JP5921289B2 - Medical examination apparatus and method - Google Patents

Description

  The present invention relates to a medical examination apparatus that processes examination information.

  In recent years, hospital information systems using network connections have been constructed in hospitals. For example, if it is determined that X-ray imaging of a patient is necessary, an inspection instruction is input from a HIS (Hospital Information System) terminal, and the inspection instruction is transmitted to the radiation department that is the request destination.

  This inspection instruction information or request information is generally called an inspection order. This examination order includes information such as the name of the department of the requester, examination items, and patient personal data.

  After the examination order is received by the radiology department, the radiologist adds imaging conditions and the like to the examination order and transfers them to the X-ray examination system. The X-ray inspection system performs X-ray imaging according to the received inspection order. The captured image is added to the inspection information, and is transferred to a PACS (Picture Archiving and Communication Systems) or printed out. The photographed image is displayed after being subjected to image processing that is predetermined for each part.

  In addition to inputting the inspection information via the RIS, the inspection information may be input via a file stored in a shared folder or an external memory. In the operation using the RIS, since the progress management of the inspection order can be performed on the RIS side, the X-ray inspection system often discards and re-acquires the existing inspection list when the list is updated.

  On the other hand, in the operation using the file, since only the difference inspection information is often exchanged, it may be necessary to hold the received list on the X-ray inspection system side.

JP 2006-81761 A

  A method for adding an inspection to an existing inspection order list is disclosed in Patent Document 1. The method disclosed in Patent Document 1 sets inspection information to be added one by one based on a user instruction.

  However, since the method disclosed in Patent Document 1 is set one by one, the user load increases when a lot of examination information is added. On the other hand, in a method of discarding an existing inspection list and acquiring a new inspection list, flexible operation of the inspection list is difficult.

  The present invention has been made in view of the above problems, and an object of the present invention is to manage inspection information suitable for the operation status while reducing the user load.

  The medical inspection apparatus of the present invention has been made in view of the above problems, and includes a first inspection order input means for inputting an inspection order via a network, and a second inspection order for inputting the inspection order via a file. When the inspection order is input from the input means, the inspection order storage means for storing the inspection list of the inspection order, and the first inspection order input means, the input is performed after deleting the stored inspection list. An inspection order management means for creating an inspection list by the inspection order and adding the inspection order input to the stored inspection list when the inspection order is input from the second inspection order input means And having.

  According to the present invention, it is possible to manage inspection information suitable for the operation status while reducing the user load.

It is an apparatus block diagram of the medical test | inspection system in connection with this embodiment. It is a block diagram of the X-ray imaging apparatus control part of 1st embodiment of this system. It is a flowchart in a first embodiment. It is a screen example of the scheduled inspection list It is a screen example of the reservation inspection list before the update It is an example of a screen when an examination list is updated by RIS It is a screen example when updating the inspection list by file It is an example of a setting screen related to examination list management It is a block diagram of the X-ray imaging apparatus control part of 2nd embodiment of this system. It is a flowchart in a second embodiment. It is an example of a screen to confirm the deletion of the inspection order It is a screen example before update when there are duplicate inspection orders It is a screen example after updating when there are duplicate inspection orders This is an example screen for selecting the input method It is an example of a screen to select a management method in the examination list

(First embodiment)
FIG. 1 is a block diagram illustrating an example of a functional configuration of a medical examination system according to an embodiment of the present invention.

  The X-ray imaging apparatus 106 includes an X-ray tube 102 that irradiates X-rays, an X-ray generator control unit 103 that controls the X-ray tube 102, a sensor unit 101 including a sensor 100, and an X-ray that controls X-ray imaging. The imaging device control unit 104 is configured. A display unit 105 of the X-ray imaging apparatus 106 displays examination information and a captured image. Reference numeral 105 denotes an operation input unit of the X-ray imaging apparatus 106, which inputs inspection information, performs image processing operations, and inspection progress instructions. Further, 105 includes an input of an external device such as a magnetic card or a barcode reader.

