JP5337374B2 - Medical information reproduction display system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To reduce the work burden of an operator when he or she reads out an image at a second time or later in a medical information reproduction display system. <P>SOLUTION: A medical information reproduction display system 10 has a DICOM file recording part 41 recording a DICOM file including a moving image information to a DICOM file DB23a, a DICOM file obtaining and providing part 42 obtaining the DICOM file which is required from the medical information reproduction display system 12 from the DICOM file DB23a, and an obtaining and recording part 43 of a specific frame image information which obtains the specific frame image information from the moving image information included in the DICOM file required from the medical information reproduction display system 12 and records the specific frame image information in the specific frame image information DB23b while a specific frame order information as a time-series order information of the specific image information of the moving image information is recorded to the specific frame order information DB23c. <P>COPYRIGHT: (C)2009,JPO&amp;INPIT

Description

  The present invention relates to a technique for reproducing and displaying an image based on medical information, and more particularly to a medical information reproducing and displaying system for reproducing and displaying moving image information included in medical information.

  In recent years, image information and patient information have been digitized along with improvements in computer and peripheral device technology. It is necessary to share image information and patient information that have been closed in the hospital by digitization of image information, and also to external hospitals etc. via a network for the purpose of medical work support and medical quality improvement etc. It has also become possible to transfer information. In addition, with the increase in capacity of networks, large-capacity data such as medical images has been transferred.

  The medical information is managed as a DICOM (digital imaging and communication in medicine) file as a standard. The DICOM file is composed of image information and incidental information attached thereto. This incidental information includes a lot of personal information such as examination ID information, patient information, collection information, related information, image display information, and image data information. The medical image management apparatus manages the DICOM file, records it on a medium as needed, and provides the DICOM file to the medical image display apparatus.

There is a technique for reproducing and displaying medical information as a moving image via a network. As a technique for reproducing and displaying a moving image, a moving image diagnostic system (see, for example, Patent Document 1) that diagnoses with high accuracy and transmits an image at high speed is disclosed.
Japanese Patent Application Laid-Open No. 8-266481

  However, even when it is desired to reproduce and display moving image information including specific frame image information from the specific frame image information focused on in the previous interpretation or around the specific frame image information. Since the specific frame image information and the moving image information are independent information, it is necessary to reproduce and display the moving image information from the beginning, and the operator needs to advance (return) the frame to the specific frame image information and before and after the specific frame image information. there were. In this case, the operator needs to visually search for specific frame image information and frame images before and after the moving image information to be reproduced as a moving image. Therefore, the operator needs time and attention, which is a heavy burden.

  The present invention has been made in consideration of such circumstances, and recognizes the specific frame image information set up to the previous interpretation when reproducing and displaying the moving image information, and the moving image information based on the specific frame image information. By reproducing and displaying, it is possible to reduce the work burden on the operator at the time of the second and subsequent interpretation.

In order to solve the above-described problem, the medical information reproduction / display system according to the present invention records medical information including moving image information including a plurality of time-series frame image information in a storage device. A medical information acquisition unit that acquires the medical information from the storage device, and one or more specific items separately from the thumbnail image among the moving image information included in the medical information acquired by the medical information acquisition unit Frame image information is acquired, the specific frame image information is recorded in the storage device, and specific frame order information that is time-series order information of the specific frame image information in the moving image information is stored in the storage device. A specific frame image information acquisition / recording unit for recording.

  According to the medical information reproduction / display system according to the present invention, at the time of reproduction / display of moving image information, the specific frame image information set up to the previous interpretation is recognized, and the moving image information is reproduced / displayed based on the specific frame image information. Thus, it is possible to reduce the work burden on the operator at the second and subsequent interpretations.

  An embodiment of a medical information reproduction / display system according to the present invention will be described with reference to the accompanying drawings.

  FIG. 1 is a schematic diagram illustrating the configuration of a medical information reproduction / display system and a medical information generation apparatus according to the present embodiment.

  FIG. 1 shows a medical information generation apparatus (modality) 9 and a medical information reproduction / display system 10 of the present embodiment. The medical information reproduction display system 10 includes a medical information management device 11 and a medical information display device (work station) 12. Note that a plurality of medical information display devices 12 may be provided in the medical information reproduction display system 10.

