WO2019143064A1 - Integrated pathological image information management system for integrally managing all steps of pathological examination by using image information - Google Patents

Integrated pathological image information management system for integrally managing all steps of pathological examination by using image information Download PDF

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Publication number
WO2019143064A1
WO2019143064A1 PCT/KR2019/000363 KR2019000363W WO2019143064A1 WO 2019143064 A1 WO2019143064 A1 WO 2019143064A1 KR 2019000363 W KR2019000363 W KR 2019000363W WO 2019143064 A1 WO2019143064 A1 WO 2019143064A1
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information
inspection
specimen
image information
terminal
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PCT/KR2019/000363
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French (fr)
Korean (ko)
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임준
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서울대학교병원
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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H30/00—ICT specially adapted for the handling or processing of medical images
    • G16H30/20—ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records

Definitions

  • the present invention relates to a pathological image information management system, and more particularly, to an integrated pathological image information management system that integrally manages a plurality of inspection steps performed in pathology inspection using image information.
  • EMR Electronic Medical Record
  • PACS Picture Archiving and Communication System
  • the pathology department provides a cornerstone to the direction of the clinician's treatment by making a diagnosis by observing the morphological changes of the tissue taken from the patient.
  • the pathologic examination process is divided into visual examination and microscopic examination.
  • the visual inspection is a test to observe the histologic structure of the resected tissue through biopsy and surgery and to closely observe and record lesion size, number, color, hemorrhage and necrosis, and the relationship with surrounding organs.
  • Microscopy is a test that records tissue morphologically by microscopic observation with a glass slide.
  • the inspector checks the clinical information of the specimen on the computer monitor, makes a note on the specimen, moves to the visual inspecting unit, performs the inspection on the specimen, And leave a record.
  • the efficiency of the examination is very poor.
  • specimens and inspection records may change during the process of making a note of the inspection records and electronically documenting them.
  • the photographed picture information is managed by a Picture Archiving and Communication System (PACS) which is operated separately from the electronic medical record, the inspection record is checked in the electronic medical record when reading the inspection result, There is an inconvenience that the image information processing system should be checked separately.
  • PACS Picture Archiving and Communication System
  • the clinical sample is reported at various stages such as registration, reception, visual inspection, lymph node dissection, embedding, segmentation, staining, and reading.
  • the problem is that the inspectors are different for each step.
  • An object of the present invention is to provide an integrated pathological image information management system capable of integrally managing a plurality of inspection steps performed in pathology inspection using image information.
  • an integrated pathological image information management system for integrally managing all steps of a pathological examination using image information, A reception terminal for registering; A visual inspection terminal for generating image information, voice information and character information for the specimen while the inspector performs visual inspection, and displaying the information on a screen (the voice information and the character information are electronically documented to form the finding information) ; A microscope inspection terminal for generating image information and character information of the specimen while the inspector performs a microscopic inspection (the character information is electronically documented to form the specimen information); A reading terminal displaying the image information and the finding information generated from the visual inspection terminal or the microscopy inspection terminal on one screen and displaying a plurality of inspection processes performed in the pathology inspection in a stepwise manner on a screen in a list; And a management server for processing the image information and the diagnostic information generated from the reception terminal, the visual inspection terminal, and the microscopic inspection terminal, and the clinical information of the patient.
  • the visual inspection terminal includes a test stand on which the specimen is placed, an image information input unit for imaging the specimen positioned on the inspection stand, a voice information input unit for recording test specimens of the specimen on the specimen, And a test information display unit for displaying clinical information and test information of the specimen on a screen; Wherein each of the elements constituting the visual inspection terminal is integrally formed in a predetermined space so that the inspector can check the clinical information of the specimen through the inspection information display unit without any movement, Information and character information, and may be stored in the management server.
  • the inspection information display unit displays, on one screen, a basic information area for inputting basic information on the specimen, a sound information area for recording audio information on visual inspection, and a plurality of sample lists on which visual inspection is performed A sample list area for reproducing and editing image information and audio information corresponding to each list, and a video information area for displaying a sample for a sample currently being examined or a sample selected from the list .
  • the reading terminal includes an image information area for displaying an image of a specimen selected for reading, a finding information area for displaying finding information on the specimen, and a plurality of inspection processes performed in the pathology examination of the specimen, Providing a user interface configured as an indicated test tracking area; When one of the inspection processes is selected from the list displayed in the inspection tracking area, the corresponding image information and the corresponding information may be displayed on the screen.
  • the inspector performs inspection while checking clinical information directly from a visual inspection terminal without moving separately for visual inspection, , Voice information, and character information, and thus the examination can be efficiently conducted.
  • the test record is automatically saved as video or audio without handwriting, there is no possibility of change of specimen and test record.
  • the integrated pathology image information management system stores and manages not only image information but also inspection information, so that both the examiner and the reader can conveniently perform the task.
  • the inspector can confirm the basic information of the specimen, the clinical information, the image of the specimen currently being inspected, or the inspection image that has been performed in the past through the screen of the visual inspection terminal.
  • the reader can check and track all the inspection processes performed in the pathology inspection step by step through the screen of the reading terminal, and can check the image information and the feature information stored in each inspection process while comparing them on a single screen.
  • FIG. 1 is a block diagram schematically showing an integrated pathology image information management system of the present invention.
  • FIGS. 2 and 3 are views schematically showing the visual inspection terminal of FIG. 1.
  • FIG. 4 is a view illustrating a pathology inspection process by the integrated pathology image information management system of FIG.
  • FIG. 5 is a diagram showing a user interface of the inspection information display unit of FIG.
  • FIG. 6 is a diagram showing a user interface of the reading terminal of FIG. 1;
  • FIG. 1 is a schematic view of an integrated pathology image information management system of the present invention
  • FIGS. 2 and 3 are schematic views of a visual inspection terminal of FIG. 1.
  • FIG. The integrated pathological image information management system 1 of the present invention includes a reception terminal 15, a visual inspection terminal 20, a microscopic inspection terminal 30, a read terminal 35 and a management server 10.
  • the reception terminal 15 assigns a serial number to the tissue, registers it together with the patient information, and receives the pathology examination.
  • the inspector When the pathological examination request is received by the reception terminal 15, the inspector performs visual inspection of the specimen through the visual inspection terminal 20.
  • Visual inspection is the first step in finding a lesion. The examiner checks the area and type of the specimen, measures the length and weight, and then looks for the lesion.
  • the visual inspection terminal 20 of the present invention generates image information, voice information, and character information for a specimen while the inspector performs visual inspection, and displays the information on the screen.
  • the visual inspection terminal 20 includes a test table 21 on which a specimen is placed, an image information input unit 22 positioned above the test table 21 to image the specimen, A voice information input unit 24, a character information input unit 26 for inputting the test results of the test sample into an electronic document, and a test information display unit 28 for displaying clinical information and test results of the test sample on the screen.
  • each element constituting the visual inspection terminal 20 is integrally formed in a predetermined space, the examiner can perform a visual inspection conveniently.
  • an examiner checks the clinical information of a specimen on a computer monitor, moves to a visual inspection table provided in a separate space, conducts a visual inspection, and then moves to another photographing room, I took a picture and recorded it.
  • the visual inspection terminal 20 of the present invention solves this inconvenience.
  • the examiner confirms the clinical information of the specimen through the inspection information display unit 28 at one place without moving separately, Information, voice information, and character information, and is automatically stored in the management server 10.
  • the image information input unit 22 records all progress of the visual inspection, generates the image information, and stores it in the management server 10.
  • the image information input unit 22 may be a video camera capable of capturing a moving image and converting the image information into an electronic file such as an AVI or an AUD.
