JP6785557B2 - Endoscope report creation support system - Google Patents

Description

The present invention relates to a system that supports the creation of a report for endoscopy.

Patent Document 1 discloses an image filing system for endoscopy, which enables input of diagnosis, findings, treatment, comments, and post-examination cautions / instructions on a report input screen including a report information input area.

JP-A-2002-73615

After the endoscopy is completed, the doctor prepares a test report on the endoscopy and then explains the test contents to the patient. If no lesion is found in the test, the doctor will explain the procedure of the test and explain to the patient that no abnormal findings were found. On the other hand, if a lesion is found by the examination, the doctor will explain the condition of the lesion and future prospects so that the patient can understand his / her condition. In order to explain the examination contents concisely and clearly, it is known that it is effective to explain while showing the examination image taken by endoscopy to the patient.

In the current system, the test image that is easily shown to the patient at the time of explanation is either all the test images taken or the test image attached to the report when the report is created. As the former, there is a list screen that is displayed for the doctor to select the attached image when creating the report, but since all the examination images taken are displayed as thumbnails on the list screen, the doctor can display one image. There is a problem that it takes time to select one and show it to the patient. The latter is an examination image selected by the doctor as an attached image on the report input screen, but it may not be preferable to show the report input screen to the patient because the report input screen describes the diagnosis result and the like.

Therefore, it is desired to develop a system that can efficiently show the examination image to the patient when explaining the examination contents to the patient.

The present invention has been made in view of such a situation, and an object of the present invention is to provide a technique capable of efficiently showing an examination image for explaining a patient to a patient.

In order to solve the above problems, the endoscopy report creation support system of a certain aspect of the present invention is a system that supports the creation of an endoscopy report, and is a first system that generates a screen including a captured inspection image. A screen generation unit, a first reception unit that accepts a selection operation of a first inspection image attached to an endoscopy report, and a second reception unit that accepts a selection operation of a second inspection image that is not attached to an endoscopy report. , The registration processing unit and the registration processing unit that register the first examination image for which the first reception unit has received the selection operation and the second examination image for which the second reception unit has received the selection operation as an explanatory image for the patient. It includes a second screen generation unit that generates a screen including an explanatory image registered by.

It should be noted that any combination of the above components and the conversion of the expression of the present invention between methods, devices, systems, recording media, computer programs and the like are also effective as aspects of the present invention.

According to the present invention, it is possible to provide a technique capable of efficiently showing an examination image for explaining a patient to a patient.

It is a figure which shows the structure of the endoscopic report creation support system which concerns on Example. It is a figure which shows an example of a report input screen. It is a figure which shows the example of the menu window which selects an image attached to a report. It is a figure which shows the information input on the report input screen. It is a figure which shows the example of the menu window which selects the image to present when explaining the inspection content. It is a figure which shows an example of the inspection image selection screen. It is a figure which shows an example of the explanatory screen including the explanatory image. It is a figure which shows the example of the message window displayed on the report input screen. It is a figure which shows another example of the explanatory screen including the explanatory image.

FIG. 1 is a diagram showing a configuration of an endoscope report creation support system 1 according to an embodiment of the present invention. The endoscopy report creation support system 1 is a system for supporting the report creation work of endoscopy, and includes an endoscopy system 10, a management system 20, and an information processing device 40, which are LANs (local area networks). ) Etc. are interconnected by network 2. The information processing device 40 is a terminal device such as a personal computer and is connected to the display device 80 so that the screen can be output. However, the information processing device 40 may be a laptop computer integrated with the display device. It may also be a portable tablet. Further, the information processing device 40 may be composed of a terminal device and a server.

The management system 20 includes a registration unit 22, an order information storage unit 24, a report information storage unit 26, an explanatory image storage unit 28, and an inspection image storage unit 30. The order information storage unit 24 stores order information for endoscopy. The report information storage unit 26 stores the report information created by the information processing device 40. The report information includes input information in which a doctor inputs test results such as diagnosis contents, and a report attached image selected from captured test images. After the examination is completed, the explanatory image storage unit 28 stores an explanatory image used by the doctor to explain the examination contents to the patient.

