This application claims priority under 35 U.S.C § 119(a) to Japanese Patent Application No. 2019-208889 filed on 19 Nov. 2019. The above application is hereby expressly incorporated by reference, in its entirety, into the present application.
The present invention relates to a system that supports a health checkup of a pet animal or the like.
Hitherto, in a case of performing medical diagnosis, necessary clinical examinations are executed to obtain a determination material in diagnosis. As clinical examination (hereinafter, simply referred to as examination) that is executed at the time of diagnosis, a plurality of kinds of examinations, such as a blood examination, a urine examination, and an X-ray examination, are known, and one or a plurality of examinations are executed as necessary.
Furthermore, a system that integrally supports diagnosis in consideration of a plurality of examination results in a case where a human is treated as a target is known. For example, a system that acquires abnormal state names associated with a patient, counts examination names connected to clarified abnormal states and associated with abnormal states not clarified at present, and presents other necessary examinations using the count is known (JP2014-106776A).
In a case where a target of diagnosis and examination is an animal (hereinafter, referred to as an animal), such as dog, cat, other pet animals (so-called pets), or domestic animals, other than a human, determination becomes complicated compared to a case where a human is a target of diagnosis and examination. This is because at least an animal species and a breed should be taken into consideration in a case where an animal is a target of diagnosis and examination.
Humans have a difference in race, such as Caucasoid, Mongoloid, or Negroid, and belong to single Homo sapiens as an animal species. Furthermore, there is no disease with which only a specific race is affected, no disease to which only a specific race is significantly predisposed, or the like, and humans substantially belong to a single breed. For this reason, in a case where a health state or the like of a human is diagnosed, there is no need to take a breed (race) into consideration, and examinations that should be executed are the same regardless of the breed (race).
On the other hand, animals have a difference in animal species, such as dog or cat, and susceptible diseases are different according to the animal species. For example, cat is predisposed to a disease pertaining to a kidney. Furthermore, even though animals belong to the same animal species, susceptible diseases are different depending on the breed. For example, among cats, a cat (for example, American Shorthair) of a specific breed is predisposed to a disease pertaining to a heart. That is, in a case where a target of diagnosis and examination is an animal, examinations necessary for appropriately diagnosing a health state or the like of the animal are different depending on the animal species and the breed. For this reason, there is a difficultly at the time of not only determination pertaining to a final health state or the like called diagnosis, but also determination regarding necessary examinations to obtain a determination material of the determination.
Accordingly, in an animal hospital that treats an animal as a target of diagnosis and examination, it is desirable to perform diagnosis support for suggesting necessary examinations to appropriately diagnose a health state or the like of the animal. Furthermore, in a case of supporting diagnosis using results of examinations relating to an animal, it is desirable to perform support with high likelihood taking the breed as well as the animal species into consideration.
An object of the invention is to provide an animal health checkup support system capable of performing support pertaining to diagnosis with high likelihood in a case of diagnosing a health state or the like of an animal.
An aspect of the invention provides an animal health checkup support system comprising a breed information acquisition unit that acquires information pertaining to a breed of an animal as a target of examination and diagnosis, a blood examination result acquisition unit that acquires a result of the blood examination of the animal, a candidate disease specification unit that specifies candidate diseases as candidates of diseases, with which the animal is affected, using information pertaining to the breed and the result of the blood examination, and an additional examination suggestion unit that suggests an additional examination for use in diagnosis regarding whether or not the animal is affected with the candidate diseases specified by the candidate disease specification unit.
It is preferable that the candidate disease specification unit specifies the candidate diseases within a range including at least a susceptible disease by specifying the susceptible disease of the animal using information pertaining to the breed and narrowing down the candidate diseases using the result of the blood examination.
It is preferable that the candidate disease specification unit specifies the candidate diseases within the range including the susceptible disease by selecting the candidate diseases using the result of the blood examination from within the range including the susceptible disease.
It is preferable that the candidate disease specification unit specifies the candidate diseases within the range including the susceptible disease by selecting the range including the susceptible disease from among the candidate diseases.
It is preferable that, in a case where the candidate disease specification unit specifies a plurality of the candidate diseases, the additional examination suggestion unit suggests an additional examination for each candidate disease.
It is preferable that the additional examination suggestion unit notifies of the candidate disease on which diagnosis regarding whether or not the animal is affected with the candidate disease is impossible and suggests an additional examination on the notified candidate disease.
It is preferable that the additional examination suggestion unit notifies of the candidate disease on which diagnosis becomes possible with an additional examination to be suggested and suggests the additional examination that makes diagnosis of the notified candidate disease possible.
It is preferable that the animal health checkup support system further comprises a storage unit that stores a past diagnosis result as a result of past diagnosis on the animal of the same or similar breed, and the candidate disease specification unit specifies the candidate diseases with reference to the past diagnosis result.
It is preferable that, in a case where there is the past diagnosis result on the animal of the same breed, the candidate disease specification unit specifies the candidate diseases with reference to the past diagnosis result on the animal of the same breed, and in a case where there is no past diagnosis result on the animal of the same breed, the candidate disease specification unit specifies the candidate diseases with reference to the past diagnosis result on the animal of the similar breed.
It is preferable that the animal health checkup support system further comprises an additional examination result acquisition unit that, in a case where an additional examination suggested by the additional examination suggestion unit is executed, acquires a result of the additional examination, the candidate disease specification unit specifies the candidate disease using the result of the additional examination in addition to information pertaining to the breed and the result of the blood examination, and the additional examination suggestion unit suggests an additional examination for use in diagnosis regarding whether or not the animal is affected with the candidate diseases specified using the result of the additional examination.
With the animal health checkup support system of the invention, it is possible to perform support pertaining to diagnosis with high likelihood or the like in a case of diagnosing a health state or the like of an animal.
As shown in
Diagnosis and examination (health checkup) pertaining to health include not only diagnosis or examination that confirms a health state of an animal but also diagnosis or examination pertaining to determination regarding whether or not an animal is affected with a specific disease and diagnosis and examination pertaining to determination regarding a progression degree of a specific disease. Furthermore, diagnosis support refers to providing information that can be used in determination at the time of diagnosis or examination. Information that can be used in determination at the time of diagnosis includes not only information that becomes a determination material in diagnosis (for example, information for reporting that the animal is likely to be affected with a specific disease) but also diagnosis information on behalf of a veterinarian (for example, information for declaratively reporting that an animal is affected with a specific disease). Furthermore, information that can be used in determination at the time of examination is, for example, a suggestion to the effect that an unexecuted examination necessary in diagnosis regarding whether or not an animal is affected with a specific disease should be additionally executed (hereinafter, referred to as a suggestion for an additional examination).
The animal hospital 11 has, as equipment, for example, an examination device group 16 that has one or a plurality of examination devices, and an information terminal 17 that manages medical charts and the like. The animal health checkup support system 10 acquires information necessary for diagnosis support by performing communication with at least one of the examination device group 16 or the information terminal 17 and performs diagnosis support using the acquired information.
As shown in
The animal health checkup support system 10 can acquire examination results output from various examination devices described above from various examination devices directly or through the information terminal 17. The types and the number of specific examination devices configuring the examination device group 16 may be different depending on the scale or the like of the animal hospital 11. Note that, for cooperation with the animal health checkup support system 10, the examination device group 16 includes at least a device pertaining to an examination that is used in diagnosis support by the animal health checkup support system 10, and one or more other examination devices. In the embodiment, an examination that is used in diagnosis support by the animal health checkup support system 10 is a blood examination. For this reason, the device pertaining to the examination that is used in diagnosis support by the animal health checkup support system 10 is the blood examination device 21, and the examination device group 16 has examination devices, such as the X-ray examination device 22, in addition to the blood examination device 21.
The information terminal 17 is a so-called computer, and comprises a display unit 101 (see
As shown in
The breed information acquisition unit 51 acquires information pertaining to a breed of an animal as a target for examination and diagnosis. Information (hereinafter, referred to as breed information) pertaining to the breed information that can specify the breed directly or indirectly, such as a number or a symbol associated with the breed, in addition to a name representing the breed. In the embodiment, although the breed information acquisition unit 51 acquires the breed information through the information terminal 17, the breed information can be acquired from various examination devices of the examination device group 16, a management device of the examination device group 16, or the like, instead of the information terminal 17.
