JP6407534B2 - Medical information reference device and medical diagnosis support system - Google Patents

Description

  Embodiments described herein relate generally to a medical information reference device and a medical diagnosis support system that support diagnosis based on sample data of each test item obtained from a sample testing device.

  Specimen test that generates specimen data for each test item such as image diagnostic equipment that generates image data such as X-ray diagnostic equipment, X-ray CT equipment, MRI equipment, ultrasonic diagnostic equipment, nuclear medicine diagnostic equipment, and automatic analyzer The device is connected to a medical information storage device via a network. The image diagnostic device transmits medical image information including image data to the medical information storage device, and the sample testing device transmits sample test information including sample data to the medical information storage device. The medical information storage device stores medical image information and sample test information transmitted from the image diagnostic device and the sample testing device.

  Communication performed between devices via the image data format and the network is often performed in accordance with DICOM (Digital Imaging and Communications in Medicine) standards, and the medical information storage device performs processing such as compression. Done.

  The medical information storage device is connected to the medical information reference device via the network, and distributes medical image information and sample examination information to the requesting medical information reference device. The medical information reference device transmits an interpretation report created by diagnosis of medical image information distributed from the medical information storage device and a specimen test report created by diagnosis of specimen test information to the medical information storage device. The medical information storage device stores an interpretation report and a specimen test report transmitted from the medical information reference device.

  By the way, diagnosis of medical image information and specimen test information is often carried out by each specialist. In the case of a health examination with a large number of examinations, a comprehensive diagnosis of medical image information and specimen examination information is often performed by a separate doctor from a specialist who diagnoses the medical image information and specimen examination information.

JP 2011-14007

  However, when diagnosis is performed by division of labor, there is a possibility that even if one of the medical image information and the sample test information is diagnosed as having an abnormality, the other is diagnosed as having no abnormality. Further, when one doctor diagnoses medical image information and specimen test information, there is a possibility that one of the abnormalities may be overlooked due to an increase in the number of examinations to be diagnosed. In either case, when creating a comprehensive diagnosis test report, one of the abnormalities may be overlooked, and it may be determined that there is no abnormality.

  Embodiments have been made to solve the above problems, and an object thereof is to provide a medical information reference device and a medical diagnosis support system that can prevent oversight of diagnosis.

In order to achieve the above object, the medical information reference device of the embodiment stores image data generated by examination of a subject, specimen data related to the subject, and determination information obtained based on the specimen data. Means, display means for displaying the image data, input means for inputting interpretation information of the image data, and input when the determination information includes information determined to be abnormal for a predetermined part of the subject. When the interpretation information does not include information regarding the predetermined part, or when the input interpretation information does not include information determined to be abnormal for the predetermined part, the predetermined part of the subject is based on the determination information. Control means for causing the display means to display information for informing about an abnormality related to the above-mentioned problem .

The block diagram which shows the structure of the medical diagnosis assistance system which concerns on embodiment. The figure which shows the list | wrist of the reference value of each test | inspection item preserve | saved at the memory | storage part which concerns on embodiment. The figure which shows an example of the diagnostic assistance information preserve | saved at the memory | storage part which concerns on embodiment. The flowchart which shows operation | movement of the determination part which concerns on embodiment. The figure which shows an example of the specimen test information of the subject which concerns on embodiment. The figure which shows an example of the determination information preserve | saved at the memory | storage part which concerns on embodiment. The figure which shows an example of the comprehensive diagnosis information preserve | saved at the memory | storage part concerning embodiment. The figure which shows an example of the interpretation report screen displayed on the display part which concerns on embodiment.

  Hereinafter, embodiments will be described with reference to the drawings.

  FIG. 1 is a diagram illustrating a configuration of a medical diagnosis support system according to the embodiment. The medical diagnosis support system 100 includes an image diagnostic apparatus 10 such as an X-ray diagnostic apparatus, an X-ray CT apparatus, an MRI apparatus, an ultrasonic diagnostic apparatus, or a nuclear medicine diagnostic apparatus that generates image data by examining a subject. . In addition, as a test of the subject, a sample testing device 20 such as an automatic analyzer that generates sample data by analyzing the components of each test item included in the sample collected from the subject is provided.

