JP6437212B2 - Medical apparatus and medical image diagnostic apparatus - Google Patents

Description

  Embodiments described herein relate generally to a medical apparatus and a medical image diagnostic apparatus.

  2. Description of the Related Art Conventionally, a plurality of display devices that display various types of information are used in medical practice. For example, in an X-ray angiography system used in the diagnosis and treatment of a circulatory system such as the brain and heart, an examination room in which a procedure is performed on a subject, an operation room in which an X-ray diagnostic apparatus is operated, Each has a display. A plurality of observers in each of the examination room and the operation room observe the information displayed on each display. For example, in an examination room, an operator who performs a procedure observes a fluoroscopic image displayed on a display installed in the examination room. Further, for example, in the operation room, an operator who operates the X-ray diagnostic apparatus according to an operator's instruction observes various information displayed on a display installed in the operation room.

  In recent years, there has been known a multi-user medical information processing system in which a server device and a plurality of user terminals are connected via a communication network. As a medical information processing system, for example, a plurality of user terminals used in an examination room are connected to an operation terminal (for example, a workstation) arranged in an operation room, and the operation terminal is operated by the user terminal. Systems are known. However, in the above-described prior art, the operability may be deteriorated when the user terminal operates the operation terminal.

JP 2012-223500 A JP 2012-247905 A

  The problem to be solved by the present invention is to provide a medical device and a medical image diagnostic device that can improve operability in operation of an operation terminal by a user terminal.

The medical device according to the embodiment includes a bed, an imaging unit, a first display unit, a touch panel operation unit, and a storage unit. The bed places the subject. The imaging unit images the subject. The first display unit displays the medical image captured by the imaging unit. The touch panel operation unit is attached to the bed, and includes a second display unit, a position detection unit that detects the position of the operation by the operator, and a control unit that controls processing based on the operation by the operator. The storage unit stores a plurality of examination stages for the subject in association with a plurality of operation screens. The control unit of the touch panel operation unit includes a setting unit and a display control unit. The setting unit detects a stage of examination of the subject based on information on a room where the touch panel operation unit is located. The display control unit causes the second display unit to display an operation screen associated with the examination stage detected by the setting unit.

FIG. 1A is a diagram for explaining an example of an X-ray angiography system according to the first embodiment. FIG. 1B is a diagram for explaining an example of the X-ray angiography system according to the first embodiment. FIG. 2 is a diagram illustrating an example of a configuration of an X-ray angiography system to which the user terminal according to the first embodiment is applied. FIG. 3 is a diagram illustrating an example of the configuration of the user terminal and the operation terminal according to the first embodiment. FIG. 4 is a diagram illustrating an example of inspection stage definition information stored by the inspection stage definition information storage unit according to the first embodiment. FIG. 5 is a diagram illustrating an example of dedicated screen setting information stored by the dedicated screen setting information storage unit according to the first embodiment. FIG. 6 is a diagram illustrating an example of a display screen displayed on the display unit installed in the operation room according to the first embodiment. FIG. 7 is a diagram for explaining an example of processing by the dedicated screen setting unit according to the first embodiment. FIG. 8 is a diagram illustrating an example of a dedicated screen displayed under the control of the display control unit according to the first embodiment. FIG. 9 is a diagram for explaining an example of an operator switching operation according to the first embodiment. FIG. 10 is a sequence diagram illustrating a processing procedure by the X-ray angiography system to which the user terminal according to the first embodiment is applied. FIG. 11 is a diagram illustrating an example of a configuration of a user terminal and an operation terminal according to the second embodiment. FIG. 12 is a diagram illustrating an example of inspection stage definition information stored by the inspection stage definition information storage unit according to the second embodiment. FIG. 13 is a diagram illustrating an example of dedicated screen setting information stored by the dedicated screen setting information storage unit according to the second embodiment. FIG. 14 is a sequence diagram illustrating a processing procedure by the X-ray angiography system to which the user terminal according to the second embodiment is applied. FIG. 15 is a diagram illustrating an example of inspection stage definition information according to the third embodiment. FIG. 16 is a diagram illustrating an example of inspection stage definition information according to the third embodiment. FIG. 17 is a diagram for explaining a dedicated screen set by the dedicated screen setting unit according to the third embodiment. FIG. 18 is a diagram illustrating an example of an operation screen displayed by the user terminal according to the fifth embodiment. FIG. 19 is a diagram illustrating a display example of items by the display control unit according to the fifth embodiment. FIG. 20 is a diagram illustrating a display example of items by the display control unit according to the fifth embodiment. FIG. 21 is a diagram illustrating an example of an interrupt display on the operation screen by the display control unit according to the fifth embodiment. FIG. 22 is a diagram for explaining an example of a user terminal according to the sixth embodiment.

  Hereinafter, embodiments of a medical device and a medical image diagnostic device will be described in detail with reference to the accompanying drawings. Hereinafter, a case where the medical apparatus according to the present application is applied to an X-ray angiography system will be described as an example.

(First embodiment)
First, an example of the X-ray angiography system according to the first embodiment will be described with reference to FIGS. 1A and 1B. 1A and 1B are diagrams for explaining an example of an X-ray angiography system according to the first embodiment. For example, in the X-ray angiography system, as shown in FIG. 1A, an apparatus main body including an arm and a top plate is arranged in an examination room R1 in which diagnosis and treatment of a circulatory system such as a brain and a heart are performed. In the operation room R2 shown in FIG. 1A, an operation terminal for performing an operation for controlling the apparatus main body is arranged.

  In the examination room R1 and the operation room R2, a plurality of examination room displays and a plurality of operation room displays are respectively installed. For example, the laboratory display is observed by a surgeon or nurse performing the procedure. The operation room display is observed by an operator who performs an operation for controlling the apparatus main body.

  Here, the medical device according to the first embodiment can improve the operability in the operation of the operation terminal by the user terminal. For example, an X-ray angiography system as shown in FIG. 1A is conventionally operated only in the operation room R2. For example, an operator (physician) in the examination room operates the X-ray angiography system by sending an instruction to an operator (eg, a technician) in the operation room R2, or A person moves from the examination room to the operation room and operates the X-ray angiography system.

  Here, the same screen is displayed on the examination room display installed in the examination room R1 and the operation room display installed in the operation room R2. For example, as shown in FIG. An instruction is sent to the operator in the operation room R2 while observing the fluoroscopic image displayed on the screen. Thus, in the past, the surgeon in the examination room R1 was in a situation where it could not be operated instantaneously with his / her hand. The technology of remote control by connecting is beginning to be applied. For example, an application “Splashtop Touchpad” that accesses an operation terminal from a portable terminal via WiFi and remotely operates a mouse and a keyboard of the operation terminal has started to be used.

  In this technology, for example, the mobile terminal and the operation terminal are connected by wireless communication, and the operation terminal receives the operation accepted by the mobile terminal via wireless, so that the mouse and keyboard of the operation terminal can be operated remotely. Is done. For example, an operator in the examination room R1 operates the pointer displayed on the examination room display by using the touch panel of the portable terminal as a touch pad, thereby allowing the GUI displayed on the examination room display to be displayed. Perform input operations.

  However, in such a system, the operability may be reduced when the user terminal operates the operation terminal. For example, when an operator operates a portable terminal, a touch operation for operating a pointer displayed on the examination room display is performed while looking at the examination room display installed in the examination room R1. Here, since the surgeon is wearing gloves and glasses, and it is difficult to perform a smooth operation as in the case of bare hands, the operability may be reduced. In addition, since a smooth operation cannot be executed, a sufficient operation may not be performed when the GUI displayed on the inspection display is fine. Furthermore, since the functions to be used differ depending on the operator who operates the user terminal and the content of the treatment, there are cases in which a quick operation cannot be performed only by operating the mouse and keyboard while wearing gloves.

  As described above, in the conventional technique, the operability may be deteriorated in the operation of the operation terminal by the user terminal. Therefore, the medical device according to the present application can improve the operability in the operation of the operation terminal by the user terminal. Hereinafter, an embodiment of the medical device according to the present application will be described in detail. In the following, a user terminal as a medical device will be described as an example. FIG. 2 is a diagram illustrating an example of a configuration of the X-ray angiography system 1 to which the user terminal according to the first embodiment is applied.

