JP2010015500A - Program, portable storage medium, and information processor - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To enhance convenience for preparing and referring to an observation report for a medical image data stored in a portable storage medium. <P>SOLUTION: A PDI viewer program and an observation report preparing program written into a medium M (portable storage medium) together with a DICOM image data (medical image data) are used when a versatile PC terminal 50 with the programs functions as the following device, in an image server 40. That is, the versatile PC terminal 50 displays a medical image and auxiliary information as to the medical image on a display part, based on the DICOM image data stored in the medium M. The versatile PC terminal 50 receives input information of the observation report from an operation part, generates a file of the observation report for the DICOM image data stored in the medium M, based on the input information, and transmits the file to an own house PC terminal 70 assigned based on transmission address input information. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to a program, a portable storage medium, and an information processing apparatus.

  In recent years, information has been digitized in many medical institutions. For example, an image generation apparatus (modality) such as a CR (Computed Radiography) apparatus, a CT (Computed Tomography) apparatus, or an MRI (Magnetic Resonance Imaging) apparatus attaches incidental information to image data of a medical image obtained by imaging. , DICOM image data (medical image data) conforming to the DICOM (Digital Imaging and Communications in Medicine) standard is generated.

  The image server also stores and manages DICOM image data generated in the modality. As a technique for managing DICOM image data by an image server, for example, a technique for managing DICOM image data in a hierarchical relationship based on examination information (study attribute), series information (series attribute), etc. included in the incidental information has been proposed. (See Patent Document 1).

  By the way, performing the same examination on the same patient in different medical facilities (for example, the hospital where the patient is introduced and the hospital where the patient is introduced) Various burdens are imposed on patients.

  In order to prevent such multiple inspections, data transfer of medical images (DICOM image data) is performed via media (portable storage media) such as CD-R. For example, imaging is performed at a hospital where a patient is introduced, and a medical image (DICOM image data) generated by the imaging is written on a medium. Then, the patient receives the media and takes it to the referral hospital. Then, in the introduction destination hospital, the patient is newly diagnosed by referring to the DICOM image data written in the media without newly imaging (inspecting) the patient.

In addition, DICOM image data is written on these media in accordance with the data structure defined by PHE (Portable Data for Imaging) of IHE (Integrating Healthcare Enterprise) and IHE-J (Integrating Healthcare Enterprise-Japan). The DICOM image data can be transferred and referred to between different medical facilities and between different vendor systems.
JP 2002-133393 A

  By the way, in order to create an observation report that is a result of interpretation of a medical image, a separate report system is required. Therefore, if the medical facility to which the referral is provided does not have the report system, it is difficult to interpret the medical image and create a finding report. Or it took time and effort.

  In addition, when interpreting medical images stored in media at multiple medical facilities equipped with a report system, the layout of the findings report created at each medical facility depends on the vendor of the report system at each medical facility. It was inconvenient for patients and doctors to refer to these findings reports.

  The present invention has been made in view of the above-described problems, and an object of the present invention is to improve the convenience of creating and referencing a finding report for medical image data stored in a portable storage medium. It is to let you.

In order to solve the above problems, the invention described in claim 1
A program stored together with medical image data in a portable storage medium,
Computer
Reading means for reading data stored in the portable storage medium;
Communication means,
First control means for displaying a medical image and supplementary information related to the medical image on a screen based on the medical image data stored in the portable storage medium;
Second control means for receiving input information of a finding report from the operation unit, and generating a finding report file for medical image data stored in the portable storage medium based on the input information;
Receiving the transmission destination information of the findings report file from the operation unit, and sending the generated findings report file to the external device that can communicate with the computer designated based on the transmission destination information. Transmission control means for transmitting via,
To function as.

The invention according to claim 2 is the invention according to claim 1,
The finding report file is a file storing the finding report data displayed on the medium in a predetermined layout.

The invention according to claim 3 is the invention according to claim 1 or 2,
The second control means includes
Store the generated findings report file in a storage unit and manage it,
When the medical image data stored in the portable storage medium is read by the reading means, it is determined whether a finding report file for the medical image data is already stored in the storage unit, and the finding report If a file is stored, the finding report file is read from the storage unit and displayed on the screen.

The invention according to claim 4 is the invention according to claim 3,
The second control means includes
A list of finding report files stored in the storage unit is generated, and the finding report files stored in the storing unit are managed based on the list.

The invention according to claim 5 is the invention according to claim 3,
The second control means includes
Based on the file name of the finding report file stored in the storage unit, the finding report file stored in the storing unit is managed.

The invention according to claim 6 is the invention according to any one of claims 1 to 5,
The findings report file is a PDF file.

