JP2000306018A - Medical image communication managing system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical image communication managing system capable of uniformly processing or utilizing a lot of medical images generated in a medical institution. SOLUTION: Image data from various kinds of medical equipment are fetched and converted 101 to digital color image data (digital data are kept as they are), JPEG compressed image data are generated 102 from the digital color image data and merged with previously inputted patient information examination reservation data to generate 103 raw data DICOM, and JPEG DICOM is generated 104 from the JPEG compressed image data and the patient information examination reservation data.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical image communication management system for uniformly handling image information in medical facilities such as hospitals, clinics and clinics.

[0002]

2. Description of the Related Art In medical facilities, an X-ray (X-ray), an ultrasonic diagnostic apparatus, and an MRI (Magnetic Reson) are used.
ances Imaging), CT (Computed)
Tomography, PET (Positron)
Various medical devices that handle images, such as Emission Tomography and endoscopes, are used, and a large amount of medical images are generated from these medical devices. Since the medical images are used later and provided for treatment, etc., it is necessary to store the medical images in correspondence with the medical record of the patient, etc., and secure a storage place for a large amount of medical images, and a great effort for storage management. And management costs are increasing.

[0003] In recent years, with the development of computer technology, some medical facilities convert medical images into digital data, store the data, and manage the data using a computer. At present it depends on the system.

[0004]

However, in order to comprehensively store and manage medical image data, there is a difference in the information processing protocol and architecture of each manufacturer. Since it is necessary to introduce a device for converting to a protocol, it is difficult to handle all data easily, and a medical information management system must be constructed with a huge capital investment. Also, in such a large medical information management system, operability,
Physicians were not fully satisfied with scalability, speed, safety, and convenience.

The present invention has been made in view of the above circumstances, and an object of the present invention is to provide a medical image communication management system capable of uniformly processing or using a large number of medical images generated in a medical facility. It is in.

[0006]

SUMMARY OF THE INVENTION The present invention relates to an automatic medical image capturing system. The object of the present invention is to convert analog image data from various medical devices into digital color image data, or to convert digital image data into digital color image data. The raw data is taken as it is, the JPEG compressed image data is generated from the digital color image data, and the raw data D is obtained by combining with the pre-input patient information examination reservation data.
This is achieved by generating an ICOM and generating a JPEG DICOM from the JPEG compressed image data and the patient information examination reservation data.

[0007] The present invention also relates to a medical image communication management system. The object of the present invention is to convert analog image data from various medical devices into digital color image data or to convert digital image data as it is. , Generating JPEG compressed image data from the digital color image data, and generating raw data DICOM by combining the JPEG compressed image data with the pre-input patient information examination reservation data. An automatic medical image capturing system for generating JPEG DICOM is provided at each medical facility, the raw data DICOM is automatically registered at an outsourcing center facility, and the registered raw data DICOM is read out and used at each medical facility. By making it possible, the JPEG compression Inputting the image data and the patient information examination reservation data into a personal computer (using a Web browser as software) in the medical facility;
JPEG DICOM to a personal computer (DICOM viewer is used as software)
Is achieved by typing in

[0008]

FIG. 1 shows the concept of the present invention. In an automatic medical image capturing system 100 (No. 1 to No. n) provided in each of medical facilities # 1 to #n, an endoscope is used. Mirror and C
Directly captures image information from medical equipment such as T, converts it into color digital data (reversible compressed raw data), automatically transmits data along with patient information (contents of medical records), and becomes a medical image that becomes a center for outsourcing (outsourcing) The data is transferred to the data warehouse 200 and registered. The medical image data warehouse (equipment of a high-speed network system) 200 and each of the medical facilities # 1 to #n are connected by ISDN or optical fiber communication, so that high-speed, large-capacity data communication can be performed with each other. . The registration data of the medical image data warehouse 200 can be freely read out and used by logging in with a personal computer using the ID assigned to each of the medical facilities # 1 to #n. medical image data (including patient information) even in n or unregistered medical facility # 0
Medical image data (including patient information) to browse
With the permission of the owner of each medical facility (each medical facility # 1 to #n) (eg, what images and how many days), the medical image data warehouse 200
By assigning an ID for a period-limited automatic extinction based on the contents of permission, medical image data (including patient information) of a patient at another facility can be browsed. Therefore, for example, even if a person who has undergone an examination at medical facility # 1 is brought to medical facility #n due to sudden illness or the like during a business trip, medical facility #n is connected to medical image data warehouse 200 via public line. , The necessary medical image data (including patient information) can be obtained, so that appropriate medical treatment can be performed quickly and reliably.