  The medical diagnosis support system 100 also includes patient information for identifying the subject obtained from the image diagnostic apparatus 10 through examination of the subject, medical image information including examination information and image data for identifying the examination, and examination of the subject. Is provided with a medical information storage device 30 for storing sample test information including patient information, test information, and sample data obtained from the sample test device 20. In addition, a medical information reference device 40 that displays medical image information and sample test information obtained from the image diagnostic apparatus 10 and the sample test apparatus 20 is provided.

  The image diagnostic apparatus 10 transmits medical image information to the medical information storage apparatus 30 connected via the network 50. In addition, the sample testing apparatus 20 transmits the sample test information to the medical information storage apparatus 30 connected via the network 50. In addition, the medical information storage device 30 transmits medical image information and specimen test information to the medical information reference device 40 connected via the network 50.

  In addition, the medical information reference device 40 interprets interpretation information obtained by diagnosis of medical image information for creating an interpretation report, specimen diagnosis information obtained by diagnosis of specimen examination information for creating a specimen examination report, and examination Comprehensive diagnosis information obtained by comprehensive diagnosis such as medical image information and specimen test information for creating a report is transmitted to the medical information storage device 30.

  The medical information storage device 30 stores information such as medical image information, sample test information, interpretation information, sample diagnosis information, and comprehensive diagnosis information obtained from the image diagnostic device 10, the sample testing device 20, and the medical information reference device 40. A storage unit 31 is provided. In addition, a determination unit 32 is provided that determines the presence or absence of abnormality of the subject for each examination based on the specimen examination information obtained from the specimen testing apparatus 20. In addition, a transmission / reception unit 33 that transmits / receives information to / from each external device via the network 50, and a control unit 34 that controls the storage unit 31, the determination unit 32, and the transmission / reception unit 33 are provided.

  The storage unit 31 stores a reference value indicating a range in which, for example, 95% of healthy persons are applied in the inspection of each inspection item in the sample inspection apparatus 20. In addition, diagnosis support information including various disease names, test items related to the disease names, and trend values indicating a tendency with respect to the reference value of the test items, including a low value indicating a range lower than the reference value or a high value indicating a high range. Saved.

  In addition, about the inspection item from which a reference value differs with sex and age, the some reference value according to the classified sex and age is preserve | saved. Moreover, when the reference value of the test item related to the disease name differs by gender or age, a trend value corresponding to the gender or age is stored.

  Further, in the storage unit 31, each information of medical image information and sample test information obtained from the image diagnostic apparatus 10 and the sample test apparatus 20 by this test for each test includes name, age, gender, etc. included in this information Stored in association with patient information. Further, interpretation information and comprehensive diagnosis information obtained from the medical information reference device 40, information on determination results determined by the determination unit 32 (determination information), and the like are stored in association with patient information.

  FIG. 2 is a view showing one column of the reference value of each inspection item stored in the storage unit 31. The reference value list 311 includes columns of “item” and “range”. In the “item” column, each test item that can be tested by the sample testing apparatus 20 such as “AST”, “ALT”, “γ-GTP”, “ALP”, “T-Bil”, and “ALB” is displayed. The item name is saved as an abbreviation.

  In the “range” column, the reference value of each inspection item stored in the “item” column is stored. Then, “10 to 32 IU / L” indicating the range of the reference value of “AST” and “8 to 42 IU / L” indicating the range of the reference value of “ALT” are stored. Further, “10 to 47 IU / L” indicating the range of the reference value of “γ-GTP” and “115 to 359 IU / L” indicating the range of the reference value of “ALP” are stored. Further, “0.3 to 1.2 mg / dL” indicating the range of the reference value of “T-Bil”, “3.8 to 5.2 g / dL” indicating the range of the reference value of “ALB”, etc. Is saved.

  FIG. 3 is a diagram illustrating an example of diagnosis support information stored in the storage unit 31. The diagnosis support information 312 includes columns of “type”, “item”, and “value for range”. In the “type” column, information on a disease name such as “liver dysfunction” is stored. Also, in the “item” column, information on examination items related to the disease name is stored for each disease name stored in the “type” column. Information on five test items “AST”, “ALT”, “γ-GTP”, “T-Bil”, and “ALB” is stored as test items related to “liver dysfunction”.

  In the “value for range” column, the tendency value of each inspection item stored in the “item” column is stored. When the disease name is “liver dysfunction”, “high” information indicating that the tendency values of “AST”, “ALT”, “γ-GTP”, and “T-Bil” are high is stored. Has been. Also, “low” information indicating that the tendency value of “ALB” is a low value is stored.

