JP5538705B2 - Radiation imaging system, control method therefor, and program - Google Patents

Description

The present invention relates to a radiation imaging system that performs imaging of a subject using a plurality of radiation imaging units that perform imaging using radiation , a control method thereof, and a program for causing a computer to execute the control method . In this specification, electromagnetic waves such as X-rays and γ rays, α rays, and β rays are also included in the radiation.

  Conventionally, radiographic images in the medical field, particularly X-ray images using X-rays, can be captured by irradiating the subject with X-rays and detecting the intensity of the transmitted X-rays. is there. In recent years, X-ray imaging systems that convert transmitted X-rays into electrical signals and obtain X-ray images as digital data have been widely used.

  In general, a network is constructed in a hospital, and various medical devices are connected to the network and cooperate with a hospital information system (HIS), a radiation information system (RIS), a medical image server, and the like.

  An X-ray imaging system (X-ray imaging apparatus) includes an X-ray generation unit that emits X-rays, an X-ray imaging unit that detects X-rays to form an X-ray image, a control unit that controls these, and an operator An input unit that receives input and a display unit that displays examination information and captured image information are configured.

  Here, as the X-ray imaging unit, there are a type corresponding to an imaging posture such as a standing position and a dedicated position, and a cassette type that can be carried. Generally, these X-ray imaging units are properly used according to the imaging region and the patient's condition.

  Usually, in an X-ray imaging system (X-ray imaging apparatus), imaging is performed in response to an inspection request from the RIS. The X-ray imaging system acquires examination information from the RIS. The examination information includes, for example, a plurality of pieces of imaging order information such as an imaging region, an imaging posture, and an imaging direction, as well as patient information such as a patient ID and a name. In the X-ray imaging system, an X-ray imaging unit used for imaging is assigned based on information on each imaging order.

  In this case, if the inspection is performed based on the inspection information related to the inspection request from the RIS, there may be a case where imaging assigned to different X-ray imaging units continues. In this case, the operator has to redo the preparation for imaging such as switching of the X-ray imaging unit, movement of the patient, setting of the X-ray imaging unit, etc., and the subject is very troublesome. Movement was a heavy burden for patients who were unable to move freely. In this case, the operator confirms the examination request, changes the imaging sequence in advance, and starts the examination, so that the burden on the patient can be reduced. However, it takes time to change the imaging sequence and makes the patient wait. There is concern.

  On the other hand, conventionally, there has been proposed a method of rearranging the imaging order so as to minimize the number of times of switching of the X-ray imaging unit (see, for example, Patent Document 1).

  Specifically, the method of Patent Document 1 can perform continuous imaging with the same X-ray imaging unit and perform imaging of the patient by switching the X-ray imaging unit in the order of use of the X-ray imaging units registered in advance. It is what I did. For example, if the order of use is registered in the order of standing, lying, and cassette in the general radiographing room, the operator invites the first patient to the general radiographing room, and the order of standing, supine, and cassette is set. You can guide with. The second and subsequent patients can be imaged in the same procedure, and a smooth examination with a small number of switching of the X-ray imaging unit can be performed. This method can establish a shooting workflow in a general shooting room and has a great effect.

JP 2003-290200 A

  In recent years, using a movable radiography apparatus (hereinafter referred to as “mobile radiography apparatus”), for example, imaging is performed in a place other than the X-ray imaging room such as a ward in a general ward. In addition to hospital rooms, the above mobile radiography apparatus is used in operating rooms, emergency rooms, intensive care units, and the like.

  In general, a mobile radiography apparatus uses a cassette-type radiography unit (X-ray imaging unit) having excellent portability. In this mobile radiography apparatus, since it is driven by an internal battery, there is only one X-ray imaging unit that can be connected due to the problem of having a battery. For example, when an X-ray imaging unit performs an examination that requires a plurality of cassettes, such as a large format type and a high resolution type, the mobile radiography apparatus to which each cassette is connected is carried to the patient. I had to shoot.

  In order to solve such a problem, there has been proposed a mobile radiography system in which a connecting portion between a mobile radiography apparatus and a cassette is detachable. In this case, since a plurality of types of X-ray imaging units can be connected, there is an advantage that the above-described imaging can be performed with one mobile radiation imaging apparatus. In this mobile radiography system, the cassette connected at the start of the examination of the second patient is the cassette used at the end of the examination of the first patient.

  In this case, in the method of Patent Document 1, this cassette is mostly a cassette with a low priority registered in advance. On the other hand, in the method of Patent Document 1, since the imaging order of the second patient is changed according to the priority, the cassette used for the first (first) imaging of the second patient has a high priority. Become. Therefore, in the method of Patent Document 1, in many inspections, an operation such as replacement of a cassette is required in order to photograph the first case. The operation such as the replacement of the cassette involves operations such as screen operations and connector insertion / removal, and is laborious for the operator.

The present invention has been made in view of such a problem, and when performing radiography over a plurality of examinations, the number of switching of radiographic units is reduced and efficient examination is performed. An object is to provide a radiation imaging system, a control method thereof, and a program .

The radiation imaging system of the present invention is a radiation imaging system that images a subject using a plurality of radiation imaging units that perform imaging using radiation, and associates one of the plurality of radiation imaging units. A holding means for holding examination information having a plurality of imaging orders, and an imaging order corresponding to a radiation imaging unit in a state in which imaging can be performed among the plurality of radiation imaging units. Imaging order changing means for changing the order of the imaging orders so that imaging is performed earlier than the imaging order corresponding to the radiation imaging unit that is not in an imaging enabled state .
According to another aspect of the radiation imaging system of the present invention, there is provided a radiation imaging system that images a subject using a plurality of radiation imaging units that perform imaging using radiation. Holding means for holding examination information having a plurality of imaging orders associated with one of the imaging orders, and display means for displaying imaging method buttons corresponding to the imaging orders on a display unit, wherein the display means includes the plurality of imaging orders. An imaging method button associated with an imaging order corresponding to a radiographic unit in a radiographable state among the radiographic units of the radiographing unit, radiographing corresponding to a radiographic unit that is not in an radiographable state among the plurality of radiographic units. The information is displayed on the display unit in a display form that can be distinguished from the photographing method button related to the order.
A control method for a radiation imaging system according to the present invention is a control method for a radiation imaging system that performs imaging of a subject using a plurality of radiation imaging units that perform imaging using radiation. A holding step for holding examination information having a plurality of imaging orders associated with one of the plurality of imaging orders, and an imaging order corresponding to a radiation imaging unit in an imaging enabled state among the plurality of radiation imaging units. An imaging order changing step for changing the order of the imaging orders so that imaging is performed earlier than the imaging order corresponding to a radiographic imaging unit that is not in a radiographable state of the radiographic imaging units.
According to another aspect of the method for controlling a radiation imaging system of the present invention, there is provided a method for controlling a radiation imaging system for imaging a subject using a plurality of radiation imaging units that perform imaging using radiation. A holding step of holding examination information having a plurality of imaging orders associated with one of the radiographic imaging units, and a display step of displaying an imaging method button corresponding to the imaging order on a display unit, In the display step, an imaging method button associated with an imaging order corresponding to a radiation imaging unit that is ready for imaging among the plurality of radiation imaging units is displayed as radiation that is not in an imaging enabled state among the plurality of radiation imaging units. The information is displayed on the display unit in a display form that can be distinguished from the shooting method button related to the shooting order corresponding to the shooting unit.
The program of the present invention is a program for causing a computer to execute a control method of a radiation imaging system that performs imaging of a subject using a plurality of radiation imaging units that perform imaging using radiation, the plurality of radiation imaging A holding step for holding examination information having a plurality of imaging orders associated with one of the units, and an imaging order corresponding to a radiation imaging unit in a state capable of imaging among the plurality of radiation imaging units, Causing the computer to execute an imaging order changing step of changing the order of the imaging orders so that imaging is performed earlier than an imaging order corresponding to a radiographic imaging unit that is not ready for imaging among the plurality of radiography units. Is for.
According to another aspect of the program of the present invention, there is provided a program for causing a computer to execute a method for controlling a radiation imaging system that performs imaging of a subject using a plurality of radiation imaging units that perform imaging using radiation. A computer holding a holding step for holding examination information having a plurality of imaging orders associated with one of the plurality of radiation imaging units, and a display step for displaying an imaging method button corresponding to the imaging order on a display unit And the display step includes an imaging method button associated with an imaging order corresponding to a radiation imaging unit in an imaging enabled state among the plurality of radiation imaging units. Distinguishable from radiography method buttons related to radiography units corresponding to radiography units that are not possible Shown displayed on the display unit in the form.