The inspection image storage unit 30 collectively stores the inspection images taken by the endoscope system 10 for each inspection. Therefore, a plurality of inspection images taken in one and the same inspection are stored in the inspection image storage unit 30 in association with information that identifies the inspection order (hereinafter, also referred to as an inspection ID). The inspection image storage unit 30 may be composed of a large-capacity HDD (hard disk drive) or a flash memory.

The information processing device 40 accesses the management system 20 and displays the inspection image stored in the inspection image storage unit 30 on the display device 80. When a doctor creates an endoscopy report, thumbnails of all the test images linked to the test ID and stored in the test image storage unit 30 are read out by the information processing device 40, and the doctor reports. A thumbnail list is displayed on the display device 80 so that the inspection image to be attached to can be selected.

The endoscope system 10 includes an endoscope 12, an endoscope processing device 14, and a display device 16. The endoscope 12 is inserted into the patient's body, and a still image of the body is taken at the timing when the doctor presses the release switch of the endoscope 12. The endoscope 12 includes a solid-state image sensor (for example, a CCD image sensor or a CMOS image sensor) and a signal processing circuit. The solid-state image sensor converts the incident light into an electric signal, and the signal processing circuit performs signal processing such as A / D conversion and noise removal on the image data photoelectrically converted by the solid-state image sensor, and the endoscope Output to the processing device 14.

The endoscope processing device 14 comprehensively controls the entire endoscope system 10. One important role of the endoscope processing device 14 is to transmit the inspection image taken by the endoscope 12 to the management system 20 and store it in the inspection image storage unit 30, which is another important role. The role is to display the image acquired by the endoscope 12 on the display device 16 in real time. In the former role, the endoscope processing device 14 adds the inspection ID as metadata to the inspection image, and the inspection image storage unit 30 stores the endoscope image data taken by the endoscope 12.

The information processing device 40 has a function of supporting a doctor to create a report in cooperation with the management system 20. A user interface such as a keyboard or a mouse is connected to the information processing device 40. The information processing device 40 causes the display device 80 to display a screen related to the inspection image and the report creation, and the doctor operates the user interface while looking at the display screen to complete the report. The information processing device 40 includes a reception unit 50, a screen generation unit 60, a memory 68, an image acquisition unit 70, and a registration processing unit 72. The reception unit 50 receives the operation input of the user interface by the doctor, where the operation reception unit 52 accepts the mouse operation input and the input reception unit 58 receives the keyboard operation input. In the operation reception unit 52, the first reception unit 54 accepts a selection operation of an inspection image (hereinafter, also referred to as an attached image) to be attached to the endoscopy report, and the second reception unit 56 receives the endoscopy report. Accepts the selection operation of inspection images (hereinafter, also referred to as non-attached images) that are not attached to.

These configurations can be realized by any processor, memory, or other LSI in terms of hardware, and can be realized by programs loaded in memory in terms of software, but here, they are realized by their cooperation. I'm drawing a functional block. Therefore, it will be understood by those skilled in the art that these functional blocks can be realized in various ways by hardware only, software only, or a combination thereof. Further, as described above, the information processing device 40 may be a terminal device, but may be composed of a terminal device and a server. Therefore, each function shown as a configuration of the information processing device 40 in FIG. 1 is a device other than the terminal device. May be realized by.

When the doctor finishes the endoscopy, he operates the user interface connected to the information processing apparatus 40 to create an examination report. Before the start of creating the inspection report, the display device 80 displays a list of the inspections that have been performed. In this list of performed tests, test information such as patient name, patient ID, test date and time, and test type is displayed in a list, and the doctor selects a test for which a report is to be created. When the doctor selects an examination for creating a medical report from the list of examinations performed, the operation reception unit 52 accepts the examination selection input, and the image acquisition unit 70 receives the examination selected from the examination image storage unit 30. Acquires the thumbnail of the inspection image associated with the inspection ID of.

The screen generation unit 60 of the embodiment includes a report input screen generation unit 62 that generates a screen for inputting report information, a selection screen generation unit 64 that generates a list screen of inspection images taken in the inspection, and an explanatory image. An explanatory screen generation unit 66 for generating a screen is provided. The report input screen generation unit 62 and the selection screen generation unit 64 both generate a screen including an inspection image taken.