  As shown in FIG. 2, the X-ray angiography system 1 according to the first embodiment includes an apparatus main body 100 and an operation terminal 200. As shown in FIG. 2, the apparatus main body 100 includes a high voltage generator 11, an X-ray tube 12, an X-ray diaphragm device 13, a top plate 14, a C arm 15, an X-ray detector 16, and C The arm rotation / movement mechanism 17, the top plate movement mechanism 18, the C arm / top plate mechanism control unit 19, the aperture control unit 20, and the display unit 23 a are provided and arranged in the examination room R <b> 1. As illustrated in FIG. 2, the operation terminal 200 includes a system control unit 21, an input unit 22, a display unit 23 b, an image data generation unit 24, an image data storage unit 25, and an image processing unit 26. Arranged in the operation room R2. Then, the operation terminal 200 communicates with the user terminal 300 and executes processing according to the input operation accepted by the user terminal 300. Here, the user terminal 300 of this application improves the operativity of input operation by the structure demonstrated in detail below.

  Details of the user terminal 300 will be described later. In FIG. 2, one user terminal is arranged in the examination room R1, but the embodiment is not limited to this. For example, two or more user terminals are arranged. May be. In addition, the user terminal 300 may be disposed in the examination room R1 and the operation room R2, or may be disposed in the operation room. Although not shown, the X-ray angiography system 1 also includes an injector for injecting a contrast medium from a catheter inserted into the subject P.

  The high voltage generator 11 generates a high voltage under the control of the system control unit 21 and supplies the generated high voltage to the X-ray tube 12. The X-ray tube 12 generates X-rays using the high voltage supplied from the high voltage generator 11.

  The X-ray diaphragm 13 narrows the X-rays generated by the X-ray tube 12 under the control of the diaphragm controller 20 so that the region of interest of the subject P is selectively irradiated. For example, the X-ray diaphragm device 13 has four slidable diaphragm blades. The X-ray diaphragm 13 narrows down the X-rays generated by the X-ray tube 12 and irradiates the subject P by sliding these diaphragm blades under the control of the diaphragm controller 20. The X-ray tube 12 and the X-ray diaphragm device 13 are collectively referred to as an X-ray tube device. The top 14 is a bed on which the subject P is placed, and is placed on a bed (not shown). Note that the subject P is not included in the apparatus main body 100.

  The X-ray detector 16 detects X-rays that have passed through the subject P. For example, the X-ray detector 16 has detection elements arranged in a matrix. Each detection element converts the X-rays that have passed through the subject P into electrical signals and accumulates them, and transmits the accumulated electrical signals to the image data generation unit 24.

  The C arm 15 holds the X-ray tube 12, the X-ray diaphragm device 13, and the X-ray detector 16. The X-ray tube 12 and the X-ray diaphragm 13 and the X-ray detector 16 are arranged so as to face each other with the subject P sandwiched by the C arm 15.

  The C-arm rotating / moving mechanism 17 is a mechanism for rotating and moving the C-arm 15, and the top board moving mechanism 18 is a mechanism for moving the top board 14. The C arm / top plate mechanism control unit 19 controls the C arm rotation / movement mechanism 17 and the top plate movement mechanism 18 under the control of the system control unit 21, thereby rotating and moving the C arm 15 and the top plate 14. Adjust the movement. The aperture control unit 20 controls the irradiation range of the X-rays irradiated to the subject P by adjusting the aperture of the aperture blades of the X-ray aperture device 13 under the control of the system control unit 21. .

  The image data generation unit 24 generates image data using the electrical signal converted from the X-rays by the X-ray detector 16, and stores the generated image data in the image data storage unit 25. For example, the image data generation unit 24 performs current / voltage conversion, A (Analog) / D (Digital) conversion, and parallel / serial conversion on the electrical signal received from the X-ray detector 16 to generate image data. To do.

  Then, the image data generation unit 24 generates an X-ray image from the generated image data, and stores the generated X-ray image in the image data storage unit 25. The image data storage unit 25 stores the image data generated by the image data generation unit 24.

  The image processing unit 26 performs various image processing on the image data stored in the image data storage unit 25. For example, the image processing unit 26 generates a moving image by processing a plurality of X-ray images along the time series stored in the image data storage unit 25.

  The input unit 22 receives various instructions from an operator who operates the X-ray angiography system 1. For example, the input unit 22 includes a mouse, a keyboard, a button, a trackball, a joystick, and the like. The input unit 22 transfers the instruction received from the operator to the system control unit 21.

  The display unit 23a and the display unit 23b display a GUI (Graphical User Interface) for receiving an instruction from the operator, image data stored in the image data storage unit 25, and the like. For example, the display unit 23a is an examination room display, and the display unit 23b is an operation room display. The display unit 23a and the display unit 23b may each include a plurality of displays. Here, the same contents are displayed on the display unit 23a and the display unit 23b, respectively. For example, the display unit 23a and the display unit 23b display a real-time perspective image, a three-dimensional road map (3DRM), and the like. Note that 3DRM is an image in which a real-time perspective image is superimposed on a projection image generated from volume data collected by the apparatus main body 100.

  The system control unit 21 controls the operation of the entire X-ray angiography system 1. For example, the system control unit 21 controls the high voltage generator 11 in accordance with an operator instruction transferred from the input unit 22 and adjusts the voltage supplied to the X-ray tube 12, thereby irradiating the subject P. Controls X-ray dose and ON / OFF. Further, for example, the system control unit 21 controls the C arm / top plate mechanism control unit 19 in accordance with an instruction from the operator, and adjusts the rotation and movement of the C arm 15 and the movement of the top plate 14. Further, for example, the system control unit 21 controls the aperture control unit 20 in accordance with an instruction from the operator, and adjusts the aperture of the aperture blades of the X-ray aperture device 13 to irradiate the subject P. The X-ray irradiation range is controlled.

  Further, the system control unit 21 controls image data generation processing by the image data generation unit 24, image processing by the image processing unit 26, analysis processing, and the like according to an instruction from the operator. In addition, the system control unit 21 performs control so that a GUI for receiving an instruction from the operator, an image stored in the image data storage unit 25, and the like are displayed on the displays of the display unit 23a and the display unit 23b. Further, the system control unit 21 controls the injection of the contrast agent by transmitting signals of the start and end of the contrast agent injection to the injector.

  Here, in the operation terminal 200 of the angiography system 1 according to the first embodiment, the above-described controls are performed according to instructions received by the user terminal 300. That is, the system control unit 21 according to the first embodiment executes various controls in accordance with instructions accepted by the user terminal 300 in addition to operator instructions accepted by the input unit 22. Here, the user terminal 300 according to the first embodiment is configured to improve operability in the operation of the operation terminal 200 by the user terminal 300.

  FIG. 3 is a diagram illustrating an example of the configuration of the user terminal 300 and the operation terminal 200 according to the first embodiment. As illustrated in FIG. 3, the operation terminal 200 includes a communication unit 210 and a storage unit 220 in addition to the input unit 22, the display unit 23 b, and the system control unit 21. In FIG. 3, the image data generation unit 24, the image data storage unit 25, and the image processing unit 26 are not shown, but actually, as shown in FIG. 24, an image data storage unit 25 and an image processing unit 26 are provided.

  As described above, the input unit 22 receives various input operations. The display unit 23b displays various information as described above. The communication unit 210 is a NIC (Network Interface Card) or the like, and communicates with the user device 300 via a network. Specifically, the communication unit 210 performs various communications with the communication unit 330 of the user terminal 300.

  The storage unit 220 is, for example, a semiconductor memory device such as a RAM (Random Access Memory) or a flash memory, or a storage device such as a hard disk or an optical disk, and stores information used by the system control unit 21. To do. Here, the storage unit 220 may be a case where the image data storage unit 25 is used. As illustrated in FIG. 3, the storage unit 220 includes an inspection stage definition information storage unit 221.

  The inspection stage definition information storage unit 221 stores inspection stage definition information for determining the inspection stage of the inspection currently being performed. Specifically, the inspection stage definition information storage unit 221 stores inspection stage definition information that is referred to by an inspection stage determination unit 211 described later and is used for determination of the inspection stage. FIG. 4 is a diagram illustrating an example of inspection stage definition information stored by the inspection stage definition information storage unit 221 according to the first embodiment.