  ADVANTAGE OF THE INVENTION According to this invention, when performing radiography over a some test | inspection, the frequency | count of switching of a radiography unit can be reduced and an efficient test | inspection can be implemented.

  The best mode (embodiment) for carrying out the present invention will be described below with reference to the drawings. In the following description, an example in which X-rays are applied as radiation is shown. However, the present invention is not limited to this, and examples of radiation include electromagnetic waves such as γ rays, α rays, and β rays. It is described as

(First embodiment)
First, a first embodiment of the present invention will be described.
FIG. 1 is a schematic diagram illustrating an example of a schematic configuration of an X-ray imaging system (radiation imaging system) 100 according to the first embodiment of the present invention.

  The X-ray imaging system 100 includes an X-ray imaging apparatus (radiography apparatus) 110, a network 120, a radiation department information system (RIS) 130, an image server (PACS) 140, and a hospital information system (HIS) 150. It is configured.

  The X-ray imaging apparatus 110 is a movable radiography apparatus, so-called mobile radiography apparatus. The X-ray imaging apparatus 110 includes an X-ray imaging control unit (radiation imaging control unit) 111, a monitor 112, a keyboard 113, an X-ray generation unit (radiation generation unit) 114, and an X-ray generation control unit (radiation generation control unit). ) 115. Further, the X-ray imaging apparatus 110 includes cassettes 116 -A and 116 -B, a data cable 117 and a connector 118, and a network socket 119.

First, the X-ray imaging control unit 111 will be described.
The X-ray imaging control unit 111 comprehensively controls the operation of the X-ray imaging apparatus 110.
FIG. 2 is a schematic diagram illustrating an example of an internal hardware configuration of the X-ray imaging control unit (radiation imaging control unit) 111 illustrated in FIG. 1 according to the first embodiment of this invention.

  As shown in FIG. 2, the X-ray imaging control unit 111 includes a CPU 201, a RAM 202, a ROM 203, an external memory 204, a communication I / F unit 205, and a bus.

  The CPU 201 comprehensively controls the operation of the X-ray imaging control unit 111, and controls each component (202 to 205) illustrated in FIG. 2 via a bus.

  The RAM 202 functions as a main memory, work area, and the like for the CPU 201. When executing the processing, the CPU 201 loads various programs 2031 and the like from the ROM 203 into the RAM 202 and executes the programs 2031 and the like, thereby realizing various functional operations.

  The ROM 203 stores a program 2031 and the like necessary for the CPU 201 to execute processing. Note that the program 2031 may be stored in the external memory 204.

  The external memory 204 stores, for example, various data and various information necessary for the CPU 201 to perform processing using the program 2031 and the like. Further, the external memory 204 stores, for example, various data and various information obtained by the CPU 201 performing processing using the program 2031 and the like.

  The communication I / F unit 205 manages communication with the outside. The bus is used to connect the CPU 201, the RAM 202, the ROM 203, the external memory 204, and the communication I / F unit 205 so that they can communicate with each other.

Here, it returns to description of FIG. 1 again.
The monitor 112 constitutes a display unit that displays a captured X-ray image (radiation image) and various types of information. In the present embodiment, the monitor 112 is a touch panel monitor, and receives input information from the operator from the monitor 112 and the keyboard 113.

  The X-ray generation unit 114 includes an X-ray tube that generates X-rays, and irradiates the patient 1000 as an object with X-rays. The X-ray generation control unit 115 controls the X-ray generation unit 114 based on an instruction from the X-ray imaging control unit 111 to control X-rays generated from the X-ray generation unit 114.

  The cassette 116 constitutes an X-ray imaging unit (radiation imaging unit) that captures an X-ray image of the patient 1000 based on X-rays transmitted through the patient 1000 as a subject. In the example shown in FIG. Two cassettes 116-A and 116-B are shown. In the present embodiment, the cassette 116-A is a large format cassette, and the cassette 116-B is a high resolution type cassette.

  The large-size cassette 116-A has a larger imaging size than the high-resolution cassette 116-B, and is mainly used for imaging the chest and abdomen of the patient 1000. The high-resolution cassette 116-B has a narrower imaging area than the large-format cassette 116-A, but can obtain a high-resolution X-ray image. In particular, when the patient 1000 is a child, the high-resolution type cassette 116-B is very effective in diagnosis when a high-resolution X-ray image is used for imaging the chest.

  Each cassette 116 is connected to the X-ray imaging control unit 111 via a power cable, a data cable 117 for image transfer and control signals, and a connector (connection unit) 118. In this embodiment, the number of cassettes 116 that can be connected to the X-ray imaging control unit 111 is one. In the example shown in FIG. 1, the cassette 116 -A is connected via the connector 118 and the data cable 117 that are connection units. A connected example is shown. The cassette 116 -B that is not connected to the X-ray imaging control unit 111 is housed inside the X-ray imaging apparatus 110. That is, the X-ray imaging apparatus 110 of the present embodiment is configured so that the cassette 116 can be attached and detached. FIG. 1 is an example. For example, the cassette 116-B is connected via a connector 118 and a data cable 117, and the cassette 116-A is housed inside the X-ray imaging apparatus 110. Also good.

  In the first embodiment, a configuration including each cassette 116, the data cable 117, and the connector 118 is referred to as an X-ray imaging unit (radiation imaging unit). That is, in the X-ray imaging system 100 of FIG. 1, an X-ray imaging unit including a cassette 116-A, a data cable 117, and a connector 118, and an X-ray imaging unit including a cassette 116-B, a data cable 117, and a connector 118. Can be configured. In the example shown in FIG. 1, an example in which two X-ray imaging units can be configured is shown. However, an aspect in which three or more X-ray imaging units are configured by preparing another cassette is also described. It is applicable to the embodiment.

  In addition, the X-ray imaging control unit 111 stores information on the connected X-ray imaging unit (in this example, the cassette 116) in a state where imaging is possible as the status of the X-ray imaging system 100, for example, in the external memory 204. ing. In the X-ray imaging control unit 111, cassette information of the cassette 116 to be connected is registered in advance in the external memory 204, for example. The cassette information includes information such as a serial number, phosphor type, photographing size, and resolution.

  Further, the X-ray imaging control unit 111 is connected to the RIS 130, the PACS 140, and the HIS 150 via the network socket 119 and the network 120. Further, the X-ray imaging control unit 111 receives examination information from the RIS 130, holds this in, for example, the external memory 204, and the cassette 116 and the X-ray generation control unit connected to the connector 118 according to an input from the operator. 115 is controlled.

  Next, the operation of the X-ray imaging apparatus 110, which is a mobile radiography apparatus, will be described with reference to a round-trip examination in a hospital room.

  First, the X-ray imaging apparatus 110 acquires inspection information of an inspection performed from the RIS 130 connected to the network 120. The examination information includes a plurality of imaging orders, and information such as an examination ID, a patient ID, an imaging region, an imaging direction, an imaging size, and a resolution is included for each imaging order. Then, the X-ray imaging control unit 111 associates an appropriate X-ray imaging unit with an imaging order based on the contents of these pieces of information (examination information), and stores it in the external memory 204 as an examination information management table, for example. .

