JP5490327B1 - Radiotherapy support system, radiotherapy support method, radiotherapy support server, program, and recording medium - Google Patents

Abstract

  Diagnostic data transmission for transmitting the diagnostic data including the captured image from the first medical staff terminal and the diagnostic data received by the diagnostic data receiving section to the second medical staff terminal Based on the treatment plan information received by the treatment plan information input receiving unit and the treatment plan information input receiving unit that receives the input of the treatment plan information related to the radiation treatment plan for the patient that is planned with reference to the examination information A control command generation unit that generates a control command for controlling the radiotherapy apparatus, radiotherapy treatment according to the radiotherapy plan, treatment plan information received by the treatment plan information input reception unit, and a control command generation unit A treatment data transmitting unit configured to transmit the treatment data including the generated control command to the first medical staff terminal;

Description

  The present invention relates to a radiation therapy support system, a radiation therapy support method, a radiation therapy support server, a program, and a recording medium. In particular, the present invention relates to a radiation therapy support system and a radiation therapy support system for assisting a second medical worker from a location geographically distant from the first medical worker by performing radiation therapy by the first medical worker. The method, the radiotherapy support system, and the first medical staff terminal used by the first medical staff and the second medical staff terminal used by the second medical staff, respectively. The present invention relates to a radiation therapy support server that is communicably connected via a line, a program that causes a computer to function as the radiation therapy support server, and a recording medium that records the program.

  Radiation therapy aims to cure the cancer by concentrating the dose on cancer and the like and reducing the dose to the surrounding normal tissue to suppress complications. Of course, radiation therapy is effective not only for radical radiation therapy but also for palliative and symptomatic treatment. In any case, when performing radiation therapy, to achieve these objectives, an appropriate radiation treatment plan including irradiation field, irradiation method, dose splitting method, combination therapy, etc. is prepared for each case. There is a need. In planning radiation therapy, the patient's age, general condition, primary lesion, stage, histopathological type, extent of lesion development, risk organ location, radical, symptomatic or palliative were performed in the past. Consider the contents of treatment and the presence or absence of complications.

  By the way, recent radiotherapy apparatuses are capable of dose control and machine control, and more various dose irradiations can be performed. In addition, with the advancement of such radiotherapy apparatus technology, the level of radiotherapy has heretofore been relatively uniform among doctors and medical institutions. Differences are starting to arise.

  Therefore, the importance of radiation treatment planning is increasing more than ever. However, when introducing the latest radiotherapy equipment into a medical institution, the medical staff engaged in radiotherapy at the medical institution should have sufficient knowledge to plan an appropriate radiotherapy plan using the latest radiotherapy equipment. Often have no experience.

  Various techniques related to such a background are known (see, for example, Patent Document 1).

  For example, Patent Literature 1 describes a method for remotely examining a radiation treatment plan. More specifically, in the case of this method, the first medical worker who performs radiation therapy on the patient drafts a radiation therapy plan himself. And the 1st medical worker transmits the radiation treatment plan which he designed himself / herself to the 2nd medical worker in a remote place. Then, the second medical worker confirms whether or not the radiation treatment plan received from the first medical worker is appropriate, and if not, edits the radiation treatment plan. And the 2nd medical worker transmits the radiation treatment plan after editing as needed to the 1st medical worker in this way. Then, the first medical staff performs radiation therapy on the patient according to the radiation therapy plan received from the second medical staff. In this way, depending on this method, if the first medical staff can make a radiation treatment plan that makes full use of the radiation treatment apparatus, an appropriate radiation treatment plan that makes full use of the radiation treatment apparatus is made. A better radiation treatment plan can be obtained with the support of a second healthcare professional who has sufficient knowledge and experience.

International Publication No. 2007/014109

By the way, when introducing the latest radiotherapy equipment into a medical institution, the medical staff engaged in the radiotherapy at the medical institution knows how to make a radiotherapy plan using the latest radiotherapy equipment. You may have little experience. In such a case, since a medical worker who performs radiation therapy on a patient cannot draft a radiation therapy plan by itself, the method described in Patent Document 1 cannot support the medical worker.

In order to solve the above-described problem, according to the first aspect of the present invention, the second medical worker performs radiation therapy by the first medical worker from a location geographically separated from the first medical worker. A radiation therapy support system for supporting a first medical worker terminal used by a first medical worker and a second medical worker used by a second medical worker A radiation treatment support server that is connected to each terminal via a communication line, and the radiation treatment support server captures an image of an affected part of a patient as examination information of a patient examined by a first medical worker. A medical data receiving unit for receiving medical data including the medical data from the first medical worker terminal, a medical data transmitting unit for transmitting the medical data received by the medical data receiving unit to the second medical worker terminal, and , Consultation information A treatment plan information input receiving unit that receives input of treatment plan information related to a radiation treatment plan for a patient that has been planned, and treatment plan information related to a radiation treatment plan that is planned by a first medical worker with reference to the examination information When the treatment plan information input accepting unit accepts the input of the treatment via the first medical staff terminal, the treatment plan data including the treatment plan information is transmitted to the second medical staff terminal. Input of treatment plan information related to a radiation treatment plan for a patient planned by the second health care worker with reference to the examination information included in the examination data transmitted by the examination data transmission part and the examination data transmission part, When the treatment plan information input accepting unit accepts it via the medical staff terminal, or refers to the treatment plan information included in the treatment plan data transmitted by the treatment plan data transmitting unit And an input of the treatment plan information on radiation treatment planning for patients reviewed by the second medical personnel, only if the treatment plan information input accepting unit via a second medical practitioner terminal has received, the Based on the treatment plan information, in order to perform radiation treatment according to the radiation treatment plan, a control command generation unit that generates a control command for controlling the radiation therapy apparatus, and treatment plan information received by the treatment plan information input reception unit And a treatment data transmission unit that transmits treatment data including the control command generated by the control command generation unit to the first medical staff terminal.

  The radiation therapy support server is a treatment plan information storage unit in which the diagnosis information included in the diagnosis data received by the diagnosis data receiving unit and the treatment plan information received by the treatment plan information input receiving unit are associated with each other and stored. And a treatment plan generation unit that generates a treatment plan based on the diagnosis information of the patient and the information stored in the treatment plan information storage unit, and the treatment plan information related to the treatment plan generated by the treatment plan generation unit is output. A treatment plan information output unit, and the treatment plan information input reception unit is a treatment related to a radiation treatment plan that is planned with reference to the patient's examination information and the treatment plan information output from the treatment plan information output unit. Input of plan information may be accepted.

  The treatment plan information storage unit may further store information related to the patient's treatment history in association with each other.

  The radiation therapy support server uses the first data during therapy including the captured image in which the affected part of the patient undergoing radiation therapy is captured as the information during treatment of the patient who is undergoing radiation therapy by the first medical staff. An in-treatment data receiving unit for receiving from the terminal for medical staff, and an in-treatment data transmitting unit for transmitting the in-treatment data received by the in-treatment data receiving unit to the second medical staff terminal It's okay.

  The radiation therapy support server includes a status data receiving unit that receives status data including current status information about the status of the radiotherapy device from the first medical staff terminal, and a status data receiving unit that receives the status data received by the status data receiving unit. The present state data transmission part which transmits to the terminal for medical staffs may be further included.

According to the second aspect of the present invention, radiation therapy support for the second medical worker to support radiation therapy by the first medical worker from a location geographically distant from the first medical worker. 1st medical treatment which is the method, Comprising: The diagnostic data containing the captured image by which the affected part of the patient was imaged as diagnostic information of the patient examined by the 1st medical worker is used by the 1st medical worker Diagnostic data receiving stage received from the worker terminal, and diagnosing data transmitting stage for transmitting the diagnostic data received in the diagnostic data receiving stage to the second medical worker terminal used by the second medical worker And a treatment plan information input reception stage for receiving input of treatment plan information related to a radiation treatment plan for a patient that is planned with reference to the examination information, and a first medical staff that is planned with reference to the examination information. When the input of treatment plan information related to the radiation treatment plan is received at the treatment plan information input reception stage via the first medical staff terminal, the treatment plan data including the treatment plan information is received as the second medical treatment data. Treatment plan data transmission stage to be transmitted to the terminal for the worker, and treatment related to the radiation treatment plan for the patient planned by the second medical worker with reference to the diagnosis information included in the diagnosis data transmitted in the diagnosis data transmission stage When input of plan information is accepted in the treatment plan information input acceptance stage via the second medical staff terminal, or refer to treatment plan information included in the treatment plan data transmitted in the treatment plan data transmission stage The second medical worker inputs the treatment plan information related to the radiation treatment plan for the patient reviewed by the second medical worker. Only when accepted in the treatment plan information input accepting step through the terminal, based on the treatment plan information, in order to radiation treatment in accordance with the radiation treatment plan, the control for generating a control command for controlling the radiation therapy device The treatment data including the command generation stage, the treatment plan information received in the treatment plan information input reception stage, and the control command generated in the control command generation stage is transmitted to the first medical staff terminal. A treatment data transmission stage.

