JP6898969B2 - Ophthalmic information processing system and ophthalmic information processing method - Google Patents

Description

The present invention relates to an ophthalmic information processing system and an ophthalmic information processing method for processing an ophthalmic image taken by an ophthalmic apparatus and analysis data.

Images taken by an ophthalmic device can be transferred to an image filing system, saved in a computer or database, and the saved captured images can be displayed and used for diagnosis. In addition, it is possible to quantify abnormalities around the retinal layer thickness, optic nerve fiber layer thickness, and optic nerve head by using analysis data obtained by analyzing fundus tomographic images taken by an optical coherence tomography (OCT). It is becoming possible. Analysis of the data obtained from this OCT is expected to be one of the useful test methods for early detection of glaucoma. On the other hand, there are many items set as inspection conditions at the time of OCT inspection, such as an imaging site, a scanning method, an image analysis method, and a display layout, and it is necessary to appropriately select these according to the diagnosis. As a solution to this problem, a method of acquiring information in association with a scanning method or the like has been proposed (Patent Document 1). Further, a method of accumulating the data obtained by quantifying OCT and using the follow-up observation of the quantified value for diagnosis has also been proposed (Patent Document 2).

Japanese Unexamined Patent Publication No. 2011-024930 Japanese Unexamined Patent Publication No. 2014-061280

Here, in order to improve the accuracy of diagnosis, it is desirable to confirm as much information as possible obtained by an ophthalmic apparatus such as OCT. However, this increases the time required for diagnosis, and it is difficult to diagnose many patients in a short time such as a medical examination.

One object of the present invention, by a variety of information obtained by the ophthalmic apparatus OCT such efficiently obtaining a Rukoto to improve the accuracy and efficiency of diagnosis.

The ophthalmic information processing system according to one aspect of the present invention for achieving the above object is
Multiple ophthalmic devices for examining the eye to be inspected,
A first screen for inspecting an eye to be inspected by the first ophthalmic device among the plurality of ophthalmic devices and a second screen different from the first screen, the said one of the plurality of ophthalmic devices. Display control for displaying any of a plurality of screens including a second screen for examining an eye to be inspected by a second ophthalmic device different from the first ophthalmic device on the display means in response to an instruction from the user. Means and.

According to one aspect of the present invention, by efficiently retrieve various information obtained by the ophthalmic apparatus of the OCT or the like, it is possible to Rukoto to improve the accuracy and efficiency of diagnosis.

It is a block diagram which shows the functional structure which concerns on embodiment of this invention. It is a flowchart which shows the operation which concerns on Example 1. FIG. It is a figure which shows the subject selection screen which concerns on Example 1. FIG. It is a figure which shows an example of the medical examination report screen which concerns on Example 1. FIG. It is a figure which shows an example of the analysis display area of the medical examination report screen which concerns on Example 1. FIG. It is a figure which shows an example of the medical examination report screen which concerns on Example 2. FIG. It is a figure which shows an example of the report template of the medical examination report screen which concerns on Example 1. FIG. It is a figure which shows an example of the table which looks at the follow-up observation of the medical examination which concerns on Example 3. FIG.

Hereinafter, an example of the embodiment of the present invention will be described with reference to the drawings. It should be noted that the present invention is not limited to the following embodiments, but merely shows specific examples advantageous for the practice of the present invention. In addition, not all combinations of features described in the following embodiments are essential for solving the problems of the present invention.
Here, in order to improve the accuracy of diagnosis, it is desirable to confirm as much information as possible obtained by an ophthalmic apparatus such as OCT. However, this increases the time required for diagnosis, and it is difficult to diagnose many patients in a short time such as a medical examination. That is, in order to improve the accuracy and efficiency of diagnosis, it is desired to efficiently acquire various information obtained by an ophthalmic apparatus such as OCT. The health examination described here is a medical practice in which a medical examination or examination is performed to evaluate the health condition of the subject according to the examination items, and prevention or early detection is performed. In this specification, such medical practice for early detection is referred to as a medical examination. In recent years, there are also facilities (so-called human docks) that perform medical examinations using OCT for early detection of glaucoma.
According to one of the present embodiments, it is possible to efficiently acquire a photographed image of the eye to be inspected by an ophthalmic apparatus. Thereby, for example, the user can efficiently confirm the photographed image of the eye to be inspected obtained by being efficiently photographed by the ophthalmic apparatus, so that the diagnostic efficiency of the eye to be inspected can be improved.
Further, for example, when undergoing an eye examination at a normal hospital or the like, a large amount of information such as an image obtained in one examination is usually displayed in a list in order to ensure an accurate diagnosis. However, when it is desired to process information such as these images in a short time such as a medical examination unlike usual, it is often difficult to secure time for scrutinizing all the images. In addition, the images displayed in the list are small and not suitable for scrutiny. On the other hand, it is also conceivable to narrow down the examination items to be diagnosed, display a very small number of images on the monitor according to the examination items, and sequentially switch the display of these images to confirm the eye examination information. However, since there are a plurality of screens of inspection information obtained by the current OCT, operations such as switching and displaying the screens each time an image is acquired are required, so that the diagnostic efficiency is not good.
According to one of the present embodiments, images useful for knowing an abnormality in the eye to be inspected are selected from a large amount of information, and these selected images and the like are arranged in a predetermined display layout. By displaying the information, the diagnostic efficiency is improved. In addition, these display layouts and displayed display items are defined as templates that correspond in advance to diagnoses focusing on specific lesions, health examinations, and the like. In addition, the extraction conditions of the items to be displayed on the template from a large amount of obtained information are also determined in advance according to the template. Therefore, by specifying the mode of diagnosis, the extraction conditions of these templates and the corresponding information are determined. Therefore, even when a plurality of eyes to be inspected are continuously processed, the image information required by the examiner such as a doctor is presented in a size that is easy to see and in a predetermined format. As a result, it becomes possible to make a quick and accurate diagnosis for a large number of subjects.