The invention described in claim 7
A portable storage medium for storing medical image data,
Computer
Reading means for reading data stored in the portable storage medium;
Communication means,
First control means for displaying a medical image and supplementary information related to the medical image on a screen based on the medical image data stored in the portable storage medium;
Second control means for receiving input information of a finding report from the operation unit, and generating a finding report file for medical image data stored in the portable storage medium based on the input information;
Receiving the transmission destination information of the findings report file from the operation unit, and sending the generated findings report file to the external device that can communicate with the computer designated based on the transmission destination information. Transmission control means for transmitting via,
Is stored together with the medical image data.

The invention according to claim 8 is the invention according to claim 7,
The finding report file is a file storing the finding report data displayed on the medium in a predetermined layout.

The invention according to claim 9 is the invention according to claim 7 or 8,
The second control means includes
Store the generated findings report file in a storage unit and manage it,
When the medical image data stored in the portable storage medium is read by the reading means, it is determined whether a finding report file for the medical image data is already stored in the storage unit, and the finding report If a file is stored, the finding report file is read from the storage unit and displayed on the screen.

The invention according to claim 10 is:
An information processing apparatus comprising a writing control means for writing medical image data to a portable storage medium,
The write control means of the information processing apparatus comprises:
Computer
Reading means for reading data stored in the portable storage medium;
Communication means,
First control means for displaying a medical image and supplementary information related to the medical image on a screen based on the medical image data stored in the portable storage medium;
Second control means for receiving input information of a finding report from the operation unit, and generating a finding report file for medical image data stored in the portable storage medium based on the input information;
Receiving the transmission destination information of the findings report file from the operation unit, and sending the generated findings report file to the external device that can communicate with the computer designated based on the transmission destination information. Transmission control means for transmitting via,
Is written in a portable storage medium together with the medical image data.

The invention according to claim 11 is the invention according to claim 10,
The finding report file is a file storing the finding report data displayed on the medium in a predetermined layout.

The invention according to claim 12 is the invention according to claim 10 or 11,
The second control means includes
Store the generated findings report file in a storage unit and manage it,
When the medical image data stored in the portable storage medium is read by the reading means, it is determined whether a finding report file for the medical image data is already stored in the storage unit, and the finding report If a file is stored, the finding report file is read from the storage unit and displayed on the screen.

  According to the first, seventh, and tenth aspects of the present invention, when the computer reads the portable storage medium storing the medical image data and the program according to the present invention, the computer reads the medical image based on the medical image data. The supplementary information is displayed on the screen, the input information of the finding report from the operation unit is received, and the finding report file for the medical image data is generated based on the input information. Then, the computer receives the transmission destination information of the observation report file from the operation unit, and transmits the generated observation report file to the external device designated based on the transmission destination information.

  Therefore, it is possible to improve the convenience of creating and referencing the finding report for the medical image data stored in the portable storage medium. Even if the referral medical facility does not have a report system, it is possible to interpret the medical image and create an observation report. Furthermore, by designating the transmission destination of the finding report file to the patient's mobile phone terminal or home PC terminal, the patient can easily refer to the finding report for his medical image.

  According to the second, eighth, and eleventh aspects, the finding report file is a file that stores the finding report data displayed on the medium in a predetermined layout. Therefore, the patient and the doctor can refer to the finding report generated in each medical facility with the same layout.

  According to the third, ninth, and twelfth aspects of the present invention, when the medical image data is read from the portable storage medium, the computer already stores a finding report file for the medical image data in the storage unit. It is determined whether or not. If a finding report file is stored, the finding report file is read from the storage unit and displayed on the screen. Therefore, when the computer reads the same portable storage medium, the user can know that fact. Furthermore, the user can browse the previously created finding report.

  According to invention of Claim 4, the said computer produces | generates the list of the files of the finding report memorize | stored in the said memory | storage part, Based on the list of the said file, the finding report memorize | stored in the said memory | storage part Manage files. Therefore, the computer can easily determine whether or not the findings report file is stored in the storage unit.

  According to the invention described in claim 5, the computer manages the finding report file stored in the storage unit based on the file name of the finding report file stored in the storage unit. Therefore, the computer can easily determine whether or not the findings report file is stored in the storage unit.

  According to invention of Claim 6, a PDF file can be displayed on a medium.

  Hereinafter, an embodiment of the present invention will be described with reference to the drawings.

[System configuration of medical imaging system]
FIG. 1 shows a system configuration of the medical image system 1. As shown in FIG. 1, the medical image system 1 includes a hospital A medical image system 100, a hospital B medical image system 200, a mobile phone terminal 60, and a home PC terminal 70.

  The hospital A medical image system 100 is a medical image system in the hospital A. The hospital A medical image system 100 includes an RIS (Radiological Information System) 10, a modality 20, an image viewer terminal 30, an image server 40, and other devices (not shown). The devices are connected via a communication network N1 such as a LAN (Local Area Network) so that data communication is possible.

