JPWO2020121721A1 - Diagnostic image system and diagnostic image management method - Google Patents

Abstract

This diagnostic image system (1) controls the X-ray imaging apparatus (2), the display unit (42), and the display of the X-ray image (G) so that the collection position of the sample sample can be determined. It includes a control unit (41) that controls to display sample data (SD) including identification information (U), and the control unit operates based on whether or not collection position information corresponding to the sample sample has been acquired. It is configured to display the registration status of the sampling position information of the sample sample in the X-ray image performed by the person.

Description

The present invention relates to a diagnostic image system and a diagnostic image management method.

Conventionally, it is known that a disease caused by a tumor in the body or an organ is diagnosed by collecting a sample such as blood or a tissue piece from the body of the subject (patient). Here, conventionally, a doctor or the like sends a sampling device for collecting a sample sample to a sampling position in the sample while checking a fluoroscopic image of the subject with a radiographic image diagnostic device, and the sample sample is collected. Are known. Such a diagnostic imaging system is described, for example, by Kozo Makita, "Adrenal Vein Blood Collection in Primary Aldosteronism-Tips for Successful Adrenal Vein Sampling Procedures", Journal of the Japanese Society of Interventional Radiology, 2013, Vol. 28, No. 2, p. It is disclosed in 204-210 (hereinafter referred to as Non-Patent Document 1).

In Non-Patent Document 1, for the diagnosis of primary aldosteronism, blood sampling is performed from veins of various parts of the adrenal gland while confirming the X-ray fluoroscopic image of the subject by a radiographic image diagnostic apparatus in real time. It is disclosed. Blood (sample sample) at each position collected by adrenal vein sampling is analyzed by a sample analyzer, and a definitive diagnosis is made based on the analysis result. When a definitive diagnosis is made based on the analysis result, the lesion is identified based on the collection position of the collected sample, and it is decided whether or not to perform partial excision of the lesion. Since a plurality of sample samples are acquired, individual sample samples can be identified by giving information that can be distinguished from each other.

In the method disclosed in Non-Patent Document 1, it is necessary to sketch the adrenal vein and enter the collection position in the medical record in order to associate the blood sample with the collection position. There is an inconvenience that the burden on the patient becomes large. Therefore, although it is not described in Non-Patent Document 1, instead of describing the collection position in the suprarenal vein sketched in the chart, a doctor or the like registers the collection position information of the sample sample in the radiographic image. Therefore, it is conceivable to confirm the collection position of the sample sample in the radiographic image.

Kozo Makita, "Adrenal Vein Blood Collection in Primary Aldosteronism-Tips for Successful Adrenal Vein Sampling Techniques-", Journal of the Japan Interventional Radiology Society, 2013, Vol. 28, No. 2, p. 204-210

Here, when confirming the collection position of the sample sample in the radiographic image, a doctor or the like may want to confirm whether or not the collection position information of each sample sample is registered in the radiographic image. However, there is a problem that it is difficult to grasp at a glance whether or not the collection position information of the sample sample is registered in the radiation image in the sample data only by displaying the radiation image and the sample data side by side. A point arises.

The present invention has been made to solve the above-mentioned problems, and one object of the present invention is to see at a glance whether or not the collection position information of the sample sample is registered in the radiographic image. It is an object of the present invention to provide a diagnostic image system and a diagnostic image management method that can be easily grasped.

In order to achieve the above object, the diagnostic imaging system according to the first aspect of the present invention includes a radiography device that captures a radiographic image of a subject whose sampling position of a plurality of sample samples collected from an organ can be determined. At least, a display unit including the first display area and the second display area, a radiographic image, and sample sample collection position information are acquired, and the sample sample collection position is determined based on the acquired sample sample collection position information. A control unit that controls the display of a radiographic image in the first display area so that it can be discriminated, and controls the display of sample data including information that can identify each of a plurality of sample samples in the second display area. The control unit is configured to display the registration status of the sample sample collection position information in the radiographic image performed by the operator based on whether or not the collection position information corresponding to the sample sample has been acquired. There is. In the present specification, the "registration status of the sample sample collection position information in the radiographic image" means whether or not the position information of the sample sample is registered in the radiographic image.

In the diagnostic image system according to the first aspect of the present invention, as described above, the sampling position of the sample sample on the radiation image performed by the operator is based on whether or not the sampling position information corresponding to the sample sample is acquired. It is provided with a control unit that controls to display the registration status of information. As a result, in the second display area, it is possible to visually grasp the registration status of the sampling position information of the sample sample in the radiographic image. As a result, a doctor or the like can easily grasp at a glance whether or not the collection position information of the sample sample is registered in the radiographic image. In the present specification, the "display area" is an area for displaying an X-ray image, sample data, or the like on the screen. Further, in the present specification, the "collection position information" is on the radiographic image such as the coordinate value of the position where the sample sample is collected on the radiographic image, the marker attached to the position where the sample sample is collected, and the arrow indicating the collection position. Includes information that can identify the sampling position of the sample.

In the diagnostic image system according to the first aspect, preferably, the control unit displays the sample data in a list format, and in each line of the sample data displayed in the list format, the registration status of the collection position information for each sample sample. Is configured to display. With this configuration, it is possible to check the registration status of the collection position information for each sample sample in each line of the sample data, so that the doctor or the like can register the collection position information of each sample sample in the radiographic image. It is possible to easily and visually grasp whether or not the sample is used.

In this case, preferably, the control unit displays a sign indicating the registration status of the collection position information in the sample data displayed in the list format, and displays the sign and the display mode of the display area of the sign as the registration status of the collection position information. It is configured to display differently according to. With this configuration, the sample sample for which the registration of the collection position information for the radiographic image has been completed and the sample sample for which the registration of the collection position information for the radiographic image has not been completed can be displayed in an distinguishable manner. .. As a result, the display mode of the sign and the display area of the sign differs depending on the status of the collection position information. Therefore, a doctor or the like can check the display area for displaying the registration status of the collection position information for each sample sample. The registration status of collection position information can be easily and visually grasped.

In the diagnostic image system according to the first aspect, preferably, the control unit registers the collection position information for the radiographic image by the input of the operator, and there is a sample sample in which the collection position information is not registered in the radiographic image. In some cases, it is configured to indicate the presence of unregistered sample samples. With this configuration, a doctor or the like can visually grasp that there is an omission in registration of the collection position information for the radiographic image before completing the registration operation. Therefore, it is possible to prevent the omission of registration of the collection position information for the radiographic image. As a result, it is possible to prevent the sampling position of the sample sample from being unable to be specified and the sampling position information from being unable to be registered for the radiographic image.

The diagnostic imaging system according to the first aspect is preferably further provided with a sample analyzer that analyzes the sample sample and generates an analysis result, and the control unit displays the progress of analysis for each of the plurality of sample samples. It is configured to do. With this configuration, a doctor or the like can visually grasp the progress status of the analysis of the sample sample in addition to the registration status of the collection position information for the radiographic image. As a result, the status of the sample sample can be grasped in detail.

In this case, preferably, the control unit is configured to identifiable at least whether or not the analysis has been completed as the progress of the analysis for each of the plurality of sample samples. With this configuration, a doctor or the like can easily grasp at a glance whether or not the analysis has been completed for each sample. As a result, the doctor or the like can grasp the sample sample for which the analysis has been completed among the plurality of sample samples by checking the sample data.

In the configuration including the above-mentioned sample analyzer, preferably, the control unit determines the progress of analysis of each of the plurality of sample samples by either before the analysis of the sample sample, during the analysis of the sample sample, or the completion of the analysis of the sample sample. Is configured to display. With this configuration, a doctor or the like can visually grasp whether a sample sample for which analysis has not been completed is before or during analysis.

In the configuration including the sample analyzer, preferably, the control unit is configured to display the ongoing analysis step of each analysis step by the sample analyzer as the progress status of the analysis for each of the plurality of sample samples. Has been done. With this configuration, a doctor or the like can visually grasp the analysis status of the sample sample in detail.