According to the third aspect of the present invention, radiation therapy support for the second medical worker to support radiation therapy by the first medical worker from a location geographically distant from the first medical worker. In the system, the first medical worker terminal used by the first medical worker and the second medical worker terminal used by the second medical worker are connected to each other via a communication line. The medical treatment support server is configured to obtain, from the first medical staff terminal, diagnosis data including a captured image obtained by capturing the affected area of the patient as medical examination information of the patient examined by the first medical staff. A diagnostic data receiving unit, a diagnostic data transmitting unit that transmits the diagnostic data received by the diagnostic data receiving unit to the second medical staff terminal, and a radiation treatment plan for the patient that is planned with reference to the diagnostic information Related A treatment plan information input receiving unit for receiving input of treatment plan information, and input of treatment plan information related to a radiation treatment plan designed by the first medical worker with reference to the examination information. When the treatment plan information input accepting unit accepts via the terminal, the treatment plan data transmitting unit that transmits the treatment plan data including the treatment plan information to the second medical staff terminal, and the examination data transmitting unit Input of treatment plan information related to a radiation treatment plan for a patient planned by the second medical worker with reference to the diagnosis information included in the transmitted diagnosis data, and the treatment plan information via the second medical worker terminal For the patient who has been reviewed by the second medical worker with reference to the treatment plan information included in the treatment plan data transmitted by the treatment plan data transmission unit or received by the input reception unit The input of the treatment plan information on radiation treatment planning only when the treatment plan information input accepting unit via a second medical practitioner terminal is accepted, based on the treatment plan information, radiation therapy according to the radiation treatment plan The control command generation unit that generates a control command for controlling the radiotherapy apparatus, the treatment plan information received by the treatment plan information input reception unit, and the control command generated by the control command generation unit A treatment data transmitting unit for transmitting the treatment data to the first medical staff terminal.

According to the fourth aspect of the present invention, radiation therapy support for the second medical staff to support radiation therapy by the first medical staff from a location geographically distant from the first medical staff. In the system, the first medical worker terminal used by the first medical worker and the second medical worker terminal used by the second medical worker are connected to each other via a communication line. As a radiation therapy support server, a program for causing a computer to function, and using the computer as examination information for a patient examined by a first medical worker, medical examination data including a captured image obtained by imaging the affected part of the patient is obtained. , A medical data receiving unit that receives from the first medical staff terminal, a medical data transmitting unit that transmits the medical data received by the medical data receiving section to the second medical staff terminal, A treatment plan information input receiving unit that receives input of treatment plan information related to a radiation treatment plan for a patient planned with reference to a report, a treatment plan related to a radiation treatment plan that is planned by a first medical worker with reference to examination information When the treatment plan information input receiving unit receives the input of information via the first medical staff terminal, the treatment plan data including the treatment plan information is transmitted to the second medical staff terminal. Input of treatment plan information related to a radiation treatment plan for a patient planned by the second medical worker with reference to the diagnosis information included in the diagnosis data transmitted by the treatment plan data transmission unit and the diagnosis data transmission unit, The treatment plan information included in the treatment plan data transmitted by the treatment plan data transmission unit when the treatment plan information input reception unit is accepted via the medical staff terminal The input of the treatment plan information on radiation treatment planning for patients reviewed by the second medical personnel to irradiation, only if the treatment plan information input accepting unit via a second medical practitioner terminal is accepted, Based on the treatment plan information, in order to perform radiation treatment according to the radiation treatment plan, a control command generation unit that generates a control command for controlling the radiotherapy apparatus, and treatment plan information received by the treatment plan information input reception unit And the treatment data including the control command generated by the control command generation unit is caused to function as a treatment data transmission unit that transmits to the first medical staff terminal.

According to the fifth aspect of the present invention, radiation therapy support for the second medical staff to support radiation therapy by the first medical staff from a location geographically distant from the first medical staff. In the system, the first medical worker terminal used by the first medical worker and the second medical worker terminal used by the second medical worker are connected to each other via a communication line. As a radiation therapy support server to be recorded, a recording medium recording a program for causing a computer to function, and a captured image in which an affected area of a patient is imaged using the computer as examination information of a patient examined by a first medical worker For receiving medical examination data including a medical data from a first medical staff terminal, and transmitting medical data received by the medical data receiving section to a second medical staff terminal The data transmission unit, the treatment plan information input receiving unit that receives the input of the treatment plan information related to the radiation treatment plan for the patient that is planned with reference to the diagnosis information, and the first medical worker that is planned with reference to the diagnosis information When the treatment plan information input accepting unit accepts the input of the treatment plan information related to the radiation treatment plan via the first medical staff terminal, the treatment plan data including the treatment plan information is sent to the second medical staff. The treatment plan data transmission unit to be transmitted to the terminal for the patient, the treatment plan information on the radiation treatment plan for the patient planned by the second medical worker with reference to the diagnosis information included in the diagnosis data transmitted by the diagnosis data transmission unit The input is included in the treatment plan data transmitted by the treatment plan information transmission unit when the treatment plan information input reception unit accepts the input via the second medical staff terminal The treatment plan information input accepting unit accepts the input of treatment plan information related to the radiation treatment plan for the patient reviewed by the second medical worker with reference to the treatment plan information. Only when the control command generation unit and the treatment plan information input receiving unit generate a control command for controlling the radiotherapy apparatus to perform radiation treatment according to the radiotherapy plan based on the treatment plan information. A program was recorded that caused the treatment data including the received treatment plan information and the control command generated by the control command generation unit to function as a treatment data transmission unit that transmits the treatment data to the first medical staff terminal.

  The above summary of the invention does not enumerate all necessary features of the present invention. Also, a sub-combination of these feature groups can also be an invention.

  As is apparent from the above description, according to the present invention, even if a medical worker who performs radiation therapy on a patient cannot make a radiation therapy plan by himself / herself, the medical worker can be supported.

It is a figure which shows an example of the utilization environment of the radiation therapy assistance system 100 which concerns on one Embodiment. It is a figure which shows an example of the block configuration of the radiation treatment assistance server. It is a figure which shows an example of the information stored in the treatment plan information storage part 123 in a table format. It is a figure which shows an example of the information stored in the present condition information storage part 124 in a table format. It is a figure which shows an example of the operation | movement sequence of the radiation treatment assistance server 110, the 1st terminal 130 for medical workers, and the terminal 150 for 2nd medical workers. It is a figure which shows an example of the operation | movement sequence of the radiation treatment assistance server 110, the 1st terminal 130 for medical workers, and the terminal 150 for 2nd medical workers. It is a figure which shows an example of the operation | movement sequence of the radiation treatment assistance server 110, the 1st terminal 130 for medical workers, and the terminal 150 for 2nd medical workers. It is a figure which shows an example of the operation | movement sequence of the radiation treatment assistance server 110, the 1st terminal 130 for medical workers, and the terminal 150 for 2nd medical workers. It is a figure which shows an example of the operation | movement sequence of the radiation treatment assistance server 110, the 1st terminal 130 for medical workers, and the terminal 150 for 2nd medical workers. It is a figure which shows an example of the hardware constitutions of the computer 800 which comprises the radiation therapy assistance server 110 which concerns on this embodiment.

  Hereinafter, the present invention will be described through embodiments of the invention. However, the following embodiments do not limit the claimed invention, and all combinations of features described in the embodiments are described below. However, this is not always essential for the solution of the invention.

  FIG. 1 shows an example of a use environment of a radiation therapy support system 100 according to an embodiment. The radiation therapy support system 100 is a system for a second medical worker to support radiation therapy by a first medical worker from a location geographically distant from the first medical worker. Here, a medical worker is a worker in a radiation medical service. For example, medical personnel include doctors, medical radiographers, nurses, and the like. In the present embodiment, it is assumed that the first medical worker is engaged in radiation medical work at the medical institution Ma and is at a level where he or she cannot make an appropriate radiation treatment plan. On the other hand, it is assumed that the second medical worker is engaged in radiation medical work at the medical institution Mb and is at a level at which he can make an appropriate radiation treatment plan. Further, it is assumed that the medical institution Ma is located geographically away from the medical institution Mb.

  The radiation therapy support system 100 includes a radiation therapy support server 110, a first medical worker terminal 130, and a second medical worker terminal 150. The first medical worker terminal 130 and the second medical worker terminal 150 include a mobile information terminal such as a mobile phone, a PDA (Personal Digital Assistant), and a personal computer.

  The radiation therapy support server 110 is communicatively connected to the first medical worker terminal 130 and the second medical worker terminal 150 via a communication line. More specifically, the radiation therapy support server 110 is provided in the medical institution Ma. The radiation therapy support server 110 is communicatively connected to the first medical staff terminal 130 via the communication line N outside the gateway Gb. The radiation therapy support server 110 is connected to the second medical worker terminal 150 via a local network inside the gateway Gb. The communication line N and the local network may be examples of the “communication line” in the present invention. The communication line N includes a computer network such as the Internet, a core network of a communication carrier, and various local networks.

