WO2010061700A1 - Image formation device, image display device, method for formation of image, and method for display of image - Google Patents

Abstract

Disclosed is a method allowing management of results of specimen tests as images, in a manner similar to the management of medical images. When a specimen is taken from a patient, a storage unit (33) upon an image display device (3) stores specimen test results data on tests carried out upon the specimen, together with parameters relating to the configuration of the image that appears when the specimen test results data is displayed upon a display unit (35).  A control unit (31) generates, and stores upon the storage unit (33), a specimen test results image according to the parameters that are stored upon the storage unit (33).  The specimen test results image that is stored upon the storage unit (33) represents, in graphic form, the specimen test data.  An input via an operation unit (34) causes the specimen test results image that is stored upon the storage unit (33) to be displayed via a viewscreen (351), which is displayed upon the display unit (35) together with a medical image that is captured via a modality (2).

Description

Image creation device, image display device, image creation method, and image display method

The present invention relates to an image creation device, an image display device, an image creation method, and an image display method.

Specimens (blood, urine, etc.) collected from patients are measured for a number of test items using test equipment. The inspection result is stored as numerical data in a PC (Personal Computer) or the like. This test result is displayed on a PC monitor installed in the examination room or the like and used for informed consent by a doctor.

In general, the inspection results are often graphed and displayed on a monitor. By graphing the inspection result, it becomes easy to understand the change in the inspection result from the previous measurement date, or to easily compare the inspection items with each other. Further, only the examination items necessary for explanation can be displayed in a graph by a doctor's input operation, and can be explained to the patient.

In order to make it easy to see the inspection result displayed on the monitor, Japanese Patent Laid-Open No. 2001-52082 discloses an inspection item in which a numerical value is displayed using a relative value with the upper limit value and lower limit value of the inspection result as axes, and the number of digits of the numerical value is different A technique for displaying each other on the same graph is disclosed.
JP 2001-52082 A

However, with the technique described in Japanese Patent Laid-Open No. 2001-52082, the result of the specimen test can be displayed in a graph, but this graph cannot be saved. Test items to be displayed on the graph, date of sample collection, setting of the maximum value and minimum value of the graph are variable, and it is very difficult to reproduce and display the graph used in the past diagnosis as it is.

In order to solve this problem, it is conceivable that each time the inspection result graph is displayed on the monitor, the graph is printed or the data is output in PDF (Portable Document Format) format and saved. However, the inspection results are large and it is complicated to manage the printed matter. When data is output in the PDF format, data management becomes complicated because the system is managed separately from the system for displaying a medical image taken by X-ray on a monitor.

The present invention has been made in view of the above problems, and an object of the present invention is to make it possible to manage the result of a specimen test as an image in the same manner as a medical image.

In order to solve the above problem, the invention described in claim 1
Storage means for storing specimen test data of each test item relating to a specimen collected from a patient, and parameters relating to an image configuration when displaying the specimen test data on a display screen;
Control means for creating a specimen test image obtained by imaging the specimen test data based on the parameters stored in the storage means, and storing the created specimen test image in the storage means;
Is provided.

The invention described in claim 2 is the invention described in claim 1,
The storage means further stores an image information table in which medical images and various types of information related to the medical images are associated with each other,
The control means associates the created specimen test image with various information related to the specimen test image and stores them in the image information table.

The invention described in claim 3 is the invention described in claim 1 or 2,
The parameter includes information for specifying an inspection item for graphing the inspection result data,
The specimen test image created by the control unit includes a graph of test items specified by the parameters stored in the storage unit.

The invention described in claim 4
Display means;
Storage means for storing specimen test data of each test item relating to a specimen collected from a patient, and parameters relating to an image configuration when displaying the specimen test data on the display means;
Control means for creating a specimen test image obtained by imaging the specimen test data based on the parameters stored in the storage means, and storing the created specimen test image in the storage means and displaying on the display means; ,
Is provided.

The invention according to claim 5 is the invention according to claim 4,
The storage means further stores an image information table in which medical images and various types of information related to the medical images are associated with each other,
The control means associates the created specimen test image with various information related to the specimen test image and stores them in the image information table.

The invention according to claim 6 is the invention according to claim 5,
Operation means for designating various information related to the medical image and various information related to the specimen test image;
The control means causes the display means to display various information related to the medical image designated by the operation means and the medical image associated with the image information table, and relates to the specimen examination image designated by the operation means. A specimen test image associated with various information by the image information table is displayed on the display means.

The invention according to claim 7 is the invention according to any one of claims 4 to 6,
The parameter includes information for specifying an inspection item for graphing the inspection result data,
The specimen test image created by the control unit includes a graph of test items specified by the parameters stored in the storage unit.

The invention described in claim 8
A method of creating an image by an image creating apparatus having a storage means for storing sample test data of each test item related to a sample collected from a patient and parameters relating to an image configuration when displaying the sample test data on a display screen Because
The method includes a step of creating a sample test image obtained by imaging the sample test data based on the parameters stored in the storage unit and storing the generated sample test image in the storage unit.

The invention described in claim 9
An image is displayed by an image display device having storage means for storing display means, specimen examination data of each examination item relating to a specimen collected from a patient, and parameters relating to an image configuration when the specimen examination data is displayed on the display means. Is a method of displaying
Creating a sample test image obtained by imaging the sample test data based on the parameters stored in the storage unit, storing the generated sample test image in the storage unit and displaying the sample test image on the display unit; .

According to the present invention, the result of the specimen test can be managed as an image in the same manner as a medical image.

