JP6970770B2 - Imaging systems and image detectors, and how to control them - Google Patents

Description

The present invention relates to a control technique for an examination including taking a medical image, and more particularly to a control technique considering re-imaging and additional imaging.

Conventionally, a medical imaging device (hereinafter, simply referred to as an imaging device) for acquiring a medical image for a doctor to confirm a patient's medical condition or make a diagnosis has been used. Various imaging devices include X-ray imaging devices and X-ray CT devices that use radiation, magnetic resonance imaging devices represented by MRI, nuclear medicine imaging devices represented by PET and SPECT, ultrasonic imaging devices, and the like. There are various types. There are various types of medical images acquired by these imaging devices, from morphological images to images of functional values such as cerebral blood flow. The doctor determines the necessary image according to the patient's medical condition, and makes a diagnosis based on the image acquired by using the accompanying imaging device.

In recent years, in order to smoothly and accurately operate inspections using these imaging devices, information communication has been performed via an in-hospital information system and a network. The in-hospital information system includes, for example, a hospital information system (HIS: HOSPITAL INFORMATION SYSTEM) that manages information such as patient information such as patient name and patient ID, and examination request information including the date and time of examination and the content of imaging. be. In addition, there is a radiological information management system (RIS: RADIOLOGY INFORMATION SYSTEM) for managing information such as patient information and examination request information in the radiology department.

On the other hand, there is a PACS (Picture archiving and communication system) as a system for storing and displaying acquired medical images and using them for diagnosis. At this time, instead of transferring the acquired image as it is to PACS, it is often the case that the image is transferred after the image inspection engineer confirms that the quality is sufficient for the doctor to read the image. The image is also checked on the shooting device, but if the image inspection engineer who has a deep knowledge of image quality further checks the image, the image quality will be further improved and the judgment difference between the shooting engineers who operate the shooting device will be different. It becomes easier for doctors to make a diagnosis. Here, as an example of the image inspection device, it is composed of a storage for storing the transferred inspection image, a monitor for confirming the image, and an information processing device for performing various processes such as image processing.

DICOM and HL7 are defined as standards for information communication between these in-hospital information systems and imaging devices via a network. DICOM is an abbreviation for DIGITAL IMAGING AND COMMUNICATION IN MEDICINE. HL7 is an abbreviation for HEALTH LEVEL SEVEN. Furthermore, in recent years, there is IHE (INTEGRATED HEALTHCARE ENTERPRISE), which is a guideline for promoting multi-vendor system in hospitals. IHE is a guideline that unifies the usage of standards such as DICOM and HL7 for various use cases in clinical medical settings.

Here, a general communication sequence performed between the imaging device, the HIS / RIS, and the image inspection device when performing the inspection will be described with reference to FIG. As shown in FIG. 15, in response to the inspection request information acquisition instruction including the search condition by the photographing engineer 120, the photographing apparatus 100 requests the inspection request information to the HIS / RIS 110 and acquires the inspection request information according to the search condition. do. The photographing apparatus 100 analyzes the acquired inspection request information. Next, the photographing apparatus 100 selects an inspection to be performed by the photographing engineer 120 from the acquired inspection request information, and notifies the inspection start according to the inspection start instruction. Next, the photographing apparatus 100 acquires, for example, X-rays in response to an imaging instruction by the photographing engineer 120 to acquire medical image data. This process is repeated as necessary. When all the requested inspections are completed, the photographing apparatus 100 creates an inspection end notification in response to the inspection end instruction by the photographing engineer 120, and then notifies the HIS / RIS 110 of the inspection completion, and at the same time, the photographed inspection image. Is output to the image detector 130. The image inspection engineer 140 confirms the inspection image on the image inspection device 130, and confirms whether or not the image quality can be read by the doctor 160. Some confirmation points at this time can be corrected on the spot, such as density, contrast, position and content of annotation, content of DICOM tag, and whether various image processing is appropriate. On the other hand, there are some cases that require re-imaging or additional imaging due to insufficient X-ray dose, incorrect positioning, and the need for new imaging to identify the lesion.

The image-shooting engineer 140 corrects what can be corrected on the spot, creates an image that is easy for the doctor 160 to read, outputs it to the PACS, and the doctor 160 interprets the image with the PACS. On the other hand, when a new shooting such as a re-shooting or an additional shooting is necessary, the camera operator 120 or the doctor 160 is contacted and a new order is issued from the RIS 110, and the re-shooting or the additional shooting is performed.

In this way, in the inspection implementation when communication is performed using HIS / RIS110, when the inspection is started or ended (including interruption), the imaging device 100 notifies the HIS / RIS110 of the inspection start. Notification of the end of inspection is given. By doing so, the HIS / RIS 110 can grasp the implementation status of the photographing apparatus 100 in each inspection currently requested. The timing at which the photographing apparatus 100 gives the HIS / RIS 110 the inspection start notification and the inspection end notification is the timing at which the photographing engineer 120 presses the inspection start button or the photographing end button on the GUI on the photographing apparatus 100. This makes it possible to smoothly perform various processes in the in-hospital system.

Alternatively, the inspection image may be output to the PACS 150 instead of being output to the image inspection device 130 at the end of the inspection. In this case, the doctor 160 reads the inspection image on the PACS terminal and makes a diagnosis. At this time, if there is a need for re-imaging or additional imaging due to insufficient X-ray dose, incorrect positioning, or the need for new imaging to identify the lesion, place a new order via RIS110. Issue it for re-shooting or additional shooting.

By the way, the information of the inspection end notification notified by the photographing apparatus 100 to the HIS / RIS 110 includes information such as the number of images taken and information on the dose of X-rays used for accounting processing of the inspection. Therefore, for example, if the photographer 120 is left unattended without instructing the end of the inspection due to a mistake, the imaging device 100 does not notify the HIS / RIS 110 of the end of the inspection. Therefore, there is a problem that the workflow such as accounting processing after inspection is hindered. As a countermeasure to the problem of forgetting the inspection end instruction, Patent Document 1 discloses a technique of preserving the end condition for terminating the inspection in the photographing apparatus. Further, in general, in HIS / RIS, there is a problem that it is impossible to add an inspection after the inspection for which the inspection completion notification is given. Therefore, Patent Document 2 discloses a technique in which a timer is provided to give a grace period for additional inspection instead of notifying the completion of inspection immediately after the completion of inspection.

Japanese Unexamined Patent Publication No. 2007-215685 Japanese Unexamined Patent Publication No. 2013-173057

However, in the above-mentioned conventional technique, it is not possible to respond to a re-examination instruction or an additional examination instruction by an image inspection engineer or a doctor. That is, the re-examination instruction and the additional examination instruction by the image-taking engineer or the doctor are given at the time when the image is confirmed by the image-taking device or the time when the image is read by the PACS. Therefore, it cannot be solved by the technique utilizing the termination condition disclosed in Patent Document 1. On the other hand, if a sufficiently long grace period is set in the technique using the timer disclosed in Patent Document 2, as a result, the inspection completion notification is delayed, and the accounting treatment of the subsequent process is delayed. Therefore, it is necessary for the camera operator or the doctor to perform the order issuing operation again, which lowers the work efficiency and may cause an erroneous operation. In addition, there is a problem that the patient has to wait for a long time and the burden on the patient is also increased.