  For example, as shown in FIG. 4, the inspection stage definition information storage unit 221 stores inspection stage definition information in which an inspection stage and a determination condition (function) are associated with each other. Here, the inspection stage shown in FIG. 4 indicates the stage of the inspection currently being performed in the X-ray angiography system 1. Further, the determination condition (function) shown in FIG. 4 indicates a determination condition for determining a corresponding inspection stage. Here, the determination condition shown in FIG. 4 is set based on a function currently being executed in the X-ray angiography system 1.

  For example, as shown in FIG. 4, the examination stage definition information storage unit 221 has an examination stage in which “determination condition (function): needle guidance function of terminal is turned on” is associated with “inspection stage: puncture”. Store definition information. Such information means that the “inspection stage” is “puncture” when “the needle guidance function of the terminal is ON”. Similarly, the examination stage definition information storage unit 221 stores examination stage definition information and the like in which “examination stage (catheter insertion)” is associated with “judgment condition (function): terminal fluoroscopy function is ON”. Note that N / A (Not Applicable) shown in FIG. Further, these inspection stage definition information can be arbitrarily set by the user.

  Returning to FIG. 3, the system control unit 21 includes, for example, an electronic circuit such as a CPU (Central Processing Unit) and an MPU (Micro Processing Unit), an integration such as an ASIC (Application Specific Integrated Circuit) and an FPGA (Field Programmable Gate Array). The circuit controls the entire X-ray angiography system 1 as described above. As shown in FIG. 3, the system control unit 21 includes an inspection stage determination unit 211.

  The inspection stage determination unit 211 determines the inspection stage of the inspection currently being performed. Specifically, the inspection stage determination unit 211 acquires the function currently being executed in the apparatus main body 100 and refers to the inspection stage definition information, thereby determining the inspection stage of the inspection currently being performed. Determine. For example, when the “needle guidance function” is “ON” in the operation terminal 200, the inspection stage determination unit 211 refers to the inspection stage definition information, and the inspection stage of the inspection currently performed is “ It is determined that it is “puncture”.

  Then, the inspection stage determination unit 211 transmits the determined inspection stage information to the user terminal 300 via the communication unit 210. It should be noted that the processing by the inspection stage determination unit 211 can be set to be performed every time the function executed by the operation terminal 200 changes. That is, the inspection stage determination unit 211 determines the inspection stage each time the function executed by the operation terminal 200 changes, and transmits the determined inspection stage information to the user terminal 300.

  Returning to FIG. 3, the user terminal 300 includes an input unit 310, a display unit 320, a communication unit 330, a storage unit 340, and a control unit 350. The user terminal 300 is, for example, a stationary information processing device such as a PC (Personal Computer), or a portable information processing device such as a tablet PC or PGA. Hereinafter, an example in which the user terminal is a tablet PC will be described.

  The input unit 310 is a touch panel or the like having a flat outer shape, and receives an input operation from an operator such as an operator or a nurse who operates the user terminal. For example, the input unit 310 receives various instructions by receiving a touch operation, a flick operation, a swipe operation, and the like. The display unit 320 displays display information including contents set by the control unit 350 described later. For example, the display unit 320 is a display device such as a liquid crystal panel, is formed in combination with the input unit 310, and displays a GUI for receiving an input operation by the input unit 310. The display contents displayed by the display unit 320 will be described in detail later.

  The communication unit 330 is a NIC or the like, and performs communication with the operation terminal 200 via a network. Specifically, the communication unit 330 performs various types of communication with the communication unit 210 of the operation terminal 200.

  The storage unit 340 is, for example, a semiconductor memory device such as a RAM or a flash memory, or a storage device such as a hard disk or an optical disk, and stores information used by the control unit 350. As illustrated in FIG. 3, the storage unit 340 includes a dedicated screen setting information storage unit 341.

  The dedicated screen setting information storage unit 341 stores dedicated screen setting information that is set based on the usage situation in which the user terminal 300 (own device) is used. Specifically, the dedicated screen setting information storage unit 341 includes, as usage status, information related to an examination performed when the user terminal 300 is used, an operator who operates the user terminal 300, and the position of the user terminal 300. The setting information of the dedicated screen set based on the information including at least one of the information is stored.

  FIG. 5 is a diagram illustrating an example of dedicated screen setting information stored by the dedicated screen setting information storage unit 341 according to the first embodiment. For example, as illustrated in FIG. 5, the dedicated screen setting information storage unit 341 stores dedicated screen setting information in which an operator, an inspection stage, and dedicated screen settings are associated with each other. Here, “operator” shown in FIG. 5 indicates an operator who operates the user terminal 300. Further, the “inspection stage” shown in FIG. 5 indicates the inspection stage of the inspection currently being performed. Further, “dedicated screen setting” shown in FIG. 5 indicates setting information of a dedicated screen set for “operator” and “inspection stage”.

  Here, the dedicated screen will be described. The dedicated screen is a screen that is set based on the usage status of the user terminal 300 and is displayed on the display unit 320 of the user terminal 300. Specifically, on the dedicated screen, the content selected based on the usage status of the user terminal 300 among the content conventionally displayed on the examination room display is set. FIG. 6 is a diagram illustrating an example of a display screen displayed on the display unit 23b installed in the operation room R2 according to the first embodiment.

  For example, on the dedicated screen displayed on the display unit 320 of the user terminal 300, the content selected based on the usage status among various GUIs arranged in the area on the right side of the display screen shown in FIG. 6 is displayed. Is done. As an example, “3DRM On / Off” and “3DRM Remask” shown in the upper right of FIG. 6 are set as the contents of the dedicated screen corresponding to a predetermined usage situation.

  Returning to FIG. 5, the dedicated screen setting information storage unit 341 stores the dedicated screen described above in association with each operator and each examination stage. As an example, as shown in FIG. 5, the dedicated screen setting information storage unit 341 displays “dedicated screen setting: Button (X = 500, Y =) for“ operator: doctor A ”and“ examination stage: catheter insertion ”. 200, “3DRM”, MouseMove (1100, 100) LButtonClick,..., Button (X = 500, Y = 400, “3DRM Remask”, MouseMove (1100, 300) LButtonClick,...) ” Store information.

  The above-described information is displayed on the dedicated screen when the “operator” currently operating the user terminal 300 is “Doctor A” and the “examination stage” of the examination being performed is “catheter insertion”. This means that “3DRM” and “3DRM Remask” are set. Here, “3DRM” indicates an On / Off button of the three-dimensional road map, and “3DRM Remask” indicates a button for resetting a three-dimensional projection image.

  Furthermore, the information shown in FIG. 5 is obtained by arranging a “3DRM” button at the coordinates “(X = 500, Y = 200)” on the display unit 320 of the user terminal 300 and receiving a touch operation on the button, the display unit 23b. This means that the mouse pointer of the operation terminal is moved to the coordinates “(1100, 100)” and the left click is executed. That is, in the information shown in FIG. 5, when the “3DRM” button arranged at the coordinates “(X = 500, Y = 200)” of the user terminal is touched, the coordinates “(1100, 100) on the display unit 23b are touched. "3DRM On / Off" button is set so that it is left-clicked. Similarly, in the “dedicated screen setting” in the dedicated screen setting information, the operation of each dedicated screen is controlled using the coordinates of the display content displayed on the display unit 23a or the display unit 23b by the control of the operation terminal 200. Is remembered.

  Note that the dedicated screen setting information illustrated in FIG. 5 is merely an example, and the embodiment is not limited thereto. That is, it is not limited to a case where a dedicated screen is set for each operator and each inspection stage, and a dedicated screen setting may be associated with each operator, or a dedicated screen setting may be associated with each inspection stage. Good. The dedicated screen setting can be arbitrarily set by the user.

  In FIG. 3, the storage unit 340 includes only the dedicated screen setting information storage unit 341, but various other information can be stored. For example, information for determining the operator who is operating the user terminal 300 can also be stored.

  Returning to FIG. 3, the control unit 350 includes, for example, an electronic circuit such as a CPU (Central Processing Unit) and an MPU (Micro Processing Unit), an integrated circuit such as an ASIC (Application Specific Integrated Circuit) and an FPGA (Field Programmable Gate Array). The overall control of the user terminal 300 is performed. As shown in FIG. 3, the control unit 350 includes an examination stage acquisition unit 351, an operator determination unit 352, a dedicated screen setting unit 353, and a display control unit 354.