In the present invention, a multi-layered system is used for assigning IDs to each medical facility (a facility for registering medical image data and patient information in a medical image data warehouse) constituting the system, and the lowest layer is a medical system. A patient ID at a facility, a physician ID on top of it, and a department ID on top of it are provided, and a medical facility ID is provided on the top layer, and authentication is performed by matching each ID. That is, the ID structure has a four-layer structure including a patient ID, a doctor ID in charge, a department ID, and a medical facility ID. Batch change (change of medical image and patient information from one medical facility to another medical facility, similarly batch change by department, batch change by doctor in charge) is possible by changing the assigned ID. . In addition, the medical image data (including the patient information) of the patient of the doctor in charge at which medical facility can be designated by the combination of the ID,
By adding date data to this, a new viewer ID is issued in association with the ID and an automatic expiration type temporary ID with a limited expiration date such as only one day or only two days
Can be provided. As a result, only data limited to patients can be introduced to other medical facilities with confidence, and data sharing desired in the medical field in the future is enabled.

FIG. 2 functionally shows an example of a block configuration of an automatic medical image capturing system 100 provided in each medical facility. Image data A obtained from a medical device such as a CT by a patient's examination is converted into a medical image. Analog image data (RGB data) directly captured in synchronization with the shutter of the device is A
/ D conversion (digital data as it is) to become color digital data (variable compressed raw data) 101. From the color digital data 101 obtained in this way, JPEG
(Joint Photographic Group
p) While generating the compressed image data 102, the patient name,
Combined with patient information examination reservation data (text data) B such as reservation date and time, type of insurance card and number
COM (Digital Communication)
Of Medicine) 103 is generated. The color digital data 101 is raw data, and by adding the patient information examination reservation data B of text data to the raw data, the DICOM standard for medical images (raw data DICOM10) is added.
3) is generated. DICOM (Digital Com
The birthplace of the American Society of Radiology has been the international standard for medical image data.
In the present invention, a medical image database conforming to the DICOM standard is used. Generated raw data DICO
The M103 is automatically registered as a database in an outsourcing (outsourcing) center 300 through a public line or the like, and the JPEG compressed image data 102 and the generated JPEGDICOM image data 104 are sent to a general-purpose personal computer 110 in a medical facility.

The JPEG DICOM image data 104 generated by the automatic medical image acquisition system 100 is stored for a certain period of time, and can be directly searched, browsed, and edited with patient information by a general-purpose personal computer for use in medical facilities. In addition to this, specialized functions of the software / DICOM viewer 111 can be obtained. In addition, since the image data of the raw data DICOM 103 generated by the automatic medical image acquisition system 100 is converted into a database at the center 300, functions such as searching, browsing, editing and downloading of patient information can be used in medical facilities through communication. it can. Since the raw data DICOM 103 is raw data (raw data), it is indispensable for research such as advanced image analysis, and has great significance in storing original data. JPEG image data 102 and patient information examination appointment data (text data) B also capture the use in medical facilities, making the data lighter (small data volume) and easier to handle, and special with a general-purpose personal computer. Even if you do not purchase any special software, you can use it with the Web browser of popular software distributed free of charge. Further, the database registered in the center 300 is also connected to a public line,
As described above, it can be easily used with a personal computer like an Internet.