It is a figure which shows the example of whole structure of the small-scale diagnosis system in this Embodiment. It is a principal part block diagram which shows the functional structure of the image display apparatus of FIG. It is a figure which shows the data storage example of the message transmitted with respect to an image display apparatus from the test | inspection data management system of FIG. It is a figure which shows the data storage example of the message transmitted with respect to an image display apparatus from the test | inspection data management system of FIG. It is a figure which shows an example of the reception message table of sample test DB of FIG. It is a figure which shows an example of the sample test data table of sample test DB of FIG. It is a figure which shows an example of the sample test data table of sample test DB of FIG. It is a figure which shows an example of the image information table of image DB of FIG. It is a figure which shows an example of the viewer screen displayed on the display part of FIG. It is a figure which shows an example of a display at the time of displaying the medical image and specimen test | inspection image which were taken in to the viewer screen shown in FIG. 3 is a flowchart illustrating a specimen test image creation process executed by a control unit in FIG. 2. It is a flowchart which shows the acquisition patient determination process performed in step S6 of FIG. It is a flowchart which shows the image creation process performed in step S7 of FIG. It is a figure which shows an example of the parameter memorize | stored in the memory | storage part of FIG. It is a figure which shows an example of the parameter memorize | stored in the memory | storage part of FIG. It is a figure which shows an example of the parameter memorize | stored in the memory | storage part of FIG. It is a figure which shows an example of the sample test image produced | generated by the image creation process of FIG. It is a figure which shows an example of the parameter table of sample test DB of FIG.

DESCRIPTION OF SYMBOLS 1 Small diagnostic system 2 Modality 3 Image display apparatus 4 Reception apparatus 5 Imager 6 General-purpose printer 7 Client PC
8 Inspection data management system 9 Network 31 Control unit 32 RAM
33 Storage Unit 330 Sample Inspection DB
331 Image DB
34 Operation unit 35 Display unit 351 Viewer screen 352 Sample test image 36 Communication unit 37 Media drive 38 Bus 73 Image display field 74 Thumbnail image display field

Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. However, the scope of the invention is not limited to the illustrated examples.

[Configuration of small-scale diagnostic system 1]
FIG. 1 is a block diagram showing a system configuration of a small-scale diagnosis system 1 in the present embodiment.

The small-scale diagnosis system 1 is applied to relatively small-scale medical facilities such as practitioners and clinics. The small-scale diagnosis system 1 includes a modality 2, an image display device 3, a reception device 4, an imager 5, a general-purpose printer 6, a client PC (Personal Computer) 7, and an inspection data management system 8. Each device constituting the small-scale diagnosis system 1 is connected to a communication network (hereinafter simply referred to as “network”) 9 such as a LAN (Local Area Network) via a switching hub (not shown), for example. The image display device 3 is preferably a WS (workstation) provided in an examination room where a doctor is resident. The WS that operates as the image display device 3 may be configured to control activation of each modality 2, processing conditions, and the like.

In general, the DICOM (Digital Image and Communications in Medicine) standard is used as a hospital communication method. For communication between devices connected to a LAN, DICOM MWM (Modality Worklist Management) and DICOM MPPS (DICOM MPPS ( Modality Performed Procedure Step) is used. Note that the communication method applicable to this embodiment is not limited to this.

[Device configuration of each device of the small-scale diagnosis system 1]
Hereinafter, each apparatus which comprises the small-scale diagnosis system 1 is demonstrated.
The modality 2 is an image generation unit that captures an image of a region to be diagnosed by a patient as a subject and digitally converts the captured image to generate a medical image. A medical image is an image used for interpretation diagnosis in the medical field.

The modality 2 is configured by an ultrasonic diagnostic apparatus (US), an FPD (Flat Panel Detector), or the like. The modality 2 is not limited to this. For example, an endoscope, MRI, or the like may be provided as the modality 2. A modality 2 may be a digital camera or the like that captures the appearance of the body such as the skin.
Furthermore, it is good also as a structure provided with two or more apparatuses of the same kind, for example, including two ultrasonic diagnostic apparatuses. Further, the combination of the devices constituting the modality 2 provided in the small-scale diagnosis system 1 is not limited to the above example.

In the present embodiment, the modality 2 has a function of giving image attribute information such as UID, imaging date / time, examination ID, and examination site to each medical image in a format conforming to the DICOM standard. That is, a medical image is input from the modality 2 to the image display device 3 in a state where these pieces of image attribute information are given.
The UID is a unique ID for specifying a medical image in the small-scale diagnosis system 1. Similarly, a UID is assigned to a specimen test image created in a specimen test image creation process described later.

The modality 2 includes an input unit (not shown) such as a keyboard having character input keys, numeric input keys, and the like, and inputs patient information for specifying a patient to be imaged from the input unit.
Patient information includes patient ID, patient name (kanji), patient name (kana), patient name (ASCII), gender, date of birth, age, etc., medical treatment date, imaging time, reception number, physician in charge, etc. The patient information input in Modality 2 includes, for example, patient ID, patient name (kanji), patient name (kana), patient name (ASCII), gender, and date of birth. is there. Note that it is not necessary to input all of them in the modality 2, and it is possible to not input any patient information. When the modality 2 has a specification for inputting only a patient ID as patient information, the input unit of the modality 2 may be a numeric keypad, for example.

The image attribute information and the patient information are incidental information attached to the medical image generated by the modality 2. The modality 2 transmits a medical image to the image display device 3 via the network 9 in a DICOM file format conforming to the DICOM standard. The DICOM file is composed of an image part and a header part. In the image portion, image data of a medical image is written, and in the header portion, incidental information related to the medical image is written.
If the modality 2 is a device that does not conform to the DICOM standard, such as a digital camera, the modality 2 transmits a medical image in the JPEG format to the image display device 3. In this case, the UID is given to the medical image on the image display device 3 based on the shooting date and time of the medical image.

The image display device 3 is installed in an examination room, for example, stores a medical image generated by the modality 2 in association with patient information in an image DB (Data Base) 331, or a doctor displays an image or the like to interpret an image. Or a device with a higher definition than a monitor (display unit) used in a general PC.

As shown in FIG. 2, the image display apparatus 3 includes a control unit 31, a RAM 32, a storage unit 33, an operation unit 34, a display unit 35, a communication unit 36, a media drive 37, and the like. 38 is connected.

The control unit 31 is configured by a CPU (Central Processing Unit) and the like, reads various programs such as system programs and processing programs stored in the storage unit 33, expands them in the RAM 32, and performs a specimen test described later according to the expanded programs. Various processes including an image creation process (see FIG. 9) are executed.

