JP6473124B2 - Interpretation training support device, interpretation training support method, and interpretation training support program - Google Patents

Description

  The present invention relates to an interpretation training support apparatus, an interpretation training support method, and an interpretation training support program, and more particularly to an interpretation training support apparatus and an interpretation training support method for supporting interpretation training performed by a radiology doctor for medical students and residents. And an interpretation training support program.

  When an examination order comes to the radiation department from the requesting physician (primary physician) who is in charge of the patient in the outpatient department or ward, the interpretation doctor in the radiation department issues a radiographing instruction to the radiation technician according to the examination order, and the modality of the radiation technician The patient's medical image (tomographic image) obtained by the operation is interpreted, and the interpretation report is returned to the requesting doctor as the examination result. The patient's medical care / treatment policy is determined by the requesting doctor based on the returned test results.

  Interpretation doctors need to educate, that is, interpret training, medical students and residents in addition to such interpretation work. Moreover, in the radiology department of the medical school, it is common to use a case database such as a teaching file in order to train an interpreting doctor.

Japanese Patent No. 4945705 JP 2009-82182 A

  However, the case database is a reference book in general education and is not sufficient for the purpose of interpretation training. In addition, since the case database is actual data, personal information such as patient names can be seen, which is inappropriate for education.

  Further, Patent Literature 1 or Patent Literature 2 discloses a prior art that estimates the accuracy of interpretation based on the interpretation time and performs misdiagnosis detection support or presents an interpretation sample. However, misdiagnosis detection support and presentation of interpretation samples are not sufficient as interpretation training.

  Therefore, a main object of the present invention is to provide an interpretation training support device, an interpretation training support method, and an interpretation training support program that can easily realize interpretation training aiming at higher results.

  The interpretation training support apparatus according to the present invention (40: reference numeral corresponding to the embodiment; the same applies hereinafter) is used for the teaching doctor by citing any one of a plurality of interpretation reports each describing the interpretation doctor's opinion. Based on the first interpretation means (S23, S259) for creating an interpretation task guide, the editing means (S59) for editing the interpretation task guide created by the first creation means in accordance with the editing operation, and the interpretation task guide edited by the editing means Second creating means (S85) for creating an interpretation task for the trainee, and designation means (S61) for designating one or more trainees to which the interpretation task created by the second creating means is provided according to the designated operation (S61) ~ S71).

  Preferably, receiving means (S11, S19) for receiving a selection operation for selecting an interpretation report cited by the first creating means is further provided.

  Preferably, there is further provided setting means (S165, S167, S171, S173) for setting a report selection condition indicating how to select an interpretation report cited by the first preparation means according to a setting operation. The means quotes an interpretation report that matches the report selection condition set by the setting means.

  More preferably, the setting means displays individual setting screen display means (S201, S221, S223) for displaying an individual setting screen having a plurality of input windows, and displays a character string in accordance with the character string setting operation on each of the plurality of input windows. Report selection conditions are defined based on a plurality of character strings respectively displayed in a plurality of input windows.

  In one aspect, the item name detection means (S251) for detecting an item name that matches the report selection condition from a plurality of interpretation reports when a plurality of character strings that are the basis of the report selection condition include a numerical range, and item name detection Correction means (S253) for correcting the report selection condition based on the detection result of the means is further provided.

  In another aspect, the individual setting screen display means is an initial display means for initially displaying a plurality of character strings serving as a basis of the defined report selection condition in a plurality of input windows when the defined report selection condition is selected (S223). including.

  Preferably, the interpretation task guide has an opinion column (RP1, DP1), and the first preparation means transcribes the opinion described in the interpretation report as an example of the answer in the opinion column.

  In one aspect, each of the plurality of interpretation reports further describes the request contents from the requesting doctor, the interpretation task guide further includes an interpretation instruction field (IP1), and the first creation means is described in the interpretation report. The request content is posted as an interpretation instruction in the interpretation instruction field.

  In another aspect, a reference image representing at least one of a plurality of medical images obtained by imaging a patient is attached to each of the plurality of interpretation reports, and the interpretation task guide further includes a reference image column (MP1). The first creating means reprints the reference image attached to the interpretation report in the reference image column.

  More preferably, the editing means includes changing means (S5921, S5925 to S5939) for changing the reference image attached to the interpretation task guide to another reference image representing at least one of the plurality of medical images.

  Preferably, the interpretation task guide has an evaluation point field (PP1), and the editing means includes entry means (S5917, S5919) for entering a desired evaluation point in the evaluation point field.

  Preferably, input means (S91 to S93) for inputting an evaluation for an interpretation report created by each of one or more trainees designated by the designation means in accordance with an input operation, at least a part of description of the interpretation task guide and input The creation means (S101) for creating the task evaluation result in which the evaluation entered by the means is written together, and the task evaluation result created by the creation means are stored in association with the trainee who created the interpretation report to be evaluated. Means (S103) is further provided.

  In one aspect, the evaluation input by the input means includes a comment on the evaluation point and a score.

  In another aspect, the interpretation report targeted by the input means includes time information indicating the time spent for interpretation, and further includes output means (S89) for outputting the time information related to the processing of the input means. .

  The interpretation training support method according to the present invention is an interpretation training support method executed by the processor (402) of the interpretation training support device (40), and includes any of a plurality of interpretation reports each describing the interpretation doctor's opinion. The first creation step (S23, S259) for creating an interpretation task guide for the instructing doctor by quoting one, the editing step (S59) for editing the interpretation task guide created in the first creation step according to the editing operation, and editing A second creation step (S85) for creating an interpretation task for the trainee based on the interpretation task guide edited in the step, and one or more trainees to which the interpretation task created by the second creation step is provided A designation step (S61 to S71) for designating according to the designation operation is provided.

  The interpretation training support program according to the present invention refers to the processor (402) of the interpretation training support apparatus (40) for any one of a plurality of interpretation reports in which the interpretation doctor's opinion is described in each of them. Based on the first interpretation step (S23, S259) for creating the interpretation task guide, the editing step (S59) for editing the interpretation task guide created in the first creation step according to the editing operation, and the interpretation task guide edited in the editing step A second creation step (S85) for creating an interpretation task for the trainee, and a designation step (S61) for designating one or more trainees to which the interpretation task created in the second creation step is provided according to a designated operation (S61) This is an interpretation training support program to execute ~ S71).

  The interpretation task guide is created by quoting an interpretation report in which the interpretation doctor's opinion is described, and is edited according to an editing operation. For this reason, it is possible to reduce the labor of the instructor required for preparation of the interpretation task guide. In addition, the provision destination of the interpretation task created based on the interpretation task guide is individually designated according to the designation operation. For this reason, combined with the ability to edit the interpretation task guide, adaptive interpretation training can be implemented. In this way, interpretation training aiming at high results is easily realized.

  The above object, other objects, features and advantages of the present invention will become more apparent from the following detailed description of embodiments with reference to the drawings.

