JP2010020503A - Radiotherapy management system - Google Patents

Abstract

The present invention provides a radiation therapy management system capable of creating and managing execution data of a series of radiation therapy operations.
A medical information system server 102 creates each patient's identification information of the patient, execution data of the time when the affected part image taken by the image photographing apparatus 104 was photographed, and a treatment plan implemented by the treatment planning apparatus 105 Implementation data of the time performed, implementation data of the time of the conference held in the terminal device 101, implementation data of the time of the pre-processing, implementation of the time of the production performed by the assisting device production device 106 Data, execution data at the time of creating the irradiation plan executed by the radiation therapy apparatus 107, execution data at the time of irradiation, and execution data at the time of performing dose measurement are respectively input, and each execution data Are collected for each patient identification information and created as radiotherapy execution record data.
[Selection] Figure 1

Description

  The present invention relates to a series of radiation therapy using photon beams (X-rays, γ-rays, etc.), electron beams, particle beams (protons, neon ions, carbon ions, π-mesons, fast neutrons, etc.) in treatment facilities such as hospitals. The present invention relates to a radiation therapy management system for creating and managing records.

  Conventional hospital information systems create and manage records within a closed range. Specifically, when a system user accesses a patient consultation record, user identification information and patient identification information are recorded as access record information (see, for example, Patent Document 1).

JP 2006-155212 A

  Conventional hospital information systems retain access records only for system users, but they are not configured to comprehensively create and manage a series of work related to treatment. There was a problem that it was not possible to verify whether or not the work involved was performed in the correct order. In addition, for work using the hospital information system, it is possible to create and manage records triggered by system user operations, but it is not possible to create records for work that does not use the hospital information system. Even if the record was created by the system that performs the process, there was a problem that could not be managed centrally.

  The present invention has been made to solve the above-described problems, and an object thereof is to provide a radiation therapy management system capable of creating and managing a series of work data related to radiation therapy.

The present invention relates to a treatment planning apparatus for creating a treatment plan of treatment contents of radiation treatment,
An image capturing device for capturing an image of an affected area for performing radiation therapy;
An assisting device making apparatus for making an assisting device used for radiation therapy;
Radiation therapy equipment that irradiates radiation for performing radiation therapy, creates an irradiation plan for radiation therapy, and performs radiation therapy dose measurement;
A terminal device for inputting information on the conference on the treatment plan and information on the pretreatment of the radiotherapy;
A radiotherapy management system comprising a medical information system device that manages radiotherapy information based on patient identification information,
Medical information system device
Enter the execution data showing the time when the affected area image was taken with the imaging device together with the patient identification information,
Enter the implementation data that shows the time when the treatment plan implemented by the treatment planning device was created along with the patient identification information,
Enter the implementation data that shows the time of the conference conducted on the terminal device together with the patient identification information, and the implementation data that shows the time of the preprocessing together with the patient identification information,
Enter the implementation data that shows the time of the production performed with the assistive device production device together with the patient's identification information,
Implementation data indicating the time when the radiation plan implemented in the radiotherapy apparatus was created together with the identification information of the patient, implementation data indicating the time of irradiation together with the identification information of the patient, and the time when the dose measurement was performed Enter the implementation data shown along with the identification information of
Each execution data is collected for each identification information of a patient and created as radiotherapy execution record data.

The radiation treatment management system of the present invention includes a treatment planning device that creates a treatment plan of treatment content of radiation treatment,
An image capturing device for capturing an image of an affected area for performing radiation therapy;
An assisting device making apparatus for making an assisting device used for radiation therapy;
Radiation therapy equipment that irradiates radiation for performing radiation therapy, creates an irradiation plan for radiation therapy, and performs radiation therapy dose measurement;
A terminal device for inputting information on the conference on the treatment plan and information on the pretreatment of the radiotherapy;
A radiotherapy management system comprising a medical information system device that manages radiotherapy information based on patient identification information,
Medical information system device
Enter the execution data showing the time when the affected area image was taken with the imaging device together with the patient identification information,
Enter the implementation data that shows the time when the treatment plan implemented by the treatment planning device was created along with the patient identification information,
Enter the implementation data that shows the time of the conference conducted on the terminal device together with the patient identification information, and the implementation data that shows the time of the preprocessing together with the patient identification information,
Enter the implementation data that shows the time of the production performed with the assistive device production device together with the patient's identification information,
Implementation data indicating the time when the radiation plan implemented in the radiotherapy apparatus was created together with the identification information of the patient, implementation data indicating the time of irradiation together with the identification information of the patient, and the time when the dose measurement was performed Enter the implementation data shown along with the identification information of
Because each execution data is collected for each patient's identification information and created as radiotherapy execution record data, it is possible to create and manage a series of radiotherapy execution data