The RAM 32 forms a work area for temporarily storing various programs executable by the control unit 31 read from the storage unit 33, input or output data, and the like in various processes controlled by the control unit 31.

The storage unit 33 includes an HDD (Hard Disk Drive), a semiconductor nonvolatile memory, or the like. In addition to storing various programs as described above, the storage unit 33 stores parameters (details will be described later) used in a specimen test image creation process, which will be described later, and an image for adjusting a medical image to an image quality suitable for diagnosis. Processing parameters (look-up table defining tone curves used for tone processing, frequency processing enhancement level, etc.) are stored. Further, the storage unit 33 stores patient information input by the receiving device 4 or the like.

The storage unit 33 has a sample test DB 330 that stores various types of information related to the test results of the sample received from the test data management system 8. The test result of the sample is numerical data of each test item regarding the sample obtained by the test data management system 8. Hereinafter, this numerical data is referred to as specimen test data. The specimen test data is stored in a file in a specific format (hereinafter referred to as a message) created in a CSV (Comma Separated Values) format or the like. The image display device 3 receives a message from the inspection data management system 8 via the network 9. The received message is stored in the specimen test DB 330.

[Message data format]
Hereinafter, the message received by the image display device 3 from the inspection data management system 8 will be described in detail.
FIG. 3A shows an example of the data format of the message. As shown in FIG. 3A, the message includes a “message ID” field, a “sample test ID” field, a “patient information” field, a “collection date / time” field, a “classification” field, a “test item” field, and a “measurement value” field. Etc. In the message, sample test data and patient information related to the sample test data are stored in association with each other. The patient information stored in the message is patient information registered in the examination data management system 8 and may not match the patient information registered in the modality 2 or the image display device 3. For example, in the case of a patient who did not take a medical image with modality 2 and only performed a blood test or urine test with test data management system 8, patient information is not registered in modality 2 or image display device 3, Patient information is registered only in the examination data management system 8. Hereinafter, in order to distinguish, the patient information registered in the modality 2 or the image display device 3 is referred to as patient information A, and the patient information registered in the examination data management system 8 is referred to as patient information B.

In the “message ID” field, an ID uniquely assigned to the message is stored.
The “specimen test ID” field stores an ID uniquely assigned to the sample test performed on the patient.
In the “patient information” field, various types of patient information related to the specimen test are stored. Further, the “patient ID” field, the “patient name (kanji)” field, the “patient name (kana)” field, the “patient name (ASCII)”. ) "Field," gender "field, and" birth date "field.
The date and time when the sample is collected is stored in the “collection date and time” field.
The “classification” field stores a classification corresponding to the specimen test data included in the message. The classification is a test corresponding to the collected sample, for example, a blood test if the sample is blood, and a urine test if the sample is urine.
In the “inspection item” field, an inspection item corresponding to the classification is stored. That is, when the value of the “classification” field is “urine test”, each test item (“urine white qualitative”, “urine occult blood”, etc.) for which the result is obtained by the urine test is stored. In the case of “test”, each test item (“total protein”, “inorganic phosphorus”, etc.) for which a result is obtained by the blood test is stored.
The “measurement value” field stores the measurement value of the inspection result of each inspection item.

The message is composed of one or a plurality of records, and each record stores sample test data for each test item of the sample classification. For example, as shown in the example of FIG. 3A, the result of the urine test for the patient “Test Taro” and the result of the blood test for the patient “Saburo Yamada” are newly sent to the test data management system 8 at the message transmission timing. If registered, records corresponding to these two inspection results are included in one message.

Even when samples are collected at the same date and time, the date and time when a test result is obtained may vary depending on the classification and the test item. For example, even when blood and urine are collected in one test, the date and time when the blood test results are obtained may be different from the date and time when the urine test is performed. In this case, since the timing at which the blood test result and the urine test result are registered in the test data management system 8 is different, a message including the blood test result and a message including the urine test result are sent to the image display device 3. The transmission timing is also different.
For example, a patient named “Test Taro” performs a blood test and a urine test at “10:00 on June 15, 2008”, and when the message shown in FIG. When the result of the blood test is not given, as shown in FIG. 3A, the message includes only the record corresponding to the test result of the “test Taro” urine test.

FIG. 3B shows a message transmitted to the image display device 3 when a new inspection result is obtained. The example illustrated in FIG. 3B illustrates a case where the blood test result of “Test Taro” is obtained after the message illustrated in FIG. 3A is transmitted to the image display device 3. Although the blood test results are newly available, they are collected at the same collection date and time as the urine tests for which results have already been obtained and are the same test, so the “sample test ID” field, “patient information” field, and In the “collection date / time” field, the same value as the record of “test Taro” in the message shown in FIG. 3A is stored. In the “Category” field, the value of “blood test” that has been newly obtained this time is stored, and in the “Message ID” field, a value different from the message shown in FIG. 3A is stored.

Returning to FIG. 2, the sample test DB 330 stores a message received from the test data management system 8 via the network 9, a received message table T 1 for storing a message ID for identifying the message, and sample test data included in the message. For example, a parameter table T4 for storing parameters relating to the configuration of the specimen test image. Details of these parameters and parameter table T4 will be described later.
Although a detailed configuration example will be described later, the sample test image is obtained by imaging the sample test data included in the message received from the test data management system 8 based on the parameters stored in the storage unit 33. For example, it is an image obtained by graphing or displaying the sample test data in a table.

FIG. 4 shows an example of the received message table T1. As shown in FIG. 4, the received message table T1 has a “message ID” field, an “not fetched flag” field, and the like. Each time a new message is received from the test data management system 8, the received message table T1 stores a message ID associated with the message ID of this message.
The unacquired flag is a flag indicating whether or not a specimen test image included in a message has been imaged by a specimen test image creation process described later and a specimen test image has been created, and is given for each message ID.
In the data storage example shown in FIG. 4, the specimen test image is created by the specimen test image creation process for the two test result data included in the message with the message ID “3”, but the message ID is “4”. One test result data included indicates that a specimen test image has not yet been created.
The received message table T1 may store information such as the date and time when the examination data management system 8 transmits a message to the image display device 3 and the date and time when the image display device 3 receives the message.