The present invention has been made in view of such a problem, and an object of the present invention is to provide a technique capable of suitably performing re-imaging and additional imaging in an examination including imaging of a medical image.

In order to solve the above-mentioned problems, the photographing system according to the present invention has the following configurations. That is, in an imaging system having an imaging device having an imaging unit and an image detection device capable of communicating with the imaging device and not having an imaging unit, the imaging device is connected to an in-hospital information system via a network. A first receiving means that is connected and accepts an input of an imaging request from the in-hospital information system, a control means that performs imaging of one or more images by the imaging unit based on the imaging request, and an image inspection device. It has a first transmission means for transmitting the one or more images, and the image detection device includes shooting execution information based on the shooting request and the one or more images shot from the shooting device. The shooting execution information is obtained by the receiving means for receiving the image, the second receiving means for receiving the determination from the user whether or not each of the one or more images satisfies the desired image quality, and the second receiving means. When the determination that all of the corresponding one or more images satisfy the desired image quality is accepted, the notification means for notifying the in- hospital information system of the completion notification for the imaging request, and the second reception. When the determination that there is an image that does not satisfy the desired image quality is accepted by the means, a re-imaging request for the image that is determined not to satisfy the desired image quality is transmitted to the photographing apparatus. It has a transmission means of.
Further, the image inspection device according to the present invention has the following configurations. That is, it is an image inspection device that can communicate with a photographing device having an imaging unit and does not have an imaging unit. The imaging device is connected to an information system in a hospital via a network, and the image inspection device is described. A receiving means for receiving the imaging execution information based on the imaging request from the in-hospital information system and one or more captured images from the imaging device, and whether or not each of the one or more images satisfies the desired image quality. When the reception means that accepts the determination from the user and the reception means accepts the determination that all of the one or more images corresponding to the shooting execution information satisfy the desired image quality, the shooting request is made. When the notification means for notifying the in-hospital information system and the reception means receive a determination that there is an image that does not satisfy the desired image quality, the desired image quality must be satisfied. It has a transmission means for transmitting a re-shooting request for the determined image to the shooting device.

INDUSTRIAL APPLICABILITY According to the present invention, it is possible to provide a technique that enables suitable reimaging and additional imaging in an examination including imaging of a medical image.

It is a figure which shows the structure of the information system including the photographing apparatus. It is a figure which shows an example of the hardware composition of a photographing apparatus. It is a figure which shows an example of the functional structure of the photographing apparatus which concerns on 1st Embodiment. It is a figure which shows an example of the operation part GUI of a photographing apparatus. It is a figure which shows an example of the image viewer GUI of an image detector. It is an overall flowchart in 1st Embodiment. It is a flowchart of the image inspection apparatus in 1st Embodiment. It is a figure which shows an example of the functional structure of the photographing apparatus which concerns on 2nd Embodiment. It is an overall flowchart in 2nd Embodiment. It is a flowchart of the image inspection apparatus in 2nd Embodiment. It is a figure which shows an example of the functional structure of the photographing apparatus which concerns on 3rd Embodiment. It is an overall flowchart in 3rd Embodiment. It is a flowchart of the image inspection apparatus in 3rd Embodiment. It is a figure which shows an example of the functional structure of the photographing apparatus which concerns on 5th Embodiment. It is a sequence diagram between devices in a conventional system.

Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the drawings. It should be noted that the following embodiments are merely examples, and are not intended to limit the scope of the present invention.

(First Embodiment)
As a first embodiment of the imaging device according to the present invention, an in-hospital information system including a medical image imaging device will be described below as an example.

<System configuration>
FIG. 1 is a diagram showing a configuration of an in-hospital information system including a photographing device. As shown in FIG. 1, the imaging devices 303, 304, and 305 are connected to the HIS 301, RIS 302, image detection device 306, and PACS 307 as in-hospital information systems via a network 320. The network includes various wired / wireless networks using Ethernet (registered trademark), wireless LAN and the like.

Patient information, examination request information, examination execution information, examination completion information, image data, etc. are transmitted and received using this network. At this time, the photographing devices 303, 304, and 305 may be one type or a plurality of types of photographing devices. Further, the number of connected photographing devices is not limited to the three shown in FIG. 1, and one or more may be connected. In the following, the description will be focused on the photographing device 303, but the same applies to the photographing devices 304 and 305.

The imaging apparatus 303 is used for medical purposes such as an X-ray imaging apparatus, an X-ray CT apparatus, a magnetic resonance imaging apparatus represented by MRI, a nuclear medicine imaging apparatus represented by PET and SPECT, and an ultrasonic imaging apparatus. It is an imaging device. Here, an X-ray photographing apparatus will be described as an example of the photographing apparatus. Further, in FIG. 1, for simplification, the number of HIS 301, RIS 302, and image inspection device 306 connected to the photographing device 303 is one, but the present invention is not limited to this case. For example, a plurality of HIS301, RIS302, and image inspection devices 306 may be connected to one of the photographing devices 303.

<Various information used in the system>
Next, "patient information", "test request information", "test implementation information", and "test completion information" used in the following description will be described. In the following description, these four types of information may be collectively referred to as "inspection information".

The patient information is personal information of a patient who is a subject of an examination performed by the imaging device 303. The patient information includes patient ID, patient name, gender, date of birth, and age, which are unique IDs for identifying the subject. The input and storage of patient information is mainly performed on the terminal of HIS301. However, even with the RIS 302 and the imaging device 303, patient information can be input, corrected, and stored. By storing the patient information in an information storage device such as a server connected to the network, it is possible to ensure the consistency of the patient information input by each device and share it.

The inspection request information is information indicating a specific inspection request such as when, which imaging device, who, and what kind of imaging is performed for the inspection performed by the imaging device 303. The inspection request information mainly includes information on an inspection ID that uniquely identifies the inspection, an inspection scheduled date and time, an inspection scheduled device, and specific imaging procedures to be performed in the inspection. It also includes the name of the camera operator 120 (hereinafter, also referred to as the operator) who carries out the examination, the name of the department and doctor who requested the examination, and the above-mentioned patient information. When the HIS301, RIS302, and the photographing apparatus 303 comply with the DICOM standard, the inspection request information includes the tag information specified in the MWL (MODALITY WORK LIST SOP) class of the DICOM standard. Input and storage of inspection request information is mainly performed in HIS301. However, even with the RIS 302 and the photographing apparatus 303, the inspection request information can be input, corrected, and stored. In this case, the inspection request information is notified to HIS301 at any timing. By storing the inspection request information in an information storage device such as a server connected to the network, it is possible to share the inspection request information with each device.

The inspection implementation information is information regarding specific imaging performed in the completed inspection. The inspection implementation information (also referred to as imaging implementation information) includes the imaging technique performed, the number of images taken, the time required to perform the inspection, whether or not additional imaging was performed during the examination, the name of the operator who performed the examination, and the patient during the examination. Information on the total value of the irradiation dose received by the patient is included. Here, the information of the shooting technique performed includes the shooting technique name, the shooting site (including left and right) in each shooting technique, the shooting direction, the posture and position of the patient, the still image shooting of each shooting technique, and the shooting of moving images and angiography. Contains method information. The inspection execution information is information that can be created only by the photographing apparatus 303.