  The inspection stage acquisition unit 351 acquires information on the inspection stage of the inspection currently being performed. Specifically, the inspection stage acquisition unit 351 acquires information on the inspection stage determined by the inspection stage determination unit 211 of the operation terminal 200 via the communication unit 330. For example, the examination stage acquisition unit 351 acquires “examination stage: catheter insertion” from the operation terminal 200 as information on the current examination stage. Then, the examination stage acquisition unit 351 transmits the acquired examination stage information to the dedicated screen setting unit 353.

  The operator determination unit 352 determines the operator who is operating the user terminal 300 at the present time. For example, the operator determination unit 352 determines the operator of the user terminal 300 by face image authentication, fingerprint authentication, selection operation by the operator, or the like. For example, in the case of face image authentication, face information of an operator who operates a user terminal is registered in the storage unit 340, and the operator determination unit 352 is acquired by a camera included in the user terminal 300 that is a tablet PC. The operator is discriminated by performing face authentication using face authentication software using the face image of the operator and the registered face information. The operator's face information may be acquired from an external storage device connected on the network.

  In the case of fingerprint authentication, the fingerprint information of the operator who operates the user terminal is registered in the storage unit 340, and the operator determination unit 352 includes the fingerprint information of the operator acquired by the input unit 310, The operator is identified by performing fingerprint authentication using fingerprint authentication software using the registered fingerprint information.

  In the case of a selection operation by the operator, the operator determination unit 352 determines the operator using a login name / login password or the like. Note that the determination of the operator is not limited to the above-described example, and any method can be applied. For example, by collecting face images of an operator who is operating the user terminal 300 using a camera installed in the examination room R1 and transmitting the collected face images to the user terminal 300, the operator determination unit 352 selects the operator through face authentication. It may be a case of discrimination. Alternatively, the face image of the operator who is operating the user terminal 300 is collected by the camera installed in the examination room R1, and the operation terminal 200 discriminates the operator based on the collected face image. May be transmitted to the user terminal 300.

  The dedicated screen setting unit 353 sets the content of the operation screen to be displayed on the display unit 320 based on the usage situation in which the user terminal 300 (own device) is used. Specifically, the dedicated screen setting unit 353, as the usage status, information related to the examination performed when the user terminal 300 is used, the operator who operates the user terminal 300, and the information on the position of the user terminal 300 The contents of the dedicated screen to be displayed on the display unit 320 are set based on information including at least one of them. More specifically, the dedicated screen setting unit 353 is based on the inspection stage information acquired by the inspection stage acquisition unit 351, the operator information determined by the operator determination unit 352, and the dedicated screen setting information. To set the dedicated screen.

  FIG. 7 is a diagram for explaining an example of processing by the dedicated screen setting unit 353 according to the first embodiment. FIG. 7 shows an example in which “examination stage: catheter insertion” is acquired by the examination stage acquisition unit 351 and “operator: doctor A” is determined by the operator determination unit 352.

  For example, when the “examination stage: catheter insertion” and “operator: doctor A” are received, the dedicated screen setting unit 353 shows, as shown in FIG. 7B, from the dedicated screen setting information shown in FIG. Thus, the dedicated screen setting information whose “operator” is “doctor A” is extracted. Then, as shown in FIG. 7C, the dedicated screen setting unit 353 uses the extracted dedicated screen setting information “Button ( X = 500, Y = 200, “3DRM”, MouseMove (1100, 100) LButtonClick,..., Button (X = 500, Y = 400, “3DRM Remask”, MouseMove (1100, 300) LButtonClick,. To do.

  Then, the dedicated screen setting unit 353 sets a dedicated screen on which buttons and combo boxes are arranged based on the extracted dedicated screen settings. For example, the dedicated screen setting unit 353 arranges a button “3DRM On / Off” at the coordinates “(X = 500, Y = 200)” on the display unit 320 of the user terminal 300, and coordinates “(X = 500, Y = 400) ”is set to a dedicated screen in which a button of“ 3DRM Remask ”is arranged. For example, the dedicated screen setting unit 353 arranges each button using the UI arrangement API of Android SDK.

  Returning to FIG. 3, the display control unit 354 controls the display unit 320 to display an operation screen (dedicated screen) including the contents set by the dedicated screen setting unit 353. FIG. 8 is a diagram illustrating an example of a dedicated screen displayed under the control of the display control unit 354 according to the first embodiment. For example, the display control unit 354 causes the display unit 320 to display a display screen including tabs “Button”, “Pad”, and “Image”, as illustrated in FIG.

  Here, as shown in FIG. 8A, the display control unit 354 displays the dedicated screen set by the dedicated screen setting unit 353 on the screen of the “Button” tab. That is, as shown in FIG. 8A, the display control unit 354 has a dedicated screen on which a “3DRM On / Off” button set by the dedicated screen setting unit 353, a “3DRM Remask” button, and the like are arranged. Is displayed on the display unit 320.

  Here, the display control unit 354 causes the display unit 320 to display a common screen that is not limited to the above-described dedicated screen and is commonly displayed regardless of the usage status. For example, as illustrated in FIG. 8B, the display control unit 354 displays a common screen that allows the screen of the “Pad” tab to be used as a touch pad. The switching between the dedicated screen and the common screen described above can be switched to the dedicated screen by performing a touch operation on the area of the “Button” tab, and the common screen by performing a touch operation on the area of the “Pad” tab. Can be switched to. Further, as shown in FIG. 8, the display control unit 354 displays a screen for displaying an image as a screen of the “Image” tab. That is, when the operator desires to observe an image on the user terminal 300, the operator can switch to a screen on which an image is displayed by performing a touch operation on the area of the “Image” tab.

  In the above-described example, the case where the dedicated screen corresponding to the operator determined by the operator determining unit 352 is displayed has been described. However, the embodiment is not limited to this, and for example, it is possible to arbitrarily switch the operator. FIG. 9 is a diagram for explaining an example of an operator switching operation according to the first embodiment. FIG. 9 shows a case where the operator is switched between “Doctor A” and “B Nurse”.

  In such a case, for example, as shown in FIG. 9A, the display control unit 354 displays an operator switching button (star button) on the right side of the “Image” tab, and the input unit 310 An operator switching operation using the operator switching button is accepted. For example, when the input unit 310 receives a touch operation on the operator switching button area, the display control unit 354 displays “Dr. A”, which is the registered operator information, as shown in FIG. A selection button of “B nurse” is displayed. Here, when the input unit 310 receives a touch operation in the area of the “B nurse” button, the display control unit 354 displays a dedicated screen dedicated to “B nurse” as shown in FIG. This is displayed on the unit 320.

  Here, as shown in FIG. 9B, on the dedicated screen of “B nurse”, four display changeover switches to be displayed on the user terminal are displayed. The dedicated screen is set based on dedicated screen setting information stored in association with “examination stage: catheter insertion” and “operator: nurse B”, as in the case of “doctor A” described above. The dedicated screen is a dedicated screen newly set by the dedicated screen setting unit 353 with reference to the dedicated screen setting information when “B nurse” is selected by the input unit 310.

  In the above-described embodiment, the case where the dedicated screen is set based on the inspection stage and the operator has been described. However, the embodiment is not limited to this. For example, the dedicated screen may be set based only on the inspection stage, or the dedicated screen may be set based only on the operator. May be.

  As described above, in the user terminal 300 according to the first embodiment, a dedicated screen is set based on the examination stage of the examination currently being performed, and the set dedicated screen is displayed on the display unit 320. . Thereby, only the GUI used frequently can be displayed on the display unit 320. As a result, an operation button having a size that makes the most of the space of the display unit 320 of the user terminal 300 can be realized, and, for example, operability by an operator wearing gloves can be improved.

  Further, the user terminal 300 according to the first embodiment can set a dedicated screen for each operator, and can set an optimal dedicated screen for each operator who operates the user terminal 300. As a result, the user terminal 300 according to the first embodiment displays only the operation buttons requested by the operator and can improve the operability.

  Next, processing of the X-ray angiography system 1 to which the user terminal 300 according to the first embodiment is applied will be described using FIG. FIG. 10 is a sequence diagram illustrating a processing procedure by the X-ray angiography system 1 to which the user terminal 300 according to the first embodiment is applied.

  As shown in FIG. 10, in the X-ray angiography system 1 to which the user terminal 300 according to the first embodiment is applied, the examination stage determination unit 211 of the operation terminal 200 acquires examination stage definition information ( Step S101), it is determined whether or not the function being executed in the own device (operation terminal 200) has changed (Step S102). If it is determined that the function being executed has changed (Yes at Step S102), the inspection stage determination unit 211 determines the inspection stage corresponding to the function from the acquired inspection stage definition information (Step S103). .