Embodiment 1 FIG.
Embodiments of the present invention will be described below. FIG. 1 is a diagram showing a configuration of a radiation therapy management system according to the first embodiment, FIG. 2 is a diagram showing a configuration of a medical information system server of the radiation therapy management system shown in FIG. 1, and FIG. 3 is shown in FIG. FIG. 4 is a diagram showing a configuration of a treatment planning apparatus of the radiation therapy management system shown in FIG. 1, and FIG. 5 is an auxiliary of the radiation therapy management system shown in FIG. FIG. 6 is a diagram illustrating the configuration of the device manufacturing apparatus, FIG. 6 is a diagram illustrating the configuration of the radiation therapy management system of the radiation therapy management system illustrated in FIG. 1, and FIG. 7 is a radiation therapy operation in which the radiation therapy management system illustrated in FIG. FIG. 8 is a view showing an example of a display screen of the treatment planning apparatus of the radiation treatment management system shown in FIG. 1, and FIG. 9 is a display screen of the terminal device of the radiation treatment management system shown in FIG. Example FIG. 10 is a diagram illustrating an example of a display screen of the radiation therapy apparatus of the radiation therapy management system illustrated in FIG. 1, and FIG. 11 is an example of a display screen of a terminal device of the radiation therapy management system illustrated in FIG. FIG. 12 is a diagram showing an example of radiotherapy execution record data created by the radiotherapy management system shown in FIG.

  In the figure, a radiation therapy management system includes a LAN 110 as a communication network, a terminal device 101, a medical information system server 102 as a medical information system device, an image photographing device 104, a treatment planning device 105, and an auxiliary device manufacturing device. 106, a radiotherapy apparatus 107, and a Picture Archiving Communication System server (hereinafter referred to as a PACS server) 108 are connected to each other. The medical information system server 102 includes a first database 103, and the PACS server 108 includes a second database 109. The first database 103 stores patient information handled by the radiation therapy management system based on patient identification information.

  As shown in FIG. 2, the medical information system server 102 extracts data necessary for creating radiotherapy execution record data from the received communication data and writes the data to the first database 103. In response to a request from the database control unit 503 and the terminal device 101, the data display unit 5 that reads and displays radiotherapy treatment record data from the first database 103 via the database control unit 503, and the LAN 110 are connected to generate communication data. A communication control unit 504 that performs control such as decoding is provided.

  The image capturing apparatus 104 is an apparatus that captures an image of an affected area for performing radiotherapy, and outputs execution data indicating the time at which the affected area image is captured together with patient identification information. CT (Computed Tomography) and MRI (Magnetic Resonance Imaging) ), PET (Positron Emission Tomography), and the like used for imaging of the affected area of the patient. As shown in FIG. 3, an image capturing unit 401 that captures an affected area of a patient, a data input unit 402 that inputs a patient name and a patient ID, and a data display unit 403 that displays input data. And a communication control unit 404 that is connected to the LAN 110 and controls the generation and decoding of communication data.

  The treatment planning device 105 is a device that creates a treatment plan based on a photographed image and outputs implementation data indicating the time at which the treatment plan is created together with patient identification information. Then, as shown in FIG. 4, a data input unit 602 for inputting a patient name and a patient ID, a data display unit 603 for displaying the input data, and a treatment plan while inputting and confirming the data. A treatment plan creation unit 601 to be created and a communication control unit 604 connected to the LAN 110 and performing control such as generation / decoding of communication data are provided.

  The assisting device manufacturing apparatus 106 generates an assisting device such as a bolus or a collimator that suppresses exposure to normal cells when performing radiation therapy, and outputs implementation data indicating the time when the manufacturing was performed together with patient identification information. Device. Then, as shown in FIG. 5, a data input unit 902 for inputting a patient name and patient identification information, a data display unit 903 for displaying processing data of a radiation treatment auxiliary tool, and treatment by approval of a treatment plan Connected to the LAN 110, a third database 905 for storing processing data of radiation treatment aids such as boluses and collimators sent from the planning device 105, a processing unit 901 for processing the radiation treatment aids based on the processing data And a communication control unit 904 that performs control such as generation / decoding of communication data.

  The radiotherapy apparatus 107 creates an irradiation plan for radiotherapy, measures the dose of radiotherapy, and irradiates the affected area of the patient for radiotherapy. Furthermore, the implementation data indicating the time when the irradiation plan was created together with the patient identification information, the implementation data indicating the time when the dose measurement was performed together with the patient identification information, and the time when the irradiation was performed together with the patient identification information It is a device that outputs execution data. For example, a linac apparatus using X-rays or a particle beam therapy apparatus using particle beams is used. And as shown in FIG. 6, the data input part 1202 for inputting a patient name and patient identification information, the data display part 1203 on which the data of the radiation to be irradiated are displayed, and the treatment plan apparatus by treatment plan approval A fourth database 1205 for storing radiation irradiation data sent from 105 and the created irradiation plan, a radiation irradiation unit 1201 for irradiating the patient with radiation based on the irradiation plan, and generation of communication data connected to the LAN 110 A communication control unit 1204 that performs control such as decoding is provided.

