JP5972609B2 - Managed object generation device and image display system - Google Patents

Description

  Embodiments described herein relate generally to a management object generation device and an image display system used in a medical cooperation system.

In a system of a medical institution, a medical image of a patient stored in an image storage device is diagnosed by a user such as a doctor observing and diagnosing it with an image interpretation viewer, and the user creates a diagnostic report as a result of the diagnosis using a report creation device. .
In recent years, regional hospitals have cooperated and medical cooperation such as taking over a patient to an optimal medical institution has been performed. At this time, the medical image of the patient and the diagnosis report diagnosed based on the medical image are also taken over. In addition, analysis applications are often used for diagnosis of medical images, and there are types of applications for each part such as the head, chest, stomach, and disease names such as cerebral infarction, myocardial infarction, and pulmonary nodule.

JP 2004-258978 A

  When taking over patients between hospitals, the diagnosis history of patients is often confirmed mainly from diagnostic reports. When confirming the diagnosis history, it is necessary to confirm the diagnosis process of how the medical image was observed and analyzed. At this time, it is desirable that the same observation environment as that of the takeover source is reproduced.

  However, software such as interpretation viewers and clinical applications used for observing medical images usually differs from hospital to hospital, so it was unknown whether the same clinical application could be used.

  An object of the present disclosure is to provide a managed object generation device and an image display system that can support reproduction of the same diagnostic environment as that of the takeover source.

According to the embodiment, the managed object generation device includes an acquisition unit, a generation unit, a creation unit, a storage unit, and a transmission unit. The acquisition unit analyzes a medical image of a subject using an analysis application and obtains analysis information of the medical image . The generation unit generates a management object including application information and parameter setting values of the analysis application . The creation unit creates a diagnostic report based on the medical image of the subject and the analysis information.
The storage unit stores the diagnostic report and the management object in association with each other. The transmission unit transmits the diagnostic report and the management object in response to a request from the outside.

The figure which shows the usage example of an image display system. 1 is a block diagram showing an image display system according to an embodiment. The flowchart which shows operation | movement of a management object production | generation apparatus. The flowchart which shows operation | movement of a management object receiver. The figure which shows an example of a diagnostic information management object. The figure which shows the modification of the usage example of an image display system.

Hereinafter, a managed object generation device and an image display system according to the present embodiment will be described in detail with reference to the drawings. Note that, in the following embodiments, the same reference numerals are assigned to the same operations, and duplicate descriptions are omitted as appropriate.
An example of a medical cooperation system using the image display system according to the present embodiment will be described with reference to FIG.
A medical cooperation system 100 shown in FIG. 1 is a case where a patient is handed over between hospitals, and shows an example in which an image display system 150 is used between a first hospital 110 and a second hospital 120. Specifically, it is assumed that the second hospital 120 takes over a subject (patient, animal, etc.) diagnosed at the first hospital 110 and a diagnosis report of the subject.

  The image display system 150 includes a management object generation device 151, a management object reception device 152, and a data center 153. The first hospital 110, the second hospital 120, and the data center 153 are connected via the external network 130, and can perform data communication with each other. Details of the image display system 150 will be described later with reference to FIG.

  The first hospital 110 includes a medical image photographing device 111 and a managed object generating device 151 related to the image display system 150. In the first hospital 110, the medical image photographing device 111 and the managed object generating device 151 are connected via the hospital network 112. In the first hospital 110, the user generates a diagnostic report using the management object generating device 151 using the medical image captured by the medical image capturing device 111. When there is a request for transferring a diagnostic report from the second hospital 120 described later, the first hospital 110 transmits the diagnostic report together with the image to the second hospital 120.

The second hospital 120 includes a medical image capturing apparatus 121 and a managed object receiving apparatus 152 related to the image display system 150. Similar to the first hospital 110, the medical image photographing device 121 and the managed object receiving device 152 are connected via the in-hospital network 122. The medical image photographing apparatus 121 is the same as the medical image photographing apparatus 111 related to the first hospital 110. The managed object receiving device 152 receives a diagnostic report and a medical image from the first hospital 110.
It is desirable that communication of medical images conforms to DICOM (Digital Imaging and Communication Medicine), which is a standard for medical images, but existing standards may be applied as appropriate.