FIG. 3 is a schematic diagram illustrating an example of an examination information management table based on examination information acquired by the X-ray imaging apparatus (radiation imaging apparatus) 110 illustrated in FIG. 1 according to the first embodiment of this invention.
In this examination information management table, examination information such as examination ID, patient ID, imaging region, imaging direction, imaging size, resolution, etc. for each imaging order, information on the X-ray imaging unit associated with the imaging order, and Information on the shooting status is shown.

  Specifically, in the example illustrated in FIG. 3, the information on the imaging size and resolution in the examination information is taken into account, and the information on the imaging size and resolution included in the cassette information is referred to, so that X An example in which a line imaging unit is associated is shown. More specifically, in the example shown in FIG. 3, when the resolution is high, a unit related to the high-resolution type cassette 116-B is set as the X-ray imaging unit. Further, when the photographing size is 17 × 17, an X-ray photographing unit related to the large format cassette 116-A is set, and when the photographing size is 11 × 14 and 14 × 14, the high resolution type is set. An X-ray imaging unit related to the cassette 116-B is set. In the examination information management table shown in FIG. 3, since no shooting is performed at each shooting order at this time, the shooting status information is not shot.

  When the examination information is obtained and the preparation for departure for the round-trip imaging is completed, the operator disconnects the X-ray imaging apparatus 110, which is a mobile radiography apparatus, from the network 120 and moves to the hospital room where the patient 1000 performing the examination is located. To do.

  FIG. 4 is a schematic diagram illustrating an example of an inspection selection screen displayed when an inspection is performed on the monitor 112 illustrated in FIG. 1 according to the first embodiment of this invention. The inspection information acquired from the RIS 130 is displayed in the reserved inspection list 403 for each inspection. When one examination is selected from the scheduled examination list 403, patient information such as examination ID, patient ID, patient name, sex, date of birth, etc. of the examination in the selected scheduled examination list 403 is examined / patient information. It is displayed in the display column 401. Here, the patient information is information acquired in advance as part of the examination information, although information that is not reflected in the examination information management table is included. A message display field 402 is also provided on the examination selection screen.

  When the operator selects an examination to be performed from the scheduled examination list 403 displayed on the examination selection screen illustrated in FIG. 4 and presses an OK button 404, the X-ray imaging apparatus 110 performs X-ray imaging based on the examination. Start processing.

FIG. 5 is a schematic diagram illustrating an example of an imaging screen during inspection displayed on the monitor 112 illustrated in FIG. 1 according to the first embodiment of this invention.
In the imaging screen shown in FIG. 5, examination / patient information such as examination ID, patient ID, patient name, sex, date of birth, etc. of the examination selected on the examination selection screen shown in FIG. Is displayed. In addition, the imaging method button display field 510 displays each imaging region and imaging direction in accordance with the imaging order of the reserved imaging order based on the imaging region and imaging direction information in the examination management table shown in FIG. A shooting method button 511 corresponding to the shooting method based on the image is displayed side by side.

  In addition, on the imaging screen shown in FIG. 5, a message is displayed in the message display field 502, the imaging conditions are displayed in the imaging condition display field 503, and the captured image of the patient 1000 is displayed in the captured image display field 504 as necessary. Is displayed. 5 includes a disconnect button 505 and a connect button 506 that are operated when the cassette 116 is replaced. In addition, a cassette display field 507 indicating the connected cassette 116 is displayed on the imaging screen shown in FIG. 5 and an inspection end button 508 is provided.

  Here, it is assumed that the operator connects a large format cassette 116-A to the connector 118 as shown in FIG. When the operator connects the cassette 116-A to the connector 118 and turns on the power, and presses the connection button 506 on the imaging screen in FIG. 5, the X-ray imaging control unit 111 detects the connection of the cassette 116-A, The cassette information related to the cassette 116-A is acquired from the external memory 204.

  When the connected cassette 116-A is correctly recognized, the X-ray imaging control unit 111 reflects the connection of the cassette 116-A in the status. When the status is updated, the X-ray imaging control unit 111 searches the examination information management table for imaging orders that can be imaged with the current status. Then, the X-ray imaging control unit 111 moves up the corresponding imaging order to the top of the examination information management table, and changes the imaging order. This will be described with reference to FIG.

  FIG. 6 is a schematic diagram illustrating an example of an inspection information management table in which the imaging order is changed according to the first embodiment of this invention. FIG. 6 shows only the first patient (patient ID: 101010) in the examination information management table shown in FIG.

  As shown in FIG. 6, in the examination information management table in which the imaging order is changed, the imaging order of the X-ray imaging unit A related to the connected cassette 116-A is moved up to the head of the examination information management table. . That is, in the examination information management table in which the imaging order is changed, the imaging order is changed so that the imaging orders in the respective X-ray imaging units are continuous.

  Further, when the imaging order of the examination information management table is changed, the display of the imaging method button display field 510 shown in FIG. 5 is updated accordingly.

FIG. 7 is a schematic diagram illustrating an example after the imaging screen illustrated in FIG. 5 is updated according to the first embodiment of this invention.
As shown in FIG. 7, information indicating the connected cassette 116 -A is displayed in the cassette display field 507, and the imaging order of the imaging order in the changed examination information management table is reflected in the imaging method button display field 510. Has been. In this imaging method button display field 510, imaging method buttons that can be imaged with an effective X-ray imaging unit (cassette 116-A) are displayed separately from imaging method buttons that cannot be imaged. Specifically, in the example illustrated in FIG. 7, a photographing method button that can be photographed is indicated by a thick frame, and is displayed separately from a photographing method button that cannot be photographed.

  In the example illustrated in FIG. 7, the X-ray imaging system 100 has transitioned to the imaging enabled state, and shows a state where the imaging method button 511 having the first imaging order has been pressed. At this time, the operator confirms the imaging region of the patient 1000 and performs imaging settings, and the imaging condition related to the X-ray generation unit 114 set for the imaging region is displayed in the imaging condition display field 503. The information on the imaging conditions is displayed and transmitted to the X-ray generation control unit 115. Here, the imaging conditions related to the X-ray generation unit 114 include the tube voltage and tube current of the X-ray tube, the X-ray irradiation time, and the like.

  When the above setting is completed and the operator presses an X-ray exposure switch (not shown), the X-ray imaging control unit 111 performs an X-ray image of the patient 1000. The captured X-ray image is displayed in the captured image display field 504. In the same procedure, the second and subsequent X-ray images are taken.

  Thereafter, when all the shootings with the cassette 116-A are completed, the shooting screen is in a state in which the shooting method button 511 is not pressed, and for example, a message prompting the user to replace the cassette, such as “Replace the cassette”. Is displayed in the message display field 502.

  Thereafter, when the operator presses the cutting button 505 on the imaging screen when replacing the detachable cassette, the X-ray imaging control unit 111 starts the cutting process. Then, the operator turns off the power supply on the cassette 116 -A side, disconnects the cassette 116 -A from the connector 118, and stores it in the cassette storage section of the X-ray imaging apparatus 110. At this time, the X-ray imaging control unit 111 detects that the connection with the cassette has been disconnected, and updates the status.

  Thereafter, when the operator connects the high resolution type cassette 116-B to the connector 118, turns on the power, and presses the connection button 506, the X-ray imaging control unit 111 detects the connection, and the external memory 204 From, the cassette information related to the cassette 116-B is acquired. This process is the same as the case where the large format cassette 116-A is connected. When the connected cassette 116-B is correctly recognized, the X-ray imaging control unit 111 reflects the connection of the cassette 116-B in the status, and the status of the X-ray imaging system 100 is updated.