  The PACS server 108 is an image management server that stores and manages images captured by the image capturing apparatus 104, and includes a second database 109 for storing captured images. The terminal device 101 is used to input information on a conference regarding radiotherapy and information on preprocessing of radiotherapy, and can refer to and write patient information from other devices. It is.

  Next, the operation of the radiation therapy management system according to the first embodiment configured as described above will be described. First, the flow of radiation therapy work in a medical institution such as a hospital will be described with reference to FIG. First, a doctor examines a patient, selects an optimal treatment method from the examination results, gives an explanation to the patient, obtains the consent of the patient, and determines a treatment method (step S301). Next, an image of the affected area necessary for creating a treatment plan is captured by the image capturing device 104 (step S302). Next, determine the site to be irradiated with radiation while referring to the captured image, check whether the required dose is correctly distributed to the treatment site based on the irradiation dose and the number of irradiations, and create a treatment plan (Step S303).

  Next, a conference is held with medical staff such as doctors, radiographers, medical physicists, nurses, etc., and it is confirmed whether or not there is no problem with the created treatment plan (step S304). FIG. 8 shows an example of a display screen of the terminal device 101 that realizes the workflow conference (step S304) of FIG. Patient identification information (in the figure, patient identification information is shown as a patient ID. The following cases are also shown in the same manner and the description thereof will be omitted as appropriate) 701, after inputting the corresponding patient identification information, If the created plan is approved, an approval button 702 is pressed, and if it is rejected, a rejection button 703 is pressed.

  Next, when the treatment plan is approved, an irradiation plan that determines the date and time of irradiation based on the treatment plan is created (step S305). FIG. 9 is an example of a display screen of the terminal device 101 for realizing the irradiation plan creation (step S305) of the work flow of FIG. After inputting the patient identification information corresponding to the patient identification information 801, when an irradiation plan creation button 802 is pressed to create an irradiation plan, an irradiation plan 803 created by the radiation therapy apparatus 107 is displayed. . Next, radiation therapy aids such as boluses and collimators determined in the treatment plan are produced in parallel (step S306).

  Next, parameters determined in the treatment plan are set in the radiation therapy apparatus 107, and dose measurement is performed to determine whether or not a dose according to the treatment plan is irradiated (step S307). FIG. 10 is an example of a display screen of the radiation therapy apparatus 107 that realizes dose measurement (step S307) in the work flow of FIG. After inputting the patient identification information corresponding to the patient identification information 1001, a necessary measurement value is input, and a confirmation button 1002 is pressed. Next, on the day of treatment, the patient performs pretreatment necessary for irradiation after visiting the hospital (step S308). FIG. 11 is an example of a display screen of the terminal device 101 that realizes the preprocessing (step S308) of the work flow of FIG. The patient identification information corresponding to the patient identification information 1101 is input, and after confirming the implementation status of the necessary pretreatment, a confirmation confirmation button 1102 is pressed. Next, the radiation treatment apparatus 107 irradiates the affected area of the patient with radiation (step S309). In general, radiation irradiation is performed in a plurality of days, and thus the above-described steps S307, S308, and S309 are performed a plurality of times.

  Next, the operation of each device in the work flow of FIG. 7 will be described. First, a medical examination is performed. Next, in the image capturing apparatus 104, the radiologist inputs the patient name and the patient identification information from the data input unit 402 while confirming the patient name and patient identification information on the data display unit 403, and then uses the image capturing unit 401 to select the target of imaging. Take a picture of the affected area. When shooting is performed, the image shooting unit 401 notifies the communication control unit 404. The communication control unit 404 acquires patient identification information from the data input unit 402, adds the imaging time from the current time information, and then transmits the acquired imaging data to the medical information system server 102.

  Next, the medical information system server 102 notifies the data processing unit 501 when the communication control unit 504 receives the execution data. Then, the data processing unit 501 extracts patient identification information and imaging time from the received execution data, and the radiotherapy execution record data prepared for each patient identification information stored in the first database 103 is database-controlled. The information is read via the unit 503, and the corresponding work content and execution time are recorded. Next, the communicated radiotherapy execution record data is stored again in the first database 103 via the database control unit 503. In addition, since the operation | movement in the case of receiving the implementation data in the medical information system server 102 is similarly performed also in the following operations, the operation of receiving the implementation data in the medical information system server 102 is appropriately omitted.