  The first medical worker terminal 130 is a terminal used by the first medical worker. More specifically, the first medical staff terminal 130 is provided in the medical institution Ma. The first medical worker terminal 130 is communicatively connected to the radiation therapy support server 110 and the second medical worker terminal 150 via the communication line N outside the gateway Ga. The first medical staff terminal 130 is connected to the medical image diagnostic apparatus D and the radiotherapy apparatus R via a local network inside the gateway Ga. Here, the medical image diagnostic apparatus D is an apparatus that obtains a tomographic image or a three-dimensional image by imaging a portion that is not normally visible without damaging the human body. Examples of the medical image diagnostic apparatus D include an X-ray diagnostic apparatus, an X-ray CT (Computed Tomography) apparatus, a nuclear medicine diagnostic apparatus, an ultrasonic diagnostic apparatus, and an MRI (Magnetic Resonance Imaging) apparatus. The radiotherapy apparatus R is an apparatus that uses medical image technology and robot technology to accurately grasp the position of a cancer affected part and irradiates radiation at a pinpoint. For example, examples of the radiation therapy apparatus R include a photon beam therapy apparatus, a heavy particle beam therapy apparatus, and a proton beam therapy apparatus.

  The second medical staff terminal 150 is a terminal used by the second medical staff. More specifically, the second medical staff terminal 150 is provided in the medical institution Mb. The second medical staff terminal 150 is connected to the radiotherapy support server 110 via a local network inside the gateway Gb. The second medical worker terminal 150 is connected to the first medical worker terminal 130 via the communication line N outside the gateway Gb.

  In addition, in this embodiment, for the purpose of preventing the explanation from becoming complicated, the radiation therapy support system 100 includes one radiation therapy support server 110, a first medical worker terminal 130, and a second A configuration including the medical staff terminal 150 will be described. However, the radiation therapy support system 100 may include a plurality of radiation therapy support servers 110, a first medical worker terminal 130, and a second medical worker terminal 150.

  FIG. 2 shows an example of a block configuration of the radiation therapy support server 110. The radiation therapy support server 110 includes a current data receiving unit 111, a current data transmitting unit 112, a medical data receiving unit 113, a medical data transmitting unit 114, a treatment plan generating unit 115, a treatment plan information output unit 116, and a treatment plan information input receiving unit. 117, a control command generation unit 118, a treatment data transmission unit 119, a treatment plan data transmission unit 120, a treatment data reception unit 121, a treatment data transmission unit 122, a treatment plan information storage unit 123, and a current state information storage unit 124. . In the following description, the function and operation of each component will be described in detail.

  The current status data receiving unit 111 receives current status data including current status information regarding the current status of the radiation therapy apparatus R from the first medical staff terminal 130.

  The current status data transmitting unit 112 transmits the current status data received by the current status data receiving unit 111 to the second medical staff terminal 150.

  The medical examination data receiving unit 113 receives medical examination data including a captured image obtained by imaging the affected part of the patient from the first medical staff terminal 130 as medical examination information of the patient examined by the first medical staff. .

  The medical examination data transmitting unit 114 transmits the medical examination data received by the medical examination data receiving unit 113 to the second medical staff terminal 150.

  The treatment plan generation unit 115 generates a treatment plan based on patient examination information and information stored in the treatment plan information storage unit 123.

  The treatment plan information output unit 116 outputs treatment plan information related to the treatment plan generated by the treatment plan generation unit 115.

  The treatment plan information input accepting unit 117 accepts input of treatment plan information related to a radiation treatment plan for a patient that is planned with reference to the examination information. For example, the treatment plan information input reception unit 117 refers to the diagnosis information included in the diagnosis data transmitted by the diagnosis data transmission unit 114 and inputs the treatment plan information related to the radiation treatment plan planned by the second medical worker. This is accepted via the second medical staff terminal 150. Further, for example, the treatment plan information input receiving unit 117 inputs the treatment plan information related to the radiation treatment plan designed by the first medical worker with reference to the diagnosis information, and uses the first medical worker terminal 130. Accept through. In addition, for example, the treatment plan information input reception unit 117 refers to the treatment plan information included in the treatment plan data transmitted by the treatment plan data transmission unit 120, and the treatment related to the radiation treatment plan reviewed by the second medical worker. The input of the plan information is accepted via the second medical staff terminal 150. In addition, for example, the treatment plan information input receiving unit 117 receives input of treatment plan information related to a radiation treatment plan that is planned with reference to the patient's examination information and the treatment plan information output from the treatment plan information output unit 116. .

  The control command generation unit 118 generates a control command for controlling the radiotherapy apparatus R to perform radiotherapy according to the radiotherapy plan based on the treatment plan information received by the treatment plan information input reception unit 117.

  The treatment data transmission unit 119 receives the treatment data including the treatment plan information received by the treatment plan information input reception unit 117 and the control command generated by the control command generation unit 118 as the first medical staff terminal 130. Send to.

  When the treatment plan information input accepting unit 117 accepts the input of treatment plan information via the first medical staff terminal 130, the treatment plan data transmission unit 120 receives the treatment plan data including the treatment plan information. To the second medical staff terminal 150.

  The during-treatment data receiving unit 121 includes, as treatment-in-progress information of the patient who is undergoing radiation treatment by the first medical staff, treatment-in-process data including a captured image obtained by imaging the affected part of the patient under radiation treatment. Received from the first medical staff terminal 130.

  The in-treatment data transmitting unit 122 transmits the in-treatment data received by the in-treatment data receiving unit 121 to the second medical staff terminal 150.

  FIG. 3 shows an example of information stored in the treatment plan information storage unit 123 in a table format. In the treatment plan information storage unit 123, each information of a medical chart ID (identifier), name, examination information, treatment history, treatment plan information, and information during treatment is stored in association with each other. Here, the examination information includes information such as a captured image, systolic blood pressure (mmHg), and diastolic blood pressure (mmHg).

  The medical chart ID information is an identification code for uniquely identifying each piece of information among a plurality of pieces of patient information stored in the treatment plan information storage unit 123. The name information is information indicating the name of the patient. The examination information is information indicating the examination result of the patient examined by the first medical staff. For example, the information of the captured image is a captured image obtained by capturing the affected area of the patient, which is captured by the first medical staff using the medical image diagnostic apparatus D. In addition, for example, information on systolic blood pressure (mmHg) is information indicating the systolic blood pressure of the patient examined by the first medical staff. Further, for example, the information on diastolic blood pressure (mmHg) is information indicating the diastolic blood pressure of the patient examined by the first medical staff. The treatment history information is information related to the treatment history of the patient. The treatment plan information is treatment plan information received by the treatment plan information input receiving unit 117. The in-treatment information is in-treatment information included in the in-treatment data received by the in-treatment data receiving unit 121.

  FIG. 4 shows an example of information stored in the current status information storage unit 124 in a table format. The current information storage unit 124 stores information acquisition date / time (year / month / day), radiation irradiation field, distance meter, and accumulated time (h) of beam output in association with each other.

  The information of the information acquisition date (year / month / day) is information indicating the date and time when the current status information of the radiation therapy apparatus R is acquired. The radiation field information is information indicating the check result of the radiation field of the radiation therapy apparatus R. The distance meter information is information indicating a check result of the distance meter of the radiation therapy apparatus R. The information on the accumulated time (h) of beam output is information indicating the accumulated time that the beam was output since the radiation therapy apparatus R was last maintained.

  FIG. 5 shows an example of an operation sequence of the radiation therapy support server 110, the first medical staff terminal 130, and the second medical staff terminal 150. In the description of this operation sequence, processing necessary for the second medical worker to remotely monitor the current state of the radiation therapy apparatus R will be described in detail. In the description of this operation sequence, both FIGS. 1 to 4 are referred to.

  The first medical staff terminal 130 accepts input of current status information regarding the current status of the radiation therapy apparatus R (S101). More specifically, the current status information is information necessary for maintenance of the radiation therapy apparatus R. For example, the current status information includes radiation field check information, distance meter check information, beam output accumulated time (h) check information, and the like. The first medical staff terminal 130 may accept an input of current status information electrically output from the radiation therapy apparatus R, or an input device such as a keyboard by the first medical staff is used. You may make it receive the input of present condition information by input operation. Then, when receiving the input of the current status information, the first medical staff terminal 130 transmits the current status data including the current status information to the radiation therapy support server 110 (S102).

  When the current status data receiving unit 111 of the radiation therapy support server 110 receives the current status data transmitted from the first medical staff terminal 130, the current status information included in the current status data is stored in the current status information storage unit 124. Store. In this way, information as shown in FIG. 4 is stored in association with the current status information storage unit 124 of the radiation therapy support server 110 (S103).

  Then, when new current status information is stored in the current status information storage unit 124, the current status data transmission unit 112 of the radiation therapy support server 110 sends the current status data including the current status information to the second medical staff terminal 150. Transmit (S104).

  Then, when receiving the current status data transmitted from the radiation therapy support server 110, the second medical staff terminal 150 outputs the current status information included in the current status data to an output device such as a display (S105).