The diagnostic image management method in the second aspect of the present invention includes a step of acquiring a radiation image of a subject whose collection position of a plurality of sample samples collected from an organ can be determined, a radiation image, and a collection position of the sample sample. A radiographic image is displayed in the first display area so that the collection position of the sample sample can be determined based on the step of acquiring the information and the collection position information of the acquired sample sample, and each of the plurality of sample samples is identified. The sampling position of the sample sample on the radiographic image performed by the operator based on the step of displaying the sample data including possible information in the second display area and whether or not the sampling position information corresponding to the sample sample has been acquired. Includes a step to display the registration status of information.

In the diagnostic image management method according to the second aspect of the present invention, as described above, the sample sample is collected on the radiation image performed by the operator based on whether or not the collection position information corresponding to the sample sample is acquired. Includes a step to display the registration status of location information. As a result, similar to the diagnostic image system in the first aspect, it is possible to easily grasp at a glance whether or not the sampling position information of the sample sample is registered in the radiographic image. A method can be provided.

According to the present invention, as described above, a diagnostic image system and a diagnostic image management method capable of easily grasping at a glance whether or not the collection position information of a sample sample is registered for a radiographic image. Can be provided.

It is a block diagram which showed the whole structure of the diagnostic image system by 1st Embodiment. It is a block diagram which showed the structural example of the X-ray imaging apparatus of the diagnostic image system by 1st Embodiment. It is a block diagram which showed the structural example of the sample analyzer of the diagnostic image system by 1st Embodiment. It is a conceptual diagram for demonstrating the association between an X-ray image and analysis information in the diagnostic image system according to 1st Embodiment. It is a schematic diagram which showed the 1st display area, the 2nd display area and the 3rd display area displayed on the display part in the diagnostic image system by 1st Embodiment. It is a flowchart for demonstrating the process which the diagnostic image system by 1st Embodiment displays the registration status of the collection position information of a sample sample. It is a schematic diagram which highlighted the collection position information and the sample data of the sample sample corresponding to the sample sample specified by selection in the diagnostic image system by 1st Embodiment. FIG. 5 is a flowchart for explaining a process in which the diagnostic image system according to the first embodiment highlights the sampling position information and the sample data of the sample sample corresponding to the sample sample specified by selection. It is a schematic diagram which highlighted the collection position information and the sample data of the sample sample corresponding to the sample sample specified by selection in the diagnostic image system by 2nd Embodiment. It is a schematic diagram which highlighted the collection position information of a plurality of sample samples corresponding to a plurality of sample samples specified by selection, and a plurality of sample data in the diagnostic image system according to the third embodiment. It is a schematic diagram which showed in the diagnostic image system by 4th Embodiment that a sample sample whose collection position information is not registered exists. It is a schematic diagram shown for demonstrating the process which causes the existence of the sample sample which has not registered the collection position information in the diagnostic image system according to 4th Embodiment. It is a schematic diagram which displayed the analysis state of the sample sample in the diagnostic image system by 5th Embodiment. It is a schematic diagram which displayed the analysis state of the sample sample in the diagnostic image system by 6th Embodiment. It is a schematic diagram which highlighted the collection position information and the sample data of the sample sample corresponding to the sample sample specified by selection in the diagnostic image system by 1st modification of 1st Embodiment. It is a block diagram which showed the whole structure of the diagnostic image system by the 2nd modification of 1st Embodiment. FIG. 5 is a schematic diagram showing a first display area, a second display area, and a third display area displayed on a display unit in a diagnostic image system according to a third modification of the first embodiment.

Hereinafter, embodiments embodying the present invention will be described with reference to the drawings.

[First Embodiment]
The configuration of the diagnostic image system 1 according to the first embodiment will be described with reference to FIGS. 1 to 5.

(Diagnostic image system)
In the first embodiment, the diagnostic imaging system 1 is used for adrenal vein sampling for the diagnosis of primary aldosteronism.

As shown in FIG. 1, the diagnostic image system 1 includes an X-ray imaging device 2 that captures an X-ray image G (see FIG. 2) of the subject T, and a sample that analyzes a sample sample collected from the subject T. It is equipped with an analyzer 3. Here, the X-ray imaging apparatus 2 and the specimen analyzer 3 are separately installed in the operating room R1 and the analysis chamber R2, respectively. The diagnostic image system 1 also includes a workstation 4. The workstation 4 is installed in the operating room R1 together with the X-ray imaging apparatus 2. The workstation 4 includes a control unit 41 and a display unit 42. The display unit 42 includes a first display area F1 (see FIG. 5) and a second display area F2 (see FIG. 5).

The control unit 41 controls to display the X-ray image G and the collection position information C (see FIG. 5) of the plurality of sample samples in the first display area F1, and can identify each of the plurality of sample samples. It is configured to control the display of the sample data SD (see FIG. 5) including information in the second display area F2. The X-ray imaging device 2 is an example of the "radiography imaging device" in the claims. The X-ray image G is an example of a "radiation image" in the claims.

The diagnostic image system 1 captures an X-ray image G from the outside of the subject T by the X-ray imaging apparatus 2 in order to collect the sample sample in the subject T. When collecting a sample, the sample collection device 10 is introduced inside the subject T, and the doctor in charge of sample collection uses the captured X-ray image G as a clue to set the sample collection device 10 at the sample sample collection position ( (See Fig. 5), and collect a sample. In adrenal vein sampling, a catheter is used for the sample collection device 10.

In the first embodiment, the sample sample is obtained from an organ. Specifically, the organ is an adrenal AG that secretes hormones (see FIG. 5). Specimen The sample is adrenal venous blood obtained from the adrenal vein of the adrenal AG. The adrenal AG is an example of the "organ" in the claims.

The collected sample sample is taken into the sample collection device 10, is stored in the sample container B for accommodating the sample sample, and then the sample container B is transferred to the sample analyzer 3. When an operator such as a laboratory engineer sets the sample container B in the sample analyzer 3, the sample analyzer 3 accepts the sample. The sample container B is, for example, a blood collection tube. The sample analyzer 3 analyzes the acquired sample sample.

Here, the sample container B is provided with sample identification information for identifying the sample sample. The sample specific information is the identification information U attached to the sample container B for accommodating the collected sample sample. The identification information U is, for example, a sample ID attached to the sample container B in the form of a bar code or a two-dimensional code. The identification information U is prepared, for example, in the form of a label on which a barcode is printed, and is attached to the sample container B by an operator when a sample sample is collected. The identification information U is an example of "information that can identify each of a plurality of sample samples" in the claims.

(X-ray imaging device)
As shown in FIG. 2, the X-ray imaging apparatus 2 is an apparatus for photographing an X-ray image G by irradiating radiation from the outside of the subject T. In the first embodiment, the X-ray imaging apparatus 2 is configured to capture an X-ray image G of the subject T whose sampling position of the sample sample collected from the adrenal gland AG (see FIG. 5) can be determined. ing. The "X-ray image G of the subject T from which the sampling position of the sample sample can be determined" is an image taken with the sample collecting device 10 placed at the position where the sample sample is collected. For example, when a catheter is used as the sample collection device 10, an X-ray image G of the subject T whose collection position of the sample sample can be determined by taking a picture with the tip of the catheter placed at the sample collection position is obtained. get.

The X-ray imaging apparatus 2 includes an irradiation unit 21 that irradiates the subject T with radiation (X-rays), and a detection unit 22 that detects the radiation that has passed through the subject T. The irradiation unit 21 and the detection unit 22 are arranged so as to face each other with the top plate 23 on which the subject T is placed. The irradiation unit 21 and the detection unit 22 are movably supported by the moving mechanism 24. The top plate 23 can be moved in the horizontal direction by the top plate driving unit 25. The irradiation unit 21, the detection unit 22, and the top plate 23 are moved via the moving mechanism 24 and the top plate driving unit 25 so that the region of interest of the subject T can be photographed. The region of interest is the region of the subject T that includes the sampling position of the sample sample. The X-ray imaging apparatus 2 includes a control unit 26 that controls a moving mechanism 24 and a top plate driving unit 25.