  • the management server 10 matches the received image information with patient information and stores the same.
  • the examiner examines the findings on the color, the number, the size, the hardness of the lesion, the bleeding and the necrosis, And can record audio information through the input unit 24.
  • the voice information input unit 24 generates one recording file (e.g., MP3, etc.) for one sample and stores it as voice information in the management server 10.
  • the management server 10 stores the received voice information in association with the patient information.
  • the management server 10 can convert the voice information into an electronic document.
  • the management server 10 may include a voice recognizer for converting voice information into an electronic document, or an obligatory party may connect to the management server 10 via a terminal to convert voice information into an electronic document.
  • the inspector can input and store test results as character information using a character information input unit (e.g., a keyboard, etc.).
  • the management server 10 converts the inputted character information into an electronic document and stores it.
  • the voice information and the character information are electronically documented to form the finding information.
  • the visual inspection terminal 20 is for observing the histological structure of the specimen. After the visual inspection is completed, the inspector cuts the lesion site and its peripheral parts to produce a tissue slide, and the morphological change . To prepare a tissue slide, a series of procedures such as lymph node dissection, embedding, segmentation, and dyeing are performed.
  • the microscopic inspection terminal 30 may include image information generating means and character information generating means. Therefore, while the inspector performs the microscopic inspection using the microscope inspection terminal 30, the microscope inspection terminal 30 generates image information and character information of the specimen tissue and stores the image information and the character information in the management server 10.
  • image information features such as the size and shape of the cells observed through microscopic examination, the size and shape of the nucleus, the relationship between the cells, the constituent material inside the cell, the degree of cell division, the infectious bacteria, foreign substances, Is recorded through the microscope inspection terminal 30 and is stored as image information.
  • the inspector can input inspection information into the microscope inspection terminal 30 as character information and store the inspection information.
  • the management server 10 matches and stores the received image information with the patient information, converts the received text information into an electronic document, and stores the converted electronic document.
  • the electronic documented character information constitutes the finding information.
  • the reading terminal 35 displays the image information and the finding information generated from the visual inspection terminal 20 or the microscopy inspection terminal 30 on one screen.
  • the reader can refer to the corresponding image information while checking the electronic documented observation information through the screen.
  • the reading terminal 35 displays a list of a plurality of inspection processes performed in the pathology examination step by step, and the reader selects desired items from the list and checks the image information and the finding information for each step have. That is, since the image information and the finding information of the entire inspection process constituting the pathological inspection can be tracked, it is possible to minimize the medical accidents in which the specimen and the inspection record are changed. Further, according to the present invention, since the inspector can also track the previous inspection contents, it is possible to prevent the medical accident in advance by verifying the inspection contents with the reader in multiple. Furthermore, even if a medical accident occurs in which the sample and the test record are changed, it is possible to track the process causing the accident and prevent the recurrence thereafter.
  • the management server 10 stores and processes information generated from the reception terminal 15, the visual inspection terminal 20 and the microscopic inspection terminal 30, for example, image information, feature information, or clinical information of a patient.
  • the management server 10 includes a video information processing unit 12 and an electronic medical record unit 14.
  • the image information processing unit 12 stores and processes the image information of the pathology examination so as to be interlocked with the image image photographed by X-ray, CT, MRI, ultrasound or the like.
  • the electronic medical record unit 14 stores and manages the patient's basic information, clinical information, and examination findings or findings of the specimen.
  • FIG. 4 is a view illustrating a pathology inspection process by the integrated pathology image information management system of FIG.
  • the reception terminal 15 gives a serial number to the human body for performing the pathology examination, registers it together with the patient information, and receives the pathology examination (S10).
  • the reception terminal 15 is provided with image information generating means, which can generate image information of a specimen and store it in the management server 10.
  • the visual inspection terminal 20 If the pathological inspection request is received by the reception terminal 15, the visual inspection terminal 20 generates image information and observation information for the specimen while the inspector performs visual inspection on the specimen, and sends them to the management server 10 (S20).
  • a tissue slide is created to observe the morphological changes of the tissue (S30).
  • a video image information generating means for recording a tissue slide is additionally provided to generate image information for all processes such as lymph node dissection, embedding, discoloration, staining, and the like, and store the generated image information in the management server 10.
  • the microscope testing terminal 30 can observe the tissue slide to generate image information and observation information, and store them in the management server 10 (S40).
  • FIG. 5 is a diagram showing a user interface of the inspection information display unit of FIG.
  • the user interface of the inspection information display section is divided into a basic information area 51, an audio information area 52, an inspection information area 53, a specimen list area 54 and an image information area 55 on one screen, do.
  • the basic information area 51 can input or inquire the pathology number, patient basic information, serial number of the specimen, and the like.
  • the audio information area 52 may control the audio information input unit 24 to record the inspection results of the inspector as audio information or reproduce the recorded contents during the visual inspection.
  • the inspection information area 53 can input detailed inspection information such as a pathology number, a publishing site, a collection site, a date of inspection acceptance, and an inspection date and time for the specimen, or display the inputted information.
  • the sample list area 54 displays a plurality of sample lists on which visual inspection is performed, and can reproduce or edit video information and audio information corresponding to each list.
  • the image information area 55 displays an image of a specimen currently being examined or a specimen selected from the list. Accordingly, the inspector can confirm the basic information of the specimen and the patient, as well as the images of the visual inspection in progress or in the past, through the screen provided in the user interface of the inspection information display unit.
  • FIG. 6 is a diagram showing a user interface of the reading terminal of FIG. 1;
  • the user interface of the reading terminal includes an image information area 61, a feature information area 62, and an inspection tracking area 63 for displaying a list of a plurality of inspection processes performed in the pathology inspection of the specimen, ).
  • the reader performs the reading based on the contents displayed on the reading terminal.
  • the basic information of the sample such as the registration number, the pathology number, and the like
  • the result of the pathology test of the corresponding sample is displayed on the screen Is displayed.
  • the image information area 61 displays an image or an image of a specimen selected for reading
  • the finding information area 62 displays pathological examination finding information for the specimen. Therefore, the reader can conveniently read while simultaneously comparing the image information and the feature information displayed on one screen, and the read contents can be further input into the feature information area 62
  • a plurality of inspection processes proceed during the pathological examination of one specimen, And displays them in a list.
  • the reader selects any one of the lists displayed in the inspection tracking area 63, corresponding image information and feature information are displayed in the image information area 61 and the feature information area 62, respectively. Therefore, the reader can identify and track all the inspection processes performed on one sample step by step, and further compare the inspection information of the previous process with each process, thereby minimizing the medical accident in which the sample and inspection records are changed have.

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Abstract

Provided is an integrated pathological image information management system for integrally managing all examination steps performed in a pathological examination by using image information. The integrated pathological image information management system comprises: a macroscopic examination terminal for generating image information, voice information, and text information for a specimen while an examiner performs a macroscopic examination, and displaying the information on a screen; a microscopic examination terminal for generating image information and text information of the specimen while the examiner performs a microscopic examination; a reading terminal for displaying the image information and manifestation information generated from the macroscopic examination terminal or the microscopic examination terminal on one screen, and displaying a plurality of examination processes performed in the pathological examination step by step as a list on the screen; and a management server for processing the image information and the manifestation information generated from these terminals, and a patient's clinical information.

Description

병리검사의 전체 단계를 영상정보를 이용하여 통합적으로 관리하는 통합 병리영상정보관리 시스템Integrated pathologic image information management system that integrally manages all stages of pathologic examination using image information
본 발명은 병리영상정보관리 시스템에 관한 것으로서, 더욱 상세하게는 병리검사에서 수행되는 복수의 검사단계를 영상정보를 이용하여 통합적으로 관리하는 통합 병리영상정보관리 시스템에 관한 것이다.The present invention relates to a pathological image information management system, and more particularly, to an integrated pathological image information management system that integrally manages a plurality of inspection steps performed in pathology inspection using image information.