  The RIS 10 performs information management such as medical appointment reservation, diagnosis result report, results management, and material inventory management in the radiology department of the A hospital. The RIS 10 transmits imaging order information received from an electronic medical chart system (not shown) to the modality 20 and the image server 40.

  The modality 20 is an imaging device that images a patient according to the imaging order information received from the RIS 10 and generates image data of a medical image. Further, the modality 20 generates incidental information related to the image data based on the photographing order information. Then, the modality 20 attaches the accompanying information to the image data (hereinafter referred to as image actual data), generates DICOM image data (medical image data) conforming to the DICOM standard, and transmits it to the image server 40. To do. As the modality 20, an imaging apparatus that captures various types of medical images such as a CR apparatus, a CT apparatus, and an MRI apparatus can be applied.

  FIG. 2 shows a data structure of DICOM image data generated by the modality 20. As described above, DICOM image data is composed of incidental information and actual image data. The incidental information includes patient information, examination information, series information, and image information.

  Patient information is information about a patient, such as patient ID, patient name, date of birth, and sex. The examination information is information relating to the examination such as the examination instance UID that identifies the examination, the examination date, the examination time, the reception number, and the doctor in charge. The series information is information regarding a series (unit) of a series of medical images for each modality generated in one examination, such as a series instance UID that identifies the series, a modality name, an examination part, and a series number. The image information is information related to a medical image such as an SOP instance UID that identifies an image and an image number.

  One or more examinations are associated with one patient. Therefore, there is a one-to-one relationship or a one-to-multiple relationship between patient information and examination information. In addition, one or a plurality of series is associated with one examination. Therefore, there is a one-to-one relationship or a one-to-multiple relationship between the inspection information and the series information. Further, one or more medical images are associated with one series. Therefore, there is a one-to-one relationship or a one-to-multiple relationship between series information and image information.

  Hereinafter, DICOM image data corresponding to one medical image is referred to as a DICOM image data object. For convenience of explanation, the DICOM image data object and the actual image data included in the DICOM image data object may be simply referred to as a DICOM image.

  Returning to FIG. 1, the image server 40 is an information processing apparatus that stores and manages (stores and manages) DICOM image data and the like generated in the modality 20. When the image server 40 receives a DICOM image data acquisition request from an external device, the image server 40 transmits DICOM image data corresponding to the acquisition request to the external device. Further, when the image server 40 receives a supplementary information acquisition request from an external device, the image server 40 transmits the supplementary information included in the DICOM image data to the external device according to the acquisition request.

  Further, the image server 40 writes DICOM image data or the like on a medium M (portable storage medium) such as a CD-R or a DVD-R in accordance with a data structure defined by PHE of IHE and IHE-J (EXPORT To do). Further, the image server 40 writes the PDI viewer program 451, the finding report creation program 452, and the like on the medium M together with the DICOM image data. The finding report creation program 452 will be described later.

  The image viewer terminal 30 is a terminal that has a high-definition monitor and displays a DICOM image on the high-definition monitor. The image viewer terminal 30 transmits a DICOM image data acquisition request to the image server 40 based on a user operation by an interpreting doctor or the like, and acquires DICOM image data corresponding to the acquisition request. Based on the DICOM image data, a medical image (DICOM image) is displayed on the monitor.

  Further, the image viewer terminal 30 creates an observation report as an interpretation result based on a user operation by an interpreting doctor or the like, and transmits a file of the observation report to the image server 40 or a report management server (not shown). The image server 40 and a report management server (not shown) store and manage the transmitted findings report file.

  The medical image system 200 in the hospital B is a medical image system in the hospital B. The hospital B medical image system 200 includes a general-purpose PC terminal 50 and other devices (not shown). The devices are connected to each other via a communication network N2 such as a LAN (Local Area Network) so that data communication is possible. ing. The communication network N2 can communicate with a communication network N3 such as the Internet via a communication device such as a router (not shown).

  The general-purpose PC terminal 50 can use a normal general-purpose PC and reads various data from the medium M. The general-purpose PC terminal 50 reads the DICOM image data, the PDI viewer program 451, the finding report creation program 452 and the like written in the image server 40 of the hospital A medical image system 100 from the medium M, and generates the finding report PDF file. Do. The findings report PDF file will be described later.

  The general-purpose PC terminal 50 has an e-mail function. Here, the e-mail function refers to a function for sending and receiving e-mail between terminals connected to the communication network N3 via a mail server (not shown) connected to the communication network N3.

  The mobile phone terminal 60 can use a normal mobile phone and can communicate with an external device via the communication network N3. The mobile phone terminal 60 has an electronic mail function.