  The X-ray imaging apparatus control unit 104 displays the inspection order received from the RIS 108 or the inspection order input by the operator through the operation input unit 105 on the display unit 105, and the tube current and the tube current corresponding to the selected imaging protocol are displayed. Imaging conditions such as tube voltage and irradiation time are sent to the X-ray generator control unit 103. When the irradiation button is pressed, the X-ray generator control unit 103 applies a high voltage to the X-ray tube 102 according to the imaging conditions to generate X-rays. The sensor unit 101 performs A / D conversion on the electric charge corresponding to the transmitted X-ray dose of the subject detected by the sensor 100, and transfers it to the X-ray imaging apparatus control unit 104 as an X-ray digital image. The X-ray imaging apparatus control unit 104 performs various correction processes and image processes on the received X-ray digital image based on image processing parameters associated with the imaging protocol selected by the operator. Then, the X-ray digital image after image processing is stored in the PACS 109 and is output to the Viewer 110 and the printer 111 for diagnosis.

  The present invention is applied to an X-ray imaging system as shown in FIG. The X-ray imaging system includes an X-ray imaging apparatus 106 that captures an X-ray digital image. Further, the radiology department includes an RIS 108, a PACS 109 that stores and manages an X-ray digital image captured by the X-ray imaging apparatus 106, a Viewer 110 that displays a diagnostic X-ray digital image, and a printer 111. Connected via the network 107.

  FIG. 2 is an example of a block diagram illustrating details of the X-ray imaging apparatus control unit of FIG. 1 in the first embodiment.

  Reference numeral 201 denotes an inspection order input unit 1 that functions as a first inspection order input unit and inputs an inspection order. The examination order includes patient information to be photographed and photographing contents. The inspection order input unit 1 inputs from an external system such as RIS via a network.

  Reference numeral 202 denotes an inspection order input unit 2 that functions as a second inspection order input unit and inputs an inspection order. The inspection order input unit 2 inputs inspection information from a shared folder or external memory via a file.

  Reference numeral 203 denotes a new inspection order storage unit that stores a new inspection input through the inspection order input unit 1 or the inspection order input unit 2. By storing a new examination, the entered examination order can be used even when the offline state is entered.

  Reference numeral 204 denotes an inspection order management unit that functions as inspection order management means and manages inspection orders. When the inspection order is input from the inspection order input unit 1, the inspection information received after the inspection stored in the inspection order storage unit is once cleared is added. When an inspection order is input from the inspection order input unit 2, newly read inspection information is added while maintaining the inspection information in the inspection order storage unit. The inspection order management means may have the functions of the following means.

  For example, in the default setting, the processing as described above is performed, but the inspection order update method setting means (not shown) is operated to select whether to add an inspection order or import the original inspection list. May be. Further, when importing an inspection order, an inspection order comparison unit (not shown) may be operated to determine whether or not there are duplicate inspection orders by comparison. As a result of the comparison, when there are duplicate inspection orders, a duplicate inspection order deletion unit (not shown) may be operated to delete the same inspection order. Further, when the duplicate inspection order is deleted by the duplicate inspection order deletion means, an inspection order deletion confirmation means (not shown) for confirming the notification of deletion to the user may function.

  A display unit 205 displays a radiation image and examination information on a display device such as a CRT or a liquid crystal monitor. The inspection order stored in the inspection order storage unit 203 is also displayed here.

  Reference numeral 206 denotes an operation input unit such as a mouse or a keyboard for instructing to start, hold, or end the examination on the radiographic image or examination order displayed on the display unit 205.

  Reference numeral 207 denotes an image input unit that inputs a radiographic image captured by a digital X-ray imaging apparatus to a medical examination system. There is a case where the input is made via a network or a case where the input is made via a medium such as a CD-ROM or DVD.

  An image holding unit 208 holds an input radiation image in a recording device such as a hard disk.

  Reference numeral 209 denotes an inspection information output unit for transferring images and inspection information to the outside.

  A system bus 210 connects the units 201 to 209 to each other.

  Next, the operation of the medical examination system in the present embodiment will be specifically described with reference to the flowchart shown in FIG.

  In FIG. 3, in step S301, an instruction for an inspection input method is performed to determine whether inspection input is performed via RIS or inspection input is performed via a file.

  In step S302, it is confirmed whether the examination input method is RIS. If the RIS is designated, the inspection order is received from the RIS in step S303. Thereafter, all the inspection order lists held in step S304 are deleted, and the process proceeds to step S306.

  If it is determined in step S302 that the inspection input method is not RIS, the process proceeds to step S305, and an inspection order is received via a file. Thereafter, the process proceeds to step S306, and the received inspection order is registered in the internal inspection order list.