일반적으로 전자의무기록(Electronic Medical Record: EMR)은 기존 종이 차트로 관리되던 의무 기록 관리 방식에 정보통신기술을 접목하여, 병원에서 발생하는 의료정보를 모두 전산화하는 의료정보시스템을 말한다. 또한 의료영상저장전송 시스템(Picture Archiving and Communication System: PACS)은 기존 필름으로 관리되던 영상 자료 관리 방식에 정보통신 기술을 접목하여, 의학용 영상정보의 저장, 판독 및 검색 기능 등을 처리하는 시스템을 말한다.In general, Electronic Medical Record (EMR) refers to a medical information system that computerizes medical information generated in hospitals by combining information and communication technology with medical record management method that was managed by existing paper charts. In addition, the PACS (Picture Archiving and Communication System) is a system that handles the storage, reading and retrieval functions of medical image information by combining information and communication technology with image data management method It says.
한편, 병리과는 환자로부터 채취된 조직의 형태학적 변화를 관찰하여 진단을 내림으로써 임상의사의 치료방향에 초석을 제공한다. 병리과의 검사 프로세스는 크게 육안 검사와 현미경 검사로 구분된다. 육안 검사는 생검 조직과 수술을 통해 절제된 조직을 육안으로 조직학적 구조를 관찰하여 병변의 크기, 개수, 색깔, 출혈 및 괴사 여부, 주변 장기와의 연계성 등을 면밀히 관찰하여 기록하는 검사이다. 현미경 검사는 조직을 유리 슬라이드로 제작하여 현미경으로 형태학적 변화를 관찰하여 기록하는 검사이다.On the other hand, the pathology department provides a cornerstone to the direction of the clinician's treatment by making a diagnosis by observing the morphological changes of the tissue taken from the patient. The pathologic examination process is divided into visual examination and microscopic examination. The visual inspection is a test to observe the histologic structure of the resected tissue through biopsy and surgery and to closely observe and record lesion size, number, color, hemorrhage and necrosis, and the relationship with surrounding organs. Microscopy is a test that records tissue morphologically by microscopic observation with a glass slide.
현재 대부분 병원들은 전자의무기록과 의료영상정보처리시스템을 도입하고는 있지만, 아직까지도 병리검사는 대부분 수기로 검사소견을 기록한 후 이를 전자문서화하고 있기 때문에 검사의 효율성, 검사의 정확성, 환자의 안전 등에 많은 문제를 가지고 있다.Although most hospitals currently use electronic medical records and medical image information processing systems, most of the pathologic examinations are still documented by hand and are documented electronically. Therefore, the efficiency of the test, the accuracy of the test, the safety of the patient I have a lot of problems.
예컨대, 기존 육안 검사 방법에 따르면, 검사자는 컴퓨터 모니터에서 검체의 임상정보를 확인하고 검사지에 메모를 한 후 육안검사대로 이동하여 검체에 대한 검사를 진행하고 이어서 사진촬영대로 이동하여 검체 상태를 사진 촬영하고 기록을 남긴다. 이 때 임상정보의 확인, 육안검사, 사진촬영이 모두 분리된 공간에서 이루어지기 때문에 검사의 효율성이 매우 떨어진다. 또한, 검사 기록을 수기로 메모하고 이를 전자문서화하는 과정에서 검체와 검사 기록이 바뀌기도 한다. 또한, 촬영된 사진 정보는 전자의무기록과 별개로 운영되는 영상정보처리시스템(Picture Archiving and Communication System, PACS)에서 관리되기 때문에, 검사결과를 판독할 때 검사 기록은 전자의무기록에서 확인하고 사진 정보는 별도로 영상정보처리시스템에서 확인해야 하는 불편함이 있다.For example, according to the existing visual inspection method, the inspector checks the clinical information of the specimen on the computer monitor, makes a note on the specimen, moves to the visual inspecting unit, performs the inspection on the specimen, And leave a record. At this time, since the confirmation of the clinical information, the visual inspection, and the photographing are all performed in a separate space, the efficiency of the examination is very poor. In addition, specimens and inspection records may change during the process of making a note of the inspection records and electronically documenting them. In addition, since the photographed picture information is managed by a Picture Archiving and Communication System (PACS) which is operated separately from the electronic medical record, the inspection record is checked in the electronic medical record when reading the inspection result, There is an inconvenience that the image information processing system should be checked separately.
나아가, 임상에서 의뢰된 검체는 여러 단계, 예컨대 등록, 접수, 육안검사, 림프절 박리, 포매, 박절, 염색, 판독 등을 거쳐 결과 보고가 이루어진다. 문제는 각 단계마다 검사자가 모두 다르다는 것인데, 여러 환경적 요소에 의해 검사를 진행하는 동안 검체와 검사 기록이 바뀌는 사고가 발생하여 의료사고로 이어지기도 한다. 의료사고가 발생하더라도, 종래의 전자의무기록 및 병리검사에 따르면 어떤 단계에서 문제가 발생하였는지를 확인할 방법도 없는 실정이다.Further, the clinical sample is reported at various stages such as registration, reception, visual inspection, lymph node dissection, embedding, segmentation, staining, and reading. The problem is that the inspectors are different for each step. In addition, there are various environmental factors that lead to medical accidents due to the change of specimen and test records during the inspection. Even if a medical accident occurs, according to conventional electronic medical records and pathology tests, there is no method to check at what stage a problem has occurred.
본 발명이 해결하고자 하는 과제는, 병리검사에서 수행되는 복수의 검사단계를 영상정보를 이용하여 통합적으로 관리할 수 있는 통합 병리영상정보관리 시스템을 제공하고자 하는 것이다.SUMMARY OF THE INVENTION An object of the present invention is to provide an integrated pathological image information management system capable of integrally managing a plurality of inspection steps performed in pathology inspection using image information.
본 발명이 해결하고자 하는 과제들은 이상에서 언급한 과제들로 제한되지 않으며, 언급되지 않은 또 다른 과제들은 아래의 기재로부터 당업자에게 명확하게 이해될 수 있을 것이다.The problems to be solved by the present invention are not limited to the above-mentioned problems, and other matters not mentioned can be clearly understood by those skilled in the art from the following description.
상기 과제를 달성하기 위한 본 발명의 일 실시예에 따른 통합 병리영상정보관리 시스템은 병리검사의 전체 단계를 영상정보를 이용하여 통합적으로 관리하는 통합 병리영상정보관리 시스템으로서, 병리검사를 위한 검체를 등록하는 접수 단말; 검사자가 육안 검사를 수행하는 동안 상기 검체에 대한 영상정보, 음성정보 및 문자정보를 생성하고 이들 정보를 화면에 표시하는 육안 검사 단말(상기 음성정보와 문자정보는 전자문서화되어 소견정보를 구성한다); 검사자가 현미경 검사를 수행하는 동안 상기 검체의 영상정보 및 문자정보를 생성하는 현미경 검사 단말(상기 문자정보는 전자문서화되어 소견정보를 구성한다); 상기 육안 검사 단말 또는 상기 현미경 검사 단말로부터 생성된 영상정보 및 소견정보를 하나의 화면에 표시하고, 병리검사에서 수행된 복수의 검사 프로세스를 단계별로 구분하여 리스트로 화면에 표시하는 판독 단말; 및 상기 접수 단말, 상기 육안 검사 단말 및 상기 현미경 검사 단말로부터 생성된 영상정보 및 소견정보, 그리고 환자의 임상정보를 처리하는 관리 서버를 포함한다.According to an aspect of the present invention, there is provided an integrated pathological image information management system for integrally managing all steps of a pathological examination using image information, A reception terminal for registering; A visual inspection terminal for generating image information, voice information and character information for the specimen while the inspector performs visual inspection, and displaying the information on a screen (the voice information and the character information are electronically documented to form the finding information) ; A microscope inspection terminal for generating image information and character information of the specimen while the inspector performs a microscopic inspection (the character information is electronically documented to form the specimen information); A reading terminal displaying the image information and the finding information generated from the visual inspection terminal or the microscopy inspection terminal on one screen and displaying a plurality of inspection processes performed in the pathology inspection in a stepwise manner on a screen in a list; And a management server for processing the image information and the diagnostic information generated from the reception terminal, the visual inspection terminal, and the microscopic inspection terminal, and the clinical information of the patient.
상기 육안 검사 단말은 상기 검체를 올려놓는 검사대, 상기 검사대 상부에 위치하여 상기 검체를 촬영하는 영상정보 입력부, 상기 검체에 대한 검사자의 검사소견을 녹음하는 음성정보 입력부, 상기 검체에 대한 검사자의 검사소견을 전자문서로 입력하는 문자정보 입력부, 및 상기 검체의 임상정보 및 검사정보를 화면에 표시하는 검사정보 표시부를 포함하고; 상기 육안 검사 단말을 구성하는 각 요소는 소정의 공간 내에 일체로 형성되어, 검사자는 별도의 이동 없이 상기 검사정보 표시부를 통해 상기 검체의 임상정보를 확인하면서 육안 검사의 모든 검사 프로세스가 영상정보, 음성정보 및 문자정보로 입력되고 상기 관리서버에 저장될 수 있다.The visual inspection terminal includes a test stand on which the specimen is placed, an image information input unit for imaging the specimen positioned on the inspection stand, a voice information input unit for recording test specimens of the specimen on the specimen, And a test information display unit for displaying clinical information and test information of the specimen on a screen; Wherein each of the elements constituting the visual inspection terminal is integrally formed in a predetermined space so that the inspector can check the clinical information of the specimen through the inspection information display unit without any movement, Information and character information, and may be stored in the management server.
상기 검사정보 표시부는, 하나의 화면 상에, 상기 검체에 대한 기본정보를 입력하는 기본정보 영역, 육안 검사에 관한 음성정보를 녹음하기 위한 음성정보 영역, 육안 검사가 수행된 복수의 검체 리스트를 제공하고 각 리스트에 대응하는 영상정보 및 음성정보를 재생하고 편집하기 위한 검체리스트 영역, 및 현재 검사 중인 검체 또는 상기 리스트에서 선택된 검체에 대한 영상을 표시하는 영상정보 영역으로 구성된 사용자 인터페이스를 제공할 수 있다.The inspection information display unit displays, on one screen, a basic information area for inputting basic information on the specimen, a sound information area for recording audio information on visual inspection, and a plurality of sample lists on which visual inspection is performed A sample list area for reproducing and editing image information and audio information corresponding to each list, and a video information area for displaying a sample for a sample currently being examined or a sample selected from the list .
상기 판독 단말은, 판독을 위해 선택된 검체의 영상을 표시하는 영상정보 영역, 상기 검체에 대한 소견정보를 표시하는 소견정보 영역, 및 상기 검체의 병리검사에서 수행된 복수의 검사 프로세스를 구분하여 리스트로 표시한 검사 트래킹 영역으로 구성된 사용자 인터페이스를 제공하고; 상기 검사 트래킹 영역에 표시된 리스트 중 어느 하나의 검사 프로세스가 선택되면 이에 대응하는 영상정보 및 소견정보가 화면에 표시될 수 있다.The reading terminal includes an image information area for displaying an image of a specimen selected for reading, a finding information area for displaying finding information on the specimen, and a plurality of inspection processes performed in the pathology examination of the specimen, Providing a user interface configured as an indicated test tracking area; When one of the inspection processes is selected from the list displayed in the inspection tracking area, the corresponding image information and the corresponding information may be displayed on the screen.
기타 실시예들의 구체적인 사항들은 구체적인 내용 및 도면들에 포함되어 있다.The details of other embodiments are included in the detailed description and drawings.
상술한 바와 같이 본 발명에 따른 통합 병리영상정보관리 시스템에 의하면, 검사자는 육안 검사를 위해 별도로 이동할 필요 없이 육안 검사 단말에서 바로 임상정보를 확인하면서 검사를 수행하며, 육안 검사의 모든 과정이 영상정보, 음성정보, 문자정보로 입력되어 저장되기 때문에 효율적으로 검사를 진행할 수 있다. 또한 검사 기록을 수기로 하지 않고 영상 또는 음성으로 자동 저장하기 때문에 검체와 검사 기록이 바뀔 우려가 없다.As described above, according to the integrated pathological image information management system of the present invention, the inspector performs inspection while checking clinical information directly from a visual inspection terminal without moving separately for visual inspection, , Voice information, and character information, and thus the examination can be efficiently conducted. In addition, since the test record is automatically saved as video or audio without handwriting, there is no possibility of change of specimen and test record.
나아가 통합 병리영상정보관리 시스템으로 영상 정보뿐만 아니라 검사 소견정보를 함께 저장하고 관리하기 때문에 검사자 및 판독자 모두 편리하게 작업을 수행할 수 있다. 예컨대, 검사자는 육안 검사 단말의 화면을 통해 검체의 기본정보, 임상정보, 및 현재 검사 중인 검체의 영상 또는 과거 수행했던 검사 영상을 확인할 수 있다. 또한, 판독자는 판독 단말의 화면을 통해 병리검사에서 수행된 모든 검사 프로세스를 단계별로 확인하여 트래킹할 수 있고, 각 검사 프로세스에서 저장된 영상정보 및 소견정보를 하나의 화면에서 서로 비교하면서 확인할 수 있다.Furthermore, the integrated pathology image information management system stores and manages not only image information but also inspection information, so that both the examiner and the reader can conveniently perform the task. For example, the inspector can confirm the basic information of the specimen, the clinical information, the image of the specimen currently being inspected, or the inspection image that has been performed in the past through the screen of the visual inspection terminal. In addition, the reader can check and track all the inspection processes performed in the pathology inspection step by step through the screen of the reading terminal, and can check the image information and the feature information stored in each inspection process while comparing them on a single screen.
이와 같이 병리검사의 모든 프로세스가 영상, 음성, 문자로 저장되어 통합 병리영상정보관리 시스템에 의해 관리되기 때문에, 각 프로세스마다 이전 프로세스의 검사 정보를 확인할 수 있어서 검체와 검사 기록이 바뀌는 의료사고를 최소화할 수 있다. 또한 의료사고가 발생하더라도 그 원인이 되는 프로세스를 찾아내어 추후 재발 방지를 도모할 수 있다.In this way, all the processes of the pathology examination are stored as video, voice and text, and are managed by the integrated pathology image information management system, so that inspection information of the previous process can be confirmed for each process, minimizing medical accidents can do. In addition, even if a medical accident occurs, it is possible to find the process causing the accident and prevent the recurrence thereafter.
도 1은 본 발명의 통합 병리영상정보관리 시스템을 개략적으로 나타낸 구성도이다.1 is a block diagram schematically showing an integrated pathology image information management system of the present invention.
도 2와 도 3은 도 1의 육안 검사 단말을 개략적으로 나타낸 도면이다.FIGS. 2 and 3 are views schematically showing the visual inspection terminal of FIG. 1. FIG.
도 4는 도 1의 통합 병리영상정보관리 시스템에 의한 병리검사 프로세스를 나타낸 도면이다.4 is a view illustrating a pathology inspection process by the integrated pathology image information management system of FIG.
도 5는 도 2의 검사정보 표시부의 사용자 인터페이스를 나타낸 도면이다.5 is a diagram showing a user interface of the inspection information display unit of FIG.
도 6은 도 1의 판독 단말의 사용자 인터페이스를 나타낸 도면이다.FIG. 6 is a diagram showing a user interface of the reading terminal of FIG. 1;
본 발명의 이점 및 특징, 그리고 그것들을 달성하는 방법은 첨부되는 도면과 함께 상세하게 후술되어 있는 실시예들을 참조하면 명확해질 것이다. 그러나 본 발명은 이하에서 개시되는 실시예들에 한정되는 것이 아니라 서로 다른 다양한 형태로 구현될 것이며, 단지 본 실시예들은 본 발명의 개시가 완전하도록 하며, 본 발명이 속하는 기술분야에서 통상의 지식을 가진 자에게 발명의 범주를 완전하게 알려주기 위해 제공되는 것이며, 본 발명은 청구항의 범주에 의해 정의될 뿐이다. 명세서 전체에 걸쳐 동일 참조 부호는 동일 구성 요소를 지칭한다.BRIEF DESCRIPTION OF THE DRAWINGS The advantages and features of the present invention, and the manner of achieving them, will be apparent from and elucidated with reference to the embodiments described hereinafter in conjunction with the accompanying drawings. The present invention may, however, be embodied in many different forms and should not be construed as being limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the invention to those skilled in the art. Is provided to fully convey the scope of the invention to those skilled in the art, and the invention is only defined by the scope of the claims. Like reference numerals refer to like elements throughout the specification.
이하 도 1 내지 3을 참조하여 본 발명의 일 실시예에 따른 통합 병리영상정보관리 시스템의 구성에 대하여 자세히 설명한다. 도 1은 본 발명의 통합 병리영상정보관리 시스템을 개략적으로 나타낸 구성도이고, 도 2와 도 3은 도 1의 육안 검사 단말을 개략적으로 나타낸 도면이다. 본 발명의 통합 병리영상정보관리 시스템(1)은 접수 단말(15), 육안 검사 단말(20), 현미경 검사 단말(30), 판독 단말(35) 및 관리 서버(10)를 포함한다.Hereinafter, the configuration of the integrated pathological image information management system according to an embodiment of the present invention will be described in detail with reference to FIGS. FIG. 1 is a schematic view of an integrated pathology image information management system of the present invention, and FIGS. 2 and 3 are schematic views of a visual inspection terminal of FIG. 1. FIG. The integrated pathological image information management system 1 of the present invention includes a reception terminal 15, a visual inspection terminal 20, a microscopic inspection terminal 30, a read terminal 35 and a management server 10.
인체에서 떼어낸 조직이 병리과로 보내지면, 접수 단말(15)은 조직에 일련번호를 부여하여 환자 정보와 함께 등록하고 병리검사를 접수한다.When the tissue removed from the human body is sent to the pathology department, the reception terminal 15 assigns a serial number to the tissue, registers it together with the patient information, and receives the pathology examination.
접수 단말(15)에 의해 병리검사 요청이 접수되면, 검사자는 육안 검사 단말(20)을 통해 검체에 대한 육안 검사를 수행한다. 육안 검사는 병변을 찾는 첫 단계로서 검사자는 검체의 부위나 종류를 확인하고, 길이, 무게를 측정하고 나서 병변을 찾는다.When the pathological examination request is received by the reception terminal 15, the inspector performs visual inspection of the specimen through the visual inspection terminal 20. [ Visual inspection is the first step in finding a lesion. The examiner checks the area and type of the specimen, measures the length and weight, and then looks for the lesion.
본 발명의 육안 검사 단말(20)은 검사자가 육안 검사를 수행하는 동안 검체에 대한 영상정보, 음성정보 및 문자정보를 생성하고 이들 정보를 화면에 표시한다. 구체적으로, 육안 검사 단말(20)은 검체를 올려놓는 검사대(21)와, 검사대(21) 상부에 위치하여 검체를 촬영하는 영상정보 입력부(22)와, 검체에 대한 검사자의 검사소견을 녹음하는 음성정보 입력부(24)와, 검체에 대한 검사소견을 전자문서로 입력하는 문자정보 입력부(26)와, 검체의 임상정보 및 검사소견을 화면에 표시하는 검사정보 표시부(28)를 포함한다.The visual inspection terminal 20 of the present invention generates image information, voice information, and character information for a specimen while the inspector performs visual inspection, and displays the information on the screen. Specifically, the visual inspection terminal 20 includes a test table 21 on which a specimen is placed, an image information input unit 22 positioned above the test table 21 to image the specimen, A voice information input unit 24, a character information input unit 26 for inputting the test results of the test sample into an electronic document, and a test information display unit 28 for displaying clinical information and test results of the test sample on the screen.
육안 검사 단말(20)을 구성하는 각 요소는 소정의 공간 내에 일체로 형성되어 있기 때문에 검사자가 편리하게 육안 검사를 수행할 수 있다. 종래에는 검사자가 육안 검사를 수행하기 위해 먼저 컴퓨터 모니터에서 검체의 임상정보를 확인하고 별도의 공간에 마련된 육안검사대로 이동하여 육안 감사를 수행하고 이어서 또 다른 공간에 마련된 사진촬영대로 이동하여 검체 상태를 사진 촬영하여 기록으로 남겼다. 하지만, 본 발명의 육안 검사 단말(20)은 이러한 불편을 해소하였는데, 검사자는 별도로 이동할 필요 없이 한 장소에서 검사정보 표시부(28)를 통해 검체의 임상정보를 확인하면서 육안 검사의 모든 검사 프로세스가 영상정보, 음성정보 및 문자정보로 입력되어 자동으로 관리 서버(10)에 저장된다.Since each element constituting the visual inspection terminal 20 is integrally formed in a predetermined space, the examiner can perform a visual inspection conveniently. Conventionally, in order to perform a visual inspection, an examiner checks the clinical information of a specimen on a computer monitor, moves to a visual inspection table provided in a separate space, conducts a visual inspection, and then moves to another photographing room, I took a picture and recorded it. However, the visual inspection terminal 20 of the present invention solves this inconvenience. The examiner confirms the clinical information of the specimen through the inspection information display unit 28 at one place without moving separately, Information, voice information, and character information, and is automatically stored in the management server 10.
영상정보 입력부(22)는 육안 검사의 진행과정을 모두 녹화하여 영상정보로 생성하고 이를 관리 서버(10)에 저장한다. 예를 들어, 영상정보 입력부(22)는 동영상 촬영이 가능하여 영상정보를 AVI, AUD 등의 전자파일로 변환하는 영상카메라일 수 있다. 관리 서버(10)는 수신된 영상정보를 환자 정보에 매칭하여 저장한다.The image information input unit 22 records all progress of the visual inspection, generates the image information, and stores it in the management server 10. For example, the image information input unit 22 may be a video camera capable of capturing a moving image and converting the image information into an electronic file such as an AVI or an AUD. The management server 10 matches the received image information with patient information and stores the same.
