JP6066577B2 - 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 captured image is subjected to image processing predetermined for each part and displayed.

  In addition to the input of examination information via the network from HIS, etc., it is also generally known that information such as the name, sex, date of birth, etc. of a patient who has been examined once is saved as a past patient list and used for the next examination. It has been.

JP2010-253044

  In a conventional medical examination system, if it is found that additional imaging is necessary after the examination is completed, if additional examination is performed using the above-described past patient list, identification information such as examination ID and reception number included in the examination information is obtained. There is a possibility of being treated as another inspection because it does not match the inspection already inspected.

  Patent Document 1 discloses a system in which a margin of a predetermined time is provided from the end of an inspection operation to the actual end of inspection in order to allow a new image to be added to the inspection that has been inspected. .

  However, there is a case where additional shooting needs to be performed after a predetermined time disclosed in Patent Document 1. The present invention has been made in view of the above problems, and an object thereof is to appropriately and easily perform additional imaging in a medical examination apparatus.

  The medical examination apparatus according to the present invention includes: first storage means for storing examination information scheduled for execution in a reserved state; first display means for displaying a list of the examination information scheduled for implementation; A second storage means for storing; a second display means for displaying a list of the performed inspection information; a selection means for selecting the inspection information displayed on the second display means; and the selection means. A medical examination apparatus comprising: reservation means for placing selected examination information in a reserved state and storing the information in the first storage means.

  According to the present invention, additional imaging can be performed appropriately and easily in a medical examination apparatus.

It is a block diagram of the medical test | inspection system in this embodiment. It is a block diagram of the X-ray imaging apparatus control part of the medical test | inspection system of this embodiment. It is a flowchart which instruct | indicates inspection resumption in this embodiment. It is an inspection start flowchart in this embodiment. It is a screen example of the scheduled inspection list screen It is an example of a screen of a completed examination list It is a screen example of a confirmation screen when an inspection restart instruction is issued from the completed inspection list This is an example of the screen when the restart inspection is displayed on the scheduled inspection list screen It is a screen example when reopening inspection is narrowed down on the scheduled inspection list screen

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

  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.

  This embodiment is applied to an X-ray imaging system as shown in FIG. This X-ray imaging system includes an X-ray imaging apparatus 106 that captures an X-ray digital image. The network 107 further includes an RIS 108 that is an information system in the radiation department, 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.

  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.

  An inspection order input unit 201 inputs an inspection order. The examination order includes patient information to be photographed and photographing contents. The inspection order is input from an external system such as RIS.

  A new inspection order storage unit 202 stores new inspections input from an external system such as RIS through the inspection order input unit 201. By storing a new examination, the entered examination order can be used even when the offline state is entered.

  A display unit 203 displays a radiographic image and examination information on a display device such as a CRT or a liquid crystal monitor. The display unit 203 functions as a first display unit that displays a list of inspection information scheduled to be performed and a second display unit that displays a list of inspection information that has been performed, and the inspection stored in the new inspection order storage unit 202 A list of is also displayed here.

  Reference numeral 204 denotes an operation input unit such as a mouse and a keyboard that gives instructions for starting, resuming, and ending the examination with respect to the radiographic image and examination order displayed on the display unit 203.

  Reference numeral 205 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 a DVD.

  Reference numeral 206 denotes a completed inspection order storage unit that functions as a second storage unit and stores the inspection information and the image input from the image input unit 205 in association with each other.

  Reference numeral 207 denotes an inspection information output unit for transferring images and inspection information to the outside.

  Reference numeral 208 denotes an inspection order generation unit that functions as a first storage unit that stores inspection information in the reservation state, and generates and registers an already performed inspection order as a new inspection order again.

  A system bus 209 connects the units 101 to 111 to each other.

  Next, using the flowchart shown in FIG. 3, the operation of the medical examination system when the examination information of this embodiment is selected and reserved again will be described in detail.