  Then, the inspection stage determination unit 211 transmits the determined inspection stage information to the user terminal 300 (step S104). On the other hand, the operation terminal 200 is in a standby state until the function changes (No at Step S102).

  In step S104, when the inspection stage information is transmitted, the inspection stage acquisition unit 351 of the user terminal 300 receives the determined inspection stage (step S105). Then, the operator determination unit 352 determines the operator who is operating the user terminal 300 at the present time (step S106).

  Thereafter, the dedicated screen setting unit 353 sets a dedicated screen based on the examination stage and the operator (step S107), and the display control unit 354 displays the dedicated screen set by the dedicated screen setting unit 353 on the display unit 320. It is displayed (step S108).

  As described above, according to the first embodiment, the dedicated screen setting unit 353 sets the content of the operation screen to be displayed on the display unit 320 based on the usage situation in which the user terminal 300 is used. The display control unit 354 controls the display unit 320 to display a dedicated screen (operation screen) including the content set by the dedicated screen setting unit 353. Therefore, the user terminal 300 according to the first embodiment can display a screen according to the usage status, and can improve the operability in the operation of the operation terminal by the user terminal.

  In addition, according to the first embodiment, the dedicated screen setting unit 353 uses, as the usage status, information related to an examination performed when the user terminal 300 is used, an operator who operates the user terminal 300, and a user Based on the information including at least one of the position information of the terminal 300, the content of the operation screen displayed on the display unit 320 is set. Therefore, the user terminal 300 according to the first embodiment can display a dedicated screen that is finely set according to various situations, and can further improve the operability in the operation of the operation terminal by the user terminal. To.

(Second Embodiment)
In the first embodiment described above, the case where the dedicated screen is set based on the inspection stage and the operator has been described. In the second embodiment, a case where a dedicated screen is set based on the position where the user terminal is used will be described. FIG. 11 is a diagram illustrating an example of the configuration of the user terminal 300 and the operation terminal 200 according to the second embodiment. As illustrated in FIG. 11, the user terminal 300 according to the second embodiment is different from the user terminal 300 according to the first embodiment in that the position sensor 360 and a position determination unit 355 are newly included. . The operation terminal 200 according to the second embodiment is different from the first embodiment in the contents of the inspection stage definition information stored in the inspection stage definition information storage unit 221 and the processing contents of the inspection stage determination unit 211. . Hereinafter, these will be mainly described.

  The position sensor 360 is a sensor that acquires position information of the user terminal 300. For example, the position sensor 360 is a GPS (Global Positioning System), a WiFi communication module, or the like.

  The position determination unit 355 determines the position of the user terminal 300 based on the position information acquired by the position sensor 360. For example, when the position sensor 360 is a GPS, the position determination unit 355 determines the position of the user terminal 300 based on the latitude and longitude information acquired by the position sensor 360. In such a case, for example, information on the latitude and longitude of the examination room and the operation room is registered in advance, and the position determination unit 355 refers to the information registered in advance so that the position acquired by the position sensor 360 is obtained. The room corresponding to the information (latitude and longitude information) is determined. For example, information on the latitude and longitude of each room such as the X-ray examination room 1, the X-ray examination room 2, the hybrid examination room 1, the operation room 1, and the operation room 2 is stored in the storage unit 340 in advance. The position determination unit 355 determines a room corresponding to the position information (latitude and longitude information) acquired by the position sensor 360.

  For example, when the position sensor 360 is a WiFi communication module, the position determination unit 355 determines the position of the user terminal 300 based on the WiFi SSID (Service Set Identifier) acquired by the position sensor 360. . Here, the SSID is an identifier of an access point. That is, the WiFi communication module as the position sensor 360 acquires the identifier of the access point that the user terminal 300 accesses via WiFi. In such a case, for example, the SSID of each access point installed in the examination room and the operation room is registered in advance in association with the examination room and the operation room, and the position determination unit 355 stores the pre-registered information. By referring to the room, the room corresponding to the SSID acquired by the position sensor 360 is determined.

  For example, the SSID in the X-ray examination room 1 is “ExamRoom1”, the SSID in the X-ray examination room 2 is “ExamRoom2”, the SSID in the hybrid examination room 1 is “HybridRoom1”, and the SSID in the operation room 1 is “OperatingRoom1”. Information such as “OperatingRoom2” with the SSID in the operation room 2 is stored in the storage unit 340 in advance, and the position determination unit 355 determines a room corresponding to the SSID acquired by the position sensor 360. Here, the position sensor 360 acquires the SSID of WiFi with the strongest radio wave intensity that is currently connected as position information.

  Then, the position determination unit 355 transmits the determined position information of the user terminal 300 to the operation terminal 200 via the communication unit 330. For example, the position determination unit 355 transmits information on a room in which the user terminal 300 is operated to the operation terminal 200. Note that the position determination process described above is merely an example, and the position determination unit 355 can perform position determination by any method. For example, the position determination unit 355 can determine the position of the user terminal 300 based on position information acquired by an infrared sensor, a magnetic sensor, or the like. In addition, for example, the position determination unit 355 detects the user terminal 300 by image processing on each image captured by a camera installed in each room, and uses the room where the image detected by the user terminal 300 is captured as position information. It is also possible to transmit. In the above-described example, the case where the storage unit 340 stores information used for position determination has been described. However, the embodiment is not limited to this, and for example, information stored in other storage devices on the network May be acquired and used via a network.

  The examination stage definition information storage unit 221 according to the second embodiment stores examination stage definition information based on the position information of the user terminal 300. FIG. 12 is a diagram illustrating an example of inspection stage definition information stored by the inspection stage definition information storage unit 221 according to the second embodiment. For example, as illustrated in FIG. 12, the examination stage definition information storage unit 221 according to the second embodiment stores examination stage definition information in which examination rooms are further associated with examination stages and determination conditions (functions). Here, the “examination room” shown in FIG. 12 indicates a position (room) where the user terminal 300 is used.

  For example, as shown in FIG. 12, the examination stage definition information storage unit 221 includes “inspection stage: stent graft”, “judgment condition (function): terminal fluoroscopy function ON” and “examination room: hybrid examination room”. Inspection stage definition information associated with “1” is stored. The above-described information indicates that in the “hybrid examination room 1”, the examination stage when “the fluoroscopic function of the operation terminal is ON” is “stent graft”. Similarly, the examination stage definition information storage unit 221 also stores other information in which examination stages, determination conditions (functions), and examination rooms are associated with each other.

  The inspection stage determination unit 211 according to the second embodiment performs the inspection currently performed based on the position (room) where the user terminal 300 is operated in addition to the function executed by the operation terminal 200. Determine the inspection stage. Specifically, the inspection stage determination unit 211 according to the second embodiment refers to the inspection stage definition information stored in the inspection stage definition information storage unit 221 and receives the information from the position determination unit 355 of the user terminal 300. The inspection stage is determined from the position information and the function currently executed in the operation terminal 200.

  For example, when the position information acquired from the user terminal 300 is “X-ray examination room 1” and the operation terminal 200 is “the fluoroscopic function is ON”, the examination stage determination unit 211 has the examination stage “ It is determined that it is “cerebral angiography”. The inspection stage determination unit 211 transmits the determination result to the user terminal 300. In the user terminal 300, as in the first embodiment, the dedicated screen setting unit 353 refers to the dedicated screen setting information and is determined by the inspection stage received from the operation terminal 200 and the operator determination unit 352. A dedicated screen is set based on the operator.

  As described above, in the user terminal 300 according to the second embodiment, a dedicated screen is set based on the inspection stage and the operator determined using the position information of the user terminal 300. Therefore, the user terminal 300 can set a dedicated screen according to the usage situation set more finely, and can further improve operability.

  Here, in the above-described embodiment, the case where the inspection stage is determined using the position information of the user terminal 300 and the dedicated screen is set based on the determined inspection stage and the operator has been described. However, the embodiment is not limited to this. For example, a dedicated screen may be set based on the position information of the user terminal 300. In such a case, in the user terminal 300, dedicated screen setting information corresponding to the position determined by the position determination unit 355 is stored, and the dedicated screen is set based on the dedicated screen setting information.