The irradiation unit 21 includes a radiation source 21a. The radiation source 21a is, for example, an X-ray tube that generates X-rays when a predetermined high voltage is applied. The irradiation unit 21 is connected to the control unit 26. The control unit 26 controls the irradiation unit 21 according to preset imaging conditions to generate X-rays from the radiation source 21a.

The detection unit 22 detects the X-rays irradiated from the irradiation unit 21 and transmitted through the subject T, and outputs a detection signal according to the detected X-ray intensity. The detection unit 22 is composed of, for example, an FPD (Flat Panel Detector). Further, the X-ray imaging apparatus 2 includes an image processing unit 27 that acquires an X-ray detection signal from the detection unit 22 and generates an X-ray image G based on the detection signal of the detection unit 22. The detection unit 22 outputs an X-ray detection signal to the image processing unit 27.

The image processing unit 27 includes, for example, a processor (not shown) such as a CPU (Central Processing Unit) and a storage unit (not shown) such as a ROM (Read Only Memory) and a RAM (Random Access Memory). It is a computer to be configured, and functions as an image processing unit 27 by causing a processor to execute an image processing program. The image processing unit 27 has a function of generating an X-ray image G, a correction process for improving the visibility of the X-ray image G, a composition process for synthesizing a plurality of X-ray images G, and the like. There is. Further, the image processing unit 27 performs a process of generating a thumbnail image TH (see FIG. 5) of the generated X-ray image G. Specifically, the image processing unit 27 generates a thumbnail image TH by reducing the generated X-ray image G.

The control unit 26 is a computer configured to include a CPU (not shown), a ROM (not shown), a RAM (not shown), and the like. The control unit 26 functions as a control unit 26 that controls each unit of the X-ray imaging apparatus 2 by the CPU executing a predetermined control program. The control unit 26 controls the irradiation unit 21 and the image processing unit 27, and drives the moving mechanism 24 and the top plate driving unit 25.

The X-ray imaging device 2 includes a display unit 26a, an operation unit 26b, and a storage unit 26c. Further, the X-ray photographing apparatus 2 includes a communication unit 26d for connecting to the network N (see FIG. 1). Further, the X-ray photographing apparatus 2 includes a connecting portion 26e for connecting to the workstation 4. The display unit 26a is, for example, a monitor such as a liquid crystal display. The operation unit 26b includes, for example, a keyboard and a mouse, a touch panel, or another controller. The storage unit 26c is composed of a storage device such as a hard disk drive. The control unit 26 is configured to control the display unit 26a to display the image generated by the image processing unit 27.

Further, the control unit 26 is configured to receive an input operation via the operation unit 26b. The storage unit 26c is configured to store data of the X-ray image G, data of the identification information U, data of the thumbnail image TH, and the like. The connection unit 26e is configured to connect to the workstation 4. By connecting to the workstation 4 by the connection unit 26e, the data of the X-ray image G, the data of the identification information U, the data of the thumbnail image TH, and the like can be transmitted to the workstation 4. The connection unit 26e includes, for example, a serial communication port.

As shown in FIG. 1, the X-ray imaging apparatus 2 includes a reading unit 28 for reading the identification information U attached to the sample container B for accommodating the collected sample sample. The reading unit 28 is, for example, a barcode reader (or a two-dimensional code reader) corresponding to the identification information U, and can read the identification information U attached to the sample container B, respectively. The control unit 26 is configured to add the identification information U read by the reading unit 28 to the X-ray image G when the sample sample is collected. For example, the control unit 26 adds the identification information U to the X-ray image G by recording the X-ray image G and the identification information U in the image connection data (DICOM file) in a format conforming to the DICOM standard.

(Sample analyzer)
The sample analyzer 3 is a device that acquires a sample sample collected from the subject T, measures components necessary for diagnosis, detects cells, and the like. In the first embodiment, in FIG. 3, the sample analyzer 3 is a liquid chromatograph mass spectrometer. The sample analyzer 3 ionizes the liquid chromatograph unit 31 (hereinafter referred to as LC unit 31) that separates the target component contained in the sample sample and the separated target component, and separates the target ion according to the mass number. A mass spectrometric unit 32 (hereinafter referred to as MS unit 32) for detection is provided.

The LC unit 31 includes a transport liquid reservoir (not shown) for accommodating the transport liquid, a liquid feed pump (not shown) for delivering the transport liquid together with the sample sample, and a sample introduction unit (not shown) for introducing the sample sample. And a separation column (not shown) that separates the sample sample in the transport liquid for each component.

The MS unit 32 is provided after the LC unit 31 to ionize the sample components separated by the LC unit 31 (not shown) and to mass-separate the generated ions and pass through specific ions. A mass separator (not shown) and an ion detector (not shown) that detects ions that have passed through the mass separator are mainly included. The MS unit 32 outputs a detection signal for each mass of the sample components sequentially eluted from the LC unit 31.

The data processing unit 33 creates a mass spectrum from the detection signal for each mass and compares it with the calibration curve to perform a quantitative analysis of a predetermined component in the sample sample. In the first embodiment, in order to perform adrenal vein sampling for the diagnosis of primary aldosteronism, the predetermined components analyzed by the sample analyzer 3 are cortisol and aldosterone.

As shown in FIG. 3, the sample analyzer 3 includes a display unit 33a, an operation unit 33b, a storage unit 33c, and a communication unit 33d. The sample analyzer 3 further includes a reading unit 34 (see FIG. 1). The data processing unit 33 is configured to add the identification information U read by the reading unit 34 to the analysis result RA when the sample sample is analyzed. In the first embodiment, the analysis result RA is the abundance of the substance to be tested contained in the sample sample obtained from the adrenal AG of the subject T. Specifically, it is the abundance of hormones secreted from adrenal AG. Hormones secreted by the adrenal AG include cortisol, an adrenocortical hormone, and aldosterone, which is secreted by the spheres of the adrenal cortex. In the first embodiment, the analysis result RA includes a cortisol concentration (Data1: xx in FIG. 5) and an aldosterone concentration (Data2: xx in FIG. 5).

As shown in FIG. 4, the analysis result RA and the X-ray image G are associated with each other via the common identification information U. The fact that they are associated with each other means that the analysis result RA and the X-ray image G are associated with each other in a one-to-one relationship via the common identification information U. In the example shown in FIG. 4, for convenience, one analysis result RA and an analysis progress PA are associated with one X-ray image G. However, when the collection positions of a plurality of sample samples are shown in the X-ray image G, the analysis result RA of the plurality of sample samples and the analysis progress PA are associated with the X-ray image G.

(Work station)
As shown in FIG. 1, the workstation 4 includes a control unit 41, a display unit 42, an operation unit 43, a storage unit 44, and a connection unit 45. The workstation 4 includes, for example, a personal computer (PC).

The collection position information C (see FIG. 5) is manually registered by the operator at the workstation 4. Specifically, the operator starts the registration of the collection position information C by pressing the edit start button (not shown) in the second display area F2 (see FIG. 5). After pressing the edit start button, the operator selects the sample sample for which the collection position information C is to be registered from the sample data SD, and selects the collection position on the X-ray image G to obtain the sample sample collection position information C. Register. Further, when the registration of the collection position information C is completed, the operator finishes the registration of the collection position information C by pressing the edit end button (not shown).

In the first embodiment, the control unit 41 is configured to acquire the X-ray image G and the sampling position information C of the sample sample. Further, the control unit 41 is configured to acquire a plurality of thumbnail images TH corresponding to each of the plurality of X-ray images G from the X-ray imaging device 2. Further, the control unit 41 is configured to acquire the analysis result RA of the sample sample. The collection position information C is information including coordinate information of the collection position of the sample sample on the X-ray image G registered by the operator.

Further, the control unit 41 is configured to display the registration status of the sample sample collection position information C in the X-ray image G. The details of the configuration in which the control unit 41 displays the registration status of the sample sample collection position information C in the X-ray image G will be described later.

