JP6923863B1 - Report creation system, report creation program and report creation method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a novel technique for creating a finding in a medical image. SOLUTION: This is a report creation system for creating a report to which a medical image is attached by using a medical image obtained by capturing a subject, and the report creation system is a medical image display unit, a report display unit, and cooperation. The medical image display unit includes a unit, and the medical image display unit is configured so that an annotation indicating a lesion can be associated with the medical image and findings can be associated with the medical image based on an operation input. The medical image display unit and the report display unit are associated with the lesion and the findings in an ascending order selected from a numerical group or a character group having regularity indicating the order, which is not used in the report. Is processing to display the order as an annotation on the medical image or in the vicinity of the annotation on the medical image, and further, the report display unit can grasp the correspondence between the order and the findings according to the order. The findings are displayed side by side, and the order of the findings can be changed based on the operation input. The cooperation unit is sandwiched between the findings in the order of receiving the change and before and after the change. The order associated with the findings is rearranged so as to be a serial number, and the order of display processing on the medical image is changed. [Selection diagram] Fig. 1

Description

The present invention relates to a report creation system, a report creation program, and a report creation method.

Conventionally, many medical treatments based on images have been performed, and there are many scenes in which a report is created while checking a medical image, and a technique for efficiently creating a report based on an image has been required.

Patent Document 1 discloses a configuration in which the findings input to the medical image display unit are reflected in the report system, and a configuration in which the contents input to the report system are reflected in the medical image display unit.

Patent Document 2 discloses a configuration in which medical images are annotated and associated with findings, and the order of medical images is switched in conjunction with the switching of the order of findings on the report editing screen.

JP-A-2018-169801 JP-A-2009-238039

However, in the technique of Patent Document 1, it is not considered to create a report by attaching a plurality of medical images and medical images with a plurality of annotations, and the degree of freedom in report creation is low. More specifically, in the technique of Patent Document 1, the findings are not numbered for the images, so that the findings and the lesions in the image are not visually associated with each other, and the findings are further ordered. However, the readability of the report is reduced because there is no way to prioritize the display of important findings and images.

In the technique of Patent Document 2, it is necessary to prepare an attached image for each finding, and a medical image having duplicate contents may be attached. In addition, since the amount of information increases, the readability is reduced when the information is viewed on a single-screen computer or tablet terminal, or when the report is printed.

In view of the above circumstances, it is an object to be solved by the present invention to provide a technique for efficiently producing a highly readable report relating to the production of findings in medical images.

In order to solve the above invention, the present invention is a report creation system for creating a report to which a medical image is attached by using a medical image obtained by capturing a subject.
The report creation system includes a medical image display unit, a report display unit, and a cooperation unit.
The medical image display unit is configured so that an annotation indicating a lesion can be associated with the medical image and findings can be associated with the lesion based on an operation input.
The cooperation unit associates the lesion and the findings with the order selected in ascending order from a numerical group or a character group having regularity indicating the order, which is not used in the report.
The medical image display unit and the report display unit display the order on the medical image as an annotation or in the vicinity of the annotation on the medical image.
Further, the report display unit is configured so that the correspondence between the order and the findings can be grasped, the findings are arranged and displayed according to the order, and the order of the findings can be changed based on the operation input. ,
The cooperation unit rearranges the order of the findings that received the change and the order associated with the findings sandwiched between the findings before and after the change so as to be serial numbers, and the order of display processing on the medical image. Is changed.

Further, the present invention is a report creation program for creating a report to which a medical image is attached by using a medical image obtained by capturing a subject.
Make the computer function as a medical image display unit, a report display unit, and a cooperation unit.
The medical image display unit is configured so that an annotation indicating a lesion can be associated with the medical image and findings can be associated with the lesion based on an operation input.
The cooperation unit associates the lesion and the findings with the order selected in ascending order from a numerical group or a character group having regularity indicating the order, which is not used in the report.
The medical image display unit and the report display unit display the order on the medical image as an annotation or in the vicinity of the annotation on the medical image.
Further, the report display unit is configured so that the correspondence between the order and the findings can be grasped, the findings are arranged and displayed according to the order, and the order of the findings can be changed based on the operation input. ,
The cooperation unit rearranges the order of the findings that received the change and the order associated with the findings sandwiched between the findings before and after the change so as to be serial numbers, and the order of display processing on the medical image. Is changed.