FIG. 1 shows the configuration of the ophthalmic information processing system of the present embodiment. This ophthalmic information system includes an examination data acquisition unit 11, an examination list creation unit 12, a medical examination report data extraction unit 13, an operation input means 14, an examination list display unit 15, a storage unit 16, and a medical examination report data display unit 17. , And an analysis processing unit 18. The inspection data acquisition unit 11 functions as an inspection data acquisition means, the storage unit 16 functions as a storage means, the medical examination report data display unit 17 functions as a display means, and the analysis processing unit 18 functions as an analysis processing means.

In the following, a configuration in which the ophthalmic information processing system according to the present embodiment and the imaging device 19 which is an external device are combined will be described. Examples of the imaging device 19 include an OCT (optical coherence tomography) imaging device and a fundus camera as examples of an ophthalmologic imaging device, but other than SLO, AO-SLO, visual field measuring instrument, intraocular pressure measuring device, and the like. It can also be applied to an ophthalmologic imaging apparatus or a combination thereof. Further, the device may be a combination of each of these ophthalmologic imaging devices.

In the configuration shown in FIG. 1, a plurality of images taken by the imaging device 19 are captured as inspection data by the inspection data acquisition unit 11 and acquired by the ophthalmic information processing system. At that time, the imaging conditions such as the imaging region of the eye to be inspected and the imaging mode are also acquired together with the image. Further, the acquired inspection data is regarded as inspection data associated with the identification information of the subject by the inspection list creation unit 12, and an inspection list including the inspection data is created. The inspection list is displayed on the inspection list display unit 15. The inspection data and the inspection list are stored in the storage unit 16.

The inspection data is also acquired when the subject is inspected by changing the imaging device, that is, the inspection equipment, and the inspection data acquired from each imaging device is stored as a plurality of inspection data of the subject. I will go. Examples of the inspection data obtained by the imaging device 19 include a fundus image, an OCT image of the posterior pole of the fundus including the macula and the optic disc, and an OCT image of the optic disc. In addition to the tomographic image obtained by OCT, the imaging data includes a monochrome fundus image obtained by monochrome imaging of the fundus using infrared light from a fundus camera or SLO, and color imaging of the fundus using visible light. The obtained color fundus image, the monochrome fundus image obtained by fluorescently photographing the fundus, the fundus image obtained by correcting the aberration by AO-SLO, the anterior eye portion image obtained by photographing the anterior segment, and the like may be used. Further, the shooting data may be a combination of these images.

The examination list display unit 15 displays the examination list created or updated by the examination list creation unit 12 described above, and the medical examination report data display unit 17 reports the report for each data extracted from the storage unit 16 according to the report template described later. Display using a template. The test list includes a list corresponding to the diagnosis contents, a list in chronological order, a list for diagnosis, and the like. Although these display units are shown as individual configurations in FIG. 1, they may be configured by display means such as a single monitor, and the display may be appropriately switched according to the operation of the operation input means 14. preferable. In addition, the examination list creation unit 12 and the medical examination report data extraction unit 13 configure display control means for designating and displaying items to be displayed on the display means, a template to be used, and the like.

The storage unit 16 has a plurality of storage areas, and stores the above-mentioned inspection data, the inspection list, and the analysis data, the report template, and the extraction condition described later in each area. The report template selects the data to be displayed (type and content of inspection data, and analysis data) according to the purpose of the inspection, and the examiner can easily and accurately make a judgment according to the purpose of the selected data. Means the display layout to be displayed. In the examples described below, a medical examination report template used for a medical examination (health examination) and a standard report template used for an eye examination in a general ophthalmology are illustrated. However, depending on the purpose of the examination of the eye to be examined, the report template may be stored in yet another format.