Further, when the sample sample is selected by the operator, the control unit 41 is configured to highlight the sample sample collection position information C and the sample data SD corresponding to the sample sample specified by the selection. The details of the configuration in which the control unit 41 highlights the sampling position information C and the sample data SD of the sample sample corresponding to the sample sample specified by selection will be described later.

Further, the control unit 41 is configured to receive an input operation via the operation unit 43. The control unit 41 is, for example, a computer configured to include a CPU, a ROM, a RAM, and the like.

The display unit 42 includes a first display area F1, a second display area F2, and a third display area F3. The display unit 42 includes, for example, a liquid crystal monitor.

The operation unit 43 is configured to receive an input operation of the operator. The operation unit 43 includes, for example, a mouse, a keyboard, and the like.

The storage unit 44 stores the data of the X-ray image G, the data of the identification information U, the data of the analysis result RA of the sample sample, the registration status of the collection position information C in the X-ray image G, and the progress status PA of the sample sample analysis. It is configured to store data and so on. The storage unit 44 includes, for example, an SSD or an HDD.

The connecting portion 45 is connected to the X-ray photographing apparatus 2. Further, the connection unit 45 is connected to the sample analyzer 3 via the network N.

In addition, the workstation 4 includes a reading unit 46 for reading the identification information U attached to the sample container B for accommodating the collected sample sample. The control unit 41 acquires the X-ray image G associated with the identification information U from the X-ray photographing apparatus 2 based on the reading of the identification information U by the reading unit 46, and is associated with the identification information U. It is configured to acquire the analysis result RA and the analysis progress PA from the sample analyzer 3.

(1st display area, 2nd display area and 3rd display area)
With reference to FIG. 5, the configuration in which the control unit 41 in the first embodiment displays the X-ray image G, the sample data SD, the thumbnail image TH, and the like on the display unit 42 will be described.

As shown in FIG. 5, in the first embodiment, the display unit 42 includes a first display area F1, a second display area F2, and a third display area F3. The control unit 41 displays the X-ray image G of the subject T from which the collection position information C of the sample sample collected from the adrenal gland AG can be discriminated in the first display area F1. Specifically, the control unit 41 is configured to control the acquired X-ray image G and the collection position information C of a plurality of sample samples to be displayed in the first display area F1. In the example shown in FIG. 5, the circle C1 is shown as the collection position information C at the position where the sample sample was collected.

Further, the control unit 41 is configured to display the sample data SD including the identification information U in the second display area F2. Specifically, the control unit 41 is configured to display the sample data SD in a list format in the second display area F2. Further, the control unit 41 is configured to display the inspection information E in the second display area F2. The control unit 41 is configured to acquire the sample data SD and the inspection information E associated with the identification information U based on the reading of the identification information U by the reading unit 46.

The test information E has information that can identify the subject T from which the sample sample was collected and the test performed on the subject T. Specifically, the test information E has a plurality of items such as a test ID, a test date and time, a patient name, a patient ID, an age, and a gender. The inspection ID is an item in which an ID specific to the inspection being performed is registered. The inspection date and time is an item in which the date and time when the inspection was performed is registered. The patient name is an item in which the name of the patient who has undergone the examination is registered. The patient ID is an item in which the ID corresponding to the patient name is registered. Age and gender are items in which each of the patient's age and gender is registered. Here, for items such as examination ID, examination date and time, patient name, patient ID, age, and gender, a tag (for example, DICOM tag) of an X-ray image G based on a hospital information system (HIS) is read. Obtained by.

The sample data SD includes a plurality of items such as collection position information C, identification information U, blood vessel name (BV1, BV2, etc.), analysis result RA (Data1: xx, Data2: xx), and status (collection position and analysis). have. In the sample data SD, information on items such as collection position information C, identification information U, blood vessel name, analysis result RA, and status in any sample sample among a plurality of sample samples is registered. Hereinafter, a plurality of items of the sample data SD will be described with any sample sample among the plurality of sample samples as the first sample sample with the first number, for example. The first sample sample is a sample sample collected from the place indicated by the number 1 in the X-ray image G.

The collection position item is an item in which the number (No. 1) of the collection position information C of the first sample is registered. In the first embodiment, the identification mark IM described later is displayed in the collection position item. The identification information item is an item in which the identification information U attached to the sample container B in which the first sample sample is stored is registered. The blood vessel name item is an item in which the blood vessel name of the collection position information C of the first sample is registered. The analysis result item is an item in which the analysis result RA obtained by analyzing the first sample sample with the sample analyzer 3 is registered. The status item is an item in which the registration status of the sample sample collection position information C for the X-ray image G in the first display area F1 and the progress status PA of the sample sample analysis are registered.

Items such as the identification information U, the analysis result RA, the registration status of the collection position information C, and the analysis progress status PA are the analysis result RA acquired based on the reading of the identification information U by the reading unit 46 by the workstation 4. Based on, each sample is automatically registered. The registration status of the collection position information C and the analysis progress PA items are automatically updated every time the situation changes, such as when registration is performed or analysis is completed.

Further, the control unit 41 is configured to display a plurality of thumbnail images TH corresponding to each of the plurality of X-ray images G in the third display area F3.

In the first embodiment, the control unit 41 is configured to display on the sample data SD and the X-ray image G a common identification mark IM that can identify the sampling position of each of the plurality of sample samples. There is. In the first embodiment, the control unit 41 displays the number surrounded by a circle as an identification mark IM. Further, the control unit 41 is configured to display the identification mark IM also in the thumbnail image TH. Specifically, the control unit 41 is configured to display the identification mark IM in the thumbnail image TH in a display mode different from that of the X-ray image G and visually.

Here, when displaying a plurality of sample samples in a list format, if the item of the status (collection position) included in the second display area F2 of FIG. 5 is not provided, the sample sample collection position information C is X-ray. It is difficult to grasp at a glance whether or not it is registered in the image G.

(Display of registration status)
Therefore, in the first embodiment, the control unit 41 collects the sample sample on the X-ray image G performed by the operator based on whether or not the collection position information C corresponding to the sample sample is acquired. It is configured to display the registration status of. Specifically, as shown in the second display area F2 of FIG. 5, the control unit 41 displays the sample data SD in a list format, and in each line of the sample data SD displayed in the list format, for each sample sample. , It is configured to display the registration status of the collection position information C.

Further, the control unit 41 displays the labeled MS indicating the registration status of the sampling position information C in the sample data SD displayed in the list format, and displays the labeled MS and the display mode of the display area DAM of the labeled MS as the sampling position information. It is configured to be displayed differently according to the registration status of C. In the example shown in FIG. 5, the sample sample for which the registration of the collection position information C in the X-ray image G has been completed displays “◯” in the display area DAM of the labeled MS. Further, in the example shown in FIG. 5, the sample sample for which the registration of the collection position information C in the X-ray image G has not been completed displays “−” in the display area DAM of the labeled MS. When the sampling position information C of the sample sample is registered in the X-ray image G, the control unit 41 changes the labeled MS to be displayed from “−” to “◯”. Further, in the example shown in FIG. 5, the background color of the display area DAM of the labeling MS of the sample sample for which the registration of the collection position information C in the X-ray image G has not been completed is used as the labeling of the sample sample for which registration has been completed. The display area of the MS is displayed differently from the background color of the DAM. In the example shown in FIG. 5, for convenience, the difference in the background color of the display area DAM of the marker MS is shown by the presence or absence of hatching.

Further, in the first embodiment, the control unit 41 is configured to display the analysis progress PA for each of the plurality of sample samples. Specifically, the control unit 41 is configured to identifiable at least whether or not the analysis has been completed as the analysis progress PA for each of the plurality of sample samples. In the example shown in FIG. 5, the sample sample for which the analysis has been completed is displayed with “◯” in the display area DAS of the analysis progress PA. Further, in the example shown in FIG. 5, the sample sample for which the analysis has not been completed displays “−” in the display area DAS of the analysis progress PA. When the analysis of the sample sample is completed, the control unit 41 changes the display of the analysis progress status PA in the display area DAS from “−” to “◯”.