It is a block diagram which shows an example of a structure of the interpretation report system applied to this Example. It is a block diagram which shows an example of a structure of the interpretation training assistance apparatus or training interpretation terminal shown in FIG. It is an illustration figure which shows the relationship between the interpretation task guide produced in common with a some trainee, the interpretation report for training produced for every trainee, and the interpretation task scoring sheet | seat. It is a flowchart which shows a part of operation | movement of CPU provided in the interpretation training assistance apparatus. It is a flowchart which shows another part of operation | movement of CPU provided in the interpretation training assistance apparatus. It is a flowchart which shows a part of other operation | movement of CPU provided in the interpretation training assistance apparatus. It is a flowchart which shows further another part of operation | movement of CPU provided in the interpretation training assistance apparatus. It is a flowchart which shows another part of operation | movement of CPU provided in the interpretation training assistance apparatus. It is a flowchart which shows a part of other operation | movement of CPU provided in the interpretation training assistance apparatus. It is a flowchart which shows further another part of operation | movement of CPU provided in the interpretation training assistance apparatus. It is a flowchart which shows another part of operation | movement of CPU provided in the interpretation training assistance apparatus. It is a flowchart which shows a part of other operation | movement of CPU provided in the interpretation training assistance apparatus. It is a flowchart which shows further another part of operation | movement of CPU provided in the interpretation training assistance apparatus. It is a flowchart which shows a part of operation | movement of CPU provided in the interpretation terminal for training. It is a flowchart which shows another part of operation | movement of CPU provided in the interpretation terminal for training. It is a flowchart which shows the other part of operation | movement of CPU provided in the interpretation terminal for training. It is a flowchart which shows further another part of operation | movement of CPU provided in the interpretation terminal for training. It is an illustration figure which shows an example of the display of the main display provided in the interpretation training assistance apparatus. It is an illustration figure which shows an example of the interpretation report acquired from the medical server PC shown in FIG. It is an illustration figure which shows a part of interpretation task guide produced by the interpretation training assistance apparatus. It is an illustration figure which shows the other part of the interpretation task guide produced by the interpretation training assistance apparatus. It is an illustration figure which shows another example of the display of the main display provided in the interpretation training assistance apparatus. It is an illustration figure which shows another example of the display of the main display provided in the interpretation training assistance apparatus. It is an illustration figure which shows another example of the display of the main display provided in the interpretation training assistance apparatus. It is an illustration figure which shows another example of the display of the main display provided in the interpretation training assistance apparatus. It is an illustration figure which shows an example of the interpretation report for training produced by the interpretation training assistance apparatus. It is an illustration figure which shows an example of the display of the main display provided in the interpretation terminal for training. It is an illustration figure which shows another example of the display of the main display provided in the interpretation terminal for training. It is an illustration figure which shows another example of the display of the main display provided in the interpretation terminal for training. It is an illustration figure which shows an example of the interpretation report for training produced with the interpretation terminal for training. It is an illustration figure which shows another example of the display of the main display provided in the interpretation training assistance apparatus. It is an illustration figure which shows another example of the display of the main display provided in the interpretation training assistance apparatus. It is an illustration figure which shows another example of the display of the main display provided in the interpretation training assistance apparatus. It is an illustration figure which shows another example of the display of the main display provided in the interpretation training assistance apparatus. It is an illustration figure which shows a part of interpretation task scoring sheet | seat created by the interpretation training assistance apparatus. It is an illustration figure which shows the other part of the interpretation task scoring sheet | seat created by the interpretation training assistance apparatus. It is an illustration figure which shows another example of the display of the main display provided in the interpretation terminal for training. It is an illustration figure which shows another example of the display of the main display provided in the interpretation terminal for training. It is an illustration figure which shows another example of the display of the main display provided in the interpretation terminal for training. It is an illustration figure which shows another example of the display of the main display provided in the interpretation terminal for training. It is a flowchart which shows a part of operation | movement of CPU provided in the interpretation terminal for training of the other Example. It is a flowchart which shows a part of other operation | movement of CPU provided in the interpretation reading terminal for training of another Example. It is a flowchart which shows a part of other operation | movement of CPU provided in the interpretation reading terminal for training of another Example. It is a flowchart which shows further another part of operation | movement of CPU provided in the interpretation reading terminal for training of the other Example. It is a flowchart which shows a part of other operation | movement of CPU provided in the interpretation reading terminal for training of another Example. It is a flowchart which shows a part of other operation | movement of CPU provided in the interpretation reading terminal for training of another Example. It is a flowchart which shows further another part of operation | movement of CPU provided in the interpretation reading terminal for training of the other Example. It is a flowchart which shows a part of other operation | movement of CPU provided in the interpretation reading terminal for training of another Example. It is an illustration figure which shows an example of the interpretation report table provided in the interpretation report database. It is an illustration figure which shows an example of the interpretation task guide automatic creation condition table provided in the interpretation report database. It is an illustration figure which shows an example of the display of the main display provided in the interpretation terminal for training. It is an illustration figure which shows another example of the display of the main display provided in the interpretation terminal for training. It is an illustration figure which shows another example of the display of the main display provided in the interpretation terminal for training. It is an illustration figure which shows another example of the display of the main display provided in the interpretation terminal for training. It is an illustration figure which shows another example of the display of the main display provided in the interpretation terminal for training. (A) is an illustrative view showing an example of a character string corresponding to examination information, (B) is an illustrative view showing an example of a character string corresponding to patient information, and (C) is equivalent to finding / diagnosis information. It is an illustration figure which shows an example of the character string to do.

[Example 1]
Referring to FIG. 1, the diagnosis support system of this embodiment includes a medical interpretation report system 100 and a training interpretation report system 200 each connected to a hospital LAN 80. The medical interpretation report system 100 includes a medical interpretation terminal 10, a medical server PC 20, and a medical PACS 30. The training interpretation report system 200 includes an interpretation training support device 40, a training interpretation terminal 50, a training server PC 60, and a training PACS 70. The diagnostic server PC 20 is provided with an interpretation report database 201, and the training server PC 60 is provided with an interpretation task database 601.

  The medical interpretation terminal 10 is a terminal operated by an interpretation doctor who interprets a medical image of a patient. The interpretation report database 201 stores an interpretation report describing the interpretation doctor's views (specifically, “findings” and “diagnosis”) with respect to the request contents of the requesting doctor. Further, a large number of medical images are stored in the medical PACS 30 in a state of being classified for each patient, that is, for each interpretation report.

  The interpretation report has the format shown in FIG. In other words, in addition to patient information (patient number, patient name, gender, age at examination) and examination information (examination type, site, method, entrance / exit classification, request department, requesting doctor), the interpretation report includes The input request contents and the findings and diagnosis input by the interpretation doctor are described, and a reference image is further attached.

  Here, the request content is described in the request content column IP0, the finding is described in the finding column RP0, the diagnosis is described in the diagnosis column DP0, and the reference image is attached to the reference image column MP0. The reference image is an image representative of a plurality of medical images obtained by tomography of the patient indicated by the patient information and stored in the medical PACS 30, and is an image obtained by reducing at least one of the plurality of medical images. Equivalent to.

  The interpretation training support device 40 is a device operated by a supervisor who performs interpretation training for medical students and residents (hereinafter referred to as “training students”), and the training interpretation terminal 50 is a trainee. Is a terminal operated by. The interpretation task database 60 also includes an interpretation task guide created by the instructor, a training interpretation report exchanged between the instructor and the trainee, and an interpretation task score provided by the instructor to the trainee. The sheet (the task evaluation result) is stored as shown in FIG.

  According to FIG. 3, the interpretation task guide is common to a plurality of trainees, and the interpretation report for training and the interpretation task scoring sheet are different for each trainee. Further, the status of the training interpretation report is set to “not input” when the opinion of the resident is not input, and is set to “confirmed” when the opinion of the resident is determined. Therefore, the training interpretation report whose status indicates “not input” may be referred to as “interpretation task”.

  The interpretation training support device 40 and the training interpretation terminal 50 are configured as shown in FIG. In the interpretation training support apparatus 40, a communication I / F 401, a CPU 402, a keyboard / mouse 403, a main display 404, a viewer 405, a DRAM 406, and an HDD 407 are connected to the bus 408. In the training interpretation terminal 50, a communication I / F 501, a CPU 502, a keyboard / mouse 503, a main display 504, a viewer 505, a DRAM 506, and an HDD 507 are connected to the bus 508.

  The CPU 402 provided in the interpretation training support apparatus 40 performs the interpretation task candidate mark processing shown in FIGS. 4 to 5 and the interpretation shown in FIGS. 6 to 13 in order to support the interpretation training performed by the instructor for the trainees. Perform assignment creation and scoring. The training interpretation terminal 50 executes interpretation report creation / answer display processing shown in FIGS. 14 to 17 in order to perform interpretation training for the trainees.

  A control program corresponding to the processes shown in FIGS. 4 to 13 is stored in the HDD 407, and a control program corresponding to the processes shown in FIGS. 14 to 17 is stored in the HDD 507.

  First, referring to FIG. 4, in step S1, in order to display the interpretation report window shown in FIG. 18 on the main display 404, the corresponding bitmap data is drawn on the DRAM 406, and the output of the bitmap data is commanded to the main display 404. To do. At this time, no search condition is input, and the report list column LP1 is also blank.

