JPH05342317A - Picture filing system - Google Patents

Abstract

PURPOSE:To prevent the input of erroneous information and to easily and accurately record a picture and related information while relating them to each other. CONSTITUTION:Specific information which specified the object of the medical picture of a patient to be fetched by an electronic scope device 1 is inputted from a first keyboard 5. A host computer 8 is provided with a hard disk device where a data base including a patient data file, examination data file, and a disk data file is stored, and the related information corresponding to specific information is read out. The medical picture obtained by the electronic scope device 1 is recorded in a video disk recorder device 6, and the examination file which correlates the related information with the recording area of the medical picture to each other is generated and is recorded in the hard disk device.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an image filing system for managing an image output device and an image reproducing device.

[0002]

2. Description of the Related Art In recent years, by inserting an elongated insertion portion into a body cavity, it is possible to observe internal organs in the body cavity and, if necessary, to perform various therapeutic treatments using a treatment instrument inserted in a treatment instrument channel. Endoscopes (also called scopes or fiberscopes) are widely used.

A charge coupled device (abbreviated as CCD).
Various electronic scopes using a solid-state image pickup device such as the above as an image pickup means are also used. This electronic scope has a higher resolution than a fiberscope and can easily record and reproduce images, and can easily perform image processing such as image enlargement and comparison of two screens. It has advantages such as easy image recording.

As an image recording device, for example, a video disc recorder device is known. This is for recording and reproducing and outputting an image signal of one frame on one track of an optical disc. For example, 2400 still images can be recorded per one optical disc, and a specific track of the image is randomly accessed and recorded. It is possible to easily reproduce a still image.

Further, an endoscopic image filing system using, for example, the above video disk recorder device is also known. This is to record an output image of a system in which an electronic TV or a fiberscope is combined with an endoscope TV camera to a video disk recorder device as a still image by remote operation from the scope, and at the same time undergo an endoscopic examination. Data such as the patient's name, date of birth, sex, ID code, and examination date is managed in a database in association with the recorded images. After the examination, the data is searched and searched by conditions such as patient ID or examination date. Since it is possible to easily specify and display the inspection data and the image related thereto, the recording of the endoscopic inspection and the management of the image are simplified and the convenience is greatly improved.

[0006] In Japanese Patent Laid-Open No. 63-5721, a video data processor connected to an electronic endoscope has a search data input judging means for judging whether search information is inputted from the search information inputting means, and an image file. An endoscopic video device is shown that includes communication means for communicating with the device and warning means for warning that no search information has been entered.

[0007]

Conventionally, in order to start an endoscopic examination, an operator had to input a patient ID code, a name, a date of birth and other data from a keyboard. However, during this time, the patient to be examined is kept waiting, and since data is input at a rush time at the start of the examination, there are problems such as easy input errors.
For this reason, there is a possibility that incorrect information may be associated with the obtained image and recorded, and a problem may occur in management of inspection information and images.

The present invention has been made in view of the above circumstances. It is possible to prevent incorrect information from being input without making an erroneous operation when inputting data, and to easily and accurately store images and related information. It is an object of the present invention to provide an image filing system capable of recording in association with each other.

[0009]

An image filing system according to the present invention comprises an image input means for taking in a medical image of a patient, a specific information input means for inputting specific information for specifying a target of the medical image, and the specific information. And a related information database in which the related information related to this specific information is stored as a pair, and the related information database is searched based on the specific information input by the specific information input means to obtain the specific information. Related information reading means for reading the corresponding related information, image recording means for recording the medical image input by the image input means, related information read by the related information reading means and the image recording means. And an inspection file creating means for creating an inspection file that associates the recorded area of the medical image It is obtained by including an inspection file storage means for storing test files that were created by the.

[0010]

In the present invention, the specific information inputting means inputs the specific information for specifying the object of the medical image of the patient captured by the image inputting means. The related information reading means searches the related information database based on the inputted specific information and reads the related information corresponding to the specified information. And
The image recording unit records the medical image input by the image input unit, and the inspection file creating unit associates the read related information with the recording area of the medical image recorded in the image recording unit. And the inspection file is stored by the inspection file storage means.