FIG. 3 shows an example of a use form of the automatic medical image capturing system 100.
The image data A is directly taken into the automatic medical image capturing system 100 in synchronization with the shutter of the inspection device by connecting the shutter signal output cable 2 and the image output cable 3 from, for example, the endoscope inspection device 1 of the medical device. Be included. On the other hand, patient information examination reservation data (text data)
B is input to a portable notebook type portable terminal 11, and is inputted by connecting the portable terminal 11 to the data input terminal 120 of the automatic medical image capturing system 100. The portable terminal 11 is provided with a display unit 121. When the start switch 122 is pressed, the image data from the endoscope inspection apparatus 1 and the patient information examination reservation data ( Text data) B. The automatic medical image capturing system 100 is connected to a center 300 via a public line 301.

The medical image communication management system of the present invention is a network system pursuing security, large-capacity data, and high speed, and was developed for the purpose of outsourcing a data warehouse. The automatic access remote control server (polling server) accesses the medical image automatic acquisition system of the medical facility through the public line, and if there is DICOM of the inspected raw data, it automatically outputs from the medical image automatic acquisition system and the database at the center. Registered as If there is no inspection data, it will only be accessed. As described above, the medical image data is automatically registered, so that the doctor and the medical staff can safely and surely register the medical image in the center simply by performing ordinary work. In addition, since medical images registered at the center are compatible with public lines and mobile terminals, you can use functions such as searching, browsing, editing and downloading patient information anytime and anywhere, and if you use these functions It can be used for hospital cooperation, patient introduction, etc.

The introduction of a medical information management system that handles batches is excellent in terms of image retrieval and the like, and is convenient because it does not bother humans. There are benefits. In addition, the system of the present invention is a network corresponding to next-generation advanced information communication such as optical fiber communication, and is an ISD for high-speed communication.
N or the like can also be used.

[0015]

According to the present invention, outsourcing (outsourcing) by communication with a network system, a medical image self-capturing system, and the like, reduce the staff and labor, capital investment, and the burden on the storage place related to storage in a medical facility. This allows doctors and nurses to focus on their primary medical practice. Since the database of medical images is managed at the center, there is no need to have a dedicated system administrator in the medical facility, reducing labor. Also,
A medical image communication management system can be constructed using a general-purpose personal computer without using a special device such as a device for protocol conversion. That is, it is not necessary to upgrade all the servers and system devices, and only the essential devices need to be purchased. Therefore, the cost for capital investment can be significantly reduced. Furthermore, the floor space required for storing servers, devices, and disks in the past becomes unnecessary, and the limited space in the medical facility can be effectively used.

[Brief description of the drawings]

FIG. 1 is a conceptual diagram of the present invention.

FIG. 2 is a block diagram illustrating a configuration example of the present invention.

FIG. 3 is a diagram showing an example of a use form of the automatic medical image capturing system of the present invention.

[Explanation of symbols]

# 1 to # n1 Medical facility 100 (No. 1 to No. n) Medical image automatic capture system 101 Color digital data 102 JPEG compressed image data 103 Raw data DICO
M104 JPEG DICOM
Image data 110 Web browser 111 DICOM viewer 200 Medical image data warehouse 300 Center

Claims (5)

[Claims] 1. An analog image data from various medical devices is taken and converted into digital color image data, or a digital image data is taken as it is, and JPEG compressed image data is generated from the digital color image data. The raw data DICOM is generated by combining with the inputted patient information examination appointment data.
An automatic medical image capturing system for generating JPEG DICOM from PEG compressed image data and patient information examination reservation data. 2. The raw data DICO according to claim 1,
A medical image communication management system that automatically registers M in an outsourcing center facility. 3. The medical image communication management system according to claim 2, wherein said raw data DICOM is read out and usable at each medical facility. 4. A multi-layered ID is assigned to each medical facility, and the raw data DICOM is authenticated by the ID.
4. The medical image communication management system according to claim 3, wherein the medical image communication management system is configured to read out. 5. The method according to claim 1, wherein the JPEG compressed image data and the patient information examination reservation data are stored in a Web in a medical facility.
Input the above JPEG DICOM to DIC
A medical image communication management system characterized by inputting to an OM viewer.