  In step S3, it is determined whether or not an interpretation report search operation (operation for inputting a desired search condition and clicking a “search” button) is performed by the keyboard / mouse 403. In step S5, another operation is performed by the keyboard / mouse 403. Determine whether an operation has been performed. If both the determination result in step S3 and the determination result in step S5 are NO, the process returns to step S3. If the determination result in step S5 is YES, the process proceeds to another process. If the determination result in step S3 is YES, the process returns to step S3. Proceed to step S7.

  In step S <b> 7, the medical server PC 20 is accessed through the communication I / F 401 and the in-hospital LAN 80, and one or more interpretation reports that match the search conditions are detected from the interpretation report database 201. One or more detected interpretation reports are taken into the DRAM 406 through the hospital LAN 80 and the communication I / F 401.

  In step S9, bitmap data representing the headline of the interpretation report acquired in this way is drawn on the DRAM 406, and the main display 404 is instructed to output the bitmap data. The headline of the interpretation report is displayed in the report list field LP1 on the interpretation report window (see FIG. 18).

  In step S11, it is determined whether or not a desired heading has been right-clicked by operating the keyboard / mouse 403. In step S13, it is determined whether another operation has been performed by the keyboard / mouse 403. If both the determination result in step S11 and the determination result in step S13 are NO, the process returns to step S11. If the determination result in step S13 is YES, the process proceeds to another process. If the determination result in step S11 is YES, the process returns to step S11. Proceed to step S15.

  In step S15, highlight processing is performed on the right-clicked headline. In step S 17, bitmap data representing a menu listing items such as “open report”, “image display”, “mark as interpretation task” is drawn on the DRAM 406, and the output of the bitmap data is displayed on the main display 404. Command. The menu is displayed in a pop-up manner as shown in FIG.

  In step S19, it is determined whether or not the item “Mark as interpretation task” has been clicked by operating the keyboard / mouse 403. In step S21, it is determined whether another operation has been performed by the keyboard / mouse 403. . If both the determination result in step S19 and the determination result in step S21 are NO, the process returns to step S19. If the determination result in step S21 is YES, the process proceeds to another process, and if the determination result in step S19 is YES. Proceed to step S23.

  In step S23, an interpretation report corresponding to the highlighted headline is identified on the DRAM 406, and an interpretation task guide in which the information of the identified interpretation report is transferred or cited is created on the DRAM 406. When the interpretation report shown in FIG. 19 is specified on the DRAM 406, the interpretation task guide is created in the manner shown in FIGS.

  Specifically, the patient information on the interpretation report is transferred to the interpretation task guide except for the patient name, and the examination information on the interpretation report is transferred to the interpretation task guide except for the requesting department and the requesting doctor. In addition, the findings and diagnosis on the interpretation report are transferred to the interpretation task guide as an example of an answer to the finding and an example of the diagnosis, and the reference image on the interpretation report is transferred to the interpretation task guide as an example of the reference image. Further, the request content on the interpretation report is transferred to the interpretation task guide as an interpretation instruction.

  The finding transfer destination is the finding column RP1, the diagnosis posting destination is the diagnosis column DP1, and the reference image transfer destination is the reference image column MP1. In addition, the transfer destination of the request content is an interpretation instruction field IP1. At this time, the interpretation difficulty level, interpretation start date, and interpretation deadline (report submission deadline) are not set, and the trainee column TP1 and scoring point column (evaluation point column) PP1 are blank.

  Returning to FIG. 5, in step S <b> 25, the interpretation task guide created in this way is transferred to the training server PC 60 through the communication I / F 401 and the in-hospital LAN 80. The transferred interpretation task guide is stored in the interpretation task database 601. In step S <b> 27, a plurality of medical images associated with the interpretation report that is the target of the processing in step S <b> 23 is detected from the medical PACS 30, and the detected plurality of medical images are copied to the training PACS 70.

  In step S29, it is determined whether or not a mark processing end operation has been performed by the keyboard / mouse 403. In step S31, it is determined whether or not another operation has been performed by the keyboard / mouse 403. If both the determination result in step S29 and the determination result in step S31 are NO, the process returns to step S29. If the determination result in step S31 is YES, the process proceeds to another process. If the determination result in step S29 is YES, the process proceeds to step S29. The process ends.

  Referring to FIG. 6, in step S <b> 41, in order to display the interpretation task main window shown in FIG. 22 on main display 404, corresponding bitmap data is drawn on DRAM 406, and the output of the bitmap data is displayed on main display 404. Command.

  At this time, any one of “head”, “chest”, and “abdomen” displayed in the part field SP01 is highlighted, and one or more task categories belonging to the highlighted part are displayed. It is displayed in the assignment category column CP01. However, the interpretation task column AP01 and the trainee column TP01 are blank.

  In step S43, it is determined whether or not an interpretation task guide search operation (an operation for clicking a desired part in the part field SP1 and clicking a desired category in the part category field CP1) has been performed by the keyboard / mouse 403, and step S45. Then, it is determined whether or not another operation has been performed with the keyboard / mouse 403. If both the determination result in step S43 and the determination result in step S45 are NO, the process returns to step S43. If the determination result in step S45 is YES, the process proceeds to another process, and if the determination result in step S43 is YES. Proceed to step S47.

  In step S47, the training server PC 60 is accessed through the communication I / F 401 and the in-hospital LAN 80, and one or more interpretation task guides that match the search conditions are detected from the interpretation task database 601. The detected one or more interpretation task guides are taken into the DRAM 406 through the hospital LAN 80 and the communication I / F 401.

  In step S49, bitmap data representing the acquired interpretation task guide heading is drawn in the DRAM 406, and the main display 404 is instructed to output the bitmap data. The heading of the interpretation task guide is displayed in the interpretation task column AP01 on the interpretation task main window (see FIG. 22).

  In step S51, it is determined whether or not a headline click operation (an operation for clicking a desired headline on the interpretation task column AP01) has been performed with the keyboard / mouse 403. In step S53, a trainee selection operation is performed with the keyboard / mouse 403. It is determined whether or not (an operation for selecting one of one or two or more trainees set on the desired interpretation task guide) has been performed. In step S55, another operation is performed by the keyboard / mouse 403. Determine whether it was done.

  If any of the determination result of step S51, the determination result of step S53, and the determination result of step S55 is NO, the process returns to step S51. If the determination result of step S55 is YES, the process proceeds to another process, and the determination of step S53. If the result is YES, the process proceeds to step S87 shown in FIG. 12, and if the determination result in step S51 is YES, the process proceeds to step S57.

  In step S57, an interpretation task guide corresponding to the heading selected by the headline click operation is specified, bitmap data including information of the specified interpretation task guide is drawn on the DRAM 406, and the output of the bitmap data is output to the main display 404. To order. As a result, the interpretation task guide window is displayed in place of the interpretation task main window.

  When the interpretation task guide shown in FIGS. 20 and 21 is specified, the interpretation task guide window is displayed as shown in FIGS. 23 and 24. According to FIG. 23 and FIG. 24, the example answer of the finding is displayed in the finding column RP1 ′, and the example answer of the diagnosis is displayed in the diagnostic column DP1 ′. An example of the reference image answer is displayed in the reference image field MP1 ′, and an interpretation instruction is displayed in the interpretation instruction field IP1 ′. However, at this time, the interpretation difficulty level, the interpretation start date, and the interpretation deadline are not set, and the trainee column TP1 ′ and the scoring point column PP1 ′ are blank.

  In step S59, the task editing process is executed according to a subroutine described later. As a result, the finding answer example, diagnosis answer example and interpretation instruction are corrected as appropriate, the reference image answer example is updated as appropriate, and the interpretation difficulty, interpretation start date, interpretation deadline, and scoring points (evaluation points) are set. The

  In step S61, it is determined whether or not a trainee addition operation (an operation for clicking the “add” button on the interpretation task guide window) has been performed by the keyboard / mouse 403. If the determination result is NO, the process directly proceeds to step S65. On the other hand, if a determination result is YES, after performing a trainee addition process by step S63, it will progress to step S65. The trainee addition process is executed according to another subroutine described later, whereby a new trainee is additionally displayed in the trainee column TP1 ′.

  In step S65, it is determined whether or not a trainee deletion operation (an operation for clicking a desired trainee and clicking a “delete” button in the trainee column TP1 ′) is performed with the keyboard / mouse 403, and the determination result is NO. If so, the process proceeds to step S73, while if the determination result is YES, the process proceeds to step S67. In step S <b> 67, the training server PC 60 is accessed through the communication I / F 401 and the in-hospital LAN 80, and the training interpretation report of the clicked trainee is detected from the interpretation task database 601.