[0011]

Embodiments of the present invention will be described below with reference to the drawings. 1 to 10 relate to a first embodiment of the present invention,
FIG. 1 is an explanatory view of the configuration of an image filing system, FIG. 2 is a block diagram showing a schematic configuration of the image filing system, FIG. 3 is an explanatory diagram of an endoscope distal end portion, and FIG. 4 is a configuration explanatory view of a video processor device. 5 is a block diagram showing the configuration of the host computer, FIG. 6 is an explanatory diagram of a data file,
FIG. 7 is a flowchart showing the entire program, FIG.
Is an explanatory diagram of the main menu screen displayed on the monitor,
FIG. 9 is an explanatory diagram of an endoscopic image displayed on the monitor, and FIG.
FIG. 6 is a flowchart of a subroutine of endoscopy.

A schematic description of this embodiment will be given with reference to FIG. The image file system 41 of the present embodiment is composed of an image output device 42 and an image reproduction device 43. The image output device 42 is provided with specific information input means 44 for inputting information for specifying the target of the image to be picked up. The specific information input means 44 outputs the input specific information to the specific information transmitting means 46. It has become. The specific information transmitting means 46 transmits the input specific information to the image reproducing device 4.
3 is output to the specific information receiving means 47 provided in No. 3.

Further, the image output device 42 is provided with a related information receiving means 49 for receiving the related information outputted from the image reproducing device 43, and the related information receiving means 49 outputs the related information to the synthesizing means 51. It is supposed to do.
The synthesizing unit 51 synthesizes the captured image with relevant information and outputs the synthesized information to the image reproducing device 43.

On the other hand, the image reproducing device 43 is provided with related information searching means 52 to which the specific information is inputted from the specific information receiving means 47. The related information searching means 52 is connected to the related information recording means 53 for recording information related to the object of the image, and the related information searching means 52 searches for the related information recorded in the related information recording means 53. , To the related information transmitting means 54. The related information transmitting means 54 outputs the related information to the related information receiving means 49 provided in the image output device 42.

Further, the image reproducing device 43 has the synthesizing means 5
Recording means 56 is provided for receiving the output of 1 and recording an image in which this related information is combined.

Next, referring to FIG. 1, a specific structure of the image filing system 41 will be described.

In this embodiment, the image output device 42 is used.
Is composed of an electronic scope device 1, a light source device 2, a first TV monitor 3, a video processor device 4, and a first keyboard 5, and an image reproducing device 43 is a video disc recorder device 6. Second TV monitor 7, host computer 8, computer display 9
And a second keyboard 10 and a mouse 11.

In FIG. 1, an electronic scope device 1 as an image input means is configured to introduce illumination light from a light source device 2 via a light guide 1d and irradiate it from a tip portion 1b thereof. That is, as shown in FIG.
An illumination lens 1e for irradiating the illumination light from the light guide 1d, an objective lens 1f for forming an image of an observation site illuminated by the illumination light, and a solid-state image sensor 1g at a position where the observation site is imaged are provided in b. It is arranged. This solid-state image sensor 1
g is connected to operate by a drive signal from the video processor unit 4, convert the formed image into an electric signal, and output the image signal to the video processor unit 4. Returning to FIG. 1, the electronic scope device 1 is further provided with a release switch 1a on its operation portion 1c, and an operation signal of the release switch 1a is a video processor device 4.
Connected to be output to.

As shown in FIG. 4, the video processor device 4 has a sync signal generating circuit 61 for supplying a timing signal and a drive signal which are synchronized to the light source device 2 and the electronic scope device 1, respectively. The image signal is read from the solid-state image pickup device 1g by the drive signal applied from the circuit 61. The image signal is input to the image processing unit 62, and the image processing unit 62 performs signal processing on the image signal and outputs it as a so-called video signal. The video signal is output to the first TV monitor 3 and the video disc recorder device 6 via the superimposing unit 63.

A control signal is input from the control unit 64 to the image processing unit 62 and the superimposing unit 63 as the synthesizing unit 51, and the control unit 6 is further provided.
4 is connected so that the serial interface 66 as the specific information transmitting means 46 and the related information receiving means 49 can input / output control signals to / from the host computer 8.

Further, the first keyboard 5 as the specific information input means 44 is connected to the control section 64 via the keyboard interface 67, and data such as a patient ID, a name and a date of birth can be inputted. ..