The inspection end information is information indicating the contents actually performed with respect to the inspection request information selected by the operator in the photographing apparatus 303. The inspection completion information mainly includes information such as an inspection ID that uniquely identifies the inspection, an inspection date and time, an imaging device that performed the inspection, and the name of the operator who performed the inspection. The test completion information also includes the above-mentioned patient information and test implementation information. When the HIS301, RIS302, and the photographing apparatus 303 comply with the DICOM standard, the inspection end information includes the tag information specified in the PPS class of the DICOM standard. PPS is an abbreviation for MODALITY PERFORMED PROCEDURE STEP SOP. The inspection completion information is created when the imaging technician 120 has completed all the inspections requested by the imaging technician 130, the image inspection technician 140 has completed the image determination, or the doctor 160 has completed the image interpretation. After that, the photographing apparatus 303 includes the inspection end information in the inspection end notification and transmits the inspection end information to the RIS 302. After that, the RIS 302 transmits the inspection end information to the HIS 301 and is used in a workflow after the inspection such as accounting processing.

<Transmission and reception of information between each device in the system>
The HIS 301 communicates with the RIS 302 via a network. HIS301 is one of the in-hospital information systems, registers patient information and creates test request information, and transmits the created patient information and test request information to RIS302. Further, the HIS 301 receives the inspection start notification and the inspection end notification from each imaging device 303 via the RIS 302. Upon receiving the inspection completion notification, the HIS 301 performs in-hospital information processing such as accounting processing using the inspection completion information added to the inspection completion notification.

The RIS 302 is one of the in-hospital information systems for the radiology department in the hospital, and is connected to the HIS 301 and the imaging device 303 via a network. The RIS 302 receives the inspection request information notified from the HIS 301, adds necessary information such as an inspection site to the received inspection request information, and transmits the received inspection request information to the photographing apparatus 303. Further, the RIS 302 receives the inspection start notification and the inspection end notification from the photographing apparatus 303, and transmits the received inspection start notification and inspection end notification to the HIS 301.

The photographing device 303 is connected to the RIS 302 and the image storage display device 306 via a network. The imaging device 303 receives (inputs) inspection request information including an imaging request from the external system RIS302, and stores the received inspection request information internally. When performing an inspection, the photographing apparatus 303 displays the inspection request information received by using the user interface (hereinafter referred to as GUI) on the monitor provided in the photographing apparatus 303, and carries out the inspection selected by the photographing engineer 120. Further, the photographing apparatus 303 transmits an inspection start notification and an inspection end notification to the RIS 302. Further, the imaging device 303 appropriately transmits the medical image data (hereinafter referred to as image data) photographed and acquired by the inspection to the image inspection device 306.

The image detection device 306 operates an image server that stores image data transmitted from the photographing device 303, a monitor that acquires and displays an image from the server, and an image viewer application that adjusts the image and confirms the image. Has an information processing device. The image detector 306 stores the received image data internally, or in some cases, stores it in an external recording medium. Further, the image inspection device 306 functions as a medical image viewer for image display that receives and displays image data transmitted from the imaging device 303. The image inspection engineer 140 uses this viewer to check whether the positions of various annotations on the inspection image are correct, whether the image processing is appropriate, and whether the DICOM tag is appropriate, and make corrections. Also, check if the patient is properly positioned, if the dose is appropriate, if the imaging conditions are okay, and if new imaging is needed to identify the lesion. That is, the image inspection device 306 accepts from the image inspection engineer 140 whether or not the inspection image satisfies the desired image quality, and also accepts the correction of the image or incidental information. If the patient's positioning and dose are not appropriate, re-imaging is requested to the imaging apparatus 303, and additional imaging is requested if new imaging is required. When the re-shooting requested again or the additional shooting is completed, the image data taken from the shooting device 303 is transmitted to the image inspection device 306 again. The images of the re-shooting and the additional shooting are confirmed by the viewer of the image inspection device 306, and if there is no problem, the inspection completion operation is performed and all the images are transferred to the PACS307.

The PACS 307 receives the confirmed image data transmitted from the image detector 306 and stores it in the storage. Further, it is composed of at least one monitor and an information processing device so that an image can be displayed and read. The doctor 160 uses the PACS 307 to interpret the image confirmed by the image inspection engineer 140 to diagnose the patient. At this time, the position and content of the annotation and the content of the DICOM tag are correct, the positioning of the patient's part is appropriate, and the image processing such as density, contrast, and edge enhancement are also adjusted appropriately, so that diagnosis is easy and efficiency is also high. Get nervous.

<Hardware configuration of the shooting device>
FIG. 2 is a diagram showing an example of the hardware configuration of the photographing apparatus 303. As shown in FIG. 2, the photographing apparatus 303 includes an information processing unit 10, a display unit 11, an input unit 12, a sensor unit 13, and an X-ray generating unit 14. Further, the information processing unit 10 is configured by connecting internal storage devices 19 such as a RAM 15, a ROM 16, a LAN / IF 17, a CPU 18, and a hard disk to each other by a system bus 20. As described above, the information processing unit 10 has a general computer configuration. Further, the display unit 11 is composed of a general monitor such as a liquid crystal display. Image data, a GUI (graphical user interface), and the like are displayed on the screen of the display unit 11. Further, the input unit 12 is composed of an input device such as a mouse, a keyboard, and a bar code. The operator can input various commands and data to the information processing unit 10 by using the input unit 12. The X-ray generating unit 14 irradiates the patient with X-rays. The sensor unit 13 receives X-rays transmitted through the patient and images them.

<Overall system operation flow>
FIG. 3 is a diagram showing an example of the functional configuration of the photographing apparatus and the image inspection apparatus according to the first embodiment. Each function of the photographing apparatus shown in FIG. 3 is realized, for example, by executing a program stored in the ROM 16 or the internal storage device 19 by the CPU 18. In the following description, it is assumed that the camera operator 120 operates the device.

The RIS transmission / reception unit 401 communicates with the RIS 302 and receives inspection request information in particular. The inspection control unit 402 displays the GUI on the display unit 11 according to the progress of the inspection. Further, the operation result of the GUI is input from the input unit 12 to execute various functions or change the screen. Further, after shooting, various correction processing and image processing are performed on the shot image data, and the shot image data is stored in the data holding unit 404.

The inspection request information received by the RIS transmission / reception unit 401 is sent to the data holding unit 404 by the inspection control unit 402 and stored. The plurality of inspection request information received on the display unit 11 is displayed as a list, and the camera operator 120 selects the inspection request information to be inspected from the list using the input unit 12 and starts the inspection. Here, the inspection request information mainly includes information on an inspection ID that uniquely identifies the inspection, an inspection scheduled date and time, an inspection scheduled device, and specific imaging techniques to be performed in the inspection. The imaging technique is determined by selecting the imaging protocol in the X-ray imaging apparatus. The shooting protocol has default values such as shooting conditions and image processing parameters of the X generator for each shooting technique.