FIG. 5A shows an example of the specimen test data table T2. As shown in FIG. 5A, the sample test data table T2 includes a “sample test ID” field, a “patient information” field, a “collection date” field, a “test item” field, a “classification” field, and a “test item unread flag”. Field, “measurement value” field, and the like. In the specimen test data table T2, the specimen test data included in the message in which the specimen test image is created by the specimen test image creation process described later among the messages corresponding to the message ID stored in the received message table T1 is the patient information. Corresponding to A, it is sequentially stored for each specimen test ID.

In the “inspection item unread flag” field, an inspection item unread flag indicating whether or not the measurement value (inspection result) of each inspection item is displayed on the display unit 35 is stored.
When the specimen test image created in the specimen test image creation process described later is displayed on the display unit 35, the value of the “test item unread flag” field corresponding to the test item included in the specimen test image is “unread”. Will be changed to “Read”. The test items included in the sample test image are test items imaged by the sample test image, and in this embodiment, test items and tables included in the graph display test items of parameters (FIGS. 12A to 12C) described later. It is an inspection item included in the inspection item.

Referring back to FIG. 2, the storage unit 33 has an image DB (Data Base) 331 for storing a specimen test image created by the specimen test image creation process, a medical image transmitted from the modality 2, and a thumbnail image.

The image DB 331 includes an image information table T3 that stores various types of information related to medical images stored in the image DB 331. FIG. 6 shows an example of the image information table T3. As shown in FIG. 6, the image information table T3 includes a “record number” field, a “UID” field, an “imaging date / time” field, an “examination ID” field, an “examination site” field, a “patient ID” field,. -It has an “image storage destination” field and the like. The image information table T3 includes a medical image transmitted from the modality 2, a specimen test image created by a specimen test image creation process described later, and various types of information (image related information, patient information A, file storage location, etc.). Correspondingly, one record is stored. In the “examination ID” field, an ID uniquely assigned to a taken examination is stored in the case of a medical image, and a specimen examination ID is stored in the case of a specimen examination image.
The image information table T3 may store storage destination folder information for medical images and thumbnail images of specimen examination images.

Based on the information stored in the image information table T3, the medical image and the specimen test image are associated with the UID for identifying the patient information A, each medical image, and the like, and the patient information A, the photographing date (in the case of the specimen test image) Is collected and stored as key information. When registering a medical image transmitted from the modality 2 or a specimen test image created in the image display device 3 in the image DB 331, each information is also registered in the image information table T3.

The operation unit 34 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse, and a key pressing signal pressed by the keyboard and an operation signal by the mouse. Is output to the control unit 31 as an input signal.

The display unit 35 is configured to include a monitor such as a CRT (Cathode Ray Tube) or an LCD (Liquid Crystal Display), and displays various screens according to instructions of a display signal input from the control unit 31.

FIG. 7 shows an example of the viewer screen 351 displayed on the display unit 35. The viewer screen is a screen that displays medical images and specimen test images used for diagnosis, and is displayed when a doctor performs interpretation diagnosis or informed consent for a patient. As shown in FIG. 7, the viewer screen 351 includes a patient display column 71 that displays the patient ID and patient name of the patient selected as a diagnosis target, and it is visually recognized which viewer screen 351 is currently displayed. It can be done. When the list screen button 72 is operated, the screen can be changed to a patient information list screen (not shown).

The viewer screen 351 includes an image display field 73 for displaying a medical image and a specimen test image used for diagnosis out of a medical image and a specimen test image of the patient to be diagnosed, and thumbnails of the medical image and the specimen test image of the patient to be diagnosed. A thumbnail image display field 74 for displaying a list of images is provided.

In addition, the viewer screen 351 is provided with an image capture button 81a and an image capture button 81b.
The image capture button 81a instructs to capture a medical image transmitted from various modalities 2 connected to the network 9 as an image of a patient who is currently diagnosed (patient displayed in the patient display column 71). It is a button to do. In the present embodiment, the image capture button 81 a is arranged on the viewer screen 351 corresponding to the type of the modality 2 connected to the network 9.
The image capture button 81b is a medical image transmitted from the modality 2 such as a digital camera via an interface such as a USB (not shown) as an image of a patient who is currently diagnosed (a patient displayed in the patient display column 71). It is a button for instructing to capture.

When any of the image capture buttons 81a or 81b is pressed (clicked) on the viewer screen 351 by the operation unit 34, the viewer screen 351 of the patient to be diagnosed is closed or the image capture button is released. In the meantime, the medical image transmitted from the modality 2 of the type corresponding to the pressed image capture button 81a or 81b is captured as the medical image of the patient to be diagnosed, and associated with the patient information A of the patient in the image DB 331. Is remembered. The captured medical image is displayed in the image display field 73 as a medical image used for diagnosis, and the thumbnail image is generated and displayed in the thumbnail image display field 74 (see FIG. 8). The generated thumbnail image is stored in the image DB 331 in association with the UID, imaging date, and patient information A.
When a medical image is transmitted from the type of modality 2 in which the image capture button 81a or 81b is not pressed, an unconfirmed image storage unit (not shown) provided in the storage unit 33 as an unconfirmed image. Is remembered. An undetermined image means a medical image that is not associated with patient information. The unconfirmed image stored in the unconfirmed image storage unit is associated with the patient by a user input from the operation unit 34. For example, a list of unconfirmed images and a list of patient information A are displayed on the display unit 35 (not shown), and the patient information A to be associated with the unconfirmed images is selected from the operation unit 34. Patient information A is associated.