Returning to FIG. 1, the serial interface 66 has a first serial transmission line 4a connected to the host computer 8 so that commands and data can be transmitted and received. As for the data, when each data on the screen shown in FIG. 9 is input, the contents are automatically transmitted, and "release" is performed by operating the release switch 1a.
However, it is configured such that the transmission of the “inspection completed” input from the first keyboard 5 is performed. The data sent from the host computer 8 is displayed at a predetermined position on the screen shown in FIG.

The video disk recorder device 6 as the image recording means records and reproduces the input video signal, and its operation is the second operation which is connected to the host computer 8.
It is controlled by a command sent via the serial transmission line 6a. Table 1 shows the video disk recorder device 9
The following is a list of commands. Note that the loading of the optical disc is configured to be automatically performed by manually inserting the optical disc into an insertion opening (not shown) of the video disc recorder device 6. The output of the video disc recorder device 6 is connected to a second TV monitor 7 that displays an image.

[0024]

[Table 1] A computer display 9 for displaying output information, a second keyboard 10 for inputting data and the like, and a mouse 11 for inputting position coordinates on the computer display 9 are connected to the host computer 8.
Here, the mouse 11 is provided with a mouse switch 11a used for designating a position.

FIG. 5 shows the details of the host computer 8. In FIG. 5, CPU 1 is provided on the computer bus 24.
2, RAM13, hard disk interface 1
4. Hard disk device 15 as related information recording means 53, floppy disk interface 16, floppy disk drive device 17, video RAM 18,
The CRT controller 19, the keyboard interface 20, the mouse interface 21, the first serial interface 22, the second serial interface 23 as the specific information receiving means 47 and the related information transmitting means 54 are connected to each other, and the computer display 9 is connected to the CRT. By connecting the second keyboard 10 to the keyboard interface 20 to the controller 19, it functions as an independent so-called personal computer.

The mouse interface 21 is connected to the mouse 11, receives position information from the mouse 11 and operation information of the mouse switch 11a, and receives the computer bus 2
4 to CPU 12.

The first and second serial interfaces 22 and 23 perform serial communication with an external device based on, for example, the RS-232C standard. Here, the first serial interface 22 and the video disk recorder device 6 are connected to each other. Communication is performed, and the second serial interface 23 communicates with the video processor device 4.

A database file as related information is recorded in the hard disk device 15 as a related information database and inspection file storage means. Figure 6
Shows the contents of the database file recorded in.

In FIG. 6, (a) is a patient data file in which the data of each patient who has undergone the examination is recorded. That is, the “patient ID” is a number individually assigned to each patient, and by specifying this number, one patient is specified. “Name” represents the name of the patient, “sex” represents “M” for male, and “F” represents female. “Birth date” is represented as an 8-digit number in the Christian era, with the upper 4 digits representing the year, the next 2 digits representing the month, and the last 2 digits representing the day.

Next, FIG. 3B shows an examination data file as an examination file, which is recorded in units of one examination conducted on one patient. The “inspection ID” is a number added in ascending order in the order in which the inspection is performed. By specifying this number, one inspection is specified. "Inspection date"
Is the date the test was performed and is expressed in the same way as the date of birth of the patient data. "Patient ID" is the patient ID of the patient whose examination was examined. "Disc No." is the number of the optical disc on which the image of the inspection is recorded, and by identifying this number, one optical disc is identified. The "recording start position No." is the track number of the image recorded first in the inspection, and the "recording end position No." is the track number of the image recorded last. Each image recorded during that time is recorded in chronological order between these two track numbers.

Finally, FIG. 7C shows a disc data file in which information about each optical disc on which the inspection image is recorded is recorded. "Disc No." is a number given to each disc separately. "Registration date" is the date when the disc number was registered on the optical disc, and is expressed in the same way as the date of birth of the patient data. The "final recording position number" is the track number of the image last recorded on the disc.

The hard disk device 15 also has a CPU 1
A program for controlling the operation of No. 2 is stored, and the program is transferred to the RAM 13 via the hard disk interface 14 and sequentially read and executed by the CPU 12.

FIG. 7 is a flowchart showing the entire program. In FIG. 7, various initializations are performed in P1.

At P2, the main menu shown in FIG. 8 is displayed on the computer display 9. Display is CPU
12 sequentially reads the screen format from the RAM 13 and transfers it to the VRAM 18, and the CRT controller 1
9 outputs the data on the VRAM 18.