  In this way, the second medical worker can check the current state of the radiation therapy apparatus R provided in the medical institution Ma while in the medical institution Mb geographically separated from the medical institution Ma. For example, if the second medical worker refers to the current state of the radiation therapy apparatus R and determines that specialized maintenance of the radiation therapy apparatus R is necessary, the second medical staff dispatches a staff to the medical institution Ma. In addition, for example, if the second medical worker determines that simple maintenance is necessary, the second medical worker instructs the first medical worker on a maintenance method. In that case, the second medical worker connects the second medical worker terminal 150 to the first medical worker terminal 130 and instructs the maintenance method using the teleconference function or the like. You can also

  FIG. 6 shows an example of an operation sequence of the radiation therapy support server 110, the first medical staff terminal 130, and the second medical staff terminal 150. In the description of this operation sequence, processing necessary for the second medical staff to grasp the diagnosis information of the patient who receives radiation therapy will be described in detail. In the description of this operation sequence, both FIGS. 1 to 5 are referred to.

  The first medical staff terminal 130 receives input of medical examination information and the like of a patient examined by the first medical staff (S201). For example, the first medical staff terminal 130 receives input of information such as the patient's name and treatment history along with the patient's examination information. Here, the examination information includes a captured image obtained by imaging the affected area of the patient, which is captured by the first medical staff using the medical image diagnostic apparatus D. In addition, for example, the patient's age, general condition, primary lesion, stage, histopathological type, extent of lesion development, location of risk organ, radical or symptomatic / palliative, etc. Information on treatment details, complications, etc. is included. For example, the first medical staff terminal 130 receives an input of a captured image electrically output from the medical image diagnostic apparatus D. In addition, for example, the first medical staff terminal 130 receives input of information such as other examination information by an input operation using an input device such as a keyboard by the first medical staff. When the first medical staff terminal 130 accepts the input of the medical examination information and the like, the first medical staff terminal 130 converts the medical examination data including the medical examination information and the medical chart ID for uniquely identifying the medical examination information into the radiation therapy. It transmits to the support server 110 (S202).

  Then, when receiving the diagnosis data transmitted from the first medical staff terminal 130, the diagnosis data receiving unit 113 of the radiation therapy support server 110 sends the diagnosis data to the diagnosis data transmitting unit 114 and the diagnosis data. The medical examination information included in the data is stored in the treatment plan information storage unit 123 (S203). In this way, in the treatment plan information storage unit 123 of the radiation treatment support server 110, as shown in FIG. 3, information such as medical chart ID, name, examination information, and treatment history is stored in association with each other.

  Then, when receiving the diagnosis data transmitted from the diagnosis data receiving unit 113, the diagnosis data transmitting unit 114 of the radiation therapy support server 110 transmits the diagnosis data to the second medical staff terminal 150 (S204). .

  Then, when receiving the medical examination data transmitted from the radiation therapy support server 110, the second medical staff terminal 150 outputs the medical examination information included in the medical examination data to an output device such as a display (S205). .

  In this way, the second medical worker can obtain medical examination information and the like of the patient examined by the first medical worker at the medical institution Ma while in the medical institution Mb geographically separated from the medical institution Ma. Can be confirmed. The second medical worker refers to the patient's examination information and the like, and makes a radiation treatment plan by himself / herself or reviews the radiation treatment plan prepared by the first medical worker.

  FIG. 7 shows an example of an operation sequence of the radiation therapy support server 110, the first medical staff terminal 130, and the second medical staff terminal 150. In the description of this operation sequence, a process in which the second medical worker makes a radiation treatment plan will be described in detail. In the description of this operation sequence, both FIGS. 1 to 6 are referred to.

  When the second medical staff obtains the patient's examination information and the like, the second medical staff uses the treatment planning software provided by the radiation treatment support server 110 to make a radiation treatment plan for the patient. Here, the treatment planning software is software for making an appropriate radiation treatment plan based on the image captured by the medical image diagnostic apparatus D. For example, the second medical worker uses a predetermined browser preinstalled in the second medical worker terminal 150 to access the function of the treatment planning software provided by the radiation therapy support server 110 ( S301). For example, the second medical worker inputs the medical chart ID attached to the examination information of the patient when planning the radiation treatment plan of the patient using the treatment planning software.

  Then, when there is access to the treatment plan software, the treatment plan generation unit 115 of the radiation treatment support server 110 among the information stored in the treatment plan information storage unit 123, the medical record input by the second medical worker. The examination information of the target patient stored in association with the ID is read out. In addition, the treatment plan generation unit 115 reads the treatment plan information of other patients already stored in the treatment plan information storage unit 123. In addition, the treatment plan generation unit 115 reads the latest current state information of the radiation therapy apparatus R from the information stored in the current state information storage unit 124. And the treatment plan production | generation part 115 produces | generates a radiation treatment plan based on these information (S302). As a radiation treatment plan procedure, the treatment plan generation unit 115 first determines a site to be irradiated, that is, a target volume. In determining the target volume, it is most important to know the extent of lesion development. Therefore, the treatment plan generation unit 115 includes, for example, the results of nuclear medicine examinations such as CT, MRI (Magnetic Resonance Imaging), PET (Positron Emission Tomography), digestive tract, etc., as well as the examination results and palpation results among the patient examination information. Reference is also made to various diagnostic imaging results such as contrast examination results, and further to endoscopic findings. Thus, for example, the treatment plan generation unit 115 performs image analysis on a captured image of the affected area of the target patient, and identifies an affected area that should be irradiated with radiation and a dangerous area that should not be irradiated with radiation. And the treatment plan production | generation part 115 refers to the treatment plan information of the other patient of the case similar to the positional relationship of the affected part area | region of a target patient, and a dangerous area | region, for example, such as a radiation irradiation range and an incident angle Generate a radiation treatment plan. Therefore, the treatment plan generation unit 115 generates a radiation treatment plan with higher accuracy as the number of treatment plan information stored in the treatment plan information storage unit 123 increases. The algorithm for generating the treatment plan by the treatment plan generation unit 115 is updated based on the knowledge and experience of the second medical worker, so that the radiation treatment always uses the latest radiotherapy device R. A plan can be generated. And the treatment plan production | generation part 115 will transmit the data which show the treatment plan information regarding the radiation treatment plan to the treatment plan information output part 116, if a radiation treatment plan is produced | generated.

  When the treatment plan information output unit 116 of the radiation treatment support server 110 receives the data sent from the treatment plan generation unit 115, the treatment plan information included in the data is sent to the second medical staff terminal 150. Output (S303).

  In this way, the second medical worker can perform more appropriate radiation based on the radiation treatment plan indicated by the treatment plan information output via the browser of the second medical worker terminal 150, for example. The treatment plan information related to the treatment plan is input via the browser of the second medical staff terminal 150 (S304). For example, if the second medical worker is not appropriate in the range of the affected area in the treatment plan generated by the radiation treatment support server 110, the range of the dangerous area, the range of radiation irradiation, and the incident angle of the radiation, Enter the appropriate information.

  And if the treatment plan information input reception part 117 of the radiation treatment support server 110 receives the input of the treatment plan information input via the second medical staff terminal 150, the treatment plan information is converted into the treatment plan information. Of the information stored in the storage unit 123, the information is stored in association with the corresponding patient information (S305). In this way, treatment plan information is stored in association with the treatment plan information storage unit 123 of the radiation treatment support server 110 as shown in FIG. Then, the treatment plan information input reception unit 117 sends data indicating the treatment plan information to the control command generation unit 118.

  Upon receiving the data sent from the treatment plan information input receiving unit 117, the control command generation unit 118 of the radiation treatment support server 110 performs radiation treatment according to the radiation treatment plan based on the treatment plan information indicated by the data. Therefore, a control command for controlling the radiotherapy apparatus R is generated (S306). For example, the control command generation unit 118 generates an accelerator control command, a beam transport control command, an operation control command for the entire radiation therapy apparatus, and the like. Then, the control command generation unit 118 sends the treatment data including the generated control command and the treatment plan information referred to when generating the control command to the treatment data transmission unit 119.

  When the treatment data transmission unit 119 of the radiation treatment support server 110 receives the treatment data transmitted from the control command generation unit 118, the treatment data transmission unit 119 transmits the treatment data to the first medical staff terminal 130 (S307). .

  Then, when receiving the treatment data transmitted from the radiation treatment support server 110, the first medical staff terminal 130 outputs the treatment plan information included in the treatment data to an output device such as a display (S308). .

  In this way, the first medical worker can obtain an appropriate radiotherapy plan planned by the second medical worker even if he / she cannot make an appropriate radiotherapy plan by himself / herself, The patient can be appropriately treated according to the radiation treatment plan. In addition, the first medical worker can thus develop the skill of making an appropriate radiotherapy plan by performing radiation therapy repeatedly according to the appropriate radiotherapy plan designed by the second medical worker. You can wear it.