  The medical information generation device 9, the medical information management device 11, and the medical information display device 12 are configured based on a computer. The medical information generation device 9, the medical information management device 11, and the medical information display device 12 are connected to each other by a network N such as a hospital basic LAN (local area network) so as to be able to communicate with each other. The medical information display device 12 may not be connected to the network N so as to be capable of mutual communication.

  Examples of the medical information generation apparatus 9 include an ultrasonic diagnostic apparatus, an X-ray CT (computed tomography) apparatus, an MRI (magnetic resonance imaging) apparatus, an angio apparatus, and the like. Generally, a plurality of pieces of medical information are included in the network N network. A generation device 9 is connected. The medical information generation device 9 generates a DICOM (digital imaging and communication in medical) file, which is medical information in which moving image information related to a subject such as an imaging region of a patient and associated information attached to the moving image information are associated with each other. To do.

  Here, the DICOM file is file data generated according to the DICOM standard. The DICOM standard is a wide range of regulations that are standardized in the United States in order to standardize medical information and include data formats, communication methods, systems, services, and the like for moving image information. One DICOM file corresponds to moving image information composed of a plurality of frame image information in time series.

  FIG. 2 is a diagram showing an outline of the structure of the DICOM file.

  As shown in FIG. 2, the DICOM file for each moving image information is mainly composed of a blank area, an accompanying information area, and a moving image information area. The incidental information area of the DICOM file is composed of a collection of data elements (eg, explicit VR (value representation) type). Each data element includes a tag (group number (GRP.), Element number (ELM.)), Value expression (VR), value length (VL) and value content (Value). . The tag, the value expression, the value length, and the value content are generally expressed in hexadecimal (HEX). The structure of the DICOM file has been described as the explicit VR type, but the exclusive VR type may also be used.

  By each tag included in each data element of the DICOM file, patient information (patient name, patient ID (identification), etc.), part information, imaging condition information, display information, and the like, which are attribute information of the moving image information, are converted into moving image information Is granted.

  The medical information management apparatus 11 shown in FIG. 1 is a DB (data base) server that receives the DICOM file generated by the medical information generation apparatus 9 via the network N and stores the DICOM file.

  FIG. 3 is a diagram illustrating an example of a hardware configuration of the medical information management apparatus 11.

  FIG. 3 shows a hardware configuration of the medical information management apparatus 11. The medical information management apparatus 11 is mainly composed of a CPU (central processing unit) 21, a memory 22, an HD (hard disc) 23, and an IF as a control device. It is composed of basic hardware such as (interface) 24. The CPU 21 is interconnected to each hardware component constituting the medical information management apparatus 11 via the bus B1 as a common signal transmission path. The medical information management apparatus 11 may include a display device including a monitor that displays moving image information included in the DICOM file, and input devices such as a keyboard and a mouse.

  The CPU 21 is a control device having a configuration of an integrated circuit (LSI) in which an electronic circuit made of a semiconductor is enclosed in a package having a plurality of terminals. The CPU 21 executes a program stored in the memory 22. Alternatively, the CPU 21 has a function of loading a program stored in the HD 23, a program transferred from the network N, received by the IF 24 and installed in the HD 23 into the memory 22 and executing the program.

  The memory 22 is a storage device having a configuration that combines elements such as a ROM (read only memory) and a RAM (random access memory). The memory 22 has a function of storing an initial program loading (IPL), a BIOS (basic input / output system), and data, and a work memory of the CPU 21 and a temporary storage of data.

  The HD 23 is a storage device having a configuration in which a metal disk coated or vapor-deposited with a magnetic material is incorporated in a reading device (not shown) in a non-detachable manner. The HD 23 stores programs installed in the medical information management apparatus 11 (including application programs as well as OS (operating system) and the like), DICOM files, specific frame image information and specific frame order information described later, and the like. It has a function of storing and forming a DB.

  The IF 24 includes a connector that conforms to a parallel connection specification or a serial connection specification. The IF 24 has a function of performing communication control according to each standard and connecting to the network N through a telephone line, thereby connecting the medical information management apparatus 11 to the network N network.

  Further, the medical information display device 12 shown in FIG. 1 requests the provision of a DICOM file having specific moving image information attribute information, specific frame image information, and specific frame order information via the network N, and based on them. Still image information and moving image information are reproduced and displayed.

  FIG. 4 is a hardware configuration diagram of the medical information display device 12.