  FIG. 13 is a diagram illustrating an example of dedicated screen setting information stored by the dedicated screen setting information storage unit 341 according to the second embodiment. For example, as illustrated in FIG. 13, the dedicated screen setting information storage unit 341 according to the second embodiment stores dedicated screen setting information in which “examination room”, “position”, and “dedicated screen setting” are associated with each other. . Here, the “position” shown in FIG. 13 indicates a position in a predetermined room. For example, as shown in FIG. 13, the dedicated screen setting information storage unit 341 has a function other than “before display”, “after display”, “top side” and “top side” for “X-ray examination room 1”. "And the dedicated screen setting information in which the dedicated screen setting corresponding to each position is associated with each other. Note that the dedicated screen setting information stored by the dedicated screen setting information storage unit 341 is arbitrarily set.

  Here, for the determination of the position in each room, for example, an image taken by a camera installed in the room is used. In such a case, the position determination unit 355 first determines the room in which the user terminal 300 is operated by the method described above. Then, the position determination unit 355 extracts the display or the top plate included in the image by pattern matching or the like, and determines the position in each room by determining the positional relationship between the extracted display or the top plate and the user terminal. To do. In addition, the determination method mentioned above is an example, and embodiment is not limited to this. That is, as long as the position determination unit 355 can determine the position in each room, any technique can be applied.

  The dedicated screen setting unit 353 sets, for example, a dedicated screen based on the position of the user terminal 300 determined by the position determination unit 355 with reference to the dedicated screen setting information illustrated in FIG. Here, an example of a dedicated screen at each position shown in FIG. 13 will be described. For example, in the case of “before display” or “top side”, it is determined that the user is an operator, and a dedicated screen in which “3DRM On / Off”, “3DRM Remask” or the like is set is displayed. Be controlled. In addition, for example, when the position is “after display”, the contents displayed on the display cannot be observed, so a dedicated screen set to display the display contents displayed on each display is displayed. Controlled to display. Also, for example, when the position is “other than the top plate side”, it is determined that the engineer or nurse other than the surgeon is displayed, and a dedicated screen on which the “display switching button” is set is displayed. Be controlled.

  In the example described above, a case has been described in which a more detailed position is set for each room and a dedicated screen is set based on each position. However, the embodiment is not limited to this, and may be, for example, a case where the inspection stage is determined based on a detailed position for each room. As an example, the examination stage definition information shown in FIG. 12 is further stored in the examination room in association with the position, and the examination stage determination unit 211 determines the examination stage from the position information determined by the position determination unit 355. The total number of user terminals 300 may be used.

  Next, processing of the X-ray angiography system 1 to which the user terminal 300 according to the second embodiment is applied will be described using FIG. FIG. 14 is a sequence diagram illustrating a processing procedure by the X-ray angiography system 1 to which the user terminal 300 according to the second embodiment is applied. In FIG. 14, the same processes as those in FIG. 10 are denoted by the same reference numerals, and detailed description thereof is omitted.

  As shown in FIG. 14, in the X-ray angiography system 1 to which the user terminal 300 according to the second embodiment is applied, the position determination unit 355 of the user terminal 300 acquires position information (step S201). It is determined whether or not the position of the user terminal 300 has changed (step S202). Here, when the position has changed (Yes at Step S202), the position determination unit 355 transmits position information to the operation terminal 200 (Step S203).

  In the operation terminal 200, when the position information is received, the inspection stage determination unit 211 acquires the inspection stage definition information (step S101), and the function or position executed in the own apparatus (operation terminal 200) has changed. Is determined (step S204). Here, when it is determined that the function or position being executed has changed (Yes at Step S204), the inspection stage determination unit 211 performs an inspection corresponding to at least one of the function and the position from the acquired inspection stage definition information. The stage is determined (step S103).

  Then, the inspection stage determination unit 211 transmits the determined inspection stage information to the user terminal 300 (step S104). On the other hand, the operation terminal 200 is in a standby state until the function changes (No at Step S204).

  In step S104, when the inspection stage information is transmitted, the inspection stage acquisition unit 351 of the user terminal 300 receives the determined inspection stage (step S105). Then, the operator determination unit 352 determines the operator who is operating the user terminal 300 at the present time (step S106).

  Thereafter, the dedicated screen setting unit 353 sets a dedicated screen based on the examination stage and the operator (step S107), and the display control unit 354 displays the dedicated screen set by the dedicated screen setting unit 353 on the display unit 320. It is displayed (step S108).

  As described above, according to the second embodiment, the dedicated screen setting unit 353 determines the inspection stage using the position information of the user terminal 300, and displays based on the usage situation including the determined inspection stage. The contents of the dedicated screen displayed on the unit 320 are set. Therefore, the user terminal 300 according to the second embodiment can perform finer settings and can further improve operability.

  In addition, according to the second embodiment, the dedicated screen setting unit 353 uses, as the position information of the user terminal 300, the room in which the user terminal 300 is used or the position information in the room. Therefore, the user terminal 300 according to the second embodiment makes it possible to set a dedicated screen for each fine position of the user terminal 300.

(Third embodiment)
In the first and second embodiments described above, the case where the inspection stage is determined using the function executed by the operation terminal 200 and the position of the user terminal has been described. However, the embodiment is not limited to this, and may be, for example, a case where the inspection stage is determined using an inspection schedule. FIG. 15 is a diagram illustrating an example of inspection stage definition information according to the third embodiment.

  For example, the examination stage definition information storage unit 221 according to the third embodiment stores examination stage definition information in which an examination stage and an examination schedule are associated with each other as illustrated in FIG. For example, the examination stage definition information storage unit 221 includes examination stage definition information in which “examination stage: cerebrovascular imaging” and “examination schedule: 2013/3/1 11: 00-12: 00” are associated with each other. Remember. The information shown in FIG. 15 can be acquired from, for example, HIS (Hospital Information System). The inspection stage determination unit 211 determines the inspection stage from the current date and time information with reference to the inspection stage definition information shown in FIG.

  Further, for example, it may be a case where the examination stage is determined using information on the subject to be examined. As an example, it may be a case where information about a disease of a subject to be examined is used. FIG. 16 is a diagram illustrating an example of inspection stage definition information according to the third embodiment. For example, the examination stage definition information storage unit 221 according to the third embodiment includes information that associates “patient” and “disease” as shown in FIG. As shown, information in which “examination stage” is associated with “disease” is stored as examination stage definition information.

  For example, the examination stage determination unit 211 acquires current patient information from the HIS and refers to the information in FIG. 16A to determine the current patient disease. And the test | inspection stage discrimination | determination part 211 discriminate | determines the test | inspection stage corresponding to the determined disease with reference to the information of (B) of FIG.

  In addition, the example mentioned above is an example to the last, and embodiment is not limited to this. That is, the information related to the subject is not only information related to the disease, for example, information such as “history of history”, “past test history”, “past test result”, “allergy information” and “main complaint” of the subject. May be used. When the above-described information is used, for example, the examination stage definition information storage unit 221 includes the above-described information (for example, “history of past”, “past examination history”, “past examination result”, “allergy information”). , One of “main complaints”) and information in which “patient” is associated with information described above, and information in which “examination stage” is associated with the above information are stored as examination stage definition information.

  Then, similarly to the above-described processing, the examination stage determination unit 211 acquires current patient information and determines the examination stage. The information regarding the subject may be a case where one piece of information (for example, only a disease) is used, or a case where a plurality of pieces of information are used. As an example, the “examination stage” corresponding to the “past examination history” and “past examination result” is stored in advance, and from the “past examination history” and “past examination result” of the current patient. The corresponding “inspection stage” may be determined.

  As described above, the user terminal 300 according to the third embodiment determines an examination stage using an examination plan or patient information (for example, a disease). Therefore, the user terminal 300 according to the third embodiment can set a dedicated screen according to the examination plan and patient information (for example, disease).

  In the above-described embodiment, the case where the inspection stage of the inspection is used as the information regarding the inspection has been described. However, the embodiment is not limited to this, and may be a case where, for example, a procedure and a test stage in the test are used as information related to the test. In such a case, for example, a dedicated screen corresponding to each inspection stage can be set for each procedure. Here, the procedure indicates, for example, a series of tests for a certain patient, and the test stage indicates each test. Taking an example of a patient with an aortic aneurysm, the procedure means a series of processes related to the examination / treatment of the aortic aneurysm, and the examination stage means a stage such as catheter insertion. Such information can be acquired from programs such as an inspection protocol in the X-ray diagnostic apparatus and an expert plan in the X-ray CT apparatus.