  Further, both the first hospital 110 and the second hospital 120 may include the managed object generating device 151 and the managed object receiving device 152 so that the subjects can be taken over from each other.

Next, the image display system 150 according to the present embodiment will be described with reference to the block diagram of FIG.
The managed object generation device 151 according to the present embodiment includes an image storage unit 201, an image acquisition unit 202, an image analysis unit 203, an image display unit 204, a report generation unit 205, a report storage unit 206, a diagnostic information management object generation unit 207, A diagnostic information management object storage unit 208 and a transmission unit 209 are included.

The image storage unit 201 receives and stores a medical image obtained by imaging a subject from the medical imaging apparatus (modality) 111 shown in FIG. The medical image is managed by, for example, an examination identification number (examination UID: User Identifier).
The acquisition unit 202 acquires a desired analysis application from an analysis application providing unit 219 described later. The analysis application is a calculation application for performing analysis suitable for each part (head, chest, stomach, etc.) and disease name (cerebral infarction, myocardial infarction, lung nodule, etc.).

  The image analysis unit 203 receives a medical image from the image storage unit 201 and an analysis application from the acquisition unit 202. The image analysis unit 203 performs image analysis of a medical image using an analysis application, and acquires analysis information. The analysis information includes an image of the analysis result and analysis data of the image (noise amount, bone density, blood vessel stenosis rate, maximum tumor diameter, etc.).

The image display unit 204 receives the medical image from the image storage unit 201 and the analysis information from the image analysis unit 203, and displays the medical image and the analysis information, respectively.
The report generation unit 205 is, for example, a document creation application, and the user generates a diagnostic report with reference to the medical image and analysis information displayed on the image display unit 204.
The report storage unit 206 receives the diagnostic report from the report generation unit 205 and stores it.

  The diagnostic information management object generation unit 207 receives a medical image from the image storage unit 201, a diagnostic report from the report generation unit 205, and analysis information from the image analysis unit 203, and generates a diagnostic information management object. The diagnosis information management object includes at least meta information (also referred to as application information) of an analysis application used for medical image analysis processing, medical images referred to when a user creates a diagnosis report, examination information (examination instance UID, series) Instance UID) is a data group associated with each other. The diagnosis report and the diagnosis information management object related to the diagnosis report are associated with each other by a unique identifier (hereinafter referred to as diagnosis UID). Note that the diagnostic report may be received including past diagnostic reports stored in the report storage unit 206. The diagnostic information management object will be described with reference to FIG.

  The diagnostic information management object storage unit 208 receives the diagnostic information management object from the diagnostic information management object generation unit 207 and stores it.

  The transmission unit 209 receives a diagnostic report from the report storage unit 206, a medical image from the image storage unit 201, and a diagnostic information management object from the diagnostic information management object storage unit 208. The transmission unit 209 transmits a diagnostic report, a medical image, and a diagnostic information management object in response to a request from the management object receiving device 152.

Next, the managed object receiving apparatus 152 according to the present embodiment will be described.
The managed object receiving apparatus 152 according to the present embodiment includes a receiving unit 210, a diagnostic information management object storage unit 211, an image storage unit 212, a report storage unit 213, a diagnostic information management object determination unit 214, an acquisition unit 215, and an image analysis unit 216. , An image display unit 217, and a report display unit 218.
The acquisition unit 215, the image analysis unit 216, and the image display unit 217 perform the same operations as the acquisition unit 202, the image analysis unit 203, and the image display unit 204 related to the managed object generation device 151. Description of is omitted.

  The receiving unit 210 receives a diagnostic report, a medical image, and a diagnostic information management object from the transmission unit 209 of the managed object generation device 151.

  The diagnostic information management object storage unit 211 performs the same operation as the diagnostic information management object storage unit 211, and receives and stores the diagnostic information management object from the diagnostic information management object storage unit 211 of the management object generation device 151.

  The image storage unit 212 performs the same operation as that of the image storage unit 201, and receives and stores a medical image from the image storage unit 201 related to the managed object generation device 151.

  The report storage unit 213 performs the same operation as the report storage unit 206, and receives and stores a diagnostic report from the report storage unit 206 related to the managed object generation device 151.