The viewer screen 351 is provided with a date button 75. When any of the date buttons 75 is pressed by an input from the operation unit 34, a medical image taken on the date indicated by the pressed date button of the patient to be diagnosed from the image DB 331 and the sample examination whose collection date is this date The thumbnail image of the image is read, and the read thumbnail image is additionally displayed in the thumbnail image display field 74. By dragging and dropping the thumbnail image displayed in the thumbnail image display field 74 to the image display field 73 with the mouse of the operation unit 34, the medical image and the specimen examination image can be displayed in the image display field 73.
The information related to the medical image and the information related to the specimen test image input from the operation unit 34 are not limited to the date information as described above, and various types of information stored in the image information table T3 are selected by the operation unit 34. Thus, the medical image and the specimen test image to be displayed on the display unit 35 may be designated. For example, other buttons for designating the examination region and patient information A are displayed on the viewer screen 351 (not shown in particular), this button is selected by input from the operation unit 34, and the image information table T3 is displayed. By referencing, a medical image and a specimen test image may be displayed on the viewer screen 351.

The viewer screen 351 is provided with various tool buttons 83 for displaying the images displayed in the image display field 73 in an easy-to-see manner.

Further, the viewer screen 351 includes an image output button 82a for designating the imager 5 as an output destination of the medical image, an image output button 82b for designating the general-purpose printer 6 as the output destination of the medical image and the specimen test image, and the medical screen. An image output button 82c for designating a recording medium as an image output destination and an image output button 82d for designating an external device (in this case, the client PC 7 or the like) as a medical image output destination are provided.

In the image display device 3, when the medical image transmitted from the modality 2 is received, the type of the modality 2 that is the transmission source of the medical image is determined by referring to the UID attached to the received medical image, the reception path, or the like. It is determined whether the image capture button 81a or 81b corresponding to is previously pressed. When the image capture button 81a or 81b corresponding to the type of the modality 2 of the transmission source has been pressed in advance, the received medical image is captured as the medical image of the patient displayed in the patient display column 71 of the viewer screen 351. Are displayed in the image display field 73.
Similarly, when a specimen test image of a patient displayed in the patient display field 71 of the viewer screen 351 is created and stored in the image information table T3 by a specimen test image creation process described later, this specimen is also displayed in the image display field 73. An inspection image is displayed.

The communication unit 36 is configured by a network interface or the like, and transmits / receives data to / from an external device connected to the network 9 via a switching hub.

The media drive 37 is configured such that a portable recording medium M such as a CD-R (Compact Disk-Recordable), DVD-R (Digital Versatile Disk-Recordable), or MO (Magnet-Optical) disk is detachable, and is mounted. A device that reads or writes data from and to M.

The reception device 4 is a computer device for performing registration, accounting, insurance score calculation, etc. of patients who come to the hospital, and is composed of a storage unit composed of a CPU, ROM, RAM, etc., an input composed of a keyboard, a mouse, etc. , A display unit configured by a CRT, an LCD, and the like, a communication unit (none of which is shown) that controls communication with each device connected to the network 9, and the like. When receiving a reception input screen is instructed from the input unit, the reception device 4 displays a reception input screen (not shown) on the display unit in cooperation with the CPU and the program stored in the storage unit. When reception information (reception number + patient name, etc.) is input through the reception input screen, the patient information A of the received patient is created (updated) and stored in the storage unit. It transmits to the image display device 3 as appropriate.

The imager 5 records a latent image by laser exposure on a transmission type recording medium (film) based on the medical image transmitted from the image display device 3, and visualizes the latent image by thermal phenomenon processing. Printer.

The general-purpose printer 6 is a printer that records an image on a reflective recording medium (paper medium, sticker, etc.) by an ink jet method or a laser method.

The client PC 7 is, for example, a computer device that displays a medical image transmitted from the image display device 3.

The examination data management system 8 manages the examination result of the sample collected from the patient. The inspection data management system 8 includes an inspection device (not shown) for inspecting blood, urine and the like collected from a patient, and manages sample inspection data obtained by the inspection device. Every time a predetermined time elapses, a message created by the inspection data management system 8 is transmitted to the image display device 3 via the network 9. The message only needs to be transmitted from the test data management system 8 to the image display device 3 at a predetermined timing, and is transmitted every time the sample test data is registered in the test data management system 8. Alternatively, it may be transmitted by an instruction input from an operation unit (not shown) of the inspection data management system 8.

[Operation of Image Display Device 3]
Next, the operation of the image display device 3 will be described in detail.
FIG. 9 shows a flowchart of the specimen test image creation process executed by the control unit 31 at time intervals stored in the storage unit 33 in advance. The specimen test image creation process is executed in cooperation with the control unit 31 and the program stored in the storage unit 33.

First, the message stored in the storage unit 33 and the received message table T1 are read (step S1). Next, it is determined whether or not there is new specimen test data in the received message table T1 (step S2). In step S2, the “unacquired flag” field of the received message table T1 read in step S1 is referred to. If there is a record whose value is “unacquired”, a new sample is obtained. If it is determined that there is examination data and all the values of this field are “acquired”, it is determined that there is no new specimen examination data.

If it is determined that there is new specimen test data (step S2; YES), the number of new specimen test data is acquired (step S3). The new specimen test data is a specimen test having the same specimen test ID among the specimen test data included in the message in which the value of the “untaken flag” field of the sample test table T1 is “not loaded”. It is a collection of data, and the number of new specimen test data is the number of specimen test IDs with different values included in this message. In the data storage example of the message in FIG. 3B and the data storage example in the sample test table T1 in FIG. 4, the number of new sample test data is one with the sample test ID “40”.

Next, 1 is substituted into the counter variable i (step S4), and it is determined whether there is unprocessed extracted data (step S5). The unprocessed extracted data is new sample test data in which a sample test image has not been created in step S7 described later among the new sample test data. In step S5, if the counter variable i is larger than the number of new specimen test data, it is determined that there is no unprocessed extracted data. If the counter variable i is equal to or less than the number of new specimen test data, the unprocessed extracted data is determined. It is judged that there is.

If it is determined that there is unprocessed extracted data (step S5; YES), a captured patient determination process is executed (step S6).