  Subsequently, the X-ray imaging control unit 111 searches the examination information management table for unimaging orders that can be imaged with the current status (that is, the current X-ray imaging unit (cassette 116)). Then, the X-ray imaging control unit 111 changes the imaging order by moving the corresponding non-imaging order up to the top of the non-imaging order in the examination information management table.

FIG. 8 is a schematic diagram illustrating an example of a changed examination information management table according to the first embodiment of this invention.
The inspection information management table (FIG. 6) whose order is changed when the large format cassette 116-A is connected is changed as shown in FIG. Further, when the photographing order of the examination information management table is changed, the display of the photographing method button display field 510 is updated accordingly, and the state shifts to the photographing enabled state. In the example shown in FIG. 8, since only the X-ray imaging unit B exists as an X-ray imaging unit B in the non-imaging order, the imaging order is not particularly changed with respect to FIG. Yes.

  Then, the operator performs shooting with the cassette 116-B according to the shooting order in the shooting method button display field 510 on the shooting screen. When all the imaging is completed, the operator presses the examination end button 508 displayed on the imaging screen to finish the examination of the first patient 1000.

  Next, the examination of the second patient 1000 is performed. In this case, the operator moves the X-ray imaging apparatus 110, which is a mobile radiography apparatus, to the next patient 1000, selects an examination from the reserved examination list 403 on the examination selection screen shown in FIG. The examination of the patient 1000 is started. At this time, the high-resolution type cassette 116 -B used for the last imaging of the first patient 1000 is connected to the X-ray imaging apparatus 110. Accordingly, the status acquired by the X-ray imaging control unit 111 at the start of the inspection is the same status as at the end of the previous inspection. Based on this status, the inspection management table is subjected to the imaging order changing process in which the imaging order of the high sensitivity type cassette 116-B is prioritized. Then, the operator performs the inspection according to the imaging order of the changed inspection management table.

  Then, when the examination of all scheduled patients 1000 is completed, the operator returns to the radiology department and connects the X-ray imaging apparatus 110 that is a mobile radiography apparatus to the network 120. When the X-ray imaging apparatus 110 is connected to the network 120, the X-ray imaging control unit 111 transfers the acquired X-ray image (imaging image) to the PACS 140, and ends the round imaging.

Next, the procedure of the round-trip imaging will be described using a flowchart.
FIG. 9 is a flowchart illustrating an example of a processing procedure of an X-ray imaging method performed by the X-ray imaging system (radiography system) 100 according to the first embodiment of the present invention. The flowchart shown in FIG. 9 shows a series of operations from the start to the end of the examination of a plurality of patients 1000.

  First, in step S101, the CPU 201 of the X-ray imaging control unit 111 acquires inspection information including a plurality of imaging orders from the RIS 130 (inspection information acquisition step). Then, the CPU 201 of the X-ray imaging control unit 111 associates one X-ray imaging unit for each imaging order based on the content of the acquired inspection information, and holds the inspection information as an inspection information management table (holding step).

  Subsequently, in step S102, the CPU 201 of the X-ray imaging control unit 111 displays the examination selection screen shown in FIG. 4 on the monitor 112, and allows the operator to select an examination from the reserved examination list 403 and select it. Start inspection.

  When the inspection is started, first, in step S103, the CPU 201 of the X-ray imaging control unit 111 recognizes (detects) the currently connected X-ray imaging unit (cassette 116), and information on the X-ray imaging unit. Is acquired as the status and updated. That is, the CPU 201 of the X-ray imaging control unit 111 acquires, as a status, information on one X-ray imaging unit that is currently in an imaging state among a plurality of X-ray imaging units (status acquisition step), and updates it. . In this example, it is assumed that a large format cassette 116-A is connected.

  Subsequently, in step S104, the CPU 201 of the X-ray imaging control unit 111 displays an unimaging order that can be imaged with the current status (that is, the currently connected X-ray imaging unit (cassette 116)) from the examination information management table. Search for.

  Subsequently, in step S105, the CPU 201 of the X-ray imaging control unit 111 determines whether there is an imaging order that can be imaged with the current status as a result of the search in step S104.

  If it is determined in step S105 that there is an uncaptured order that can be captured with the current status, the process proceeds to step S106. In step S106, the CPU 201 of the X-ray imaging control unit 111 changes the imaging order in the imaging order of the examination information management table according to the status acquired in step S103 (imaging order changing step). More specifically, the CPU 201 of the X-ray imaging control unit 111 performs a process of changing the imaging order of the imaging order in the examination information management table so that the unimaging order searched in step S104 is given priority. In this example, since the large format cassette 116-A is currently connected, for example, the imaging order is changed from the inspection information management table shown in FIG. 3 to the inspection information management table shown in FIG. .

  Subsequently, in step S107, the CPU 201 of the X-ray imaging control unit 111 updates the imaging screen displayed on the monitor 112 based on the imaging order changed in step S107, and indicates the imaging order to the operator. . That is, the CPU 201 of the X-ray imaging control unit 111 displays the examination information whose imaging order has been changed in step S107 on the monitor 112 (display step). In this example, for example, from the shooting method button in the shooting method button display field 510 of the shooting screen shown in FIG. 5 to the shooting method button in the shooting method button display field 510 of the shooting screen shown in FIG. The monitor display update process based on the above is performed. Specifically, as in the imaging method button display field 510 shown in FIG. 7, the imaging method buttons according to the changed imaging order, such as “chest front”, “chest side”, “pelvic front”, and “abdominal front”. By displaying 511, the operator can grasp the imaging sequence of the patient to be examined.

  On the other hand, if the result of determination in step S105 is that there is no uncaptured order that can be captured with the current status, processing proceeds to step S108. In step S108, the CPU 201 of the X-ray imaging control unit 111 determines whether there is an unimaging order in the examination information management table. As a result of the determination, if there is no unphotographed order in the examination information management table, the process proceeds to step S112.

  On the other hand, if the result of determination in step S108 is that there is an uncaptured order in the examination information management table, the process proceeds to step S109. In step S109, the CPU 201 of the X-ray imaging control unit 111 performs, for example, a display related to a status change instruction on the monitor 112, and issues a status change instruction to the operator. The status change instruction here is an instruction to switch the cassette 116 to change the status.

  Subsequently, in step S110, the CPU 201 of the X-ray imaging control unit 111 performs status change processing.

Here, the details of the process of step S110 will be described.
FIG. 10 is a flowchart illustrating an example of a detailed processing procedure of step S110 illustrated in FIG. 9 according to the first embodiment of this invention.

  First, when the operator replaces the cassette 116, in step S201 of FIG. 10, the CPU 201 of the X-ray imaging control unit 111 connects the cassette 116 connected by the replacement (in this example, a high-resolution type cassette 116-B). ) Is recognized (detected).

  Subsequently, in step S202, the CPU 201 of the X-ray imaging control unit 111 acquires and updates information on the cassette 116 (X-ray imaging unit) as a status based on the recognition (detection) result in step S201. That is, the CPU 201 of the X-ray imaging control unit 111 acquires, as a status, information on one X-ray imaging unit that is currently in an imaging state among a plurality of X-ray imaging units (status acquisition step), and updates it. .

  Subsequently, in step S203, the CPU 201 of the X-ray imaging control unit 111 uses the current status (that is, the currently connected X-ray imaging unit (cassette 116)) from the non-imaging orders in the examination information management table. Search for orders that can be taken.

  Subsequently, in step S204, the CPU 201 of the X-ray imaging control unit 111 changes the imaging order in the imaging order of the examination information management table according to the status acquired in step S202 (imaging order changing step). More specifically, the CPU 201 of the X-ray imaging control unit 111 performs a process of changing the imaging order of the imaging order in the examination information management table so that the imaging order searched in step S203 has priority. In this example, the imaging order of the imaging order in the examination information management table is changed so that the imaging order for imaging with the high resolution type cassette 116-B is given priority among the unimaging orders.