  Next, in the treatment planning apparatus 105, the doctor creates a treatment plan after inputting the patient name and the patient identification information from the data input unit 602 while confirming the information on the data display unit 603. When the treatment plan is created, the treatment plan creation unit 601 notifies the communication control unit 604. Then, the communication control unit 604 acquires patient identification information from the data input unit 602, adds the current time information as the planned time, and then transmits it to the medical information system server 102 as treatment plan creation execution data. Then, the processing after the execution data is transmitted in the medical information system server 102 is performed in the same manner as described above.

  Next, the terminal apparatus 101 displays the treatment plan created by the treatment planning apparatus 105 after inputting the identification information 701 of the patient to be conferenced. Next, when a medical staff such as a doctor, a radiologist, a medical physicist, or a nurse confirms the treatment plan and determines that there is no problem, the doctor presses an approval button 702. When the approval button 702 is pressed, the terminal device 101 adds the current time information as the approval time, and then transmits the information to the medical information system server 102 as conference implementation data. Then, the processing after the execution data is transmitted in the medical information system server 102 is performed in the same manner as described above.

  Next, the radiologist inputs the identification information 801 of the patient to whom the irradiation plan is to be created and the treatment date / time request of the patient, and presses the irradiation plan creation button 802. Next, in the radiotherapy apparatus 107, patient identification information is input to the data input unit 1202 with reference to the treatment date / time request from the terminal apparatus 101 to create an irradiation plan 803. Then, the communication control unit 1204 acquires patient identification information from the data input unit 1202, adds the current time information as a creation time, and then transmits it to the medical information system server 102 as execution data for creating an irradiation plan. Further, the irradiation plan 803 is transmitted to the terminal device 101 and displayed. Then, the processing after the execution data is transmitted in the medical information system server 102 is performed in the same manner as described above.

  Next, in the assisting device manufacturing apparatus 106, the radiologist inputs the patient name and the patient identification information from the data input unit 902 while confirming the patient name and patient identification information on the data display unit 903, and thereafter After processing data is read from the third database 905 and confirmed by the data display unit 903, the processing unit 901 is operated to start the production of the auxiliary tool. The processing unit 901 notifies the communication control unit 904 when the production is completed. Next, the communication control unit 904 acquires patient identification information from the data input unit 902, adds the current time information as the processing completion time, and then transmits the information to the medical information system server 102 as implementation data for the production of the auxiliary tool. . Then, the processing after the execution data is transmitted in the medical information system server 102 is performed in the same manner as described above.

  Next, in the radiotherapy apparatus 107, the radiographer inputs the identification information 1001 of the patient whose dose is to be measured to the data input unit 1202 while confirming the identification information 1001 on the data display unit 1203, and then the temperature, pressure, Enter the irradiation dose. Next, the radiation therapy apparatus 107 performs a predetermined calculation, and outputs (displays a screen) a dose monitor correction value. Next, the radiologist collates with the dose monitor preset value, confirms an appropriate output value, and then presses a confirmation button 1002. Next, the communication control unit 1204 uses the current time information as the dose measurement time, and transmits the dose measurement data to the medical information system server 102 together with the patient identification information. Then, the processing after the execution data is transmitted in the medical information system server 102 is performed in the same manner as described above.

  Next, in the terminal device 101, the nurse inputs the identification information 1101 of the patient to be pretreated and displays the necessary pretreatment on the screen. When the nurse refers to the necessary pretreatment and confirms that it has been completed, the nurse presses a confirmation completion button 1102. When the button is pressed, the terminal device 101 sets the current time information as the pretreatment completion date and transmits it as the preprocessing execution data to the medical information system server 102 together with the patient identification information. Then, the processing after the execution data is transmitted in the medical information system server 102 is performed in the same manner as described above.

  Next, in the radiotherapy apparatus 107, the radiologist inputs the patient name and patient identification information of the patient from the data input unit 1202, reads the corresponding patient radiation irradiation data from the fourth database 1205, and the data display unit 1203. Then, the radiation irradiation unit 1201 is operated to irradiate the patient with radiation. When the radiation irradiation unit 1201 reaches the dose monitor correction value (the state measured in the dose measurement step S307), the radiation irradiation unit 1201 ends the radiation irradiation and notifies the communication control unit 1204. When the communication control unit 1204 acquires patient identification information from the data input unit 1202, the current time information is added as the irradiation date and time, and is then transmitted to the medical information system server 102 as irradiation execution data. Then, the processing after the execution data is transmitted in the medical information system server 102 is performed in the same manner as described above.