  In step S307, an internal inspection order list is displayed.

  In step S308, the inspection order is selected, and the inspection is started by the inspection start instruction in step S309.

  FIG. 4 is an example of a list of examinations scheduled to be performed. In the scheduled examination display screen 401, a system button 402 for switching various settings is arranged at the top of the screen.

  The inspection list 404 displays a list of inspection information scheduled to be executed, and can be automatically narrowed down by inputting a value in the search area 403.

  When an examination on the examination list is selected, the selected examination information is displayed on the patient information display unit 405 and the examination information display unit 406.

  When the update 407 button is pressed, the examination order displayed in the examination list is updated. The update method can be switched by setting, and either via RIS or via file can be selected. When the inspection start button 408 is pressed, the selected inspection can be started.

  FIG. 5 shows an example in which the examination information received from the RIS is displayed as a list 501 in the examination list. By pressing the update button 502, the inspection order can be acquired from the RIS.

  FIG. 6 is an example of a screen when the update button is pressed from the state shown in FIG. 5 and the examination order is reacquired from the RIS. The inspection order displayed on the screen of FIG. 5 is cleared, and only the newly acquired inspection order is displayed in the inspection list 601.

  FIG. 7 is an example of a screen when the update button is pressed in a state where the inspection information received from the file is displayed in a list in the inspection list. The information of the inspection order newly received via the file is added to the inspection order list 701 originally displayed and displayed. At that time, a display 702 indicating that the examination is added is added to the status column so that the added examination can be identified.

  FIG. 8 shows a setting screen 801 for selecting whether the examination list is received from the RIS or the file. Choices of RIS 802 and file 803 are provided as inspection information acquisition destinations. When RIS is selected, IP address 804, AE TITLE 805, and port number 806 are set. An OK button 808 is pressed to confirm the change contents, and a cancel button 807 is pressed to cancel.

(Second embodiment)
FIG. 9 is an example of a block diagram illustrating details of the X-ray imaging apparatus control unit of FIG. 1 according to the second embodiment.

  Reference numeral 901 denotes an inspection order input unit 1 for inputting an inspection order. The examination order includes patient information to be photographed and photographing contents. The inspection order input unit 1 inputs from an external system such as RIS via a network.

  Reference numeral 902 denotes an inspection order input unit 2 for inputting an inspection order. The inspection order input unit 2 inputs inspection information from a shared folder or external memory via a file.

  Reference numeral 903 denotes a new inspection order storage unit that stores a new inspection input through the inspection order input unit 1 or the inspection order input unit 2. By storing a new examination, the entered examination order can be used even when the offline state is entered.

  Reference numeral 904 denotes an inspection order management unit that manages inspection orders. When DICOM information is included in the inputted examination order, the examination information received is added after clearing the examination stored in the examination order storage unit. If DICOM information is not included in the inspection order, the newly read inspection information is added while maintaining the inspection information in the inspection order storage unit.

  In addition, when adding, it is determined whether or not the same examination exists in the examination order storage unit using the examination information comparison unit 910. If there is the same examination information, the duplicate examination order is first deleted from the examination order storage unit. Add inspection information.

  A display unit 905 displays a radiation image and examination information on a display device such as a CRT or a liquid crystal monitor. The inspection order stored in the inspection order storage unit 903 is also displayed here.

  Reference numeral 906 denotes an operation input unit such as a mouse or a keyboard for instructing to start, hold, or end the examination with respect to the radiographic image or examination order displayed on the display unit 905.

  Reference numeral 907 denotes an image input unit that inputs a radiographic image captured by a digital X-ray imaging apparatus to a medical examination system. There is a case where the input is made via a network or a case where the input is made via a medium such as a CD-ROM or DVD.

  An image holding unit 908 holds an input radiation image in a recording device such as a hard disk.

  Reference numeral 909 denotes an inspection information output unit for transferring images and inspection information to the outside.

A system bus 911 connects the units 901 to 910 to each other.
Next, the operation of the medical examination system according to the second embodiment will be specifically described with reference to the flowchart shown in FIG.

  In FIG. 3, in step S <b> 1001, an instruction for an inspection input method is performed to determine whether inspection input is performed via RIS or inspection input is performed via a file.