FIG. 2 shows an example of a report input screen. The report input screen generation unit 62 generates a report input screen for the doctor to input the test result and displays it on the display device 80. While the report input screen is being displayed, the report tab 100b is selected. In the upper part of the report input screen, the patient name, patient ID, date of birth, examination type, examination date, and information of the performing doctor acquired from the order information storage unit 24 are displayed. The report input screen is composed of two areas, the left side is provided with an examination image display area 102 for displaying thumbnails of examination images, and the right side is provided with an examination result input area 110 for a doctor to input an examination result.

The report input screen generation unit 62 displays the thumbnails 104a to 104i of the inspection images acquired by the image acquisition unit 70 from the inspection image storage unit 30 side by side in the inspection image display area 102. A scroll bar is provided on the right side of the inspection image display area 102, and the doctor can scroll the scroll bar to observe all thumbnails of the inspection image. The doctor selects the test image to be attached to the report while observing the test image.

The doctor can associate the position information in the schema diagram with the thumbnail 104 by moving the thumbnail 104 to the position on the schema diagram 106 by dragging and dropping the mouse. By associating the thumbnail 104 with the position on the schema diagram 106, it becomes possible to later identify in which part of the observation range the inspection image of the thumbnail 104 was taken, specifically, on the schema diagram. By displaying the imaging position of the examination image, it is possible to explain effectively to the patient.

The test result input area 110 is an area for a doctor to input a test result, and in the illustrated example, the test results of "esophagus", "stomach", and "duodenum", which are observation ranges in upper endoscopy, are displayed. An area for input is provided. When the edit button 108 is operated, the selection of the observation range is displayed in the menu window, and the doctor can select the observation range. The test result input area 110 may have a format for displaying a plurality of options for the test result and inputting the test result by the doctor selecting a check box, but has a free format for freely inputting text. You may. The selection input of the check box is accepted by the operation reception unit 52, and the text input is accepted by the input reception unit 58.

On the report input screen, the doctor inputs the test result in the test result input area 110 and selects a test image to be attached to the report from the test image display area 102.

FIG. 3 shows an example of a menu window for selecting an image to be attached to a report on the report input screen. When the doctor selects the thumbnail 104 to be attached to the report in the examination image display area 102 and right-clicks the mouse, the selection format window 112 is displayed. In the selection format window 112, the format for selecting an image is displayed for each observation range. The top three items in the selection format window 112 are items for selecting an image to be attached to the report, and items for attaching to the test result of the observation range "esophagus" and "stomach" test in order from the top. It is an item to be attached to the result and an item to be attached to the test result of "duodenum". The three items from the bottom in the selection format window 112 are not attached to the report, but are items for selecting an image for explaining the patient, and for selecting an examination image of the observation range "esophagus" in order from the top. The item, the item for selecting the inspection image of "stomach", and the item for selecting the inspection image of "duodenum".

In the selection format window 112, when the doctor selects any item with the mouse pointer, the site window 114 in which the detailed sites included in the observation range are arranged is displayed. The site window 114 displays detailed sites included in the observation range, and the doctor selects one of the detailed sites with the mouse pointer. In this example, the detailed parts of the stomach are "angular incisure", "cardia", "angular incisure", "body of stomach", "fundus", "pylorus", "pylorus", "pylorus". The item "Pylorus" is set. FIG. 3 shows that the doctor selects the thumbnail 104h and selects “attach to report (stomach)” in the selection format window 112 and “fundus” in the site window 114.

In the operation reception unit 52, the first reception unit 54 receives an operation for selecting an inspection image to be attached to the endoscopy report. When the first reception unit 54 received the inspection image selection operation, the inspection image of the thumbnail 104h was set as an attached image of the stomach examination result, and this image photographed the "fundus" of the "stomach". It is stored in the memory 68 that it is an image. Various information input on the report input screen is stored in the memory 68, and when the doctor operates the registration button 90, the information stored in the memory 68 is transmitted to the management system 20. As described above, the doctor selects the examination image to be attached to the report.

FIG. 4 shows the information input on the report input screen. One or more inspection images are attached to each observation range, the "esophagus" has the inspection images of thumbnails 104a and 104c, the "stomach" has the inspection images of 104h, 104n and 104q, and the "duodenum" has the inspection images. Inspection images of thumbnails 104t are attached. The information input to the report input screen is stored in the memory 68.