The extraction conditions are defined according to the report template. Specifically, at least some items to be extracted from the inspection data type, the arrangement of the inspection data, and the analysis data are defined according to the items displayed in the report template. In the following examples, these items displayed on the actual display means described above are extracted by the medical examination report data extraction unit 13.

The operation input means 14 relates to a diagnosis mode, input or selection of a subject, selection of an inspection item, selection of a display mode to be displayed on the display means by the display control means, and selection of a report template according to the display mode. It is used when performing an operation.

In the embodiment described below, the analysis processing unit 18 executes analysis of the captured image to obtain papillary analysis data and glaucoma analysis data analysis data, but other analysis data including at least one of these is used. There may be. Note that FIG. 1 shows a mode in which the analysis data obtained by the analysis is extracted by the data extraction unit 13 for the medical examination report. However, in reality, the analysis data is output to the storage unit 16 via the medical examination report data extraction unit 13, and is stored in the corresponding storage area in the storage unit 16.

<Example 1>
FIG. 2 shows a flow of processing when displaying a medical examination report on the medical examination report data display unit 17 according to the first embodiment of the present invention.

First, in step S201, the operation input means 14 selects the diagnostic mode. Here, by selecting the medical examination (health examination) mode from the plurality of diagnostic modes, the screen displayed by default when the report is selected is set as the medical examination report. Further, the test list displayed on the subject selection screen is set as the test list for diagnosis. The generation process in the diagnostic test list is switched and executed for the medical examination mode. The selection of the medical examination mode is recorded as one of the extraction conditions, and the software can be started in the medical examination mode from the next time onward. The report screen may be switched to the standard mode used in the hospital if necessary.
In addition, the standard mode described here is a plurality of data obtained in one examination, such as a tomographic image in multiple directions or multiple positions, a map for a specific layer of the retina, a comparison table of numerical data for each, and the like. Refers to a mode in which images are listed or displayed side by side according to a specific template. In a detailed examination at a hospital, it is necessary to refer to a large amount of this information at the same time to make an actual diagnosis. Therefore, usually, such a large amount of information is collectively displayed or displayed in a list. Here, such a list display mode is a standard report mode, and the template used in the standard report mode is a standard report template. In addition to the standard report mode and the medical examination report mode described later, a plurality of display modes may exist. Therefore, the standard report mode and the medical examination report mode are preferably defined as the first mode and the second mode. The first mode is a mode in which the inspection data and the analysis data are displayed or displayed in a list on the display means, and the second mode is a mode in which the display means displays a part of the inspection data and the analysis data. The second mode is not limited to the above-mentioned medical examination report mode, and is a mode used when continuously observing a plurality of captured images obtained from a plurality of subjects to evaluate the health condition of the subjects. It is preferable to be grasped as. When the second mode is selected, the display control means associates a part of the extracted data with the display layout and display items of the template corresponding to the second mode read from the storage means. And display it on the display means.

Next, in step S202, the subject is selected. The subject is selected on the inspection list screen. At that time, the range of the test to be diagnosed is specified on the screen of the test list. The scope of this test can be searched by the test date or facility name, and the diagnosis target can be limited.

FIG. 3 shows an example of a screen for selecting a subject. In addition to the subject selection, when the user selects the patient tab of tab 301 on this screen, the subject can be newly registered, edited, and the like. When the user inputs the examination date and the facility name in the search condition in the operation input means 14, the searched subject is displayed as the patient list 304. In this example, the search result by the range of the examination date and the facility name is displayed, and the case where the subject with the reception number 0001, which is the identification number of the subject at the time of the medical examination, is selected is shown. The examination data of the selected subject is read out from the storage unit 16. The examination list 305 of the selected subject is created by the examination list creation unit 12, and is displayed as a thumbnail in the right display area of the patient screen by the examination list display unit 15. In this thumbnail display, test information to be diagnosed is displayed.

In FIG. 3, when the user selects the shooting tab of the tab 302, the screen transitions to the shooting screen of the shooting device 19. On the shooting screen, the inspection is performed in the desired shooting mode. The imaging screen may be configured as a separate screen for each imaging device, one for the OCT examination and the other for the fundus camera. The photographed image, which is the inspection result, is acquired from the inspection data acquisition unit 11, and is added to the inspection list by the inspection list creation unit 12. The added inspection data and inspection list are stored in the storage unit 16. The description of the shooting screen will be omitted.