  The determination unit 32 illustrated in FIG. 1 classifies the sample data of each test item into a reference value or an abnormal value that is a range that is out of the reference value. If it is an abnormal value, it is classified into a low value or a high value. Next, the presence / absence of abnormality of the subject is determined based on the diagnosis support information 312 stored in the storage unit 31 and the classified value.

  Then, when the values obtained by classifying the sample data of all the inspection items obtained by the examination of the subject coincide with the reference value, it is determined that there is no abnormality in the subject. In addition, when the value obtained by classifying the sample data of at least one test item among the sample data of the test item obtained by the test matches the abnormal value, the storage unit 31 is included in the test item in which the test is performed. If the examination item related to the disease name stored in is included, the presence or absence of abnormality of the subject with respect to the disease name is determined.

  Next, the determination unit 32 determines whether or not the subject has an abnormality with respect to the disease name stored in the storage unit 31. When the value obtained by classifying the sample data of the test item related to the disease name obtained by the test of the subject matches the tendency value of the test item related to the disease name included in the diagnosis support information 312 It is determined that there is a possibility of a disease of the above-mentioned disease name. In addition, a value obtained by classifying the sample data of at least one test item among the sample data of the test item related to the disease name obtained by the test of the subject includes the value related to the disease name included in the diagnosis support information 312. A sample obtained by another test including comprehensive diagnosis information stored in the storage unit 31 as sample test information including the test item on which the test of the subject is performed when the tendency value of one test item does not match Search from inspection information.

  Next, when determining the presence or absence of a similar abnormality based on the retrieved sample test information, values obtained by classifying the sample data of the test item related to the disease name obtained by the test of the subject are stored in the storage unit 31. It corresponds to the value obtained by classifying the sample data of the test item related to the disease name obtained by the other examination, and the information of the disease name is included in the comprehensive diagnosis information obtained by the comprehensive diagnosis of the other examination. If there is a similar abnormality, it is determined that there is a possibility of the disease having the disease name included in the comprehensive diagnosis information.

  Further, among the sample data of the test item related to the disease name obtained by the test of the subject, a value obtained by classifying the sample data of at least one test item is related to the disease name obtained by another test. If the sample data of one examination item does not match the classified value, it is determined that there is no similar abnormality.

  Note that test items having different reference values depending on gender and age are classified into low or high tendency values with respect to the reference values according to sex and age included in the patient information of the sample test information. And based on the classified value and the tendency value according to the sex and age preserve | saved at the memory | storage part 31, the presence or absence of abnormality of a subject is determined.

  Further, a predetermined range lower than the lower limit of the reference value is set as the lower limit value, and a value lower than the lower limit value is set as the low value. Further, a predetermined range higher than the upper limit of the reference value is set as the upper limit value, and a value higher than the upper limit value is set as the high value. Then, it may be carried out so as to determine the presence / absence of abnormality of the subject by using the diagnosis support information in which the tendency value of the test item related to each disease name is classified into a low value, a lower limit value, an upper limit value or a high value. .

  The transmission / reception unit 33 receives the medical image information transmitted from the image diagnostic apparatus 10 and outputs it to the storage unit 31. In addition, the sample test information transmitted from the sample test apparatus 20 is received and output to the storage unit 31 and the determination unit 32. In addition, the interpretation information and the comprehensive diagnosis information transmitted from the medical information reference device 40 are received and output to the storage unit 31 and the determination unit 32. In addition, the determination information output from the determination unit 32 is transmitted to the medical information reference device 40.

  The medical information reference device 40 includes a transmission / reception unit 41 that receives information such as medical image information, specimen examination information, and determination information transmitted from the medical information storage device 30 via the network 50. In addition, a storage unit 42 for storing each piece of information received by the transmission / reception unit 41 is provided. Moreover, the display part 43 which has each CRT display, a liquid crystal display, or an organic EL display etc. which display each information preserve | saved at the memory | storage part 42 is provided. In addition, an input unit 44 that inputs interpretation information, comprehensive diagnosis information, and the like, and a control unit 45 that controls the transmission / reception unit 41, the storage unit 42, and the display unit 43 are provided.

  The display unit 43 displays each piece of information of medical image information, sample examination information, and determination information stored in the storage unit 42. Further, the medical image information and the specimen examination information are displayed side by side. Further, medical image information, specimen examination information, and determination information are displayed side by side. Further, the interpretation information and comprehensive diagnosis information input from the input unit 44 are displayed.

