation procedure of the client terminal 130 when a user creates an endoscopic examination report using the image display system 150 according to the present embodiment. The processing in this flowchart starts when a predetermined input operation is performed by the user to start creating a report.

  When a predetermined input operation is performed by the user using the keyboard 134 or the mouse 136, the display control unit 140 uses the form data on the report creation screen stored in the storage unit 106 to perform an endoscopic examination report. Is displayed on the display 132. It is necessary to attach an image captured during the examination using the endoscope 12 to the endoscope examination report. Therefore, the user searches the image data stored in the storage unit 106 for the image data captured in the endoscopic examination that is the report creation target, and further uses the keyboard 134 and the mouse 136 to apply the corresponding data. An instruction to associate imaging information data including image data with a report file is input.

  Specifically, when an instruction input for browsing the image data stored in the storage unit 106 is input by the user, the imaging information acquisition unit 138 transmits the imaging information data including the image data stored in the storage unit 106 to the client terminal. A transfer request signal to be transferred to 130 is transmitted to the image filing device 68. The image filing device 68 transmits imaging information data to the client terminal 130 in response to the received transfer request signal. The imaging information acquisition unit 138 acquires the received imaging information data. The display control unit 140 displays a list of image data included in the acquired imaging information data on the display 132.

  At this time, when displaying the list of image data, the display control unit 140 displays the patient name indicated by the patient ID associated with the image data. If there is image data associated with the technique ID, the display control unit 140 displays the image data in association with the technique event indicated by the technique ID. Specifically, the display control unit 140 displays the examination image list screen 120 shown in FIG. 5 or the examination image list screen 122 shown in FIG. 6, thereby capturing the procedure event and the duration of the procedure event. The displayed images are displayed in association with each other.

  The user who creates the report searches the displayed examination image list screen for a thumbnail indicating the image data of the patient who is the subject of the endoscopy for which the report is created, and all or some of the thumbnails are displayed on the examination image list screen. Then, the image data is taken into the report by dragging and dropping to the report creation screen using the mouse 136 (S40). As a result, imaging information data including image data corresponding to the dragged and dropped thumbnail is associated with the report file.

  If the user performs a predetermined input operation indicating that the operation of capturing image data into the report is to be terminated, the first technique determination unit 142 includes the second technique ID in the imaging information data associated with the report file. By determining whether or not a biopsy is necessary, it is determined (S42). When the second procedure ID is included, the first procedure determination unit 142 determines that a biopsy is necessary because the tissue sampling has been performed (Y in S42), and the display control unit 140 is stored in the storage unit 148. The pathological examination order filling form is opened using the form data of the pathological examination order filling form (S44). The user inputs a pathological examination order in this pathological examination order entry form (S46). When a pathological examination order is input and a predetermined input operation is performed, for example, when the user clicks an order issue button, the order issuing unit 146 issues the input pathological examination order (S48). When the second procedure ID is not included (N in S42), the first procedure determination unit 142 determines that biopsy is unnecessary because tissue sampling has not been performed, and skips the processing of S44 to S48. Thus, by displaying the pathological examination order entry form using the technique ID associated with the image data, it is possible to prompt the user to issue the pathological examination order and to realize smooth report creation. .

  A button for designating tissue collection may be displayed on the report creation screen. In this case, the display control unit 140 opens the pathological examination order entry form when this button is clicked by the user.

  Next, the second technique determination unit 144 determines whether or not the treatment is performed by determining whether or not the first technique ID is included in the imaging information data associated with the report file (S50). . When the first procedure ID is included, the second procedure determination unit 144 determines that the mucosal detachment as a procedure has been performed (Y in S50), and the display control unit 140 stores the procedure stored in the storage unit 148. Using the form data of the finding entry form, the treatment finding filling form for inputting the finding of the treatment is opened (S52). The user inputs treatment findings into the treatment finding entry form (S54). When the first procedure ID is not included, the second procedure determination unit 144 determines that the second procedure determination unit 144 has not performed mucosal detachment (N in S50), and skips the processing of S52 and S54. . Thus, by opening the treatment finding entry form using the technique ID associated with the image data, it is possible to prompt the user to input the treatment findings and to realize smooth report creation. When the user performs a predetermined input operation for ending the creation of the report, the storage unit 148 stores the report file.

  A button for designating mucosal detachment may be displayed on the report creation screen. In this case, the display control unit 140 opens the treatment finding entry form when this button is clicked by the user.

  The present invention is not limited to the above-described embodiments, and an appropriate combination of the elements of each embodiment is also effective as an embodiment of the present invention. Various modifications such as design changes can be added to each embodiment based on the knowledge of those skilled in the art, and embodiments to which such modifications are added can also be included in the scope of the present invention. Here are some examples.

  In a modification, instead of the first technique switch 46 and the second technique switch 48, a predetermined key on the keyboard 70 can be associated with different technique events. In this case, the user can input an instruction to start the implementation period of the first procedure event by pressing the key associated with the first procedure, and the key associated with the second procedure. By pressing, it is possible to input an instruction to start the execution period of the second procedure event. As described above, the predetermined key associated with the procedure event also functions as an instruction input unit for inputting an instruction to start the execution period of the procedure event by the user.