영상정보 입력부(22)가 영상정보를 생성하는 동안, 검사자는 육안 검사에서 발견되는 병변의 색깔, 개수, 크기, 단면의 경도, 출혈 및 괴사여부, 주변 조직과의 연계성 등에 대한 검사소견을 음성정보 입력부(24)를 통하여 음성정보로 녹음할 수 있다. 음성정보 입력부(24)는 하나의 검체에 대하여 하나의 녹음파일(예컨대, MP3 등)을 생성하여 음성정보로 관리 서버(10)에 저장한다. 관리 서버(10)는 수신된 음성정보를 환자 정보에 매칭하여 저장한다. 관리 서버(10)는 음성정보를 전자 문서화하여 변환할 수 있다. 이 때, 관리 서버(10)는 음성정보를 전자문서로 변환하는 음성 인식기를 구비할 수도 있고, 의무전사자가 단말을 통해 관리 서버(10)에 접속하여 음성정보를 전자문서로 변환할 수도 있다.While the image information input unit 22 generates the image information, the examiner examines the findings on the color, the number, the size, the hardness of the lesion, the bleeding and the necrosis, And can record audio information through the input unit 24. The voice information input unit 24 generates one recording file (e.g., MP3, etc.) for one sample and stores it as voice information in the management server 10. The management server 10 stores the received voice information in association with the patient information. The management server 10 can convert the voice information into an electronic document. At this time, the management server 10 may include a voice recognizer for converting voice information into an electronic document, or an obligatory party may connect to the management server 10 via a terminal to convert voice information into an electronic document.
경우에 따라 검사자는 문자정보 입력부(예컨대, 키보드 등)을 이용하여 검사소견을 문자정보로 입력하여 저장할 수 있다. 관리 서버(10)는 입력된 문자정보를 전자문서로 변환하여 저장한다. 여기서 음성정보와 문자정보는 전자 문서화되어 소견정보를 구성한다.In some cases, the inspector can input and store test results as character information using a character information input unit (e.g., a keyboard, etc.). The management server 10 converts the inputted character information into an electronic document and stores it. Here, the voice information and the character information are electronically documented to form the finding information.
육안 검사 단말(20)은 검체의 조직학적 구조를 관찰하기 위한 것이며, 육안 검사가 끝나면 검사자는 병변 부위와 그 주변 부위를 잘라내어 조직 슬라이드를 제작하고 현미경 검사 단말(30)을 통하여 검체의 형태학적 변화를 관찰하고 진단한다. 조직 슬라이드를 준비하기 위해서는 림프절 박리, 포매, 박절, 염색 등의 일련의 과정을 거친다.The visual inspection terminal 20 is for observing the histological structure of the specimen. After the visual inspection is completed, the inspector cuts the lesion site and its peripheral parts to produce a tissue slide, and the morphological change . To prepare a tissue slide, a series of procedures such as lymph node dissection, embedding, segmentation, and dyeing are performed.
현미경 검사 단말(30)은 영상정보 생성수단과 문자정보 생성수단을 구비할 수 있다. 따라서 검사자가 현미경 검사 단말(30)을 이용하여 현미경 검사를 수행하는 동안, 현미경 검사 단말(30)은 검체 조직의 영상정보 및 문자정보를 생성하여 관리 서버(10)에 저장한다. 즉, 현미경 검사를 통해 관찰되는 세포의 크기와 모양, 핵의 크기와 모양, 세포상호간의 관계, 세포내부의 구성물질, 세포 분열 정도, 감염균, 이물질, 염증반응 유무, 혈관형성 정도 등의 모습들은 현미경 검사 단말(30)을 통해 녹화되어 영상정보로 저장된다. 또한, 검사자는 검사소견을 현미경 검사 단말(30)에 문자정보로 입력하여 저장할 수 있다. 관리 서버(10)는 수신된 영상정보를 환자 정보에 매칭하고 저장하고, 수신된 문자정보를 전자문서로 변환하여 저장한다. 여기서 전자 문서화된 문자정보는 소견정보를 구성한다.The microscopic inspection terminal 30 may include image information generating means and character information generating means. Therefore, while the inspector performs the microscopic inspection using the microscope inspection terminal 30, the microscope inspection terminal 30 generates image information and character information of the specimen tissue and stores the image information and the character information in the management server 10. In other words, features such as the size and shape of the cells observed through microscopic examination, the size and shape of the nucleus, the relationship between the cells, the constituent material inside the cell, the degree of cell division, the infectious bacteria, foreign substances, Is recorded through the microscope inspection terminal 30 and is stored as image information. In addition, the inspector can input inspection information into the microscope inspection terminal 30 as character information and store the inspection information. The management server 10 matches and stores the received image information with the patient information, converts the received text information into an electronic document, and stores the converted electronic document. Here, the electronic documented character information constitutes the finding information.
판독 단말(35)은 육안 검사 단말(20) 또는 현미경 검사 단말(30)로부터 생성된 영상정보 및 소견정보를 하나의 화면에 표시한다. 판독자는 화면을 통해 전자 문서화된 소견정보를 확인하면서 이에 대응하는 영상정보를 함께 참조할 수 있다. 또한 판독 단말(35)은 병리 검사에서 수행된 복수의 검사 프로세스를 단계별로 구분하여 리스트로 화면에 표시하고, 판독자는 리스트에서 원하는 항목을 선택하여 각 단계마다 영상정보 및 소견정보를 비교하면서 확인할 수 있다. 즉, 병리검사를 구성하는 전체 검사 프로세스에 대한 영상정보 및 소견정보를 트래킹할 수 있기 때문에 검체와 검사 기록이 바뀌는 의료사고를 최소화할 수 있다. 또한, 본 발명에 따르면, 검사자도 이전 검사 내용을 트래킹할 수 있기 때문에 판독자와 더불어 다중으로 검사 내용을 검증함으로써 의료사고를 사전에 예방할 수 있다. 나아가 검체와 검사기록이 바뀌는 의료사고가 발생하더라도 그 원인이 되는 프로세스를 트래킹하여 추후 재발 방지를 도모할 수 있다.The reading terminal 35 displays the image information and the finding information generated from the visual inspection terminal 20 or the microscopy inspection terminal 30 on one screen. The reader can refer to the corresponding image information while checking the electronic documented observation information through the screen. In addition, the reading terminal 35 displays a list of a plurality of inspection processes performed in the pathology examination step by step, and the reader selects desired items from the list and checks the image information and the finding information for each step have. That is, since the image information and the finding information of the entire inspection process constituting the pathological inspection can be tracked, it is possible to minimize the medical accidents in which the specimen and the inspection record are changed. Further, according to the present invention, since the inspector can also track the previous inspection contents, it is possible to prevent the medical accident in advance by verifying the inspection contents with the reader in multiple. Furthermore, even if a medical accident occurs in which the sample and the test record are changed, it is possible to track the process causing the accident and prevent the recurrence thereafter.
관리 서버(10)는 접수 단말(15), 육안 검사 단말(20) 및 현미경 검사 단말(30)로부터 생성된 정보, 예컨대 영상정보, 소견정보 또는 환자의 임상정보 등을 저장하고 처리한다. 관리 서버(10)는 영상정보 처리부(12) 및 전자의무 기록부(14)를 포함한다. 영상정보 처리부(12)는 X선, CT, MRI, 초음파 등에서 촬영된 영상이미지와 연동되도록 병리검사의 영상정보를 저장하고 처리한다. 전자의무 기록부(14)는 환자의 기본정보, 임상정보 및 검체의 검사소견 또는 소견정보를 저장하고 관리한다.The management server 10 stores and processes information generated from the reception terminal 15, the visual inspection terminal 20 and the microscopic inspection terminal 30, for example, image information, feature information, or clinical information of a patient. The management server 10 includes a video information processing unit 12 and an electronic medical record unit 14. The image information processing unit 12 stores and processes the image information of the pathology examination so as to be interlocked with the image image photographed by X-ray, CT, MRI, ultrasound or the like. The electronic medical record unit 14 stores and manages the patient's basic information, clinical information, and examination findings or findings of the specimen.