  The diagnostic information management object determination unit 214 receives the diagnostic information management object from the diagnostic information management object storage unit 211. Thereafter, the diagnostic information management object determination unit 214 analyzes the diagnostic information management object and determines whether or not the analysis application used when generating the diagnostic report on the management object generation device 151 side can be used on the management object reception device 152 side. Determine. The detailed operation of the diagnostic information management object determination unit 214 will be described later with reference to the flowchart of FIG.

  The report display unit 218 receives the diagnostic report from the report storage unit 213 and displays it.

Next, the data center 153 will be described.
The data center 153 includes an analysis application providing unit 219.
The analysis application providing unit 219 includes a plurality of analysis applications, and distributes the analysis application to each of the image analysis unit 203 and the image analysis unit 216 in response to requests from the management object generation device 151 and the management object reception device 152. .
The data center 153 receives a medical image from the image storage unit 201, analyzes the medical image using an analysis application, generates analysis information, and distributes the analysis information to the acquisition unit 202 and the acquisition unit 215, respectively. May be.

Next, the operation of the managed object generating apparatus 151 according to this embodiment will be described with reference to the flowchart of FIG.
In step S301, the report storage unit 206 receives and stores a medical image of the subject imaged by the medical image imaging apparatus 111 shown in FIG.
In step S302, the image display unit 204 displays a medical image. Here, the medical image is interpreted by the user.
In step S303, the image display unit 204 receives and displays analysis information obtained by analyzing the medical image using the analysis application from the image analysis unit 216.

In step S304, the user interprets or analyzes the medical image and analysis information displayed in steps S302 and S303. The report generation unit 205 supports creation of a diagnostic report based on the medical image and analysis information.
In step S305, the diagnosis information management object generation unit 207 performs diagnosis by associating the meta information of the analysis application used when analyzing the medical image, the setting information, the test image, and the medical image of the same patient used when generating the diagnosis report. Store as an information management object.
In step S306, the diagnostic information management object generation unit 207 generates a diagnostic UID and associates the diagnostic report with the diagnostic information management object corresponding to the diagnostic report.

In step S307, the report storage unit 206 stores the diagnostic report generated in step S304 and the diagnostic UID in association with each other.
In step S308, the diagnostic information management object storage unit 211 stores the diagnostic information management object and the diagnostic UID in association with each other.
In step S <b> 309, when the transmission unit 209 receives a diagnostic report transfer request regarding a subject from the managed object receiving device 152, the transmitting unit 209 sends a diagnostic report and a diagnostic information management object having the same diagnostic UID to the managed object receiving device 152. Forward. This is the end of the operation of the managed object generating apparatus 151.

Next, the operation of the managed object receiving apparatus 152 according to this embodiment will be described with reference to the flowchart of FIG.
In step S <b> 401, a diagnostic report regarding a subject and a diagnostic information management object transfer request are transmitted to the management object generation device 151. In response to this transfer request, a transmission unit (not shown) generates a signal requesting transfer and transmits the signal to the managed object generation device 151. The user who uses the managed object receiving device 152 directly informs the user who has the managed object generating device 151 that he / she wants to transfer the diagnosis report and the diagnostic information management object, and uses the managed object generating device 151. The user may manually send it.

In step S402, the receiving unit 210 receives the diagnostic report and the diagnostic information management object, and the report storage unit 213 and the diagnostic information management object storage unit 211 store the diagnostic report and the diagnostic information management object, respectively. In addition to the diagnostic report and the diagnostic information management object, a medical image stored in the image storage unit 201 may be received together and the medical image may be stored in the image storage unit 212.
In step S403, the diagnostic information management object determination unit 214 refers to the diagnostic information management object to determine whether the analysis application used on the management object generation device 151 side can be used on the management object reception device 152 side. If it is available on the managed object receiving device 152 side, the process proceeds to step S404, and if not available on the managed object receiving device 152 side, the process proceeds to step S405.
In step S404, the image analysis unit 216 receives and activates the analysis application used on the managed object generation device 151 side from the analysis application providing unit 219, and is used when generating a diagnostic report on the management object generation device 151 side. The medical image is analyzed, and analysis information of the medical image is acquired.