In the embodiment, it is possible for the doctor to select an explanatory image for the patient at the same time as inputting the report.
FIG. 5 shows an example of a menu window for selecting an image to be presented when explaining the examination contents to the patient on the report input screen. When the doctor selects the thumbnail 104 to be used as the explanatory image in the examination image display area 102 and right-clicks the mouse, the selection format window 112 is displayed. The format for selecting an image is displayed in the selection format window 112 for each observation range, and when selecting an explanatory image, one of the lower three items of the selection format window 112 is selected.

In the selection format window 112, when the doctor selects any item with the mouse pointer, the site window 114 in which the detailed sites included in the observation range are arranged is displayed. FIG. 5 shows that the doctor selects 104 g of thumbnails, selects “register for patient explanation (stomach)” in the selection format window 112, and selects “gastric body” in the site window 114.

In the operation reception unit 52, the second reception unit 56 accepts an operation of selecting an inspection image that is not attached to the endoscopy report. When the second reception unit 56 accepts the inspection image selection operation, the inspection image of the thumbnail 104 g is set as an image for explaining the stomach, and this image is an image of the "stomach body" of the "stomach". That is stored in the memory 68. As described above, when creating a report, the doctor selects a test image to be used when explaining the test contents to the patient, although it is not attached to the report.

Note that FIGS. 3 and 5 show that the image selection by the doctor is performed when there is no input information in the test result input area 110, but the image selection is being input to the test result input area 110. , Or it may be performed after the input to the inspection result input area 110 is completed. Normally, since the inspection result is input for each observation range, the input to the inspection result input area 110 and the inspection image selection operation are often performed for each observation range.

In this way, the doctor can create a report and at the same time select an image for patient explanation. On the report input screen, the doctor observes the image taken in the examination and selects the image to be attached to the report, but at that time, by selecting the image for explanation to the patient, which is not attached to the report, the patient The image group presented in can be generated at the time of report creation.

When the registration button 90 is operated after the doctor has input all the test results, the registration processing unit 72 transmits the information stored in the memory 68 to the management system 20. The memory 68 stores the inspection result input to the report input screen, the inspection image selected as the report attachment image, and the inspection image selected as the explanatory image. The registration processing unit 72 registers the inspection result and the report attached image in the report information storage unit 26 in the management system 20, and registers the report attached image and the explanatory image (non-attached image) in the explanatory image storage unit 28. Instruct the management system 20 to do so.

In the management system 20, the registration unit 22 stores the inspection result and the report attached image in the report information storage unit 26 as report information based on the instruction from the registration processing unit 72. This completes the report on the inspection. The report information stored in the report information storage unit 26 is printed in a predetermined format and used as an inspection report.

Further, the registration unit 22 stores the report attached image and the explanatory image in the explanatory image storage unit 28 as an explanatory image for the patient based on the instruction from the registration processing unit 72. In the information processing apparatus 40 of the embodiment, the first reception unit 54 accepts an image selection operation to be attached to the inspection report, and the second reception unit 56 accepts an image selection operation not to be attached to the inspection report. Here, the explanatory image for which the second reception unit 56 has received the selection operation is naturally stored in the explanatory image storage unit 28 as the explanatory image, but in the embodiment, the first reception unit 54 performs the selection operation. The report attached image that received the above is also stored in the explanatory image storage unit 28 as an explanatory image. That is, the report attached image of the embodiment is an image attached to the report and also an image presented at the time of explaining the patient.

The registration processing unit 72 registers the report attached image and the explanatory image in the explanatory image storage unit 28 in association with information about a part in the body. That is, each image is associated with information about a part in the body. For example, the inspection image of the thumbnail 104h has the information of the "fundus" (see FIG. 3), and the inspection image of the thumbnail 104g has the "gastric body". Information (see FIG. 5) is associated with each other and stored in the explanatory image storage unit 28.

When the doctor associates the thumbnail 104 with the position on the schema diagram, the memory 68 stores the position information of the inspection image in the schema diagram, and the registration processing unit 72 is used for the report attached image and the explanation. The image may be registered in the explanatory image storage unit 28 in association with the position information in the schema diagram.

In the above embodiment, the doctor performed the image selection operation on the report input screen, but even when the recorded image tab 100a is selected, the inspection image list screen is displayed on the display device 80, and the doctor performs the image selection operation. Can be carried out.