  Moreover, although embodiment mentioned above demonstrated the example which arrange | positions a button on a dedicated screen, embodiment is not limited to this. For example, it may be a case where a dedicated screen having an operation for the combo box is set. FIG. 17 is a diagram for explaining a dedicated screen set by the dedicated screen setting unit 353 according to the third embodiment. For example, the display unit 23b displays an operation screen including a combo box as illustrated in FIG. Therefore, even on the dedicated screen set by the dedicated screen setting unit 353, a dedicated screen for operating the combo box can be set. For example, by performing a touch operation on a button arranged on a dedicated screen, a combo box can be designated to open a window, and the third option from the top can be selected.

(Fourth embodiment)
Now, the first, second, and third embodiments have been described so far. In the embodiment in which the operation screen including the contents set based on the usage situation in which the user terminal is used is displayed on the display unit, In addition to the first, second, and third embodiments described above, the present invention may be implemented in various different forms.

  In the above-described first, second, and third embodiments, the case where the operation terminal 200 executes the determination of the inspection stage has been described. However, the embodiment is not limited to this. For example, the user terminal 300 may determine the inspection stage. In such a case, for example, the user terminal 300 includes the inspection stage determination unit 211 described above.

  In the above-described embodiment, the case where there is one user terminal 300 has been described. However, the embodiment is not limited to this, and for example, two or more units may be used.

  In addition, the configurations of the user terminal 300 and the operation terminal 200 according to the above-described embodiment are merely examples, and the integration and separation of each unit can be performed as appropriate. For example, the dedicated screen setting unit 353 and the inspection stage determination unit 211 can be integrated.

  Further, in the first, second, and third embodiments described above, the case where the user terminal 300 is operated on / off of 3DRM and the like has been described, but the embodiment is not limited thereto, For example, it may be a case where fine adjustment of the arm or adjustment of the X-ray dose is operated. That is, it is possible to cause the apparatus main body 100 of the X-ray angiography system to execute processing according to the operation accepted by the user terminal 300.

(Fifth embodiment)
In the first to fourth embodiments described above, the case where the operation screen is set based on the information such as the examination contents and the operator has been described. However, the medical device according to the present application can change the display state of the operation screen. Hereinafter, in the fifth embodiment, a case will be described in which the display is changed according to the items displayed on the operation screen. For example, the user terminal 300 displays various operation screens according to the examination contents in addition to the operation screens described above. FIG. 18 is a diagram illustrating an example of an operation screen displayed by the user terminal 300 according to the fifth embodiment.

  For example, as shown in FIG. 18, the user terminal 300 according to the fifth embodiment displays a “WorkFlow” tab for displaying an inspection workflow and a “Function” tab for displaying various functions common to various workflows. This is displayed on the part 320. Here, for example, as shown in FIG. 18, the user terminal 300 has “Neuro” examination workflow such as “drive to treatment site”, “treatment site observation”, “coil stent placement”, “blood flow check”, and the like. Display the contents of. Then, the user terminal 300 includes “75 lower limbs”, “Pause”, “F-Peak”, “F-Sub”, “70BP standard (R⇒L)” as items executed in “drive to treatment site”. , “Injector”, “MapSave”, “Spot perspective”, etc. are displayed.

  Further, in the user terminal 300, as shown in the upper portion of FIG. 18, various items related to layout control of the display unit such as an arm mark button for displaying various items related to arm control, an examination room display and an operation room display are displayed. A layout mark button to be displayed, and a pad mark button for switching the display unit 320 of the user terminal 300 from an operation screen on which various items are displayed to a pad screen for performing an arbitrary operation (for example, flick operation, swipe operation, etc.) Is also possible. In the user terminal 300, an image control mark button for displaying various items related to display control of an image (moving image or the like) displayed on the examination room display, the operation room display, the display unit 320, or the like, and an operator switching button. Etc. can also be displayed.

  In other words, the user terminal 300 displays the contents of the workflow for each examination and various items included in the contents, and functions that the own apparatus, the operation terminal 200, or a medical image diagnostic apparatus such as an X-ray diagnostic apparatus has. In addition, an operation area for executing, a button for displaying items related to various controls, and the like are displayed. As a result, the operator can operate the entire X-ray angiography system using the user terminal 300. Note that the operation screen illustrated in FIG. 18 is merely an example, and the embodiment is not limited thereto. Further, the items included in the operation screen shown in FIG. 18 can be arbitrarily set by the operator (for example, set so that items used frequently are displayed). Each display content (for example, the content of the workflow, each item included in the content, etc.) is stored on the display unit 320 according to the usage status, and the setting information of the dedicated screen is stored for each examination or for each operator. It can also be made.

  Thus, the user terminal 300 can display operation screens with various contents. Here, some items displayed on the operation screen are related to each other or continuously operated. For example, a predetermined item included in the “WorkFlow” tab may be classified into finer items for each function in the “Function” tab, or may be operated sequentially. In such a case, the operator is required to memorize those items, but memorizing various contents is troublesome and inefficient. Therefore, the user terminal 300 according to the fifth embodiment displays each item included in the operation screen having various contents according to the item, so that the operator does not particularly remember the relationship or order. Configured to be operable. Specifically, the display control unit 354 according to the fifth embodiment includes, in the operation screen, an operation area that includes items that are continuously operated, and an operation area that includes items that are related in different types of display content. Are displayed in an identifiable manner. That is, the display control unit 354 controls to display an operation screen that allows an operator who has viewed an item included in the operation screen to recognize the next operation.

  19 and 20 are diagrams illustrating examples of item display by the display control unit 354 according to the fifth embodiment. Here, FIG. 19 shows an example in the case of displaying items related to items of different types. FIG. 20 shows an example in which items that are continuously operated are displayed. For example, when displaying “Spot fluoroscopy”, which is an item related to the display content of different types, the display control unit 354 can identify the “Spot fluoroscopy” button, as shown in FIG. To display. For example, the display control unit 354 displays or highlights the color of the item “Spot fluoroscopy” button included in the “WorkFlow” tab in a color different from the colors of the other buttons.

  When the operator performs a touch operation on the “Spot fluoroscopy” button, the display control unit 354 is an item of “Spot fluoroscopy” included in the “Function” tab as illustrated in FIG. “Spot Fluo. On / Off”, “Spot Posi.”, “Spot Size”, “Spot Size (Free)”, and “Monitor” are displayed on the display unit 320. That is, the display control unit 354 transitions the display content so that the related item is displayed when the related item is operated in the display content of different types. Thereby, the operator can identify that there is a transition destination only by looking at the screen shown in FIG. For example, by setting “purple” as a color indicating that there is a transition destination and displaying the “Spot fluoroscopy” button included in the workflow in “purple”, the operator can display “Spot fluoroscopy” included in the workflow. Can easily identify that there is a transition destination. The operator simply touches the “Spot fluoroscopy” button to display the items in the “Function” of the transition destination, and can perform various settings in “Spot fluoroscopy”.

  In addition, for example, the display control unit 354 displays the color of the button of the item in a color different from the color of the other buttons or highlights the item that is continuously operated. For example, as illustrated in FIG. 20A, the display control unit 354 includes an item “3D” operated continuously (in order) in the content “treatment site observation” included in the “WorkFlow” tab. -"DSA" button is displayed in an identifiable manner. When the operator performs a touch operation on the “3D-DSA” button, the display control unit 354 is an item that is operated next to “3D-DSA” as illustrated in FIG. Only the “76 BP standard” button is displayed large on the display unit 320. At this time, the display control unit 354 displays a “Back” button for sequentially displaying the previous item “3D-DSA” together with the “76 BP reference” button which is the next operated item, and the order In particular, a “Skip” button for displaying “03”, which is a later item, is displayed.

  Then, after the operator performs a touch operation on the “76 BP standard” button and makes settings related to the BP standard, or when the operator performs a touch operation on the “Skip” button, the display control unit 354 displays ( As shown in C), only the “03 front” button, which is the item operated next to the “76BP standard”, is displayed large on the display unit 320, and the “Back” button and the “Skip” button are displayed. In this way, when the item that is continuously operated is operated, the display control unit 354 changes the display content so that the item that is operated next is displayed. As a result, the operator can identify the items to be operated continuously only by looking at the screen shown in FIG. For example, “green” is set as a color indicating that the item is continuously operated, and the “3D-DSA” button included in the workflow is displayed in “green”, so that the operator can display the workflow. It can be easily identified that “3D-DSA” included is an item that is continuously operated. Then, the operator can definitely execute a continuous operation only by operating the items displayed sequentially.