In step S405, the image display unit 217 displays the diagnostic report, the medical image used when creating the diagnostic report on the managed object generation device 151 side, and the analysis information.
In step S406, an application that replaces the analysis application used when the diagnostic information management object determination unit 214 creates a diagnostic report on the managed object generation device 151 side (hereinafter referred to as an alternative application) provides an analysis application in the data center. It is determined whether it exists in the part 219. An alternative application is, for example, an application that uses the same calculation program except for image display or GUI (Graphical User Interface). If an alternative application exists, the process proceeds to step S407, and if no alternative application exists, the process proceeds to step S409.
In step S407, the image analysis unit 216 acquires an alternative application from the analysis application providing unit 219, analyzes the medical image, and obtains analysis information on the alternative application.

In step S408, the image display unit 217 displays the diagnosis report, the medical image, and the analysis information in the alternative application.
In step S409, the diagnostic information management object determination unit 214 generates a message indicating that the environment at the time of creating the diagnostic report cannot be reproduced, and the image display unit 217 displays the message. Note that this message may be notified by voice. This is the end of the operation of the managed object receiving apparatus 152.

In the managed object generating device 151 and the managed object receiving device 152 shown in FIGS. 3 and 4 described above, the image analysis unit receives the analysis application from the analysis application providing unit 219 and performs the analysis. However, the present invention is not limited thereto, and a medical image may be analyzed in the data center 153, and the acquisition unit may acquire only the analysis information. If complex calculation is performed using the analysis application at the workstation of the data center 153 and only the analysis information is received, it is not necessary to secure memory or a machine for the analysis application. In addition, memory saving can be achieved.
In the case of analyzing in the data center 153, the acquisition unit may acquire the analysis information and send the analysis information to the image display unit without going through the image analysis unit.

Next, an example of the diagnostic information management object will be described with reference to FIG.
Note that FIG. 5 assumes a DICOM format file, but the present invention is not limited to this, and any format may be used.
As shown in FIG. 5, the same diagnosis UID is added to the diagnosis report 500 and the diagnosis information management object 550.

The diagnostic report 500 includes a diagnostic UID 501 and content 502.
In the example of FIG. 5, the content 502 describes a patient name, a disease name, and a finding, but is not limited thereto, and may include other elements.

The diagnostic information management object 550 includes a diagnostic UID 501, diagnostic application meta information 551, diagnostic application setting information 552, and target examination list 553. The target inspection list 553 includes a plurality of inspection information 554. Further, the inspection information 554 includes an inspection instance UID 555, a series instance UID 556, and an inspection image 557.
The diagnosis application meta information 551 indicates the URL of the analysis application when the analysis application is provided via the WEB as in the present embodiment.
The diagnostic application setting information 552 is a parameter setting value in each analysis application.
The target inspection list 553 is a tag indicating the type of inspection actually performed, and examples include X-ray inspection, CT inspection, and echo inspection.

The inspection information 554 is a tag for each inspection, and is information indicating which inspection has been performed.
The inspection instance UID 555 is an identifier indicating an inspection number.
The series instance UID 556 is an identifier indicating the number of times indicating the number of inspections or the date.
The examination image 557 is a medical image having an examination number indicated by the examination instance UID, and is an image taken at the number of times or date indicated by the series instance UID 556.

  In the image display system 150 according to the present embodiment described above, the analysis application providing unit 219 has been shown to exist outside so as to be stored in the data center 153, but may be provided for each hospital.

An example of a medical cooperation system using the image display system 150 when each hospital has an analysis application providing unit is shown in FIG.
A medical cooperation system 600 illustrated in FIG. 6 includes an analysis application providing unit 219 in the first hospital 110, and similarly includes an analysis application providing unit 219 in the second hospital 120.

  Since each hospital has an analysis application providing unit, the probability of using the same analysis application increases, and the same interpretation environment as when a diagnostic report is created can be more easily reproduced. Further, when there is an analysis application providing unit outside, there is a possibility that the required analysis application may not be provided due to the connection environment of the external network or the maintenance of the data center. However, when each hospital has an analysis application providing unit 153 as shown in FIG. 6, the analysis application can be used at a necessary timing.

  According to the present embodiment described above, by associating the diagnosis report with the diagnosis information management object, the analysis application when the diagnosis report is generated and the parameters of the analysis application are extracted even when the same patient is taken over. The same interpretation environment can be reproduced. Even when the same analysis application cannot be used, an alternative application can be extracted and a similar interpretation environment can be reproduced. Therefore, the reproduction of the same diagnostic environment as that of the takeover source can be supported.