FIG. 6 shows an example of an inspection image selection screen. The selection screen generation unit 64 generates a selection screen for the inspection image. While the selection screen is being displayed, the recorded image tab 100a is selected. In the upper part of the selection screen, the patient name, patient ID, date of birth, examination type, examination date, and information of the performing doctor acquired from the order information storage unit 24 are displayed. Below the order information, an inspection image display area 120 for displaying thumbnails of inspection images is provided. The selection screen generation unit 64 displays the thumbnails of the inspection images acquired by the image acquisition unit 70 from the inspection image storage unit 30 side by side in the inspection image display area 120. A scroll bar is provided below the inspection image display area 120, and the doctor can scroll the scroll bar to observe all thumbnails of the inspection image.

The doctor can select the report attachment image and the explanatory image from either the report input screen or the selection screen. Also on the selection screen, the selection format window 112 and the site window 114 shown in FIGS. 3 and 5 are displayed according to the mouse operation of the doctor, and the doctor can register the report attached image and the explanatory image in the management system 20. The advantage of the selection screen shown in FIG. 6 is that the enlarged display area 122 for magnifying and displaying the thumbnail 104 is provided, and when the doctor selects the thumbnail 104 in the examination image display area 120, the thumbnail 104 is selected. The thumbnail 104 is enlarged and displayed in the enlarged display area 122. The enlarged test image allows the doctor to accurately observe the presence of the lesion and effectively determine whether or not to attach it to the report.

By dragging and dropping the thumbnail 104 onto the schema FIG. 124, the thumbnail 104 and the position in the schema FIG. 124 can be associated with each other, as described for the report input screen.

After the report creation by the doctor is completed and the selected report attachment image and the explanatory image are registered in the explanatory image storage unit 28, the doctor explains the examination contents to the patient. The patient receives an explanation from the doctor while looking at the screen displayed on the display device 80. The explanatory screen generation unit 66 generates a screen including the explanatory image stored in the explanatory image storage unit 28. As described above, the explanatory image storage unit 28 treats the report attached image as an explanatory image, and therefore the explanatory screen generation unit 66 generates a screen including the report attached image.

FIG. 7 shows an example of an explanatory screen including an explanatory image. The explanatory screen generation unit 66 generates an explanatory screen including the explanatory image stored in the explanatory image storage unit 28, and causes the display device 80 to display the explanatory screen. While the explanation screen is being displayed, the explanation image tab 100c is selected. In the upper part of the explanation screen, the patient name, patient ID, date of birth, examination type, examination date, and information of the performing doctor acquired from the order information storage unit 24 are displayed. Below the order information, an explanatory image display area 130 for displaying thumbnails of explanatory images is provided. The explanatory screen generation unit 66 displays thumbnails of explanatory images acquired by the image acquisition unit 70 from the explanatory image storage unit 28 side by side in the explanatory image display area 130. A scroll bar is provided below the explanatory image display area 130 so that the doctor can scroll the scroll bar to show the patient all thumbnails of the explanatory image.

In the explanatory image display area 130, it is preferable that the explanatory screen generation unit 66 displays the report attached image and the report non-attached image separately. In this example, the thumbnails 104h, 104n, and 104q are the images attached to the report, and the outer frame is surrounded by a thick line. Among the explanatory images shown to the patient, the image attached to the report is often an important image including lesion findings. Therefore, the explanatory screen generation unit 66 displays the report attached image and the report non-attached image in the explanatory image display area 130 in different modes so that the two can be distinguished from each other. By displaying both in different modes, the doctor can easily find the report-attached image in the explanatory image display area 130 and explain the content of the report-attached image in a focused manner, so that the patient's satisfaction can be enhanced.

Further, it is preferable that the explanatory screen generation unit 66 generates a screen in which the explanatory image composed of the report attached image and the report non-attached image is associated with the information regarding the part in the body. In the example shown in FIG. 7, the name of the part in the body is written below each explanatory image, so that the patient can know the part to be photographed for each examination image.

The explanatory image selected in the explanatory image display area 130 is enlarged and displayed in the enlarged display area 132. At this time, the explanatory screen generation unit 66 generates a screen in which the explanatory image enlarged and displayed in the enlarged display area 132 and the information indicating the position in the schema FIG. 134 are associated with each other. In this example, the inspection image of the thumbnail 104f obtained by photographing the angular incisure is enlarged and displayed in the enlarged display area 132, but in the schema FIG. 134, the site mark 136 is added at the position indicating the angular incisure. As a result, the patient can visually grasp the position of the angular incisure and improve the understanding of the explanation by the doctor.