Next, in step S203, the reference inspection data is selected. Here, the reference test data indicates the test data selected by the thumbnail displayed in the right display area of the patient screen by the test list display unit 15 described above. In the example of the examination list 305 of FIG. 3, the case where the examination of the disc 3D of the right eye is selected as the reference examination data is shown. In addition, when the medical examination mode is selected, the reference examination data may be set as a specific examination.

In step S204, a report is selected for diagnosing the subject with reception number 0001. When the user selects the report tab 303 of FIG. 3, the display screen transitions to the report screen.

The process of extracting the data first displayed as the report screen is shown in steps S205 to S207. Step S208 is a process of displaying the inspection data extracted from step S205 to step S207, and an example of the screen to be displayed is shown in FIG. The medical examination report data display unit 17 displays the extracted examination data in the display area 415 of FIG. Steps S205 to S208 will be described below.

In step S205, the medical examination report mode is selected as the display mode. When the medical examination report mode is selected, it is displayed with the Combined tab 405 selected on the report screen. In this example, in addition to Combined as the display mode that can be selected on the report screen, Single that displays the test of the standard test data, Both Eyes that is displayed at the same time as the target eye of the standard test data, Comparison that compares the standard test data with the past, Progress of inspection of standard inspection data There is a report that observes the progress of inspection. You can change the display layout by selecting each tab on the report screen.

In step S206, the report template assigned to the Combined selected in step S205 is selected. In the medical examination report mode, the medical examination report template is assigned to Combined. An example of a report template is shown in FIG. This report template may be used by customizing the addition and deletion of display items, the location, etc. for each facility and purpose as needed. Further, in this embodiment, the medical examination report template to be used includes at least one or more of glaucoma analysis data of the left and right eyes, papillary analysis data of the left and right eyes, and fundus images of the left and right eyes as test data on one screen. Anything displayed above will do. The medical examination report template can also be grasped as a template corresponding to the second mode in the present invention.

In step S207, inspection data that matches the extraction conditions is extracted. The medical examination report data extraction unit 13 extracts the examination data that matches the extraction condition from the examination data to be extracted from the examination list, using the item on the report template as the extraction condition. In this example, six inspection data are extracted: left and right Disc 3D inspection data, left and right Glaucoma 3D inspection data, and left and right fundus image inspection data. The test data obtained by Disc 3D and Glaucoma 3D can be obtained by the analysis processing unit 18 as papillary analysis data from the Disc 3D test data and as glaucoma analysis data from the Glaucoma 3D test data. The extracted data is not limited to the examples here, and may include at least the captured image and the analysis data obtained by the analysis processing unit 18. These data are simultaneously displayed on the display means using the medical examination report template.

Next, in step S208, the extracted inspection data is simultaneously displayed on one screen. The report screen of FIG. 4 will be described as an example. Information on the subject is displayed on the upper part 402 of the screen. The search conditions set on the patient screen and the number of diagnostic targets obtained from the search results are displayed on the left side 403 of the screen. The examination list 404, which is a thumbnail display of the examinations displayed in the right display area of the patient screen, is displayed. The reception number is displayed at the top of the inspection list. The reception number and patient ID may also be displayed in the display area 415. Display items may be customized and used.

In the display area 415, the area of the fundus image 406 of the right eye, the fundus image 407 of the left eye, the tomographic image 408 of the right eye, the tomographic image 409 of the left eye, and the tomographic image obtained by scanning the periphery of the optic nerve head in a circular shape. The RNFL (retinal nerve fiber layer thickness) obtained from the TSNIT region is displayed for each of the left and right eyes, and the background color is the RNFL profile 410 color-coded based on the normal eye data. , And glaucoma analysis data are displayed.

The details of the analysis display area 411 are shown in FIG. C / D Vertical and R / D Minimum are displayed as ONH parameters 501 obtained from the shape analysis result of the optic nerve head. Further, in the analysis display area 411, the thickness map 502 of NFL + GCL + IPL, which is the inspection data obtained by Glaucoma 3D and is the glaucoma analysis result obtained by the analysis processing unit based on the OCT image including the macula and the optic nerve head, and The thickness 504 of the upper and lower regions and the average thickness 503 of all regions are displayed.

Further, if the test information necessary for the diagnosis can be confirmed on one screen, the diagnosis can be made efficiently. Looking at this report screen, the subject with reception number 0001 is diagnosed. Confirm the fundus image such as the conventional blood vessel running with the fundus images of the left and right eyes. For the tomographic images of the left and right eyes, whether or not the layer recognition of NFL + GCL + IPL is correctly performed and the tomographic image are confirmed. That is, the glaucoma analysis data includes a thickness map for the thickness of the nerve fiber layer, the ganglion cell layer, and the inner plexiform layer plus the thickness. In addition, the papilla analysis data includes a tomographic image obtained by scanning the periphery of the optic nerve papilla in a circular shape.