이하 도 4를 참조하여 본 발명의 일 실시예에 따른 통합 병리영상정보관리 시스템을 이용한 검사 과정에 대하여 설명한다. 도 4는 도 1의 통합 병리영상정보관리 시스템에 의한 병리검사 프로세스를 나타낸 도면이다.Hereinafter, an inspection process using the integrated pathology image information management system according to an embodiment of the present invention will be described with reference to FIG. 4 is a view illustrating a pathology inspection process by the integrated pathology image information management system of FIG.
접수 단말(15)이 병리검사를 수행하기 위한 인체 조직에 일련번호를 부여하고 환자 정보와 함께 등록하고 병리검사를 접수한다(S10). 바람직하게는 접수 단말(15)은 영상정보 생성수단을 구비하여, 검체의 영상정보를 생성한 후 관리 서버(10)에 저장할 수 있다.The reception terminal 15 gives a serial number to the human body for performing the pathology examination, registers it together with the patient information, and receives the pathology examination (S10). Preferably, the reception terminal 15 is provided with image information generating means, which can generate image information of a specimen and store it in the management server 10.
접수 단말(15)에 의해 병리검사 요청이 접수되면, 검사자가 검체에 대해 육안 검사를 수행하는 동안 육안 검사 단말(20)은 검체에 대한 영상정보 및 소견정보를 생성하고 이들을 관리 서버(10)에 저장할 수 있다(S20).If the pathological inspection request is received by the reception terminal 15, the visual inspection terminal 20 generates image information and observation information for the specimen while the inspector performs visual inspection on the specimen, and sends them to the management server 10 (S20).
육안 검사가 완료되면, 조직의 형태학적 변화를 관찰하기 위해 조직 슬라이드를 제작한다(S30). 바람직하게는 조직 슬라이드를 제작하는 녹화하는 영상정보 생성수단을 추가로 구비하여, 림프절 박리, 포매, 박절, 염색 등의 전 프로세스에 대한 영상정보를 생성하고 관리 서버(10)에 저장할 수 있다.Once the visual inspection is complete, a tissue slide is created to observe the morphological changes of the tissue (S30). Preferably, a video image information generating means for recording a tissue slide is additionally provided to generate image information for all processes such as lymph node dissection, embedding, discoloration, staining, and the like, and store the generated image information in the management server 10.
조직 슬라이드가 완성되면, 현미경 검사 단말(30)은 조직 슬라이드를 관찰하여 영상정보 및 소견정보를 생성하고 이들을 관리 서버(10)에 저장할 수 있다(S40).When the tissue slide is completed, the microscope testing terminal 30 can observe the tissue slide to generate image information and observation information, and store them in the management server 10 (S40).
도 5는 도 2의 검사정보 표시부의 사용자 인터페이스를 나타낸 도면이다. 검사정보 표시부의 사용자 인터페이스는 하나의 화면 상에 기본정보 영역(51), 음성정보 영역(52), 검사정보 영역(53), 검체 리스트 영역(54) 및 영상정보 영역(55)으로 구획되어 표시한다.5 is a diagram showing a user interface of the inspection information display unit of FIG. The user interface of the inspection information display section is divided into a basic information area 51, an audio information area 52, an inspection information area 53, a specimen list area 54 and an image information area 55 on one screen, do.
기본정보 영역(51)은 병리번호, 환자 기본정보, 검체의 일련번호 등을 입력하거나 조회할 수 있다. 음성정보 영역(52)은 음성정보 입력부(24)를 제어하여 육안 검사가 진행하는 동안 검사자의 검사소견을 음성정보로 녹음하거나 기 녹음된 내용을 재생할 수 있다. 검사정보 영역(53)은 해당 검체에 대한 병리번호, 발행처, 채취부위, 검사접수일시, 검사판독일시 등 상세한 검사정보를 입력하거나 기 입력된 정보를 표시할 수 있다. 검체 리스트 영역(54)은 육안 검사가 수행된 복수의 검체 리스트를 표시하고 각 리스트에 대응하는 영상정보 및 음성정보를 재생하거나 편집할 수 있다. 영상정보 영역(55)은 현재 검사 중인 검체 또는 리스트에서 선택된 검체에 대한 영상을 표시한다. 따라서, 검사자는 검사정보 표시부의 사용자 인터페이스에서 제공하는 화면을 통해 검체 및 환자의 기본 정보뿐만 아니라 현재 진행 중인 또는 과거에 진행된 육안 검사의 영상을 확인할 수 있다.The basic information area 51 can input or inquire the pathology number, patient basic information, serial number of the specimen, and the like. The audio information area 52 may control the audio information input unit 24 to record the inspection results of the inspector as audio information or reproduce the recorded contents during the visual inspection. The inspection information area 53 can input detailed inspection information such as a pathology number, a publishing site, a collection site, a date of inspection acceptance, and an inspection date and time for the specimen, or display the inputted information. The sample list area 54 displays a plurality of sample lists on which visual inspection is performed, and can reproduce or edit video information and audio information corresponding to each list. The image information area 55 displays an image of a specimen currently being examined or a specimen selected from the list. Accordingly, the inspector can confirm the basic information of the specimen and the patient, as well as the images of the visual inspection in progress or in the past, through the screen provided in the user interface of the inspection information display unit.
도 6은 도 1의 판독 단말의 사용자 인터페이스를 나타낸 도면이다. 판독 단말의 사용자 인터페이스는 하나의 화면상에, 영상정보 영역(61), 소견정보 영역(62), 및 검체의 병리검사에서 수행된 복수의 검사 프로세스를 구분하여 리스트로 표시하는 검사 트래킹 영역(63)으로 구획되어 표시된다.FIG. 6 is a diagram showing a user interface of the reading terminal of FIG. 1; The user interface of the reading terminal includes an image information area 61, a feature information area 62, and an inspection tracking area 63 for displaying a list of a plurality of inspection processes performed in the pathology inspection of the specimen, ).
판독자는 판독 단말에 표시되는 내용을 기반으로 판독을 수행하는데, 사용자 인터페이스 상의 검색 또는 조회 항목에 검체의 기본 정보, 예컨대 등록번호, 병리번호 등을 입력하면 이에 대응하는 검체의 병리 검사 결과가 화면에 표시된다. 영상정보 영역(61)은 판독을 위해 선택된 검체의 영상 또는 이미지를 표시하고, 소견정보 영역(62)은 해당 검체에 대한 병리검사 소견정보를 표시한다. 따라서, 판독자는 하나의 화면에 표시된 영상정보 및 소견정보를 동시에 비교해 보면서 편리하게 판독할 수 있고, 판독내용은 소견정보 영역(62)에 추가로 입력할 수 있다.The reader performs the reading based on the contents displayed on the reading terminal. When the basic information of the sample such as the registration number, the pathology number, and the like is input to the search or inquiry item on the user interface, the result of the pathology test of the corresponding sample is displayed on the screen Is displayed. The image information area 61 displays an image or an image of a specimen selected for reading, and the finding information area 62 displays pathological examination finding information for the specimen. Therefore, the reader can conveniently read while simultaneously comparing the image information and the feature information displayed on one screen, and the read contents can be further input into the feature information area 62
또한, 하나의 검체를 병리 검사하는 동안 복수의 검사 프로세스(예컨대, 등록, 접수, 육안 검사, 조직 슬라이드 제작의 각 단계, 현미경 검사 등)가 진행되는데, 검사 트래킹 영역(63)은 각 검사 프로세스를 구분하여 리스트로 표시한다. 판독자가 검사 트래킹 영역(63)에 표시된 리스트 중 어느 하나를 선택하면 이에 대응하는 영상정보 및 소견정보가 각각 영상정보 영역(61) 및 소견정보 영역(62)에 표시된다. 따라서, 판독자는 하나의 검체에 대해 수행된 모든 검사 프로세스를 단계별로 확인하여 트래킹할 수 있고, 나아가 각 프로세스마다 이전 프로세스의 검사 정보를 비교 확인할 수 있으므로 검체와 검사 기록이 바뀌는 의료사고를 최소화할 수 있다.In addition, a plurality of inspection processes (e.g., registration, acceptance, visual inspection, each stage of tissue slide production, microscopic inspection, etc.) proceed during the pathological examination of one specimen, And displays them in a list. When the reader selects any one of the lists displayed in the inspection tracking area 63, corresponding image information and feature information are displayed in the image information area 61 and the feature information area 62, respectively. Therefore, the reader can identify and track all the inspection processes performed on one sample step by step, and further compare the inspection information of the previous process with each process, thereby minimizing the medical accident in which the sample and inspection records are changed have.