  Although several embodiments of the present invention have been described, these embodiments are presented by way of example and are not intended to limit the scope of the invention. These novel embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the scope of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, and are included in the invention described in the claims and the equivalents thereof.

  The present disclosure may be used in the field of image display devices.

DESCRIPTION OF SYMBOLS 100,600 ... Medical cooperation system, 110 ... 1st hospital, 111, 121 ... Medical imaging device, 112, 122 ... Hospital network, 120 ... 2nd hospital, 130 ... External network, 150... Image display system, 151... Managed object generating device, 152... Managed object receiving device, 153... Data center, 201, 212. ..Acquisition unit, 203, 216 ... Image analysis unit, 204, 217 ... Image display unit, 205 ... Report generation unit, 206, 213 ... Report storage unit, 207 ... Diagnostic information management Object generation unit, 208, 211 ... diagnostic information management object storage unit, 209 ... transmission unit, 210 ... reception unit, 214 ... diagnostic information tube Object determination unit, 218 ... report display unit, 219 ... analysis application providing unit, 500 ... diagnostic report, 501 ... diagnostic UID, 502 ... content, 550 ... diagnostic information management object, 551 ... Diagnostic application meta information, 552 ... Diagnostic application setting information, 553 ... Target examination list, 554 ... Inspection information, 555 ... Inspection instance UID, 556 ... Series instance UID, 557 ... Inspection image.

Claims (9)

An acquisition unit that analyzes a medical image of a subject using an analysis application and obtains analysis information of the medical image ;
A generating unit that generates a management object including application information and parameter setting values of the analysis application ;
A creation unit for creating a diagnostic report based on the medical image of the subject and the analysis information;
A storage unit for storing in association with said diagnostic report and the managed objects to one another,
A managed object generating apparatus comprising: a transmission unit that transmits the diagnostic report and the managed object in response to an external request. The managed object generation apparatus according to claim 1, wherein the application information includes specific information for specifying an analysis application that performs an image analysis process on a medical image of the subject . The acquisition unit, as the analysis information, the claim 1 or claim 2, characterized in that to obtain information of an analysis of the medical image using the analysis application corresponding to the disease name of the site and the analyte in a subject The managed object generation device described in 1. An image display system including a generation device and a reception device,
The generator is
A first acquisition unit that analyzes a medical image of a subject using an analysis application and obtains first analysis information of the medical image;
A generating unit that generates a management object including application information and parameter setting values of the analysis application ;
A creation unit for creating a diagnostic report based on the medical image of the subject and the analysis information;
A first storage for storing the diagnostic report and the management object in association with each other;
A transmission unit that transmits the diagnostic report and the management object in response to an external request;
The receiving device is:
A receiving unit for receiving the management object and the diagnostic report;
A second storage unit for storing the management object and the diagnostic report;
A determination unit that refers to the management object and determines whether or not the analysis application used in creating the diagnostic report is available;
If the analysis application is available, based on the parameter setting values shown in the management objects, were analyzed using the analysis application, a second obtaining unit for obtaining said first analysis information of the medical image ,
An image display system comprising: a display unit that displays the first analysis information and the diagnostic report. The determination unit determines whether there is an alternative application to replace the analysis application when the analysis application is not available;
The second acquisition unit, when the substitute application is present, the obtained second analytical information of the medical image the medical image is analyzed using the alternative application,
The image display system according to claim 4, wherein the display unit displays the second analysis information and the diagnostic report.   6. The image display system according to claim 5, wherein the determination unit generates a message indicating that the environment cannot be reproduced when the alternative application does not exist. Wherein the first obtaining unit and the second acquisition unit, and wherein the parsing the medical image using the analysis application corresponding to the disease name of the site and the analyte of the subject obtaining the first analysis information The image display system according to any one of claims 4 to 6. The image display system according to claim 4 wherein the generating device and the receiving device respectively, for analyzing the medical image using the analysis application, and further comprising an analysis unit for generating said first analysis information . The application information includes an image display system according to claim 4, characterized in that it comprises a specific information which specifies the analysis application performing the image analysis processing on the medical image.

Images