The display control means displays the result of comparison between the retinal nerve fiber layer thickness data around the optic nerve head and the thickness as normal eye data. The ONH parameter numerically determines the shape of the papilla. The numerical background color may be color-coded and displayed based on the normal eye data. The RNFL profile visually confirms left-right symmetry and confirms anomalies. Also, confirm that there are no abnormalities by comparing with normal eye data. The thickness map of NFL + GCL + IPL confirms whether there is any abnormality by comparing with the normal eye data.

In this embodiment, the result of comparison with the thickness as normal eye data is displayed in color in the displayed thickness map. The color display is executed by the medical examination report data display unit 17 according to the instruction of the medical examination report data extraction unit 13 that functions as the display control means. As for the papillary analysis data, the result of comparison between the retinal nerve fiber layer thickness (RNFL) data around the optic nerve head and the thickness as normal eye data is displayed. The display is also executed by the medical examination report data display unit 17 according to the instruction of the medical examination report data extraction unit 13.

It should be noted that a process of determining whether or not the refraction value of the subject's eye is within the range of the general value of the refraction value supported in the statistical data of the normal eye data may be arranged. In this case, it is desirable to arrange a normal eye data out-of-range determination means that executes the process. If it is out of the range of statistical data of normal eye data through the processing, it is desirable to display a warning that it is out of the range of normal eye data as a warning and make an appropriate judgment. Alternatively, instead of using the warning, it is preferable to use the normal eye data to make the background of the displayed part a color such as gray to indicate that it is not a reference value for comparison with the normal eye data. By doing so, it is effective in preventing erroneous determination. As for the refraction value of the eye of the subject, the focus position information in the focus performed at the time of photographing may be used as the determination information. In this case, the determination is executed based on the focus position information.

The method of diagnosing the next subject will be described in the next step S209 and subsequent steps.

In step S209, it is determined whether or not to display the next subject's medical examination report. When displaying the next subject, the flow proceeds to step S210, and when the next subject is not displayed, the process ends.

In step S210, the inspection feed button is pressed in order to switch to the display of the next subject. An example is shown in the inspection feed button 413 of FIG. When the examination feed button 413 is pressed, in step S211 the next subject is selected according to the order displayed in the patient list 304 on the patient screen. Taking FIG. 3 as an example, the subject with the reception number 0002 is selected. When the next subject is selected, the flow is returned to step S205. At this time, there is no problem in the processing of step S203 as long as the examination has a medical examination report, but it is desirable to select the examination of Disc 3D of the right eye shown in this example as the reference examination data.

Since the report screen has already been displayed, the process of step S204 does not need to be processed again. The reason for returning the flow to step S205 is, for example, to explain by taking FIG. 4 as an example, when Single is selected as the report screen, Combined, which is a medical examination report, is selected and returned to be displayed. is there. In steps S206 to S208, the extraction of the inspection data is changed to the inspection of the subject with the reception number 0002, and the same process is performed.

As information indicating the positions in the order displayed in the patient list 304 on the patient screen, there is a subject selection position display 414. In this example, when the reception number is 0002, the display is changed to 2/100. To move the subject's selection back one step, press the test return button 412. Further, the forward button may be assigned an arrow key or the like on the keyboard. Further, in the present embodiment, when either the first mode or the second mode is selected, the display means is displayed by the same display means, but the display means targeted by the first mode and the second mode are displayed. The target display means may be different, and the display means finally used for displaying the data as a result of the image processing may be another display means.

<Example 2>
Example 2 shows an example having a display of a plurality of medical examination report data. As an example, a case where the medical examination report display of FIG. 4 and the medical examination report display of FIG. 6 are provided is shown. The medical examination report of FIG. 4 is referred to as a standard report, and FIG. 6 is referred to as a simple report. Whether to select the standard report mode or the simple report mode as the Combined selection in step S205 and display the report screen is determined by selecting the standard report or the simple report when the Combined is selected in the process when the medical examination mode is selected in step S201. It is desirable to be able to select and set. The features of the simple report in this example will be explained as an example of a report focusing on points in order to improve diagnostic efficiency. Here, the ONH parameter 601 displays C / D Vertical and R / D Minimum.

Although the efficiency of diagnosis time is improved by using the simple report mode, it is assumed that the examiner wants to make a detailed diagnosis because it is difficult to make a judgment in the simple report mode depending on the situation. In such a case, it is advisable to select the inspection to be viewed in detail in the inspection list 404, and select Single, Both Eyes, or the like as the display mode to be viewed. However, such an operation is inconvenient when the data to be viewed is determined. Therefore, it is convenient to switch to the report of FIG. 4 by operating the medical examination report selection pull-down button 602. The simple report template and standard report template should be customizable for each purpose. Alternatively, you may add a medical examination report to increase the number of reports you want to switch depending on the situation.