  In step S1002, it is confirmed whether the examination input method is RIS. When the RIS is designated, the inspection order is received from the RIS in step S1003.

  If it is determined in step S1002 that the inspection input method is not RIS, the process advances to step S1004 to receive an inspection order via a file.

  Thereafter, it is determined whether or not the inspection order input in step S1005 includes DICOM information. If DICOM information is included, it is confirmed to the user through the GUI in step S1006 whether the existing examination list may be deleted. If the user confirms that the confirmation result can be determined and deleted in step S1007, the entire inspection order list held in step S1008 is deleted, and the process proceeds to step S1012. If it is determined in step S1007 that the deletion has not been confirmed, the process ends.

  If it is determined in step S1005 that DICOM information is not included, the process advances to step S1009 to compare the inspection order list held internally with the inspection order received via the file. If it is determined in step S1010 that there is an internal inspection order list having the same inspection ID as the inspection order received via the file as a result of the comparison in step S1009, the corresponding inspection is extracted from the internal inspection order list in step S1011. delete. Thereafter, the process proceeds to step S1012, and the received inspection order is registered in the internal inspection order list.

  In step S1013, an internal inspection order list is displayed.

  In step S1014, the inspection order is selected, and the inspection is started by the inspection start instruction in step S1015.

  FIG. 11 shows a dialog 1101 for confirming that an existing inspection list is cleared when the inspection list is updated. When the OK button 1103 is pressed, the existing inspection list is cleared and the inspection list is received. When the cancel button 1102 is pressed, the existing examination list is not cleared and the examination list is not received.

  FIG. 12 is an example showing a state in which examination information received from a file is displayed in a list 1201 in the examination list. At the top 1202 of the list, an inspection order of inspection ID: A200153 is displayed.

  FIG. 13 shows an example of a screen when the same inspection order as that in the first line is input from the state of FIG. 12 via a file.

  Since the input information does not include DICOM information, the inspection list 1301 retains the order of the existing list as it is. However, since the same inspection information as the newly input inspection exists in the existing list, the information in the existing list is deleted and a new inspection order is added. Therefore, the inspection date 1303 and the protocol number 1304 are updated. At that time, a display 1302 indicating that the examination is added is displayed in the status column so that the added examination can be identified.

  In this way, when the same inspection ID is input, it is overwritten with the information input later. In addition to the examination ID, it is conceivable to use a patient ID or a reception number as information for identifying the same examination.

(Other embodiments)
In the embodiments described so far, the acquisition destination of the inspection order is determined in advance by setting. However, it is also possible to select at the timing when the update is executed. FIG. 14 shows a selection screen 1401 for selecting whether to receive the examination list from the RIS or the file. If it is desired to use RIS as the examination information acquisition destination, RIS button 1403 is pressed. If a file is to be used, file button 1404 is pressed. When canceling, a cancel button 1402 is pressed.

  It is also conceivable to select at the time of updating whether the existing examination list is to be retained or cleared. FIG. 15 shows a selection screen 1501 for selecting whether to update or add when receiving an examination list. An update button 1503 is used when a newly received inspection order is added to the list after the internal inspection list is cleared. An add button 1504 is used to add a newly received examination order to the list while holding the internal examination list. When canceling, a cancel button 1502 is pressed.

  Further, the functions of the above-described embodiment (for example, the flowchart of FIG. 2) are implemented in an apparatus connected to the various devices or a computer in the system so as to operate various devices so as to realize the functions of the above-described embodiments. A program code of software for realizing the function) is supplied, and the system or apparatus computer (CPU or MPU) is operated by operating the various devices according to the stored program. included.

  In this case, the software program code itself realizes the functions of the above-described embodiments, and the program code itself and means for supplying the program code to the computer, for example, the program code are stored. The storage medium constitutes the present invention.

  As a storage medium for storing the program code, for example, a floppy (registered trademark) disk, a hard disk, an optical disk, a magneto-optical disk, a CD-ROM, a magnetic tape, a nonvolatile memory card, a ROM, or the like can be used.

  Further, by executing the program code supplied by the computer, not only the functions of the above-described embodiments are realized, but also the OS (operating system) in which the program code is running on the computer, or other application software, etc. It goes without saying that the program code is also included in the embodiment of the present invention even when the functions of the above-described embodiment are realized in cooperation with the embodiment.