Further, the present invention is a report creation method for creating a report to which a medical image is attached by using a medical image obtained by capturing a subject.
A step in which the medical image display unit associates an annotation indicating a lesion with the medical image based on an operation input, and a step of associating a finding with the lesion.
A step of associating the lesion and the findings with the order in which the collaborator is selected in ascending order from a numerical group or a character group having regularity indicating the order, which is not used in the report.
A step in which the medical image display unit and the report display unit display the order as an annotation on the medical image or in the vicinity of the annotation on the medical image.
Further, the report display unit arranges and displays the findings according to the order so that the correspondence between the order and the findings can be grasped, and accepts a change in the order of the findings based on the operation input. When,
A step in which the cooperation unit reassigns the order of the findings that received the change and the order associated with the findings sandwiched between the findings before and after the change so that they are serial numbers.
It has a step of changing the order of display processing on the medical image.

With such a configuration, the lesions and findings are displayed in an order, so that the user can grasp the correspondence relationship, and the order of the findings can be checked while checking the medical image. It can be replaced arbitrarily according to the importance. Furthermore, after that, by displaying in the order in which they were replaced, not only can the order be easily changed, but also when the order is replaced, it is possible to prevent forgetting to correct or making mistakes in the order on the medical images that are in a corresponding relationship. can do.

In a preferred embodiment of the present invention, the order is represented by a natural number, the Japanese syllabary or the alphabet, and the linking unit comprises the lesion and the linkage so that the plurality of orders included in one report are in ascending order and serial number. Determine the order in which the findings are associated.

With such a configuration, the user can more intuitively recognize the order.

In a preferred embodiment of the present invention, the medical image display unit is configured so that the order arranged on the medical image can be changed based on an operation input.
Upon receiving the change in the order arranged on the medical image, the cooperation unit associates the order of the change destination with the lesion to which the order before the change is associated, and associates the order of the change destination with the lesion. The order of the lesions that had been affected and the lesions that were associated with the order before the change and the order between the changes was rearranged so that they would be serial numbers, and the order displayed on the medical image was changed. At the same time, the order of the findings displayed by the report display unit is changed.

With such a configuration, the changes made on the medical image are reflected in the report display unit, so that there is no need to make changes on both sides and the numbers do not shift. As a result, the correspondence between annotations and findings can be easily understood and presented to the user.

In a preferred embodiment of the present invention, the report display unit displays a moving unit that moves the order of the findings to the beginning and / or a moving unit that moves to the end.
When the moving unit is operated and input by designating the findings, the linking unit so that the order of the designated findings and the findings of the moving destination and the order of the findings sandwiched between these findings are serial numbers. The order of the findings displayed by the report display unit is changed, and the order of the findings displayed on the medical image is changed.

With such a configuration, it is possible to change the order of findings more easily, and the order of other findings accompanying the movement of the order of certain findings can be serialized even if the user does not specify. You can re-roll.

In a preferred embodiment of the present invention, the report display unit displays and processes a replacement unit that changes the order of the findings.
When the replacement unit is operated and input by designating the findings, the cooperation unit replaces the order of the designated findings with the order of the previous findings or the next subsequent findings, and the report display unit displays the report. The order of the findings to be displayed is changed, and the order of the findings displayed on the medical image is changed.

With such a configuration, the order of findings in the report display unit can be arbitrarily moved to a position regarding the change of the order, and the convenience of the user is improved.

In a preferred embodiment of the present invention, the report display unit is configured to be capable of deleting the designated findings.
If there are more findings following the deleted findings, the linking unit advances the order of the subsequent findings in ascending order, the order of the findings displayed by the report display unit is changed, and the order of the findings is changed. The order of display processing on the medical image is changed.

With such a configuration, even if the findings are deleted, the order becomes a serial number, and the user can easily recognize the order of the findings.

In a preferred embodiment of the present invention, the medical image display unit is configured to be capable of deleting the designated lesion or finding.
If there are more lesions following the deleted lesion, the coordinating unit advances the order of the subsequent lesions in ascending order, changes the order of display processing on the medical image, and displays the report. The order of the findings displayed by the department is changed.

With such a configuration, even if the lesion is deleted, the order is serialized, and the order of the corresponding findings in the report is changed so that the user recognizes the order of the findings corresponding to the lesion. It will be easier.

In a preferred embodiment of the present invention, the medical image display unit can associate a plurality of lesions with one medical image.
The report display unit can attach a plurality of the medical images to one report, and when there are a plurality of medical images attached to the report, the earliest display processed on each of the medical images. Based on the order, the order of the medical images is determined.

With such a configuration, the order of the medical images can be determined according to the order of the lesions or findings associated with the medical images, which makes it easier for the user to confirm.