In this example, the medical examination report selection pull-down button is used as an example, but it may be added on the tab or the report may be selected in the menu opened by right-clicking.

<Example 3>
Normal eye data is generally a collection of normal eyes from many people. Therefore, it is effective in detecting abnormalities by comparison with normal eyes. However, statistical data may not function effectively if there are individual differences. Therefore, in Example 3, the individual normal eye data in which the normal eye data is used as the normal eye data of the personal data will be given as an example. This individual normal eye data is eye data of the same subject, which is accumulated several years of data of normal eyes before abnormalities appear in the eyes of the same subject.

For example, the thickness of the nerve fiber layer (NFL) + ganglion cell layer (GCL) + inner plexiform layer (IPL), the test result data of the RNFL thickness of the TSNIT region, the test result data of ONH Measurement, and the like. If you display the analysis data obtained by analyzing these data in a table or graph, it will be easier to understand how it is changing. FIG. 8 shows an example of a table for observing past test result data and progress. That is, the analysis data obtained from a plurality of inspection data having different inspection dates is displayed in a table format on the display unit by the display control means.

Here, as analysis data, C / D Vertical, R / D Minimum, nerve fiber layer (NFL) + ganglion cell layer (GCL) + inner plexiform layer (IPL) thickness, and RNFL thickness in the TSNIT region are taken as examples. ing. Further, regarding the background color as a result of comparison with the normal eye data displayed in the report shown in FIG. 4, the background color is within the normal eye data, but when the change exceeds a certain level when compared with the individual normal eye data. It is effective to change and display. The data of the individual normal eye may be stored in the network on the cloud computing. Although not shown, past tests may be displayed on the test list 404 so that past medical examination reports can be referenced.

As described above, in the third embodiment, a means for acquiring a plurality of test data having different test dates of the same subject, and generating personal normal eye data based on a plurality of test data of the same subject. Means to do this, and means to switch the normal eye data described in other embodiments to individual normal eye data will be shown. Then, when the normal eye data is switched to the individual normal eye data, the above-mentioned determination is executed using the general value based on the generated individual normal eye data.

As described above, according to the present embodiment, it is possible to generate a display layout in which the medical examination report according to the examination items required at the time of the medical examination is displayed on one screen. Therefore, it is possible to improve the diagnostic efficiency of the images taken by a plurality of ophthalmic devices and the analysis data obtained by analyzing the captured images.
Further, in the above-described embodiment, the medical examination report mode in the case where glaucoma is the main target as a disease to be noted in the eye to be inspected is described. In this example, when the test data and the analysis data are extracted from the list display, the effect of glaucoma becomes apparent in the eye to be examined, or the RNFL (retinal nerve fiber layer) around the optic nerve head is a noteworthy data in the glaucoma test. ) Deficiency, GCC (Ganglion Cell Complex: 3 layers from the inner limiting membrane to the outer edge of the inner plexiform layer) thickness, and R / D and C / D are listed. However, the present invention is not limited to these items, and the extracted test data and analysis data are determined based on the magnitude of the effect on the test data and analysis data when the effect of a specific disease becomes apparent. Is also good. In addition, the determination may be made based on the number of diseases affecting the test data and the analysis data when the effects of a plurality of diseases become apparent on a specific site.

<Other Examples>
In the above-mentioned examples, the present invention is described as relating to an ophthalmic information processing system and an ophthalmic information processing method. However, the present invention can also be grasped as an image processing device and an image processing method that perform a process of extracting specific images from a plurality of images to be inspected and display them.
In the present invention, the storage medium in which the program code of the software that realizes the functions of the above-described embodiment or embodiment (for example, the processing shown by the flowchart in which the processing of each part described above is associated with each process) is recorded is used. It can also be realized by supplying it to a system or device. In this case, the computer (or CPU or MPU) of the system or device realizes the function of the above-described embodiment by reading and executing the program code stored in the storage medium so that the computer can read it.

Further, the present invention is not limited to the above-described embodiments or examples, and various modifications and modifications can be made within a range that does not deviate from the gist of the present invention. For example, in the examples, the case where the object to be measured is an eye is described, but it is also possible to apply the present invention to an object to be measured such as skin or an organ other than the eye. In this case, the present invention has an aspect as a medical device other than an ophthalmic device, for example, an endoscope. Therefore, it is desirable that the present invention is grasped as an image information processing system in the inspection apparatus exemplified by the ophthalmic apparatus, and the eye to be inspected is grasped as one aspect of the object to be inspected.