Next, with reference to FIG. 6, a process for displaying the registration status of the sample sample collection position information C in the first embodiment will be described.

In step S1, the X-ray imaging apparatus 2 acquires an X-ray image G capable of discriminating the collection positions of a plurality of sample samples collected from the adrenal gland AG. Next, in step S2, the control unit 41 acquires the X-ray image G and the collection position information C of a plurality of sample samples. After that, the process proceeds to step S3. If the processes of steps S5 and S6 of FIG. 8 to be described later have already been performed in order to highlight the selected sample, the control unit 41 does not perform the processes of steps S1 and S2. , The process is started from step S3.

In step S3, the control unit 41 displays the X-ray image G in the first display area F1 so that the collection position of the sample sample can be determined based on the acquired sample sample collection position information C, and the identification information. The sample data SD including U is displayed in the second display area F2. Next, in step S4, the control unit 41 determines the sampling position information C of the sample sample to the X-ray image G performed by the operator based on whether or not the sampling position information C corresponding to the sample sample is acquired. Display the registration status and end the process.

(Highlighting)
Next, with reference to FIGS. 5 and 7, a configuration in which the control unit 41 highlights the selected sample sample will be described.

A doctor or the like determines the presence or absence of a disease in adrenal AG and the success or failure of sampling of the sample sample based on the analysis result RA of the collected sample sample. When a plurality of sample samples are collected, it is conceivable to display the sample data SD of the plurality of sample samples in a list format. However, if the sample data SD is simply displayed in a list format, when the number of sample samples collected is large, the sample sample information corresponding to the sample sample that a doctor or the like wants to confirm on the X-ray image G can be obtained. It is difficult to grasp at first glance from the data SD.

Therefore, in the first embodiment, when the sample sample collection position information C is selected in the first display area F1, the control unit 41 is specified by selection in each of the first display area F1 and the second display area F2. It is configured to highlight the sampling position information C and the sample data SD of the sample sample corresponding to the sample sample to be sampled. The selection of the sample sample is performed by a doctor or the like via the operation unit 43. For example, when selecting a sample sample, a doctor or the like selects the sample sample by clicking the sample sample collection position information C using a mouse.

As shown in FIG. 7, in the first embodiment, the control unit 41 is specified by selection in each of the first display area F1 and the second display area F2 by changing the display mode of the identification mark IM. It is configured to highlight the sampling position information C and the sample data SD of the sample sample corresponding to the sample sample. The example shown in FIG. 7 is a schematic diagram when a sample sample in the first collection position information C is selected by a doctor or the like.

In the example shown in FIG. 7, the control unit 41 highlights the sampling position information C and the sample data SD of the selected sample sample by displaying the identification mark IM with a thick line. In the example shown in FIG. 7, the sample data SD corresponding to the selected sample sample is highlighted by highlighting only the identification mark IM among the sample data SD. Further, in the example shown in FIG. 7, the collection position information C includes an arrow C2 indicating the collection position of the sample sample, and the control unit 41 also uses the arrow C2 indicating the collection position as the sample sample collection position information C. It is configured to be highlighted.

Further, when the sample sample is selected, the control unit 41 highlights the selected identification mark IM in the third display area F3 in addition to the first display area F1 and the second display area F2. It is configured in. That is, when the sample sample is selected, the control unit 41 interlocks the selected identification mark IM in each of the first display area F1, the second display area F2, and the third display area F3. It is configured to be highlighted.

Next, with reference to FIG. 8, the highlighting process of the selected sample sample by the control unit 41 will be described.

In step S5, the X-ray imaging apparatus 2 acquires an X-ray image G capable of discriminating the collection position information C of a plurality of sample samples acquired from the adrenal gland AG. Next, in step S6, the control unit 41 acquires the X-ray image G and the collection position information C of a plurality of sample samples. After that, the process proceeds to step S7. If the processes of steps S1 and S2 shown in FIG. 6 have already been performed in order to display the registration status of the sample sample collection position information C, the control unit 41 performs the processes of steps S5 and S6. Instead, the process is started from step S7.

In step S7, the control unit 41 displays the X-ray image G capable of identifying the sampling position of the sample sample and the sampling position information C of a plurality of sample samples in the first display area F1, and the sample data including the identification information U. The SD is displayed in the second display area F2. Next, in step S8, the control unit 41 acquires a plurality of thumbnail image THs corresponding to each of the plurality of X-ray images G, and displays the acquired plurality of thumbnail image THs in the third display area F3. After that, the process proceeds to step S9.

In step S9, when the sampling position of the sample sample is selected in the first display area F1, the control unit 41 corresponds to the sample sample specified by the selection in each of the first display area F1 and the second display area F2. The sampling position of the sample sample and the sample data SD of the sample sample are highlighted. Next, in step S10, when the sampling position of the sample sample is selected in the first display area F1, the control unit 41 highlights the sample sample specified by the selection in the third display area F3. The processing of step S7 and step S8 may be performed in the same step. Further, the processes of step S9 and step S10 may be processed in the same step.

(Effect of the first embodiment)
In the first embodiment, the following effects can be obtained.

In the first embodiment, as described above, the diagnostic imaging system 1 is an X-ray imaging apparatus 2 that captures an X-ray image G of the subject T from which the collection position information C of the sample sample collected from the adrenal AG can be discriminated. At least, the display unit 42 including the first display area F1 and the second display area F2, the X-ray image G, and the sample sample collection position information C are acquired, and the acquired sample sample collection position information C is used. Based on this, control is performed to display the X-ray image G in the first display area F1 so that the collection position of the sample sample can be determined, and control to display the sample data SD including the identification information U in the second display area F2. The control unit 41 is provided with a control unit 41 for performing the above, and the control unit 41 collects the sample sample on the X-ray image G performed by the operator based on whether or not the collection position information C corresponding to the sample sample is acquired. It is configured to display the registration status of C. Thereby, in the second display area F2, the registration status of the sample sample collection position information C in the X-ray image G can be visually grasped. As a result, a doctor or the like can easily grasp at a glance whether or not the collection position information C of the sample sample is registered in the X-ray image G.

Further, in the first embodiment, as described above, the control unit 41 displays the sample data SD in the list format, and in each line of the sample data SD displayed in the list format, the collection position information C for each sample sample. It is configured to display the registration status of. As a result, it is possible to confirm the registration status of the collection position information C for each sample sample in each line of the sample data SD, so that the doctor or the like can register the collection position information C of each sample sample in the X-ray image G. It is possible to easily and visually grasp whether or not the sample is used.

Further, in the first embodiment, as described above, the control unit 41 displays the labeled MS indicating the registration status of the collection position information C in the sample data SD displayed in the list format, and also displays the labeled MS and the labeled MS. The display mode of the display area DAM is configured to be displayed differently according to the registration status of the collection position information C. As a result, the sample sample for which the registration of the collection position information C for the X-ray image G has been completed and the sample sample for which the registration of the collection position information C for the X-ray image G has not been completed can be displayed in an distinguishable manner. Can be done. As a result, the display mode of the labeled MS and the display area DAM of the labeled MS differs depending on the status of the collection position information C. Therefore, a doctor or the like confirms the display area DAM that displays the registration status of the collection position information C. , The registration status of the collection position information C can be easily and visually grasped for each sample.

Further, in the first embodiment, as described above, the sample analyzer 3 that analyzes the sample sample and generates the analysis result RA is further provided, and the control unit 41 determines the progress of analysis of each of the plurality of sample samples. It is configured to display PA. As a result, a doctor or the like can visually grasp the progress status PA of the analysis of the sample sample in addition to the registration status of the collection position information C for the X-ray image G. As a result, the status of the sample sample can be grasped in detail.

Further, in the first embodiment, as described above, the control unit 41 displays, as the analysis progress PA, at least whether or not the analysis is completed for each of the plurality of sample samples in an identifiable manner. It is configured. As a result, a doctor or the like can easily grasp at a glance whether or not the analysis has been completed for each sample. As a result, the doctor or the like can grasp the sample sample for which the analysis has been completed among the plurality of sample samples by checking the sample data SD.