  In step S69, it is determined whether or not the clicked trainee's training interpretation report is not detected or the logical sum condition that the status of the detected training interpretation report is “not input” is satisfied.

  If the determination result is YES, that is, if the clicked trainee's interpretation report for training is not detected, or if the status of the detected interpretation report for training is “not input”, the process proceeds to step S71 and is clicked. Trainees are deleted from the trainee column TP1 ′. When the deletion is completed, the process proceeds to step S73.

  On the other hand, if the determination result is NO, that is, if the training interpretation report of the clicked trainee is detected and the detected training interpretation report indicates “determined”, the process of step S71 is performed. It progresses to step S73, without performing.

  In step S73, it is determined whether or not a save operation has been performed using the keyboard / mouse 403. In step S75, it is determined whether or not an end operation has been performed using the keyboard / mouse 403. In step S77, another operation is performed using the keyboard / mouse 403. Determine whether an operation has been performed.

  If any of the determination result in step S73, the determination result in step S75, and the determination result in step S77 is NO, the process returns to step S73. If the determination result in step S77 is YES, the process proceeds to another process. If the determination result in step S75 is YES, the process ends. If the determination result in step S73 is YES, the process proceeds to step S79.

  In step S79, an interpretation task guide reflecting the description on the interpretation task guide window is created, and the created interpretation task guide is transferred to the training server PC 60 through the communication I / F 401 and the in-hospital LAN 80. The transferred interpretation task guide is overwritten and stored in the interpretation task database 601.

  In step S81, it is determined whether or not input of all items on the interpretation task guide window has been completed (that is, whether or not an interpretation difficulty level, an interpretation start date and an interpretation deadline have been set, and a scoring point has been input). To do. In step S83, it is determined whether or not at least one trainee is listed in the trainee column TP1 ′. If at least one of the determination result in step S81 and the determination result in step S83 is NO, the process ends. On the other hand, if both the determination result in step S81 and the determination result in step S83 are YES, the following process is executed in step S85, and then the process ends.

  That is, in step S85, a training interpretation report is created for each trainee described in the trainee column TP1 ′. At this time, patient information, examination information, and interpretation instructions on the interpretation task guide window are transferred to the training interpretation report. Further, the status of the training interpretation report at this time is set to “not input”.

  The training interpretation report created in this way has the form shown in FIG. According to FIG. 26, the interpretation instruction is described in the interpretation instruction field IP2, and the reference image field MP2, the observation field RP2, and the diagnosis field DP2 are blank.

  As described above, an interpretation report for training whose status indicates “not input” can be defined as an “interpretation task”. In the following, for convenience of explanation, the word “interpretation task” is appropriately written in the interpretation report for training corresponding to the interpretation task.

  In step S85, the training interpretation report (interpretation task) created in this way is transferred to the training server PC 60 through the communication I / F 401 and the in-hospital LAN 80. The transferred training interpretation report (interpretation task) is stored in the interpretation task database 601 for each trainee described in the trainee column TP1.

  The subroutine of step S59 shown in FIG. 7 is shown in FIGS. In step S5901, it is determined whether or not a finding / diagnosis correcting operation has been performed using the keyboard / mouse 403. If the determination result is NO, the process proceeds directly to step S5905. If the determination result is YES, the finding is determined in step S5903. After correcting the answer example / diagnostic answer example, the process advances to step S5905. The corrected finding answer example is displayed in the finding column RP1 ′, and the corrected diagnosis answer example is displayed in the diagnosis column DP1 ′.

  In step S5905, it is determined whether or not an interpretation instruction correction operation has been performed with the keyboard / mouse 403. If the determination result is NO, the process proceeds to step S5909. If the determination result is YES, the interpretation instruction is corrected in step S5907. Then, the process proceeds to step S5905. The corrected interpretation instruction is displayed in the interpretation instruction field IP1 ′.

  In step S5909, it is determined whether or not a difficulty level input operation has been performed using the keyboard / mouse 403. If the determination result is NO, the process proceeds directly to step S5913. If the determination result is YES, the interpretation difficulty level is determined in step S5911. After inputting / displaying, the process advances to step S5913.

  In step S5913, it is determined whether or not an interpretation start date / interpretation time limit input operation has been performed using the keyboard / mouse 403. If the determination result is NO, the process directly proceeds to step S5917. If the determination result is YES, the process proceeds to step S5915. After inputting / displaying the interpretation start date / interpretation deadline, the process advances to step S5917.

  In step S5917, it is determined whether or not a scoring point input operation has been performed with the keyboard / mouse 403. If the determination result is NO, the process proceeds directly to step S5921. If the determination result is YES, a scoring point is input in step S5919. After displaying, go to step S5921. The entered scoring points are displayed in the scoring point column PP1 ′. As can be seen from FIG. 24, the scoring points are composed of scoring points 1 expressed in a desired sentence and scoring points 2 selected from a plurality of items prepared in advance.

  In step S5921, it is determined whether or not a reference image update operation (an operation of clicking the “image display” button on the interpretation task main window) has been performed by the keyboard / mouse 403. In step S5923, the keyboard / mouse 403 ends. Determine whether an operation has been performed.

  If both the determination result in step S5921 and the determination result in step S5923 are NO, the process returns to step S5901. On the other hand, if the determination result of the determination result in step S5921 is YES, the process proceeds to step S5925. If the determination result of the determination result in step S5923 is YES, the process returns to the upper hierarchy routine.

  In step S5925, the training PACS 70 is accessed through the communication I / F 401 and the in-hospital LAN 80, and a plurality of medical images related to the reference image on the interpretation task guide window are detected. The detected medical image is taken into the DRAM 406 through the hospital LAN 80 and the communication I / F 401. In step S5927, the viewer 405 is instructed to display the plurality of medical images thus obtained. As a result, the acquired medical image is displayed on the viewer 405.

  In step S5929, it is determined whether or not a medical image selection operation (operation for clicking a desired medical image on the viewer 405) has been performed with the keyboard / mouse 403. If the determination result is NO, the process proceeds to step S5933 as it is. If a determination result is YES, it will progress to step S5933 after performing the following processes by step S5931. In step S5931, the reference image answer example is updated based on the clicked desired medical image. An updated example of the reference image is displayed in the reference image column MP1 ′.

  In step S5933, it is determined whether or not an end operation has been performed with the keyboard / mouse 403. If the determination result is NO, the process returns to step S5929, while if the determination result is YES, the process proceeds to step S5935. In step S5935, the viewer 405 is instructed to hide the medical image, and then the process returns to step S5901.

  FIG. 11 shows a subroutine of step S63 shown in FIG. In step S6301, the bitmap data representing the trainee selection window shown in FIG. 25 is drawn on the DRAM 406, and the main display 404 is instructed to output the bitmap data. The trainee selection window is smaller than the interpretation task guide window and is multiplexed on the interpretation task guide window so as not to overlap with the trainee column TP1 ′.

  In step S6303, it is determined whether or not a trainee selection operation (an operation of clicking a desired trainee and clicking an “OK” button) is performed using the keyboard / mouse 403. If the determination result is NO, the process proceeds directly to step S6307, while if the determination result is YES, the following process is executed in step S6305 and then the process proceeds to step S6307. In step S6305, the selected trainee is added to the trainee column TP1 ′ on the interpretation task guide window.

  In step S6307, it is determined whether or not an end operation has been performed with the keyboard / mouse 403. If the determination result is NO, the process returns to step S6303, whereas if the determination result is YES, the process proceeds to step S6309. In step S6309, the main display 404 is instructed not to display the trainee selection window, and then the routine returns to the upper hierarchy routine.

  Jumping to the interpretation report creation / answer display processing executed by the CPU 502 provided in the training interpretation terminal 50, in step S 111 shown in FIG. 14, it is necessary to display the interpretation training main window shown in FIG. 27 on the main display 504. The bitmap data to be processed is drawn on the DRAM 506 and the main display 504 is instructed to output the bitmap data.