In a preferred embodiment of the present invention, the lesion information indicating the lesion is associated with the order, the image ID of the medical image, the annotation information, and the findings.
Further, when the medical image is attached to the report, the report ID is associated with the lesion information.

The present invention can provide a technique for efficiently producing a highly readable report relating to the production of findings in medical images.

The block diagram which shows the structure of the report making system of one Embodiment. The block diagram which shows the hardware configuration of the information processing apparatus of one Embodiment. The figure for demonstrating the information registered in the system of one Embodiment. The figure for demonstrating the medical image viewing screen in the system of one Embodiment. The figure for demonstrating the attached image editing screen in the system of one Embodiment. The figure for demonstrating the report screen in the system of one Embodiment. The figure for demonstrating the attached image in the system of one Embodiment.

Hereinafter, the description will be described in more detail with reference to the attached drawings. The drawings show preferred embodiments. However, it can be implemented in many different embodiments and is not limited to the embodiments described herein.

For example, in the present embodiment, the configuration, operation, and the like of the report creation system will be described, but the same effects can be obtained depending on the method, device, computer program, and the like to be executed. The program in the present embodiment may be provided as a non-transient recording medium that can be read by a computer, may be provided as a downloadable from an external server, or the function may be realized by a client terminal. The program may be started on an external computer (so-called cloud computing).

Further, in the present embodiment, the “part” may include, for example, a combination of hardware resources implemented by a circuit in a broad sense and information processing of software that can be concretely realized by these hardware resources. In the present embodiment, "information" means, for example, a physical value of a signal value representing a voltage / current, a high or low of a signal value as a bit aggregate of a binary number composed of 0 or 1, or a quantum superposition. It is represented by (so-called qubit), and communication / operation can be executed on a circuit in a broad sense.

A circuit in a broad sense is a circuit realized by appropriately combining a circuit (Circuit), circuits (Circuitry), a processor (Processor), a memory (Memory), and the like. That is, it includes a CPU (Central Processing Unit), a GPU (Graphics Processing Unit) LSI (Large Scale Integration), an ASIC (Application Specific Integrated Circuit), an FPGA (Field-Programmable Gate Array), and the like.

The present invention relates to a report creation system capable of displaying findings for lesions that can be read from medical images in association with each lesion. Here, the lesion in the present invention refers to a remarkable feature visually confirmed in a medical image, and is not necessarily limited to a lesion caused by a disease to be diagnosed. In particular, the lesion in the present invention refers to a broad concept including features caused by the constitution of the subject and the like as long as it can be read from a medical image. Then, in the present invention, the lesion is emphasized by annotation, the findings are input for each lesion, and a report in which the lesion and the findings are associated is created.

<System configuration>
FIG. 1 is a block diagram showing a configuration of a system according to an embodiment. As shown in FIG. 1, the report creation system includes an information processing device 1 and a storage device 2. The information processing device 1 and the storage device 2 are configured to be able to communicate via a communication network. In the present embodiment, it is assumed that a computer used in a facility such as a hospital functions as an information processing device 1 and communicates with a storage device 2 that stores information in the hospital via an in-hospital network. A modality (not shown) is connected to the storage device 2, and medical image data taken by the modality is stored in the storage device 2.

As the information processing device 1, a general-purpose personal computer or the like can be used. Further, the information processing device 1 may be configured by using a computer for the server, and may also be configured to use the functional components of the information processing device 1 as a server from a client computer capable of communicating with the server via a network. .. It is also possible to configure the information processing device 1 using a plurality of computers.

<Functional configuration>
As shown in FIG. 1, the information processing apparatus 1 includes a medical image display unit 11, a report display unit 12, and a cooperation unit 13 as functional configurations. In this case, information processing by software (stored in the storage unit 102 described later) is specifically realized by hardware (control unit 103 or the like).

<Hardware configuration>
FIG. 2 is a diagram showing an example of the hardware configuration of the information processing device 1. The information processing device 1 includes a communication unit 101, a storage unit 102, a control unit 103, an input unit 104, and an output unit 105 as a hardware configuration.

The communication unit 101 executes communication control with the communication network to perform input necessary for operating the information processing device 1 and output related to the operation result.

The storage unit 102 is an HDD, ROM, RAM, etc., and stores a report creation program according to the present invention, data used when the control unit 103 executes processing based on the program, and the like. When the control unit 103 executes the process based on the report creation program stored in the storage unit 102, the functional configuration described later is realized.