  The home PC terminal 70 is installed in the patient's home, and a normal general-purpose PC terminal can be used. Home PC terminal 70 can communicate with an external device via communication network N3. The home PC terminal 70 has an electronic mail function.

[Functional configuration of image server]
FIG. 3 shows a functional configuration of the image server 40. As shown in FIG. 3, the image server 40 includes a control unit 41, an operation unit 42, a display unit 43, a communication unit 44, a storage unit 45, and a media drive 46, and each unit is connected by a bus 47. .

  The control unit 41 includes a CPU (Central Processing Unit), a RAM (Random Access Memory), and the like, and comprehensively controls the processing operation of each unit of the image server 40. Specifically, the CPU reads various processing programs stored in the storage unit 45 in accordance with an operation signal input from the operation unit 42 or an instruction signal received by the communication unit 44, and is formed in the RAM. The work area is expanded and various processes are performed in cooperation with the program.

  The operation unit 42 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse. The control unit 42 controls operation signals input by keyboard operation or mouse operation. 41 is output.

  The display unit 43 is configured by an LCD (Liquid Crystal Display), and displays various screens based on display data input from the control unit 41.

  The communication unit 44 includes a LAN (Local Area Network) adapter, a router, a TA (Terminal Adapter), etc., and communicates with external devices such as the RIS 10, the modality 20, and the image viewer terminal 30 connected via the communication network N1. Send and receive data.

  The storage unit 45 is composed of a hard disk or the like, and stores a control program, parameters and files necessary for executing the program. The storage unit 45 stores DICOM image data (one or more DICOM image data objects) generated by the modality 20. The storage unit 45 also stores a PDI viewer program 451 and an observation report creation program 452. In addition, the storage unit 45 stores a database program for managing DICOM image data (not shown).

  The media drive 46 writes various data to the medium M based on the control signal from the control unit 41. In addition, the media drive 46 reads data stored in the media M based on a control signal from the control unit 41.

  The control unit 41 selects DICOM image data (one or more DICOM image data objects) based on an operation signal from the operation unit 42, and the selected DICOM image data, a PDI viewer program 451, an observation report creation program. 452 is read from the storage unit 45 and written to the medium M via the media drive 46.

  FIG. 4 shows data stored in the medium M. The medium M stores DICOM image data (one or a plurality of DICOM image data object groups), a PDI viewer program 451, and an observation report creation program 452.

  Here, the PDI viewer program 451 is a DICOM image (medical image) based on DICOM image data (one or a plurality of DICOM image data object groups) stored in the medium M for a computer that reads the program. And a program for displaying supplementary information on the DICOM image on the screen.

  The observation report creation program 452 is a program for causing a computer that reads the program to function as follows. In other words, this computer receives input information of a finding report from the operation unit, and based on the input information, finds a finding report for DICOM image data (one or more DICOM image data object groups) stored in the medium M. A file (for example, a PDF file) is generated. Further, the computer receives the transmission destination information (transmission destination input information) of the finding report file from the operation unit, and is generated in the external device that can communicate with the computer designated based on the transmission destination information. Send a report of the observation report.

  Returning to FIG. 3, the control unit 41 manages the DICOM image data (one or a plurality of DICOM image data object groups) stored in the storage unit 45 in cooperation with the database program stored in the storage unit 45. .

  When receiving the DICOM image data from the external device via the communication unit 44, the control unit 41 stores the DICOM image data in the storage unit 45 and registers (manages) it in the database.

  When receiving a DICOM image data acquisition request from an external device via the communication unit 44, the control unit 41 reads a DICOM image data object corresponding to the DICOM image data acquisition request from the storage unit 45. Then, the control unit 41 transmits (provides) the read DICOM image data object to the external device via the communication unit 44.

  Further, when receiving the supplementary information acquisition request from the external device via the communication unit 44, the control unit 41 reads the supplementary information included in the DICOM image data object corresponding to the supplementary information acquisition request from the storage unit 45. Then, the control unit 41 transmits (provides) the read incidental information to the external device via the communication unit 44.

[Functional configuration of general-purpose PC terminal]
FIG. 5 shows a functional configuration of the general-purpose PC terminal 50. As shown in FIG. 5, the general-purpose PC terminal 50 includes a control unit 51, an operation unit 52, a display unit 53, a communication unit 54, a storage unit 55, and a media drive 56, and each unit is connected by a bus 57. Yes.

  The control unit 51 includes a CPU, a RAM, and the like, and comprehensively controls processing operations of the respective units of the general-purpose PC terminal 50. Specifically, the CPU reads various processing programs stored in the storage unit 55 in accordance with an operation signal input from the operation unit 52 or an instruction signal received by the communication unit 54, and is formed in the RAM. The work area is expanded and various processes are performed in cooperation with the program.

  The operation unit 52 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse, and controls operation signals input by keyboard operations or mouse operations. To 51.