FIG. 10 shows a flowchart of the acquisition patient determination process executed by the control unit 31 in step S6 of FIG. The acquisition patient determination process is executed in cooperation with the control unit 31 and a program stored in the storage unit 33.

First, patient information A stored in the storage unit 33 is acquired (step S601). Next, it is determined whether or not the patient ID corresponding to the unprocessed extracted data has been registered (step S602). In step S602, if the patient ID in the “patient ID” field of the message corresponding to the unprocessed extracted data exists in the patient information A stored in the storage unit 33, the patient ID is registered. If it is determined and does not exist, it is determined that the patient ID has not been registered.

When it is determined that the patient ID has been registered (step S602; YES), it is determined whether or not to compare the patient information A stored in the storage unit 33 with the patient information B corresponding to the unprocessed extracted data. (Step S603). In step S603, a value indicating whether or not to compare patient information is stored in the storage unit 33 in advance, and by referring to this value, it is determined whether or not to compare patient information. This value can be changed by an input from the operation unit 34.

When it is determined that the patient information A stored in the storage unit 33 is compared with the patient information B corresponding to the unprocessed extracted data (step S603; YES), the patient information A and the patient information B are compared ( Step S604). Specifically, the patient name (kanji), patient name (kana), patient name (ASCII), gender, and date of birth corresponding to the unprocessed extracted data, and the patient information A stored in the storage unit 33 Of these, the patient name (kanji), patient name (Kana), patient name (ASCII), gender, and date of birth of the patient with the matching patient ID are compared.

As a result of the comparison of the patient information in step S604, it is determined whether or not the patient information matches (step S605). If it is determined that the patient information matches (step S605; YES), the sample test image created based on the unprocessed extracted data is set as the sample test image corresponding to this patient (including the patient ID of this patient). ) Is stored in the RAM 32 (step S606).
If it is not determined that the patient information matches (step S605; NO), a return value indicating that the specimen test image created based on the unprocessed extracted data is an indeterminate image is stored in the RAM 32 (step S607).

On the other hand, if it is not determined that the patient ID has been registered (step S602; NO), it is determined whether or not a new patient has been registered (step S608). Here, the registration setting for a new patient refers to a setting for whether or not to newly store (register) patient information B corresponding to unprocessed extracted data as patient information A in the storage unit 33. In step S608, a value indicating whether or not to register a new patient is stored in advance in the storage unit 33, and it is determined whether or not new patient registration is set by referring to this value. This value can be changed by input from the operation unit 34.

If it is determined that registration of a new patient is set (step S608; YES), unprocessed extracted data and corresponding patient information B are stored as new patient information A in the storage unit 33, and the patient information is registered. (Step S609). Next, a return value (including the patient ID of this patient) indicating that the sample test image created based on the unprocessed extracted data is a sample test image corresponding to the registered patient is stored in the RAM 32. (Step S610).
On the other hand, if it is not determined that the registration setting for the new patient is made (step S608; NO), the process proceeds to step S607, and the specimen test image created based on the unprocessed extracted data is set as an indeterminate image. A return value indicating that is stored in the RAM 32.

Returning to FIG. 9, when the capture patient determination process described above is performed, an image creation process is executed (step S7).
FIG. 11 shows a flowchart of the image creation process executed by the control unit 31 in step S7 of FIG. The image creation process is executed in cooperation with the control unit 31 and a program stored in the storage unit 33.

First, parameters stored in advance in the storage unit 33 are read and stored in the RAM 32 (step S71). The parameter is a parameter relating to each item such as a graph constituting the specimen test image, and is information indicating, for example, the scale width of the vertical axis of the graph, the test item displayed in the graph, the test item displayed in the table, and the like. is there. Each value of this parameter can be changed in advance by input from the operation unit 34. The parameter whose value has been changed becomes a valid parameter when the specimen image creation process is executed next.

FIG. 12A shows an example of parameters relating to the display form of the graph included in the specimen test image. This parameter is, for example, the upper limit value and lower limit value of the normal zone of the graph, the maximum number of display days indicating the number of examinations of the collection date and time to be displayed simultaneously (hereinafter referred to as the number of extracted data), the vertical width of the graph, and the like.
FIG. 12B shows an example of parameters relating to the inspection item to be displayed in a graph (referred to as a graph display inspection item) and the line color of the graph indicating the data of the inspection item. FIG. 12C shows an example of setting values of inspection items to be displayed in a table included in the parameters.
In step S71, each of the parameters shown in FIGS. 12A to 12C stored in the storage unit 33 is read and stored in the RAM 32.

Next, a specimen test image and a thumbnail image are created based on this parameter, and stored as a temporary file in the RAM 32 (step S72).

Hereinafter, the specimen test image created in step S72 and the specific processing in step S72 will be described.
FIG. 13 shows an example of the specimen test image 352 created in step S72. The specimen test image 352 includes a collection date / time 201, a graph legend 202, a graph 203, a test item list 204, a table 205, and the like.
The collection date / time 201 is the value of the “collection date / time” field of the message corresponding to the unprocessed extracted data. The graph legend 202 displays a graph legend corresponding to the parameter graph display inspection item. The graph 203 is displayed by drawing a graph of the inspection item corresponding to the parameter graph display inspection item with a line of a predetermined color. The examination item list 204 shows a list of specimen examination data. The table 205 displays a table of inspection items corresponding to parameter table inspection items.

In step S72, first, a record in which the patient ID and the patient ID corresponding to the unprocessed extracted data match is extracted from the records stored in the specimen test data table T2. Then, among the extracted records, records of the number of parameter extraction data are further extracted in the order from the newest value of the “collection date” field. Specimen test data and unprocessed extracted data included in these records are imaged according to parameters to create a specimen test image. When there is a record in the sample test data table T2 where the unprocessed extracted data and the value of the “collection date / time” field are the same, the sample test data including both the sample test data and the unprocessed extracted data of this record Is imaged and a specimen test image is created.
In the example of the specimen test image 352 illustrated in FIG. 13, the number of extracted data is 3. That is, the measured values of the test items of the test corresponding to the sample test ID for three times including the unprocessed extracted data are represented by the graph 203 and the table 205.