When the camera operator 120 selects inspection request information from the list displayed on the display unit 11 and presses the inspection start button, the first shooting protocol is selected. Then, the imaging unit 403 transmits imaging conditions such as tube current, tube voltage, irradiation time, and patient-tube tube distance determined by the first imaging protocol to the X-ray generation unit 14, and X under predetermined conditions. Allow line irradiation. At the same time, the camera operator 120 adjusts the position of the patient, adjusts the aperture of the tube of the X-ray generating unit 14, and confirms the grid of the sensor unit 13. When all the preparations are completed, the X-ray irradiation switch of the X-ray generation unit 14 is pressed to irradiate X-rays, and an X-ray transmission image of the patient is acquired.

When the acquisition of the image is completed, the photographing execution unit 403 notifies the inspection control unit 402, and the inspection control unit 402 performs image processing using the correction processing and the image processing parameters preset in the photographing protocol. Then, the image is displayed on the display unit 11, and the image data is stored in the data holding unit 404. When the shooting of the first shooting protocol is completed, the second shooting protocol is subsequently selected, and shooting is performed in the same manner as in the first shooting protocol. In this way, when all the requested shootings are completed, the camera operator 120 presses the inspection end button 513 displayed on the display unit 11 to end the inspection.

When the inspection end determination unit 405 detects that the inspection end button 513 is pressed, the inspection completion determination unit 409 and the inspection control unit 402 are notified of the inspection completion. Upon receiving the inspection completion notification, the inspection control unit 402 sends the captured image to the image transmission unit 406, transmits it to the image inspection device 306, and puts the inspection on hold.

The image inspection device 306 has an image receiving unit 420, an inspection image confirmation unit 421, a re-shooting instruction unit 422, and a confirmation notification transmission unit 423. When the inspection end button 513 is pressed on the photographing device 303, image data is transmitted from the image transmitting unit 406, received by the image receiving unit 420, and stored in, for example, a storage medium (not shown). The inspection image determination unit 421 also includes execution of a viewer that displays an image received from the storage medium, and the image inspection engineer 140 confirms the image on the viewer. If the patient's positioning and dose are not appropriate and re-imaging is required, or if new imaging is required and additional imaging is required, press the re-imaging request button 610 or additional imaging request button 611 on the viewer. Press. As a result, the re-shooting instruction unit 422 accepts the re-shooting and issues a re-shooting request instruction to the shooting device 303. Here, the request instruction includes information for identifying the inspection ID and the imaging protocol for re-imaging, information for identifying the imaging protocol for additional imaging, and the like. In the following, the re-shooting instruction unit 422 collectively refers to the re-shooting request and the additional shooting request as "re-shooting request".

The imaging device 303 that has received the re-imaging request instruction receives the instruction at the re-imaging request receiving unit 407, and further notifies the inspection control unit 402. The inspection control unit 402 puts the pending inspection into a state in which shooting can be performed again, and adds a shooting protocol for reshooting or additional shooting according to the instruction to perform shooting. When all the imaging of the added imaging protocol is completed, the inspection end button 513 is pressed, and the inspection control unit 402 puts the inspection on hold and transfers the inspection from the image transmission unit 406 to the image inspection device 306.

When the inspection image confirmation unit 421 confirms all the images including the image requested to be re-photographed and confirms the images, the image inspection engineer 140 presses the all image confirmation completion button 613. As a result, the confirmation notification is transmitted from the confirmation notification transmission unit 423 to the photographing device 303, and the confirmed image data is output to the PACS 307. In the photographing apparatus 303, the confirmation notification receiving unit 408 that has received the confirmation notification notifies the inspection completion confirmation unit 409 and the inspection control unit 402 of the confirmation notification. Upon receiving the confirmation notification, the inspection control unit 402 sets the pending inspection to the inspection completed state. When the inspection end confirmation unit 409 receives both the inspection end notification from the inspection end determination unit 405 and the confirmation notification from the confirmation notification receiving unit 408, the inspection end confirmation unit 409 determines that the inspection is completed, and determines that the inspection is completed, and the inspection end information creation unit. Send a completion notification to 410.

Upon receiving the completion notification, the examination completion information creation unit 410 extracts necessary information from the examination execution information, the camera operator 120, and the information about the doctor 160 who has read the image to create the examination completion information, and the RIS transmission / reception unit 401 to the RIS 302. Send an inspection completion notification.

FIG. 4 is a diagram showing an example of the operation unit GUI of the photographing device. The operation unit may be a monitor and a mouse or keyboard, or a monitor with a touch panel.

The patient information display unit 501 is an area for displaying patient information such as a patient name, a patient ID, and a patient's date of birth, the 510 message display area is an area for displaying a message, and the state display unit 511 is a state of an imaging device. Is the area to display. The imaging protocol display unit 502 displays the imaging protocols in the order of request, and in this example, the order is the front of the chest, the side surface of the chest, and the front of the KUB. The inspection edit button 508 is a button for calling a screen on which inspection information such as a cameraman's name, inspection description, request section, etc. can be edited and an order of a shooting protocol can be changed. The image display area 503 is an area for displaying the captured image, and the photographing engineer looks at this image after shooting to determine whether or not the captured image is correctly captured. At this time, if image processing such as density, contrast, and enhancement processing is not appropriate, or if geometric changes such as enlargement / reduction and rotation direction are required, the image processing tab 504 is pressed to switch the operation pane 507. If the position of the annotation, the size of the font, or the item is incorrect, change it on the annotation tab 505. Here, the annotation is displayed by an overlay method on the image data using the mechanism of GSPS of the DICOM standard. Further, whether or not the value of the DICOM tag is appropriate is confirmed by pressing the DICOM tab 506 and switching the operation pane 507, and correcting it if necessary. Immediately after shooting, the transfer button 512 transfers the shot image to the image inspection device 306 without waiting for the inspection end button to be pressed. On the other hand, if the subject moves during shooting and the image is blurred, or if the dose is insufficient and the image quality is poor, the reshooting 509 button is pressed to perform shooting again.

The inspection end button 513 is pressed at the end of the inspection, and the acquired inspection image is transferred to the image inspection device 306.

FIG. 5 is a diagram showing an example of the GUI of the image viewer of the image detector. The inspection list 601 displays a completed inspection list sent from the photographing apparatus 303. The image inspection list 601 displays the patient and examination information, and also displays the processing status. Immediately after being sent from the photographing device 303, the state is "waiting for QA", and the state in which the image is displayed in the image display area 604 and the image is confirmed is "in QA". If there is no "QA in progress" status, the first "QA wait" may be automatically changed to "QA in progress". Further, the image inspection engineer 140 may select any inspection from the inspection list 601. The performed inspection list 601 can be hidden out of the way by the minimize / redisplay icon 602.

The patient information display unit 603 is an area for displaying patient information such as a patient name, a patient ID, and a patient's date of birth, and a 614 message display area is an area for displaying a message. The implemented protocol display unit 612 displays the implemented protocols in the order of request. In this example, the front of the chest, the side of the chest, and the front of the KUB are requested in this order, and the front of the chest is selected. The image display area 604 is an area for displaying an image of the selected implemented protocol, and the image inspection engineer 140 sees this image and confirms whether the image quality has reached the image quality diagnosed by the doctor 160. At this time, if image processing such as density, contrast, and enhancement processing is not appropriate, or if geometric changes such as enlargement / reduction and rotation direction are required, the image processing tab 605 is pressed to switch the operation pane 608. If the position of the annotation, the size of the font, or the item is incorrect, change it on the annotation tab 606. Here, the annotation is displayed by an overlay method on the image data using the mechanism of GSPS of the DICOM standard. Further, whether or not the value of the DICOM tag is appropriate is confirmed by pressing the DICOM tab 606 and switching the operation pane 608, and correcting it if necessary.