  FIG. 4 shows the medical information display device 12, and the medical information display device 12 is mainly composed of basic hardware such as a CPU 31, a memory 32, an HD 33, an IF 34, an input device 35, and a display device 36. . The CPU 31 has the same configuration as the CPU 21 shown in FIG. 3, the memory 32 has the same configuration as the memory 22 shown in FIG. 3, and the IF 34 has the same configuration as the IF 24 shown in FIG.

  The CPU 31 executes a program stored in the memory 32. Alternatively, the CPU 31 loads the program stored in the HD 33, the program transferred from the network N, received by the IF 34 and installed in the HD 33 into the memory 32 and executes the program.

  The memory 32 stores IPL, BIOS, and data, and is used for temporary storage of the work memory and data of the CPU 31.

  The HD 33 stores a program installed in the medical information display device 12 (including an OS in addition to the application program). In addition, the OS can be provided with a graphical user interface (GUI) that can use the graphics for displaying information to the user and perform basic operations by the input device 35.

  The IF 34 has a function of performing communication control according to each standard and being able to connect to the network N through a telephone line, thereby connecting the medical information display device 12 to the network N network.

  The input device 35 includes a keyboard and a mouse that can be operated by an interpreter (operator) such as a doctor. An input signal according to the operation of the input device 35 is sent to the CPU 31 via the bus B2. The operator uses the input device 35 to select desired moving image information attribute information, to select a DICOM file for reproduction display, or to select specific frame image information.

  The display device 36 includes a D / A (digital to analog) conversion circuit and a monitor (not shown). The display device 36 reproduces and displays moving image information and supplementary information included in the DICOM file, specific frame image information, and the like.

  FIG. 5 is a block diagram showing functions of the medical information reproduction / display system according to the present embodiment.

  The medical information management apparatus 11 functions as a part of the medical information reproduction display system 10 by executing a program by the CPU 21 (shown in FIG. 3). That is, the medical information management apparatus 11 functions as a DICOM file recording unit 41, a DICOM file acquisition / providing unit 42, a specific frame image information acquiring / recording unit 43, and a specific frame information acquiring / providing unit 44. The medical information display device 12 functions as part of the medical information reproduction display system 10 by executing a program by the CPU 31 (shown in FIG. 4). That is, the medical information display device 12 functions as a thumbnail display unit 51, a still image / moving image reproduction display unit 52, and a specific frame image information setting unit 53. A plurality of medical information display devices 12 can also function as the components 51 to 53, respectively.

  The constituent elements 41 to 44 and the constituent elements 51 to 53 will be described by taking as an example a case of functioning as software. However, some or all of the constituent elements 41 to 44 and the constituent elements 51 to 53 are medical The information management apparatus 11 and the medical information display apparatus 12 may be provided in hardware.

  The DICOM file recording unit 41 of the medical information management apparatus 11 has a function of recording a DICOM file as medical information including moving image information composed of a plurality of time-series frame image information in the storage device (DICOM file DB) 23a. Have

  When the DICOM file acquisition / providing unit 42 is requested to provide a DICOM file from the thumbnail display unit 51 of the medical information display device 12, the DICOM file acquisition / providing unit 42 appends the DICOM file stored in the DICOM file DB 23a based on attribute information of the moving image information By searching the information, the DICOM file having the attribute information of the moving image information is acquired from the DICOM files stored in the DICOM file DB 23a and provided to the thumbnail display unit 51.

  The specific frame image information acquisition / recording unit 43 is requested by the specific frame image information setting unit 53 of the medical information display device 12 from the moving image information included in the DICOM file acquired by the DICOM file acquisition / provision unit 42. Specific frame image information is acquired, and the specific frame image information is recorded in the storage device (specific frame image information DB) 23b as a new DICOM file. The specific frame image information acquisition / recording unit 43 records the specific frame order information, which is time-series order information of the specific frame image information in the moving image information, in the storage device (specific frame order information DB) 23c. Have

  The specific frame information acquisition / providing unit 44 searches the specific frame image information DB 23b when the provision of the DICOM file is requested from the thumbnail display unit 51 of the medical information display device 12, and stores the specific frame information stored in the specific frame image information DB 23b. When specific frame image information corresponding to a DICOM file having attribute information of moving image information is present in the frame image information, the specific frame image information is acquired and provided to the thumbnail display unit 51. Further, when the DICOM file is requested from the thumbnail display unit 51 of the medical information display device 12, the specific frame information acquisition / providing unit 44 searches the specific frame order information DB 23c and stores it in the specific frame order information DB 23c. When the specific frame order information corresponding to the specific frame image information exists in the specific frame order information, the specific frame order information is acquired and provided to the thumbnail display unit 51.