  As a result, any one of “head”, “chest”, and “abdomen” displayed in the region column SP02 is highlighted, and one or more task categories belonging to the highlighted region are assigned as issues. Displayed in the category column CP02. At this time, the interpretation task column AP02 is blank.

  In step S113, the training server PC 60 is accessed through the communication I / F 401 and the in-hospital LAN 80, and one or more training interpretation reports that match the trainee operating the training interpretation terminal 50 are detected from the interpretation task database 601. . It does not matter whether the status of the training interpretation report to be detected is “not input” or “confirmed”. The detected one or more training interpretation reports are taken into the DRAM 506 through the hospital LAN 80 and the communication I / F 401.

  In step S115, bitmap data representing the headline of the training interpretation report acquired in this way is drawn on the DRAM 506, and the main display 504 is instructed to output the bitmap data. As a result, the heading of the training interpretation report is displayed in the interpretation task column AP02 (see FIG. 27).

  In step S117, it is determined whether or not a headline click operation (an operation for clicking a desired headline in the interpretation task column AP02) has been performed by the keyboard / mouse 503. In step S119, whether another operation has been performed by the keyboard / mouse 403 or not. Determine whether or not. If both the determination result in step S117 and the determination result in step S119 are NO, the process returns to step S117. If the determination result in step S119 is YES, the process proceeds to another process, and if the determination result in step S117 is YES. The process proceeds to step S121.

  In step S121, the bitmap data of the interpretation report window is drawn on the DRAM 506, and the main display 504 is instructed to output the bitmap data. In the interpretation report window on the main display 504, a training interpretation report corresponding to the clicked heading appears. For the training interpretation report shown in FIG. 26, the interpretation report window is displayed as shown in FIG.

  According to FIG. 28, the interpretation instruction described in the training interpretation report is displayed in the interpretation instruction field IP2 ′, and the reference image field MP2 ′, the finding field RP2 ′, and the diagnosis field DP2 ′ are blank.

  In step S123, it is determined whether the status of the displayed interpretation report for training is “not input” or “confirmed”. If the status is “not input”, the process proceeds to step S127. If the status is “confirmed”, the process proceeds to step S125.

  In step S127, the training PACS 70 is accessed through the communication I / F 401 and the in-hospital LAN 80, and a plurality of medical images related to the training interpretation report (interpretation task) are detected. The detected medical image is taken into the DRAM 406 through the hospital LAN 80 and the communication I / F 401. In step S129, the viewer 505 is instructed to display the plurality of medical images acquired in this way. The acquired medical image is displayed on the viewer 505.

  In step S131, resetting and starting of a timer (not shown) is performed, and in step S133, a medical image selection operation (an operation for clicking one of a plurality of medical images displayed on the viewer 505) is performed by the keyboard / mouse 503. It is determined whether or not.

  If the determination result is NO, the process proceeds directly to step S137, and if the determination result is YES, the following process is executed in step S135, and then the process proceeds to step S137. In step S135, a reference image is created based on the selected medical image, and attached and displayed in the reference image field MP2 ′ on the training interpretation report (interpretation task) using the created reference image.

  In step S137, it is determined whether or not a finding / diagnosis input operation has been performed using the keyboard / mouse 403. If the determination result is NO, the process proceeds directly to step S141. If the determination result is YES, the following is performed in step S139. After executing the processing, the process proceeds to step S141. That is, in step S139, the input finding is displayed in the finding column RP2 ′, and the input diagnosis is displayed in the diagnosis column DP2 ′.

  In step S141, it is determined whether or not a confirmation operation (an operation for clicking the “confirmation” button on the interpretation report window) has been performed with the keyboard / mouse 403. In step S143, a hold operation (on the interpretation report window) is performed. In step S145, another operation is performed with the keyboard / mouse 403 in step S145. Determine whether it was done.

  If any of the determination result of step S141, the determination result of step S143, and the determination result of step S145 is NO, the process returns to step S133. If the determination result of step S145 is YES, the process proceeds to another process, and the determination of step S143. If the result is YES, the process proceeds to step S151, and if the determination result in step S141 is YES, the process proceeds to step S147.

  In step S147, the status of the training interpretation report is updated from “not input” to “confirmed”. In step S 149, the training interpretation report is transferred to the training server PC 60 through the communication I / F 501 and the in-hospital LAN 80. The transferred training interpretation report is stored in the interpretation task database 601 corresponding to the trainee operating the training interpretation terminal 50.

  In step S151, the main display 504 is instructed not to display the interpretation report window, and in step S153, the viewer 505 is instructed not to display the medical image, and then the process ends.

  In step S145, the timer is stopped to acquire the timer value, and the acquired timer value is assigned to the training interpretation report (interpretation task) as the time spent by the trainee in interpretation, that is, the interpretation time. When a certain timer value is already assigned to the training interpretation report (interpretation task), the acquired timer value is added to the assigned timer value.

  Returning to the interpretation task creation / scoring process executed by the CPU 402 provided in the interpretation training support device 40, in step S87 shown in FIG. 12, the status of the training interpretation report selected by the trainee selection operation is “confirmed” and “ It is determined whether it is “not input”. If the status is “confirmed”, the process proceeds to step S89. If the status is “not input”, the process returns to step S51.

  In step S89, in order to display the interpretation task scoring window on the main display 404, the corresponding bitmap data is drawn on the DRAM 406 and the main display 404 is instructed to output the bitmap data. When “Student Hanako” shown in FIG. 31 is selected by the trainee selection operation, the interpretation task scoring window is displayed as shown in FIG. 32 and FIG.

  According to FIG. 32, in addition to the information on the interpretation task management sheet (patient information, examination information, finding answer examples, diagnosis answer examples, reference images, scoring points and interpretation instructions), interpreter information (trainee selection) The name of the trainee selected by the operation, the report date and time, and the interpretation time), the findings and diagnosis described in the training interpretation report, and the reference image attached to the training interpretation report are displayed on the interpretation task scoring window. Is displayed. Note that the interpretation time, which is a part of the interpreter information, indicates a timer value assigned to the training interpretation report.

  In step S91, it is determined whether or not a comment / score input operation (evaluation input operation) has been performed. If the determination result is NO, the process proceeds directly to step S95. If the determination result is YES, the comment / score is determined in step S93. (Evaluation) is input and displayed in the interpretation task scoring window, and the process proceeds to step S95. The comment and the score are displayed with a sentence and a score on the right side of the scoring point 1 column, and are displayed with a rank and a score on the right side of each item constituting the scoring point 2.

  In step S95, the total of the score displayed in the scoring point 1 column and the score displayed in the scoring point 2 column is calculated as a total score, and the calculated total score is displayed below the scoring point 2 column. indicate.

  In step S97, it is determined whether or not a save operation has been performed with the keyboard / mouse 403. In step S99, it is determined whether or not an end operation has been performed with the keyboard / mouse 403. If both the determination result in step S97 and the determination result in step S99 are NO, the process returns to step S91. If the determination result in step S99 is YES, the process proceeds to step S105. If the determination result in step S97 is YES, the process returns to step S91. Proceed to step S101.

  In step S101, an interpretation task scoring sheet reflecting the description on the interpretation task scoring window is created on the DRAM 406. When based on the description of the interpretation task scoring window shown in FIGS. 33 to 34, the interpretation task scoring sheet is created as shown in FIGS. In step S103, the interpretation task scoring sheet created in step S101 is transferred to the training server PC 60 through the communication I / F 501 and the in-hospital LAN 80. The transferred learning interpretation task scoring sheet is stored in the interpretation task database 601 corresponding to the trainee indicated by the interpreter information.

  In step S105, the main display 404 is instructed not to display the interpretation task scoring window, and then the process ends.

  In step S125 shown in FIG. 14, the bitmap data representing the “answer display” button is drawn on the DRAM 506 in step S125 shown in FIG. 14 by jumping to the interpretation report creation / answer display processing executed by the CPU 502 provided in the training interpretation terminal 50. Command the main display 504 to output map data.

  If the second heading is clicked in the interpretation task field AP02 of the interpretation training main window shown in FIG. 37 and the status of the interpretation report corresponding to this heading is “Confirmed”, the interpretation report window is displayed as shown in FIG. It is displayed on the main display 504. The “answer display” button is displayed at the lower left of the interpretation report window.