  Note that the examples shown in FIGS. 19 and 20 are merely examples, and the display contents and the display layout can be arbitrarily changed. Further, the color of each region is not limited to the above-described example, and an arbitrary color can be assigned. In the example described above, a case is described in which colors are assigned to items with a transition destination and items that are continuously operated. However, colors may also be assigned to other normal buttons. For example, when displaying an item with a transition destination in “purple” and continuously operating items in “green”, the display control unit 354 displays other normal buttons in a different color (for example, blue). Etc.).

  As described above, the user terminal 300 according to the fifth embodiment displays items included in the operation screen in an identifiable manner. Here, the user terminal 300 according to the fifth embodiment can interrupt and display different types of items in addition to the above-described display. As described above, the user terminal 300 can perform arm control, display layout control, pad control, and the like in addition to the inspection workflow and functions. Such control may be executed even during execution of a workflow, for example. Therefore, the user terminal 300 displays an operation screen having a content different from that of a series of operations currently being executed by interruption.

  Specifically, the display control unit 354 additionally displays an operation area of items different from a series of items included in the examination for the subject on the operation screen at an arbitrary timing. FIG. 21 is a diagram illustrating an example of an interrupt display on the operation screen by the display control unit 354 according to the fifth embodiment. For example, as shown in FIG. 21A, when the workflow of “Neuro” is displayed on the display unit 320, when the operator performs a touch operation on the arm mark button for arm control, As shown in FIG. 21B, the display control unit 354 causes the display unit 320 to display an arm control item over the “Neuro” workflow.

  That is, as shown in FIG. 21B, the display control unit 354 performs “3D Auto Angle”, “3D Auto Angle (F)”, “3D Auto Angle (L)”, “3DRM Adjust”, “3DRM”. “On / Off” and “3DRM Remask” are displayed superimposed on the “Neuro” workflow. Then, when the operation based on the interrupted arm control item ends, the display control unit 354 hides the arm control item and displays the “Neuro” workflow on the top surface. Note that the example shown in FIG. 21 is merely an example, and the items to be interrupted may be layout control, pad control, moving image control, or the like. As a result, the operator can operate by interrupting various operations even during a series of operations such as a workflow.

  As described above, according to the fifth embodiment, the display control unit 354 includes, in the operation screen, an operation area that includes items that are continuously operated and an operation that includes items that are related to different types of display content. Each area is displayed in an identifiable manner. Therefore, the user terminal 300 according to the fifth embodiment enables the operator to identify the next operation only by looking at the items included in the operation screen.

  Further, according to the fifth embodiment, the display control unit 354 additionally displays an operation area of items different from the series of items included in the examination for the subject on the operation screen at an arbitrary timing. Accordingly, the user terminal 300 according to the fifth embodiment enables an item having a desired content to be operated at a timing desired by the operator.

(Sixth embodiment)
The first to fifth embodiments have been described so far, but may be implemented in various different forms other than the first to fifth embodiments described above.

  In the above-described embodiment, the case where the user terminal 300 is a stationary information processing apparatus such as a PC or a portable information processing apparatus such as a tablet PC or PGA has been described. However, the embodiment is not limited to this, and may be a case where the embodiment is attached to a bed. FIG. 22 is a diagram for explaining an example of the user terminal 300 according to the sixth embodiment. For example, the user terminal 300 according to the sixth embodiment is attached to a console provided on the top plate of FIG. 22 and is operated by an operator such as a doctor while performing a procedure.

  As described above, the medical apparatus according to the present application is an information processing apparatus installed on a user terminal 300 of a stationary information processing apparatus, a user terminal 300 of a portable information processing apparatus, or an operation console attached to a top board. The user terminal 300 is applied. Here, as described above, the medical device according to the present application includes a touch panel operation unit capable of touch operation. That is, the touch panel operation unit includes an input unit 310 and a display unit 320, and displays a GUI, an image, and the like and receives an operation by the operator, and an operation by the operator detected by the position detection unit of the touch panel. Thus, the control unit 350 executes various controls.

  For example, in addition to the operation screen described above, the display control unit 354 can cause the display unit 320 to display a medical image displayed on the examination room display or the operation room display. For example, the display control unit 354 performs a touch operation on the image control mark button on the operation screen illustrated in FIG. 18, thereby medical images (still images, moving images) on the examination room display, the operation room display, and the display unit 320. An item for controlling the display of the image) is displayed on the display unit 320, and the display of the medical image is controlled in accordance with an operation on the displayed item.

  Further, for example, the display control unit 354 can display an operation screen for performing measurement processing on a medical image displayed on the examination room display, the operation room display, and the display unit 320. For example, a measurement item is included in the image control mark button and is controlled by an operator to further display an operation screen for performing measurement processing. In addition, the display control unit 354 switches the operation screen for executing each control by performing a touch operation on the arm mark button, the layout mark button, the pad mark button, the operator switching button, and the like. indicate.

  As described above, the user terminal 300 according to the present application can be applied as various devices, and various information (for example, the operation position of the operator detected by the position detection unit of the touch panel operation unit) with respect to the operation terminal 200. Based on the movement information, the operation terminal 200 and the X-ray diagnostic apparatus 100 are output from any place in the examination room or the operation room by outputting information for moving the cursor displayed on the examination room display in an arbitrary direction. It is possible to operate a medical image diagnostic apparatus or the like.

  In the first, second, and third embodiments described above, the case where the user terminal 300 is applied to the X-ray angiography system 1 has been described as an example, but the embodiment is limited to this. For example, the user terminal 300 may be applied to an X-ray CT apparatus, an MRI apparatus, an ultrasonic diagnostic apparatus, a radiotherapy apparatus, or the like.

  As described above, according to the first, second, third, and fourth embodiments, the medical device and the medical image diagnostic device of the present embodiment improve the operability in the operation of the operation terminal by the user terminal. Enable.

  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 embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the spirit of the invention. These embodiments and their modifications are included in the scope and gist of the invention, and are also included in the invention described in the claims and the equivalents thereof.

DESCRIPTION OF SYMBOLS 1 X-ray angiography system 200 Operation terminal 211 Inspection stage discrimination | determination part 300 User terminal 310 Input part 320 Display part 351 Inspection stage acquisition part 352 Operator discrimination | determination part 353 Dedicated screen setting part 354 Display control part

Claims (8)

A bed on which the subject is placed;
An imaging unit for imaging the subject;
A first display unit that displays a medical image captured by the imaging unit;
A touch panel operation unit that is attached to the bed and includes a second display unit, a position detection unit that detects a position of an operation by the operator, and a control unit that controls processing based on the operation by the operator;
A storage unit that stores a plurality of examination stages for a subject and a plurality of operation screens in association with each other;
With
The control unit of the touch panel operation unit is
A setting unit that detects a stage of examination of the subject based on information on a room in which the touch panel operation unit is located;
A display control unit that causes the second display unit to display an operation screen associated with the examination stage detected by the setting unit;
A medical device comprising:   The control unit of the touch panel operation unit further includes an output unit that outputs information for moving the cursor displayed on the first display unit in an arbitrary direction based on the movement information of the position detected by the position detection unit. The medical device according to claim 1, further comprising:   The medical apparatus according to claim 1, wherein the display control unit displays the medical image displayed on the first display unit on the second display unit.   The medical apparatus according to claim 1, wherein the display control unit displays an operation screen for performing the medical image measurement process on the second display unit.   The control unit of the touch panel operation unit includes a first operation screen for controlling a cursor displayed on the first display unit, a second operation screen for controlling the photographing unit or the bed, The medical device according to any one of claims 1 to 4, further comprising a switching unit that switches between a third operation screen for displaying the medical image.   In the operation screen, the display control unit includes an operation area including an item in which an operation order with respect to another item is determined, and an operation including an item whose display content is changed to an associated item after the operation. The medical device according to any one of claims 1 to 5, wherein each of the regions is displayed in an identifiable manner.   7. The display control unit according to claim 1, wherein the display control unit additionally displays an operation region of an item different from a series of items included in the examination for the subject on the operation screen at an arbitrary timing. The medical device according to any one of the above. The medical image diagnostic apparatus characterized by performing a process corresponding to the operation accepted by the medical device according to any one of claims 1-7.

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