  In another variation, the image acquisition unit 92 performs the first operation when the first procedure switch 46 or the second procedure switch 48 is pressed by the user to instruct the start of the period of mucosal detachment or tissue collection. Until the end of the execution period is instructed by pressing the procedure switch 46 or the second procedure switch 48 again, video data is captured at predetermined time intervals to obtain still image data. Specifically, even after receiving the procedure ID for the first time in S18 of FIG. 3 and receiving the same procedure ID again, the processing after S26 is performed every predetermined time without receiving the release signal. repeat.

  At this time, the image acquisition unit 92 may acquire image data having a lower resolution than the image data acquired when the imaging switch 44 is pressed. When imaging is performed every predetermined time, the number of image data stored in the image filing device 68 may also increase. As described above, the capacity of the storage unit 106 can be suppressed by reducing the resolution of the image data when imaging is performed every predetermined time.

  When performing a procedure event such as mucosal detachment or tissue collection, the endoscopist needs to image the affected area while performing the procedure event. In this way, by imaging every predetermined time during the execution period of the procedure event, the endoscopist can image the affected area without operating the imaging switch 44. For this reason, the burden on the endoscopist at the time of the procedure event can be reduced.

It is a figure which shows typically the whole structure of the endoscope system which concerns on this embodiment. It is a functional block diagram of the endoscope system concerning this embodiment. It is a flowchart which shows the operation | movement procedure in the endoscopy of the endoscope system which concerns on this embodiment. (A) is a figure which shows the data structure of imaging information data without a technique, (b) is a figure which shows the data structure of imaging information data with a technique. It is a figure which shows the example of a display with the imaged image. It is a figure which shows another example of a display with the imaged image. It is a functional block diagram of the image display system concerning this embodiment. It is a flowchart which shows the operation | movement procedure of a client terminal when a user produces an endoscopy report using the image display system which concerns on this embodiment.

Explanation of symbols

  DESCRIPTION OF SYMBOLS 10 Endoscope system, 12 Endoscope, 26 Imaging unit, 44 Imaging switch, 46 1st technique switch, 48 2nd technique switch, 64 Image processor, 66 Image forming apparatus, 68 Image filing apparatus, 82 Image | video acquisition part, 84 display control unit, 86 imaging switch signal acquisition unit, 88 first procedure switch signal acquisition unit, 90 second procedure switch signal acquisition unit, 92 image acquisition unit, 94 release signal acquisition unit, 96 procedure ID acquisition unit, 98 time measurement Unit, 100 imaging information generation unit, 102 imaging information acquisition unit, 104 display control unit, 106 storage unit, 130 client terminal, 138 imaging information acquisition unit, 140 display control unit.

Claims (6)

Imaging means for outputting image data indicating the captured image;
Storage means for storing the output image data;
An instruction input means for inputting an instruction to start an execution period of a predetermined execution action by a user;
With
The imaging means captures images when receiving an imaging instruction from a user while capturing images at predetermined intervals during the implementation period,
The resolution of the image output by imaging every predetermined time is lower than the resolution of the image that is output when the imaging instruction is received from the user,
Wherein the storage unit, when the imaging by the imaging means during between actual施期is performed, storing in association with the image data outputted by the imaging, and working behavior data identifying the given implementation act An image filing system characterized by The instruction input means includes a first instruction input means for inputting an instruction to start the first execution period of the first implementation action by the user, and an instruction for starting the second implementation period of the second implementation action by the user. A second instruction input means for inputting,
The storage means associates the image data output by the imaging with the first implementation action data for specifying the first implementation action when the imaging means performs imaging during the first implementation period. When the image is taken by the imaging means during the second implementation period, the image data output by the imaging and the second implementation action data for specifying the second implementation action are stored in association with each other. The image filing system according to claim 1. During between actual施期, image filing system according to claim 1 or 2, further comprising an informing means for informing that it is during the implementation period to the user. The imaging means is provided in the endoscope so as to be able to image the object of medical practice by the endoscope,
The instruction input means is used for inputting an instruction to start an implementation period of a predetermined medical action by an endoscope by a user,
Wherein the storage unit, when the imaging by is performed the imaging means in between the real施期of the predetermined medical action, and the image data outputted by the imaging, and working behavior data specifying said predetermined medical action 4. The image filing system according to claim 1, wherein the image filing system stores the information in association with each other. Display control for displaying a pathological examination order entry form when a process for associating a report file with image data stored in association with predetermined execution action data is executed and the predetermined execution action is tissue sampling 5. The image filing system according to claim 4, further comprising means . Imaging means for outputting image data indicating the captured image;
Storage means for storing the output image data;
An instruction input means for inputting an instruction to start an execution period of a predetermined execution action by a user;
Display control means for displaying an image on a display using stored image data;
With
The imaging means captures images when receiving an imaging instruction from a user while capturing images at predetermined intervals during the implementation period,
The resolution of the image output by imaging every predetermined time is lower than the resolution of the image that is output when the imaging instruction is received from the user,
Wherein the storage unit, when the imaging by the imaging means during between actual施期is performed, and stores in association with the image data outputted by the imaging, and working behavior data identifying the given implementation act,
When the display control means displays the image on the display using the image data associated with the implementation action data, the implementation control data associated with the image data is specified in association with the image. An image display system that displays information indicating an action on a display.

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