The control unit 103 includes one or more processors such as a CPU, and controls the entire operation processing of the information processing device 1 by executing the report creation program, the OS, the browser software, and other applications according to the present invention. ..

The input unit 104 is a touch panel, a mouse, a keyboard, or the like, and inputs an operation request by the user to the control unit 103. The output unit 105 is a display or the like, and displays the result of processing by the control unit or the like.

<Relationship between programs and devices>
Here, in the present embodiment, the information processing device 1 stores in the storage unit 102 a medical image display program that causes the control unit 103 to function as the medical image display unit 11 and the cooperation unit 13 (that is, as a medical image viewer). At the same time, a report display program that causes the control unit 103 to function as the report display unit 12 and the cooperation unit 13 (that is, as a report system) is stored in the storage unit 102. A user who uses the report creation system realizes the processing described later by executing both the medical image display program and the report display program in the information processing apparatus 1. Note that these programs may be configured to be executed in each of the separate information processing devices 1 connected via the network. For example, the first information processing device 1 functions as a viewer, and the second information processing device 1 functions as a report system. At this time, the medical image, the attached image, the information related to the report, and the like may be stored in the storage device 2 arranged on the network as shown in the illustrated example. A part or all of the medical image, the attached image, the information about the report, and the like may be stored in one or both of the information processing devices 1.

In another form, the medical image display unit 11 may be provided as a function of the reporting system. That is, the program is a report display program that causes the control unit 103 to function as the medical image display unit 11, the report display unit 12, and the cooperation unit 13, and as one function of the report system (viewing / editing the attached image attached to the report). As a means, the medical image display unit 11 may be realized.

<Details of functional components>
Next, with respect to the above-mentioned functional configuration, the processing contents of each part will be described in detail.

Based on the operation input, the medical image display unit 11 is configured to associate annotations indicating lesions with medical images and to associate findings with lesions. Further, the medical image display unit 11 displays the order of lesions and findings as annotations on the medical image or in the vicinity of the annotations on the medical image.

The report display unit 12 displays the order of lesions and findings as annotations on the medical image or in the vicinity of the annotations on the medical image. Further, the report display unit 12 is configured to arrange and display the findings according to the order so that the correspondence between the order and the findings can be grasped, and to change the order of the findings based on the operation input.

Further, the report display unit 12 is configured to display a moving unit that moves the order of the findings to the beginning or the end and a replacement unit that changes the order of the findings, and to delete the designated findings. Then, the information processing device 1 receives an operation input for changing or deleting the order of the findings via the moving unit, the replacement unit, or the like, and the order of the findings becomes a serial number in response to the change of the order or the deletion of the findings. Reorder as follows. The order is expressed by natural numbers, Japanese syllabary or alphabet.

The cooperation unit 13 associates lesions and findings with the order selected in ascending order from a numerical group or a character group having a regularity indicating the order, which is not used at least in the report. Further, the cooperation unit 13 reassigns the order of the findings for which the change is accepted and the order associated with the findings sandwiched between the findings before and after the change so as to be serial numbers. Similarly, when the findings are deleted, the order of subsequent findings is moved up in ascending order. The order changed in this way is reflected as the order in which the medical image display unit 11 and the report display unit 12 perform display processing, and the serial number order is displayed on various screens.

FIG. 3 is a diagram showing an example of storing a report, a medical image (attached image), a lesion, and an annotation in association with each other. In the case of FIG. 3, for the unique lesion ID, the findings, the report ID to which the medical image is attached, the image ID of the medical image to which the annotation is added, and the annotation information (for example, information indicating the type of annotation (annotation type)). , Information indicating the position on the image where the annotation is placed (coordinates of the start point and the end point)), the finding and the order of the annotation are stored in association with each other by the processing described later. Further, the report information may be associated with a report ID, a patient ID, an examination date, an attending physician ID, an image ID of an attached medical image (attached image), and the like.

Hereinafter, with reference to FIGS. 4 to 6, the report creation method using the report creation system and the processing contents by each functional component will be described. FIG. 4 is a diagram showing an example of a medical image viewing screen.