  The display unit 53 is configured by an LCD (Liquid Crystal Display), and displays various screens based on display data input from the control unit 51.

  The communication unit 54 includes a LAN (Local Area Network) adapter, a router, a TA (Terminal Adapter), and the like. The external device in the medical image system 200 in the B hospital connected via the communication network N2, the communication network N2, Data is transmitted / received to / from external devices such as the mobile phone terminal 60 and the home PC terminal 70 connected via N3.

  The storage unit 55 includes a hard disk or the like, and stores a control program, parameters and files necessary for executing the program, and the like. In addition, the storage unit 55 stores one or a plurality of finding report PDF files and an interpreted inspection list 551.

  The finding report PDF file is a finding report file generated by the cooperation of the control unit 51 and the finding report creating program 452. This finding report PDF file is a data file (PDF file) in PDF format.

  The interpretation inspection list 551 is a list of finding report files stored in the storage unit 55, which is generated by the cooperation of the control unit 51 and the finding report creation program 452. The interpreted inspection list 551 is composed of one or more records having items “inspection instance UID” and “finding report PDF file name”. In addition to these items, a “reception number” may be added. Further, instead of “inspection instance UID”, a “reception number” may be used.

  The media drive 56 writes various data to the medium M based on the control signal from the control unit 51. Further, the media drive 56 reads data stored in the media M based on a control signal from the control unit 51.

  The control unit 51 reads DICOM image data (one or a plurality of DICOM image data object groups), a PDI viewer program 451, and an observation report creation program 452 from the medium M via the media drive 56.

  Then, in cooperation with the PDI viewer program 451, the control unit 51 performs a DICOM image (medical image) based on DICOM image data (one or a plurality of DICOM image data object groups) stored in the medium M and the DICOM image. And the accompanying information are displayed on the display unit 53.

  In addition, the control unit 51 displays a report input screen 531 (see FIG. 9) on the display unit 53 in cooperation with the observation report creation program 452, receives input information of the observation report from the operation unit 52, and inputs the input information. Based on the above, a finding report file (finding report PDF file) for the DICOM image data (one or more DICOM image data object groups) stored in the medium M is generated. Then, the control unit 51 stores the generated finding report PDF file in the storage unit 55, and updates the interpretation completed examination list 551. The update of the interpreted inspection list 551 will be described later.

  Further, the control unit 51 receives the transmission destination information (transmission destination input information) of the observation report file from the operation unit 52, and based on this transmission destination information, sends the generated observation report to the designated external device. Send files.

[Specific operation of image server when writing data to media]
Next, specific operations performed by the image server 40 when the DICOM image data, the PDI viewer program 451, and the finding report creation program 452 are written in the medium M will be described with reference to FIG. Here, it is assumed that a patient examined (photographed) in A hospital is introduced from A hospital to B hospital.

  First, when a medium M of a blank disk is set in the media drive 46, the control unit 41 of the image server 40 detects that the medium M is set. Then, the control unit 41 causes the display unit 43 to display a DICOM image data selection screen (not shown) that is a screen for selecting a DICOM image data object to be written on the medium M. Then, the control unit 41 selects a DICOM image data object to be written on the medium M based on the operation signal from the operation unit 42 (step S1).

  Then, the control unit 41 reads the one or more DICOM image data objects, the PDI viewer program 451, and the finding report creation program 452 selected in step S1 from the storage unit 45, and transmits the media M via the media drive 46. (Step S3). The process ends here.

[Specific operation of general-purpose PC terminal loaded with media]
Next, when the data (DICOM image data, PDI viewer program 451, observation report creation program 452) written in the image server 40 is read from the medium M, a specific operation of the process executed by the general-purpose PC terminal 50 is read. Will be described with reference to FIG. Note that the processing in steps S104 to S113 is performed in cooperation with the control unit 51 and the finding report creation program 452.

  First, when the medium M on which data is written in the image server 40 is set in the media drive 56, the control unit 51 of the general-purpose PC terminal 50 detects that the medium M is set. Then, the control unit 51 reads the DICOM image data object group, the PDI viewer program 451, and the finding report creation program 452 from the medium M via the media drive 56, and temporarily stores them in the storage unit 55 (step S101). . Note that various types of data stored in the medium M may not be temporarily stored in the storage unit 55, but the control unit 51 may directly read various types of data from the medium M as needed and develop them in a RAM.

  Then, the control unit 51 reads the PDI viewer program 451 and the finding report creation program 452 from the storage unit 55. That is, the control unit 51 activates the PDI viewer program 451 and the finding report creation program 452 (step S102).

  Then, the control unit 51 cooperates with the PDI viewer program 451, based on DICOM image data (one or a plurality of DICOM image data object groups) stored in the medium M, and the DICOM image (medical image) and the DICOM The incidental information related to the image is displayed on the display unit 53 (step S103).