  FIG. 8 shows an example of an operation sequence of the radiation therapy support server 110, the first medical staff terminal 130, and the second medical staff terminal 150. In the description of this operation sequence, a process in which the first medical staff makes a radiation treatment plan will be described in detail. In the description of this operation sequence, both FIGS. 1 to 7 are referred to.

  When the first medical staff treats a patient, the first medical staff can make a radiation treatment plan for the patient by using the treatment planning software provided by the radiation treatment support server 110. For example, the first medical worker uses a predetermined browser installed in advance on the first medical worker terminal 130 to access the function of the treatment planning software provided by the radiation therapy support server 110 ( S401). For example, the first medical worker inputs the medical chart ID attached to the examination information of the patient when planning the radiation treatment plan of the patient using the treatment planning software.

  Then, when there is access to the treatment plan software, the treatment plan generation unit 115 of the radiation treatment support server 110 among the information stored in the treatment plan information storage unit 123, the medical record input by the first medical worker. The examination information of the target patient stored in association with the ID is read out. In addition, the treatment plan generation unit 115 reads the treatment plan information of other patients already stored in the treatment plan information storage unit 123. In addition, the treatment plan generation unit 115 reads the latest current state information of the radiation therapy apparatus R from the information stored in the current state information storage unit 124. And the treatment plan production | generation part 115 produces | generates a radiation treatment plan by the process similar to the process explained in full detail in step S302 based on these information (S402). And the treatment plan production | generation part 115 will transmit the data which show the treatment plan information regarding the radiation treatment plan to the treatment plan information output part 116, if a radiation treatment plan is produced | generated.

  When the treatment plan information output unit 116 of the radiation treatment support server 110 receives the data sent from the treatment plan generation unit 115, the treatment plan information included in the data is sent to the first medical staff terminal 130. Output (S403).

  In this way, the first medical worker can perform more appropriate radiation based on the radiation treatment plan indicated by the treatment plan information output via the browser of the first medical worker terminal 130, for example. The treatment plan information related to the treatment plan is input via the browser of the first medical staff terminal 130 (S404). For example, the first medical staff, if the range of the affected area in the treatment plan generated by the radiation treatment support server 110, the range of the dangerous area, the range of radiation irradiation, the incident angle of radiation, etc. are not appropriate, Enter the appropriate information.

  And if the treatment plan information input reception part 117 of the radiation treatment support server 110 receives the input of the treatment plan information input via the first medical staff terminal 130, the treatment plan data including the treatment plan information is received. Is sent to the treatment plan data transmission unit 120.

  When the treatment plan data transmission unit 120 of the radiation treatment support server 110 receives the treatment plan data transmitted from the treatment plan information input reception unit 117, the treatment plan data is sent to the second medical staff terminal 150. Send.

  When receiving the treatment plan data transmitted from the radiation treatment support server 110, the second medical staff terminal 150 outputs the treatment plan information included in the treatment plan data (S406).

  In this way, the second medical worker can, for example, receive radiation planned by the first medical worker indicated by the treatment plan information output through the browser of the second medical worker terminal 150. The treatment plan is reviewed, and treatment plan information related to a more appropriate radiation treatment plan is input via the browser of the second medical staff terminal 150 (S407). For example, if the second medical worker has an appropriate range of the affected area, a dangerous region, a radiation irradiation range, a radiation incident angle, etc. in the treatment plan designed by the first medical worker, Enter the appropriate information.

And if the treatment plan information input reception part 117 of the radiation treatment support server 110 receives the input of the treatment plan information input via the second medical staff terminal 150, the treatment plan information is converted into the treatment plan information. Of the information stored in the storage unit 123, the information is stored in association with the corresponding patient information (S408). In this way, treatment plan information is stored in association with the treatment plan information storage unit 123 of the radiation treatment support server 110 as shown in FIG. Then, the treatment plan information input reception unit 117 sends data indicating the treatment plan information to the control command generation unit 118.

  Upon receiving the data sent from the treatment plan information input receiving unit 117, the control command generation unit 118 of the radiation treatment support server 110 performs radiation treatment according to the radiation treatment plan based on the treatment plan information indicated by the data. Therefore, a control command for controlling the radiotherapy apparatus R is generated (S409). For example, the control command generation unit 118 generates an accelerator control command, a beam transport control command, an operation control command for the entire radiation therapy apparatus, and the like. Then, the control command generation unit 118 sends the treatment data including the generated control command and the treatment plan information referred to when generating the control command to the treatment data transmission unit 119.

  Then, upon receiving the treatment data sent from the control command generation unit 118, the treatment data transmission unit 119 of the radiation treatment support server 110 transmits the treatment data to the first medical staff terminal 130 (S410). .

  Then, when receiving the treatment data transmitted from the radiation treatment support server 110, the first medical staff terminal 130 outputs the treatment plan information included in the treatment data to an output device such as a display (S411). .

In this way, when the first medical worker makes a radiation treatment plan, the second medical worker with higher skill can confirm the radiation treatment plan. Further, the first medical worker uses the treatment plan software provided by the radiation treatment support server 110 provided in the second medical institution Mb when making the radiation treatment plan by himself / herself. Therefore, depending on such a business model, it is possible to provide a benefit to the second medical institution Mb by imposing a usage fee for the treatment planning software.

  FIG. 9 shows an example of an operation sequence of the radiation therapy support server 110, the first medical staff terminal 130, and the second medical staff terminal 150. In the description of this operation sequence, a process in which the first medical staff is performing radiation therapy on the patient will be described in detail. In the description of this operation sequence, both FIGS. 1 to 8 are referred to.

  The first medical worker drives the radiotherapy apparatus R using a control command included in the therapy data received from the radiotherapy support server 110 when performing radiotherapy on the patient. At that time, for example, the first medical staff terminal 130 outputs a control command included in the treatment data received from the radiation treatment support server 110 to the radiation treatment apparatus R (S501). In this way, the first medical worker is confirmed by the second medical worker by the appropriate radiation treatment plan drafted by the second medical worker or by the first medical worker himself. Appropriate radiotherapy can be performed using control commands generated based on an appropriate radiotherapy plan.

  In addition, while the patient is undergoing radiation therapy, the first medical staff terminal 130 receives input of information on the patient during treatment. For example, the first medical staff terminal 130 receives an input of a captured image that is output from the radiation therapy apparatus R and is captured of an affected area of a patient who is undergoing radiation therapy. In addition, for example, the first medical staff terminal 130 receives an input of a patient's vital sign output from various devices used for other radiation therapy. Then, the first medical staff terminal 130 continues to transmit in-treatment data including such in-treatment information to the radiation therapy support server 110 over time (S503).

  Then, when the in-treatment data receiving unit 121 of the radiation treatment support server 110 receives the in-treatment data transmitted from the first medical staff terminal 130, the in-treatment data is sent to the in-treatment data transmitting unit 122. At the same time, the in-treatment information included in the in-treatment data is stored in association with the corresponding patient information among the information stored in the treatment plan information storage unit 123 (S504). In this way, the current treatment information storage unit 124 of the radiation treatment support server 110 stores the information during treatment in association with each other as shown in FIG.

  When the in-treatment data transmitting unit 122 of the radiation therapy support server 110 receives the in-treatment data transmitted from the in-treatment data receiving unit 121, the in-treatment data is transmitted to the second medical worker terminal 150. (S504).

  Then, when receiving the in-treatment data transmitted from the radiation treatment support server 110, the second medical staff terminal 150 outputs the in-treatment information included in the in-treatment data to an output device such as a display ( S505).

  In this way, the second medical worker can confirm the state of radiation therapy being performed at the medical institution Ma while in the medical institution Mb geographically separated from the medical institution Ma. In that case, the second medical worker makes a detailed radiotherapy treatment by connecting the second medical worker terminal 150 to the first medical worker terminal 130 and using the teleconference function or the like. Instructions can also be given.

  As described above, the radiation therapy support system 100 includes the first medical worker terminal used by the first medical worker and the second medical worker used by the second medical worker. The radiation therapy support server 110 is connected to each terminal for communication via a communication line. Then, the radiation therapy support server 110 sends, from the first medical staff terminal 130, medical examination data including a captured image obtained by imaging the affected area of the patient as medical examination information of the patient examined by the first medical staff. Receive. Then, the radiation therapy support server 110 transmits the diagnosis data to the second medical staff terminal 150. The radiation treatment support server 110 receives input of treatment plan information related to a radiation treatment plan for a patient that is planned with reference to the examination information. The radiotherapy support server 110 generates a control command for controlling the radiotherapy apparatus R to perform radiotherapy according to the radiotherapy plan based on the treatment plan information. The radiation treatment support server 110 transmits treatment data including the treatment plan information and the control command to the first medical staff terminal 130.

  In this way, depending on the radiation therapy support system 100, even if a medical staff who performs radiation therapy on a patient cannot make a radiation therapy plan by himself / herself, the medical staff can be supported.

  In addition, as described above, the radiation therapy support server 110 refers to the diagnosis information included in the diagnosis data, and inputs the treatment plan information related to the radiation therapy plan planned by the second medical worker. It accepts via the terminal 150 for workers.