Referring back to FIG. 11, parameters relating to the created specimen test image are created and stored as a temporary file in the RAM 32 (step S73). The parameter relating to the specimen test image is the parameter determined in step S71.

Returning to FIG. 9, it is determined whether or not a specimen test image having the same collection date as the specimen test image created in step S7 has been created (step S8). Specifically, in the sample test DB 330, a message corresponding to the unprocessed extracted data for which the sample test image has been created in step S7 and the message having the same values in the “patient ID” field and the “collection date” field are searched. In the received message table T1, if there is a record in which the value of the “unacquired flag” field associated with the message ID of the retrieved message is “acquired”, the sample on the same collection date If it is determined that a test image has been created and there is no such record, it is determined that a sample test image on the same collection date has not been created.

When it is determined that the sample test image on the same collection date has been created (step S8; YES), the UID of this sample test image is acquired from the image information table T3, and the parameter table T4 is referred to. It is determined whether or not this specimen test image is unread (step S9). Specifically, among the records of the parameter table T4 (details will be described later), the record corresponding to the UID of the created specimen test image is referred to, and the value of the “image unread flag” field of this record is referred to Then, it is determined whether or not the created specimen test image is unread. Note that the UID of the specimen test image on the same collection date is a patient ID whose “patient ID” field and “imaging date” of the image information table T3 correspond to this specimen test image (that is, corresponding to unprocessed extracted data). And the “UID” field of the record that matches the collection date and time is referred to.

Returning to FIG. 9, when it is determined that the sample test image on the same collection date is unread (step S9; YES), unprocessed extracted data in the sample test table T2 and various types corresponding to the unprocessed extracted data Information (sample test ID, patient information A, etc.) is stored (step S10).

FIG. 5B shows an example of the specimen test table T2 in which unprocessed extracted data is stored. The example shown in FIG. 5B is an unprocessed in step S10 in the case of the sample data storage example shown in FIG. 3B and the sample data storage example of the received message table T1 shown in FIG. This shows an example in which the extracted data is stored. The specimen test data of “blood test” of “Test Taro” shown in FIG. 4 is stored in the specimen test table T2.

Next, the specimen test image and the thumbnail image created in step S72 are overwritten and saved in the storage unit 33 (step S11). Specifically, the specimen test image and thumbnail image of the UID acquired in step S9 are overwritten and saved by the specimen test image and thumbnail image created in step S72.
The parameter is updated by being stored in the parameter table T4 together with the parameter stored in the RAM 32 in step S71 (step S12).

FIG. 14 shows an example of the parameter table T4. As shown in FIG. 14, the parameter table T4 includes a “UID” field, an “image unread flag” field, a “determined flag” field, a “graph display inspection item” field, a “table inspection item” field, and a “normal zone upper limit value”. ”Field,“ normal zone lower limit value ”field,“ maximum display days ”field,“ vertical width ”, and the like. The parameter table T4 stores parameters of each specimen test image created by the specimen test image creation process. The parameter table T4 is stored with the UID, the image unread flag, and the confirmation flag added to the parameters acquired in step S71.
Of the values stored in the “graph display inspection item” field shown in FIG. 14, the values shown in parentheses are the line colors of the graph.

The UID is a UID assigned to the created specimen test image.
The image unread flag is a flag for identifying whether or not the specimen test image corresponding to the record is displayed on the display unit 35. When the sample test image displayed in the image display field 78 of the viewer screen 351 is displayed on the display unit 35 by clicking the input from the operation unit 34 or the like, the image unread flag of this sample test image is changed from “unread” to “ Changed to “Read”.
The confirmation flag is a flag for identifying whether or not the examination included in the created specimen examination image is confirmed. Here, the confirmation of the examination indicates whether or not the examination has been explained to the patient. For example, when the sample examination image displayed on the viewer screen 351 is output by the image output button 82b, As the inspection is explained, the confirmation flag is changed from “before confirmation” to “confirmed”.
In step S12, the parameter table T4 is referred to, and each parameter stored in the record corresponding to the specimen test image before being overwritten in step S11 is replaced with the parameter stored in the RAM 32 in step S73.

Returning to FIG. 9, various pieces of information related to the specimen test image overwritten and stored in step S11 are registered in the image information table T3 (step S13). Specifically, registration is performed by overwriting various types of information (test site, etc.) related to the specimen test image of the record in which the UID acquired in step S9 matches the “UID” field of the image information table T3.

On the other hand, when it is not determined that the sample test image on the same collection date is already in the storage unit 33 (step S8; NO), it is not determined that the sample test image on the same collection date is unread (step S9; NO). The unprocessed extracted data and various information (sample test ID, patient information A, etc.) corresponding to the unprocessed extracted data are stored in the sample test table T2 (step S14). A UID is newly assigned to the specimen test image created in step S7, and is stored in the storage unit 33 according to the return value of step S7 together with the thumbnail image (step S15). If the return value stored in the RAM 32 in the capture patient determination process in step S6 indicates “corresponding patient data” or “registered patient data”, the specimen test image is stored in a predetermined folder of the image DB 331. , “Undetermined image” is stored in the undetermined image area of the image DB 331. Next, the parameter stored in the RAM 32 in step S71 is associated with the UID assigned to the specimen test image and stored as a new record in the parameter table T4, so that the parameter is added (step S16). .

Next, various pieces of information regarding the specimen test image newly stored in step S15 are registered in the image information table T3 (step S17). Specifically, a new record is created in the image information table T3, and the UID assigned in step S15 and various information (patient ID, etc.) related to the specimen test image are associated with each other and stored in this record. If the return value stored in the RAM 32 in the captured patient determination process in step S6 indicates “corresponding patient data” or “registered patient data”, the patient ID of this patient is stored, and the “indeterminate image” ", No value is stored in the patient ID. The “image storage destination” stores the location (storage destination) where the image is stored in step S11 or step S15.