  Next, an operation for reading out the radiotherapy execution record data generated as described above will be described. Implementation data generated by the work is stored in the first database 103 of the medical information system server 102. When a medical staff such as a doctor, a radiologist, a medical physicist, or a nurse inputs identification information of a patient to be referred to in the terminal device 101, the terminal device 101 makes a request to the medical information system server 102 via the LAN 110. . Next, when the communication control unit 504 receives data, the medical information system server 102 notifies the data processing unit 501. Next, the data processing unit 501 extracts patient identification information from the received communication data, and reads out radiotherapy execution record data stored in the first database 103 via the database control unit 503. Next, the communication control unit 504 reads out the radiotherapy treatment record data indicating the work content 201 which is a series of work related to treatment and the execution time 202 for each work content 201 read out by the communication control unit 504. Is received, it responds to the requesting terminal device 101. In this way, radiotherapy execution record data is displayed on the terminal device 101.

  According to the radiation therapy management system of the first embodiment configured as described above, it is possible to create and manage records in a series of operations in radiation therapy as to whether or not operations performed separately by various workers are performed. By checking the radiotherapy execution record data, it is possible to easily check for leakage during treatment. In addition, by sharing the radiotherapy execution record data among multiple medical staff, it is possible to easily determine the progress of work until the work in charge is generated, thereby reducing the waiting time between work. Can do. Furthermore, by verifying the radiotherapy execution record data after the treatment, it is possible to analyze how much time is required for which work and use it for more efficient treatment.

  In the first embodiment, the execution record is transmitted to the medical information system server each time work is performed, and the radiotherapy execution record data is generated and stored in the first database. However, the present invention is limited to this. For example, as shown in FIG. 13, except for the first database 103, the implementation data of each device of the terminal device 101, the image photographing device 104, the treatment planning device 105, the auxiliary device preparation device 106, and the radiotherapy device 107. Needless to say, the medical information system server 102 may be configured to store 1301 and extract the medical treatment record data in the same manner as in the first embodiment by extracting from the instruction of the terminal device 101 when necessary. .

  In this case, when reading out the radiotherapy execution record data from the terminal device 101, the terminal device 101 requests execution data of the corresponding patient identification information, and based on this request, the medical information system server 102 sends the image capturing device. 104, the implementation data 1301 of the treatment planning device 105, the assisting device preparation device 106, and the radiation treatment device 107 is extracted and acquired to create the radiation treatment execution record data, which is transmitted to the terminal device 10. With this configuration, although it takes time to display the radiotherapy execution record data, the configuration of the first database 103 is unnecessary, and an inexpensive system can be constructed.

Embodiment 2. FIG.
FIG. 14 is a diagram showing the configuration of the medical information system server of the radiation therapy management system according to Embodiment 2 of the present invention. In the figure, the same parts as those in the first embodiment are denoted by the same reference numerals, and the description thereof is omitted. The configuration other than the medical information system server 102 is the same as that shown in FIG. The medical information system server 102 includes a work order comparison unit 1401. The first database 103 stores a feasible condition table. The work order comparison unit 1401 reads the feasible condition table stored in the first database 103, and compares and determines the conditions necessary for performing the work when performing the work.

  FIG. 15 is an executable condition table showing conditions necessary for performing the work stored in the first database 103 of the medical information system server 102 shown in FIG. As shown in the figure, the feasible condition table is one in which feasible conditions 1502 are defined for each work content 1501. The feasible condition 1502 indicates that the work cannot be performed unless the work of “◯” is completed, and the work of “−” indicates that the work can be performed regardless of the completion. Note that S302 to S309 indicate the work of each step shown in FIG. 7 of the first embodiment.

  Next, the operation of the radiation therapy management system according to the second embodiment configured as described above will be described with reference to FIG. Here, the comparison operation in the work order comparison unit 1401 in the production of the auxiliary tool (step S306) shown in FIG. 7 of the first embodiment will be described. The operation for creating the radiotherapy execution record data is the same as that in the first embodiment, and is omitted. First, when the radiologist inputs the patient name and patient identification information from the data input unit 902 in the assisting device manufacturing apparatus 106, the database input unit 902 notifies the communication control unit 904. Next, the communication control unit 904 acquires patient identification information from the data input unit 902, and creates comparison target data with its own step information (here, step S306 for assisting device preparation) added (step S1601 in FIG. 16). ).

  Next, the comparison target data is transmitted to the medical information system server 102 (step S1602 in FIG. 16). Next, the communication control unit 504 of the medical information system server 102 receives the comparison target data (step S1603 in FIG. 16). Next, the work order comparison unit 1401 is notified. Next, the work order comparison unit 1401 reads the feasible condition table stored in the first database 103, and in order to carry out the auxiliary tool production (step S306) in FIG. 7, the image photographing in FIG. 7 (step S302). ), Treatment plan creation (step S303) and conference (step S304) are all necessary to be performed and completed (whether irradiation plan creation step S306 is performed is not a necessary condition in this case) (Step S1604 in FIG. 16).