At P3, one menu is selected by the operator's operation from the main menu displayed at P2.

That is, in FIG. 8, menus 1 to 5 are displayed, and there are first to fifth buttons 36, 37, 38, 39 and 40 corresponding to the respective numbers. The mouse cursor 35 moves on the screen by operating the mouse 11, and by pressing the mouse switch 11a, the position of the mouse cursor 35 at that time on the screen is designated. That is, the first to fifth buttons 36, 37, 38,
By moving the mouse cursor 35 over 39 and 40 and pressing the mouse switch 11a there, the menu corresponding to the button is selected.

When the mouse cursor 35 is moved to the display position of each menu and the mouse switch 11a is pressed there, the selected marker 31 is displayed so as to surround the menu, and the mouse switch 11a is again displayed inside the selected marker 31. You can also select the menu by pressing.

The display of the screen and the selection of the menu or the command using the mouse 11 are almost the same on other screens, and will be omitted hereinafter.

In P4 of FIG. 7, it is judged whether or not the selected menu is "1", and if it is "1", P5 is selected.
If not, move to P6.

At P6, it is determined whether or not the selected menu is "2". If "2", the process proceeds to P7, and if not, the process proceeds to P8.

At P8, it is judged whether or not the selected menu is "3". If "3", the process goes to P9, and if not, the process goes to P10.

At P10, the selected menu is "4".
If it is "4", move to P11,
Otherwise, the selected menu is regarded as "5", that is, the end, and the program ends.

At P5, the endoscopic examination process is performed.

FIG. 10 shows a flow chart of the endoscopic inspection subroutine. In FIG. 10, at P12, various data are initialized, and a "recording mode set" command is sent to the video disk recorder device 6, and then a "track number. Check" command is used to obtain the track number.

At P13, the reception of data from the video processor 4 is awaited.

At P14, it is judged whether or not the transmitted data is "release". If "release", then P1
5. If not, proceed to P18.

At P15, it is determined whether or not the release is possible. That is, is the patient ID already entered?
Alternatively, if either the patient's name and the date of birth are both entered, the release is possible and the process proceeds to P16. In other cases, the process proceeds to P7.

The patient ID, the name of the patient, and the date of birth are specific information.

At P16, a command of "record still image" is sent to the video disk recorder device 6.

At P17, a message indicating that the release is not possible is output.

At P18, it is judged whether or not the data received at P13 is a patient ID.
Otherwise, proceed to P24.

At P19, it is determined whether or not the inspection is currently in progress. In other words, if the image has already been recorded and the image has not yet been registered in the database, it is considered to be under examination and the process proceeds to P20. In other cases, P2 is entered.
Go to 2.

At P20, the images recorded so far are newly registered in the database. In other words, the track No. check command is sent to the video disk recorder device 6 to obtain the track No., and the track obtained in P12 together with the related data at the end of the inspection data file.
The No. is added as the recording start position number, and the track number obtained here is added as the recording end position number. If the patient is not registered in the patient data file, register it there as well. If the patient ID is not input, the number next to the patient ID at the end of the patient data file is automatically given.

At P21, various data other than the data determined to be the patient ID at P18 are cleared.

At P22, the patient data file is searched based on the patient ID.

At P23, the patient data retrieved at P22 is transmitted to the video processor device 4.

At P24, it is judged whether or not the data received at P13 is any of "name", "date of birth", and "sex". If any of the above is true, go to P25, otherwise. Go to P27.

At P25, it is determined whether the sent data can be accepted. That is, if the patient ID has not been entered, or if it has already been entered, but it is not registered in the patient data file, acceptance is possible P2
Go to 6 and otherwise return to P13 without doing anything.

At P26, data is set and held. In other words, if data is registered in the database from this state, the data set here will be recorded.

In P27, it is judged whether or not the data received in P13 is "inspection completed". If "inspection completed", the process returns to P28, and if not, the process returns to P13.

At P28, it is determined whether or not the inspection is currently being performed. In other words, if the image has already been recorded and the image has not yet been registered in the database, it is considered to be under inspection and the process proceeds to P29. In other cases, P3
Go to 0.

At P29, the same processing as at P20 is performed.

At P30, the subroutine is terminated and the process returns to the called routine. The flow from P12 to P30 constitutes the related information reading means and the inspection file creating means.