  The input unit 44 includes input devices such as a mouse, a switch, and a keyboard. Then, interpretation information obtained by diagnosis of an operator who creates an interpretation report with reference to the medical image information displayed on the display unit 43 is input. Further, sample diagnosis information obtained by diagnosis of an operator who creates a sample test report with reference to the sample test information displayed on the display unit 43 is input. Also, comprehensive diagnosis information obtained by comprehensive diagnosis of an operator who creates a test report with reference to medical image information and specimen test information is input.

  The control unit 45 confirms the interpretation information input from the input unit 44 based on the determination information stored in the storage unit 42. When the information that is contrary to the information with abnormality included in the determination information is included in the interpretation information, the display unit 43 displays mismatch information regarding the abnormality of the subject. Further, the comprehensive diagnosis information input from the input unit 44 is confirmed based on the determination information stored in the storage unit 42. Then, when information that is contrary to the information with abnormality included in the determination information is included in the comprehensive diagnosis information, information on inconsistency regarding abnormality of the subject is displayed on the display unit 43.

  A determination unit that stores the reference value of each examination item and diagnosis support information 312 stored in the storage unit 31 of the medical information storage device 30 in the storage unit 42 and functions in the same manner as the determination unit 32 of the medical information storage device 30. Is provided in the medical information reference device 40, and the medical information reference device 40 is configured to determine the presence / absence of an abnormality in the examined subject based on the reference value of each examination item and the diagnosis support information 312. Also good. In this case, the value obtained by classifying the sample data of at least one test item among the sample data of the test item related to the disease name obtained by the test of the subject is the 1 related to the disease name included in the diagnosis support information 312. When there is a discrepancy with the tendency value of one test item, the storage unit 31 stores the sample test information including the test item on which the test of the subject is performed, and the sample test information obtained by another test having comprehensive diagnosis information Is obtained from the determination unit 32 by searching. Then, the presence or absence of a similar abnormality is determined based on the obtained specimen test information.

  Hereinafter, an example of the operation of the medical diagnosis support system 100 will be described with reference to FIGS.

FIG. 4 is a flowchart showing the operation of the determination unit 32 in the medical information storage apparatus 30.
The image diagnostic apparatus 10 transmits medical image information including image data generated by examination of a subject and patient information to the medical information storage apparatus 30. The sample testing apparatus 20 also transmits to the medical information storage apparatus 30 sample test information including sample data and patient information generated by testing each test item of the subject.

  The transmission / reception unit 33 of the medical information storage device 30 outputs the medical image information of the subject transmitted from the image diagnostic device 10 to the storage unit 31. In addition, the specimen test information of the subject transmitted from the specimen test apparatus 20 is output to the storage unit 31 and the determination unit 32. The storage unit 31 stores medical image information and specimen test information output from the transmission / reception unit 33. The determination unit 32 starts the operation when the specimen test information is output from the transmission / reception unit 33 (step S1).

  Note that the operation of the determination unit 32 may be started in response to an input requesting display of sample test information from the input unit 44 in the medical information reference device 40.

  As described above, the determination operation is started in response to the reception of the sample test information from the sample test apparatus 20, and the determination information obtained from the determination is stored in the storage unit 31, so that the diagnosis of the sample test information and the sample test are performed. When comprehensive diagnosis of information and medical image information is performed, diagnosis can be supported by determination information.

  The determination unit 32 classifies the sample data in order to determine the presence or absence of the abnormality of the subject based on the reference value of each test item, diagnosis support information, and sample test information stored in the storage unit 31.

  Here, as shown in FIG. 5, for example, the specimen test information of the subject A identified by the patient information A1 includes “AST”, “ALT”, “γ-GTP”, “T-Bil”, and “ALB”. ”Is included. Since the sample data of “AST” is “40 IU / L”, it is classified into a higher value than the reference value shown in FIG. The sample data “ALT” is classified as a high value because it is “50 IU / L”, and the sample data “γ-GTP” is classified as a high value because it is “112 IU / L”. The sample data for “T-Bil” is classified as high because it is “2.4 mg / dL”, and the sample data for “ALB” is low because it is “2.0 g / dL”. being classified.

  Further, as shown in FIG. 5, the specimen inspection information of the subject B identified by the patient information B1 includes the same examination items as the subject A. The specimen data “AST” is classified as a high value because it is “42 IU / L”, and the specimen data “ALT” is classified as a high value because it is “48 IU / L”. The sample data of “γ-GTP” is classified as a reference value because it is “38 IU / L”, and the sample data of “T-Bil” is “0.8 mg / dL” because it is a reference value. are categorized. The specimen data “ALB” is classified as a reference value because it is “3.9 g / dL”. In addition, when the data is classified into the reference values, “positive” information is stored in the storage unit 31.