Further, in the first embodiment, as described above, the diagnostic image management method is the step S1 of photographing the X-ray image G of the subject T from which the collection position information C of the sample sample collected from the adrenal AG can be discriminated. , X-ray image so that the collection position of the sample sample can be discriminated based on the step S2 for acquiring the X-ray image G and the collection position information C of a plurality of sample samples and the collection position information C of the acquired sample sample. Based on step S3 of displaying G in the first display area F1 and displaying the sample data SD including the identification information U in the second display area F2, and whether or not the collection position information C corresponding to the sample sample has been acquired. Further, the step S4 of displaying the registration status of the sample sample collection position information C in the X-ray image G performed by the operator is included. As a result, as in the case of the diagnostic image system 1, a diagnostic image management method capable of easily grasping at a glance whether or not the sample sample collection position information C is registered for the X-ray image G. Can be provided.

[Second Embodiment]
Next, the diagnostic image system 100 (see FIG. 1) according to the second embodiment will be described with reference to FIGS. 1 and 9. Unlike the first embodiment, in which the control unit 41 highlights the selected sample sample by changing the display mode of the identification mark IM, in the second embodiment, the control unit 51 of the diagnostic image system 100 is used. In addition to the identification marker IM, the line of sample data SD is configured to highlight the selected sample sample, at least by changing the display color, changing the font, blinking the characters, or magnifying the display. Has been done. The same components as those in the first embodiment are designated by the same reference numerals, and the description thereof will be omitted.

As shown in FIG. 9, in the second embodiment, the control unit 51, in addition to the identification mark IM, at least changes the display color, changes the font, blinks the characters, and enlarges the line of the sample data SD. Any of the labels are configured to highlight the selected sample sample. In the example shown in FIG. 9, the selected sample sample is highlighted by changing the display color of the line of the sample data SD. Further, the example shown in FIG. 9 shows that the display color is changed by adding hatching to the row of the selected sample sample for convenience.

The other configurations of the second embodiment are the same as those of the first embodiment.

(Effect of the second embodiment)
In the second embodiment, the following effects can be obtained.

In the second embodiment, as described above, the control unit 51 is configured to highlight the selected sample sample by changing the display color in the line of the sample data SD in addition to the identification mark IM. ing. As a result, in the sample data SD displayed in the list, the line in which the selected sample sample is displayed can be displayed with even greater emphasis. As a result, it is possible to improve the highlighting effect of the line in which the selected sample sample is displayed as compared with the case where only the identification mark IM is highlighted. Therefore, the sample sample in the X-ray image G can be highlighted. The collection position and the sample sample corresponding to the collection position can be grasped more easily.

The other effects of the second embodiment are the same as those of the first embodiment.

[Third Embodiment]
Next, the diagnostic image system 110 (see FIG. 1) according to the third embodiment will be described with reference to FIGS. 1 and 10. Unlike the first embodiment, the control unit 41 highlights the collection position information C in the X-ray image G of the sample sample corresponding to one sample sample specified by selection and the sample data SD of the sample sample. When a plurality of sample samples are selected, the control unit 61 of the diagnostic image system 110 in the third embodiment sets the collection position information C and the collection position information C in the X-ray image G of the sample samples corresponding to the plurality of sample samples specified by the selection. It is configured to highlight the sample data SD of the sample sample. The same components as those in the first embodiment are designated by the same reference numerals, and the description thereof will be omitted.

As shown in FIG. 10, in the third embodiment, when a plurality of sample samples are selected, the control unit 61 collects the sample samples corresponding to the plurality of sample samples specified by the selection in the X-ray image G. The position information C and the sample data SD of the sample sample are each highlighted. Further, when a plurality of sample samples are selected, the control unit 61 obtains the collection position information C in the X-ray image G of the sample sample corresponding to the plurality of sample samples specified by the selection and the sample data SD of the sample sample. , Each is configured to be highlighted in different display modes so that they can be distinguished from each other.

In the example shown in FIG. 10, the identification mark IMs corresponding to the selected plurality of sample samples are displayed with thick lines, and the display colors of the respective identification mark IMs are displayed differently. In the example shown in FIG. 10, for convenience, the difference in the display color of the identification mark IM is shown by showing the identification mark IM with a thick line and by hatching the identification mark IM. Further, in the example shown in FIG. 10, the collection position information C includes the arrow C2 and the arrow C3 indicating the collection position of the sample sample, and the control unit 61 identifies the arrow C2 and the arrow C3 indicating the collection position of the sample sample, respectively. Highlighted as possible. Further, the control unit 61 also highlights the identification mark IM displayed on the thumbnail image TH so that it can be identified.

The other configurations of the third embodiment are the same as those of the first embodiment.

(Effect of Third Embodiment)
In the third embodiment, the following effects can be obtained.

In the third embodiment, as described above, when a plurality of sample samples are selected, the control unit 61 collects position information in the X-ray image G of the sample samples corresponding to the plurality of sample samples specified by the selection. The sample data SD of C and the sample sample are each highlighted. As a result, even when a doctor or the like selects a plurality of sample samples, the corresponding sample samples can be grasped at a glance in each display area (first display area F1, second display area F2, and third display area F3). be able to. As a result, it becomes possible to select a plurality of sample samples at a time as compared with the case where only one sample sample is highlighted, so that usability (user convenience) can be improved.

Further, in the third embodiment, as described above, when a plurality of sample samples are selected, the control unit 61 collects the sample samples corresponding to the plurality of sample samples specified by the selection in the X-ray image G. The position information C and the sample data SD of the sample sample are highlighted so as to be distinguishable from each other in different display modes. As a result, even when a doctor or the like selects a plurality of sample samples, the sample samples in each display area (first display area F1, second display area F2, and third display area F3) are associated with each other in a one-to-one relationship. be able to. As a result, even when a plurality of sample samples are selected, the lines of the collection position information C and the sample data SD on the corresponding X-ray image G can be easily grasped for each sample sample.

The other effects of the third embodiment are the same as those of the first embodiment.

[Fourth Embodiment]
Next, the diagnostic image system 120 (see FIG. 1) according to the fourth embodiment will be described with reference to FIGS. 1, 5 and 11. The control unit 41 displays the registration status of the sample sample collection position information C in the X-ray image G performed by the operator based on whether or not the collection position information C corresponding to the sample sample has been acquired. Unlike the first embodiment, the control unit 71 of the diagnostic image system 120 in the fourth embodiment registers the collection position information C for the X-ray image G by the input of the operator, and also registers the collection position information C in the X-ray image G. When there is a sample sample in which C is not registered, it is configured to indicate that there is an unregistered sample sample. The same components as those in the first embodiment are designated by the same reference numerals, and the description thereof will be omitted.

In the fourth embodiment, the control unit 71 registers the collection position information C for the X-ray image G by the input of the operator, and there is a sample sample in which the collection position information C is not registered in the X-ray image G. Is configured to indicate the presence of unregistered sample samples.

Specifically, the control unit 71 is configured to receive an input operation by the operator. The control unit 71 registers the sampling position information C of the sample sample in the X-ray image G based on the input by the operator's selection operation. Further, the control unit 71 ends the registration of the collection position information C when the edit end button is pressed by the operator.

Here, as shown in FIG. 5, when the operator completes the registration work (presses the edit end button) in a state where there is a sample sample in which the collection position information C is not registered for the X-ray image G. The control unit 71 is configured to display a message as shown in FIG. The message shown in FIG. 11 is merely an example, and any message may be displayed as long as the operator can grasp that there is a sample sample in which the collection position information C is not registered.

Next, with reference to FIG. 12, a process in which the collection position information C by the control unit 71 indicates that there is an unregistered sample sample will be described.

In step S11, the control unit 71 accepts the operation of registration completion by the operator. Next, in step S12, the control unit 71 determines whether or not there is a sample sample in which the collection position information C is not registered with respect to the X-ray image G. If there is a sample sample in which the collection position information C is not registered for the X-ray image G, the process proceeds to step S12. If there is no sample sample in which the collection position information C is not registered for the X-ray image G, the process ends.