  Next, the radiotherapy execution record data stored in the corresponding first database 103 is read from the patient identification information (step S1605 in FIG. 16). Next, by comparing these two, it is determined whether or not the conditions necessary for implementation are satisfied (step S1606 in FIG. 16). Next, when the determination result is notified to the communication control unit 504, response data is created (step S1607 in FIG. 16). Next, data is transmitted to the assisting device manufacturing apparatus 106 via the LAN 110 (step S1608 in FIG. 16). Next, the communication control unit 904 of the assisting device manufacturing apparatus 106 receives data (step S1609 in FIG. 16).

  Next, this notification is transmitted to the database display unit 903 via the communication control unit 904. Then, it is determined whether the result determination is OK or NG (step S1610 in FIG. 16). Next, when the condition is not satisfied (NG), a message to that effect is displayed on the data display unit 903 and a warning is given that necessary work has not been completed (step S1611 in FIG. 16). Here, although the auxiliary tool production (step S306) is shown in the work in FIG. 7, the present invention is not limited to this, and the work order comparison unit 1401 similarly performs other work (step) in FIG. It goes without saying that the comparison can be made with reference to the feasible condition table shown in FIG.

  According to the radiation therapy management system of the second embodiment as described above, since it is determined and displayed whether there is any work necessary before the work at the start of the work, a medical accident or work due to the work leak is displayed. Can prevent rework. Further, since the comparison of work leakage is performed in the feasible condition table as shown in FIG. 15, even if the work flow of radiation therapy is reviewed, it can be easily changed.

  The feasible condition table is not limited to the example shown in FIG. 15, and it goes without saying that the elapsed time may be managed in addition to the necessary work items. For example, when the time interval from the image capturing (step S302) to the treatment plan (step S303) has passed a predetermined time or more, there is a possibility that the state of the affected area has changed due to the passage of the predetermined time or more. For example, it may be determined that the condition is not satisfied, such as when it is necessary to start over from the image capturing itself.

Embodiment 3 FIG.
FIG. 17 is a diagram showing the configuration of the medical information system server of the radiation therapy management system according to Embodiment 3 of the present invention. In the figure, the same parts as those in the above embodiments are denoted by the same reference numerals, and description thereof is omitted. The configuration other than the medical information system server 102 is the same as that shown in FIG. The medical information system server 102 includes a mail creation unit 1701. The first database 103 stores an operator table. The mail creation unit 1701 reads a list of persons in charge of work stored in the first database 103, and creates and sends mail to persons in charge of work that can be performed. FIG. 18 is a list of workers in charge stored in the first database 103 of the medical information system server 102 shown in FIG. As shown in the figure, the work person list is a work person 1802 for each work content (execution data) 1801 and a mail address 1803 of the person in charge.

  Next, the operation of the radiation therapy management system according to the third embodiment configured as described above will be described. Other operations such as the operation for creating radiotherapy execution record data are the same as those in the above embodiments, and will not be described. When the medical information system server 102 receives the execution data from the terminal device 101, the image capturing device 104, the treatment planning device 105, the assisting device preparation device 106, and the radiation treatment device 107 and records it in the radiation treatment execution record data, the mail creation unit Reference numeral 1701 reads an executable condition table (shown in FIG. 15 of the second embodiment). Next, when the corresponding work content (execution data) is extracted from the received execution data, the work content that can be performed (execution data that can be performed) is extracted along with the completion of the work content. Next, the person in charge of work 1802 and the mail address 1803 corresponding to the work contents (executable data that can be carried out) made possible from the work person list in advance stored in the first database 103 are shown. Read and create a mail consisting of work contents (execution data) and identification information of the target patient. Next, after creating the mail, the mail creating unit 1701 sends the mail via the LAN 110 via the communication control unit 504 and notifies the worker.

  According to the radiation therapy management system of the third embodiment configured as described above, the following effects can be obtained by performing an operation record generated each time work is performed, as well as the same effects as the above-described embodiments. Since the person in charge of the work is notified by e-mail that the work can be started, the person in charge of the next work can immediately start the work, thereby shortening the work time and preventing the work from being forgotten.

Embodiment 4 FIG.
FIG. 19 is a diagram showing the configuration of the medical information system server of the radiation therapy management system according to Embodiment 4 of the present invention. In the figure, the same parts as those in the above embodiments are denoted by the same reference numerals, and description thereof is omitted. In each of the above-described embodiments, the case where the image capturing apparatus 104 transmits the execution data to the medical information system server 102 in the image capturing has been described. However, in the present embodiment 3, as illustrated in FIG. A server 1901 is provided, and the medical information system server 102 transmits the execution data to the medical information system server 102 via the work list server 1901.