When the image confirmation is completed, the image confirmation button 609 is pressed, the next protocol of the chest side surface is automatically selected, and the image of the chest side surface is displayed in the image display area 604. If it is determined that re-shooting is necessary, the re-shooting request button 610 is pressed, and if it is determined that additional shooting is necessary, the additional shooting request button 611 is pressed. When the confirmation of all the images is completed, the all image confirmation button 613 is pressed. Further, the image confirmation required icon 615 indicates that the image requires image confirmation. Considering the reliability of the operation, the specification may be set so that the all image confirmation button 613 is not enabled unless the images of all the images on which the image confirmation required icon 615 is displayed are confirmed. Further, in consideration of operation efficiency, the specification may be such that the image confirmation of all the images is completed when the all image confirmation button is pressed.

<Operation processing of the shooting device>
FIG. 6 is an overall flowchart of the first embodiment. In particular, it is a flowchart which shows the operation process from receiving the inspection request information to executing the inspection end process. This process is realized by the CPU 18 of the photographing apparatus 303 executing a program stored in the ROM 16 or the like.

In step S1000, the RIS transmission / reception unit 401 requests the RIS 302 to transmit the inspection request information via the network. The timing for making this request is mainly when the photographing engineer 120 presses the inspection request information acquisition instruction button displayed on the GUI of the display unit 11 of the photographing apparatus 303. However, in addition to this, the RIS transmission / reception unit 401 may automatically make a request at regular time intervals, or may make a request at the timing of an instruction to display a list of inspection request information of the camera operator 120, and the timing may be. Not limited to one.

When requesting the transmission of inspection request information, it is possible to set acquisition conditions for each item included in the inspection request information. That is, the RIS transmission / reception unit 401 makes a request to the RIS 302 with even one acquisition condition input. In this case, the RIS 302 takes out the inspection request information that has not been started yet and matches the acquisition condition from the held inspection request information, and returns it to the photographing apparatus 303. If the acquisition condition is not set, the RIS 302 transmits all the inspection request information that has not been started yet among the inspection request information currently held. The RIS transmission / reception unit 401 of the photographing apparatus 303 receives the transmitted inspection request information. Subsequently, the RIS transmission / reception unit 401 transmits the acquired inspection request information to the inspection control unit 402. The inspection control unit 402 lists the received inspection request information and displays it on the display unit 11 by GUI, and at the same time, stores the inspection request information in the data holding unit 404.

In step S1001, the display unit 11 displays a list of examination request information, and the input unit 12 accepts the selection of the patient to be examined from the camera operator 120. Further, in step S1002, the input unit 12 accepts the pressing of the inspection start button from the photographing engineer 120.

In step S1003, the inspection control unit 402 starts the inspection based on the selected imaging protocol in response to the instruction of the imaging engineer 120 to start the inspection. At this time, the inspection control unit 402 instructs the RIS transmission / reception unit 401 to notify the RIS 302 of the inspection start. The RIS transmission / reception unit 401 transmits an inspection start notification to the RIS 302. After that, the inspection control unit 402 instructs the imaging execution unit 403 to prepare for imaging according to the imaging protocol, and when the imaging preparation is completed, presses the irradiation switch of the X-ray generating unit 14 to irradiate X-rays. , Acquire an X-ray transmission image of the patient.

The acquired image is subjected to various correction processing and image processing and stored in the data holding unit 404. The camera operator 120 looks at the image, confirms whether the patient is moving and blurring at the time of shooting, and whether the shooting conditions are appropriate, and adjusts the image processing parameters if necessary.

The photographing execution unit 403 repeatedly acquires an image and photographs all the imaging protocols required by the inspection request information.

In step S1004, the inspection end determination unit 405 determines whether or not the inspection end button 509 is pressed after all the photographing is completed and the photographing engineer 120 determines that there is no problem with the image. If there is no problem with all the images, proceed to S1005. On the other hand, if there is a problem with at least one image and it is determined that re-shooting is necessary, a shooting protocol is added and the process proceeds to S1003. When advancing the process in S1005, the inspection completion determination unit 405 sends an inspection completion notification to the inspection completion confirmation unit 409. In step S1005, the inspection control unit 402 transmits the captured image data to the image inspection device 306 via the image transmission unit 406.

In step S1006, the confirmation notification receiving unit 408 monitors whether or not there is a confirmation notification from the image inspection device 306. If there is a confirmation notification, the process proceeds to S1010. On the other hand, when the re-shooting request button 610 of the image inspection device 306 or the additional shooting request button 611 is pressed, the re-shooting instruction unit 422 sends a re-shooting request notification to the shooting device 303 and proceeds to S1007.

In step S1010, the confirmation notification receiving unit 408 receives the confirmation notification, and the confirmation notification receiving unit 408 transmits the confirmation notification to the inspection completion confirmation unit 409 and the inspection control unit 402. The inspection completion confirmation unit 409 determines that the inspection is completed when the inspection completion notification and the confirmation notification are received, and notifies the inspection completion information creation unit 410 of the inspection completion.

In step S1020, the inspection end information creating unit 410 reads the executed data from the data holding unit 404, and creates the photographing end information according to a predetermined format from the inspection execution information. The examination implementation information includes patient information, an examination ID, an examination implementation date and time, an imaging device that performed the examination, a name of a camera operator 120 that performed the examination, and imaging conditions.

In step S1030, the RIS transmission / reception unit 401 transmits the created shooting end information to the RIS 302. In step S1040, the inspection control unit 402 performs the inspection end processing. The inspection end process is a process of changing the pending inspection to the inspection end state so that the inspection cannot be performed again.

In step S1007, the re-shooting request receiving unit 407 monitors whether or not the re-shooting request notification has been received, and if so, proceeds to S1008. If it is not received, it returns to S1006 and monitors the reception of the confirmation notification or the re-shooting request notification.

In step S1008, the reshooting request receiving unit 407 receives the request notification and notifies the inspection control unit 402. Upon receiving the re-shooting request notification, the inspection control unit 402 confirms the inspection ID included in the notification, calls the pending inspection, and makes it ready for shooting.

In step S1009, the inspection control unit 402 takes a picture in the same manner as in S1003, and when all the pictures taken by the request notification are completed, presses the inspection end 513. The acquired image is transmitted to the image inspection device 306 in S1005, and the image is confirmed again by the viewer of the image inspection device 306. At this time, the inspection end determination unit 405 detects that the inspection end button 513 is pressed, and notifies the inspection completion confirmation unit 409 and the inspection control unit 402 of the inspection completion. Upon receiving the inspection completion notification, the inspection control unit 402 transmits the captured image to the image inspection device 306 via the image transmission unit 406, and puts the inspection on hold.

FIG. 7 is a flowchart of the image inspection device 306 according to the first embodiment.

