Patent Application
20210074410
The present invention claims priority under 35 U.S.C. § 119 to Japanese Patent Application No. 2019-162404 filed on Sep. 5, 2019, the entire content of which is incorporated herein by reference.
The present invention relates to a medical image management apparatus, a medical image management method, and a recording medium.
There has been conventionally known an image diagnosis system in which an operator such as a doctor and a technologist uses a DR (Digital Radiography) imaging device and an FPD (Flat Panel Detector) for a patient who visits a medical facility and performs radiation imaging (DR imaging) to the patient that is the test target, and the obtained image data of the radiation image is displayed and stored.
There has been also known a medical image management apparatus which specifies specific patient information in advance, and reads, from an image generation apparatus such as a CR (Computed Radiography) reading apparatus, image data obtained by imaging in the state of being associated with the patient, and thereby associates the image data with the patient information (see JP 2009-207509A). The medical image management apparatus can also retrieve the image data without specifying the patient information in advance and store the image data in an unconfirmed image region of an image database management section, and thereafter associate the patient information with the image data.
There has been also known an imaging system that determines whether an imaging section (sensor) similar to the FPD holds image data which is not yet transmitted, and if the imaging section holds the untransmitted image data, automatically associates the untransmitted image data with an imaging order, and when the associating is performed, allows the use of the sensor (see JP 2016-77541A).
There has been known memory imaging that is temporarily storing a plurality of pieces of image data in the storage of the FPD in X-ray imaging. According to this imaging method, it is possible to perform imaging of a plurality of patients in a facility or the like with a single FPD, and store the plurality of pieces of image data.
However, in the medical image management apparatus of JP 2009-207509A, when the image data is retrieved into the unconfirmed image region, an unconfirmed image receiving button indicating that the unconfirmed image region has image data is first displayed on the patient display screen. Then, by the operator pressing the unconfirmed image receiving button 84, there is displayed an unconfirmed image confirmation screen 343 associating the unspecified patient information with the unconfirmed image data for the first time.
That is, in the medical image management apparatus of JP 2009-207509A, after the image data obtained by imaging is retrieved into the unconfirmed image region, the unconfirmed image receiving button is displayed (1st step), the unconfirmed image receiving button is pressed (2nd step), and then the unconfirmed image confirmation screen for associating the image data with the patient information is displayed, which is thus troublesome. In addition, in order to display the unconfirmed image confirmation screen, it is necessary to once shift to the patient display screen 342 specifying the patient and then display the unconfirmed image receiving button 84, which is troublesome. Moreover, in the imaging system of JP 2016-77541A, it is not possible to manually associate the image data with the imaging order.
There has been also a concern that the work of associating may be forgotten when the associating of image data with patient information or (imaging) order information is to be performed after imaging in the memory imaging or the like.
An object of the present invention is to reduce the work burden of associating image data with at least one of patient information and order information, and surely execute the associating.
To achieve at least one of the abovementioned objects, according to an aspect of the present invention, a medical image management apparatus reflecting one aspect of the present invention is a medical image management apparatus including a hardware processor that: retrieves image data from an image capturer that generates and stores the image data of a medical image; and in retrieving the image data that is generated by memory imaging and stored in the image capturer, causes a display to display an image associating screen for associating the retrieved image data with at least one of patient information and order information in response to completion of retrieving at least one piece of the image data.
To achieve at least one of the abovementioned objects, according to another aspect of the present invention, a medical image management apparatus reflecting one aspect of the present invention is a medical image management apparatus including a hardware processor that: retrieves image data from an image capturer that generates and stores the image data of a medical image; and in a state in which the image data is to be retrieved without specifying patient information of a patient or order information of imaging, retrieves the image data from the image capturer and causes a display to display an image associating screen for associating the retrieved image data with at least one of the patient information and the order information in response to completion of retrieving at least one piece of the image data.
To achieve at least one of the abovementioned objects, according to another aspect of the present invention, a medical image management method reflecting one aspect of the present invention is a medical image management method including: retrieving that is retrieving image data from an image capturer that generates and stores the image data of a medical image; and controlling that is, in retrieving the image data which is generated by memory imaging and stored in the image capturer, causing a display to display an image associating screen for associating the retrieved image data with at least one of patient information and order information in response to completion of retrieving at least one piece of the image data.
To achieve at least one of the abovementioned objects, according to another aspect of the present invention, a medical image management method reflecting one aspect of the present invention s a medical image management method including: retrieving that is retrieving image data from an image capturer that generates and stores the image data of a medical image; and controlling that is, in a state in which the image data is to be retrieved without specifying patient information of a patient or order information of imaging, retrieving the image data from the image capturer and causing a display to display an image associating screen for associating the retrieved image data with at least one of the patient information and the order information in response to completion of retrieving at least one piece of the image data.
To achieve at least one of the abovementioned objects, according to another aspect of the present invention, a recording medium reflecting one aspect of the present invention is a non-transitory recording medium storing a computer readable program causing a computer to function as: a retriever that retrieves image data from an image capturer which generates and stores the image data of a medical image; and a controller that, in retrieving the image data which is generated by memory imaging and stored in the image capturer, causes a display to display an image associating screen for associating the retrieved image data with at least one of patient information and order information in response to completion of retrieving at least one piece of the image data.
To achieve at least one of the abovementioned objects, according to another aspect of the present invention, a recording medium reflecting one aspect of the present invention is a non-transitory recording medium storing a computer readable program causing a computer to function as: a retriever that retrieves image data from an image capturer which generates and stores the image data of a medical image; and a controller that, in a state in which the image data is to be retrieved without specifying patient information of a patient or order information of imaging, retrieves the image data from the image capturer by the retriever and causes a display to display an image associating screen for associating the retrieved image data with at least one of the patient information and the order information in response to completion of retrieving at least one piece of the image data.
The advantages and features provided by one or more embodiments of the invention will become more fully understood from the detailed description given hereinafter and the appended drawings which are given by way of illustration only, and thus are not intended as a definition of the limits of the present invention, and wherein:
Hereinafter, one or more embodiments of the present invention will be described in detail with reference to the drawings. However, the scope of the invention is not limited to the disclosed embodiments or illustrated examples.
In the present embodiment, the medical image includes an X-ray image, an MRI image and a CT image, or may be icons thereof.
The image data is image data of the medical image obtained by imaging. The image data may include accompanying information having various types of information (such as patient information) related to the image data.
The patient information widely includes information specifying a patient. The patient information includes a patient ID, a patient name (kanji (Chinese characters), kana (Japanese phonetic characters), and ASCII), a sex, birth date, an age and the like of the patient.
The order information widely includes information related to imaging of the medical image, which was determined by questioning and history taking performed to the patient, or the like. The order information includes items such as the patient ID, the patient name, a site in the body of the patient to be imaged and an imaging direction, a device (modality) to be used, and the like.
The patient image associating screen is a screen for associating image data which was retrieved into the medical image management apparatus with at least one of the patient information and the order information. In the patient image associating screen, the image data and at least one of the patient information and the order information are displayed.
The list information widely includes information in a list form. Preferably, the image data is displayed as list information (image list) in the patient image associating screen. Similarly, the patient information is displayed as list information (patient list) in the patient image associating screen, and the order information is displayed as list information (order list) in the patient image associating screen. The patient image associating screen is automatically displayed in response to the completion of retrieving of the image data.
The completion of retrieving is a timing when at least one piece of image data was retrieved into the medical image management apparatus. The completion of retrieving may be a timing when part of the image data was retrieved into the medical image management apparatus. That is, at the time of completion of retrieving, image data not retrieved may remain in the image capturer. The completion of retrieving may be a timing when all pieces of image data were retrieved into the medical image management apparatus. In this case, the completion of retrieving is determined by that no image data remains in the image capturer.
In the embodiment, image data which was generated by the memory imaging and stored in the image capturer includes image data which was captured (imaging was performed) and generated in a memory imaging mode, image data which was captured and generated in a setting in which the image data is not to be transmitted from the image capturer to the medical image management apparatus, image data which was captured and generated in a state in which the network is disconnected and the image data cannot be transmitted, image data which was captured and generated in a setting in which the image data is not to be received by the medical image management apparatus, and the like. The image data may be recognized as image data which was generated by the memory imaging and stored in the image capturer, by a console inputting the information indicating the memory imaging in a tag of the image data (for example, DICOM image) and by the medical image management apparatus recognizing the tag information. The image data may be recognized as image data which was generated by the memory imaging and stored in the image capturer, by the medical image management apparatus performing image recognition of recognizing the image data which was captured in a state in which the memory imaging is indicated by using a marker (such as a lead marker). The image data may be recognized as image data which was generated by the memory imaging and stored in the image capturer when, for the image data retrieved by a retriever, at least one of time differences is a predetermined time or more or the operation time is after the imaging time, the time differences being a time difference between imaging time and retrieving time, a time difference between patient specifying time when the patient was specified and the imaging time or the retrieving time, a time difference between disconnection time when the image capturer disconnected the communication and the imaging time or the retrieving time, and a time difference between imaging time of previous image data for which imaging was performed before imaging of the image data and present imaging time of the image data which was retrieved this time, and the operation time being time when the image retrieving button is operated, or the patient information selection or the order information selection is operated.
With reference to
The medical image management system 1 is a system which is applied in a relatively small medical facility such as a medical practitioner and a clinic. The medical facility is a facility which has a small number of hospital beds, but has hospital rooms for hospitalization. As shown in
The image generation apparatus 2 is not limited to the configuration of
The image generation apparatus 2, the medical image management apparatus 3 and the reception apparatus 4 are connected to a communication network 5 such as a LAN (Local Area Network) via a switching hub not shown in the drawings, for example. The communication network 5 particularly includes an access point for performing wireless communication connection with the FPD 25. The medical image management apparatus 3 is an information processing apparatus such as a work station provided in a consultation room where the doctor always stays. The medical image management apparatus 3 has a function of controlling activation and processing conditions of the image generation apparatus 2, a function of obtaining image data from the image generation apparatus 2 and displaying the image data so as to be associated with patient information, and a function as PACS (Picture Archiving and Communication Systems) which store and manage the image data associated with the patient information.
As the communication method in the hospital, DICOM (Digital Image and Communication in Medicine) standard is generally used. In the communication between apparatuses which are LAN connected, DICOM MWM (Modality Worklist Management) and DICOM MPPS (Modality Performed Procedure Step) are used. The communication method applicable to the present embodiment is not limited to this. The apparatuses which are LAN connected may include an apparatus not corresponding to the DICOM standard.
The medical facility in which the medical image management system 1 is installed includes, for example, a reception desk, a waiting room, a consultation room, a radiation imaging room, a test room and hospital rooms for hospitalized patients. The reception apparatus 4 is arranged at the reception desk. The medical image management apparatus 3 and the ultrasonography device 2a are arranged in the consultation room, The CR imaging device (not shown in the drawings), the CR reading device 2d, the DR imaging device (not shown in the drawings), and the DR reading device 2e are arranged in the radiation imaging room. The CR imaging device is a device which emits radiation to the CR cassette via the patient as a subject, to record a radiation image. The DR imaging device is a device which exposes the FPD 25 to radiation via the patient as the subject, to generate and store radiation image data. The medical image management apparatus 3 also functions as a console of the DR imaging device, and is connected to the DR imaging device via the communication network 5. The endoscope 2b and the electrocardiogram device 2c are arranged in the test room.
A person in charge is arranged at the reception desk in the medical facility. The person in charge provides a reception number tag, on which a reception number for identifying each individual person in the reception order is printed, to the patient who visited for consultation. The person in charge asks the patient name and inputs the association between the reception number and the patient name in the reception apparatus 4.
The patient after reception standbys in the waiting room, and enters the consultation room when the patient is called by the doctor. The medical image management apparatus 3 is set on the desk for consultation in the consultation room, and the medical image management apparatus 3 displays the image data imaging the (imaging) site of the diagnosis target of the patient, the test result related to the test performed to the patient, and the like. The ultrasonography device 2a which does not highly need to be used in an isolated space from the viewpoint of privacy or the like is also installed in the consultation room.
At the time of consultation by the doctor in the consultation room, there are performed, as needed, radiation imaging by the CR imaging device and the CR reading device 2d, radiation imaging by the DR imaging device and the DR reading device 2e, ultrasonic imaging by the ultrasonography device 2a, endoscope imaging by the endoscope 2b, and electrocardiogram recording by the electrocardiogram device 2c. The obtained image data is displayed on the medical image management apparatus 3 and stored to be associated with the patient information.
As described above, the image generation apparatus 2 is a modality which performs imaging to the imaging site of the patient as the subject, performs digital conversion of the captured image to generate image data of the captured image, and records a predetermined test result and generates image data.
The ultrasonography device 2a includes an ultrasonic probe (not shown in the drawings) which outputs ultrasonic waves, and an ultrasonography device body (not shown in the drawings) which is connected to the ultrasonic probe and converts the ultrasonic waves (echoes) received by the ultrasonic probe into the image data of the captured image of the internal structure. The ultrasonography device 2a transmits the ultrasonic waves into the body from the ultrasonic probe, receives the sound waves (echo signals) reflected at the structure inside the body with the ultrasonic probe, and generates, with the ultrasonography device body, the digital ultrasonic image data corresponding to the echo signals.
In the present embodiment, the ultrasonography device 2a has a function of providing the image data with accompanying information corresponding to the image data in the medical image management system 1 in a form based on the DICOM standard. The accompanying information is configured by including identification information of the image generation apparatus 2, the number indicating the imaging date and time, and the like.
The ultrasonography device 2a includes an input section (not shown in the drawings) such as a keyboard including character input keys and numerical input keys, and functions as an inputter to input patient information specifying the patient that is the imaging target. In the present embodiment, the patient information widely includes information specifying the patient including the patient ID, the patient name (kanji, kana, ASCII), the sex, the birth date and the age of the patient. Among them, the patient information input in the ultrasonography device 2a is the patient ID, the patient name, the sex and the birth date, for example. It is not necessary to input all of them in the ultrasonography device 2a, and the ultrasonography device 2a may be configured not to input any of the patient information.
The endoscope 2b has a compact imaging device at the tip of a tube having flexibility (none of them shown in the drawings). The imaging device includes, for example, an objective optical system which is configured by including optical lens, an image capturing section which is arranged at an imaging position of the objective optical system, and an illuminating section which is configured by including an LED (Light Emitting Diode) and performs illuminating necessary for performing the image capturing (none of them shown in the drawings). The image capturing section includes, for example, a solid-state image capturing element such as a CCD (Charge Coupled Device) and a CMOS (Complementary Metal-OxideSemiconductor), and performs photoelectric conversion into electrical signals of the amount corresponding to the incident light amount when the light enters. The objective optical system is configured to concentrate the light in the region illuminated by the illuminating section with the optical lens, and perform the imaging on the solid-state image capturing element included in the image capturing section. By the light entering the solid-state image capturing element being converted by the photoelectric conversion, the image data of the captured image is output as an electrical signal.
The electrocardiogram device 2c detects the electrocardiographic waveform, and obtains and records the waveform data. The electrocardiogram device 2c transmits the generated image data (waveform data) to the medical image management apparatus 3.
The CR reading device 2d reads image data from a CR cassette (not shown in the drawings) which is a radiation image conversion medium in which radiation image information obtained by imaging the imaging site of the patient is recorded. The CR cassette includes, for example, a built-in radiation image conversion plate including photostimulable phosphor sheet to accumulate radiation energy. When imaging is performed, the CR reading device 2d is arranged in the exposure region of radiation emitted from a radiation source (not shown in the drawings) of the CR imaging device. In the CR cassette, when radiation is emitted, the radiation of the amount following the radiation transmissivity distribution of the imaging site is accumulated on the photostimulable phosphor layer of the photostimulable phosphor sheet, and radiation image information of the imaging site is recorded on the photostimulable phosphor layer.
When the CR cassette having the radiation image information of the imaging site recorded therein is mounted, the CR reading device 2d emits excitation light to the photostimulable phosphor sheet in the CR cassette mounted in the CR reading device 2d, thus performs photoelectric conversion of the photostimulable light emitted from the sheet, performs A/D conversion of the obtained image signal, and generates the radiation image data of the captured image. The CR reading device 2d may be an integrated type device which is integrated with the CR imaging device.
The DR reading device 2e is a device which reads image data of the radiation image from an after-mentioned storage 253 of the FPD 25 which is the radiation image conversion medium in which the radiation image information obtained by imaging the imaging site is recorded. The DR reading device 2e in the present embodiment is the FPD 25. The FPD 25 generates image data of the radiation image corresponding to the X-ray emitted via the imaging site of the subject, and stores the generated image data with the accompanying information thereof.
The DR imaging includes normal imaging and memory imaging. The normal imaging is the imaging method of setting the FPD 25 on the imaging table of the DR imaging device via the subject in the radiation imaging room, performing one-by-one radiation imaging on the imaging table on which the subject is placed to generate the image data of the radiation image, storing the generated image data and the accompanying information one by one in the FPD 25, and retrieving the data into the medical image management apparatus 3. The memory imaging is the imaging method of using an X-ray device (not shown in the drawings) for doctor's rounds for check as the imaging (doctor's rounds for check) at the hospital room, generates image data of the radiation image by performing radiation imaging of at least one image for each of at least one person in the hospital room such as a patient who cannot walk easily to the radiation imaging room, for example, temporarily saving a plurality of pieces of image data and accompanying information in the FPD 25, and with a time interval after the imaging, collectively retrieving the plurality of pieces of image data and the accompanying information stored in the FPD 25 into the medical image management apparatus 3. In the memory imaging, it is not essential to carry the console (including portable terminal) to the hospital room in addition to the X-ray device for doctor's rounds for check.
When the imaging mode is set to the normal imaging mode of performing the normal imaging, the FPD 25 can be connected to the communication network 5. When the imaging mode is set to the memory imaging mode of performing the memory imaging, the FPD 25 is disabled from connecting to the communication network 5.
The endoscope 2b, the electrocardiogram device 2c, and the CR reading device 2d include a function of providing accompanying information to the generated image data. The endoscope 2b and the electrocardiogram device 2c include an operating section (not shown in the drawings) such as a keyboard including character input keys and numeric input keys, and allows input of patient information for specifying the patient that is the imaging target. The patient information which is input at the operating section of each of the devices is not particularly limited, and the patient information may not be input. When the device is configured to input only the patient ID as the patient information, the operating section may be a numeric keypad, for example. The information which was input is the accompanying information accompanying the image data of the captured image which was generated in each of the devices of the image generation apparatus 2.
The image data transmitted from each of the ultrasonography device 2a, the endoscope 2b and the electrocardiogram device 2c is DICOM image data based on the DICOM standard. The accompanying information may be or may not be attached to the DICOM image data. The image data generated by the CR reading device 2d and the DR reading device 2e is raw image data not based on the DICOM standard, and the image data is transmitted to the medical image management apparatus 3 without having patient information such as the patient ID attached thereto.
As shown in
The controller 251 is configured by including a CPU (Central Processing Unit), a RAM (Random Access Memory), and the like. The CPU of the controller 251 reads out system programs and various types of processing programs stored in the storage 253 and loads them into the RAM, and in accordance with the loaded programs, controls the components in the FPD 25.
The operating section 252 is configured by including an imaging mode switching button of receiving the switching input of the normal imaging mode and the memory imaging mode. The operating section 252 receives the operation input from the operator, and outputs the operation information to the controller 251.
The storage 253 is configured by including a nonvolatile semiconductor memory such as a flash memory, and stores various programs and various types of data executed by the controller 251. Particularly, the storage 253 stores the image data of the radiation image generated by the radiation image capturing section 254 and its accompanying information, and the imaging mode switching program for executing after-mentioned imaging mode switching processing. The image data and the accompanying information which were retrieved by the medical image management apparatus 3 are deleted after retrieving.
The radiation image capturing section 254 is configured by including an image capturing element such as a CMOS (Complementary Metal Oxide Semiconductor) image sensor which directly converts radiation into electrical signals as a direct conversion method, or configured by including, as an indirect conversion method, a phosphor such as gadolinium sulfate and cesium iodide and an image capturing element such as a photodiode which obtains, as electric charges, light which was generated by excitation of the phosphor with the incident radiation. The radiation image capturing section 254 generates image data of the radiation image with the image capturing element according to the radiation which was emitted through the subject and outputs and stores the generated image data in the storage 253, in accordance with the control by the controller 251.
The communicating section 255 is a wireless communicating section which includes an antenna, a modulation/demodulation section, a signal processing section and the like, and performs wireless communication with the DR reading device 2e and an external device such as the console of the X-ray device for doctor's rounds for check by the wireless LAN communication method. The controller 251 performs wireless communication with the external device such as the medical image management apparatus 3 via the communication network 5 with the communicating section 255. The communicating section 255 may be configured to perform wired communication with external devices in the communication network 5.
The time counting section 256 is a real time clock, and counts the current date and time and outputs the counted current date and time information to the controller 251.
The FPD 25 includes a battery not shown in the drawings such as a secondary cell which supplies electric power of power source to each component in the FPD 25.
As shown in
The controller 31 is configured by including a CPU and a RAM. The controller 31 loads a specified program among the system programs and application programs stored in the storage 33 to the RAM, and executes various type of processing by the cooperation between the loaded program and the CPU.
The operating section 32 includes a keyboard including character input keys, numeral input keys and various types of function keys, and a pointing device such as a mouse. The operating section 32 outputs the key pressing signal operated via the keyboard by an operator such as a doctor and a technologist and the position operation signal by the mouse to the controller 31.
The storage 33 is configured by including an HDD (Hard Disk Drive), an SSD (Solid State Drive) and a semiconductor nonvolatile memory. The storage 33 stores various types of programs, and various types of data such as an image processing parameter (lookup table defining tone curve used in tone processing, emphasis degree of frequency processing, and the like) for adjusting the image data of the captured image to the image quality appropriate for diagnosis. The various types of programs include a patient retrieving mode setting program for performing after-mentioned patient retrieving mode setting processing, a remaining image patient specified retrieving setting program for performing remaining image patient specified retrieving setting processing, a normal imaging program for performing normal imaging processing, and a patient image associating program for performing patient image associating processing.
The display section 34 includes, for example, a display panel such as an LCD (Liquid Crystal Display) and an EL (ElectroLuminescence) display, and displays various screens in accordance with the instruction of display signal input from the controller 31. A touch panel may be formed on the display panel of the display section 34 as the operating section 32 to receive the touch input from the operator and output the touch operation signal to the controller 31.
The image database storage 35 is configured by including an HDD, an SSD or the like, and saves the image data of the captured image as the image database in association with the patient information.
The communicating section 36 is configured by including a network interface or the like, and performs transmission/reception of information with each of the devices in the image generation apparatus 2 and the reception apparatus 4 connected to the communication network 5 via a switching hub.
The time counting section 37 is a real time clock, and counts the current date and time and outputs the counted current date and time information to the controller 31.
The reception apparatus 4 is an information processing apparatus for performing reception registration, accounting calculation, insurance point calculation and the like of the patient who visited the hospital. The reception apparatus 4 includes: a controller which is configured by including a CPU and a RAM; an operating section which is configured by including a keyboard and a mouse; a storage which is configured by including an HDD; a display section which is configured by including an LCD; and a communicating section which performs communication with each apparatus connected to the communication network 5. When displaying of the reception input screen is instructed from the operating section, the reception apparatus 4 displays the reception input screen on the display section by software processing in cooperation between the CPU and the program stored in the storage. When reception information (reception number and patient name) is input from the input section via the reception input screen, the reception apparatus 4 creates (updates) a patient information list of the received patient, stores the list in the storage, and transmits the list to the medical image management apparatus 3 by the communicating section as needed.
The operation of the medical image management system 1 will be described with reference to
In the present embodiment, in a medical image management system 1, there is performed patient image associating processing of performing memory imaging of DR imaging, retrieving image data of radiation image which was generated and stored in the FPD 25, and associating the retrieved image data with the patient information.
In the medical image management apparatus 3, patient retrieving mode setting processing is performed in advance. The patient retrieving mode includes a patient specified retrieving mode and a patient unspecified retrieving mode. The patient specified retrieving mode is a mode of retrieving the image data stored in the FPD 25 and associating the image data with the patient information of the patient that is currently displayed (specified) (for specifying the patient information of patient and retrieving the image data) when the patient screen indicating the patient information of the single patient is displayed in after-mentioned patient image associating processing. The patient unspecified retrieving mode is a mode of disabling the retrieving of the image data stored in the FPD 25 and the associating of the image data with the patient information of the patient that is currently displayed (for retrieving the image data without specifying the patient information of the patient) when the patient screen is displayed. In the patient retrieving mode setting processing, before the patient image associating processing, there is performed setting registration of the patient specified retrieving mode or the patient unspecified retrieving mode.
In the medical image management apparatus 3, for example, in response to a trigger that the instruction to execute the patient retrieving mode setting processing was input by the operator via the operating section 32, the controller 31 executes the patient retrieving mode setting processing in accordance with the patient retrieving mode setting program stored in the storage 33.
As shown in
The controller 31 stores and registers the setting information of the patient specified retrieving mode or the patient unspecified retrieving mode which was selected and input in step S2 (step S3), and ends the patient retrieving mode setting processing.
In the medical image management apparatus 3, remaining image patient specified retrieving setting processing is performed in advance. In the remaining image patient specified retrieving setting processing, when a single piece of image data of radiation image is stored in the FPD 25, there is performed setting to enable/disable the retrieving of the image data stored in the FPD 25 and associating of the image data with the patient information of the patient that is currently displayed.
With reference to
The controller 251 determines whether the imaging mode switching button of the operating section 252 was pressed and input by the operator (step S21). If the imaging mode switching button was not pressed and input (step S21; NO), the controller 251 ends the imaging mode switching processing. If the imaging mode switching button was pressed and input (step S21; YES), the controller 251 determines whether the pressing input of the imaging mode switching button in step S21 was the on input to switch to the memory imaging mode (step S22).
If the pressing input of the imaging mode switching button was the on input to the normal imaging mode (step S22; NO), the controller 251 performs on setting to the normal imaging mode (step S23). The controller 251 then performs setting to enable the network connection to the communication network 5 via the communicating section 255 (step S24), and ends the imaging mode switching processing.
If the pressing input of the imaging mode switching button was the on input to the memory imaging mode (step S22; YES), the controller 251 performs on setting to the memory imaging mode (step S25). The controller 251 performs setting to disable the network connection to the communication network via the communicating section 255 (step S26), and ends the imaging mode switching processing.
With reference to
In the radiation imaging room of the medical facility, in advance, the patient of the DR imaging target is placed on the imaging table of the DR imaging device and the FPD 25 is set on the DR imaging device in a state in which the FPD 25 and the medical image management apparatus 3 can wirelessly communicate with each other via the access point of the communication network 5. The FPD 25 is set to switch to the normal imaging mode by the operation input of the switching switch by the operator. In the medical image management apparatus 3, all pieces of patient information for the DR imaging or the like are received from the reception apparatus 4 or generated in response to the input by the operator via the operating section 32, and stored in the storage 33.
The controller 31 first receives a click input of the patient reception button by the operator via the operating section 32 (step S31). The controller 31 then receives and registers the selection input of the patient information of the patient of DR imaging in the patient information stored in the storage 33 from the operator via the operating section 32 (step S32).
The controller 31 receives a click input of the consultation start button by the operator via the operating section 32 (step S33). The controller 31 causes the display section 34 to display the patient screen for displaying the image data of radiation image of the DR imaging (step S34). The patient screen includes an imaging preparation button for proceeding to the image data retrieving state of DR imaging.
The controller 31 receives a click input of the imaging preparation button from the operator via the operating section 32 (step S35).
The controller 31 receives the DR imaging operation input from the operator via the operating section 32, and transmits the operation information to the DR imaging device via the communicating section 36 to perform DR imaging (step S36). The controller 251 of the FPD 25 automatically detects the X-ray which was emitted for exposure from the DR imaging device, generates the image data of a single radiation image, temporarily saves, in the storage 253, the generated image data with accompanying information such as the imaging date and time of the image data based on the current date and time information output from the time counting section 256, and reads out the image data and the accompanying information. The controller 251 transmits the single piece of image data and the accompanying information which were saved to the medical image management apparatus 3 via the communicating section 255. The controller 31 then receives the single piece of image data and the accompanying information from the FPD 25 via the communicating section 36, and stores and retrieves the image data and the accompanying information into the storage 33 (step S37).
The controller 31 associates the image data (and accompanying information) received in step S37 from the operator via the operating section 32 with the patient information selected in step S32 (step S38). The controller 31 displays the image data (and accompanying information) and the patient information which were associated with each other in step S38 in the patient screen (step S39), and ends the normal imaging processing. The processing of steps S36 to S39 is repeated by the number of pieces of the image data captured.
With reference to
In advance, the operator as a person who performs imaging such as a doctor and a technologist goes to the hospital room where the (hospitalized) patient of the imaging target is located, with the FPD 25 and the X-ray device for doctor's rounds for check (not shown in the drawings). The FPD 25 is set to switch to the memory imaging mode enabling storing image data of a plurality of radiation images by the operation input of the imaging mode switching button by the operator. The operator performs the memory imaging as the DR imaging for at least one radiation image of each patient for at least one patient in the hospital room. The operator directs the radiation source of the X-ray device for doctor's rounds for check toward the patient of the imaging target, and arranges the FPD 25 such that the patient is located between the radiation source and the FPD 25. The operator performs operation input to the operating section of the console of the X-ray device for doctor's rounds for check and emits the X-ray for exposure from the radiation source at least once. The controller 251 of the FPD 25 automatically detects the X-ray emitted for exposure from the radiation source of the X-ray device for doctor's rounds for check to generate image data of at least one radiation image, and stores the image data with accompanying information such as the imaging date and time based on the current date and time information from the time counting section 256 in the storage 253. These processes are repeated by the amount of all the patients (all pieces of order information) of the imaging target. The operator makes a note of the captured patient(s), the number of captured image(s), and the captured portion(s). In the memory imaging, a lead marker of various types of characters may be used for the subject such that the lead marker is included in the image data. After the imaging, the operator presses and inputs the imaging mode switching button of the operating section 252 to set the FPD 25 to the normal imaging mode, and sets to enable the communication connection to the communication network 5.
In the medical image management apparatus 3, in response to a trigger that the instruction to execute the patient image associating processing was input by the operator via the operating section 32, the controller 31 executes the patient image associating processing in accordance with the patient image associating program stored in the storage 33.
As shown in
If the remaining image data exists (step S52; YES), the controller 31 determines whether the imaging preparation button on the display screen of the display section 34 is turned on by a click input (step S53). As the display screen, for example, a reception screen 100 shown in
The patient list 120 is a list of patient information for all the patients stored in the storage 33, and includes a search function of the patient information of the patient satisfying the search condition with the search condition input by the operator. The patient information which was selected and input by the operator in the patient list 120 is displayed in the patient information display region 110. It is possible to change whether or not to display the items displayed in the patient information display region 110 and the patient list 120 by setting. The remaining image existing icon 130 is an icon indicating that the remaining image data exists. The remaining image existing icon 130 is not displayed at the time of step S52.
As shown in
The patient screen 300 includes an image display field 73 for displaying the captured image, and a thumbnail display field 74 for displaying a thumbnail image. The patient screen 300 includes image data selection buttons 75 for selecting the image data for the present patient. By selecting desired image data with these image data selection buttons 75, it is possible to display the image in the image display field 73 and the thumbnail display field 74. For the image data selection buttons 75, it is possible to switch, with a display classification switching button 76, which of the classification is used for the arrangement, between the classification by the date and the classification by the type of the image generation apparatus (modality) 2.
The patient screen 300 includes a test suspending button 77 for inputting that the test is suspended for the image of the present patient, and a test end button 78 for inputting end of the test.
The patient screen 300 includes imaging preparation buttons 81 to retrieve image data from an external device. The imaging preparation button 81 is a button for retrieving image data from each type of devices of the image generation apparatus 2 connected to the communication network 5. In the present embodiment, five types of “CR”, “US”, “ES”, “ECG” and “DR” of imaging preparation buttons 81 are arranged on the patient screen 300 to correspond to the types (ultrasonography (US) device 2a, endoscope (ES) 2b, electrocardiogram (ECG) device 2c, CR reading device 2d, and DR reading device 2e) of the image generation apparatus 2 connected to the communication network 5. Particularly, the imaging preparation button 81 for DR is an imaging preparation button 81a. When the imaging preparation button 81a is input, the image data is retrieved from the FPD 25.
The patient screen 300 includes image output buttons 82 for outputting the retrieved image data by printing, email transmission or the like, display switching buttons 83 for switching the display such as layout of image display field, and a remaining image existing icon 84 indicating that the remaining image data exists.
If the imaging preparation button is off (reception screen 100 is displayed, or patient screen 300 is displayed and imaging preparation button 81a is off) (step S53; NO), the controller 31 causes the display section 34 to display the remaining image existing icon indicating that the remaining image data exists (remaining image existing icon 130 in the reception screen 100, the remaining image existing icon 84 in the patient screen 300) (step S54).
The controller 31 receives a click input of the remaining image existing icon by the operator via the operating section 32 (step S55). The controller 31 determines whether the patient screen (for example, patient screen 300) indicating the patient information of the patient that is the association target is currently displayed (step S56).
If the patient screen is not currently displayed (step S56; NO), the controller 31 causes the display section 34 to display a retrieving checking message window (step S57). The retrieving checking message window includes for example, the message of “Retrieve untransferred image data in FPD? After retrieving, associate patient information with image data in patient image associating screen”, “Yes” button for receiving the input to execute the image data retrieving, and “No” button for receiving the input not to execute the image data retrieving. If the patient screen is currently displayed (step S56; YES), the controller 31 refers to setting information of the patient specified retrieving mode/patient unspecified retrieving mode stored in the storage 33, and determines whether the current mode is the patient specified retrieving mode (step S58).
If the current mode is the patient unspecified retrieving mode (step S58; NO), when the controller 31 receives a click input of the imaging preparation button by the operator via the operating section 32 (step S59), the controller 31 displays a retrieving disabled message (window) indicating that the patient specified retrieving of image data is disabled (step S60). The retrieving disabled message window include, for example, the message of “You cannot retrieve image data in association with patient information. Close patient screen.”
The controller 31 then closes the patient screen which is currently displayed (step S61), and proceeds to step S57. If the current mode is the patient specified retrieving mode (step S58; YES), the controller 31 retrieves the image data and the accompanying information from the FPD 25 which is currently connected via the communicating section 36 (step S62). In step S62, until the retrieving is completed, the controller 31 determines whether the retrieving of image data and accompanying information has been completed by determining whether the remaining image data which is not retrieved is left in the FPD 25. The same applies to steps S71 and S91.
The controller 31 generates a checking message (window) of registration of associating between a retrieved single piece of image data with the patient information of the patient screen currently displayed, and causes the display section 34 to display the checking message (window) (step S63). The checking message window includes, for example, a message of “Image data of past imaging was retrieved. Register the image data as image data of this patient?”, “Yes” button for receiving the input to register the association between the retrieved image data and the patient information of the patient screen, and “No” button for receiving the input not to register the association.
The controller 31 determines whether registration of the association between the image data retrieved in step S62 and the patient information of the image which is currently displayed was input by the operator via the operating section 32 (whether click input was made to “Yes” button) (step S64). If the registration of association between the image data and the patient information was input (step S64; YES), the controller 31 associates the image data retrieved in step S62 and its accompanying information with the patient information of the patient that is currently displayed, and stores and registers the information in the storage 33 (step S65).
The controller 31 causes the display section 34 to display the image data (ant its accompanying information), which was associated in step S65, in association with the patient information on the patient screen which is currently displayed (step S66), and ends the patient image associating processing. If the input not to register the association between the image data and the patient information was made (click input of “No” button was made) (step S64; NO), the controller 31 ends the patient image associating processing.
After step S57, the controller 31 determines whether to retrieve the image data from the currently-connected FPD 25 by the click input made to the “Yes” button from the operator via the operating section 32, or not to retrieve image data from the currently-connected FPD 25 by the click input made to the “No” button (step S67). If the image data is not to be retrieved (step S67; NO), the controller 31 ends the patient image associating processing.
If the image data is to be retrieved (step S67; YES), as shown in
The patient list 220 is display information similar to the patient list 120. The return button 230 is a button for receiving the input by the operator to close the patient image associating screen 200 and return to the display screen displayed at the previous stage.
According to the input of search conditions made by the operator in the patient list (patient list 220) of the patient image associating screen via the operating section 32, the controller 31 searches for the patient information of the patients satisfying the search conditions in the patient information stored in the storage 33, and displays the patient information of the search results in the patient list (step S73). The controller 31 receives the selection input of image data from the image list (image list 210) of the patient image associating screen and the selection input of the patient information from the patient list and receives the click input of the return button (return button 230) (step S74).
The controller 31 generates the confirmation checking message (window) and causes the display section 34 to display the generated message, and determines whether the input to confirm the association between the image data and the patient information selected in step S74 was made by the operator via the operating section 32 (step S75). The confirmation checking message window includes, for example, the message of “Associate patient with image data?”, “Yes” button for receiving the input to confirm the association, and “No” button for receiving the input not to confirm the association. If the input to confirm the association between the image data and the patient information (click input of “Yes” button) was made (step S75; YES), the controller 31 associates the image data selected in step S74 (and its accompanying information) with the selected patient information, and stores and registers them in the storage 33 (step S76).
The controller 31 then closes the patient image associating screen (step S77), and ends the patient image associating processing. If the input to confirm the association between the image data and the patient information was not made (click input of “No” button was made) (step S75; NO), the controller 31 proceeds to step S77.
Returning to
The controller 31 displays the image data (and its accompanying information) associated in step S92 in association with the patient information on the patient screen which is currently displayed (step S93). The controller 31 then obtains the current date and time information from the time counting section 37, calculates a difference time between the imaging date and time of the accompanying information of the image data associated in step S92 and the obtained current date and time information, and determines whether or not the difference time is 10 minutes as a predetermined time or more (step S94). This predetermined time of 10 minutes is an example, and the predetermined time is not limited to 10 minutes.
If the difference time is less than 10 minutes (step S94; NO), the controller 31 determines that the retrieved image data is in the state corresponding to the normal imaging (temporary interruption of communication), and ends the patient image associating processing. If the difference time is 10 minutes or more (step S94; YES), the controller 31 determines that the retrieved image data is in the state corresponding to the memory imaging, generates a warning message (window) and causes the display section 34 to display the message (step S95), and ends the patient image associating processing. The warning message window includes, for example, the message of “Retrieved image data is image data of image captured in the past. Make sure retrieved image data is image data of this patient.”
With reference to
With reference to
With reference to
If the difference time is 10 minutes or more (step S122; YES), the controller 31 generates a warning message (window) of registration of association between the retrieved image data and the patient information of the patient screen which is currently displayed, and causes the display section 34 to display the message (step S124). The warning message window includes, for example, the message of “Retrieved image data is image data of image captured in the past. Register image data as image data of this patient?”, the “Yes” button for receiving the input to register the association between the retrieved image data and the patient information of the patient screen, and the “No” button for receiving the input not to register the association. The controller 31 determines whether the input to register the association between the image data retrieved in step S121 and the patient information of the patient screen which is currently displayed (click input of “Yes” button) was made by the operator via the operating section 32 (step S125).
If the input to register the association was made (step S125; YES), the controller 31 executes step S126, and proceeds to step S123. If the input not to register the association (click input of “No” button) was made (step S125; NO), the controller 31 ends the patient image associating processing. That is, if the difference time is 10 minutes or more (step S122; YES), the controller 31 determines that the imaging is the memory imaging, and disables the automatic associating between the image data and the patient information in step S126.
In the image data retrieving processing in
In the steps S94, S103, S112 and S122 of the image data retrieving processing of
As descried above, according to the present embodiment, the medical image management apparatus 3 includes a controller 31 that retrieves, via a communicating section 36, image data from an FPD 25 which generates and stores image data of a medical image. When the controller 31 retrieves the image data which was generated by memory imaging and stored in the FPD 25, the controller 31 causes the display section 34 to display an image associating screen for associating the retrieved image data with the patient information in response to the completion of retrieving of at least one piece of image data. When the image data is to be retrieved without specifying patient information of the patient (for example, when the current mode is set to a patient unspecified retrieving mode), the controller 31 retrieves the image data from the FPD 25, and causes the display section 34 to display the patient image associating screen for associating the retrieved image data with the patient information in response to the completion of the retrieving. Thus, by the automatic displaying of the patient image associating screen, it is possible to reduce the work burden of associating the image data with the patient information and prevent the forgetting of the associating, and the associating can be surely executed by the patient image associating screen. It is also possible to prevent a plurality of pieces of image data generated by the memory imaging from being associated with one piece of wrong patient information.
The patient image associating screen includes list information of the retrieved image data (image list) and list information of the patient information (patient list). Thus, it is possible to easily and surely perform the associating of image data with the patient information.
When a patient specified retrieving mode for specifying the patient information and retrieving the image data is set, the controller 31 associates, with the retrieved image data, the patient information corresponding to the display screen of the specified patient information of the patient. That is, the controller 31 associates the patient information corresponding to the patient screen of the specified patient (for example, patient information which is currently displayed) with the retrieved image data. Thus, it is possible to easily associate the image data with the patient information while visually confirming the association.
The controller 31 determines the completion of retrieving by that the FPD 25 has no image data. Thus, it is possible to surely determine the completion of retrieving. The controller 31 may determine that the retrieving has completed at the timing when at least one piece of image data was retrieved, and may cause a display to display the image associating screen in response to the completion of retrieving. In this configuration, remaining image data may exist in the FPD 25 and may be currently retrieved, however, the image associating screen is rapidly displayed.
The controller 31 performs grouping of the retrieved image data, and includes the grouped image data in the patient image associating screen. Thus, it is possible to easily and surely perform the associating of image data with the patient information by group.
The controller 31 performs the grouping by using at least one of recognizing information of a lead marker in the image data, dividing information of the patient which was input to the FPD 25, imaging date and time of the image data and the order information. Thus, it is possible to appropriately and accurately perform the grouping.
The controller 31 causes the display section 34 to display the retrieved image data in the patient image associating screen by group by using a different expression form (table form, color or the like) for each group or using an operation element (tab, button or the like) that switches to each group. Thus, it is possible to appropriately and accurately visually confirm the group of the image data.
The controller 31 determines whether the patients of image data in one group are identical by at least one of whether or not the difference between imaging times is a predetermined time or more, the combination of imaging sites, and shape comparison of an imaging site, for the image data of each group. If there is a possibility that the patients are not identical, the controller 31 causes the display section 34 to display warning information. Thus, if there is a possibility that the patients of image data in a same group are not identical, it is possible to check, or check and perform again, the associating of image data with the patient information, by the warning information.
The description in the above embodiment is a preferred example of a medical image management apparatus, a medical image management method and a program according to the present invention, and the present invention is not limited to this.
For example, in the above embodiment, the image of image data and the information regarding the image are simply displayed as a list in the image list 210 of the patient image associating screen 200 shown in
In the memory imaging of FPD 25, the controller 251 of the FPD 25 can receive the input of dividing information for dividing a plurality of pieces of image data made by the operator via the operating section 252. Thus, the controller 251 of the FPD 25 receives the dividing information from a mobile terminal via the communicating section 255, stores the plurality of pieces of image data in the storage 253, and stores the accompanying information including the imaging date and time and the dividing information in the storage 253. In the step S71 of the patient image associating processing, for example, the image data and the accompanying information including the dividing information are read out from the FPD 25.
In step S72, the controller 31 may generate and display the patient image associating screen 200A shown in
In step S72, the controller 31 may generate and display the patient image associating screen 200B shown in
In step S72, the controller 31 may generate and display the patient image associating screen 200C shown in
In step S72, the controller 31 may generate and display the patient image associating screen 200D shown in
The present invention is not limited to the configuration of performing grouping according to the dividing information. The controller 31 may perform the grouping by using at least one of recognizing information by image recognition of a lead marker portion in the retrieved image data, the dividing information, the imaging date and time of the retrieved image data, and the order information.
In step S72, the controller 31 may generate and display the patient image associating screen 200E shown in
In such a way, the controller 31 displays warning information for image data having a possibility of different patients, even in a same group. Whether to display or not to display the warning information may be set. For pieces of image data of a same group, the controller 31 determines at least one of (1) whether or not the imaging date and times of image data are different by a predetermined time or more, (2) combination of imaging sites, and (3) comparison of images of a same imaging site. By the determination result, the controller 31 determines whether the image data has a possibility of different patients.
As for (1), when the imaging date and times are largely different from each other by the predetermined time (for example, 10 minutes) or more, the controller 31 determines that there is a possibility that the patients are different. This predetermined time can be set to change by a setting input of the operator, for example. As for (2), when the imaging sites are different such that, for example, the imaging sites are chest and toe which are different from each other though the pieces of image data are in the same group, the controller 31 determines that there is a possibility of different patients. However, when the imaging sites are a combination which is likely to be captured at once for a same patient, the controller 31 determines that there is no possibility of different patients. The combination of imaging sites which is likely to be captured at once can be set to change by a setting input of the operator, for example. As for (3), when a plurality of pieces of image data have a same imaging site, the controller 31 compares the images and determines whether the patients are a same patient. The comparison for determining whether the patients are identical is performed by using the function of temporal difference. In a case of less than a threshold (for example, 95%) of percentage of image matching by the temporal difference, the controller 31 determines that there is a possibility of different patients. This threshold of percentage of image matching can be set to change by a setting input of the operator, for example.
In the above embodiment, the target to be associated with the image data retrieved from the FPD 25 is the patient information. However, the present invention is not limited to this. The target to be associated with the image data may be order information which is information regarding the imaging for each imaging, or may be patient information and order information. The order information may include at least part of the patient information, or may not include the patient information. That is, the target to be associated with the image data is at least one of the patient information and the order information. The unspecified retrieving mode is a mode of retrieving the image data without specifying any of the patient information and the order information.
The above embodiment has been described for a human patient as a subject of imaging. However, the present invention is not limited to this, The subject of imaging may be animals.
According to the above embodiments, it is possible to reduce the work burden of associating image data with at least one of patient information and order information, and surely execute the associating.
As for the other detailed configurations and the detailed operations of devices forming the medical image management system 1 in the above embodiments, modifications can be made as needed within the scope of the present invention.
Although embodiments of the present invention have been described and illustrated in detail, the disclosed embodiments are made for purposes of illustration and example only and not limitation. The scope of the present invention should be interpreted by terms of the appended claims.
| Number | Date | Country | Kind |
|---|---|---|---|
| 2019-162404 | Sep 2019 | JP | national |