Returning to FIG. 7, P7 performs an image search process. In the image search, the operator inputs a keyword, calls the examination corresponding to the keyword, and displays the image recorded in the examination.

At P9, patient data management processing is performed.

In the patient data management, the contents of the patient data file shown in FIG. 6 (a) are edited. That is, a new patient is registered, that is, data is added to the patient data file, or existing patient data is corrected by a user operation.

P11 is an optical disc management process.

In the management of the optical disc, it is confirmed whether or not the optical disc is already registered, if it is already registered, the disc number is confirmed, and a list of already registered discs and the number of recorded images thereof is displayed. Register a new disc.

Next, the operation of the embodiment will be described. If the program is started in FIG. 7, the system is processed in P1 and then the main menu in FIG. 8 is displayed on the computer display 9 in P2.

When "1" is input here, the endoscopic examination process is executed.

At this time, the light source device 2 emits illumination light based on the timing signal from the video processor device 4, and the illumination light passes through the light guide 1d and the illumination lens 1 is used.
It is irradiated from e toward the observation site. An image of the illuminated observation region is formed on the solid-state image pickup device 1g by the objective lens 1f, and the synchronization signal generation circuit 61 of the video processor device 4
Is converted into an electric signal by the solid-state image pickup device 1g driven by the driving signal from the electric signal. This electric signal is converted into a video signal by the image processing unit 62 of the video processor device 4. The converted video signal is superimposed 6
3 is output to the first TV monitor 3, the monitor image shown in FIG. 9 is displayed on the endoscope display unit 3a, and is also output to the video disk recorder device 6.

At this time, in the host computer 8, FIG.
It operates based on. When the operator inputs the patient ID from the first keyboard 5, P18, P19, P22, P2
3 is processed and the data relating to the patient is sent to the video processor device 4 and displayed on the first TV monitor 3. After this, if the operator operates the release switch 1a, an image is recorded at P14, P15, and P16, and if "inspection end" is input, registration at the database is performed at P27, P28, and P29, and the inspection ends. ..

If the patient ID is not registered, nothing is transmitted in P23. Instead, if the operator inputs other data, the processing of P24, P25, and P26 is performed. The data is registered in the patient data file and the examination data file.

Even if the patient ID is not input, the test can be performed if the patient's name and date of birth are input. At the end of the test, those data are automatically generated together with the patient data file and the test data. Registered in the file.

If the patient ID is input once and is already registered in the patient data file, even if the operator inputs other related data thereafter, those are ignored in the processing of P24 and P25. The registered data will be finally recorded in the database.

When the operator rewrites the patient ID without inputting "examination end" at the end of the examination, it is automatically regarded as the end of the examination and the processing of P18, P19, P20, and P21 is performed until then. The contents of the above are registered in the database, and after that, the process of P22 and P23 is started as another new inspection.

When the end of inspection is input again after the end of inspection, the processing of "endoscopic inspection" is ended in P27, P28, and P30, and the process returns to P2 in FIG.

Returning to FIG. 7, in P3, "patient data management" is performed.
If the command is selected, the patient data management process of P9 is performed. Here, the data of a new patient prior to the examination is input, or the data is corrected when the input data is incorrect.

When the "optical disc management" command is selected, the optical disc management process of P11 is performed, and a new disc is registered.

In this embodiment, the operator simply inputs the patient ID at the start of the endoscopic examination, and the other data is automatically set, which is very convenient, and incorrect data can be input. Sex becomes low. In addition, even a new patient whose patient ID has not been registered can be tested by inputting the patient's name and date of birth, and at the end of the test, the patient ID is automatically given, which is convenient and quick. It can be carried out.

In the process shown in FIG. 10, the registration in the database is performed at the end of the inspection, but the registration may be performed each time the release is performed. In this case, even if a power failure occurs during the inspection, it will not be recorded in the optical disk but not registered in the database.

The contents are shown in FIG. 6 as an examination data file, a patient data file, and a disk data file, and these are used on each display screen, etc., but the contents are not limited to those shown here, but for example, patient data. As the patient's disease name, history of allergies and allergies, patient family data, physical data such as height and weight, etc.Also, as inspection data, inspection doctor, inspection start time, inspection required time, presence or absence of biopsy, inspection result Various data are related and made into a database, these can be input and edited,
It is also possible to display it in association with an appropriate screen so that it can be referred to.