In step S2000, the image inspection device 306 monitors whether or not the inspection image is transmitted from the photographing device 303, and if so, proceeds to S2001 and receives the acquired image by the image receiving unit 420. If it has not been received, the process proceeds to S2002.

In step S2002, the image detector 306 determines whether there is an inspection "during QA", and if not, in S2003, the image detector 306 is the image of the first inspection "waiting for QA" or the image inspection engineer 140. The image of the inspection selected by is displayed in the image display area 604. If there is an inspection of "in QA", the process is transferred to S2004.

In step S2004, the image inspection device 306 proceeds to S2011 if the all image confirmation button is pressed, and proceeds to S2005 if it is not pressed.

In step S2005, the image inspection device 306 receives the confirmation result of the image by the image inspection engineer 140. For example, it accepts confirmation results as to whether the patient is moving during imaging and the image is blurred, the imaging conditions are not appropriate, or whether imaging from another direction is necessary for diagnosis. If there is no problem with the image, the image confirmation 609 is pressed in step S2006, and in step S2007, the next protocol is displayed in the image display area 604, and the next image is confirmed. On the other hand, if it is determined that there is a problem with the image, re-shooting or additional shooting is required. In this case, in step S2008, the re-shooting request button 610 or the additional shooting request button 611 is pressed to proceed to step S2009. In S2009, a re-shooting request or an inspection addition request is sent to the imaging device, and in step S2007, the next protocol is displayed in the image display area 604, and the next image is confirmed.

In step S2010, the image detector 306 displays the image processing tab 605, the annotation tab 606, and the DICOM tab 607. Then, the selection of the necessary editing screen is accepted from the image inspection engineer 140. That is, if the image processing is not appropriate, the image processing tab 605 is selected to change various image processing. If the location and content of the annotation are not appropriate, press the annotation tab 606 to change the position and content of the annotation placed in the presentation layer. Alternatively, check the contents of the DICOM tag on the DICOM tab 607, and if it is incorrect, correct it.

In this way, when the image quality that can be corrected is corrected and the image quality is not a problem even if it is sent to PACS307, the image detector 306 accepts the pressing of the image confirmation button 609 after receiving the confirmation again in S2005. As a result, the process proceeds toward Yes in S2006, and the next image, the image of the side surface of the chest, is confirmed in S2007. By repeating the above flow, the image inspection device 306 updates the status to "QA completed" when the all image confirmation button 613 is pressed, and the process shifts to Yes in S2004.

In step S2011, the image inspection device 306 sends a confirmation notification to the photographing device 303, and transfers the confirmed image to the PASC.

As described above, according to the first embodiment, the inspection completion confirmation unit 409 determines that the inspection is completed with both the inspection end notification from the inspection end determination unit 405 and the confirmation notification from the image inspection device 306. In this configuration, the photographing apparatus 303 does not close (complete) the order (inspection request request) even after the inspection is completed. Therefore, it is possible to perform re-shooting or additional shooting for an existing order without creating a new inspection order. Therefore, even if a re-shooting request or an additional shooting request occurs during image inspection, it is possible to improve work efficiency and prevent the accounting process from becoming complicated.

For example, the transmission of the acquired image from the photographing device 303 to the image inspection device 306 may be the timing of pressing the transfer button 512 immediately after the image pickup after the inspection in S1003 is performed. In that case, since the shooting work and the image inspection work can be performed in parallel, the work efficiency is further improved.

Further, although it has been described here that the inspection image confirmation unit 421 determines whether or not all the inspection images in the inspection have been confirmed, the same effect can be obtained even if the confirmation notification receiving unit on the photographing apparatus 303 side performs the determination. Be done.

Further, the photographing device 303 may be configured to directly output the acquired image to the PACS 307 instead of outputting the acquired image to the image detecting device 130. In this case, the doctor 160 displays an image from the image server configured in the PACS 307 using the viewer of the PACS 307 to make a diagnosis. In this case, the doctor can make a re-shooting or make an additional request via PACS.

(Second Embodiment)
In the second embodiment, a mode for transmitting an inspection completion notification from the image inspection device 306 to the RIS 302 will be described. That is, in the first embodiment, the inspection image determination of all the captured images is completed and the inspection end notification to the RIS 302 is transmitted from the imaging device 303, but the other device is configured to transmit the inspection end notification. You can also do it.

<Configuration of image pickup device>
FIG. 8 is a diagram showing an example of the functional configuration of the photographing apparatus and the image inspection apparatus according to the second embodiment. It should be noted that the same reference number as in FIG. 3 indicates that the same function indicates an example of the functional configuration of the photographing apparatus according to the first embodiment. The inspection information transmission unit 411 is a part that transmits the inspection execution information for creating the inspection end information included in the inspection end notification notified to the RIS 302 when the inspection image determination is completed to the image inspection device 306. When the imaging of the imaging request or the imaging protocol requested to be re-photographed is completed and the inspection is completed by the GUI such as the inspection end button 513, the image is transmitted to the image inspection device 306 together with the acquired image.

In the image inspection device 306, the transmitted inspection execution information is received by the photographing information receiving unit 424 and recorded in an internal data holding unit (not shown). When the inspection image confirmation unit 421 completes the image confirmation of all the inspection images, the inspection end information creation unit 425 is notified. The inspection end information creating unit 425 extracts necessary information from the inspection execution information recorded by the photographing information receiving unit 424, creates the inspection end information, and transmits the inspection end information to the RIS 302 via the completion notification transmitting unit 426.

<Operation processing of the shooting device>
FIG. 9 is an overall flowchart of the second embodiment. Up to S1004, it is the same as the first embodiment (FIG. 6). In step S1004, the inspection end determination unit 405 proceeds to S1005 when all the photographing is completed and the photographing engineer 120 determines that there is no problem by looking at the image and presses the inspection end button 509 (Yes).

In step S1005, the inspection control unit 402 transmits the captured image data to the image inspection device 306 via the image transmission unit 406. Further, in step S1050, the inspection information transmission unit 411 sends the inspection execution information corresponding to the captured image to the imaging information receiving unit 424 of the image inspection device 306. Here, the inspection execution information includes information such as an inspection ID that uniquely identifies the inspection, an inspection implementation date and time, an imaging device that performed the inspection, and the name of the operator who performed the inspection, an imaging protocol, a tube current, a tube voltage, and irradiation. Includes implementation information such as time and X-ray dose. S1007 to S1009 are the same as those described in the first embodiment. In step S1006, the confirmation notification receiving unit 408 monitors whether or not there is a confirmation notification from the image inspection device 306. If there is a confirmation notification (Yes), the process proceeds to S1010.

In step S1010, the confirmation notification receiving unit 408 receives the confirmation notification, and in step S1040, the inspection control unit 402 performs the inspection end processing.

When the re-shooting request button 610 or the additional shooting request button 611 shown in FIG. 5 is pressed, the re-shooting instruction unit 422 sends a re-shooting request notification to the shooting device 303. The photographing device 303 monitors whether or not the re-photographing request notification is received by the re-imaging request receiving unit 407. If it is received, the process is moved to Yes in step S1007, and if it is not received, the process is returned to No, and it is monitored whether or not a confirmation notification or a re-shooting request notification has been made.

When the re-shooting request notification is received in S1007, in step S1008, the re-shooting request receiving unit 407 receives the request notification and notifies the inspection control unit 402. Upon receiving the re-shooting request notification, the inspection control unit 402 confirms the inspection ID included in the notification, calls the pending inspection, and makes it ready for shooting. In step S1009, shooting is performed in the same manner as in step S1003. When all the shooting by the request notification is completed, the inspection end 513 is pressed, the acquired image and the shooting information are transmitted to the image inspection device 306 in step S1005 and step S1050, and the image confirmation is confirmed again via the viewer of the image inspection device 306. conduct.

When the image inspection engineer 140 has confirmed all the acquired images by the image inspection device 306, the image inspection engineer 140 presses the all image confirmation button 613 in FIG. Then, the inspection image confirmation unit 421 determines that the inspection is completed and notifies the inspection end information creation unit 425. As a result, the inspection end information creation unit 425 creates the inspection end information, and the created inspection information is included in the completion notification and transmitted to the RIS 302 via the completion notification transmission unit 426.

FIG. 10 is a flowchart of the image inspection device 306 according to the second embodiment. Steps S2000 to S2010 are the same as those of the first embodiment (FIG. 7). When this flow is repeated and the all image confirmation button 613 is pressed, the status changes to "QA completed". As a result, the process shifts to Yes in step S2004, a confirmation notification is given to the photographing apparatus 303 in step S2011, and the image confirmed in step S2012 is transferred to the PASC. Further, in step S2013, the inspection end information creation unit 425 creates the inspection end information. In step S2014, the completion notification transmission unit 426 sends a completion notification including the inspection information created by the inspection end information creation unit 426 to the RIS 302.

As described above, according to the second embodiment, the completion notification is notified from the image detector 306 to the RIS 302. Even with such a configuration, as in the first embodiment, it is possible to perform re-imaging or additional imaging for an existing order without initiating a new inspection order.

(Third Embodiment)
In the third embodiment, an embodiment in which the inspection end information is received from the photographing apparatus 303 and the image inspection apparatus 306, the inspection end information is created, and the inspection end notification module 308 is notified to the RIS 302 will be described. ..

<System configuration>
FIG. 11 is a diagram showing an example of the functional configuration of the photographing apparatus according to the third embodiment. The same numbers as in the first embodiment (FIG. 3) indicate that they have the same function. The inspection information transmission unit 412 is a functional part that transmits the inspection execution information for creating the inspection end information included in the inspection end notification to be notified to the RIS 302 when the inspection image confirmation is completed to the notification module 308. When the shooting of the shooting protocol requested for shooting is completed and the inspection is completed by the GUI such as the inspection end button 513, the image is transmitted to the notification module 308.

In the notification module 308, the transmitted inspection information is received by the photographing information receiving unit 432 and recorded in the internal data holding unit (not shown). On the other hand, when the confirmation of all the inspection images is completed by the inspection image confirmation unit 421 and the confirmation notification is transmitted from the inspection image confirmation transmission unit 427, the inspection end information notification creation unit 431 creates the inspection end information. Then, the inspection end notification including the inspection end information is transmitted to the RIS 302 via the transmission unit 433.

<Operation processing of shooting device and notification module>
FIG. 12 is an overall flowchart of the third embodiment. Since S1004 is the same as the first and second embodiments, the description thereof will be omitted.

In step S1004, the inspection end determination unit 405 proceeds to S1005 when all the photographing is completed, the imaging engineer 120 determines that there is no problem by looking at the image, and the inspection end button 509 is pressed. In step S1005, the inspection control unit 402 transmits the captured image data to the image inspection device 306 via the image transmission unit 406. Further, in step S1060, the inspection information transmitting unit 412 sends the inspection execution information corresponding to the captured image to the photographing information receiving unit 432 of the notification module 308.

Here, the performed inspection information includes information such as an inspection ID that uniquely identifies the inspection, an inspection date and time, the name of the imaging device that performed the inspection and the name of the operator who performed the inspection, the imaging protocol, the tube current, the tube voltage, and the irradiation. Includes implementation information such as time and X-ray dose. Steps S1007 to S1009 are the same as those described in the first and second embodiments.

In step S1006, the confirmation notification receiving unit 408 monitors whether or not there is a confirmation notification from the image inspection device 306. If there is a confirmation notification, the process proceeds to step S1010, and the confirmation notification receiving unit 408 receives the confirmation notification. Further, in step S1040, the inspection control unit 402 performs the inspection end processing.

FIG. 13 is a flowchart of the image inspection device 306 according to the third embodiment. Steps S2000 to S2010 are the same as those in FIG. 7. When this flow is repeated and the all image confirmation button 613 is pressed, the status changes to "QA completed". As a result, the process shifts to Yes in S2004, and in S2013, the image inspection device 306 sends a confirmation notification to the notification module 308. Further, the image inspection device 306 transfers the image confirmed in S2012 to the PASC. Upon receiving the confirmation notification, the notification module 308 creates the inspection end information by the inspection end information notification creation unit 431, and notifies the RIS 302 of the completion by the inspection end notification transmission unit 433.

As described above, according to the third embodiment, the notification module 308 receives the execution inspection information and the inspection image confirmation information from the photographing device 303 and the image inspection device 306. Then, the inspection end information is created and notified to the RIS 302. Even with such a configuration, it is possible to perform re-imaging or additional imaging for an existing order without initiating a new inspection order, as in the above-described embodiment.

Further, it may be in the form of a communication module including a communication unit between the notification module 308 and the RIS 302. In that case, the notification between the image detector and the RIS is performed via this communication module. The communication module receives the inspection end notification from the photographing apparatus and the implementation inspection information, and receives the confirmation notification from the image inspection apparatus. Then, the inspection completion information is created and the completion notification is transmitted to the RIS 302.

(Fourth Embodiment)
In the fourth embodiment, a mode in which inspection work can be performed more efficiently will be described. Specifically, a mode of using a flag indicating the necessity / unnecessity of image inspection by the image inspection engineer 140 will be described.

Depending on the part and the imaging method, there are some that do not require image inspection by the image inspection engineer 140. For example, in the case of frontal chest radiography for standing screening, since there is a chin rest, the correct positioning is almost the same for adults. Therefore, the position of the annotation is also determined in the open part of both shoulders, and since it is a frequently used shooting method, the image analysis algorithm has a sufficient track record, and it is possible to shoot with good image quality regardless of skill level. On the other hand, the same positioning as the previous one is required for imaging to see the treatment progress of the elbow in orthopedic surgery, and confirmation by a professional image inspection engineer 140 is required.

In such a case, it is possible to solve the problem by adding a flag (incidental information) indicating whether or not the image confirmation process is necessary to the tag attached to the captured image. For example, in the photographing apparatus 303, it is advisable to set in advance whether or not the image confirmation process is necessary for each photographing protocol. Further, an image confirmation request toggle button may be provided at the time of shooting so that the image can be changed. The image confirmation request toggle button reflects the state of the flag, and each time it is pressed, the selected state and the non-selected state are changed to each other. In the image inspection device 306, when the flag requiring the image confirmation process is set, the image confirmation required icon 615 is displayed and the image confirmation operation is required. That is, the inspection image confirmation unit 421 gives a confirmation notification when all the images with the image confirmation mandatory flags are confirmed. On the other hand, if the image does not need to be confirmed, the confirmation notification may be skipped.

As described above, according to the fourth embodiment, it is possible to omit the image confirmation work for an image that does not require image confirmation, and the inspection work is improved.

(Fifth Embodiment)
In the fifth embodiment, a warning for preventing forgetting of the image confirmation process will be described with respect to the output mode. That is, in the above-described embodiment, the inspection end information is created and the inspection end notification is notified to the RIS 302 by using the fact that all the images are confirmed and the image inspection is completed as a trigger. However, if the image confirmation device or the PACS forgets to confirm the image, the inspection end notification is not notified to the RIS 302. That is, if you do not notice that you have forgotten the confirmation operation, you will not be able to perform post-processing (accounting processing, etc.).

FIG. 14 is a diagram showing an example of the functional configuration of the photographing apparatus according to the fifth embodiment. Specifically, it shows a configuration in which a warning is issued after a certain period of time has passed. The same reference numbers as in the first embodiment (FIG. 3) indicate that they have the same function. The image confirmation time counting unit 428 is preset with a warning display time as the first predetermined time and a time-up time as the second predetermined time.

The image confirmation time counting unit 428 counts the time from the time when the image acquired from the photographing device 303 is received, and when the first predetermined time has elapsed, displays a warning message to prompt the image confirmation operation. .. Further, when the second predetermined time has elapsed, a message is displayed, the image is forcibly confirmed, and the confirmation notification transmission unit 423 sends a confirmation notification to the photographing apparatus 303. It should be noted that the confirmation notification may be given to the photographing device 303, and the image confirmation button 609, the re-imaging button 610, and the additional imaging button 611 may be hidden. Further, the image processing may be performed by changing the all image confirmation button 613 to a button for PACS transfer.

The timer may be provided in the photographing device 303 or in the notification module 308.

As described above, according to the fifth embodiment, it is possible to prevent the stagnation of post-processing (accounting processing, etc.) due to forgetting the definite operation.

(Other examples)
The present invention supplies a program that realizes one or more functions of the above-described embodiment to a system or device via a network or storage medium, and one or more processors in the computer of the system or device reads and executes the program. It can also be realized by the processing to be performed. It can also be realized by a circuit (for example, ASIC) that realizes one or more functions.

301 HIS; 302 RIS; 303-305 Imaging device; 306 Imaging device; 307 PACS; 308 Notification module

Claims (10)

An imaging system having an imaging device having an imaging unit and an image detection device capable of communicating with the imaging device and not having an imaging unit.
The photographing device is
Connected to the hospital information system via the network,
The first receiving means for accepting the input of the photography request from the in- hospital information system,
A control means for performing the shooting of one or more images by the shooting unit based on the shooting request, and
A first transmission means for transmitting the one or more images to the image inspection device, and
Have,
The image inspection device is
A receiving means for receiving the shooting execution information based on the shooting request and the shot one or more images from the shooting device.
A second receiving means that accepts from the user whether or not each of the one or more images satisfies the desired image quality.
When it is determined by the second reception means that all of the one or more images corresponding to the imaging execution information satisfy the desired image quality, the completion notification for the imaging request is sent to the hospital information. Notification means to notify the system and
When the determination that there is an image that does not satisfy the desired image quality is received by the second receiving means, the photographing device requests re-imaging for the image that is determined not to satisfy the desired image quality. A second means of transmission to send to
A shooting system characterized by having. The imaging system according to claim 1, wherein the image inspection device further includes a confirmation means for confirming a result of determination as to whether or not each of the one or more images satisfies a desired image quality. The control means further includes an giving means for adding a flag to the information incidental to each of the one or more images, indicating whether or not each image requires confirmation by the confirmation means.
The confirmation means does not determine whether or not the desired image quality is satisfied for the image having the flag indicating that the confirmation is not necessary as incidental information, and determines that the desired image quality is satisfied. The photographing system according to claim 2, wherein the image is considered to be the same. The notification means outputs a warning to the user when the first predetermined time has elapsed after the end of shooting is notified and the determination is not confirmed by the confirmation means. The photographing system according to claim 2, wherein the imaging system is provided. When the second predetermined time has elapsed after the end of the imaging is notified and the determination is not confirmed by the confirmation means, the notification means notifies the completion notification for the imaging request in the hospital information. The photographing system according to claim 2 or 4, wherein the system is notified. The in-hospital information system according to any one of claims 1 to 5, wherein the in-hospital information system includes an accounting processing device that initiates accounting processing related to an inspection including the photographing request based on the receipt of the completion notification. Shooting system. It is an image detection device that can communicate with an imaging device that has an imaging unit and does not have an imaging unit.
The imaging device is connected to the in-hospital information system via a network.
The image inspection device is
A receiving means for receiving the imaging execution information based on the imaging request from the in- hospital information system and one or more captured images from the imaging device.
A reception means that accepts from the user whether or not each of the one or more images satisfies the desired image quality.
When the reception means receives a determination that all of the one or more images corresponding to the imaging execution information satisfy the desired image quality, the hospital information system is notified of the completion notification for the imaging request. Notification means and
When the reception means receives a determination that there is an image that does not satisfy the desired image quality, a re-shooting request for the image determined not to satisfy the desired image quality is transmitted to the photographing device. Transmission means and
An image inspection device characterized by having. It is a control method of a photographing system having an imaging device having a photographing unit and an image detection device capable of communicating with the photographing device and having no photographing unit.
The imaging device is connected to the in-hospital information system via a network.
The control method is
A step in which the imaging device receives an input of an imaging request from the in- hospital information system,
A step in which the imaging device captures one or more images by the imaging unit based on the imaging request.
The step of transmitting the one or more images to the image inspection device by the photographing apparatus,
A step in which the image inspection device receives the shooting execution information based on the shooting request and the shot one or more images from the shooting device.
A step in which the image inspection device receives from the user whether or not each of the one or more images satisfies the desired image quality.
When the image inspection device receives a determination that all of the one or more images corresponding to the imaging execution information satisfy the desired image quality, the in- hospital information system is notified of the completion of the imaging request. Steps to notify and
When the image inspection device receives a determination that there is an image that does not satisfy the desired image quality, a re-shooting request for the image determined that the desired image quality is not satisfied is transmitted to the image-taking device. Steps to do and
A method of controlling a photographing system, which comprises. It is a control method of an image detection device that can communicate with a photographing device having a photographing unit and does not have a photographing unit.
The imaging device is connected to the in-hospital information system via a network.
The control method is
A step of receiving a shooting execution information based on a shooting request from the hospital information system and one or more shot images from the shooting device, and a step of receiving the shot.
A step of accepting from the user whether or not each of the one or more images satisfies the desired image quality,
When the determination that all of the one or more images corresponding to the imaging execution information satisfy the desired image quality is accepted , the step of notifying the hospital information system of the completion notification for the imaging request, and the step of notifying the hospital information system.
When the determination that there is an image that does not satisfy the desired image quality is accepted, the step of transmitting a re-imaging request for the image determined not to satisfy the desired image quality to the imaging apparatus, and the step.
A method for controlling an image detector, which comprises. A program that causes a computer to execute the control method according to claim 8 or 9.

Images