  The thumbnail display unit 51 of the medical information display device 12 requests the DICOM file acquisition / providing unit 42 of the medical information management device 11 to provide a DICOM file having attribute information of desired moving image information, while the medical information management device 11 Specific frame information acquisition / providing unit 44 is provided with specific frame information (specific frame image information and specific frame order information corresponding to the specific frame image information) corresponding to a DICOM file having attribute information of desired moving image information. Has the required function. Specifically, the operator of the medical information display device 12 inputs attribute information of desired moving image information using the input device 35, and requests the DICOM file acquisition / providing unit 42 via the thumbnail display unit 51. While requesting the provision of a DICOM file having the attribute information of the moving image information, the specific frame information acquiring / providing unit 44 via the thumbnail display unit 51 specifies the DICOM file having the attribute information of the desired moving image information. Request to provide frame information.

  The thumbnail display unit 51 has a function of displaying thumbnails of moving image information included in a DICOM file having attribute information of desired moving image information provided from the DICOM file acquisition / providing unit 42.

  FIG. 6 is a schematic diagram illustrating an example of a thumbnail display screen for moving image information included in a DICOM file.

  As shown in FIG. 6, for each of a plurality of DICOM files having attribute information of desired moving image information provided from the DICOM file acquisition / providing unit 42, moving image information included in the DICOM file (included in the moving image information). The first frame image information) is displayed as a thumbnail. On the display screen, common supplementary information included in the DICOM file having the attribute information of the desired moving image information is also displayed.

  Further, the still image / moving image reproduction display unit 52 shown in FIG. 5 corresponds to the DICOM file for reproduction display selected from the DICOM files having the attribute information of the desired moving image information sent from the thumbnail display unit 51. Specific frame image information sent from the thumbnail display unit 51 is displayed as a still image when it is determined that there is specific frame information to be transmitted (specific frame information is provided from the specific frame information acquisition / providing unit 44 to the thumbnail display unit 51). It has a function of reproducing and displaying on the monitor of the device 36. Further, when the still image / moving image reproduction display unit 52 determines that there is specific frame information corresponding to the DICOM file for reproduction display, the moving image included in the DICOM file for reproduction display sent from the thumbnail display unit 51. The information is reproduced and displayed on the monitor of the display device 36 as a moving image from the frame image information in the order corresponding to the specific frame order information sent from the thumbnail display unit 51. The selection of the DICOM file for reproduction display is made by the operator of the medical information display device 12 using the input device 35 while observing the thumbnail display screen (shown in FIG. 6) displayed on the monitor of the display device 36. This is done on the monitor by clicking on the icon of the DICOM file to be provided.

  Here, when the still image / moving image reproduction display unit 52 determines that there is specific frame information corresponding to the DICOM file for reproduction display, the moving image information included in the DICOM file for reproduction display is converted into the specific frame order. It is configured to reproduce and display from frame image information that is prior to the information in the required order, or to display moving image information from frame image information that is displayed for the required time before the specific frame order information. Is preferred. In this case, it is possible to reproduce and display a moving image from K (K ≧ 0) frames or L (L ≧ 0) seconds before the specific frame image information. Here, L seconds ago is calculated based on moving image playback display speed information (the display time of one frame is stored) in the header of the DICOM file. The still image / moving image reproduction display unit 52 may be configured to reproduce and display moving image information by forward or backward feeding. In this case, the time series before and after the specific frame image information is displayed in a short time. it can.

  FIG. 7 is a schematic diagram illustrating an example of a still image and moving image display screen reproduced and displayed by the still image / moving image reproduction display unit 52. FIG. 7A shows an example of a still image and moving image display screen when there is one specific frame image indicated by specific frame image information corresponding to a DICOM file for reproduction display. On the other hand, FIG. 7B shows an example of a still image and moving image display screen when there are a plurality of, for example, two specific frame images indicated by the specific frame image information corresponding to the DICOM file for reproduction display. Yes.

  As shown in FIG. 7A, when there is one specific frame image indicated by specific frame image information corresponding to a DICOM file for reproduction display, the still image / moving image reproduction display unit 52 is a thumbnail display unit 51. The specific frame image F [n] indicated by the specific frame image information sent from is reproduced and displayed on the monitor of the display device 36 as a still image. As shown in FIG. 7A, when there is one specific frame image indicated by the specific frame image information corresponding to the DICOM file for reproduction display, the still image / moving image reproduction display unit 52 performs reproduction display. The moving image information included in the DICOM file for use is the frame image F [n-2] indicated by the frame image information of the rank [n-2] two frames before the specific frame rank information [n] (when K = 2). ] To start playback.

  On the other hand, as shown in FIG. 7B, when there are two specific frame images indicated by the specific frame image information corresponding to the DICOM file for reproduction display, the still image / moving image reproduction display unit 52 displays thumbnails. The specific frame images F [m] and F [n] indicated by the specific frame image information sent from the unit 51 are reproduced and displayed on the monitor of the display device 36 as still images. Further, as shown in FIG. 7B, when there are two specific frame images indicated by the specific frame image information corresponding to the DICOM file for reproduction display, the operator reproduces as a still image using the input device 35. When the specific frame image F [m] to be displayed is selected, the still image / moving image reproduction display unit 52 sets the moving image information included in the DICOM file for reproduction display to 10 (K = 10) Playback and display is performed from the frame image F [m-10] indicated by the frame image information of the rank [m-10] before the frame. On the other hand, although not shown, when the operator selects a specific frame image F [n] to be reproduced and displayed as a still image using the input device 35, the still image / moving image reproduction display unit 52 displays a DICOM file for reproduction display. Is reproduced and displayed from the frame image F [n-10] indicated by the frame image information of the rank [n-10] 10 frames before the specific frame rank information [n].

  On the other hand, the still image / moving image reproduction display unit 52 shown in FIG. 5 corresponds to a DICOM file for reproduction display selected from DICOM files having attribute information of desired moving image information sent from the thumbnail display unit 51. When it is determined that there is no specific frame information to be performed (specific frame information is not provided from the specific frame information acquisition / providing unit 44 to the thumbnail display unit 51), the moving image information included in the DICOM file for playback display is used as the first frame image. It has a function of reproducing and displaying from the information as a moving image on the monitor of the display device 36.

  FIG. 8 is a schematic diagram illustrating an example of a moving image display screen reproduced and displayed by the still image / moving image reproduction display unit 52.

  As shown in FIG. 8, on the display screen, the moving image information included in the DICOM file for reproduction display is reproduced and displayed as a moving image from the first frame image information. Note that incidental information included in the DICOM file for reproduction display is also displayed on the display screen.

  As shown in FIG. 8, when there is no specific frame information corresponding to the DICOM file for reproduction display, the frame image F [1] indicated by the first frame image information indicates the moving image information included in the DICOM file for reproduction display. Playback display from.

  Further, the specific frame image information setting unit 53 shown in FIG. 5 has a function of setting specific frame image information from moving image information included in a reproduction / display DICOM file sent from the still image / moving image reproduction display unit 52. . The specific frame image information setting unit 53 acquires the specific frame image information to be set and records it in the specific frame image information DB 23b, and is included in the DICOM file acquired by the DICOM file acquisition / providing unit 42. The specific frame image information acquisition / recording unit 43 is requested to acquire specific frame order information corresponding to the set specific frame image information and record it in the specific frame order information DB 23c on the basis of the attached information. .

  Specifically, the operator of the medical information display device 12 observes the reproduction display of the moving image information included in the reproduction display DICOM file as shown in FIG. 7 or FIG. 35 is used to select a specific frame image of interest to be used for diagnosis. The specific frame image information setting unit 53 sets the specific frame image of interest to be selected as specific frame image information. Note that the operator of the medical information display device 12 uses the input device 35 to measure the memory information, angle information, etc. on the image included in the specific frame image of interest to be used for diagnosis, comments, annotations, and specific frame image information. By attaching information or the like, the specific frame image information setting unit 53 sets a specific frame image having at least one of comment, annotation, and measurement information as specific frame image information.

  Further, the specific frame image information setting unit 53 sets the specific frame image information and sets the specific frame image information to the last frame image information in time series displayed by the reproduction display of the moving image information by the still image / moving image reproduction display unit 52. It is also possible to request the specific frame image information acquisition / recording unit 43 to acquire the corresponding specific frame order information and record it in the specific frame order information DB 23c. In that case, in the next and subsequent interpretations, the still image / moving image reproduction display unit 52 converts the moving image information included in the DICOM file for reproduction display into the frame image information of the order corresponding to the specific frame order information and the last frame. It is also possible to display a loop between image information.

  Next, the operation of the medical information generation apparatus 9 and the operation of the medical information reproduction / display system 10 of this embodiment will be described with reference to the flowchart shown in FIG. Note that step S1 to be described later is generally operated at the end of imaging of the subject, and steps S2 to S10 to be described later are generally operated at the timing of interpretation.

  First, using the medical information generation apparatus 9, moving image information composed of a plurality of time-series frame image information is generated, and a DICOM file including the moving image information is generated.

  The medical information management apparatus 11 receives the DICOM file from the medical information generation apparatus 9, and records the DICOM file in the DICOM file DB 23a (step S1). By repeating step S1, a plurality of DICOM files can be stored in the DICOM file DB 23a.

  Next, the operator of the medical information display device 12 inputs the attribute information of the desired moving image information using the input device 35, and the DICOM file having the attribute information of the desired moving image information is input to the medical information management device 11. A request is made for provision of specific frame information (specific frame image information and specific frame order information corresponding to the specific frame image information) corresponding to the DICOM file having the attribute information of the desired moving image information. Step S1).

  The medical information management apparatus 11 acquires the DICOM file requested in step S1 from the DICOM files stored in the DICOM file DB 23a and provides it to the medical information display apparatus 12. In addition, when the specific frame image information stored in the specific frame image information DB 23b includes specific frame information corresponding to the DICOM file requested in step S1, the medical information management apparatus 11 stores the specific frame image information DB 23b and the specific frame image information DB 23b. Specific frame information corresponding to the DICOM file requested in step S1 is acquired from the specific frame information stored in the frame order information DB 23c, respectively, and provided to the medical information display device 12 (step S3).

  The operator of the medical information display device 12 uses the input device 35 to select the DICOM file to be used for diagnosis from the DICOM files having the attribute information of the desired moving image information provided from the medical information management device 11 in step S3. On the monitor. The medical information display device 12 sets the selected DICOM file as a DICOM file for reproduction display (step S4). Here, the medical information display device 12 determines whether or not specific frame information corresponding to the reproduction-display DICOM file set in step S4 exists (provided in step S3) (step S5). If YES in step S5, that is, if it is determined that there is specific frame information corresponding to the DICOM file for reproduction display set in step S4, as shown in FIGS. 7A and 7B, The specific frame image information is reproduced and displayed as a still image on the monitor of the display device 36, while the moving image information included in the DICOM file for reproduction display is displayed as a moving image from the frame image information of the order corresponding to the specific frame order information. Playback and display are performed on the monitor of the device 36 (step S6).

  Next, the operator of the medical information display device 12 uses the input device 35 to select a noticeable frame image to be used for diagnosis on the monitor while watching the moving image reproduced and displayed on the monitor of the display device 36. Then, the medical information display device 12 sets the selected frame image of interest as a specific frame image (step S7). Then, the medical information display device 12 acquires the specific frame image information set in step S7 and records it in the specific frame image information DB 23b, and the specific information corresponding to the specific frame image information set in step S7. The medical information management apparatus 11 is requested to acquire the frame order information and record it in the specific frame order information DB 23c (step S8).

  The medical information management apparatus 11 acquires the specific frame image information requested in step S8 from the moving image information included in the DICOM file acquired in step S3, and stores the specific frame image information in the specific frame image information DB 23b. And the specific frame order information corresponding to the specific frame image information is recorded in the specific frame order information DB 23c (step S9).

  On the other hand, if the determination in step S5 is NO, that is, if it is determined that there is no specific frame information corresponding to the DICOM file for reproduction display set in step S4, as shown in FIG. The moving image information included in the DICOM file is reproduced and displayed as a moving image from the first frame image information on the monitor of the display device 36 (step S10), and the operation of step S7 is performed.