  Hereinafter, an example in which a value obtained by classifying sample data of at least one test item among sample data of all test items obtained by the test is an abnormal value will be described.

  The determination unit 32 classifies the sample data of the test item related to the disease name obtained by the test into the tendency value of the test item related to the disease name included in the diagnosis support information 312 stored in the storage unit 31. If they match (Yes in step S2), the process proceeds to step S3. In addition, a value obtained by classifying sample data of at least one test item among sample data of test items related to the disease name obtained by the test is the one test item related to the disease name included in the diagnosis support information 312. If there is a discrepancy with the trend value (No in step S2), the process proceeds to step S4.

  After “Yes” in step S2, the determination unit 32 determines that there is an abnormality, there is a possibility of a disease having a disease name related to the examination item whose classified value and tendency value match, and the determination information is used as the patient of the subject. The information is stored in the storage unit 31 in association with the information (step S3). Thereafter, the process proceeds to step S9.

  Here, “AST”, “ALT”, “γ-GTP”, “T-Bil”, and “ALB” obtained by the examination of the subject A are “liver dysfunction” included in the diagnosis support information 312. This is a test item related to the disease name. A value obtained by classifying the sample data of the test item related to the disease name “liver dysfunction” obtained by the test of the subject A is a test related to the disease name “liver dysfunction” included in the diagnosis support information 312. Since it matches the trend value of the item, it is determined that there is an abnormality and there is a possibility of liver dysfunction. Then, as shown in FIG. 6, for example, determination information such as “abnormality: liver dysfunction” is stored in the storage unit 31 in association with the patient information A1.

  As described above, based on the reference value of each examination item stored in the storage unit 31 and the diagnosis support information 312, whether or not there is an abnormality in the subject A from the specimen data of each examination item obtained by the examination of the subject A. Can be determined. When the subject A is abnormal, the name of the disease can be estimated.

  Further, “AST”, “ALT”, “γ-GTP”, “T-Bil”, and “ALB” obtained by the examination of the subject B are the disease names of “liver dysfunction” included in the diagnosis support information 312. This is an inspection item related to. Then, among the sample data of the test items related to the disease name “liver dysfunction” obtained by the test of the subject A, the sample data of “γ-GTP”, “T-Bil”, and “ALB” are classified. Since the value does not match the tendency value of the test item related to the disease name “liver dysfunction” included in the diagnosis support information 312, it is determined that there is no abnormality.

  After “No” in step S 2, the determination unit 32 searches for sample data of each test item included in the sample test information obtained by another test stored in the storage unit 31. The value obtained by classifying the specimen data of the test item related to the disease name obtained by the examination is the value obtained by classifying the specimen data of the examination item related to the disease name obtained by another examination stored in the storage unit 31. (Yes in step S4), the process proceeds to step S5. In addition, a value obtained by classifying the sample data of at least one test item among the sample data of the test item related to the disease name obtained by the test is the disease name obtained by another test stored in the storage unit 31. If the sample data of the related test item does not match the value obtained by classifying the sample data of the one test item (No in step S4), the process proceeds to step S6.

  After “Yes” in Step S4, when disease name information is included in the comprehensive diagnosis information obtained by other examinations stored in the storage unit 31 (Yes in Step S5), the process proceeds to Step S7. Moreover, when the disease name information is not included in the comprehensive diagnosis information obtained by other examinations (No in step S5), the process proceeds to step S8.

  After “No” in step S4, the determination unit 32 determines that there is no similar abnormality, and stores the determination information in the storage unit 31 in association with the patient information of the subject (step S6). Thereafter, the process proceeds to step S9.

  After “Yes” in step S5, the determination unit 32 determines that there is a similar abnormality and that there is a possibility of the disease having the disease name included in the comprehensive diagnosis information, and associates the determination information with the patient information of the subject, and the storage unit 31 (step S7). Thereafter, the process proceeds to step S9.

  After “No” in step S5, the determination unit 32 determines that there is no similar abnormality, and stores the determination information in the storage unit 31 in association with the patient information of the subject (step S8). Thereafter, the process proceeds to step S9.