  In this way, depending on the radiation therapy support system 100, a medical worker who supports radiation therapy from a remote location refers to the examination information of a patient examined by a local medical worker who performs radiation therapy, and can appropriately A radiation treatment plan can be drawn up.

  Further, as described above, the radiation treatment support server 110 inputs the treatment plan information related to the radiation treatment plan designed by the first medical worker with reference to the diagnosis information, and the first medical worker terminal 130. Accept through.

  In this way, depending on the radiation treatment support system 100, the treatment plan software is managed by allowing the medical staff who can make the radiation treatment plan by himself / herself to use the treatment plan software. Can benefit the medical institution.

  In addition, as described above, when the radiation treatment support server 110 receives input of treatment plan information via the first medical staff terminal 130, the radiation treatment support server 110 receives the treatment plan data including the treatment plan information. 2 to the medical staff terminal 150. Then, the radiation treatment support server 110 refers to the treatment plan information included in the treatment plan data and inputs the treatment plan information related to the radiation treatment plan reviewed by the second medical worker. Accept via terminal 150.

  In this way, depending on the radiation treatment support system 100, when a medical worker himself / herself has made a radiation treatment plan for a medical worker who has been able to make a radiation treatment plan even if it is not appropriate, In addition, it is possible to provide support by a healthcare professional who can formulate a more appropriate radiation treatment plan.

  Moreover, as described above, the radiation therapy support server 110 stores the diagnosis information included in the diagnosis data and the treatment plan information in association with each other. Then, the radiation treatment support server 110 generates a treatment plan based on the patient examination information and the stored information. Then, the radiation treatment support server 110 outputs treatment plan information regarding the treatment plan. Then, the radiation therapy support server 110 accepts input of treatment plan information related to a radiation treatment plan that is planned with reference to the patient's examination information and the treatment plan information.

  In this way, depending on the radiation treatment support system 100, as the treatment plan information is accumulated, a treatment plan that is a base for a medical worker to make a radiation treatment plan becomes more accurate. Be able to generate.

  Further, as described above, the radiation therapy support server 110 further stores information related to the patient's treatment history in association with each other.

  In this way, depending on the radiation therapy support system 100, for example, a radiation therapy plan can be made in consideration of the radiation exposure dose that the patient has received so far.

  In addition, as described above, the radiation therapy support server 110 uses a captured image obtained by capturing an affected area of a patient who is undergoing radiation therapy as in-treatment information of the patient who is undergoing radiation therapy by the first medical staff. In-treatment data is received from the first medical staff terminal 130. Then, the radiation therapy support server 110 transmits the during-treatment data to the second medical staff terminal 150.

  In this way, depending on the radiation therapy support system 100, it is possible to confirm a state where a medical worker in a remote place is undergoing radiation therapy.

  Further, as described above, the radiation therapy support server 110 receives the current status data including the current status information regarding the current status of the radiotherapy apparatus R from the first medical staff terminal 130. Then, the radiation therapy support server 110 transmits the current status data to the second medical staff terminal 150.

  In this way, depending on the radiation therapy support system 100, it is possible to collect information necessary for a medical worker in a remote place to maintain the radiation therapy apparatus R.

  FIG. 10 shows an example of a hardware configuration of a computer 800 constituting the radiation therapy support server 110 according to this embodiment. A computer 800 according to the present embodiment includes a CPU peripheral unit having a CPU (Central Processing Unit) 802, a RAM (Random Access Memory) 803, a graphic controller 804, and a display 805, and an input / output unit connected to each other by a host controller 801. An input / output unit having a communication interface 807, a hard disk drive 808, and a CD-ROM (Compact Disk Read Only Memory) drive 809 connected to each other by a controller 806, and a ROM (Read Only Memory) connected to the input / output controller 806 810, a flexible disk drive 811 and a legacy input / output unit having an input / output chip 812. Obtain.

  The host controller 801 connects the RAM 803, the CPU 802 that accesses the RAM 803 at a high transfer rate, and the graphic controller 804. The CPU 802 operates based on programs stored in the ROM 810 and the RAM 803 and controls each unit. The graphic controller 804 acquires image data generated on a frame buffer provided in the RAM 803 by the CPU 802 and the like and displays the image data on the display 805. Instead of this, the graphic controller 804 may include a frame buffer for storing image data generated by the CPU 802 or the like.

  The input / output controller 806 connects the host controller 801 to the communication interface 807, the hard disk drive 808, and the CD-ROM drive 809, which are relatively high-speed input / output devices. The hard disk drive 808 stores programs and data used by the CPU 802 in the computer 800. The CD-ROM drive 809 reads a program or data from the CD-ROM 892 and provides it to the hard disk drive 808 via the RAM 803.

  In addition, the input / output controller 806 is connected to the ROM 810, the flexible disk drive 811, and the relatively low-speed input / output device of the input / output chip 812. The ROM 810 stores a boot program that is executed when the computer 800 is started and / or a program that depends on the hardware of the computer 800. The flexible disk drive 811 reads a program or data from the flexible disk 893 and provides it to the hard disk drive 808 via the RAM 803. The input / output chip 812 connects the flexible disk drive 811 to the input / output controller 806 and connects various input / output devices to the input / output controller 806 via, for example, a parallel port, serial port, keyboard port, mouse port, and the like. To do.

  A program provided to the hard disk drive 808 via the RAM 803 is stored in a recording medium such as a flexible disk 893, a CD-ROM 892, or an IC (Integrated Circuit) card and provided by the user. The program is read from the recording medium, installed in the hard disk drive 808 in the computer 800 via the RAM 803, and executed by the CPU 802.

  A program that is installed in the computer 800 and causes the computer 800 to function as the radiation therapy support server 110 causes the affected area of the patient to be imaged by using the computer 800 as medical examination information of the patient examined by the first medical staff in step S202. In step S204, the medical data receiving unit 113 that receives the medical data including the captured image from the first medical staff terminal 130 and the medical data received by the medical data receiving unit 113 are used as the second medical worker. A diagnosis data transmission unit 114 that transmits to the medical terminal 150; a treatment plan information input reception unit 117 that receives input of treatment plan information related to a radiation treatment plan for a patient that is planned with reference to the diagnosis information in steps S304 and S407; The treatment plan information input receiving unit 117 receives the input. Based on the attached treatment plan information, a control command generation unit 118 that generates a control command for controlling the radiation therapy apparatus R in steps S306 and S409 so as to perform radiation treatment according to the radiation treatment plan, and treatment plan information input reception Treatment data transmission for transmitting treatment data including the treatment plan information received by the unit 117 and the control command generated by the control command generation unit 118 to the first medical staff terminal 130 in steps S307 and S410. Function as a part.

  Further, the program inputs the treatment plan information related to the radiation treatment plan designed by the second medical worker with reference to the examination information included in the examination data transmitted by the examination data transmission unit 114 using the computer 800. In steps S <b> 304 and S <b> 407, the treatment plan information input receiving unit 117 that receives the second medical staff terminal 150 may function.

  Further, the program causes the computer 800 to input the treatment plan information related to the radiation treatment plan designed by the first medical worker with reference to the diagnosis information, and in step S404, the first medical worker terminal 130 is input. You may make it function as the treatment plan information input reception part 117 received via.

  Furthermore, the program, when the treatment plan information input receiving unit 117 accepts the input of the treatment plan information via the first medical staff terminal 130, the program includes the treatment plan information. In step S405, the treatment plan data transmitting unit 120 that transmits data to the second medical staff terminal 150 and the treatment plan information included in the treatment plan data transmitted by the treatment plan data transmitting unit 120 are referred to The treatment plan information input receiving unit 117 that receives the treatment plan information related to the radiation treatment plan reviewed by the second medical worker via the second medical worker terminal 150 may be caused to function.

  Further, the program stores the computer 800 in association with the diagnosis information included in the diagnosis data received by the diagnosis data receiving unit 113 and the treatment plan information received by the treatment plan information input receiving unit 117. A treatment plan generation unit 115 that generates a treatment plan in steps S302 and S402 based on the treatment plan information storage unit 123, the patient examination information, and the information stored in the treatment plan information storage unit 123; The treatment plan information output unit 116 outputs the treatment plan information related to the treatment plan generated by the treatment plan generation unit 115 in steps S303 and S403, the patient examination information, and the treatment plan information output by the treatment plan information output unit 116 The treatment plan information related to the radiation treatment plan designed with reference to is input in steps S304 and S404. It may function as a treatment plan information input accepting section 117 for accepting put.

  Further, the program may cause the computer 800 to function as a treatment plan information storage unit 123 that stores information related to a patient's treatment history in association with each other.

  Further, the program uses the computer 800 to capture an image of the affected area of the patient who is undergoing radiation treatment as information on treatment of the patient who is undergoing radiation treatment by the first medical staff in step S503. The in-treatment data receiving unit 121 that receives the in-treatment data including the in-treatment data from the first medical staff terminal 130, and the in-treatment data received by the in-treatment data receiving unit 121, the second medical worker in step S504. You may make it function as the data transmitter 122 during treatment which transmits to the terminal 150 for an operation.