<Medical image viewing screen>
The medical image display unit 11 acquires the medical image to be displayed stored in the storage device 2 and displays the medical image viewing screen W1 (viewer screen) as shown in FIG. Here, the acquired medical image may be stored in the storage unit 102, and the medical information stored in the storage unit 102 may be used in the subsequent processing. The medical image viewing screen W1 includes a display unit W11 for displaying a plurality of acquired medical images, and displays the plurality of medical images in different sizes. The arrangement of each medical image can be changed by the user's operation. The display unit W11 displays the shooting date and time of the medical image and the operation unit W12 for accepting the viewing operation of the medical image. In the example of FIG. 4, a CT (Computed Tomography) image is displayed, and an operation unit W12 capable of moving the position of the cut surface is displayed on the left side of each display unit. In addition, for example, the enlargement / reduction of the image, the window value, the operation unit for adjusting the window width, and the like may be displayed according to the type of the image. In addition, the stored medical image is associated with meta information such as examination information related to the examination such as the examination date and the examination content and / or image information related to the image such as the shooting date and time and the file name. At least a part of may be displayed.

The user observes the medical image in detail on the medical image viewing screen W1 and confirms a notable lesion. When the lesion is confirmed, it is necessary to identify the image and record the findings for the lesion. Upon receiving an instruction input for creating a finding from the user, the medical image display unit 11 displays the attached image editing screen W2 as shown in FIG. 5 for the designated medical image.

The report can be associated with the medical image or the medical image and the lesion from the viewer screen such as the medical image viewing screen W1 or the attached image editing screen W2 described later, or one or more of the report screens W3 described later. In the present embodiment, for example, when a medical image is specified and an attachment operation is performed on the medical image viewing screen W1 shown in FIG. 4, the medical image (attached image) is obtained with respect to the report currently open on the report screen W3. Is associated (attached), and the report and the medical image can be associated. In the following description, it is assumed that the medical image is associated with the report via the viewer screen or the like, but before the medical image is attached to the report, annotations and / or findings correspond to the medical image. It may be possible to attach.

<Attached image editing screen>
The attached image editing screen W2 includes an image display unit W21, an annotation operation unit W22, a finding input unit W23, and an order editing unit W24. The image display unit W21 displays a medical image and displays annotations indicating lesions in that order based on the input lesion information. Further, from meta information such as examination information and image information associated with the medical image, at least a part of them may be displayed on the medical image (attached image). In the medical image of the illustrated example, the shooting date and the type of modality are displayed. In addition, the number of the attached image attached to the report (“1” in the illustrated example) may be displayed, and when a plurality of medical images are attached to the report, the serial order is used as the number of the attached image. The indicated number may be added.

The annotation operation unit W22 can create and edit annotations in association with medical images. The user selects the annotation format (annotation type in FIG. 3) from the "tool" and draws the annotation at an arbitrary position on the image display unit W21 to obtain the image ID of the medical image and the medical image. Annotation information associated with the position (in FIG. 3, the start point and the end point of the annotation on the image) is generated. In the present embodiment, the lesion information is registered by registering the annotation. If the operation is for the medical image associated with the report, the annotation information may be further associated with the report ID. The generated annotation information is stored in the storage device 2. The generated annotation information may be retained / registered in the transient or non-transient storage area of the storage unit 102, or may be retained / registered on a computer different from the information processing device 1 and the storage device 2. May be done.

<Association of reports and lesions>
In the present embodiment, when the annotation information is generated, the lesion information associated with the image ID is also generated, and the cooperation unit 13 assigns an order. For example, when additional annotations are created in the example of FIG. 5, the order "3" is given to the annotations. The order given in this way is displayed in the vicinity of the annotation of the image display unit W21. It should be noted that the order itself can be displayed as an annotation instead of the format such as an arrow or a straight line. At this time, lesions, annotations, findings, etc. may be registered even when the target image is not attached to a specific report (the image and the report are not associated), but in this case, the lesion information. The report ID in is blank. At this time, the annotation may not be given an order, or may be given an order so as to be a serial number in the lesion information associated with the image, for example. In this case, when a medical image is associated with a specific report via a viewer screen, a report screen, or the like, the report is associated with the registered lesions, annotations, findings, and the like.

In addition, the annotation format can be freely set from the "Option" item. When the medical image display unit 11 includes characters as annotations, the medical image display unit 11 accepts operation inputs such as the font and size, line format and width, and fill from the user, and stores them as annotation information.

In the finding input unit W23, the medical image display unit 11 accepts the user's operation input and registers the findings in the target lesion information. When inputting the findings, the user can input the findings for the lesion indicated by the selected annotation or the order by first selecting the annotation or the display of the order in the image display unit W21. By accepting the input of findings for each lesion in this way, it becomes clear which part of the medical image the findings are pointed to, which is useful for creating an easy-to-understand report.