  In FIG. 3, in step S301, inspection information that has been executed is read, and in step S302, the inspection information that has already been executed is displayed in a list.

  In step S303, it is confirmed whether or not there is an input from the user and waits until there is an input.

  When input is performed, the process proceeds to step S304, and it is confirmed whether or not the input content is an inspection selection.

  If it is an instruction other than inspection selection, the process proceeds to step S305, and other processing is executed according to the input content.

  If it is an inspection selection, the process proceeds to step S306 and waits until there is an input again.

  When the input is performed, the process proceeds to step S307, and it is confirmed whether or not the input content is an instruction to resume inspection.

  If it is an instruction other than resuming the inspection, the process proceeds to step S305, and other processing according to the input content is executed.

  If it is an instruction to restart the inspection, the process proceeds to step S308 to confirm the inspection restart to the user.

  The confirmation result is determined in step S309, and if the confirmation of restart is not obtained, the process is terminated. If there is an instruction that the user confirms that it can be resumed, a reservation unit (not shown) included in the medical examination apparatus functions, and the examination information already performed in step S310 is set to the reserved state, and the reserved examination information Is generated. When the reserved examination information is generated, a prohibition unit (not shown) included in the medical examination apparatus functions to prohibit the change of the photographed image included in the examination information. In addition, take-over means (not shown) of the medical examination apparatus functions, and identification information of examination information such as a reception number, examination ID, and photographed technique 805 can be taken over by newly generated scheduled examination information.

  Thereafter, the reserved examination information generated in step S311 is registered in the new examination list.

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

  In FIG. 4, in step S401, the stored new examination list is read. The new inspection list stores inspections reserved in advance manually and inspection information reserved from inspections already performed by the flowchart of FIG.

  In step S402, an inspection order is received from the RIS. Thereafter, in step S403, the new examination list and the examination order information received from the RIS are merged and displayed.

  In step S404, it is confirmed whether or not there is an input from the user and waits until there is an input.

  When input is performed, the process proceeds to step S405, and it is confirmed whether or not the input content is examination selection.

  If it is an instruction other than the examination selection, the process proceeds to step S406, and other processing is executed according to the input content.

  If it is the inspection selection, the process proceeds to step S407 and waits until there is an input again.

  When input is performed, the process proceeds to step S408, and it is confirmed whether or not the input content is an instruction to start inspection.

  If it is an instruction other than the start of the inspection, the process proceeds to step S406, and other processing according to the input content is executed.

  If it is an instruction to start an examination, the process proceeds to step S409, and it is determined whether or not the examination instructed to start includes information on a technique to be photographed.

  If the information on the imaging technique is included, the process proceeds to step S411 to start the inspection. If the shooting technique information is not included, the technique is added in step S410, and then the process proceeds to step S411.

  FIG. 5 is an example of a list of examinations scheduled to be performed. On the scheduled examination display screen 501, a past image reference button 502 for switching to a past image reference screen and a system button 503 for switching various settings are arranged at the top of the screen.

  The inspection list 508 displays a list of inspection information scheduled to be executed, and can be automatically narrowed down by entering a value in the search keyword input box 505 in the search area 504. Further, by switching radio buttons of all examinations 506 and resumed examinations 507, it is possible to narrow down based on the states displayed in the examination status column.

  When an examination on the examination list is selected, the selected examination information is displayed on the patient information display unit 509 and the examination information display unit 510.

  When the update 511 button is pressed, the examination order displayed in the examination list is updated. When the inspection start button 512 is pressed, the selected inspection can be started.

  FIG. 6 is an example of a list of completed inspections. On the completed examination display screen 601, a shooting button 602 for switching to a shooting screen and a system button 603 for switching various settings are arranged at the top of the screen.

  A list of inspection information that has been performed so far is displayed in the performed inspection list 605 and can be automatically narrowed down by inputting a value in the search area 604.