Next, the counter variable i is incremented by 1 (step S18), and the process returns to step S5.
On the other hand, if it is not determined that there is unprocessed extracted data (step S5; NO), the unacquired flag of the received message table T1 corresponding to the message ID of the unprocessed extracted data is set to “acquired” (step S19). ), The process ends.
If it is not determined that there is new specimen test data (step S2; NO), the process ends.

As described above, according to the small-scale diagnosis system in the present embodiment, the specimen test image is created from the test result data included in the message received from the test data management system 8 by executing the specimen test image creation process. Is done. Specimen test images are stored in the image information table T3, and can be stored and managed in the same manner as other medical images. In other words, the sample management image and the medical image are managed in the same way, so image management becomes easy.
In addition, as shown in FIG. 8, it is possible to display a specimen inspection image in the same viewer as the medical images taken by each modality, eliminating the need to start a plurality of software at the same time, and other medical images and specimen examinations. Diagnosis can be made by referring to both of the results, and the operability is improved.

In addition, the specimen test image creation process is periodically executed, and the specimen test image is automatically created based on predetermined parameters, so that the time and effort of the doctor to create a graph or the like to explain to the patient is saved. be able to.

In addition, a sample test image including a graph is created by the sample test image creation process, and informed consent can be given to the patient using this sample test image, and the sample test image in the state explained to the patient Can be saved as is.

Further, by managing the sample test data as a sample test image and managing it as an image that is difficult to edit, it is possible to prevent falsification of the sample test data.

In addition, the description in this Embodiment mentioned above is an example of the suitable small-scale diagnosis system which concerns on this invention, and is not limited to this.
For example, in the present embodiment, the specimen test image creation process is periodically executed, but may be executed by an input from the operation unit 34. For example, the sample test data stored in the sample test data table T2 is displayed as a graph on the display unit 35, and the graph displayed on the display unit 35 is saved as a sample test image by an input from the operation unit 34. May be. In this case, each parameter displayed in a graph is stored in the parameter table T4.

Further, in step S5 of the specimen test image creation process shown in FIG. 9, it is determined whether there is unprocessed extracted data using the counter variable. However, the specimen test data for which the specimen test image is to be created is determined. It is sufficient if it can be determined whether or not there is another method. For example, EOF (End Of File) data may be attached to the last record of the new specimen test data, and it may be determined whether there is unprocessed extracted data based on this data.

Further, the unincorporated flag corresponding to the message for which the specimen test image has been created is updated in step S19. However, it is only necessary that the unincorporated flag can be updated when the specimen test image for the message has been created. The present embodiment is not limited to the example.
In the present embodiment, the image unread flag and the confirmation flag are stored in the parameter table T4. However, based on the values stored in the storage unit 33, whether or not the specimen test image is unread or has been confirmed. What is necessary is just to be able to judge whether or not, and is not limited to this. For example, the image unread flag and the confirmation flag may not be stored in the parameter table T4, but may be managed in another table.

In the above description, an example in which a hard disk, a semiconductor nonvolatile memory, or the like is used as a computer-readable medium of the program according to the present invention is disclosed, but the present invention is not limited to this example. As other computer-readable media, a portable recording medium such as a CD-ROM can be applied. A carrier wave is also applied as a medium for providing program data according to the present invention via a communication line.

In addition, the detailed configuration and detailed operation of each device constituting the small-scale diagnosis system can be changed as appropriate without departing from the spirit of the present invention.

It can be used in the medical field and can be applied to an image creation device and an image display device.

Claims (9)

1. Storage means for storing specimen test data of each test item relating to a specimen collected from a patient, and parameters relating to an image configuration when displaying the specimen test data on a display screen;
   Control means for creating a specimen test image obtained by imaging the specimen test data based on the parameters stored in the storage means, and storing the created specimen test image in the storage means;
   An image creating apparatus.
2. The storage means further stores an image information table in which medical images and various types of information related to the medical images are associated with each other,
   2. The image creating apparatus according to claim 1, wherein the control means stores the created specimen test image and various types of information related to the specimen test image in the image information table in association with each other.
3. The parameter includes information for specifying a test item for graphing the specimen test data,
   3. The image creating apparatus according to claim 1, wherein the specimen test image created by the control unit includes a graph of test items specified by parameters stored in the storage unit.
4. Display means;
   Storage means for storing specimen test data of each test item relating to a specimen collected from a patient, and parameters relating to an image configuration when displaying the specimen test data on the display means;
   Control means for creating a specimen test image obtained by imaging the specimen test data based on the parameters stored in the storage means, and storing the created specimen test image in the storage means and displaying on the display means; ,
   An image display device comprising:
5. The storage means further stores an image information table in which medical images and various types of information related to the medical images are associated with each other,
   5. The image display device according to claim 4, wherein the control means stores the created specimen test image and various types of information related to the specimen test image in the image information table in association with each other.
6. Operation means for designating various information related to the medical image and various information related to the specimen test image;
   The control means causes the display means to display various information related to the medical image designated by the operation means and the medical image associated with the image information table, and relates to the specimen examination image designated by the operation means. 6. The image display device according to claim 5, wherein a specimen test image associated with various information and the image information table is displayed on the display means.
7. The parameter includes information for specifying a test item for graphing the specimen test data,
   The image display device according to any one of claims 4 to 6, wherein the specimen test image created by the control unit includes a graph of a test item specified by a parameter stored in the storage unit. .
8. A method of creating an image by an image creating apparatus having a storage means for storing sample test data of each test item related to a sample collected from a patient and parameters relating to an image configuration when displaying the sample test data on a display screen Because
   An image creation method including a step of creating a sample test image obtained by imaging the sample test data based on the parameters stored in the storage unit and storing the created sample test image in the storage unit.
9. An image is displayed by an image display device having storage means for storing display means, specimen examination data of each examination item relating to a specimen collected from a patient, and parameters relating to an image configuration when the specimen examination data is displayed on the display means. Is a method of displaying
   Creating a sample test image obtained by imaging the sample test data based on the parameters stored in the storage unit, storing the generated sample test image in the storage unit and displaying the sample test image on the display unit; Image display method.

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