In the order editing unit W24, the order of the lesions and findings indicated by the annotations designated in the image display unit W21 can be changed. The "to the beginning" and "the end" buttons function as a moving part that moves the designated order of findings to the beginning and a moving part that moves to the end, respectively. In addition, the buttons indicating up and down function as a replacement unit. When these buttons are operated, the specified findings are moved to the input position (for example, the order of the previous one or the order of the next one), and the cooperation unit 13 is in the order used in the report. Reorder the report to include findings and lesions associated with other images attached to the report so that they are all serial numbers.

Also, when "Delete" of "Command" is selected by specifying an annotation, the specified annotation and findings are deleted. That is, the lesion information indicated by the designated annotation is deleted from the storage device 2. Then, the cooperation unit 13 advances the order of subsequent findings in ascending order and updates the order in the lesion information. For example, on the attached image editing screen W2 shown in FIG. 5, when lesions in order "1" (annotation in which order "1" is specified or its findings) are specified and "deletion" is executed, FIG. 5 shows. On the attached image editing screen W2 shown, the lesions in the order "2" are moved up to the order "1", and the number "1" is displayed in the vicinity of the annotation. In this way, when the order is updated by changing the order or deleting the findings or lesions, the updated order is reflected in the attached image editing screen W2 and the report screen described later.

When annotations and findings are added to the lesions in the medical image on the attached image editing screen W2, the added contents are reflected on the medical image viewing screen W1. Further, when the order of annotations is changed or the annotations (lesions) are deleted, the changed or deleted contents are reflected on the medical image viewing screen W1.

In the present embodiment, the medical image display unit 11 displays an attached image editing screen W2 for adding annotations or the like to the image selected on the medical image viewing screen W1 (viewer screen). On the other hand, the annotation operation unit W22, the finding input unit W23, the order editing unit W24, and the like may be displayed on the medical image viewing screen W1 (viewer screen), and the attached image may be edited on the medical image viewing screen W1.

<Report screen>
FIG. 6 is a diagram showing an example of a report screen of the present embodiment. When the report display unit 12 receives an instruction input for creating a report from the user, the report display unit 12 displays the report screen W3 and displays it on a display or the like provided in the information processing device 1. The hatched area on the report screen W3 refers to an area that cannot be edited when the report is created, or an operable object such as a tab or a slide bar.

The report screen W3 displays information on the target patient, the date and time of the examination, the doctor in charge, and the like on the examination information display unit W31. Further, in the example of FIG. 6, the information of the past report regarding the same patient is displayed in the area of about one third on the left side of the screen. In this way, for example, by making it possible to view reports such as the previous inspection results at the same time, it becomes easy to create and edit new reports.

Further, the report screen W3 includes a finding editing unit W32 and an image display unit W33. In the findings editorial unit W32, the findings for each lesion and their order are displayed side by side so that the correspondence can be grasped, based on the lesion information associated with the image attached to the target report. Further, the image display unit W33 displays an image attached to the target report based on the report information, and displays annotations and an order on the image at a designated position based on the lesion information. Thereby, on the report screen W3, the target medical image, the lesion position thereof, and the findings can be confirmed in association with each other.

In the finding editorial unit W32, the user can select the finding. When a finding is selected, the user can edit the content of the finding in the "Finding input" item. Further, the "to the beginning" and "the end" buttons function as a moving part that moves the designated order of findings to the beginning and a moving part that moves to the end, respectively. In addition, the buttons indicating up and down function as a replacement unit. When these buttons are operated, the specified findings are moved to the input position, and the coordinating unit 13 is arranged so that the order of the lesions and findings associated with the report is a unique serial number. Re-roll. Here, when there are a plurality of images attached to the target report, they are associated with other images attached to the report so that the order used in the report is all serial numbers. The coordinating unit 13 rearranges the order so that the numbers are serial, including the findings and lesions.

Further, when the finding editing unit W32 accepts the operation of designating and deleting the finding, the designated finding is deleted. In the illustrated example, when the "Delete Findings" button is pressed, the corresponding findings are deleted. That is, the lesion information associated with the designated findings is deleted from the storage device 2. Then, the cooperation unit 13 advances the order of subsequent findings in ascending order and updates the order in the lesion information. In this way, when the order is updated by changing the order or deleting the findings or lesions, the updated order is reflected on the attached image editing screen W2 and the report screen W3.

In the image display unit W33, the medical image associated with the report is displayed together with the annotation and the order created on the attached image editing screen W2. Here, on the attached image editing screen W2 and the report screen W3, the latest report information and lesion information stored in the storage device 2 are reflected, and the latest order is displayed together with the annotation. As a result, the edited content via the attached image editing screen W2 and the edited content via the report screen W3 can cooperate with each other and always display the latest information. Further, even when a plurality of information processing devices 1 exist, they can be edited and the latest information can be displayed on each other.