  When the examination 607 on the list is selected using the mouse cursor 606, the selected examination information is displayed on the patient information display unit 608 and the examination information display unit 609. In addition, the selected examination can be deleted by pressing the delete button 610.

  When the examination restart 611 button is pressed, the selected examination can be reserved for examination and additional imaging can be performed. When the reproduction button 612 is pressed, an image included in the examination information can be reproduced.

  FIG. 7 shows a dialog 701 for confirming addition to the reserved inspection list when inspection is resumed. When the OK button 703 is pressed, it is added to the reserved inspection list. When the cancel button 702 is pressed, it is not added to the reserved examination list and the restart process is not performed.

  FIG. 8 shows a reserved inspection list screen 801 after an instruction to resume inspection is given from the performed inspection list screen shown in FIG.

  The examination 802 designated in FIG. 6 is registered in the reserved examination list in a resumed state.

  When this examination is selected, not only the patient information 803 but also the identification information 804 of examination information such as the reception number, examination ID, and photographed technique 805 is taken over. However, in the present embodiment, the image that has been taken at the time of the previous inspection is displayed in a different display form such as changing the display color of the thumbnail portion, and image editing (change) is prohibited.

  FIG. 9 is a screen 901 showing a state where the examination 902 in which the radio button is restarted from the state shown in FIG. 8 is selected and narrowed down.

  Only one case that has been resumed as a result of narrowing is displayed in the examination list. By using the narrowing down in this way, it is possible to select the restart inspection in advance.

(Other embodiments)
In the embodiment, the reception number and the inspection ID are listed as identification information of the inspection information to be inherited. However, other information related to the inspection information such as the Study Instance UID and the Scheduled Procedure Step ID may be inherited.

  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 computer-readable computer program code for realizing the function is provided. And what was implemented by operating the said various devices according to the program stored in the computer (CPU or MPU) of the system or apparatus is also contained under the category of the present invention.

  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 (5)

First storage means for storing inspection information scheduled to be performed in a reserved state;
First display means for displaying a list of examination information scheduled to be implemented;
Second storage means for storing inspection information that has been performed;
A second display means for displaying a list of the inspection information that has been performed;
Selecting means for selecting the examination information displayed on the second display means;
Reservation means for setting the examination information selected by the selection means to a reservation state and storing it in the first storage means;
A medical examination apparatus comprising: a handover means for passing the identification information included in the examination information to the newly generated examination information when the examination information is set to a reservation state by the reservation means.   The medical examination apparatus according to claim 1, further comprising a prohibiting unit that prohibits a change of a captured image included in the examination information when the examination information is set to a reservation state by the reservation unit. .   The first display means, when the examination information is set in a reservation state by the reservation means, displays the examination information in the reservation state in a display form different from other examination information. As described in Medical testing equipment. A first storage step for storing inspection information scheduled to be performed in a reserved state;
A first display step for displaying a list of inspection information scheduled to be performed;
A second storage step for storing inspection information that has been performed;
A second display step for displaying a list of the inspection information that has been performed;
A selection step of selecting the inspection information displayed in the second display step;
A reservation step for storing the examination information selected in the selection step in a reserved state;
A medical examination method characterized by comprising a step of passing the identification information included in the examination information to newly generated examination information when the examination information is brought into a reservation state by the reservation step. Computer
First storage means for storing inspection information scheduled to be performed in a reserved state;
First display means for displaying a list of examination information scheduled to be implemented;
Second storage means for storing inspection information that has been performed;
A second display means for displaying a list of the inspection information that has been performed;
Selecting means for selecting the examination information displayed on the second display means;
Reservation means for setting the examination information selected by the selection means to a reservation state and storing it in the first storage means;
In the case where the examination information is made to be in a reservation state by the reservation means, the medical examination apparatus is provided with a handover means for passing the identification information included in the examination information to the newly generated examination information. Computer readable computer program for.

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