  Subsequently, in step S205, the CPU 201 of the X-ray imaging control unit 111 updates the imaging screen displayed on the monitor 112 based on the imaging order changed in step S204, and indicates the imaging order to the operator. . That is, the CPU 201 of the X-ray imaging control unit 111 displays on the monitor 112 the examination information whose imaging order has been changed in step S204 (display step).

  Through the processes in steps S201 to S205 shown in FIG. 10, the process in step S110 in FIG. 9 is performed, and then the process proceeds to step S111 in FIG.

  Thereafter, the process proceeds to step S111 in FIG. 9, and when the imaging method button is selected by the operator in the imaging order displayed in the imaging method button display field 510 on the imaging screen, the CPU 201 of the X-ray imaging control unit 111 An imaging process for the patient 1000 based on the imaging method button is performed. In this example, the imaging process is performed by the operator operating the imaging method button in the imaging method button display field 510 displayed on the monitor 112, but for example, based on information displayed on the monitor 112. Thus, the present invention can be applied to a mode in which photographing processing is automatically performed. That is, the CPU 201 of the X-ray imaging control unit 111 performs imaging processing of the patient 1000 as a subject using a plurality of X-ray imaging units based on examination information displayed on the monitor 112 (imaging processing step). Then, the CPU 201 of the X-ray imaging control unit 111 performs an update process that sets the imaging status of the examination information management table to the imaging completed when the imaging process in each imaging order is completed.

  Subsequently, in step S112, the CPU 201 of the X-ray imaging control unit 111 determines whether or not the examination on the patient 1000 has been completed based on the imaging status information in the examination information management table.

  As a result of the determination in step S112, if the examination on the patient 1000 is not completed, the process returns to step S103. On the other hand, as a result of the determination in step S112, if the examination on the patient 1000 is completed, the process proceeds to step S113.

  In step S113, the CPU 201 of the X-ray imaging control unit 111 determines whether there is an unexecuted examination based on the imaging status information in the examination information management table (FIG. 3). As a result of this determination, if there is an unexecuted inspection, the process returns to step S102, and the unexecuted inspection is performed.

  On the other hand, as a result of the determination in step S113, if there is no inspection that has not been performed (that is, if all inspections have been performed), the CPU 201 of the X-ray imaging control unit 111 indicates, for example, a message display field on the imaging screen. A message is displayed in 502. Thereafter, when the operator presses an examination end button 508 on the imaging screen, the CPU 201 of the X-ray imaging control unit 111 performs an examination end process.

  When the examination of the three patients 1000 shown in the examination information management table in FIG. 3 is performed in order from the upper patient using the X-ray imaging method in the present embodiment, the examination information management table shown in FIG. Inspections are performed in the order of shooting. That is, in the examination, the imaging order is changed so that imaging using the same X-ray imaging unit (in this embodiment, the cassette 116) is continued, and the number of status changes, that is, the number of replacements of the cassette 116 is minimized. Inspections are performed in the order of shooting. At the start of inspection after inspection switching, the imaging sequence is changed according to the status at the end of the immediately preceding inspection, so imaging using the connected X-ray imaging unit (cassette 116) is given priority, and inspection is performed. The opportunity (number of times) of switching the cassette 116 between them can be reduced. Thereby, the burden on the operator can be reduced.

  In the present embodiment, an example in which the X-ray imaging apparatus 110 is connected to the network 120 and examination information to be performed from the RIS 130 is acquired is used, but the present invention is not limited to this form. For example, it is assumed that an examination is urgently performed at a roundabout destination that cannot be connected to the network 120. In this case, a form in which examination information is directly input to the X-ray imaging apparatus 110 is also applicable.

  According to the present embodiment, in X-ray imaging using a plurality of X-ray imaging units, imaging order imaging is performed so that X-ray imaging units that are ready for imaging are prioritized based on the current status of the X-ray imaging system. The order is changed. As a result, when performing radiography over a plurality of examinations, it is possible to reduce the number of times of switching radiographic units that require time and labor, and to perform an efficient examination that reduces the burden on the operator.

(Second Embodiment)
Next, a second embodiment of the present invention will be described.
FIG. 12 is a schematic diagram illustrating an example of a schematic configuration of an X-ray imaging system (radiation imaging system) 200 according to the second embodiment of the present invention. An X-ray imaging system 200 shown in FIG. 12 is a cassette imaging system in a standing and lying posture, which is performed in a general imaging room. In FIG. 12, the same reference numerals are given to the same configurations as those of the X-ray imaging system 100 according to the first embodiment shown in FIG. 1. Hereinafter, differences from the X-ray imaging system 100 of the first embodiment will be described.

  In the X-ray imaging apparatus 210 in the second embodiment, two X-ray generation units 114-A and X-ray generation units 114-B are provided. In the X-ray imaging apparatus 210 in the second embodiment, X-ray imaging is performed using one cassette 216. In the X-ray imaging apparatus 210 in the second embodiment, mounting units 218-A and 218-B are provided instead of the connector 118.

  For imaging in the standing posture, the standing imaging platform and the X-ray generation unit 114-A are used. Further, in the imaging with the imaging posture in the supine position, the supine imaging stand and the X-ray generation unit 114-B are used. Mounting units 218-A and 218-B, which are mounting portions for mounting the cassette 216, are provided on the standing position and the recumbent position, respectively. In the present embodiment, by mounting the cassette 216 on each of the mounting units 218-A and 218-B, it is possible to perform shooting in both the standing position and the standing position with one cassette 216.

  In the second embodiment, a configuration including the cassette 216 and each mounting unit 218 is referred to as an X-ray imaging unit (radiation imaging unit). That is, in the X-ray imaging system 200 of FIG. 12, two of an X-ray imaging unit including the cassette 216 and the mounting unit 218-A and an X-ray imaging unit including the cassette 216 and the mounting unit 218-B can be configured. . The example shown in FIG. 12 shows an example in which two X-ray imaging units can be configured. However, there is also an aspect in which three or more X-ray imaging units are configured by preparing other mounting units. The present embodiment can be applied.

  Furthermore, the mounting units 218-A and 218-B include a sensor (not shown) that recognizes (detects) that the cassette 216 has been mounted. The mounting units 218-A and 218-B receive mounting information on the X-ray imaging control unit 111 and the cassette 216. Has the ability to communicate. The X-ray imaging control unit 111 can recognize (detect) which mounting unit 218 the cassette 216 is mounted on by receiving notification of mounting information on the cassette 216 from the mounting unit 218. Yes. Further, the cassette 216 and the X-ray imaging control unit 111 are connected by a data cable 117 that cannot be attached and detached. In the second embodiment, information on the mounting unit 218 to which the cassette 216 is mounted (cassette information from the mounting unit 218) is held as the status of the X-ray imaging system 200.

  Hereinafter, the operation of the X-ray imaging apparatus 210 will be described with an example of inspection in a general imaging room.

  As in the first embodiment, the X-ray imaging control unit 111 acquires examination information of examination from the RIS 130 via the network 120. This examination information includes information such as examination ID, patient ID, imaging region, imaging posture, imaging direction, imaging size, and resolution. That is, this inspection information includes information on the photographing posture in addition to the inspection information in the first embodiment. Then, the X-ray imaging control unit 111 associates an appropriate X-ray imaging unit with an imaging order based on the contents of these pieces of information (examination information), and stores it in the external memory 204 as an examination information management table, for example. .

  FIG. 13 is a schematic diagram illustrating an example of an examination information management table based on examination information acquired by the X-ray imaging apparatus (radiation imaging apparatus) 210 illustrated in FIG. 12 according to the second embodiment of this invention. In this examination information management table, examination information such as examination ID, patient ID, imaging region, imaging posture, imaging direction, imaging size, resolution, etc., and information of X-ray imaging units associated with the imaging order are provided for each imaging order. The information on the shooting status is shown.