  Then, the control unit 51 cooperates with the finding report creation program 452 to read the inspection instance UID of the DICOM image data stored in the medium M. Then, the control unit 51 searches for a record having the inspection instance UID having the same value in the interpretation completed inspection list 551. That is, the inspection instance UID of the DICOM image data stored in the medium M is compared with the item “inspection instance UID” in the interpretation completed inspection list 551 (step S104).

  The items to be compared may be “reception number” instead of “inspection instance UID” or a combination of “inspection instance UID” and “reception number”.

  If there is a record having the same value as a result of the search in step S104, the control unit 51 determines that the DICOM image data stored in the medium M has already been read (finding report has been created) (step S105; YES). If there is no record having the same value as a result of the search, the control unit 51 determines that the DICOM image data stored in the medium M is uninterpreted (finding report is not created) (step S105; NO). .

  When the DICOM image data stored in the medium M has already been interpreted (step S105; YES), the control unit 51 has the same name as the item “finding report PDF file name” of the corresponding record in the interpreted inspection list 551. The finding report PDF file is read from the storage unit 55, and based on the finding report PDF file, the finding report is displayed on the display unit 53 in a predetermined layout as shown in FIG. 10 (step S113). The process ends here.

  On the other hand, when the DICOM image data stored in the medium M is uninterpreted (step S105; NO), the control unit 51 displays a report input screen 531 (see FIG. 9) based on the DICOM image data. 53 is displayed (step S106).

  As shown in FIG. 9, the report input screen 531 includes a transmission button b1, a transmission destination input field e1, a finding input field e2, and the like. The transmission destination input field e1 is an input field for the transmission destination of the finding report PDF file. The finding input field e2 is an input field for finding reports. The send button b1 designates the finding report information (report input information) input in the finding input field e2 based on the destination information (transmitting destination input information) input in the destination input field e1. Button to send to the destination. Here, the destination input information includes an IP address of an external device, an e-mail address, and the like.

  The user refers to the DICOM image and incidental information displayed on the display unit 53 and inputs the information of the finding report in the finding input field e2 of the report input screen 531. In addition, the user inputs information on the transmission destination of the finding report PDF file in the transmission destination input field e1 of the report input screen 531. Then, the user presses the transmission button b1.

  Returning to FIG. 7, when the send button b1 is pressed, the control unit 51 generates a finding report PDF file based on the report input information and the DICOM image data (step S107). The finding report PDF file includes a DICOM image (medical image) or a simple image (medical image having a low resolution) based on the DICOM image.

  And the control part 51 preserve | saves the produced | generated observation report PDF file in the memory | storage part 55 (step S108). Further, the control unit 51 designates the transmission destination of the finding report PDF file based on the transmission destination input information (step S109). Examples of the transmission destination of the finding report PDF file include the mobile phone terminal 60 and the home PC terminal 70. Here, it is assumed that home PC terminal 70 is designated as the transmission destination of the finding report PDF file.

  Then, the control unit 51 transmits the finding report PDF file to the home PC terminal 70 that is the designated transmission destination (step S110).

  In addition, as a transmission method of the observation report PDF file, a method of using an e-mail function provided in each of a transmission source and a transmission destination terminal, or a direct finding report PDF via the communication network N3 without using the e-mail function. There are a method of transmitting a file, a method of directly transmitting an observation report PDF file without going through the communication network N3 (for example, a method of connecting devices with a communication cable or infrared communication). In accordance with these methods, the type (e-mail address, IP address, etc.) of the destination input information input in the destination input field e1 is determined.

  Then, the control unit 51 updates the interpretation completed examination list 551 (step S111). Specifically, the control unit 51 records that the inspection instance UID of the DICOM image data to be interpreted is the item “inspection instance UID” and the file name of the generated finding report PDF file is the item “finding report PDF file name”. Is added to the interpreted inspection list 551.

  Then, the control unit 51 causes the display unit 53 to display the finding report with a predetermined layout as shown in FIG. 10 based on the generated finding report PDF file (step S112). The process ends here.

  Note that the control unit 51 refers to the imaged inspection list 551 in determining whether or not the DICOM image data stored in the medium M has been imaged in steps S104 and S105 of this flowchart (FIG. 7). However, the file name of the finding report PDF file may be used as the examination instance UID of the medical image data to be interpreted, and the control unit 51 may refer to the file name instead of the interpreted examination list 551. That is, the inspection instance UID of the DICOM image data of the medium M may be compared with the file name of the finding report PDF file.

  In step S113 of the flowchart (FIG. 7), the control unit 51 automatically displays the finding report for the already-interpreted DICOM image data on the display unit 53. However, the medical image data stored in the medium M is used. It may be configured to display only a warning that the image has been interpreted. In this case, the item of the imaged inspection list 551 may be only “inspection instance UID”.