  Referring to FIG. 17, in step S155, it is determined whether or not the “answer display” button has been clicked with keyboard / mouse 503. In step S157, it is determined whether or not an end operation has been performed with keyboard / mouse 503. If both the determination result in step S155 and the determination result in step S157 are NO, the process returns to step S155. If the determination result in step S157 is YES, the process proceeds to step S159. If the determination result in step S155 is YES, the process proceeds to step S155. The process proceeds to S161.

  In step S159, the main display 504 is instructed not to display the interpretation report window, and then the process ends.

  In step S <b> 161, the training server PC 60 is accessed through the communication I / F 501 and the in-hospital LAN 80, and an interpretation task scoring sheet for a trainee who operates the training interpretation terminal 50 is detected from the interpretation task database 601. The detected interpretation task scoring sheet is taken into the DRAM 506 through the hospital LAN 80 and the communication I / F 501.

  In step S163, the corresponding bitmap data is drawn on the DRAM 506 to display the answer example window reflecting the information of the obtained interpretation task scoring sheet on the main display 504, and the output of the bitmap data is displayed on the main display. Command 504. The answer example window is displayed as shown in FIGS.

  According to FIG. 39, the example answer of the finding and the diagnosis answer described in the interpretation task guide and the reference image answer attached to the interpretation task guide are displayed on the left side of the example answer window, and the interpretation report for training is displayed. And the reference image attached to the interpretation report for training are displayed on the right side of the answer example window. Also, according to FIG. 40, scoring point 1 and scoring point 2 are displayed on the left side of the answer example window, and the comment, score, and total score are displayed on the right side of the answer example window.

  In step S165, it is determined whether or not the “answer” tab or “review” tab is clicked with the keyboard / mouse 503. In step S169, it is determined whether or not the “close” button is clicked with the keyboard / mouse 503. In step S171, it is determined whether or not another operation has been performed by the keyboard / mouse 503.

  If any of the determination result of step S165, the determination result of step S169, and the determination result of step S171 is NO, the process returns to step S165. If the decision result in the step S165 is YES, the display of the answer example window is switched in a step S167, and then the process returns to the step S165.

  If the determination result in step S171 is YES, another process is executed. Other operations include an operation of clicking an “image display” button on the answer example window. The other processing includes processing for displaying a plurality of medical images related to the reference image attached to the answer example window on the viewer 505.

  If the decision result in the step S169 is YES, in a step S173, the main display 504 is instructed not to display the answer example window, and then the process is ended.

  As can be seen from the above description, when the CPU 402 provided in the interpretation training support apparatus 40 receives a selection operation for selecting any one of a plurality of interpretation reports in which the findings and diagnosis of the interpretation doctor are described, respectively. Then, the interpretation report guide for the supervising doctor is created by quoting the interpretation report selected by the selection operation (S23). The CPU 402 also edits the created interpretation task guide according to the editing operation (S59), and creates a training interpretation report (interpretation task) based on the edited interpretation task guide (S85). The CPU 402 further designates one or more trainees to whom the created training interpretation report (interpretation task) is provided according to the trainee addition operation or the trainee deletion operation (S61 to S71).

  The interpretation task guide is created by quoting an interpretation report that describes the findings and diagnosis of the interpreting physician, and is edited according to the editing operation. For this reason, it is possible to reduce the labor of the instructor required for preparation of the interpretation task guide. In addition, the destination of the interpretation task created based on the interpretation task guide is individually specified according to the trainee addition operation or the trainee deletion operation. For this reason, combined with the ability to edit the interpretation task guide, adaptive interpretation training can be implemented. In this way, interpretation training aiming at high results is easily realized.

In this embodiment, the CPU 402 provided in the interpretation training support device 40 executes both the interpretation task candidate mark process shown in FIGS. 4 to 5 and the interpretation task creation / scoring process shown in FIGS. 6 to 13. However, the interpretation task candidate mark processing shown in FIGS. 4 to 5 may be executed by a CPU provided in the medical interpretation terminal 10. In this case, the set of the medical interpretation terminal 10 and the interpretation training support device 40 is the interpretation training support device of the present invention.
[Example 2]

  In the diagnosis support system according to another embodiment, the CPU 402 of the image interpretation training support device 40 replaces the flowcharts shown in FIGS. 4 to 5 with the interpretation task guide automatic creation condition setting process shown in FIGS. 41 to 46 and FIGS. 49. The interpretation report information table TBL1 shown in FIG. 49 is added to the interpretation report database 201, and the interpretation task guide automatic creation condition table TBL2 shown in FIG. 51. The point list screen shown in FIG. 51, the individual setting screens shown in FIGS. 52 to 54, the confirmation screen shown in FIG. 55 are displayed on the main display 404 of the interpretation training support apparatus 40, and FIG. Examination information shown in A), patient information shown in FIG. 56B, findings / diagnosis information shown in FIG. Except that, the same as the diagnosis support system of the above embodiment. Therefore, the duplicate description regarding the same configuration is omitted.

  Here, the interpretation task guide automatic creation processing shown in FIGS. 47 to 48 is executed in the background in parallel with other processing.

  Further, the interpretation report information table TBL1 shown in FIG. 49 includes “patient ID”, “modality”, “examination site”, “diagnosis name”, “diagnosis” described in all interpretation reports stored in the interpretation report database 201. It is a table for managing “diagnosis doctor”, “interpretation time”, and “history” for each interpretation report. That is, each item name of “patient ID”, “modality”, “examination site”, “diagnosis name”, “diagnostic doctor”, “interpretation time”, and “history” is the interpretation report information table TBL1. Posted in

  Further, the interpretation task guide automatic creation condition table TBL2 shown in FIG. 50 is a table for managing the character strings set on the individual setting screen shown in FIG. 52, 53 or 54 for each interpretation task guide automatic creation condition. One interpretation task guide based on the character strings described as “name”, “condition 1”, “condition 2”, “condition 3”, “condition 4”, “condition 5”, “condition 6” Automatic creation conditions are defined. The interpretation task guide automatic creation condition is a condition indicating how to select an interpretation report to be cited, and may be called a “report selection condition”.

  Referring to FIG. 41, in step S161, all the interpretation task guide automatic creation conditions are acquired from the interpretation task guide automatic creation condition table TBL2. In step S163, the bitmap data of the condition list screen representing the acquired interpretation task guide automatic creation conditions is drawn on the DRAM 406, and the main display 404 is instructed to output the bitmap data. The condition list screen is displayed on the main display 404 in the manner shown in FIG.

  51, a page PG1 composed of a plurality of rows to which “name”, “condition 1”, “condition 2”,... Are assigned along the horizontal axis is displayed at the center of the condition list screen. In addition, a “new” button, a “modify” button, and a “delete” button are displayed in parallel in the lower right area of the page PG1, and an “OK” button and a “cancel” button are displayed in parallel in the lower right area of the condition list screen.

  Referring back to FIG. 41, in step S165, it is determined whether or not the “new” button has been clicked with the keyboard / mouse 403. If the determination result is NO, the process proceeds directly to step S169, while if the determination result is YES. In step S167, an interpretation interpretation guide automatic creation condition individual setting process (new) is executed, and then the process proceeds to step S169.

  In step S169, it is determined whether or not a line selection operation (= clicking on a desired line on page PG1) has been performed with the keyboard / mouse 403. If the determination result is NO, the process proceeds to step S187, while determination is made. If a result is YES, it will progress to step S171.

  In step S171, it is determined whether or not the “correct” button has been clicked with the keyboard / mouse 403. If the determination result is NO, the process proceeds directly to step S175. If the determination result is YES, the interpretation task guide is determined in step S173. After executing the automatic creation condition individual setting process (correction), the process proceeds to step S175.

  In step S175, it is determined whether or not the “delete” button has been clicked. If the determination result is NO, the process proceeds to step S187. If the determination result is YES, the process proceeds to steps S187 to S185.

  In step S177, the bitmap data of the confirmation dialog is drawn on the DRAM 406, and the main display 404 is commanded to output the bitmap data. The confirmation dialog is configured as shown in FIG. 55 and is displayed in multiple on the condition list screen.