In step S12, the control unit 71 displays that there is a sample sample in which the collection position information C is not registered, and ends the process.

The other configurations of the fourth embodiment are the same as those of the first embodiment.

(Effect of Fourth Embodiment)
In the fourth embodiment, the following effects can be obtained.

In the fourth embodiment, as described above, the control unit 71 registers the collection position information C for the X-ray image G by the input of the operator, and the collection position information C is not registered in the X-ray image G. When there is a sample sample, it is configured to indicate the existence of an unregistered sample sample. As a result, a doctor or the like can visually grasp that there is an omission of registration of the collection position information C for the X-ray image G before completing the registration operation. Therefore, it is possible to prevent the omission of registration of the collection position information C with respect to the X-ray image G. As a result, it is possible to prevent the collection position of the sample sample from being unable to be specified and the collection position information C from being unable to be registered in the X-ray image G.

The other effects of the fourth embodiment are the same as those of the first embodiment.

[Fifth Embodiment]
Next, the diagnostic image system 130 (see FIG. 1) according to the fifth embodiment will be described with reference to FIGS. 1 and 13. The control unit 41 controls the diagnostic imaging system 130 in the fifth embodiment, unlike the first embodiment in which at least whether or not the analysis is completed is identifiable as the progress PA of the analysis of the sample sample. For each of the plurality of sample samples, the unit 81 is configured to display, as the analysis progress PA, either before the analysis of the sample sample, during the analysis of the sample sample, or the completion of the analysis of the sample sample. The same components as those in the first embodiment are designated by the same reference numerals, and the description thereof will be omitted.

As shown in FIG. 13, in the fifth embodiment, the control unit 81 completes the analysis of the sample sample before, during the analysis of the sample sample, as the analysis progress PA of each of the plurality of sample samples. It is configured to display one of the following. The progress PA of the analysis status changes as the analysis of the sample sample progresses. The control unit 81 monitors the status of analysis of the sample sample by the sample analyzer 3, and changes the content to be displayed in the display area DAS every time the progress status PA of the analysis status changes. That is, the control unit 81 displays "before analysis" in the display area DAS in the state before the analysis of the sample sample is started. Further, the control unit 81 changes the display of the display area DAS from "before analysis" to "during analysis" when the analysis of the sample sample is started. Further, when the analysis of the sample sample is completed, the control unit 81 changes the display of the display area DAS from "analyzing" to "analysis completed".

The other configurations of the fifth embodiment are the same as those of the first embodiment.

(Effect of the fifth embodiment)
In the fifth embodiment, the following effects can be obtained.

In the fifth embodiment, as described above, the control unit 81 determines the progress PA of the analysis of each of the plurality of sample samples, whichever is before the analysis of the sample sample, during the analysis of the sample sample, or the completion of the analysis of the sample sample. Is configured to display. With this configuration, a doctor or the like can visually grasp whether a sample sample for which analysis has not been completed is before or during analysis.

The other effects of the fifth embodiment are the same as those of the first embodiment.

[Sixth Embodiment]
Next, the diagnostic image system 140 (see FIG. 1) according to the sixth embodiment will be described with reference to FIGS. 1 and 14. The control unit 41 controls the diagnostic imaging system 140 in the sixth embodiment, unlike the first embodiment in which at least whether or not the analysis is completed is identifiable as the progress PA of the analysis of the sample sample. For each of the plurality of sample samples, the unit 91 is configured to display the ongoing analysis step of each analysis step by the sample analyzer 3 as the analysis progress PA. The same components as those in the first embodiment are designated by the same reference numerals, and the description thereof will be omitted.

In the sixth embodiment, the control unit 91 is configured to display the ongoing analysis step of each analysis step by the sample analyzer 3 as the analysis progress PA for each of the plurality of sample samples. ..

Specifically, as shown in FIG. 13, the control unit 91, as the analysis progress PA, among the analysis steps before registration, preprocessing, LC analysis, MS analysis, approval, and analysis completion. The corresponding process is configured to display the ongoing analysis process as an analysis progress PA. The “before registration” is a state before the identification information U is read in the sample analyzer 3. Further, "pretreatment in progress" is a state in which a step of performing a process necessary for analyzing a sample sample is in progress. Further, "in LC analysis" is a state in which the step of separating the sample sample in the LC unit 31 is in progress. Further, "MS analysis in progress" is a state in which the analysis in the MS unit 32 is in progress. Further, "before approval" is a state before the analysis is completed and the obtained analysis result RA is approved. Further, "analysis completed" is a state in which the analysis is completed and the obtained analysis result RA is approved.

The sample analyzer 3 may not include the LC unit 31 and the MS unit 32. When the sample analyzer 3 does not include the LC unit 31 and the MS unit 32, the control unit 81 may display each step performed by the sample analyzer 3.

The other configurations of the sixth embodiment are the same as those of the first embodiment.

(Effect of the sixth embodiment)
In the sixth embodiment, the following effects can be obtained.

In the sixth embodiment, as described above, the control unit 81 displays the ongoing analysis step of each analysis step by the sample analyzer 3 as the analysis progress PA for each of the plurality of sample samples. It is configured in. As a result, a doctor or the like can visually grasp the analysis status of the sample sample in detail.

The other effects of the sixth embodiment are the same as those of the first embodiment.

[Modification example]
It should be noted that the embodiments disclosed this time are exemplary in all respects and are not considered to be restrictive. The scope of the present invention is shown by the claims rather than the description of the above-described embodiment, and further includes all modifications (modifications) within the meaning and scope equivalent to the claims.

For example, in the first to sixth embodiments, when a sample sample is selected by the operator in the first display region F1, the control unit 41 (51, 61, 71, 81, 91) is the first. In the display area F1, the second display area F2, and the third display area F3, an example of a configuration in which the sample sample collection position information C specified by selection and the sample sample in the sample data SD are highlighted is shown. The invention is not limited to this. For example, the control unit 41 (51, 61, 71, 81, 91) may display the first display area F1, the second display area F2, and the third display when the sample data SD is selected in the second display area F2. In region F3, it is not necessary to highlight the sample sample collection position information C and the sample data SD specified by selection.

Further, when a sample sample is selected in the third display area F3 by the operator, the control unit 41 (51, 61, 71, 81, 91) controls the first display area F1, the second display area F2, and the second display area F2. In the third display area F3, the sample sample in the sample sample collection position information C and the sample data SD specified by selection may be highlighted. That is, regardless of which of the display regions of the first display region F1, the second display region F2, and the third display region F3, the control unit 41 (51, 61, 71, 81, 91) selects the sample sample. In the first display area F1, the second display area F2, and the third display area F3, the sample sample collection position information C specified by selection and the sample sample in the sample data SD may be highlighted.

Further, in the first to sixth embodiments, the control unit 41 (51, 61, 71, 81, 91) has shown an example of a configuration in which the thumbnail image TH is displayed in the third display area F3. The invention is not limited to this. For example, the control unit 41 (51, 61, 71, 81, 91) does not have to display the thumbnail image TH in the third display area F3. Further, the display unit 42 does not have to include the third display area F3.

Further, in the first to sixth embodiments, the control unit 41 (51, 61, 71, 81, 91) has shown an example of a configuration in which the sample data SD is displayed in a list format. Not limited. The control unit 41 (51, 61, 71, 81, 91) does not have to display the sample data SD in a list format.

Further, in the first to sixth embodiments, the control unit 41 (51, 61, 71, 81, 91) has shown an example of a configuration in which the sample data SD including the analysis result RA is displayed. Not limited to this. The control unit 41 (51, 61, 71, 81, 91) may be configured to display the sample data SD that does not include the analysis result RA. The sample data SD may include at least the identification information U of the sample sample and the registration status of the collection position information C.