  In capturing images of the affected area, DICOM (Digital Imaging and Communication in Medicine) standard is spreading, and if DICOM standard is supported, the image capturing device conforms to MWM (Modity Work list Management), patient name, patient identification information, The imaging execution information can be notified in accordance with MPPS (ModityPerformanceProcedureStep) with reference to imaging instruction information such as an imaging region.

  FIG. 19 in the fourth embodiment shows a configuration when the DICOM standard is supported, and includes a work list server 1901. The image photographing device 104 refers to photographing instruction information called a work list prepared in the work list server 1901. When photographing is completed, the image photographing device 104 transmits the image to the PACS server 108 and stores the photographing execution information in the work list server 1901. .

  First, when the radiologist inputs imaging instruction information to the work list server 1901 (step S2001 in FIG. 20), the work list server 1901 creates a work list (step S2002 in FIG. 20). Next, prior to shooting, the image shooting device 104 acquires data from the work list server 1901 in accordance with the MWM (step S2003 in FIG. 20). Next, the radiologist refers to the imaging instruction information acquired by the image capturing apparatus 104 (step S2004 in FIG. 20). Next, imaging of the affected part of the patient is performed (step S2005 in FIG. 20).

  Next, when shooting is finished, the image shooting apparatus 104 transmits the shot image to the PACS server 108 (step S2006 in FIG. 20). Next, implementation data is generated (step S2007 in FIG. 20). Next, the work list server 1901 is notified in accordance with MPPS (step S2008 in FIG. 20). Next, the work list server 1901 that has received the notification of the implementation data stores the data in itself (step S2009 in FIG. 20). Next, the medical information system server 102 refers to the implementation data stored in the work list server 1901 (step S2010 in FIG. 20). Next, when the patient identification information and the imaging date / time are extracted, the imaging date / time is recorded from the radiotherapy execution record data prepared for each patient stored in the first database 103 to the execution time 202 of the corresponding work content 201. (Step S2011 in FIG. 20).

  According to the radiation therapy management system of the fourth embodiment configured as described above, the same effects as those of the above-described embodiments can be obtained, and by providing a work list server conforming to the DICOM standard, Since the execution data can be easily acquired from the image capturing apparatus, a data input unit, a data display unit, a communication control unit and the like are not required in the image capturing apparatus, and a simpler system configuration is possible.

Embodiment 5 FIG.
FIG. 21 is a diagram showing a configuration of a radiation therapy management system according to Embodiment 5 of the present invention. In the figure, the same parts as those in the above embodiments are denoted by the same reference numerals, and description thereof is omitted. In each of the above-described embodiments, the example of transmitting the assisting device manufacturing data to the medical information system server 102 is shown in the assisting device manufacturing apparatus 106. However, in the fifth embodiment, as shown in FIG. The auxiliary device label device 2201 is connected to the terminal device 101. The terminal device 101 has a label printing instruction screen to be attached to the treatment auxiliary device. That is, the terminal device 101 has instructed label printing, that is, the auxiliary device label device 2201. Is sent to the medical information system server 102 as implementation data for the production of an auxiliary tool.

  Therefore, the assisting device manufacturing apparatus 106 is separated from the LAN 110. In addition, since the auxiliary tool preparation apparatus 106 is indispensable in order to manufacture the auxiliary tool for radiation therapy, the auxiliary tool preparation apparatus 106 is not unnecessary, and the connection with the LAN 110 is changed to offline. is there.

  Next, the operation of the fifth embodiment configured as described above will be described. First, when a radiographer created a radiation therapy assisting tool using the assisting device manufacturing apparatus 106, at least a patient name and patient identification information were described in order to distinguish which patient was manufactured. Print the label and attach it to the aid. Then, the label printing screen of the terminal device 101 is opened, the patient identification information 2101 is input, and when the bolus label printing button 2102 or the patient collimator label printing button 2103 is pressed, the terminal device 101 displays the patient identification information. Is added to the medical information system server 102 as implementation data for the production of auxiliary tools. Since other operations are the same as those in the above-described embodiments, description thereof is omitted.

  According to the radiation therapy management system of the fifth embodiment configured as described above, the terminal device is provided with the label printing screen of the assisting device manufacturing apparatus as well as the same effects as those of the respective embodiments. When the terminal device instructs printing of a label to be attached to the auxiliary tool, the terminal device transmits it as execution data for manufacturing the auxiliary tool. Therefore, since it is not necessary to connect the assisting device manufacturing apparatus to the LAN, the data input unit, the data display unit, and the communication control unit are not necessary in the assisting device manufacturing apparatus, and a simpler system configuration is possible.