[Specific operation of home PC terminal]
Next, a specific operation of processing executed by the home PC terminal 70 when the finding report PDF file generated in the general-purpose PC terminal 50 is received will be described with reference to FIG.

  First, the home PC terminal 70 receives the finding report PDF file generated in the general-purpose PC terminal 50 using an e-mail function or the like (step S201).

  Then, the home PC terminal 70 displays the observation report on the display unit in a predetermined layout as shown in FIG. 10 based on the received observation report PDF file in response to an instruction command such as an operation signal from the operation unit by a user operation. (Step S202). The process ends here. Then, the patient refers to the finding report displayed on the display unit at home.

[Result report layout]
FIG. 10 shows a layout of the finding report displayed based on the finding report PDF file generated by the control unit 51 of the general-purpose PC terminal 50 and the finding report creating program 452 in cooperation.

  As shown in FIG. 10, a medical image that is an interpretation target or a simple image based on the medical image is displayed in the finding report.

  As described above, according to the present embodiment, in the image server 40, the PDI viewer program 451 and the finding report creation program 452 written together with the DICOM image data (medical image data) on the medium M are the general-purpose PC terminal that has read the program. 50 is made to function as the following apparatus. That is, the general-purpose PC terminal 50 displays a medical image and incidental information related to the medical image on the display unit 53 based on the DICOM image data stored in the medium M. Then, the general-purpose PC terminal 50 receives the input information (report input information) of the finding report from the operation unit 52, and based on this input information, the finding report file (finding report) for the DICOM image data stored in the medium M is received. PDF file). The general-purpose PC terminal 50 receives the transmission destination information (transmission destination input information) of the finding report file from the operation unit 52, and sends the generated finding report to the external device specified based on the transmission destination information. Send the file.

  Therefore, it is possible to improve the convenience of creating and referencing a finding report for medical image data (DICOM image data) stored in a portable storage medium (media M). Even when the medical image system 200 in the hospital B does not include a report system, it is possible to interpret the medical image and create a finding report. Furthermore, by specifying the transmission destination of the findings report file to the cellular phone terminal 60 or the home PC terminal 70 of the patient, the patient can easily refer to the findings report for his medical image.

  The findings report file generated by the general-purpose PC terminal 50 stores the findings report data displayed on a medium such as the display unit 53 or the display unit of the home PC terminal 70 in a predetermined layout as shown in FIG. It is a file. Therefore, the patient and the doctor can refer to the finding report with the same layout.

  In addition, when the DICOM image data is read from the medium M, the general-purpose PC terminal 50 that has read the medium M determines whether or not the finding report PDF file for the DICOM image data is already stored in the storage unit 55. . If a finding report PDF file is stored, a warning to that effect is displayed on the display unit 53. Therefore, when the general-purpose PC terminal 50 reads the same medium M, the user can know that fact.

  Further, the general-purpose PC terminal 50 reads the finding report PDF file from the storage unit 55 and displays it on the display unit 53 instead of displaying the warning. Therefore, when the general-purpose PC terminal 50 reads the same medium M, the user can browse the previously created finding report.

  Further, the general-purpose PC terminal 50 displays the report input screen 531 based on the DICOM image data stored in the medium M, and generates the finding report PDF file. Therefore, the imaging target of the medical image stored in the medium M It is not necessary to manually input the patient name of the patient, the name of the requesting hospital, and the like.

  In the present embodiment, the finding report file generated by the cooperation of the control unit 51 of the general-purpose PC terminal 50 and the finding report creation program 452 is not limited to a PDF file, and is displayed and printed in a predetermined layout. Any type of file can be used as long as it can be output. For example, a WORD file, a DICOM SR format file, an HL7 CDA format file, or the like can be applied as a finding report file. Here, the DICOM SR format file and the HL7 CDA format file can be changed to a PDF file or the like and displayed in a predetermined layout.

  The description in the present embodiment is an example of a medical image system according to the present invention, and the present invention is not limited to this. The detailed configuration and detailed operation of each device constituting the system can be appropriately changed.

  For example, in this embodiment, the image server 40 has a function of writing the DICOM image data object, the PDI viewer program 451, the finding report creation program 452 and the like to the medium M. However, the modality 20 has the function. It is good also as a structure to allow.

  Further, although an example in which a hard disk or a portable storage medium is used as a computer-readable medium storing a program has been disclosed in the present embodiment, the present invention is not limited to this example. As another computer-readable medium, a non-volatile memory such as a flash memory can be applied. Also, a carrier wave can be applied as a medium for providing program data via a communication line.