Further, in the first to sixth embodiments, an example of the configuration in which the control unit 41 (51, 61, 71, 81, 91) displays the sample data SD including the progress PA of the analysis of the sample sample is shown. However, the present invention is not limited to this. The control unit 41 (51, 61, 71, 81, 91) may be configured to display the sample data SD that does not include the progress PA of the analysis of the sample sample.

Further, in the first to sixth embodiments, an example of a configuration in which one identification mark IM corresponding to one sample is displayed on any one of a plurality of thumbnail images TH is shown. However, the present invention is not limited to this. For example, as shown in FIG. 15, identification mark IM on which the same number corresponding to one sample sample is written may be displayed on a plurality of thumbnail images TH. When a sample sample is selected as an identification mark IM on which the same number corresponding to one sample sample is displayed in a plurality of thumbnail images TH, the control unit 41 (51, 61, 71, 81, 91) may be configured to highlight the identification mark IM on which the same number is written in the plurality of thumbnail images TH.

Further, in the first to sixth embodiments, an example of the configuration in which the control unit 41 (51, 61, 71, 81, 91) is provided in the workstation 4 installed in the operating room R1 is shown. The invention is not limited to this. For example, as shown in FIG. 16, the control unit 41 (51, 61, 71, 81, 91) is a diagnostic information processing device 5 connected to the X-ray imaging device 2 and the sample analyzer 3 via the network N. It may be provided in. The diagnostic information processing device 5 includes a control unit 52, a display unit 53, an operation unit 54, a storage unit 55, and a communication unit 56. The diagnostic information processing device 5 is configured in the same manner as the workstation 4 except that the reading unit 46 is not provided. By configuring the control unit 52 in the same manner as the control unit 41 (51, 61, 71, 81, 91), the sampling position information C and the sample data SD of the sample sample corresponding to the sample sample specified by selection are emphasized. It may be configured to be displayed. With this configuration, at the time of diagnosis by a doctor or the like, the diagnosis can be made in a state where the collection position of the sample sample and the sample data SD can be easily grasped. Further, even when explaining to a patient or the like, it is possible to explain in a state where the sampling position of the sample sample and the sample data SD can be easily grasped.

Further, in the first to sixth embodiments, the control unit 41 (51, 61, 71, 81, 91) displays the collection position information C as a circle C1 on the X-ray image G. As shown, the present invention is not limited to this. For example, in the first display area F1, the coordinate value of the sampling position of the sample sample may be displayed separately from the X-ray image G. In the case of a configuration in which the coordinate values are displayed as the collection position information C, the control unit 41 (51, 61, 71, 81, 91) has the corresponding collection position information based on the coordinate values selected by the operator. C and the sample data SD may be configured to be highlighted. Further, the control unit 41 (51, 61, 71, 81, 91) does not display the collection position information C in the first display area F1, and the operator selects the pixel of the coordinate value of the collection position information C. , The sampling position information C and the sample data SD may be highlighted.

Further, in the first to sixth embodiments, whether or not the control unit 41 (51, 61, 71, 81, 91) is registered as the registration status of the collection position information C in the X-ray image G is determined. Although an example of the configuration to be displayed is shown, the present invention is not limited to this. For example, the control unit 41 (51, 61, 71, 81, 91) may set the collection position information C in the display area DAM of the labeled MS in the case of a sample sample that does not require registration of the collection position information C in the X-ray image G. It may be configured to identifiablely indicate that registration is not required. With this configuration, it is not necessary to register the collection position information C in the X-ray image G because the sample sample requires registration of the collection position information C in the X-ray image G and the registration is omitted. It is possible to easily grasp whether the sample is a sample.

Further, in the first to sixth embodiments, an example of a configuration in which the X-ray imaging apparatus 2 and the workstation 4 are directly connected by connecting the connection unit 26e and the connection unit 45 is shown. The invention is not limited to this. For example, the X-ray imaging apparatus 2 and the workstation 4 may be connected via the network N.

Further, in the second embodiment, the control unit 51 shows an example of a configuration in which the selected sample sample is highlighted by changing the display color in the line of the sample data SD in addition to the identification mark IM. However, the present invention is not limited to this. For example, the control unit 51 is configured to highlight the selected sample sample by changing the font, blinking the characters, or enlarging the line of the sample data SD in addition to the identification mark IM. It may have been done.

Further, in the first to sixth embodiments, an example of a configuration in which "○" or "-" is displayed in the display area DAS as the analysis progress PA is shown, but the present invention is not limited to this. .. For example, as shown in FIG. 17, instead of providing the display area DAS, the analysis progress PA may be displayed by changing the display mode of the analysis result RA. Specifically, by making the display color of the analysis result RA different, the status of "before approval" and the status of "analysis completed" may be displayed so as to be distinguishable. In FIG. 17, for convenience, the difference in the display color of the analysis result RA is represented by outline characters or not. That is, the analysis result RA1 displayed in normal characters indicates that the status is "before approval". Further, the analysis result RA2 displayed in outline characters indicates that the status is "analysis completed". Further, in the analysis result RA of FIG. 17, the analysis result RA3 displayed by “−” indicates that the status is “before analysis”.

1,100,110,120,130,140 Diagnostic imaging system 2 X-ray imaging device (radiography imaging device)
3 Specimen analyzer 41, 51, 61, 71, 81, 91 Control unit 42 Display unit AG Adrenal gland (organ)
C Collection position information F1 1st display area F2 2nd display area F3 3rd display area GX-ray image (radiation image)
RA analysis result T Subject U Identification information (information that can identify each of multiple sample samples)

Claims (9)

A radiography device that captures a radiographic image of a subject that can determine the sampling position of multiple sample samples collected from an organ,
At least, a display unit including the first display area and the second display area,
The radiation image and the collection position information of the sample sample are acquired, and the radiation image is displayed on the radiation image so that the collection position of the sample sample can be determined based on the acquired collection position information of the sample sample. It is provided with a control unit that controls display in one display area and controls display of sample data including information that can identify each of the plurality of sample samples in the second display area.
The control unit displays the registration status of the collection position information of the sample sample in the radiation image performed by the operator based on whether or not the collection position information corresponding to the sample sample is acquired. A diagnostic imaging system that is configured in. The control unit is configured to display the sample data in a list format and to display the registration status of the collection position information for each sample in each line of the sample data displayed in the list format. , The diagnostic imaging system according to claim 1. In the sample data displayed in a list format, the control unit displays a sign indicating the registration status of the collection position information, and displays the sign and the display mode of the display area of the sign in the registration status of the collection position information. The diagnostic imaging system according to claim 2, which is configured to display differently according to the above. The control unit registers the collection position information with respect to the radiographic image by input of the operator, and when there is a sample sample in which the collection position information is not registered in the radiographic image, the unregistered sample. The diagnostic imaging system according to claim 1, which is configured to indicate the presence of a sample. Further equipped with a sample analyzer that analyzes the sample sample and generates an analysis result,
The diagnostic image system according to claim 1, wherein the control unit is configured to display the progress of analysis for each of the plurality of sample samples. The diagnostic image according to claim 5, wherein the control unit is configured to identifiable at least whether or not the analysis has been completed as the progress of the analysis for each of the plurality of sample samples. system. The control unit is configured to display, as an analysis progress status, one of before the analysis of the sample sample, during the analysis of the sample sample, and the completion of the analysis of the sample sample for each of the plurality of the sample samples. The diagnostic imaging system according to claim 5. The control unit is configured to display the ongoing analysis step of each analysis step by the sample analyzer as the progress status of the analysis for each of the plurality of sample samples, according to claim 5. Diagnostic imaging system. The step of acquiring a radiographic image of a subject whose collection position of multiple sample samples collected from an organ can be determined, and
A step of acquiring the radiographic image and the collection position information of the sample sample,
Based on the acquired collection position information of the sample sample, the radiographic image is displayed in the first display area so that the collection position of the sample sample can be determined, and the information that can be identified for each of the plurality of sample samples is displayed. And the step of displaying the sample data including
Diagnosis including a step of displaying the registration status of the collection position information of the sample sample in the radiographic image performed by the operator based on whether or not the collection position information corresponding to the sample sample has been acquired. Image management method.

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