  FIG. 7 is a diagram illustrating an example of the comprehensive diagnosis information stored in the storage unit 31. The comprehensive diagnosis information 313 is information obtained by comprehensive diagnosis based on medical image information, sample examination information, and determination information of the subject Z identified by the patient information Z1. The comprehensive diagnosis information of the subject Z includes disease name information “suspected of liver cancer”.

  The test information of the subject Z includes test items “AST”, “ALT”, “γ-GTP”, “T-Bil”, and “ALB” related to “liver dysfunction”. The specimen data of “40 IU / L” is classified as a high value. In addition, “ALT” sample data is “49 IU / L”, so it is classified as a high value, and “γ-GTP” sample data is “39 IU / L”, which is classified as a reference value. . The sample data for “T-Bil” is classified as a high value because it is “0.7 mg / dL”, and the sample data for “ALB” is classified as a reference value because it is “3.8 g / dL”. ing.

  Here, in the case of the subject B, a value obtained by classifying the specimen data of the examination item related to the disease name “liver dysfunction” obtained by the examination is obtained by the examination of the subject Z stored in the storage unit 31. Because the sample data of the test item related to the disease name of “liver dysfunction” is the same as the classified value, and the comprehensive diagnosis information of the subject Z includes the disease name information “suspected of liver cancer” It is determined that there is a similar abnormality and the possibility of liver cancer. Then, as shown in FIG. 6, for example, determination information such as “there is similar abnormality: liver cancer” is stored in the storage unit 31 in association with the patient information B1.

  As described above, based on the reference value of each examination item stored in the storage unit 31, the diagnosis support information 312 and the specimen data of each examination item obtained by the examination of the specimen B, it is determined that the subject B has no abnormality. In this case, the presence or absence of a similar abnormality of the subject B can be determined based on the specimen data and comprehensive diagnosis information of each examination item obtained by other examinations stored in the storage unit 31. When there is a similar abnormality, the name of the disease can be estimated.

  After any of step S3, step S6, step S7, or step S8 in FIG. 4, the determination unit 32 ends the operation (step S9).

  After step S9, when the patient information A1 is input from the input unit 44 in order to create an interpretation report for the medical image information of the subject A, for example, by the operation of the operator of the medical information reference device 40, the patient information The medical image information and determination information of the subject A transmitted from the medical information storage device 30 in response to the input of A1 and received by the transmission / reception unit 41 are stored in the storage unit. Then, an interpretation report screen including medical image information of the subject A is displayed on the display unit 43. The operator makes a diagnosis with reference to the medical image information displayed on the display unit 43. The input of interpretation information obtained by this diagnosis is performed from the input unit 44.

  FIG. 8 is a diagram showing an example of an interpretation report screen displayed on the display unit 43. This interpretation report screen 431 includes interpretation fields input from the input section 44, patient fields in which patient information is displayed, examination fields in which examination information is displayed, image fields in which image data is displayed. It is composed of a finding column in which findings on image data are displayed and an impression column in which a summary on the findings is displayed.

  Then, by the diagnosis of the image data, for example, interpretation information “no abnormality” is input from the input unit 44 to the Impression column. Next, when an input for confirming an interpretation report is performed, the control unit 45 confirms the input interpretation information based on the determination information of the subject A stored in the storage unit 42.

  Here, since the determination information of the subject A is “abnormal: liver dysfunction”, it is confirmed that the information is contrary to “no abnormality” included in the interpretation information. Then, the display unit 43 displays inconsistent information such as “It is determined that there is no abnormality but hepatic dysfunction is suspected from the sample test information. Please review the sample test information again”.

  As described above, when the interpretation information obtained by the diagnosis of the medical image information includes information that is contrary to the determination information with abnormality of the determination unit 32, the display unit 43 displays mismatch information regarding the abnormality of the subject A. By doing so, the operator can be made aware that there is a possibility of oversight of diagnosis.

  For example, when image information of the subject B is diagnosed and interpretation information such as “a large tumor is recognized in the chest” is input from the input unit 44 to the observation column, the control unit 45 causes the subject B to perform the diagnosis. The input interpretation information is confirmed based on the determination information. Then, the determination information includes liver cancer information, the interpretation information recognizes that the information on the lesion site included in the determination information is not included, and the liver cancer may be expressed in either the liver or the abdomen. Since it is clear, the observation column of the interpretation report is converted into interpretation information such as “There is a tumor in the liver or abdomen”, for example, by adding information on the lesion site included in the determination information. Then, the interpretation information converted in the observation column is displayed.