1 is a system configuration diagram of a medical image system according to the present invention. It is a data block diagram of DICOM image data. It is a block diagram of an image server. It is a data block diagram of the data memorize | stored in the medium. It is a block diagram of a general purpose PC terminal. It is a flowchart which shows the process performed in an image server. It is a flowchart which shows the process performed in a general purpose PC terminal. It is a flowchart which shows the process performed in a home PC terminal. It is a screen example of a report input screen. It is an example of a layout of an observation report.

Explanation of symbols

1 Medical imaging system 10 RIS
20 Modality 30 Image viewer terminal 40 Image server 41 Control unit 42 Operation unit 43 Display unit 44 Communication unit 45 Storage unit 46 Media drive 47 Bus 50 General-purpose PC terminal 51 Control unit 52 Operation unit 53 Display unit 54 Communication unit 55 Storage unit 56 Media Drive 57 Bus 60 Mobile phone terminal 70 Home PC terminal 100 A Hospital medical image system 200 B Hospital medical image system 451 PDI viewer program 452 Observation report creation program 531 Report input screen 551 Interpreted examination list b1 Send button e1 Send destination input Field e2 Finding input field M Media N1 Communication network N2 Communication network N3 Communication network

Claims (12)

A program stored together with medical image data in a portable storage medium,
Computer
Reading means for reading data stored in the portable storage medium;
Communication means,
First control means for displaying a medical image and supplementary information related to the medical image on a screen based on the medical image data stored in the portable storage medium;
Second control means for receiving input information of a finding report from the operation unit, and generating a finding report file for medical image data stored in the portable storage medium based on the input information;
Receiving the transmission destination information of the findings report file from the operation unit, and sending the generated findings report file to the external device that can communicate with the computer designated based on the transmission destination information. Transmission control means for transmitting via,
Program to function as. The findings report file is a file storing the findings report data displayed on the medium in a predetermined layout.
The program according to claim 1. The second control means includes
Store the generated findings report file in a storage unit and manage it,
When the medical image data stored in the portable storage medium is read by the reading means, it is determined whether a finding report file for the medical image data is already stored in the storage unit, and the finding report If the file is stored, read the findings report file from the storage unit and display it on the screen.
The program according to claim 1 or 2. The second control means includes
Generating a list of findings report files stored in the storage unit, and managing the finding report files stored in the storage unit based on the list;
The program according to claim 3. The second control means includes
Managing the finding report file stored in the storage unit based on the file name of the finding report file stored in the storage unit;
The program according to claim 3. The finding report file is a PDF file.
The program as described in any one of Claims 1-5. A portable storage medium for storing medical image data,
Computer
Reading means for reading data stored in the portable storage medium;
Communication means,
First control means for displaying a medical image and supplementary information related to the medical image on a screen based on the medical image data stored in the portable storage medium;
Second control means for receiving input information of a finding report from the operation unit, and generating a finding report file for medical image data stored in the portable storage medium based on the input information;
Receiving the transmission destination information of the findings report file from the operation unit, and sending the generated findings report file to the external device that can communicate with the computer designated based on the transmission destination information. Transmission control means for transmitting via,
A portable storage medium for storing a program for functioning as a medical image data together with the medical image data. The findings report file is a file storing the findings report data displayed on the medium in a predetermined layout.
The portable storage medium according to claim 7. The second control means includes
Store the generated findings report file in a storage unit and manage it,
When the medical image data stored in the portable storage medium is read by the reading means, it is determined whether a finding report file for the medical image data is already stored in the storage unit, and the finding report If the file is stored, read the findings report file from the storage unit and display it on the screen.
The portable storage medium according to claim 7 or 8. An information processing apparatus comprising a writing control means for writing medical image data to a portable storage medium,
The write control means of the information processing apparatus comprises:
Computer
Reading means for reading data stored in the portable storage medium;
Communication means,
First control means for displaying a medical image and supplementary information related to the medical image on a screen based on the medical image data stored in the portable storage medium;
Second control means for receiving input information of a finding report from the operation unit, and generating a finding report file for medical image data stored in the portable storage medium based on the input information;
Receiving the transmission destination information of the findings report file from the operation unit, and sending the generated findings report file to the external device that can communicate with the computer designated based on the transmission destination information. Transmission control means for transmitting via,
An information processing apparatus that writes a program for functioning as a portable storage medium together with the medical image data. The findings report file is a file storing the findings report data displayed on the medium in a predetermined layout.
The information processing apparatus according to claim 10. The second control means includes
Store the generated findings report file in a storage unit and manage it,
When the medical image data stored in the portable storage medium is read by the reading means, it is determined whether a finding report file for the medical image data is already stored in the storage unit, and the finding report If the file is stored, read the findings report file from the storage unit and display it on the screen.
The information processing apparatus according to claim 10 or 11.