  Further, the program causes the computer 800 to receive, in step S102, the current data receiving unit 111 that receives the current data including the current data regarding the current status of the radiation therapy apparatus R from the first medical staff terminal 130, and the current data. You may make it function as the present condition data transmission part 112 which transmits the present condition data which the receiving part 111 received to the 2nd terminal 150 for medical workers in step S103.

  The information processing described in these programs is read by the computer 800, whereby the current data receiving unit 111, the current data transmitting unit 112, which are specific means in which the software and the various hardware resources described above cooperate with each other, Examination data receiving unit 113, examination data transmission unit 114, treatment plan generation unit 115, treatment plan information output unit 116, treatment plan information input reception unit 117, control command generation unit 118, treatment data transmission unit 119, treatment plan data transmission unit 120, functioning as a treatment data receiving unit 121, a treatment data transmission unit 122, a treatment plan information storage unit 123, and a current state information storage unit 124. The specific radiotherapy support server 110 corresponding to the purpose of use is constructed by realizing calculation or processing of information according to the purpose of use of the computer 800 in this embodiment by these specific means.

  As an example, when communication is performed between the computer 800 and an external device or the like, the CPU 802 executes a communication program loaded on the RAM 803 and executes a communication interface based on the processing content described in the communication program. A communication process is instructed to 807. Under the control of the CPU 802, the communication interface 807 reads transmission data stored in a transmission buffer area or the like provided on a storage device such as the RAM 803, the hard disk drive 808, the flexible disk 893, or the CD-ROM 892, and sends it to the network. The reception data transmitted or received from the network is written into a reception buffer area or the like provided on the storage device. As described above, the communication interface 807 may transfer transmission / reception data to / from the storage device by the direct memory access method. Instead, the CPU 802 reads data from the transfer source storage device or the communication interface 807. The transmission / reception data may be transferred by writing the data to the transfer destination communication interface 807 or the storage device.

  In addition, the CPU 802 transfers all or a necessary part of the files or databases stored in the external storage device such as the hard disk drive 808, CD-ROM 892, and flexible disk 893 to the RAM 803 by direct memory access transfer or the like. The data is read and various processes are performed on the data on the RAM 803. Then, the CPU 802 writes the processed data back to the external storage device by direct memory access transfer or the like.

  In such processing, since the RAM 803 can be regarded as temporarily holding the contents of the external storage device, in the present embodiment, the RAM 803 and the external storage device are collectively referred to as a memory, a storage unit, or a storage device. . Various types of information such as various programs, data, tables, and databases in the present embodiment are stored on such a storage device and are subjected to information processing. In addition, the CPU 802 can hold a part of the RAM 803 in the cache memory and perform reading and writing on the cache memory. Even in such a form, the cache memory bears a part of the function of the RAM 803. Therefore, in the present embodiment, the cache memory is also included in the RAM 803, the memory, and / or the storage device unless otherwise indicated. To do.

  In addition, the CPU 802 performs various operations, such as various operations, information processing, condition determination, information retrieval, replacement, and the like described in the present embodiment for data read from the RAM 803 and specified by a command sequence of the program. Is written back to the RAM 803. For example, when performing the condition determination, the CPU 802 satisfies the conditions such that the various variables shown in the present embodiment are larger, smaller, above, below, or equal to other variables or constants. If the condition is satisfied or not satisfied, the program branches to a different instruction sequence or calls a subroutine.

  In addition, the CPU 802 can search for information stored in a file in a storage device, a database, or the like. For example, when a plurality of entries in which the attribute value of the second attribute is associated with the attribute value of the first attribute are stored in the storage device, the CPU 802 stores the plurality of entries stored in the storage device. The entry that matches the condition in which the attribute value of the first attribute is specified is retrieved, and the attribute value of the second attribute that is stored in the entry is read, thereby associating with the first attribute that satisfies the predetermined condition The attribute value of the specified second attribute can be obtained.

  The program or module described above may be stored in an external storage medium. As a storage medium, in addition to a flexible disk 893 and a CD-ROM 892, an optical recording medium such as a DVD (Digital Versatile Disk) or a CD (Compact Disk), a magneto-optical recording medium such as an MO (Magneto-Optical disk), or a tape A medium, a semiconductor memory such as an IC card, or the like can be used. Further, a storage medium such as a hard disk or RAM provided in a server system connected to a dedicated communication network or the Internet may be used as a recording medium, and the program may be provided to the computer 800 via the network.

  As mentioned above, although this invention was demonstrated using embodiment, the technical scope of this invention is not limited to the range as described in the said embodiment. It will be apparent to those skilled in the art that various changes or improvements can be added to the above-described embodiment. It is apparent from the scope of the claims that the embodiments added with such changes or improvements can also be included in the technical scope of the present invention.

  The execution order of each process such as operations, procedures, steps, and stages in the system, method, apparatus, program, and recording medium shown in the claims, the description, and the drawings is particularly “before”. It should be noted that “preceding” or the like is not specified, and that the output of the previous process can be realized in any order unless it is used in the subsequent process. Regarding the operation flow in the claims, the specification, and the drawings, even if it is described using “first”, “next”, etc. for the sake of convenience, it means that it is essential to carry out in this order. It is not a thing.

  The radiation therapy support system according to the present invention includes a first medical worker terminal used by a first medical worker, a second medical worker terminal used by a second medical worker, and each A radiation therapy support server is provided that is connected for communication via a communication line. Then, the radiation therapy support server receives, from the first medical staff terminal, medical examination data including a captured image obtained by imaging the affected part of the patient as medical examination information of the patient examined by the first medical staff. . Then, the radiation therapy support server transmits the examination data to the second medical staff terminal. Then, the radiation treatment support server receives input of treatment plan information related to a radiation treatment plan for a patient that is planned with reference to the examination information. The radiotherapy support server generates a control command for controlling the radiotherapy apparatus to perform radiotherapy according to the radiotherapy plan based on the treatment plan information. Then, the radiation treatment support server transmits treatment data including the treatment plan information and the control command to the first medical staff terminal.

  In this way, according to the radiation therapy support system according to the present invention, even if a medical staff who performs radiation therapy on a patient cannot make a radiation therapy plan by himself / herself, the medical staff can be supported.

DESCRIPTION OF SYMBOLS 100 Radiation treatment support system 110 Radiation treatment support server 111 Present condition data receiving part 112 Present condition data transmission part 113 Examination data receiving part 114 Examination data sending part 115 Treatment plan generation part 116 Treatment plan information output part 117 Treatment plan information input reception part 118 Control Command generation unit 119 Treatment data transmission unit 120 Treatment plan data transmission unit 121 In-treatment data reception unit 122 In-treatment data transmission unit 123 Treatment plan information storage unit 124 Current status information storage unit 130 First medical staff terminal 150 Second Medical staff terminal 800 computer 801 host controller 802 CPU
803 RAM
804 Graphic controller 805 Display 806 Input / output controller 807 Communication interface 808 Hard disk drive 809 CD-ROM drive 810 ROM
811 Flexible disk drive 812 I / O chip 891 Network communication device 892 CD-ROM
893 Flexible disk D Medical diagnostic imaging device Ma Medical institution Mb Medical institution N Communication line R Radiation therapy device

Claims (9)