  As described above, when the interpretation information obtained by the diagnosis of the medical image information does not include the information on the lesion site determined by the determination unit 32, the diagnosis site information is displayed on the display unit 43. The operator can be made aware that there is a possibility of oversight.

  Next, an example in which, for example, information indicating no abnormality is included in the comprehensive diagnosis information of the subject A will be described.

  After step S <b> 9, patient information A <b> 1 is input from the input unit 44 in order to create a comprehensive examination report of the subject A by the operation of the operator of the medical information reference device 40. In response to this input, the medical report information including the medical image information and the interpretation report of the subject A transmitted from the medical information storage device 30 and received by the transmission / reception unit 41 and the determination information are stored in the storage unit 42. Then, a test report including the sample test information of the subject A and the interpretation report is displayed on the display unit 43.

  The operator performs comprehensive diagnosis with reference to the examination report displayed on the display unit 43. The comprehensive diagnosis information obtained by this comprehensive diagnosis is input from the input unit 44. Next, when an input for confirming the test report is performed, the control unit 45 confirms the comprehensive diagnosis information based on the determination information of the subject A stored in the storage unit 42. Then, when the information that is contrary to the information with abnormality included in the determination information is included in the comprehensive diagnosis information, the mismatch information based on the determination information is displayed on the display unit 43 as in the case of the interpretation information.

  In this manner, when the comprehensive diagnosis information obtained by comprehensive diagnosis such as medical image information and specimen test information includes information that is contrary to the determination information with abnormality of the determination unit 32, disagreement information based on the determination information is displayed. By displaying on the unit 43, the operator can be made aware that there is a possibility of oversight of diagnosis.

  According to the embodiment described above, the reference value of each test item and the diagnosis support information 312 are stored in the storage unit 31, the sample data of the test item obtained by the test of the subject, the reference value of each test item, and the diagnosis Based on the support information 312, the presence or absence of abnormality of the subject can be determined. If the value obtained by classifying the specimen data of the test item related to the disease name obtained by the test matches the tendency value of the test item related to the disease name included in the diagnosis support information 312, there is an abnormality, and the disease name It can be determined that there is a possibility.

  In addition, a value obtained by classifying the sample data of at least one test item among the sample data of the test item related to the disease name obtained by the test of the subject is the 1 related to the disease name included in the diagnosis support information 312. If the trend values of one test item do not match, the value obtained by classifying the specimen data of the test item related to the disease name obtained by the test is related to the disease name obtained by another test stored in the storage unit 31. If there is a disease name information in the comprehensive diagnosis information obtained by other tests that matches the sample data of the test item to be analyzed, there is a similar abnormality and the disease name included in the comprehensive diagnosis information It can be determined that there is a possibility of illness.

  When the interpretation information or the comprehensive diagnosis information input from the input unit 44 is information that is contrary to the determination information determined to be abnormal by the determination unit 32, the display unit 43 displays mismatch information based on the determination information. Can be made. As a result, it is possible to make the operator aware that there is a possibility of oversight of diagnosis, and it is possible to prevent oversight of diagnosis.

  Although several embodiments of the present invention have been described, these embodiments are presented by way of example and are not intended to limit the scope of the invention. These novel embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the scope of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, and are included in the invention described in the claims and the equivalents thereof.

DESCRIPTION OF SYMBOLS 10 Image diagnostic apparatus 20 Specimen inspection apparatus 30 Medical information storage apparatus 31,42 Storage part 32 Determination part 33,41 Transmission / reception part 40 Medical information reference apparatus 43 Display part 44 Input part 45 Control part 100 Medical diagnosis support system

Claims (12)

Storage means for storing image data generated by examination of a subject, specimen data relating to the subject, and determination information obtained based on the specimen data;
Display means for displaying the image data;
Input means for inputting image interpretation information of the image data;
In the case where the determination information includes information determined to be abnormal for the predetermined part of the subject, the input interpretation information does not include information on the predetermined part, or the input interpretation information is about the predetermined part. Control means for displaying, on the display means, information notifying the abnormality related to the predetermined part of the subject based on the determination information when the information determined to be abnormal is not included ;
A medical information reference device comprising:   The medical information reference apparatus according to claim 1, further comprising a determination unit that generates the determination information based on the sample data. The control means displays on the display means information notifying the abnormality related to the predetermined part of the subject when the interpretation information includes information determined to be abnormal for the predetermined part included in the determination information. The medical information reference device according to claim 2, wherein: The control means is a case in which the determination information does not include information determined to be abnormal for a predetermined part of the subject, and the determination information obtained based on past specimen data of another subject is the predetermined part When the input interpretation information does not include information related to the predetermined part, or when the input interpretation information does not include information determined to be abnormal for the predetermined part. The medical information reference device according to any one of claims 1 to 3, wherein information indicating an abnormality related to the predetermined part of the subject is displayed on the display unit based on the determination information. Storage means for storing image data generated by examination of a subject, specimen data relating to the subject, and determination information obtained based on the specimen data;
Display means for displaying the image data;
Input means for inputting image interpretation information of the image data;
In the case where the determination information includes information determined to be abnormal for the predetermined part of the subject, the input interpretation information does not include information on the predetermined part, or the input interpretation information is about the predetermined part. Control means for displaying, on the display means, information notifying the abnormality related to the predetermined part of the subject based on the determination information when the information determined to be abnormal is not included ;
A medical diagnosis support system characterized by comprising: A determination means for generating the determination information based on the sample data;
The storage means includes a reference value indicating a predetermined range of the test item, various disease names, test items related to the disease name, and a high value indicating a low value or a high range indicating a range lower than the reference value of the test item. And are saved,
The determination means classifies the specimen data of the examination item obtained by the examination into the reference value, the low value or the high value, and classifies the specimen data of all the examination items obtained by the examination. Is equal to the reference value, it is determined that there is no abnormality, and among the sample data of the test item obtained by the test, the value obtained by classifying the sample data of at least one test item matches the low value or the high value And when the examination item related to the disease name stored in the storage means is included in the examination item subjected to the examination, the presence or absence of abnormality of the subject with respect to the disease name is determined. Generating the determination information;
The medical diagnosis support system according to claim 5 . In the storage means, image data obtained by examinations other than the examination, specimen data of examination items related to the disease name, comprehensive diagnosis information obtained by comprehensive diagnosis of the image data and specimen data, various disease names The diagnostic support information consisting of a low value indicating a range lower than the reference value or a high value indicating a high range, which is a tendency value indicating a tendency with respect to a reference value of the test item and the test item related to each disease name,
The determination means classifies specimen data of test items obtained by tests other than the test into values of the reference value, the low value, or the high value, and the test items related to the disease name obtained by the test When the value obtained by classifying the sample data matches the low value or the high value of the test item related to the disease name included in the diagnosis support information, it is determined that there is an abnormality and the disease of the disease name is likely, A value obtained by classifying sample data of at least one test item among sample data of test items related to the disease name obtained by the test is the value of the one test item related to the disease name included in the diagnosis support information. If the low value or the high value does not match, the value obtained by classifying the specimen data of the test item related to the disease name obtained by the test is obtained by a test other than the test When the sample data of the test item related to the item matches the value classified and the disease information is included in the comprehensive diagnosis information, there is a similar abnormality and the disease with the disease name included in the comprehensive diagnosis information is possible Determining that there is a property and generating the determination information;
The medical diagnosis support system according to claim 6 . The control means displays on the display means information notifying the abnormality related to the predetermined part of the subject when the interpretation information includes information determined to be abnormal for the predetermined part included in the determination information. The medical diagnosis support system according to claim 6 or 7 , wherein The control means displays information notifying the abnormality related to the predetermined part of the subject when the information determined to be abnormal for the predetermined part included in the determination information is not included in the interpretation information. The medical diagnosis support system according to claim 6 or 7 . The control means displays information informing the abnormality regarding the predetermined part of the subject when the comprehensive diagnosis information includes information contrary to information determined to be abnormal for the predetermined part. The medical diagnosis support system according to claim 7. Wherein, the instruction to confirm the interpretation information, or in response said based on the interpretation information input of instruction to confirm the diagnosis report on the subject, according to claim 5, wherein confirming the interpretation information The medical diagnosis support system according to any one of claims 1 to 9. The control means is a case in which the determination information does not include information determined to be abnormal for a predetermined part of the subject, and the determination information obtained based on past specimen data of another subject is the predetermined part When the input interpretation information does not include information related to the predetermined part, or when the input interpretation information does not include information determined to be abnormal for the predetermined part. The medical diagnosis support system according to any one of claims 5 to 10, wherein information indicating an abnormality related to the predetermined part of the subject is displayed on the display unit based on the determination information.

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