In addition, the age of the patient at the time of the examination may be included in the examination data file. The age of a patient can be calculated from the date of birth and the date of examination, and can be automatically calculated and registered at the time of registration of the date of birth and at each examination after registration.

Further, by changing P19 and P28 in FIG.
It may be possible to register as inspection data even if there is no recorded image. In this case, for example, when newly introducing such a system, by registering the examination before the introduction without an image, it is possible to collectively manage the data regarding the patient who is continuously examined.

FIG. 11 is a structural explanatory view of an image file system according to the second embodiment of the present invention.

In this embodiment, an image file system using a conventional fiberscope instead of an electronic scope is used.
Unlike the first embodiment, the electronic scope device 1, the video processor device 4, and the first keyboard 5 are not provided, but instead, the fiberscope device 25, the camera head 26, the camera control unit (CCU) 27, and the superimposing device 28. Are connected, and the light source device 29 is also different.

In this embodiment, the image output device 42 includes the fiberscope device 25, the camera head 26, and the CCU 27.
And a light source device 29, a first TV monitor 3 and a second keyboard 10. An image reproducing device 43 includes a superimposing device 28, a video disc recorder device 6, and a second TV monitor. 7, a host computer 8, a computer display 9 and a mouse 11.

In this embodiment, the release signal is sent to the host computer 8 via the light source device 29 by operating the release switch 25a, and the image is picked up by the camera head 26 and converted into the video signal by the CCU 27. The superimposing device 28 as a synthesizing unit is configured to output a screen substantially similar to the screen shown in FIG. At this time, input of data and the like is performed using the second keyboard 10.

The other structure is the same as that of the first embodiment.

In this embodiment, since a fiber scope which has been widely used conventionally can be used, various kinds of scopes can be connected and the operator can select and use a scope more suitable for inspection.

Further, it may be possible to select whether or not superimposing is performed in this system. In this case, when the superimposing is not performed, not only the endoscopic image but also various endoscopic images such as an ultrasonic endoscopic image related to the endoscope, an image of the patient's face, and an X-ray image are taken. Can be managed with.

[0092]

As described above, according to the present invention, it is possible to prevent erroneous information input without making an erroneous operation when inputting data, and to easily and accurately associate an image with related information. There is an effect that it is possible to record.

[Brief description of drawings]

1 to 10 relate to a first embodiment of the present invention, and FIG. 1 is an explanatory diagram of a configuration of an image filing system.

FIG. 2 is a block diagram showing a schematic configuration of an image filing system.

FIG. 3 is an explanatory diagram of an endoscope tip portion.

FIG. 4 is an explanatory diagram of a configuration of a video processor device.

FIG. 5 is a block diagram showing the configuration of a host computer.

FIG. 6 is an explanatory diagram of a data file.

FIG. 7 is a flowchart showing the entire program.

FIG. 8 is an explanatory diagram of a main menu screen displayed on the monitor.

FIG. 9 is an explanatory diagram of an endoscopic image displayed on a monitor.

FIG. 10 is a flowchart of a subroutine of endoscopy.

FIG. 11 is an explanatory diagram of a configuration of an image file system according to a second embodiment of the present invention.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 ... Electronic scope device 2 ... Light source device 3 ... 1st TV monitor 4 ... Video processor 5 ... 1st keyboard 6 ... Video disk recorder device 7 ... 2nd TV monitor 8 ... Host computer 9 ... Computer display 10 ... 2 keyboard 11 ... mouse 12 ... CPU 15 ... hard disk device

Continuation of the front page (51) Int.Cl. ⁵ Identification code Office reference number FI technical display location H04N 5/76 Z 7916-5C 7/18 M

Claims (1)

[Claims] 1. An image input unit for capturing a medical image of a patient, a specific information input unit for inputting specific information for specifying a target of the medical image, and the specific information and related information related to the specific information are paired. Related information database stored in the specified information, and related information reading means for searching the related information database based on the specific information input by the specific information input means to read the related information corresponding to the specific information, An image recording unit for recording the medical image input by the image input unit, and an inspection file for associating the related information read by the related information reading unit with the recording area of the medical image recorded in the image recording unit. An inspection file creating unit to be created, and an inspection file storing the inspection file created by the inspection file creating unit. An image filing system comprising: