1. Field of the Invention
The present invention relates to diagnostic imaging support equipment that facilitates the observation of images obtained per a test by medical image acquisition equipment, such as X-ray CT and MRI (hereinafter referred to as “modality”), and other related images.
2. Description of the Related Art
The test images are managed according to a format specified by DICOM (Digital Imaging and Communication in Medicine). According to the DICOM-specified format, in one examination, one or more series of images are obtained. Each of these series has multiple images. On these test images, when an examiner (although the examiner is explained below, it may be a physician) interprets, makes a diagnosis, or creates a report, it is required to monitor the course of the past and the present for the imaged site. Generally in this follow-up, presently obtained series image data (refers to multiple image data by unit obtained by modality) is compared to reference images similarly based on a past series of image data. In order to compare both, the examiner specifies the past series image data for comparison and conducts a search. Thereafter, when comparing searched series image data, the examiner needs to adjust the imaging position and display simultaneously in parallel for observation.
On the other hand, as disclosed in Japanese Unexamined Patent Application Publication 2005-301453, link data (hyperlink information) is generated to retrieve the stored image data. Then, string data that represents the link data is affixed to the report, thereby making the related image data retrievable.
However, this was inefficient in that the examiner specifies and searches two series image data for comparison. In addition, even though the examiner could search two series image data for comparison and display them in parallel by synchronizing the diffraction angle and the imaging position for the first interpretation, when trying to reuse them for the next interpretation, there has been a difficulty in that the examiner needed to adjust the synchronization.
Now, the imaging position and its synchronization are explained. For example, a berth equipped with a subject by an X-ray CT device and X-ray imaging means are located at different relative positions to be imaged. At this time, the coordinate position of a certain site in the image, which is created by imaging the certain site, is referred to as a imaging position of the site. For example, Y0 refers to the longitudinal imaging position of the specific past imaged site, and Y1 refers to the present longitudinal imaging position of the same specific site in the image obtained in the same way as in the past. Assuming that the past imaging position Y0 of the specific site equals the present imaging position Y1, it can be said that the imaging positions are synchronized.
When the examiner compares images of specific sites in a patient that are presently obtained by a viewer with those obtained in the past for follow-up diagnosis, it is preferred to be able to easily synchronize the imaging positions for observation.
The objective of the present invention is to facilitate the obtaining of a combination of series image data for comparison from multiple series image data and to easily display the obtained two series image data in parallel while maintaining the synchronous relationship. Furthermore, it is intended to allow the retrieval of two image data in a single adjusted synchronous relationship, while maintaining the adjusted synchronous relationship.
To achieve the above purpose, an aspect of the present invention is diagnostic imaging support equipment comprising: a data storage unit configured to store series image data obtained by medical image acquisition equipment and object data containing image acquisition conditions for said series image data and the specific information for specifying other series image data related to said series image data; an information management unit configured to generate combination information of said obtained series image data and said other related series image data by referring to said object data; and a display unit configured to display said combination information.
With reference to the drawings, the embodiment of the present invention will be explained.
According to
A management server 200, having functions of the image management unit, stores and manages image data sent from the medical diagnostic equipment 100 in addition to providing the data to medical image observation equipment 300, report creation support equipment 400, external devices 500 or the like (details will be described below). The medical image observation equipment 300 is a so-called viewer that functions as support equipment for the examiner to retrieve image data from the management server 200, interpret the image, observe, and make a diagnosis. In addition, the medical image observation equipment 300 sends instructions to the management server 200 for image management, and functions as an image management unit together with the management server 200 (details will be described below). This medical image observation equipment 300 is a computer having a capacity for sufficiently observing images based on the image data stored and managed by the management server 200 in addition to storage capacity.
The report creation support equipment 400 is a computer that incorporates software for making diagnoses or creating examination reports. It enables the description of link data (e.g. hyperlink data; it may be protection information having a protect function for protection from the outside) in the report. It allows the retrieval of specified images designated by link data from the management server 200 by opening a report with the report creation support equipment 400 or the external equipment 500 and clicking the link data described therein, and observing the images.
The medical image observation equipment 300 and the report creation support equipment 400 may be integrated or stand-alone. In addition, both may be on the management server 200 side and directly connected to the management server 200 without involving the network 600. Furthermore, although the medical diagnostic equipment 100 serves as a medical image acquisition device, it may function to retrieve the image data once taken into the management server 200 and display it on its own display unit for observation.
Composition/Performance of the Diagnostic Imaging Support Equipment
The diagnostic imaging support equipment according to the present invention refers to the management server 200 (image management unit) among elements pertaining to
In
Referring to
Furthermore, as object data, imaging position correction information is used to display the present image data and the past image data synchronously at an anatomically similar position. In addition, as shown in
In
The received data analysis unit 221 analyzes image data sent from each modality in the DICOM format and classifies whether it is object data or normal image data. If it is the former, it is sent to the object data process unit 222. If it is the latter, it is sent to the normal data registration unit 224. The following explanation assumes that object data is sent.
The object data process unit 222 compresses the object data presently associated with the image data and sends it to the object data registration unit 223. The object data registration unit 223 stores the object data in the data storage unit 227 and retrievably registers it into the database management unit 226 (hereinafter, the term “registration” means storing manageably).
As such, since the data is stored or managed by the data storage unit 227 and the database management unit 226, the past object data is also contained.
The normal data registration unit 224 stores the normal image data in the data storage unit 227 and registers it into the database management unit 226.
The database management unit 226, with a database format, comprises a means to create/change (including addition, deletion, and modification) a database according to the instructions from each unit, by writing the received data, and memory to store the created database. The data storage unit 227 has memory to store the image data.
As mentioned below, when the information management unit 230 and the information-gathering unit 320 establish a synchronous imaging position for each image pertaining to a combination designated to be compared (for example, the present image data and the past image data), the database management unit 226 can set the synchronous relationship into the database. For example, it stores the fact that the first present image data is synchronized with the third past image data taken a month ago. When all series image data is retrieved from the output unit 210, it retrieves the first present image data and the third past image data simultaneously and thereafter allows output while maintaining the synchronous relationship between the second present image data and the fourth past image data. Hereinafter, the term “synchronous” may refer to the fact that the imaging positions of the present image data and the past image data are identical.
The information management unit 230 and the information-gathering unit 320, together with the database management unit 226 or/and data storage unit 227, are adapted to carry out the following performances of (1)-(5). These performances are mainly carried out when the below mentioned information-gathering unit 320 sends a request from the examiner for image observation. In the performance (5), the link data creation process is explained. Since it is only necessary to synchronize the present image data and the past image data in the present embodiment, processing the performance (5) is determined to be optional.
(1) The information management unit 230 generates information retrievable by management units stored in the data storage unit 227. As mentioned above, multiple series units of information are obtained in one examination unit; however, the description below is for each series of information. As shown in
(2) For example, when the examiner designates the object data 1000 (left end in
Next, as shown in
In either case, the information management 230 generates a combination of thumbnail images of the key images for the present image data 1002 and the related first past image data 1003. The created combination as a list of the thumbnail images is output to the information-gathering unit 320. The information-gathering unit 320 instructs the display unit 330 to display them.
(3) In
(4) The information-gathering unit 320 refers to the object data 1000 associated with the present image data 1002 via the information management unit 230 and establishes the synchronization of the imaging position between the present image data and the past image data by referring to the position correction information or the like. It allows for the information-gathering unit 320 to ensure the synchronization of the imaging position for two image data to be compared. For example, when the information-gathering unit 320 refers to the object data 1000 indicated by
In this example, as a result of synchronizing the imaging position by applying the corrected coordinate to the present examination image or the past examination image, as shown in
To establish the synchronous position, it may be constructed such that the examiner refers to the object data displayed on the display unit 330, such as the medical image observation equipment 300 and sets an instruction that “synchronize the third present image data and the first past image data by moving the image position of the present image data upward by +10” by the operation unit 310, and after receiving the instruction, the information-gathering unit 320 performs as mentioned above based on the setting. It may also be constructed in such a way so that to perform the synchronous instruction, the numerals that show the number of image page, such as the present image data 1, 2, 3, 4, 5 . . . and the past image data 1, 2. 3, 4, 5 . . . , are displayed, and then, the synchronous instruction is output by dragging the present image data 1 to the reference data 3 by means of the operation unit 310.
In addition, it may be constituted such that the present image data established by correcting the synchronization of the position relationship is registered into the database management unit 226 via the information management unit 230 and stored into the data storage unit 227, and thereafter, both image data are easily synchronized and retrieved. Synchronization of the comparative display between series images comprising multiple slice images refers to synchronization of the slice positions. That is, since it is difficult to image a range of the completely same site of the subject in the present imaging and the previous imaging, the slice image of the first present image and the fifth image may be at the same position. In such cases, information that shows the slice deviance may be stored in the object data associated with the present image as position correction information.
(5) In the present embodiment, as mentioned above, it is possible to synchronize the positional relationship. Furthermore, as follows, the synchronous relationship may be created in report data as link data. When link data (including hyperlink) is created, as information that shows the synchronous positional relationship of the image data pertaining to the combination designated for comparison, the link data may be constructed so as to be retrieved to a column of series image data corresponding to the database. In this way, when designated in the link data, referring to the database, it is possible to output the image data, which is synchronized two-series image data.
Firstly, the user enters instructions for link data creation for creating a report from the medical image observation equipment 300 or the report creation support equipment 400 via the information-gathering unit 320. Then, the user designates destination image data and a string in the report to be linked with the image data. Said link data determines a specific image or its range (a range of a number of images).
Upon instruction to generate this link data, the link data comprising a string that reflects the storage position of specific image data is generated, returned to the origin of instruction, and incorporated into the database. As mentioned above (3), another link data is also generated to retrieve both the present image data and the past image data simultaneously. At that time, as mentioned above (4), if the synchronous relationship between both image data has been established, it generates link data that reflects the storage position where the synchronization has been established. Accordingly, combination information is reflected on a string in a report as a hyperlink. Therefore, when the user designates this string, the linked image data is displayed.
The information management unit 230 determines how to synchronize and output the image data, and thus may be constructed with the output unit 210. In addition, since the information-gathering unit 320 performs on the side to request images, a part of the functional performances of the information management unit 230 and the information-gathering unit 320 may be integrated, or either one of the units may implement all the functional operations.
The medical image observation equipment 300, as partly mentioned above, is comprised of the operation unit 310, information-gathering unit 320, and display unit 330. The medical image observation equipment 300 is comprised of a computer and software that achieves viewer functions containing the following functions. However, it has sufficient functions/performances as a viewer for retrieving the image data stored in the data storage unit 227 to observe the image. In particular, it has sufficient storage capacity and image display speed.
The abovementioned (1)-(5) are mainly explained in terms of the information management unit 230. Herein, the performance is explained as the following (a)-(c) in terms of the medical image observation equipment 300, and particularly the information-gathering unit 320. It describes (a) approximately corresponding to the abovementioned (1) and (2), (b) corresponding to (3) and (4), and (c) corresponding to (5).
(a) The information-gathering unit 320, upon request from the operation unit 310, enables the sending of a request for a partial or complete list of the image data stored in the data storage unit 227, receives the list of the thumbnail images from the information management unit 230, and displays them in parallel (side-by-side display) (See
(b) The information-gathering unit 320 refers to the object data for the present image data to establish the synchronization of said selected present image data and past image data for comparison and displays them in parallel. If the positional relationship synchronous to the database has already been registered, referring to the database, the synchronized image data may be retrieved and displayed in parallel. Then, in response to the operation of the wheel in the operation unit 310, the information-gathering unit 320 counts up or down the operation amount, and thereby displays pages of both image data with a shift of one image each. When retrieving one page each from the output unit 210, it instructs the output unit 210 to retrieve the storage position for retrieving two image data with a shift of one image each. By doing so, while maintaining the synchronous relationship, both image data can be continuously displayed in parallel, that is, it allows the turning of pages.
(c) Based on the instruction from the operation unit 310 or the report creation support equipment 400, a link data generation instruction is sent to the information management unit 230 regarding a specific image or its range (the number of images) for report creation to generate link data. For example, when creating a report by the report creation support equipment 400, it may be constitutionally possible that a report format has a certain link column, desired images are dragged there by the operation unit 410 (or the operation unit 310), and thereby the information-gathering unit 320 sends the link data generation instruction to the information management unit 230 to attach a link string as link data returned from the information management unit 230 to the link column (the medical image observation equipment 300, report creation support equipment 400, or the combination thereof can be implemented).
Requiring link data generation to retrieve both the present image data and the past image data simultaneously is simultaneous. For example, it can be requested by dragging two images to the abovementioned link column. Furthermore, images in a synchronous relationship are designated by dragging them simultaneously. As such, it allows images in a synchronous relationship to be retrieved simultaneously.
In
In
Next, a series of performances of the present embodiment is explained with reference to
Step S1: the database management unit 226 and/or the object data registration unit 223 create a database so as to be retrieved from the storage position of series image data sent from the medical diagnostic equipment 100 side and stores them to be retrievable. The information management unit 230 then creates the thumbnail image so that it can be read through. If there is a combination of the present image data and the past image data within the object data, it manages their key images as a pair of thumbnail images (the thumbnail images may be stored in the database as data, or created upon request for review).
Step S2, 3, 4: the examiner requests a list of images for the management server 200 by means of the medical image observation equipment 300, and based on the database, the management server 200 sends the list of thumbnail images to the medical image observation equipment 300. The medical image observation equipment 300 receives the request and displays the list in parallel.
Step S5, 6, 7: the examiner selects, for example, the thumbnail image of the present image data from displayed by the medical image observation equipment 300. The information-gathering unit 320 receives the thumbnail images pertaining to a combination of image data, which is managed as a pair within the object, from the information management unit 230 and displays them in parallel. For example, the respective key images of the present image data and the past image data are displayed.
Step S8, 9, 10: the medical image observation equipment 300 may directly determine the present image data and the past image data as image data for comparison, if there is one for each. However, if there are a number of them, it is selected based on the examiner's instruction. The respective key images of the determined or selected present image data and past image data are displayed in parallel.
Step S11, 12, 13: the examiner instructs to adjust synchronization of two image data by the medical image observation equipment 300. The information-gathering unit 320 retrieves the object data from the database and the data storage unit 227 via the information management unit 230 for reference, searches each key image to retrieve, and establishes the synchronous relationship with adjustment based on the position correction information. The information-gathering unit 320 displays in parallel, for example, the first present image data and the third past image data established synchronously with it.
Step S14, 15, 16: to view the image data in a synchronous relationship other than the first present image data and the third past image data, the examiner sends an instruction to turn the page by the operation unit 310. Depending on the instruction, the information-gathering unit 320 displays both the present image data and the past image data with a shift of the same number of pages. That is, while maintaining the synchronous relationship, it can be observed as if turning the page.
Step S 16, 17, 18: the medical image observation equipment 300 designates two image data in a synchronous relationship displayed as above to instruct the creation of link data, and thereby receives the link data of the present image data and the reference image data created and sent by the information management unit 230 to create a report with the attachment. By clicking the link data of the report, synchronous two-image data can be displayed. By turning pages, images on each page can be displayed while maintaining the synchronous relationship.
With the above mentioned construction of the present invention, a combination of information is created on the series image data obtained from this examination by utilizing at least the information contained in the object data and the other related series image data. The other related series image data includes, for example, the past series image data that is referred to in this examination. For example, since the combination of information is displayed as a thumbnail image, by selecting and deploying the displayed thumbnail image, the present series image data and other series image data, for example, the past image data can be retrieved, and images based on their image data can be displayed in parallel. Accordingly, it makes usage in interpretation easy and convenient. Furthermore, by synchronizing the imaging positions and displaying them in parallel, the present image and the past image at the same synchronous position can be observed in parallel as if turning pages, which is convenient,
The abovementioned embodiment and variations do not limit the scope of the present invention. Consequently, those skilled in the art will be able to employ embodiments having each or all elements replaced with equivalents. These embodiments are also encompassed in the scope of the present invention.
Number | Date | Country | Kind |
---|---|---|---|
2007-037118 | Feb 2007 | JP | national |
Number | Name | Date | Kind |
---|---|---|---|
20040076342 | Wolff et al. | Apr 2004 | A1 |
20050281446 | Glukhovsky et al. | Dec 2005 | A1 |
20060238546 | Handley et al. | Oct 2006 | A1 |
20070065044 | Park et al. | Mar 2007 | A1 |
20070083396 | Kanada et al. | Apr 2007 | A1 |
20070160276 | Chen et al. | Jul 2007 | A1 |
20080212861 | Durgan et al. | Sep 2008 | A1 |
20080298660 | Yamagata | Dec 2008 | A1 |
Number | Date | Country |
---|---|---|
101336843 | Jan 2009 | CN |
2001120541 | May 2001 | JP |
2006-262977 | Oct 2006 | JP |
2007-167634 | Jul 2007 | JP |
Entry |
---|
U.S. Appl. No. 12/246,117, filed Oct. 6, 2008, Yamagishi, et al. |
U.S. Appl. No. 12/260,395, filed Oct. 29, 2008, Futami, et al. |
U.S. Appl. No. 12/100,736, filed Apr. 10, 2008, Matsue, et al. |
U.S. Appl. No. 12/107,356, filed Apr. 22, 2008, Kazuno, et al. |
U.S. Appl. No. 12/100,780, filed Apr. 10, 2008, Kazuno, et al. |
Number | Date | Country | |
---|---|---|---|
20080212854 A1 | Sep 2008 | US |