  According to FIG. 55, the confirmation dialog screen includes a character string “Delete head MR. Are you sure?”, “OK” button, and “Cancel” button. Note that “head MR” at the beginning of the character string matches the character string described as “name” in the line selected by the line selection operation. That is, the character string described as the “name” in the line selected by the line selection operation is assigned to the beginning of the character string on the confirmation dialog screen.

  In step S179, it is determined whether or not the “OK” button has been clicked with the keyboard / mouse 403. In step S181, it is determined whether or not the “cancel” button has been clicked with the keyboard / mouse 403. If both the determination result in step S179 and the determination result in step S181 are NO, the process returns to step S179.

  If the determination result of step S181 is YES, it will progress to step S185 and will not display a confirmation dialog. On the other hand, if the determination result of step S179 is YES, it will progress to step S183 and will delete the interpretation task guide automatic creation conditions of the line currently selected from the condition list screen. When the deletion is completed, the confirmation dialog is hidden in step S185.

  In step S187, it is determined whether or not the “cancel” button on the condition list screen has been clicked with the keyboard / mouse 403. In step S189, whether or not the “OK” button on the condition list screen has been clicked with the keyboard / mouse 403. Is determined.

  If both the determination result in step S187 and the determination result in step S189 are NO, the process returns to step S165. If the determination result of step S187 is YES, a process will be complete | finished as it is. If the decision result in the step S189 is YES, the process advances to a step S191 to overwrite and register all of the interpretation task guide automatic creation conditions displayed on the condition list screen in the interpretation task guide automatic creation condition table TBL2. When overwriting registration is completed, the process is terminated.

  The interpretation task guide automatic creation condition individual setting process (new) in step S167 shown in FIG. 41 is executed according to a subroutine shown in FIG.

  First, in step S201, bitmap data representing a new individual setting screen is drawn on the DRAM 406, and the main display 404 is instructed to output the bitmap data. As a result, the individual setting screen shown in FIG. 52 is displayed in multiple on the condition list screen.

  According to FIG. 52, a window for inputting an arbitrary character string as a name is arranged on the upper left of the screen. Conditions 1 to 6 are provided side by side in the vertical direction, and three input windows assigned to each condition are arranged side by side in the horizontal direction. That is, three input windows assigned to each condition form one line.

  A character string selected from the pull-down menu is displayed in the left input window, an arbitrary character string is displayed in the center input window, and a character string selected from the pull-down menu is displayed in the left input window. .

  Here, the pull-down menu assigned to the left input window includes 18 character strings shown in FIG. 56 (A), 20 character strings shown in FIG. 56 (B), and 14 characters shown in FIG. 56 (C). Strings are listed. Each character string shown in FIG. 56 (A) corresponds to examination information, each character string shown in FIG. 56 (B) corresponds to patient information, and each character string shown in FIG. 56 (C) corresponds to findings / diagnosis information. Equivalent to. Among these, the character string to which the character string “(statistics)” is added is particularly called a “statistical analysis item”. In the pull-down menu assigned to the input window on the right, six character strings are listed: “matches”, “includes”, “does not include”, “more than”, “less than”, and “less than”. The

  However, when the process of step S201 is executed, all the input windows are blank.

  In step S203, it is determined whether or not a character string setting operation (= an operation for selecting any one of the character strings listed in the pull-down menu or an operation for inputting an arbitrary character string) has been performed by the keyboard / mouse 403. To do. If the determination result is NO, the process proceeds to step S211 while if the determination result is YES, the process proceeds to step S205.

  In step S205, bitmap data representing the selected / input character string, that is, the set character string, is drawn on the DRAM 406 corresponding to the input window of the setting destination. As a result, the setting character string appears on the individual setting screen.

  In step S207, it is determined whether the set character string is a statistical analysis item. If the determination result is NO, the process proceeds to step S211. If the determination result is YES, the following process is performed in step S209. To step S211.

  The setting destination of the statistical analysis item is the left input window assigned to any one of the conditions 1 to 6. Therefore, the process of step S209 is executed when a statistical analysis item is set in the left input window. In step S209, the display form of other input windows arranged in the same row as the input window in which the statistical analysis items are displayed is updated as shown in FIG.

  According to FIG. 53, the character string “shooting time (statistics)” is displayed in the left input window assigned to condition 1. In this case, the central input window is updated to a window for displaying a character string selected from the pull-down menu, and the right input window is updated to a window for displaying an arbitrary character string.

  Here, two character strings “upper” and “lower” are listed in the pull-down menu to which the central input window is assigned. In addition, the character “%” is attached to the input window on the right side, and the user is prompted to enter a numerical value between 0 and 100. However, at the time when the process of step S209 is executed, both the central input window and the right input window are blank.

  In step S211, it is determined whether or not the “OK” button has been operated with the keyboard / mouse 403. In step S213, it is determined whether or not the “cancel” button has been operated with the keyboard / mouse 403. If both the determination result in step S211 and the determination result in step S213 are NO, the process returns to step S203.

  If the determination result in step S213 is YES, the process directly returns to the upper hierarchy routine. If the determination result in step S211 is YES, the process returns to the upper hierarchy routine after executing the following processing in step S215.

  That is, in step S215, a new interpretation task guide automatic creation condition is created based on one or more set character strings displayed in the above manner, and bitmap data representing the created interpretation task guide automatic creation condition is created. Then, draw on the bitmap data representing the condition list screen. As a result, the new interpretation interpretation guide automatic creation conditions are reflected on the condition list screen.

  When the process of step S209 (or step S231 described later) is executed, the interpretation task guide automatic creation condition is defined by a statistical analysis item and a numerical range assigned thereto. Hereinafter, such a condition is particularly referred to as “statistical analysis condition”.

  The interpretation task guide automatic creation condition individual setting process (correction) in step S173 shown in FIG. 42 is executed according to a subroutine shown in FIG.

  First, in step S221, the bitmap data of the individual setting screen is drawn on the DRAM 406, and the main display 404 is instructed to output the bitmap data. In step S223, bitmap data representing the interpretation task guide automatic creation conditions of the row selected by the row selection operation is drawn on the DRAM 406 corresponding to the individual setting screen. Therefore, when the first line of the condition list screen shown in FIG. 51 is selected, the individual setting screen is displayed as shown in FIG.

  In step S225, it is determined whether or not a character string setting operation has been performed with the keyboard / mouse 403. If the determination result is NO, the process proceeds to step S233, and if the determination result is YES, the process proceeds to step S227.

  In step S227, bitmap data representing the set character string is drawn on the DRAM 406 corresponding to the input window of the set destination. As a result, the setting character string appears on the individual setting screen. In step S229, it is determined whether or not the set character string is a statistical analysis item. If the determination result is NO, the process proceeds to step S233, and if the determination result is YES, the process proceeds to step S231. In step S231, the display form of the other input window arranged in the same line as the input window in which the set character string is displayed is updated. When the update is completed, the process proceeds to step S233.

  In step S233, it is determined whether or not the “OK” button is operated by the keyboard / mouse 403. In step S235, it is determined whether or not the “cancel” button is operated by the keyboard / mouse 403. If both the determination result in step S233 and the determination result in step S235 are NO, the process returns to step S225.

  If the determination result in step S235 is YES, the process directly returns to the upper hierarchy routine. If the determination result in step S233 is YES, the process returns to the upper hierarchy routine after executing the following processing in step S237.

  That is, in step S237, bitmap data representing the created interpretation task guide automatic creation conditions is created based on one or more set character strings displayed in the above-described manner, and a modified interpretation task guide automatic creation condition is created. Is drawn on the line selected by the line selection operation in the condition list screen. As a result, the corrected interpretation task guide automatic creation conditions are reflected on the condition list screen.

  Referring to FIG. 47, in step S241, interpretation report information for all cases is acquired from interpretation report information table TBL1 (see FIG. 49). Interpretation report information is a general term for “patient ID”, “modality”, “examination site”, “diagnosis name”, “diagnostic physician”, “interpretation time”, and “history” described in the interpretation report. The information is transferred to each of a plurality of columns provided in the report information table TBL1.

  In step S243, all the interpretation task guide automatic creation conditions are acquired from the interpretation task guide automatic creation condition table TBL2. In step S245, the variable K is set to “1”, and in step S247, the variable L is set to “1”. In step S249, it is determined whether or not the L-th interpretation task guide automatic creation condition corresponds to the statistical analysis condition. If the determination result is NO, the process proceeds to step S255 as it is. If the determination result is YES, steps S251 to S251 are performed. It progresses to step S255 through the process of S253.

  In step S251, an item name that matches the L-th interpretation task guide automatic creation condition is detected from the interpretation report information table TBL1. In step S253, the L-th interpretation task guide automatic creation condition is corrected based on the detected item name.

  For example, the fifth interpretation task guide automatic creation condition shown in FIG. 50 is “upper 50% diagnosis name”. On the other hand, paying attention to the diagnosis name in the interpretation report information table TBL1 shown in FIG. 49, there are 3 cases of “gastric cancer”, 2 cases of “pulmonary emphysema”, 2 cases of “cranium fracture” and “no abnormality”. 1 exists, 1 “brain tumor” exists, and 1 “arteriosclerosis” exists.

  Therefore, there are three diagnosis names that match the condition of “top 50%”: “stomach cancer”, “emphysema”, and “cranium fracture”. As a result, in the corrected interpretation task guide automatic creation condition, “name” becomes “case related to diagnosis name”, and “condition 1” includes any one of stomach cancer, emphysema and skull fracture in the diagnosis name "

  Also, the sixth interpretation task guide automatic creation condition shown in FIG. 50 is “upper 20% interpretation time”. On the other hand, the interpretation time of the interpretation report information table TBL1 shown in FIG. 49 is “20 minutes”, “13 minutes”, “12 minutes”, “12 minutes”, “10 minutes”, “10 minutes”, “6 minutes”. , “6 minutes”, “5 minutes”, “5 minutes” in this order.

  Therefore, the interpretation time that meets the condition of “top 20%” is “13 minutes or more”. As a result, in the corrected interpretation task guide automatic creation condition, “name” becomes “case related to interpretation time”, and “condition 1” becomes “13 minutes or more”.

  Returning to FIG. 47, in step S255, the Kth interpretation report information is collated with the Lth interpretation task guide automatic creation condition. In step S257, it is determined whether or not the collation result indicates “match”. If the determination result is NO, the process proceeds to step S265 as it is. If the determination result is YES, the process proceeds to steps S265 to S263. move on.

  In step S259, an interpretation task guide in which the information of the Kth interpretation report is transcribed or cited is created on the DRAM 406. In step S261, the created interpretation task guide is transferred to the training server PC 60 through the communication I / F 401 and the in-hospital LAN 80. The transferred interpretation task guide is stored in the interpretation task database 601. In step S263, a plurality of medical images associated with the Kth interpretation report are detected from the medical PACS 30, and the detected plurality of medical images are copied to the training PACS 70.

  In step S265, it is determined whether or not the variable L has reached the maximum value Lmax (Lmax: the total number of interpretation report information registered in the interpretation report information table TBL1). In step S267, the variable K is the maximum value Kmax (Kmax: It is determined whether or not the total number of interpretation task guide automatic creation conditions registered in the interpretation task guide automatic creation condition table TBL2 has been reached. If the determination result in step S265 is NO, the variable L is incremented in step S269, and then the process returns to step S249. If the determination result of step S267 is NO, the variable K is incremented in step S271, and then the process returns to step S247. If the determination result in step S265 and the determination result in step S267 are both YES, the process ends.

  According to this embodiment, it is possible to reduce the labor of the instructing doctor required for preparing the interpretation task guide.

10: Medical interpretation terminal 20: Medical server PC
30: Medical PACS
40 ... Interpretation training support device 50 ... Interpretation terminal for training 402, 502 ... CPU
404, 504 ... Main display 405, 505 ... Viewer 406, 506 ... DRAM
407, 507 HDD
60 ... Server PC for training
70… PACS for training
80: Hospital LAN

Claims (16)

A first creation means for creating an interpretation task guide for a supervising physician by quoting any one of a plurality of interpretation reports in which each opinion of the interpretation physician is described;
Editing means for editing the interpretation task guide created by the first creating means according to an editing operation;
Second preparation means for creating an interpretation task for a trainee based on the interpretation task guide edited by the editing means, and one or more trainees provided with the interpretation task created by the second creation means Interpretation training support apparatus provided with a designation | designated means which designates according to designation | designated operation.   The interpretation training support device according to claim 1, further comprising a reception unit that receives a selection operation for selecting an interpretation report cited by the first creation unit. A setting unit for setting a report selection condition indicating how to select an interpretation report cited by the first creation unit according to a setting operation;
The interpretation training support apparatus according to claim 1, wherein the first creation unit cites an interpretation report that matches a report selection condition set by the setting unit. The setting means includes individual setting screen display means for displaying an individual setting screen having a plurality of input windows, and character string display means for displaying a character string in accordance with a character string setting operation on each of the plurality of input windows,
The interpretation training support apparatus according to claim 3, wherein the report selection condition is defined based on a plurality of character strings respectively displayed on the plurality of input windows. Item name detection means for detecting an item name that matches the report selection condition when the plurality of character strings serving as the basis of the report selection condition are included in the plurality of interpretation reports, and a detection result of the item name detection means The interpretation training support apparatus according to claim 4, further comprising a correcting unit that corrects the report selection condition based on the report.   The individual setting screen display means includes an initial display means for initially displaying a plurality of character strings serving as a basis of the predefined report selection condition in the plurality of input windows when a predefined report selection condition is selected. 4. An interpretation training support apparatus according to 4 or 5. The interpretation task guide has an opinion column,
The interpretation training support apparatus according to claim 1, wherein the first creation unit transcribes an opinion described in the interpretation report as an answer example in the opinion column. Each of the plurality of interpretation reports further describes the request contents from the requesting doctor,
The interpretation task guide further includes an interpretation instruction field,
The interpretation training support apparatus according to claim 7, wherein the first creation unit transcribes the request content described in the interpretation report as an interpretation instruction in the interpretation instruction field. A reference image representing at least one of a plurality of medical images obtained by imaging a patient is attached to each of the plurality of interpretation reports,
The interpretation task guide further includes a reference image field,
The interpretation training support apparatus according to claim 7 or 8, wherein the first creation means reprints a reference image attached to the interpretation report in the reference image column.   The interpretation training support apparatus according to claim 9, wherein the editing unit includes a changing unit that changes a reference image attached to the interpretation task guide to another reference image representing at least one of the plurality of medical images. The interpretation task guide has an evaluation point column,
The interpretation training support apparatus according to claim 1, wherein the editing means includes entry means for entering a desired evaluation point in the evaluation point column. Input means for inputting an evaluation for an interpretation report created by each of one or more trainees designated by the designation means in accordance with an input operation;
A third creating unit for creating a task evaluation result in which at least a part of the description of the interpretation task guide and the evaluation input by the input unit are written together; and an evaluation of the task evaluation result created by the third creating unit The interpretation training support apparatus according to claim 1, further comprising a storage unit that stores the interpretation report of the target in association with the trainee who created the interpretation report.   The interpretation training support apparatus according to claim 12, wherein the evaluation input by the input unit includes a comment and a score for the evaluation point. The interpretation report targeted by the input means is accompanied by time information indicating the time spent in interpretation,
14. The interpretation training support apparatus according to claim 12 or 13, further comprising an output unit that outputs the time information in relation to processing of the input unit. An interpretation training support method executed by a processor of an interpretation training support device,
A first creation step of creating an interpretation task guide for a supervising doctor by quoting any one of a plurality of interpretation reports in which the interpretation doctor's views are described;
An editing step of editing the interpretation task guide created in the first creation step according to an editing operation;
A second creation step of creating an interpretation task for a trainee based on the interpretation task guide edited in the editing step; and one or more trainees provided with the interpretation task created in the second creation step An interpretation training support method comprising a designating step of designating an image according to a designating operation. In the processor of the interpretation training support device,
A first creation step of creating an interpretation task guide for a supervising doctor by quoting any one of a plurality of interpretation reports in which the interpretation doctor's views are described;
An editing step of editing the interpretation task guide created in the first creation step according to an editing operation;
A second creation step of creating an interpretation task for a trainee based on the interpretation task guide edited in the editing step; and one or more trainees provided with the interpretation task created in the second creation step An interpretation training support program for causing a specified step to be specified according to a specified operation.

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