As shown in
The examination result acquisition unit 52 acquires results of various examinations. The examination result acquisition unit 52 can optionally acquire a part or all of the examination results output from various examination devices of the examination device group 16. In a case where one examination device acquires examination results on a plurality of items, the examination result acquisition unit 52 can optionally acquire the examination results pertaining to a part or all of the items. Furthermore, the examination result acquisition unit 52 not only can acquire the examination results directly from various examination devices of the examination device group 16, but also can acquire the examination results through the information terminal 17 in a case where the examination results are registered in the information terminal 17.
In the embodiment, the examination result acquisition unit 52 comprises a blood examination result acquisition unit 61 that acquires a result of a blood examination of the animal as a target for examination and diagnosis, and acquires at least the result of the blood examination to perform diagnosis support. While various examinations are optionally executed based on veterinarian's determination, as shown in
The result of the blood examination includes values, evaluation based on comparison with reference values or reference ranges for determining a range of normality and abnormality, and the like of total protein (TP), albumin (Alb), globulin (Glob), an albumin-globulin ratio, aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), gamma glutamyl transpeptidase (GGT), total cholesterol (TCho), triglyceride (TG), total bilirubin (TBil), glucose (Glu), amylase (Amy), lipase (Lip), urea nitrogen (BUN), creatinine (Cre), a BUN-Cre ratio, symmetric dimethylarginine (SDMA), phosphorus (P), Ca (calcium), sodium (Na), potassium (K), chloride (CI), and the like.
The candidate disease specification unit 53 specifies candidate diseases as candidates of diseases, with which the animal is affected, using the breed information and the examination results acquired by the examination result acquisition unit 52. In the examination result acquisition unit 52 of the embodiment, since the blood examination result acquisition unit 61 acquires the result of the blood examination, the candidate disease specification unit 53 specifies candidate diseases using the breed information and the result of the blood examination.
Furthermore, the candidate disease specification unit 53 specifies susceptible diseases of the animal using the breed information and narrows down the candidate diseases using the result of the blood examination, thereby specifying the candidate diseases within a range including the susceptible diseases. The susceptible diseases are diseases to which an animal of a specific breed is susceptible due to a genetic factor or the like. For example, as shown in
An animal of a specific breed may not have such susceptible diseases (for example, see “Russian Blue” of
Furthermore, in the embodiment, the candidate disease specification unit 53 performs specification of the susceptible diseases based on the breed information and narrowing-down of the candidate diseases based on the result of the blood examination in this order. That is, the candidate disease specification unit 53 first specifies the susceptible diseases using the breed information, and then, selects diseases to be the candidate diseases from among the susceptible diseases using the result of the blood examination. With this, the candidate disease specification unit 53 specifies the candidate diseases within a range including the susceptible diseases. The susceptible diseases are determined depending on the breed, and the number of susceptible diseases is often smaller than the number of doubtful diseases from the result of the blood examination. In such a case, as described above, narrowing-down of the candidate diseases based on the result of the blood examination is performed after the specification of the range including the susceptible diseases based on the breed information, whereby it is possible to quickly specify the candidate diseases, and as a result, to perform quick diagnosis support.
The additional examination suggestion unit 54 decides whether or not an additional examination is necessary and which additional examination is necessary in performing diagnosis (hereinafter, referred to as the diagnosis of the candidate diseases) regarding whether or not the animal is affected with the candidate diseases specified by the candidate disease specification unit 53, and in a case where an additional examination is necessary, suggests the additional examination for use in the diagnosis of the candidate diseases. The suggestion of the additional examination performed by the additional examination suggestion unit 54 is diagnosis support in the embodiment. The additional examination is an examination for use in the diagnosis of the candidate diseases, and is an unexecuted examination or an examination including an unexecuted item. For this reason, the additional examination also includes an examination of which the result is already acquired by the examination result acquisition unit 52. For example, in a case where there is an unexecuted item among items necessary for the diagnosis of the candidate diseases, an examination of which the result is already acquired by the examination result acquisition unit 52 may be suggested as the additional examination.
In the embodiment, although the examination result acquisition unit 52 acquires the result of the blood examination by the blood examination result acquisition unit 61, for the diagnosis of the candidate diseases, in a case where an examination result is necessary on an item other than items included in the result of the blood examination already acquired, and a blood examination on the item is suggested as an additional examination. For example, in regard to hyperthyroidism of a cat, while the presence or absence of doubt can be determined with reference to the values of ALT and ALP, and the like included in the items of the blood examination, an examination result pertaining to serum total thyroxine (T4) as thyroxine is necessary for conclusive diagnosis. For this reason, in a case where hyperthyroidism becomes a candidate disease from the values of ALT and ALP, and the like, and the value of T4, and the like are not included in the result of the blood examination already acquired, the additional examination suggestion unit 54 suggests a blood examination on T4 as an additional examination. Furthermore, for example, in regard to hypothyroidism of a dog, while the presence or absence of doubt can be determined with reference to TCho included in the items of the blood examination, examination results pertaining to T4, free serum total thyroxine (FT4), and thyrotropin (c-TSH) are necessary for conclusive diagnosis. For this reason, in a case where hypothyroidism becomes a candidate disease from the values of TCho and the like, and the values of T4, FT4, and c-TSH, and the like are not included in the result of the blood examination already acquired, the additional examination suggestion unit 54 suggests a blood examination on the items as an additional examination. In addition, for both a cat and a dog, in regard to renal insufficiency, while the presence or absence of doubt can be determined based on the values of Alb, TCho, Glu, and BUN, and the like, additional examinations of total bile acids and ammonia (NH3) are necessary for conclusive diagnosis. Furthermore, in regards to diabetes and hypoglycemia, while the presence or absence of doubt can be determined based on the values of TCho and Glu, and the like, additional examinations of pancreas specific lipase, a trypsin-like immunoreactive material (TLI), insulin, and fructosamine are necessary for conclusive diagnosis.
Furthermore, the suggestion of the additional examination refers to providing information capable of making a veterinarian recognize that a specific additional examination should be executed, and for example, display of a message, alarming of speech, or the like to the information terminal 17 or the like can be performed. In the embodiment, the additional examination suggestion unit 54 suggests an additional examination by displaying a message on the information terminal 17.
The storage unit 56 is, for example, a database pertaining to diseases, and stores a plurality of diseases with which animals are likely to be affected, examinations and examination items necessary for diagnosis pertaining to each disease, a range of normality or abnormality of each examination item, and the like in association with one another. Furthermore, the storage unit 56 stores each disease in association with an animal species and a breed directly or indirectly. For this reason, the candidate disease specification unit 53 can specify the susceptible diseases pertaining to the breed using the breed information with reference to data of the storage unit 56. Furthermore, the candidate disease specification unit 53 can narrow down the candidate diseases using the result of the blood examination with reference to data of the storage unit 56.
The animal health checkup support system 10 configured as above operates as shown in
The suggestion of the additional examination is performed, for example, as shown in
In the above-described first embodiment, although the additional examination suggestion unit 54 displays the message 102 for notifying of an examination to be additionally executed, in a case of an examination capable of obtaining examination results on a plurality of items, such as a blood examination, it is preferable to designate items of which examination results should be additionally obtained. This is to allow the veterinarian to easily determine items on which an additional examination should be executed. Furthermore, in a case of suggesting an additional examination using a message, it is preferable that the additional examination suggestion unit 54 highlights an additional examination to be executed (in
It is preferable that the additional examination suggestion unit 54 notifies of a candidate disease on which diagnosis regarding whether or not an animal is affected with the candidate disease is impossible, and suggests an additional examination on the notified candidate disease. For example, as shown in
In a case where the candidate disease specification unit 53 specifies a plurality of candidate diseases, the additional examination suggestion unit 54 can suggest an additional examination for each candidate disease. For example, as shown in
Furthermore, the additional examination suggestion unit 54 can notify of a candidate disease on which diagnosis becomes possible with a suggested additional examination and can suggest the additional examination that makes diagnosis of the notified candidate disease possible. For example, this corresponds to an aspect of
In the above-described first embodiment, the candidate disease specification unit 53 specifies the susceptible diseases using the breed information, and then, narrows down the candidate disease from the range including the susceptible disease using the result of the blood examination. In contrast, the candidate diseases are narrowed down using the result of the blood examination, and then, the range including the susceptible diseases is selected from among the narrowed-down candidate diseases, whereby it is possible to specify the candidate disease within the range including the susceptible diseases. That is, as shown in
Although the animal health checkup support system 10 of the first embodiment and the modification example described above suggests the additional examination using the breed of the animal as a target of examination and diagnosis and the result of the blood examination executed on the animal, the animal health checkup support system 10 can take a result (hereinafter, referred to as a past diagnosis result) of past diagnosis in a case of suggesting an additional examination. In this case, as shown in
A range of similarity to a breed can be predetermined at least one of by genetic information pertaining to the breed, empirically, or the like. Furthermore, in a case where there is the past diagnosis result 202 on the animal of the same breed, the candidate disease specification unit 53 specifies the candidate diseases with reference to the past diagnosis result 202 on the animal of the same breed, and in a case where there is no past diagnosis result on the animal of the same breed, the candidate disease specification unit specifies the candidate diseases with reference to the past diagnosis result 202 on the animal of the similar breed. With this, even though the past diagnosis result 202 is accumulated enormously, it is possible to refer to the past diagnosis result 202 in an appropriate range, and to quickly perform specification of the candidate diseases and the suggestion of the additional examination.
As described above, in a case of performing diagnosis support using the past diagnosis result 202, the additional examination suggestion unit 54 can notify of at least one of diagnosis support being performed based on the past diagnosis result 202 or reliability by displaying, for example, a message “A possibility of calculus is XX % from the past tendency. Please additionally execute an X-ray examination and check.”, or the like. Since the ground and the probability of such notification are definite, the veterinarian who receives diagnosis support is likely to reasonably receive the diagnosis support of the animal health checkup support system 10.
In the first embodiment, the second embodiment, and the modification examples described above, although the animal health checkup support system 10 performs the suggestion of the additional examination, in a case where the additional examination suggested by the animal health checkup support system 10 is executed or in a case where another examination (an additional examination not suggested by the animal health checkup support system 10) is performed, it is possible to perform diagnosis support, such as a suggestion of another additional examination, using an examination result of the additional examination. In this case, as shown in
In the third embodiment, although the suggestion of another additional examination is performed using the new examination result, it is possible to perform diagnosis support by displaying the diagnosis content (whether or not the animal is affected with a specific candidate disease, a progression degree of the specific candidate disease, and the like) of the candidate disease, on which diagnosis becomes possible, on the information terminal 17 instead of or along with the suggestion of another additional examination. In this case, the veterinarian can appropriately receive support for the specific determination content of diagnosis and can smoothly execute a medical examination each time an additional examination is executed.
In the first embodiment, the second embodiment, the third embodiment, and the modification examples described above, the animal health checkup support system 10 can take the age of the animal as a target of examination and diagnosis into consideration in a case of performing diagnosis support. In this case, as shown in
The first embodiment, the second embodiment, the third embodiment, the fourth embodiment, and the modification examples can be discretionarily used in combination wholly or partially.
In the first embodiment, the second embodiment, the third embodiment, the fourth embodiment, and the modification examples, although the animal health checkup support system 10 is provided independently of the animal hospital 11, and performs diagnosis support in cooperation with equipment of the animal hospital 11, the animal health checkup support system 10 can be provided in a specific animal hospital 11. For example, the entire animal health checkup support system 10 can be provided in the information terminal 17 of the animal hospital 11. In this case, the animal health checkup support system 10 provided in the specific animal hospital 11 can acquire information (for example, data registered in the database of the storage unit 56, or the like) necessary for diagnosis support in cooperation with equipment of other animal hospitals 11 and can perform diagnosis support in the animal hospital 11 where the animal health checkup support system 10 is provided, other animal hospitals 11 where another animal health checkup support system 10 is provided, and other animal hospitals 11 where no animal health checkup support system 10 is provided, in addition to performing diagnosis support in cooperation with the equipment of the animal hospital 11. The animal health checkup support system 10 can be a single device (one computer or the like that realizes the animal health checkup support system 10). Furthermore, the animal health checkup support system 10 can be provided in a form in which the animal health checkup support system 10 is divided into a plurality of devices that execute a part of functions or processes, and a plurality of devices function as the animal health checkup support system 10 as the whole.
Furthermore, in the first embodiment, the second embodiment, the third embodiment, the fourth embodiment, and the modification examples described above, although the animal health checkup support system 10 performs diagnosis support called the suggestion of the additional examination, using the result of the blood examination in addition to the breed information, the animal health checkup support system 10 can perform initial diagnosis support using results of other examinations, such as a result (at least one of an X-ray captured image, interpretation findings, or the like) of an X-ray examination, instead of the result of the blood examination. This is useful in a case where diagnosis support is performed on a disease (for example, see
In the first embodiment, the second embodiment, the third embodiment, the fourth embodiment, and the modification examples described above, the candidate disease specification unit 53 and the additional examination suggestion unit 54 can be mounted by a learned model (so-called artificial intelligence (AI) program). For example, as shown in
The first embodiment, the second embodiment, the third embodiment, the fourth embodiment, and the modification examples described above includes an animal health checkup support method comprising a breed information acquisition step in which a breed information acquisition unit acquires information pertaining to a breed of an animal as a target of examination and diagnosis, a blood examination result acquisition step in which a blood examination result acquisition unit acquires a result of a blood examination of the animal, a candidate disease specification step in which a candidate disease specification unit specifies candidate diseases as candidates of diseases, with which the animal is affected, using information pertaining to the breed and the result of the blood examination, and an additional examination suggestion step in which an additional examination suggestion unit suggests an additional examination for use in diagnosis regarding whether or not the animal is affected with the candidate diseases specified by the candidate disease specification unit. Furthermore, the embodiments include an animal health checkup support device in which a processor, such as a CPU, is configured to acquire information pertaining to a breed of an animal as a target of examination and diagnosis, acquire a result of a blood examination of the animal, specify candidate diseases as candidates of diseases, with which the animal is affected, using information pertaining to the breed and the result of the blood examination, and suggest an additional examination for use in diagnosis regarding whether or not the animal is affected with the candidate diseases specified by the candidate disease specification unit, an animal health checkup support program, and an animal health checkup support method.
In the above-described embodiments and the modification examples, the hardware structures of the processing units that execute various kinds of processing, such as the breed information acquisition unit 51, the examination result acquisition unit 52, the blood examination result acquisition unit 61, the candidate disease specification unit 53, the additional examination suggestion unit 54, the diagnosis result acquisition unit 201, the additional examination result acquisition unit 301, and the age information acquisition unit 401, are various processors described below. Various processors include a central processing unit (CPU) that is a general-purpose processor executing software (program) to function as various processing units, a programmable logic device (PLD) that is a processor capable of changing a circuit configuration after manufacture, such as a graphical processing unit (GPU) or a field programmable gate array (FPGA), a dedicated electric circuit that is a processor having a circuit configuration dedicatedly designed for executing various kinds of processing, and the like.
One processing unit may be configured of one of various processors described above or may be configured of a combination of two or more processors (for example, a plurality of FPGAs, a combination of a CPU and an FPGA, or a combination of a CPU and a GPU) of the same type or different types. A plurality of processing units may be configured of one processor. As an example where a plurality of processing units are configured of one processor, first, as represented by a computer, such as a client or a server, there is a form in which one processor is configured of a combination of one or more CPUs and software, and the processor functions as a plurality of processing units. Secondly, as represented by system on chip (SoC) or the like, there is a form in which a processor that realizes all functions of a system including a plurality of processing units into one integrated circuit (IC) chip is used. In this way, various processing units are configured using one or more processors among various processors described above as a hardware structure.
In addition, the hardware structure of various processors is, more specifically, an electric circuit (circuitry), in which circuit elements, such as semiconductor elements, are combined. Furthermore, the hardware structure of the storage unit is a storage device, such as a hard disc drive (HDD) or a solid state drive (SSD).
Number | Date | Country | Kind |
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2019-208889 | Nov 2019 | JP | national |