A radiotherapy support system for supporting a radiotherapy by a first medical staff from a location geographically separated from the first medical staff by a second medical staff,
The first medical worker terminal used by the first medical worker and the second medical worker terminal used by the second medical worker are connected to each other via a communication line. A radiation treatment support server
The radiation therapy support server includes:
A diagnosis data receiving unit for receiving, as diagnosis information of a patient examined by the first medical staff, diagnostic data including a captured image obtained by imaging the affected part of the patient from the first medical staff terminal; ,
A medical examination data transmitting unit that transmits the medical examination data received by the medical examination data receiving unit to the second medical staff terminal;
A treatment plan information input receiving unit for receiving input of treatment plan information related to a radiation treatment plan for the patient that is planned with reference to the examination information;
The treatment plan information input receiving unit inputs the treatment plan information related to the radiation treatment plan planned by the first medical worker with reference to the examination information via the first medical worker terminal. A treatment plan data transmitting unit that, when accepted, transmits treatment plan data including the treatment plan information to the second medical staff terminal;
Input of treatment plan information related to a radiation treatment plan for the patient planned by the second medical staff with reference to the diagnosis information included in the diagnosis data transmitted by the diagnosis data transmitting unit, When the treatment plan information input accepting unit accepts via the medical staff terminal, or referring to the treatment plan information included in the treatment plan data transmitted by the treatment plan data transmitting unit, the second medical care The treatment plan information only when the treatment plan information input receiving unit receives the input of the treatment plan information related to the radiation treatment plan for the patient reviewed by the worker through the second medical worker terminal. A control command generator for generating a control command for controlling the radiotherapy apparatus to perform radiotherapy according to the radiotherapy plan based on
Treatment data transmission for transmitting treatment data including the treatment plan information received by the treatment plan information input reception unit and the control command generated by the control command generation unit to the first medical staff terminal A radiation therapy support system. The radiation therapy support server includes:
A treatment plan information storage unit in which the examination information included in the examination data received by the examination data reception unit and the treatment plan information received by the treatment plan information input reception unit are stored in association with each other;
A treatment plan generation unit that generates the treatment plan based on the examination information of the patient and information stored in the treatment plan information storage unit;
A treatment plan information output unit for outputting treatment plan information related to the treatment plan generated by the treatment plan generation unit;
The treatment plan information input accepting unit accepts input of treatment plan information related to the radiation treatment plan that is planned with reference to the examination information of the patient and the treatment plan information output from the treatment plan information output unit. Item 2. The radiation therapy support system according to Item 1. The radiation treatment support system according to claim 2, wherein the treatment plan information storage unit further stores information relating to the treatment history of the patient in association with each other. The radiation therapy support server includes:
In-treatment data including a captured image obtained by imaging the affected area of the patient during radiation treatment is used as the during-treatment information of the patient during radiation treatment by the first medical staff. An in-treatment data receiver that receives from the terminal for the worker;
The radiation according to any one of claims 1 to 3, further comprising: an in-treatment data transmitting unit that transmits the in-treatment data received by the in-treatment data receiving unit to the second medical staff terminal. Treatment support system. The radiation therapy support server includes:
A current status data receiving unit that receives current status data including current status information on the current status of the radiotherapy apparatus from the first medical staff terminal;
The radiation therapy support system according to any one of claims 1 to 4, further comprising: a current data transmission unit that transmits the current data received by the current data reception unit to the second medical staff terminal. . A radiotherapy support method for supporting a radiotherapy by a first medical staff from a location geographically separated from the first medical staff by a second medical staff,
The first medical staff used by the first medical staff, as medical examination information of the patient examined by the first medical staff, includes medical examination data including a captured image obtained by imaging the affected part of the patient. Receiving the examination data received from the mobile terminal;
A diagnosis data transmission step of transmitting the diagnosis data received in the diagnosis data reception step to a second medical worker terminal used by the second medical worker;
A treatment plan information input receiving stage for receiving input of treatment plan information related to a radiation treatment plan for the patient designed with reference to the examination information;
Input of treatment plan information related to the radiation treatment plan designed by the first medical staff with reference to the examination information is received at the treatment plan information input receiving stage via the first medical staff terminal. A treatment plan data transmission step of transmitting treatment plan data including the treatment plan information to the second medical staff terminal, if accepted,
Input of treatment plan information related to a radiation treatment plan for the patient planned by the second medical staff with reference to the diagnosis information included in the diagnosis data transmitted in the diagnosis data transmission step is performed by the second method. When receiving the treatment plan information input in the treatment plan information input step through the terminal for medical personnel or referring to the treatment plan information included in the treatment plan data transmitted in the treatment plan data transmission step. Only when the input of the treatment plan information related to the radiation treatment plan for the patient reviewed by the second medical worker is received in the treatment plan information input reception stage via the second medical worker terminal, Based on the treatment plan information, to control the radiation treatment apparatus to perform radiation treatment according to the radiation treatment plan. A control command generation step of generating a control command,
Treatment for transmitting treatment data including the treatment plan information received in the treatment plan information input acceptance step and the control command generated in the control command generation step to the first medical staff terminal A radiotherapy support method comprising: a data transmission stage. In the radiation therapy support system for a second medical worker to support radiation therapy by a first medical worker from a location geographically distant from the first medical worker, the first medical worker A radiation therapy support server that is connected to a first medical staff terminal used by a person and a second medical staff terminal used by the second medical staff via a communication line, respectively. There,
A diagnosis data receiving unit for receiving, as diagnosis information of a patient examined by the first medical staff, diagnostic data including a captured image obtained by imaging the affected part of the patient from the first medical staff terminal; ,
A medical examination data transmitting unit that transmits the medical examination data received by the medical examination data receiving unit to the second medical staff terminal;
A treatment plan information input receiving unit for receiving input of treatment plan information related to a radiation treatment plan for the patient that is planned with reference to the examination information;
The treatment plan information input receiving unit inputs the treatment plan information related to the radiation treatment plan planned by the first medical worker with reference to the examination information via the first medical worker terminal. A treatment plan data transmitting unit that, when accepted, transmits treatment plan data including the treatment plan information to the second medical staff terminal;
Input of treatment plan information related to a radiation treatment plan for the patient planned by the second medical staff with reference to the diagnosis information included in the diagnosis data transmitted by the diagnosis data transmitting unit, When the treatment plan information input accepting unit accepts via the medical staff terminal, or referring to the treatment plan information included in the treatment plan data transmitted by the treatment plan data transmitting unit, the second medical care The treatment plan information only when the treatment plan information input receiving unit receives the input of the treatment plan information related to the radiation treatment plan for the patient reviewed by the worker through the second medical worker terminal. A control command generator for generating a control command for controlling the radiotherapy apparatus to perform radiotherapy according to the radiotherapy plan based on
Treatment data transmission for transmitting treatment data including the treatment plan information received by the treatment plan information input reception unit and the control command generated by the control command generation unit to the first medical staff terminal And a radiation therapy support server. In the radiation therapy support system for a second medical worker to support radiation therapy by a first medical worker from a location geographically distant from the first medical worker, the first medical worker As a radiation therapy support server that is connected to a first medical staff terminal used by a person and a second medical staff terminal used by the second medical staff through a communication line. A program that causes a computer to function,
The computer,
A medical examination data receiving unit that receives medical examination data including a captured image obtained by imaging the affected part of the patient as medical examination information of the patient examined by the first medical worker, from the first medical worker terminal;
A medical examination data transmitting unit for transmitting the medical examination data received by the medical examination data receiving unit to the second medical staff terminal;
A treatment plan information input receiving unit that receives input of treatment plan information related to a radiation treatment plan for the patient that is planned with reference to the examination information;
The treatment plan information input receiving unit inputs the treatment plan information related to the radiation treatment plan planned by the first medical worker with reference to the examination information via the first medical worker terminal. A treatment plan data transmission unit that, when accepted, transmits treatment plan data including the treatment plan information to the second medical staff terminal;
Input of treatment plan information related to a radiation treatment plan for the patient planned by the second medical staff with reference to the diagnosis information included in the diagnosis data transmitted by the diagnosis data transmitting unit, When the treatment plan information input accepting unit accepts via the medical staff terminal, or referring to the treatment plan information included in the treatment plan data transmitted by the treatment plan data transmitting unit, the second medical care The treatment plan information only when the treatment plan information input receiving unit receives the input of the treatment plan information related to the radiation treatment plan for the patient reviewed by the worker through the second medical worker terminal. A control command generator for generating a control command for controlling the radiotherapy apparatus to perform radiotherapy according to the radiotherapy plan,
Treatment data transmission for transmitting treatment data including the treatment plan information received by the treatment plan information input reception unit and the control command generated by the control command generation unit to the first medical staff terminal A program that functions as a part. In the radiation therapy support system for a second medical worker to support radiation therapy by a first medical worker from a location geographically distant from the first medical worker, the first medical worker As a radiation therapy support server that is connected to a first medical staff terminal used by a person and a second medical staff terminal used by the second medical staff through a communication line. , A recording medium recording a program for causing a computer to function,
The computer,
A medical examination data receiving unit that receives medical examination data including a captured image obtained by imaging the affected part of the patient as medical examination information of the patient examined by the first medical worker, from the first medical worker terminal;
A medical examination data transmitting unit for transmitting the medical examination data received by the medical examination data receiving unit to the second medical staff terminal;
A treatment plan information input receiving unit that receives input of treatment plan information related to a radiation treatment plan for the patient that is planned with reference to the examination information;
The treatment plan information input receiving unit inputs the treatment plan information related to the radiation treatment plan planned by the first medical worker with reference to the examination information via the first medical worker terminal. A treatment plan data transmission unit that, when accepted, transmits treatment plan data including the treatment plan information to the second medical staff terminal;
Input of treatment plan information related to a radiation treatment plan for the patient planned by the second medical staff with reference to the diagnosis information included in the diagnosis data transmitted by the diagnosis data transmitting unit, When the treatment plan information input accepting unit accepts via the medical staff terminal, or referring to the treatment plan information included in the treatment plan data transmitted by the treatment plan data transmitting unit, the second medical care The treatment plan information only when the treatment plan information input receiving unit receives the input of the treatment plan information related to the radiation treatment plan for the patient reviewed by the worker through the second medical worker terminal. A control command generator for generating a control command for controlling the radiotherapy apparatus to perform radiotherapy according to the radiotherapy plan,
Treatment data transmission for transmitting treatment data including the treatment plan information received by the treatment plan information input reception unit and the control command generated by the control command generation unit to the first medical staff terminal A recording medium that records a program that functions as a part.

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