It is a figure which shows the structure of the radiotherapy management system in Embodiment 1 of this invention. It is a figure which shows the structure of the medical information system server of the radiotherapy management system shown in FIG. It is a figure which shows the structure of the imaging device of the radiotherapy management system shown in FIG. It is a figure which shows the structure of the treatment plan apparatus of the radiotherapy management system shown in FIG. It is a figure which shows the structure of the auxiliary tool preparation apparatus of the radiotherapy management system shown in FIG. It is a figure which shows the structure of the radiotherapy apparatus of the radiotherapy management system shown in FIG. It is the flowchart which showed the operation | work of the radiotherapy in which the radiotherapy management system shown in FIG. 1 is used. It is the figure which showed the example of the display screen of the treatment plan apparatus of the radiotherapy management system shown in FIG. It is the figure which showed the example of the display screen of the terminal device of the radiotherapy management system shown in FIG. It is the figure which showed the example of the display screen of the radiotherapy apparatus of the radiotherapy management system shown in FIG. It is the figure which showed the example of the display screen of the terminal device of the radiotherapy management system shown in FIG. It is the figure which showed the example of the radiotherapy implementation record data produced by the radiotherapy management system shown in FIG. It is a figure which shows the structure of the other radiotherapy management system in Embodiment 1 of this invention. It is the figure which showed the structure of the medical information system server of the radiotherapy management system in Embodiment 2 of this invention. It is the figure which showed the feasible condition table in the radiotherapy management system shown in FIG. It is the flowchart which showed the operation | movement of the radiotherapy management system shown in FIG. It is the figure which showed the structure of the medical information system server of the radiotherapy management system in Embodiment 3 of this invention. It is the figure which showed the work charge list of the radiation therapy management system shown in FIG. It is the figure which showed the structure of the radiotherapy management system in Embodiment 4 of this invention. It is the flowchart which showed operation | movement of the radiotherapy management system shown in FIG. It is the figure which showed the structure of the radiotherapy management system in Embodiment 5 of this invention. It is the figure which showed the example of the display screen of the auxiliary tool label apparatus of the terminal device of the radiotherapy management system shown in FIG.

Explanation of symbols

101 terminal device, 102 medical information system server, 104 image capturing device,
105 treatment planning device, 106 assisting device preparation device, 107 radiation treatment device,
1901 Worklist server, 2201 Label device for auxiliary tools.

Claims (5)

A treatment planning device for creating a treatment plan for the treatment content of radiation treatment;
An image capturing device for capturing an image of an affected area for performing the radiation therapy;
An assisting device producing apparatus for producing an assisting device used in the radiation therapy;
Irradiating with radiation for performing the radiation therapy, creating an irradiation plan for the radiation therapy, and a radiation therapy apparatus for measuring the radiation therapy dose;
A terminal device for inputting information on the conference on the treatment plan and information on the pretreatment of the radiation treatment;
A radiotherapy management system comprising a medical information system device that manages the radiotherapy information based on patient identification information,
The medical information system apparatus is
Enter the execution data indicating the time when the affected area image was taken with the imaging device together with the identification information of the patient,
Enter the implementation data indicating the time when the treatment plan implemented by the treatment planning device was created together with the identification information of the patient,
Enter the implementation data showing the time when the production performed in the assisting device production apparatus was performed together with the identification information of the patient,
Enter the implementation data indicating the time of the conference performed on the terminal device together with the identification information of the patient, and the implementation data indicating the time of the preprocessing together with the identification information of the patient,
Implementation data indicating the time at which the irradiation plan performed by the radiotherapy apparatus was created together with the identification information of the patient, implementation data indicating the time of the irradiation together with the identification information of the patient, and the dose measurement Enter the implementation data that shows the time of the visit along with the patient's identification information,
A radiotherapy management system characterized in that each of the implementation data is collected for each identification information of the patient and created as radiotherapy implementation record data. The radiotherapy management system according to claim 1, wherein the medical information system apparatus determines whether or not the execution data is within a predetermined order or within a predetermined time in the radiotherapy execution record data. The medical information system apparatus has a list of persons in charge of work who records persons in charge for each execution data, and can be executed upon completion of the execution data when any of the execution data is input. The radiotherapy management system according to claim 1 or 2, wherein data is detected, and the worker is notified that the possible execution data is executable from the worker person list. . 4. A work list server connected to the image photographing device, wherein the work list server acquires execution data of the image photographing device and transmits it to the medical information system device. The radiation therapy management system according to any one of the above. An assisting device label device for creating a label for the assisting device is provided, and the label creation of the assisting device label device is input to the medical information system device as operation data of the assisting device manufacturing device. The radiation therapy management system according to any one of claims 1 to 4.

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