Further, in the image display unit W33, the images are displayed side by side in order from the left according to the order of the findings given to each image. Specifically, when a plurality of lesion information is associated with each image, the lesion information of each image is arranged from left to right based on the earliest order. For example, in the example of FIG. 7A, the lesions in the image W33A are assigned the order "1" and "2", the lesions in the image W33B are assigned the order "3", "4", and "5", and the lesions in the image W33C are assigned the order "1" and "2". The lesions are numbered "6" in order. The first order of the images W33A to C is "1", "3", and "6", respectively.

On the other hand, when the lesions of the order "6" are changed to the order "2", the order of the images W33A to C (displayed on the image display unit W33) on the report screen W3 is shown in FIG. 7B. Changes as shown. In FIG. 7B, the earliest order of the images W33A to C changes to "1", "4", and "2", respectively, and the images are replaced in the order of W33A, W33C, and W33B. Further, when the order of the attached images is changed, the number of the attached images may also be changed. In the illustrated example, the numbers of W33C and W33B have been changed.

Here, when the lesions in order "2" are deleted in the state of FIG. 7 (b), the image (displayed on the image display unit W33) on the report screen W3 as shown in FIG. 7 (c). W33C is deleted, and the two attached images W33A and W33B are changed to a side-by-side state. Further, when the attached image is deleted, if the number of the attached image is no longer a serial number, the number of the attached image may be changed. In the illustrated example, the number of W33B has been changed.

Here, when the findings are deleted on the report screen W3 or the order set for the findings is changed, the cooperation unit 13 updates the display on the viewer screen. As a result, the medical image and the annotation are displayed on the medical image viewing screen W1 and the attached image editing screen W2 in a state where the processing specified on the report screen W3 is reflected. Further, when the findings are deleted on the report screen W3 with respect to the image to which one lesion and the finding are associated, the association of the image with the report may be canceled.

As described above, according to the report creation system of the present embodiment, it is possible to easily recognize the correspondence between the lesion location and the finding on the medical image in the creation of the findings of the medical image, and the order thereof can be easily changed. It can be carried out.

In the present embodiment, on the medical image viewing screen W1, the attached image editing screen W2, and the report screen W3, elements for the user to make a processing request are embodied by buttons or the like arranged on the screen. Some or all of the elements for making these processing requests may be displayed in another manner. Specifically, the medical image display unit 11 and / or the report display unit 12 displays an element for making a processing request by pressing a right click when operating the mouse, or lengthens the target element on the touch panel. By pressing it, the element for making a processing request may be displayed.

<Another form>
After attaching the medical image to the report, the attached image editing screen W2 may be configured to be displayable from the report screen so that annotations, lesions, findings, etc. can be added / edited / deleted. Further, the medical image display unit 11 may be provided as one function of the report system. The report display unit 12 displays the report screen W3, and when the attached image is selected in the image display unit W33, the medical image is displayed. The display unit 11 may display the attached image editing screen W2.

1: Information processing device 2: Storage device 11: Medical image display unit 12: Report display unit 13: Coordination unit 101: Communication unit 102: Storage unit 103: Control unit 104: Input unit 105: Output unit W1: Medical image viewing screen W11: Display unit W12: Operation unit W2: Attached image editing screen W21: Image display unit W22: Annotation operation unit W23: Finding input unit W24: Order editing unit W3: Report screen W31: Inspection information display unit W32: Finding editing unit W33 : Image display

Claims (11)