  Further, the supplied program code is stored in the memory provided in the function expansion board of the computer or the function expansion unit connected to the computer, and then the CPU provided in the function expansion board or function storage unit based on the instruction of the program code However, it is needless to say that the present invention also includes a case where the function of the above-described embodiment is realized by performing part or all of the actual processing.

Claims (10)

A first inspection order input means for inputting an inspection order via a network;
A second inspection order input means for inputting the inspection order via a file;
An inspection order storage means for storing an inspection list of inspection orders;
When the inspection order is input from the first inspection order input means, the stored inspection list is deleted, an inspection list based on the input inspection order is created, and the second inspection order is generated. A medical examination apparatus comprising: an examination order management means for adding the inputted examination order to the stored examination list when the examination order is inputted from an input means. The inspection order management means, when DICOM information is included in the input inspection order, deletes the inspection list stored in the inspection order storage means, and then imports the inspection order including DICOM information When DICOM information is not included in the inspection order that has been added, control is performed to add an inspection order that does not include DICOM information while retaining the inspection list stored in the inspection order storage means. The medical examination apparatus according to claim 1.   Further, it has inspection order update method setting means for setting whether to delete the inspection list stored in the storage means after the input of the inspection order, or to additionally acquire the inspection list. The medical examination apparatus according to claim 1. Further, when an inspection order is added by the inspection order management means, an inspection order comparison means for comparing the added inspection order with the inspection order stored in the inspection order storage means,
A duplicate inspection order deletion means for deleting the same inspection order from the inspection order stored in the inspection order storage means when it is determined that the same inspection order exists as a result of the comparison by the inspection order comparison means; The medical examination apparatus according to claim 1.   2. The medical examination apparatus according to claim 1, further comprising examination order deletion confirmation means for notifying a user that the examination list is to be deleted when the examination list stored in the storage means is to be deleted. . A first inspection order entry process for entering the inspection order via the network;
A second inspection order input process for inputting the inspection order via a file;
An inspection order storage process in which the inspection order storage unit stores an inspection list of inspection orders ;
When the inspection order is input in the first inspection order input step, the control unit deletes the stored inspection list and creates an inspection list based on the input inspection order, and the second inspection order is input. When the inspection order is input in the inspection order input step, the control unit uses a medical inspection system having an inspection order management step of adding the inspection order input to the stored inspection list . Medical examination method. Computer
A first inspection order input means for inputting an inspection order via a network;
A second inspection order input means for inputting the inspection order via a file;
An inspection order storage means for storing an inspection list of inspection orders;
When the inspection order is input from the first inspection order input means, the inspection list by the input inspection order is created after deleting the stored inspection list, and the second inspection order input A computer readable computer for functioning as a medical examination apparatus comprising: an examination order management means for adding the examination order inputted to the stored examination list when the examination order is inputted from a means; program. A first inspection order input means for inputting an inspection order via a network;
A second inspection order input means for inputting the inspection order other than via the network;
An inspection order storage means for storing an inspection list of inspection orders;
When the inspection order is input from the first inspection order input means, the stored inspection list is deleted, an inspection list based on the input inspection order is created, and the second inspection order is generated. A medical examination apparatus comprising: an examination order management means for adding the inputted examination order to the stored examination list when the examination order is inputted from an input means. A first inspection order entry process for entering the inspection order via the network;
A second inspection order input process for inputting the inspection order other than via the network;
An inspection order storage step of storing an inspection list of inspection orders in the inspection order storage unit;
When the inspection order is input in the first inspection order input step, the control unit deletes the stored inspection list and creates an inspection list based on the input inspection order, and the second inspection order is input. When the inspection order is input in the inspection order input step, the control unit uses a medical inspection system having an inspection order management step of adding the inspection order input to the stored inspection list. Medical examination method. Computer
A first inspection order input means for inputting an inspection order via a network;
A second inspection order input means for inputting the inspection order other than via the network;
An inspection order storage means for storing an inspection list of inspection orders;
When the inspection order is input from the first inspection order input means, the inspection list by the input inspection order is created after deleting the stored inspection list, and the second inspection order input A computer readable computer for functioning as a medical examination apparatus comprising: an examination order management means for adding the examination order inputted to the stored examination list when the examination order is inputted from a means; program.

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