11: Examination data acquisition unit 12: Examination list creation unit 13: Medical examination report data extraction unit 14: Operation input means 15: Examination list display unit 16: Storage unit 17: Medical examination report data display unit 18: Analysis processing unit

Claims (25)

Multiple ophthalmic devices for examining the eye to be inspected,
A first screen for inspecting an eye to be inspected by the first ophthalmic device among the plurality of ophthalmic devices and a second screen different from the first screen, the said one of the plurality of ophthalmic devices. Display control for displaying any of a plurality of screens including a second screen for examining an eye to be inspected by a second ophthalmic device different from the first ophthalmic device on the display means in response to an instruction from the user. Means and
An ophthalmic information processing system characterized by being equipped with. The ophthalmic information according to claim 1, wherein the ophthalmic apparatus corresponding to the screen displayed on the display means is configured to be able to inspect the eye to be inspected in a desired examination mode in response to the instruction. Processing system. The first ophthalmic apparatus and the second ophthalmic apparatus can perform different types of examinations.
The ophthalmic information processing system according to claim 1 or 2, wherein the first screen and the second screen are screens corresponding to different types of examinations. Any one of claims 1 to 3, wherein the plurality of ophthalmic devices includes at least one of an OCT imaging device, a fundus camera, an SLO, an AO-SLO, a visual field measuring device, and an intraocular pressure measuring device. Ophthalmic information processing system described in. The first ophthalmic apparatus is an OCT imaging apparatus for OCT imaging the eye to be inspected.
The second ophthalmologic apparatus is a fundus camera for photographing the fundus of the eye to be inspected.
The display control means includes the first screen, which is a first imaging screen for OCT imaging of the eye to be inspected by the OCT imaging device, and a second imaging screen for photographing the eye to be inspected by the fundus camera. The ophthalmology according to any one of claims 1 to 4 , wherein any one of the plurality of screens including the second screen is displayed on the display means in response to an instruction from the user. Information processing system. When the first screen is selected, the OCT imaging device can perform OCT imaging of the eye to be inspected in a desired imaging mode, and when the second screen is selected, the fundus camera can perform desired OCT imaging. The ophthalmologic information processing system according to claim 5 , wherein the fundus of the eye to be inspected can be photographed in the photographing mode. Subject's eye fundus image obtained by photographing by the fundus camera, to claim 4, characterized in that by the fundus camera is a color fundus image obtained by photographing a fundus of the subject's eye with visible light The ophthalmologic information processing system according to any one of 6. The first image obtained by OCT imaging the eye to be inspected by the OCT imaging device on the examination day set according to the instruction from the user, and the fundus image of the eye to be inspected by the fundus camera on the set examination day. Any one of claims 4 to 7 , wherein the report includes the second captured image thus obtained, and further includes a generation means for generating a report corresponding to the set inspection date. The ophthalmic information processing system described in. Multiple ophthalmic devices for examining the eye to be inspected,
The first image obtained by photographing the eye to be inspected by the first ophthalmic apparatus among the plurality of ophthalmic devices on the examination date set according to the instruction from the user, and the plurality of the plurality of ophthalmic devices on the set examination date This report includes a second photographed image obtained by photographing the eye to be inspected by a second ophthalmic device different from the first ophthalmic device among the ophthalmic devices of the above, and corresponds to the set examination date. The means of generating the report and
A display control means for displaying the generated report on the display means,
An ophthalmic information processing system characterized by being equipped with. The ophthalmology according to claim 8 or 9 , wherein the generation means further generates the report including analysis data corresponding to at least one of the first captured image and the second captured image. Information processing system. The first captured image is an OCT image and is an OCT image.
The ophthalmologic information processing system according to claim 10 , wherein the second captured image includes at least one of a monochrome fundus image, a color fundus image, and an anterior segment image. A first display mode for displaying the analysis data of the photographed image obtained by photographing the eye to be inspected by the plurality of ophthalmic devices on the display means, and displaying a part of the analysis data on the display means. A second display mode for the purpose and a selection means for selecting one of a plurality of display modes including the above-mentioned display mode can be executed after the captured image is obtained.
When the first display mode is selected, the display control means corresponds to the analysis data with the display layout and display items defined as the first template corresponding to the first display mode. When the second display mode is selected by displaying the report generated in the above on the display means, a part of the data and a second template corresponding to the second display mode are defined. The ophthalmic information processing system according to claim 10 or 11 , wherein a report generated so as to correspond to a display layout and display items is displayed on the display means. A plurality of templates in which display layouts and display items for displaying at least a part of the analysis data on the display means are predetermined, and data for displaying the analysis data on the display means according to the templates. An extraction condition for extracting a part of data, a storage means for storing, and a storage means for storing.
It includes a first display mode for displaying the analysis data on the display means and a second display mode for displaying a part of the data extracted according to the extraction conditions on the display means. A selection means capable of selecting one of a plurality of display modes after the captured image is obtained is further provided.