It is a report creation system for creating a report with a medical image attached using a medical image of the subject.
The report creation system includes a medical image display unit, a report display unit, and a cooperation unit.
The medical image display unit is configured so that an annotation indicating a lesion can be associated with the medical image and findings can be associated with the lesion based on an operation input.
The cooperation unit associates the lesion and the findings with the order selected in ascending order from a numerical group or a character group having regularity indicating the order, which is not used in the report.
The medical image display unit and the report display unit display the order on the medical image as an annotation or in the vicinity of the annotation on the medical image.
Further, the report display unit is configured so that the correspondence between the order and the findings can be grasped, the findings are arranged and displayed according to the order, and the order of the findings can be changed based on the operation input. ,
The cooperation unit rearranges the order of the findings that received the change and the order associated with the findings sandwiched between the findings before and after the change so as to be serial numbers, and the order of display processing on the medical image. The reporting system that changes. The order is expressed by a natural number, Japanese syllabary or alphabet, and the cooperation unit determines the order of associating the lesion and the findings so that the plurality of orders included in one report are in ascending order and serial number. The report creation system according to claim 1. The medical image display unit is configured so that the order arranged on the medical image can be changed based on the operation input.
Upon receiving the change in the order arranged on the medical image, the cooperation unit associates the order of the change destination with the lesion to which the order before the change is associated, and associates the order of the change destination with the lesion. The order of the lesions that had been changed and the lesions that were associated with the order before the change and the order between the changes was reassigned so that they were serial numbers, and the order displayed on the medical image was changed. The report creation system according to claim 1 or 2, wherein the order of the findings processed by the report display unit is changed at the same time. The report display unit displays and processes a moving unit that moves the order of the findings to the beginning and / or a moving unit that moves to the end.
When the moving unit is operated and input by designating the findings, the linking unit so that the order of the designated findings and the findings of the moving destination and the order of the findings sandwiched between these findings are serial numbers. The report creation system according to any one of claims 1 to 3, wherein the order of the findings displayed by the report display unit is changed, and the order of the findings displayed on the medical image is changed. .. The report display unit displays and processes a replacement unit that changes the order of the findings.
When the replacement unit is operated and input by designating the findings, the cooperation unit replaces the order of the designated findings with the order of the previous findings or the next subsequent findings, and the report display unit displays the report. The report creation system according to any one of claims 1 to 4, wherein the order of the findings to be displayed is changed and the order of the findings to be displayed on the medical image is changed. The report display unit is configured so that the designated findings can be deleted.
If there are more findings following the deleted findings, the linking unit advances the order of the subsequent findings in ascending order, the order of the findings displayed by the report display unit is changed, and the order of the findings is changed. The report creation system according to any one of claims 1 to 5, wherein the order of display processing on the medical image is changed. The medical image display unit is configured so that the designated lesion or finding can be deleted.
If there are more lesions following the deleted lesion, the coordinating unit advances the order of the subsequent lesions in ascending order, changes the order of display processing on the medical image, and displays the report. The report creation system according to any one of claims 1 to 6, wherein the order of the findings to be displayed and processed by the department is changed. The medical image display unit can associate a plurality of lesions with one medical image.
The report display unit can attach a plurality of the medical images to one report, and when there are a plurality of medical images attached to the report, the earliest display processed on each of the medical images. The report creation system according to any one of claims 1 to 7, wherein the order of the medical images is determined based on the order. The lesion information indicating the lesion is associated with the order, the image ID of the medical image, the annotation information, and the findings.
Further, the report creation system according to any one of claims 1 to 8, wherein when the medical image is attached to the report, the report ID is associated with the lesion information. It is a report creation program for creating a report with a medical image attached using a medical image of the subject.
Make the computer function as a medical image display unit, a report display unit, and a cooperation unit.
The medical image display unit is configured so that an annotation indicating a lesion can be associated with the medical image and findings can be associated with the lesion based on an operation input.
The cooperation unit associates the lesion and the findings with the order selected in ascending order from a numerical group or a character group having regularity indicating the order, which is not used in the report.
The medical image display unit and the report display unit display the order on the medical image as an annotation or in the vicinity of the annotation on the medical image.
Further, the report display unit is configured so that the correspondence between the order and the findings can be grasped, the findings are arranged and displayed according to the order, and the order of the findings can be changed based on the operation input. ,
The cooperation unit rearranges the order of the findings that received the change and the order associated with the findings sandwiched between the findings before and after the change so as to be serial numbers, and the order of display processing on the medical image. The reporting program that changes. It is a report creation method for creating a report with a medical image attached using a medical image obtained by capturing a subject.
A step in which the medical image display unit associates an annotation indicating a lesion with the medical image based on an operation input, and a step of associating a finding with the lesion.
A step of associating the lesion and the findings with the order in which the collaborator is selected in ascending order from a numerical group or a character group having regularity indicating the order, which is not used in the report.
A step in which the medical image display unit and the report display unit display the order as an annotation on the medical image or in the vicinity of the annotation on the medical image.
Further, the report display unit arranges and displays the findings according to the order so that the correspondence between the order and the findings can be grasped, and accepts a change in the order of the findings based on the operation input. When,
A step in which the cooperation unit reassigns the order of the findings that received the change and the order associated with the findings sandwiched between the findings before and after the change so that they are serial numbers.
A report creation method comprising a step of changing the order of display processing on the medical image.

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