  Specifically, in the example illustrated in FIG. 13, an example in which X-ray imaging units are associated with each imaging order in consideration of imaging posture information in the examination information is illustrated. More specifically, in the example shown in FIG. 13, when the imaging posture is standing, a unit related to the standing mounting unit 218-A is set as the X-ray imaging unit. When the imaging posture is the supine position, a unit related to the supine mounting unit 218-B is set as the X-ray imaging unit. In the examination information management table shown in FIG. 13, since no shooting is performed at each shooting order at this time, the shooting status information is not shot.

  As described above, in the second embodiment, the imaging order of the inspection information to be acquired includes the imaging order in the standing and standing imaging postures. In the present embodiment, since the same cassette 216 is mounted on the plurality of mounting units 218, it is necessary to switch the X-ray imaging unit when imaging an imaging order with an imaging posture different from the previous imaging. The switching of the X-ray imaging unit requires removal and attachment of the cassette 216.

  Here, it is assumed that the cassette 216 is not attached to any of the attachment units 218 at the start of the examination of the first patient 1000. In this case, the X-ray imaging control unit 111 recognizes that the cassette 216 is not attached to any attachment unit 218.

  The operator first attaches the cassette 216 to the recumbent mounting unit 218-B, for example, in order to start from recumbent photographing. In this case, the recumbent mounting unit 218-B detects that the cassette 216 has been mounted and notifies the X-ray imaging control unit 111 of it. The X-ray imaging control unit 111 updates the status when receiving a notification of the mounting of the cassette 216 from the mounting unit 218-B in the prone position.

  When the status is updated, the X-ray imaging control unit 111 searches the examination information management table for a non-imaging order that can be imaged with the current status (that is, the current X-ray imaging unit (mounting unit 218)). Then, the X-ray imaging control unit 111 changes the imaging order by moving the corresponding non-imaging order up to the top of the non-imaging order in the examination information management table. When the above processing is completed, the X-ray imaging control unit 111 updates the display in the imaging method button display field 510 on the imaging screen of the monitor 112 in accordance with the changed imaging order, and transitions to an imaging enabled state.

  When the operator selects an imaging method button in the imaging order displayed in the imaging method button display field 510 of the imaging screen, the X-ray imaging control unit 111 performs the X-ray imaging of the prone position in the instructed imaging order. The photographing process using the unit is performed. Then, when the supine position photographing process is completed, the operation shifts to the standing position photographing. In this case, the X-ray imaging control unit 111 displays that fact on the monitor 112.

  Thereafter, when the cassette 216 is removed from the mounting unit 218-B in the upright position by the operator, the mounting unit 218-B detects this and notifies the X-ray imaging control unit 111. When receiving the notification that the cassette 216 has been removed from the attachment unit 218-B, the X-ray imaging control unit 111 updates the status.

  Subsequently, when the cassette 216 is attached to the standing mounting unit 218-A by the operator, the X-ray imaging control unit 111 performs the X-ray imaging in the same manner as when the cassette 216 is mounted to the standing mounting unit 218-B. Update the status of the system 200. Then, the X-ray imaging control unit 111 performs an imaging sequence change process in which an imaging order in which the imaging posture is standing is prioritized according to the current status, in the same manner as when the X-ray imaging control unit 111 is mounted on the upright mounting unit 218-B. , Transition to the shooting enabled state.

  Then, when imaging is performed in all imaging postures, the examination of the patient 1000 is finished. The X-ray image (captured image) captured at this time is transferred from the X-ray imaging control unit 111 to the PACS 140 as necessary.

  Next, the examination of the second patient 1000 is performed. At the start of the examination of the second patient 1000, since the status at the end of the examination of the first patient 1000 is held, the standing X-ray imaging unit is in a valid state in advance. When the examination of the second patient 1000 is started, the X-ray imaging control unit 111 determines the imaging order of the standing X-ray imaging unit based on the current status (that is, the standing X-ray imaging unit). The imaging order changing process of the inspection information management table is performed with priority. Then, the X-ray imaging control unit 111 updates the display in the imaging method button display field 510 on the imaging screen of the monitor 112 according to the changed imaging order, and transitions to the imaging enabled state.

  Then, the operator selects the imaging method button in the imaging order displayed in the imaging method button display field 510 on the imaging screen, and performs the inspection, so that the cassette imaging which does not require switching of the X-ray imaging unit can be performed. Shooting can be started.

  When the inspection shown in the inspection information management table of FIG. 13 is performed using the X-ray imaging method in the present embodiment, the inspection is performed in the imaging order shown in the inspection information management table of FIG. That is, in the examination, the imaging order is changed so that imaging using the same X-ray imaging unit (in this embodiment, the mounting unit 218) is continued, and the number of mountings of the cassette 216 on the other mounting units 218 is determined. Inspections are performed in the smallest imaging order. At the start of inspection after inspection switching, the imaging order is changed according to the status at the end of the immediately preceding inspection, so that imaging with the mounting unit 218 on which the cassette 216 is mounted is prioritized, and cassettes are used between inspections. Opportunities (number of times) to remount 216 can be reduced. Thereby, the burden on the operator can be reduced.

  In the present embodiment, an example in which the mounting unit 216 recognizes the mounting of the cassette 216 is used. However, for example, a mounting unit 218 in which the cassette 216 is mounted is recognized and transmitted to the X-ray imaging control unit 111. It may be.

(Third embodiment)
Next, a third embodiment of the present invention will be described.
FIG. 15 is a schematic diagram illustrating an example of a schematic configuration of an X-ray imaging system (radiation imaging system) 300 according to the third embodiment of the present invention. 15, the same reference numerals are used for the same configurations as those of the X-ray imaging system 200 according to the second embodiment shown in FIG. 12 (or the X-ray imaging system 100 according to the first embodiment shown in FIG. 1). Is attached. Hereinafter, differences from the X-ray imaging system 100 of the second embodiment will be described.

  In the X-ray imaging apparatus 310 in the third embodiment, one X-ray generation unit 114 is used as in the first embodiment. Further, in the X-ray imaging apparatus 310 in the third embodiment, X-ray imaging is performed using two cassettes 216-A and 216-B instead of one cassette 216 and mounting units 218-A and 218-B. Do.

  In the third embodiment, a configuration including each cassette 116 and the X-ray generator 114 is referred to as an X-ray imaging unit (radiation imaging unit). That is, in the X-ray imaging system 300 of FIG. 15, a standing X-ray imaging unit including a cassette 216 -A and an X-ray generation unit 114, and a supine position including a cassette 216 -B and an X-ray generation unit 114. An x-ray imaging unit may be configured. In the example shown in FIG. 15, an example in which two X-ray imaging units can be configured is shown. However, an aspect in which three or more X-ray imaging units are configured by preparing another cassette. It is applicable to the embodiment.

  The third embodiment is a stationary X-ray imaging system in which a cassette 216-A and an upright imaging table, and a cassette 216-B and an upright imaging table are integrated. In the X-ray imaging system 300, only one X-ray generation unit 114 is installed in the imaging room. Therefore, when switching between X-ray imaging by the standing X-ray imaging unit and the standing X-ray imaging unit, it is necessary to reset the imaging conditions by X-ray irradiation of the X-ray generation unit 114.

  The setting of the imaging conditions of the X-ray generation unit 114 accompanying the switching of the X-ray imaging by the plurality of X-ray imaging units includes the movement of the X-ray generation unit 114, the adjustment of the X-ray irradiation direction, and the setting of the irradiation field region. is necessary. In the third embodiment, information about the cassettes 216-A and 216-B and the X-ray generation unit 114 is held as a status.