The explanatory screen generation unit 66 reads the position information in the schema diagram associated with the inspection image from the explanatory image storage unit 28, and adds the site mark 136 on the schema diagram 134. A table in which the part name and the part position are associated with each other is provided in advance with respect to the schema FIG. 134, and the explanatory screen generation unit 66 refers to the table based on the part name associated with the inspection image. The site mark 136 may be added by specifying the site position. In this case, since it is not necessary for the doctor to associate the inspection image with the schema diagram, the imaging position of the inspection image can be easily shown on the schema diagram 134.

In order to relieve the patient's anxiety, the doctor's explanation is preferably given concisely and clearly, but if the number of images displayed in the explanatory image display area 130 is small, the patient has been sufficiently examined. I may feel uneasy. Therefore, it is preferable that the explanatory image display area 130 displays the explanatory images of each part in the observation range without any shortage.

Regarding FIGS. 3 and 5, a doctor has shown an example of selecting a report attached image and a report non-attached image, but the registration processing unit 72 shows all the parts in each observation range when the registration button 90 is operated. You may check if the inspection image of is selected. When it comes to the stomach, all parts in the observation range are "angular incisure", "cardia", "angular incisure", "body of stomach", "fundus", "gastric pylorus", and "pylorus". The "section" and "pylorus", and the registration processing section 72 holds information about this section in advance. The registration processing unit 72 also retains information on other observation ranges, that is, esophagus and duodenum sites. Therefore, the registration processing unit 72 can confirm whether or not the inspection images of all the parts are selected by referring to the part names associated with the selected images.

At this time, if the inspection images of all the parts are selected, the registration processing unit 72 registers the information stored in the memory 68 in the management system 20. On the other hand, if there is a part where the examination image is not selected, the registration processing unit 72 notifies the doctor of a predetermined message.

FIG. 8 shows an example of a message window displayed on the report input screen. When there is a part where the inspection image is not selected, the registration processing unit 72 displays a message in the message window 140 indicating that the inspection image of the part is not selected. As a result, the doctor again searches for the inspection image of the "descending duodenum" from the inspection image display area 102, and selects it as a report attached image or a report non-attached image. As a result, inspection images of all parts are selected.

In medical facilities, it is effective to establish an examination protocol that defines examination procedures, etc., so that there is no difference in the burden on patients and the method of observing organs due to differences in doctors' experience and skills. .. The inspection protocol defines the order in which each part of the organ is observed, what kind of still image is taken at which part, and so on. Doctors can observe organs without omission by proceeding with the examination according to the examination protocol, and moreover, efficient examination helps reduce the burden on the patient.

Therefore, by defining the parts to be included in the explanatory image and the order in the imaging parts of the examination protocol, at least the parts to be included in the explanatory image will be imaged in the endoscopy at the medical facility. In medical facilities that define such an examination protocol, it is obligatory to select examination images of all parts in each observation range for patient explanation, and if there is a shortage, the registration processing unit 72 sends a message window. 140 may be displayed.

In addition to the selection by the doctor, the registration processing unit 72 may automatically select the inspection images before and after the report attached image as the report non-attached image. The images taken before and after the attached image are images taken in the vicinity of the lesion findings, and are often convenient for explaining the condition around the lesion to the patient. Therefore, the registration processing unit 72 may automatically select the inspection images before and after the report attached image as non-attached images and register them in the explanatory image storage unit 28.

The present invention has been described above based on examples. This embodiment is an example, and it is understood by those skilled in the art that various modifications are possible for each of these components and combinations of each processing process, and that such modifications are also within the scope of the present invention. ..

FIG. 9 shows another example of an explanatory screen including an explanatory image. The explanatory screen generation unit 66 generates a screen in which explanatory images taken on different examination days of the same patient are arranged. When the patient A has undergone endoscopy multiple times, the explanatory screen generation unit 66 generates and displays an explanatory screen including explanatory images of different examinations stored in the explanatory image storage unit 28. Displayed on the device 80.