When the first display mode is selected, the display control means includes the analysis data, the display layout of the first template corresponding to the first display mode read from the storage means, and the display layout. When the display items are associated with each other and displayed on the display means, and the second display mode is selected, the extracted part of the data and the second display read from the storage means are displayed. The ophthalmic information processing system according to claim 12 , wherein the display layout of the second template corresponding to the mode and the display item are associated with each other and displayed on the display means. The storage means is a condition for extracting a part of the data to be displayed on the display means according to the second template and the display means according to the second template, and is a predetermined display layout and the display item. The ophthalmic information processing system according to claim 13 , wherein the corresponding extraction conditions and the corresponding extraction conditions are stored. The analysis data includes at least one of glaucoma analysis data and papillary analysis data.
The second template corresponding to the second display mode is for displaying at least one of the left and right eye glaucoma analysis data, the left and right eye papillary analysis data, and the left and right eye fundus images on one screen. The ophthalmic information processing system according to any one of claims 12 to 14 , wherein the display layout and the display items are predetermined templates. The selection means is characterized in that, when the second display mode is selected, a display mode for displaying a part of the data of the part of the data on the display means can be selected. The ophthalmic information processing system according to any one of claims 12 to 15. The second display mode according to any one of claims 12 to 16 , wherein the second display mode is a display mode for displaying the part of the data and the fundus image of the eye to be inspected by the display means. Ophthalmology information processing system. The second display mode is characterized in that it is a display mode for displaying a part of data of each of a plurality of analysis data obtained by analyzing a plurality of captured images on different inspection dates side by side on the display means. The ophthalmic information processing system according to any one of claims 12 to 17. The first display mode is for displaying a plurality of analysis data obtained by analyzing a plurality of captured images obtained by photographing the left and right eyes of the subject including the eye to be displayed in a display area for each of the left and right eyes. Is the display mode of
The second display mode, claims, characterized in that a part of the data and the fundus image of the right and left eyes of the plurality of analysis data is a display mode for displaying on the display area of each of the right and left eyes 12 The ophthalmic information processing system according to any one of 18 to 18. The first display mode is the standard report mode.
The second display mode is a medical examination report mode.
When the standard report mode is selected, the standard report template which is the first template is used, and when the medical examination report mode is selected, the medical examination report template which is the second template is used. The ophthalmic information processing system according to any one of claims 12 to 19, wherein the ophthalmic information processing system is characterized. A first screen for inspecting an eye to be inspected by a first ophthalmic apparatus among a plurality of ophthalmic devices for inspecting an eye to be inspected, and a second screen different from the first screen, wherein the plurality of screens are different from the first screen. One of a plurality of screens including a second screen for inspecting the eye to be inspected by a second ophthalmic device different from the first ophthalmic device among the ophthalmic devices of the above is displayed according to an instruction from the user. An ophthalmic information processing apparatus comprising a display control means for displaying on the means. The first image obtained by photographing the eye to be inspected by the first ophthalmologic device among the plurality of ophthalmic devices on the examination date set according to the instruction from the user, and the plurality of ophthalmic devices on the set examination date. A report including a second photographed image obtained by photographing the eye to be inspected by a second ophthalmic device different from the first ophthalmic device among the ophthalmic devices, and a report corresponding to the set examination date. And the generation means to generate
A display control means for displaying the generated report on the display means,
An ophthalmic information processing device characterized by being equipped with. A first screen for inspecting an eye to be inspected by a first ophthalmic apparatus among a plurality of ophthalmic devices for inspecting an eye to be inspected, and a second screen different from the first screen, wherein the plurality of screens are different from the first screen. One of a plurality of screens including a second screen for inspecting the eye to be inspected by a second ophthalmic device different from the first ophthalmic device among the ophthalmic devices of the above is displayed according to an instruction from the user. An ophthalmic information processing method comprising displaying on a means. The first image obtained by photographing the eye to be inspected by the first ophthalmic apparatus among the plurality of ophthalmic devices on the examination date set according to the instruction from the user, and the plurality of the plurality of ophthalmic devices on the set examination date. A report including a second photographed image obtained by photographing the eye to be inspected by a second ophthalmic device different from the first ophthalmic device among the ophthalmic devices, and a report corresponding to the set examination date. To generate and
Displaying the generated report on the display means
An ophthalmic information processing method comprising. 23. or program characterized by executing the steps of the ophthalmologic information-processing method according to 24 in a computer.

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