  At this time, the information of the X-ray generation unit 114 corresponds to the cassette 216 of the cassette 216-A in the X-ray imaging unit in which the X-ray generation unit 114 is standing or the cassette 216-B in the X-ray imaging unit in the standing position. It indicates whether it is attached. In the present embodiment, the X-ray generation unit 114 is provided with a sensor (not shown) that detects which X-ray imaging unit the X-ray tube is directed to. The generation control unit 115 is notified. Since other components are the same as those in the second embodiment, description thereof is omitted.

  Similar to the second embodiment, the X-ray imaging control unit 111 acquires examination information of examination from the RIS 130 via the network 120. When the examination of the first patient 1000 is started, the X-ray imaging control unit 111 acquires the status. When the X-ray generation unit 114 is in a correspondence relationship with the supine cassette 216-B, the X-ray imaging control unit 111 uses the supine X-ray imaging unit in the same manner as in the second embodiment. The imaging order of the examination information management table is changed so that the imaging order to be given priority. Then, the operator performs alignment of the patient 1000 and fine adjustment of the X-ray generation unit 114, and performs imaging in the imaging order indicated in the imaging method button display field 510 on the imaging screen.

  When all the images in the saddle position are finished, the imaging method button in the imaging method button display field 510 is not pressed, and the X-ray imaging control unit 111 sets the “X-ray tube (X-ray generation unit) in the standing position. A message such as “Please direct to the X-ray imaging unit” is displayed on the monitor 112.

  Then, according to the message displayed on the monitor 112 by the operator, when the X-ray generation unit 114 is directed to the standing cassette 216-A, the X-ray imaging control unit 111 is changed from the X-ray generation control unit 115 to the X-ray generation unit 114. Is notified that has moved. The X-ray imaging control unit 111 recognizes (detects) that the X-ray generation unit 114 is associated with the standing cassette 216-A, and updates the status. Then, the X-ray imaging control unit 111 performs the imaging sequence change process so that the imaging order by the standing X-ray imaging unit is given priority according to the current status, as in the case of the X-ray imaging unit in the supine position. Transitions to the shooting enabled state.

  Then, when imaging is performed in all imaging postures, the examination of the patient 1000 is finished.

Subsequently, examination of the second patient 1000 is started.
When the examination of the second patient 1000 is started, the X-ray imaging control unit 111 refers to the current status, and the X-ray generation unit 114 is associated with the standing cassette 216-A. The imaging order changing process is performed with priority given to the imaging order for imaging by the X-ray imaging unit.

  Therefore, in this case, there is no need to redirect the X-ray generator 114 directed to the upright cassette 216-A to the upright cassette 216-B, and the position and aperture of the X-ray generator 114 can be reduced. Inspection can be started from an imaging order that can be taken with only fine adjustments.

  When the inspection shown in the inspection information management table in FIG. 13 is performed using the X-ray imaging method in the present embodiment, as in the second embodiment, the inspection illustrated in FIG. 14 is performed as in the second embodiment. The inspection is performed in the photographing order shown in the information management table. In this case, in the examination, the imaging order is changed so that imaging using the same X-ray imaging unit is continued, and the imaging order in which the number of operations of the X-ray generation unit 114 to the other X-ray imaging units is minimized. Inspection is carried out at Moreover, at the start of inspection after inspection switching, imaging using the cassette 216 to which the X-ray generation unit 114 is currently associated is prioritized, and operations related to irradiation settings of the X-ray generation unit 114 are performed between inspections. The opportunity (number of times) to redo can be reduced. Thereby, the burden on the operator can be reduced.

(Other embodiments of the present invention)
Each means constituting the X-ray imaging apparatus (radiation imaging apparatus) according to each embodiment of the present invention and the control method of the X-ray imaging apparatus shown in FIG. 9 and FIG. Can be realized by executing a program stored in a ROM or the like. This program and a computer-readable recording medium recording the program are included in the present invention.

  In addition, the present invention can be implemented as, for example, a system, apparatus, method, program, storage medium, or the like. You may apply to the apparatus which consists of one apparatus.

  In the present invention, a software program (in the embodiment, a program corresponding to the flowcharts shown in FIGS. 9 and 10) for realizing the functions of the above-described embodiments is supplied directly or remotely to a system or apparatus. Including. The present invention also includes a case where the system or the computer of the apparatus is achieved by reading and executing the supplied program code.

  Accordingly, since the functions of the present invention are implemented by computer, the program code installed in the computer also implements the present invention. In other words, the present invention includes a computer program itself for realizing the functional processing of the present invention.

  In that case, as long as it has the function of a program, it may be in the form of object code, a program executed by an interpreter, script data supplied to the OS, and the like.

  Examples of the recording medium for supplying the program include a floppy (registered trademark) disk, hard disk, optical disk, magneto-optical disk, MO, CD-ROM, CD-R, and CD-RW. In addition, there are magnetic tape, nonvolatile memory card, ROM, DVD (DVD-ROM, DVD-R), and the like.

  As another program supply method, a browser on a client computer is used to connect to an Internet home page. The computer program itself of the present invention or a compressed file including an automatic installation function can be downloaded from the homepage by downloading it to a recording medium such as a hard disk.

  It can also be realized by dividing the program code constituting the program of the present invention into a plurality of files and downloading each file from a different homepage. That is, a WWW server that allows a plurality of users to download a program file for realizing the functional processing of the present invention on a computer is also included in the present invention.

  In addition, the program of the present invention is encrypted, stored in a storage medium such as a CD-ROM, distributed to users, and key information for decryption is downloaded from a homepage via the Internet to users who have cleared predetermined conditions. Let It is also possible to execute the encrypted program by using the downloaded key information and install the program on a computer.

  Further, the functions of the above-described embodiments are realized by the computer executing the read program. In addition, based on the instructions of the program, an OS or the like running on the computer performs part or all of the actual processing, and the functions of the above-described embodiments can also be realized by the processing.

  Further, the program read from the recording medium is written in a memory provided in a function expansion board inserted into the computer or a function expansion unit connected to the computer. Thereafter, the CPU of the function expansion board or function expansion unit performs part or all of the actual processing based on the instructions of the program, and the functions of the above-described embodiments are realized by the processing.

  Note that each of the above-described embodiments is merely a specific example for carrying out the present invention, and the technical scope of the present invention should not be construed as being limited thereto. . That is, the present invention can be implemented in various forms without departing from the technical idea or the main features thereof.

1 is a schematic diagram illustrating an example of a schematic configuration of an X-ray imaging system (radiation imaging system) according to a first embodiment of the present invention. FIG. 2 is a schematic diagram illustrating an example of a hardware configuration inside the X-ray imaging control unit (radiation imaging control unit) illustrated in FIG. 1 according to the first embodiment of this invention. It is a schematic diagram which shows the 1st Embodiment of this invention and shows an example of the test | inspection information management table based on the test | inspection information acquired with the X-ray imaging apparatus (radiography apparatus) shown in FIG. It is a schematic diagram which shows the 1st Embodiment of this invention and shows an example of the test | inspection selection screen displayed when test | inspecting on the monitor shown in FIG. FIG. 2 is a schematic diagram illustrating an example of an imaging screen during inspection displayed on the monitor illustrated in FIG. 1 according to the first embodiment of this invention. It is a schematic diagram which shows the 1st Embodiment of this invention and shows an example of the test | inspection information management table by which the imaging | photography order was changed. It is a schematic diagram which shows the 1st Embodiment of this invention and shows an example after the update of the imaging | photography screen shown in FIG. It is a schematic diagram which shows the 1st Embodiment of this invention and shows an example of the changed test information management table. It is a flowchart which shows an example of the process sequence of the X-ray imaging method by the X-ray imaging system (radiography system) which concerns on the 1st Embodiment of this invention. It is a flowchart which shows the 1st Embodiment of this invention and shows an example of the detailed process sequence of step S110 shown in FIG. It is a schematic diagram which shows the 1st Embodiment of this invention and shows an example of the test | inspection information management table by which the imaging | photography order was changed. It is a schematic diagram which shows an example of schematic structure of the X-ray imaging system (radiography system) which concerns on the 2nd Embodiment of this invention. It is a schematic diagram which shows the 2nd Embodiment of this invention and shows an example of the test | inspection information management table based on the test | inspection information acquired with the X-ray imaging apparatus (radiography apparatus) shown in FIG. It is a schematic diagram which shows the 2nd Embodiment of this invention and shows an example of the test | inspection information management table by which the imaging | photography order was changed. It is a schematic diagram which shows an example of schematic structure of the X-ray imaging system (radiography system) which concerns on the 3rd Embodiment of this invention.