In this modification, when the doctor explains the examination contents to the patient, the explanation screen generation unit 66 displays the explanation images in the two examinations side by side in order to compare the current examination with the previous examination. Generate a screen. Although not shown, on the explanation screen, a button for comparison display with the previous inspection is provided, and when the comparison button is operated, the explanation screen generation unit 66 refers to the explanation image storage unit 28 and refers to the explanation image storage unit 28. The explanatory image in the current examination and the explanatory image in the previous examination of the same patient are acquired, and thumbnails of the explanatory images of each examination are displayed in different display areas. Here, an explanatory image of the inspection having the inspection date 2016/1/15 is arranged in the explanatory image display area 130a, and an explanation of the inspection having the inspection date 2015/10/20 is arranged in the explanatory image display area 130b. Image is placed.

At the time of comparative display, it is preferable that an image of the same portion is enlarged and displayed in the enlarged display areas 132a and 132b. This allows the patient to compare current and past images of the same site. For example, when the doctor selects a thumbnail of the angular incisure in the explanatory image display area 130a, the examination image of the angular incisure taken on the examination date 2016/1/15 is enlarged and displayed in the enlarged display area 132a, and at the same time, the examination date. The inspection image of the angular incisure taken on October 20, 2015 is enlarged and displayed in the enlarged display area 132b. By linking the image displays of the enlarged display areas 132a and 132b in this way, the doctor can display two examination images of the same site with a simple operation, and the patient can display his / her own state in the present and past in a short time. Will be able to compare.

In the embodiment, the explanation image display screen is displayed from the same interface as the recorded image selection screen and the report input screen, but the explanation image display screen may be displayed separately from these. Good.

1 ... Endoscopic report creation support system, 20 ... Management system, 22 ... Registration department, 24 ... Order information storage unit, 26 ... Report information storage unit, 28 ... For explanation Image storage unit, 30 ... inspection image storage unit, 40 ... information processing device, 50 ... reception unit, 52 ... operation reception unit, 54 ... 1st reception unit, 56 ... 2 Reception unit, 58 ... Input reception unit, 60 ... Screen generation unit, 62 ... Report input screen generation unit, 64 ... Selection screen generation unit, 66 ... Explanation screen generation unit, 68 ... Memory, 70 ... Image acquisition unit, 72 ... Registration processing unit, 80 ... Display device.

Claims (4)

A system that supports the creation of endoscopy reports
A first screen generator that includes multiple test images taken and generates a report input screen for doctors to input test results.
The first reception section that accepts the selection operation of the first inspection image attached to the endoscopy report,
The second reception section that accepts the selection operation of the second inspection image that is not attached to the endoscopy report,
The test result input by the doctor on the report input screen generated by the first screen generation unit and the first test image for which the first reception unit has received the selection operation are registered in the report information storage unit as report information. the second test image which the second receiving unit and the first test image first accepting unit accepts a selection operation accepts a selection operation, and registers the explanatory image storage unit as described image to the patient Registration processing department and
A screen including the first inspection image registered in the explanatory image storage unit for which the first reception unit has received the selection operation and the second inspection image for which the second reception unit has received the selection operation is generated. 2nd screen generator and
An endoscopic report creation support system characterized by being equipped with. The registration processing unit, the second inspection image wherein the first inspection image and the second reception unit first accepting unit accepts a selection operation accepts a selection operation, the association with the information relating to parts of the body Register in the image storage for explanation,
The second screen generating unit, the second inspection image wherein the first inspection image and the second reception unit first accepting unit accepts a selection operation accepts a selection operation, associated with the information regarding the site within the body Generate a screen
The endoscopic report creation support system according to claim 1, wherein the endoscopic report is created. The registration processing unit, the second inspection image wherein the first inspection image and the second reception unit first accepting unit accepts a selection operation accepts a selection operation, the association with the position information in the schema Register in the image storage for explanation,
The second screen generation unit includes the first inspection image in which the first reception unit has received the selection operation or the second inspection image in which the second reception unit has received the selection operation, and information indicating a position in the schema diagram. Generate a screen associated with
The endoscopic report creation support system according to claim 2, wherein the endoscopic report is created. The second screen generation unit generates a screen in which explanatory images taken on different examination days of the same patient are arranged.
The endoscopic report creation support system according to any one of claims 1 to 3, characterized in that.

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