이상 첨부된 도면을 참조하여 본 발명의 실시예를 설명하였지만, 본 발명이 속하는 기술분야에서 통상의 지식을 가진 자는 본 발명이 그 기술적 사상이나 필수적인 특징을 변경하지 않고서 다른 구체적인 형태로 실시될 수 있다는 것을 이해할 수 있을 것이다. 그러므로 이상에서 기술한 실시예들은 모든 면에서 예시적인 것이며 한정적이 아닌 것으로 이해해야만 한다.While the present invention has been described in connection with what is presently considered to be practical exemplary embodiments, it is to be understood that the invention is not limited to the disclosed embodiments, but, on the contrary, You will understand. It is therefore to be understood that the above-described embodiments are illustrative in all aspects and not restrictive.

Claims (4)

  1. 병리검사의 전체 단계를 영상정보를 이용하여 통합적으로 관리하는 통합 병리영상정보관리 시스템으로서,An integrated pathological image information management system which integrally manages the whole steps of pathological examination using image information,
    병리검사를 위한 검체를 등록하는 접수 단말;A reception terminal for registering a specimen for pathological examination;
    검사자가 육안 검사를 수행하는 동안 상기 검체에 대한 영상정보, 음성정보 및 문자정보를 생성하고 이들 정보를 화면에 표시하는 육안 검사 단말(상기 음성정보와 문자정보는 전자문서화되어 소견정보를 구성한다);A visual inspection terminal for generating image information, voice information and character information for the specimen while the inspector performs visual inspection, and displaying the information on a screen (the voice information and the character information are electronically documented to form the finding information) ;
    검사자가 현미경 검사를 수행하는 동안 상기 검체의 영상정보 및 문자정보를 생성하는 현미경 검사 단말(상기 문자정보는 전자문서화되어 소견정보를 구성한다);A microscope inspection terminal for generating image information and character information of the specimen while the inspector performs a microscopic inspection (the character information is electronically documented to form the specimen information);
    상기 육안 검사 단말 또는 상기 현미경 검사 단말로부터 생성된 영상정보 및 소견정보를 하나의 화면에 표시하고, 병리검사에서 수행된 복수의 검사 프로세스를 단계별로 구분하여 리스트로 화면에 표시하는 판독 단말; 및A reading terminal displaying the image information and the finding information generated from the visual inspection terminal or the microscopy inspection terminal on one screen and displaying a plurality of inspection processes performed in the pathology inspection in a stepwise manner on a screen in a list; And
    상기 접수 단말, 상기 육안 검사 단말 및 상기 현미경 검사 단말로부터 생성된 영상정보 및 소견정보, 그리고 환자의 임상정보를 처리하는 관리 서버를 포함하는 통합 병리영상정보관리 시스템.And a management server for processing the image information and the finding information generated from the reception terminal, the visual inspection terminal, and the microscopic inspection terminal, and the clinical information of the patient.
  2. 제1항에 있어서, The method according to claim 1,
    상기 육안 검사 단말은 상기 검체를 올려놓는 검사대, 상기 검사대 상부에 위치하여 상기 검체를 촬영하는 영상정보 입력부, 상기 검체에 대한 검사자의 검사소견을 녹음하는 음성정보 입력부, 상기 검체에 대한 검사자의 검사소견을 전자문서로 입력하는 문자정보 입력부, 및 상기 검체의 임상정보 및 검사정보를 화면에 표시하는 검사정보 표시부를 포함하고; Wherein the visual inspection terminal comprises a test stand on which the specimen is placed, an image information input part for photographing the specimen positioned above the inspection stand, a voice information input part for recording test specimen inspections of the specimen, And a test information display unit for displaying clinical information and test information of the specimen on a screen;
    상기 육안 검사 단말을 구성하는 각 요소는 소정의 공간 내에 일체로 형성되어, 검사자는 별도의 이동 없이 상기 검사정보 표시부를 통해 상기 검체의 임상정보를 확인하면서 육안 검사의 모든 검사 프로세스가 영상정보, 음성정보 및 문자정보로 입력되고 상기 관리서버에 저장되는 것을 특징으로 하는 통합 병리영상정보관리 시스템.Wherein each of the elements constituting the visual inspection terminal is integrally formed in a predetermined space so that the inspector can check the clinical information of the specimen through the inspection information display unit without any movement, Information and character information, and is stored in the management server.
  3. 제2항에 있어서, 3. The method of claim 2,
    상기 검사정보 표시부는, 하나의 화면 상에, 상기 검체에 대한 기본정보를 입력하는 기본정보 영역, 육안 검사에 관한 음성정보를 녹음하기 위한 음성정보 영역, 육안 검사가 수행된 복수의 검체 리스트를 제공하고 각 리스트에 대응하는 영상정보 및 음성정보를 재생하고 편집하기 위한 검체리스트 영역, 및 현재 검사 중인 검체 또는 상기 리스트에서 선택된 검체에 대한 영상을 표시하는 영상정보 영역으로 구성된 사용자 인터페이스를 제공하는 것을 특징으로 하는 통합 병리영상정보관리 시스템.The inspection information display unit displays, on one screen, a basic information area for inputting basic information on the specimen, a sound information area for recording audio information on visual inspection, and a plurality of sample lists on which visual inspection is performed A sample list area for reproducing and editing image information and audio information corresponding to each list, and a video information area for displaying a sample for the sample currently being examined or a sample selected from the list Integrated pathological image information management system.
  4. 제1항에 있어서, The method according to claim 1,
    상기 판독 단말은, 판독을 위해 선택된 검체의 영상을 표시하는 영상정보 영역, 상기 검체에 대한 소견정보를 표시하는 소견정보 영역, 및 상기 검체의 병리검사에서 수행된 복수의 검사 프로세스를 구분하여 리스트로 표시한 검사 트래킹 영역으로 구성된 사용자 인터페이스를 제공하고; The reading terminal includes an image information area for displaying an image of a specimen selected for reading, a finding information area for displaying finding information on the specimen, and a plurality of inspection processes performed in the pathology examination of the specimen, Providing a user interface configured as an indicated test tracking area;
    상기 검사 트래킹 영역에 표시된 리스트 중 어느 하나의 검사 프로세스가 선택되면 이에 대응하는 영상정보 및 소견정보가 화면에 표시되는 것을 특징으로 하는 통합 병리영상정보관리 시스템.Wherein when one of the inspection processes is selected from the list displayed in the inspection tracking area, the corresponding image information and feature information are displayed on the screen.
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