Explanation of symbols

100 X-ray imaging system (radiation imaging system)
110 X-ray equipment (radiography equipment)
111 X-ray imaging control unit (radiography control unit)
112 Monitor 113 Keyboard 114 X-ray generator (radiation generator)
115 X-ray generation control unit (radiation generation control unit)
116-A, 116-B cassette 117 data cable 118 connector 119 network socket 120 network 130 RIS (information system in the radiation department)
140 PACS (image server)
150 HIS (in-hospital information system)

Claims (12)

A radiography system that shoots an object using a plurality of radiography units that perform radiography.
Holding means for holding examination information having a plurality of imaging orders associated with one of the plurality of radiation imaging units ;
An imaging order corresponding to a radiation imaging unit that is not ready for imaging among the plurality of radiation imaging units is an imaging order corresponding to a radiation imaging unit that is ready for imaging among the plurality of radiation imaging units. A radiographic imaging system comprising: an imaging order changing unit that changes the order of the imaging orders so that imaging is performed earlier . It further comprises inspection information acquisition means for acquiring the inspection information consisting of a plurality of the imaging orders,
2. The holding unit holds the examination information in association with one radiation imaging unit for each imaging order based on the contents of the examination information acquired by the examination information acquisition unit. The radiation imaging system described in 1. Further comprising examination information acquisition means for acquiring the examination information having a plurality of the imaging orders including at least one information of patient ID, imaging region, imaging direction, imaging size and resolution;
The holding means is based on at least one information among a patient ID, an imaging region, an imaging direction, an imaging size, and a resolution included in the imaging order of the examination information acquired by the examination information acquisition means. The radiographic system according to claim 1, wherein the examination information is held by associating one radiographic unit with each unit. The plurality of radiation imaging units include a plurality of radiation imaging units corresponding to the plurality of radiation imaging units and a connection for making one of the plurality of radiation imaging units ready for imaging. A connecting portion to perform,
Among the plurality of radiation imaging units, further comprising status acquisition means for acquiring information of one radiation imaging unit in the imaging enabled state as a status,
It said status acquisition means senses said one radiation imaging unit that is connected by the connecting portion, and acquires information of one radiographic unit Ru engaged to the one radiation imaging unit as the status,
The radiation imaging system according to any one of claims 1 to 3, wherein the imaging order changing unit changes the order of the imaging orders according to the status obtained by the status acquisition unit . The plurality of radiation imaging units include a radiation imaging unit that performs imaging using radiation, and a plurality of mounting units that are provided on a plurality of imaging tables having different imaging postures and that are used to mount the radiation imaging unit. Configured
Among the plurality of radiation imaging units, further comprising status acquisition means for acquiring information of one radiation imaging unit in the imaging enabled state as a status,
Said status acquisition means, among the plurality of mounting portions, detects one of the mounting portion to which the radiation imaging unit is attached, the information of one radiographic unit Ru engaged to the one mounting unit as the status Get and
The radiation imaging system according to any one of claims 1 to 3, wherein the imaging order changing unit changes the order of the imaging orders according to the status obtained by the status acquisition unit . The plurality of radiation imaging units include a plurality of radiation imaging units corresponding to the plurality of radiation imaging units, and a radiation generation unit that generates radiation in one of the plurality of radiation imaging units. Configured
Among the plurality of radiation imaging units, further comprising status acquisition means for acquiring information of one radiation imaging unit in the imaging enabled state as a status,
It said status acquisition means senses said one radiation imaging unit for generating radiation from the radiation generating unit obtains information of one radiographic unit Ru engaged to the one radiation imaging unit as the status,
The radiation imaging system according to any one of claims 1 to 3, wherein the imaging order changing unit changes the order of the imaging orders according to the status obtained by the status acquisition unit . Display means for displaying the examination information order in has changed the image capturing order in the imaging sequence changing means on the display unit,
According to any one of claims 1 to 6, further comprising an imaging processing unit configured to perform imaging processing of an object using the plurality of radiographic unit on the basis of the inspection information displayed on the display unit Radiography system. A method for controlling a radiographic system that shoots a subject using a plurality of radiographic units that perform radiography.
A holding step for holding examination information having a plurality of imaging orders associated with one of the plurality of radiation imaging units ;
An imaging order corresponding to a radiation imaging unit that is not ready for imaging among the plurality of radiation imaging units is an imaging order corresponding to a radiation imaging unit that is ready for imaging among the plurality of radiation imaging units. A radiographic imaging system control method comprising: an imaging sequence changing step of changing an imaging order sequence so that imaging is performed earlier . A program for causing a computer to execute a control method of a radiation imaging system that performs imaging of a subject using a plurality of radiation imaging units that perform imaging using radiation,
A holding step for holding examination information having a plurality of imaging orders associated with one of the plurality of radiation imaging units;
An imaging order corresponding to a radiation imaging unit that is not ready for imaging among the plurality of radiation imaging units is an imaging order corresponding to a radiation imaging unit that is ready for imaging among the plurality of radiation imaging units. A shooting order changing step for changing the order of the shooting orders so that shooting is performed earlier than the shooting order;
A program that causes a computer to execute. A radiography system that shoots an object using a plurality of radiography units that perform radiography.
Holding means for holding examination information having a plurality of imaging orders associated with one of the plurality of radiation imaging units;
Display means for displaying a photographing method button corresponding to the photographing order on a display unit;
Have
The display means displays an imaging method button associated with an imaging order corresponding to a radiographic unit in a radiographable state among the plurality of radiographic units, and is not in an radiographable state among the plurality of radiographic units. A radiation imaging system, wherein a display form distinguishable from an imaging method button associated with an imaging order corresponding to a radiation imaging unit is displayed on the display unit. A method for controlling a radiographic system that shoots a subject using a plurality of radiographic units that perform radiography.
A holding step for holding examination information having a plurality of imaging orders associated with one of the plurality of radiation imaging units;
A display step of displaying a photographing method button corresponding to the photographing order on a display unit;
Have
In the display step, an imaging method button related to an imaging order corresponding to a radiation imaging unit in a state in which imaging is possible among the plurality of radiation imaging units is not in a state in which imaging is possible in the plurality of radiation imaging units. A method for controlling a radiation imaging system, comprising: displaying on the display unit in a display form distinguishable from an imaging method button associated with an imaging order corresponding to a radiation imaging unit. A program for causing a computer to execute a control method of a radiation imaging system that performs imaging of a subject using a plurality of radiation imaging units that perform imaging using radiation,
A holding step for holding examination information having a plurality of imaging orders associated with one of the plurality of radiation imaging units;
A display step of displaying a photographing method button corresponding to the photographing order on a display unit;
To the computer,
In the display step, an imaging method button related to an imaging order corresponding to a radiation imaging unit in a state in which imaging is possible among the plurality of radiation imaging units is not in a state in which imaging is possible in the plurality of radiation imaging units. A program for displaying on the display unit in a display form distinguishable from an imaging method button related to an imaging order corresponding to a radiation imaging unit.

Images