  As described above, according to the components 41 to 44, 51 to 53 of the medical information reproduction / display system 10 and Steps S1 to S10, the specific frame image information to be noticed is selected from the moving image information included in the DICOM file. When storing as an image, the specific frame order information corresponding to the specific frame image information together with the specific frame image information is stored as a DB, so that when moving image information included in the DICOM file is reproduced and displayed later, Based on the noticed specific frame image information, it is reproduced and displayed as a moving image.

  According to the medical information reproduction / display system 10, even if the specific frame order information of the specific frame image information is not included as supplementary information of DICOM, the specific frame image information set up to the previous interpretation at the time of reproduction / display of moving image information is recognized. In addition, the moving image information can be reproduced and displayed based on the specific frame image information, and the work load on the operator at the second and subsequent interpretations can be reduced.

Schematic which shows the structure of the medical information reproduction | regeneration display system and medical information generation apparatus of this embodiment. The figure which shows the outline | summary of the structure of a DICOM file. The figure which shows an example of the hardware constitutions of a medical information management apparatus. The figure which shows an example of the hardware constitutions of a medical information display apparatus. The block diagram which shows the function of the medical information reproduction | regeneration display system of this embodiment. The schematic diagram which shows the example of the thumbnail display screen of the moving image information contained in a DICOM file. (A), (b) is a schematic diagram which shows the example of the display screen of the still image and moving image which are reproduced and displayed. The schematic diagram which shows the example of the display screen of the moving image reproduced and displayed. The flowchart which shows operation | movement of a medical information generation apparatus, and operation | movement of the medical information reproduction | regeneration display system of this embodiment.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 Medical information reproduction | regeneration display system 11 Medical information management apparatus 12 Medical information display apparatus 23a DICOM file DB
23b Specific frame image information DB
23c Specific frame order information DB
41 DICOM File Recording Unit 42 DICOM File Acquisition / Provision Unit 43 Specific Frame Image Information Acquisition / Recording Unit 44 Specific Frame Information Acquisition / Provision Unit 51 Thumbnail Display Unit 52 Still Image / Moving Image Playback Display Unit 53 Specific Frame Image Information Setting Unit

Claims (8)

A medical information recording unit that records medical information including moving image information composed of a plurality of time-series frame image information in a storage device;
A medical information acquisition unit that acquires the medical information from the storage device;
One or more specific frame image information is acquired separately from the thumbnail image from the moving image information included in the medical information acquired by the medical information acquisition unit, and the specific frame image information is recorded in the storage device And a specific frame image information acquisition / recording unit that records specific frame rank information, which is time-series rank information of the specific frame image information in the moving image information, in the storage device. Medical information playback and display system. The specific frame image information corresponding to the medical information acquired by the medical information acquisition unit is acquired from the storage device, and the specific frame order information corresponding to the acquired specific frame image information is acquired from the storage device. The medical information reproduction / display system according to claim 1, further comprising a specific frame information acquisition unit to acquire. The moving image information included in the medical information provided from the medical information acquisition unit is reproduced and displayed as a moving image, and the specific frame image information provided from the specific frame information acquisition unit is reproduced and displayed as a still image. 3. The apparatus according to claim 2, further comprising a still image / moving image reproduction display unit that reproduces and displays the moving image information as a moving image from frame image information of an order corresponding to the specific frame order information. The medical information reproduction display system described. 4. The still image / moving image reproduction display unit is configured to reproduce and display the moving image information from frame image information of a rank preceding the specific frame rank information by a required rank. Medical information reproduction display system. 4. The still image / moving image reproduction display unit is configured to reproduce and display the moving image information from frame image information whose display time is a required time before the specific frame order information. The medical information reproduction display system described. 4. The medical information reproduction / display system according to claim 3, wherein the still image / moving image reproduction display unit is configured to reproduce and display the moving image information in forward or reverse. There is further provided a specific frame image information setting unit for setting the specific frame image information and the last frame image information in time series displayed by the reproduction display of the moving image information by the still image / moving image reproduction display unit. The still image / moving image reproduction display unit is configured to reproduce and display the moving image information between the frame image information of the order corresponding to the specific frame order information and the last frame image information. The medical information reproduction / display system according to claim 3, characterized in that: A specific frame image information setting unit for setting the specific frame image information is further included, and the specific frame image information setting unit is attached with at least one of comment, annotation, and measurement information from the moving image information. 2. The medical information reproducing / displaying system according to claim 1, wherein an information is set as the specific frame image information.

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