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JP2010022727A - MPPS gateway - Google Patents

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JP2010022727A
JP2010022727A JP2008190340A JP2008190340A JP2010022727A JP 2010022727 A JP2010022727 A JP 2010022727A JP 2008190340 A JP2008190340 A JP 2008190340A JP 2008190340 A JP2008190340 A JP 2008190340A JP 2010022727 A JP2010022727 A JP 2010022727A
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mpps
information
end signal
image
inspection
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JP5287005B2 (en
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Minoru Ando
稔 安藤
Kazuhiro Takeo
和浩 武尾
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Shimadzu Corp
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Abstract

<P>PROBLEM TO BE SOLVED: To add an MPPS (Modality Performed Procedure Step) transmission function to a diagnostic imaging apparatus. <P>SOLUTION: This MPPS gateway includes: an image receiving function 10 of an input interface for receiving DICOM transmission data from an X-ray imaging apparatus 1A having no MPPS transmission function; an information detection function 11 analyzing the DICOM receiving data and executed by an information detection program for detecting examination information and examination ending information related to an image; a data constitution function 12 aligning the detected data into MPPS format; an examination end determination function 13 determining the examination end; and an MPPS transmission function 14 of an output interface for transmitting the data to a DICOM network 8. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

Ｘ線撮影装置、超音波診断装置、ＭＲＩ診断装置などの画像診断装置で撮影された画像および画像に関連する患者名や患者ＩＤなどの関連情報を、ＤＩＣＯＭ（Ｄｉｇｉｔａｌ
Ｉｍａｇｉｎｇ Ｃｏｍｍｕｎｉｃａｔｉｏｎ ｉｎ Ｍｅｄｉｃｉｎｅ）ネットワークを介してＤＩＣＯＭ画像受信装置（例えば画像サーバー）やＭＰＰＳ（Ｍｏｄａｌｉｔｙ Ｐｅｒｆｏｒｍｅｄ Ｐｒｏｃｅｄｕｒｅ Ｓｔｅｐ）受信装置（例えばＭＰＰＳサーバー）に送信して情報を収集し、必要に応じて画像および関連情報を抽出し患者の診断を行う医療画像情報システムに関し、特にＭＰＰＳ送信機能を有しない画像診断装置にＭＰＰＳ送信機能を付加するＭＰＰＳゲートウエイに関する。 DICOM (Digital) is used to display images taken by diagnostic imaging devices such as X-ray imaging devices, ultrasound diagnostic devices, and MRI diagnostic devices, and related information such as patient names and patient IDs related to images.
Information is collected by transmitting to a DICOM image receiving device (for example, an image server) or an MPPS (Modality Performed Procedure Step) (for example, an MPPS server) via an Imaging Communication in Medicine (Network) network, and images and related information are collected as necessary. In particular, the present invention relates to an MPPS gateway that adds an MPPS transmission function to an image diagnostic apparatus that does not have an MPPS transmission function.

最近の医療画像情報システムの構築例を図６に示す。図６の点線で示されるとおりＤＩＣＯＭ通信による画像およびＭＰＰＳ送信機能を有するＸ線撮影装置１、超音波診断装置２、ＭＲＩ診断装置３あるいは点線で示されるとおり画像送信機能は有するがＭＰＰＳ送信機能を持たないＸ線撮影装置１Ａなど通信機能の異なる各種の画像診断装置がＤＩＣＯＭネットワーク８に接続され、このＤＩＣＯＭネットワーク８を介して画像を収集する画像サーバー４や検査関連情報を収集するＭＰＰＳサーバー５に画像や関連情報が収集され
、画像観察ビューワ６による画像診断やＨＩＳ（Ｈｏｓｐｉｔａｌ Ｉｎｆｏｒｍａｔｉｏｎ Ｓｙｓｔｅｍ）７との情報交換が行われている。
笠井俊文・小川敬壽 診療画像機器学 オーム社 ｐ．８３ A construction example of a recent medical image information system is shown in FIG. As shown by a dotted line in FIG. 6, an X-ray imaging apparatus 1, an ultrasonic diagnostic apparatus 2, an MRI diagnostic apparatus 3 having an image by DICOM communication and an MPPS transmission function, or an MPPS transmission function having an image transmission function as shown by a dotted line Various diagnostic imaging apparatuses having different communication functions, such as an X-ray imaging apparatus 1A that does not have, are connected to the DICOM network 8, and the image server 4 that collects images via the DICOM network 8 and the MPPS server 5 that collects examination-related information Images and related information are collected, and image diagnosis by the image observation viewer 6 and information exchange with a HIS (Hospital Information System) 7 are performed.
Toshifumi Kasai and Keigo Ogawa Medical Imaging Equipment Ohm Company p. 83

画像診断装置は機能レベルが上がるにつれ価格も上昇するため、医療画像情報システムを構築する際、すべて高機能レベルの画像診断装置を導入することは難しく、当初はＤＩＣＯＭ画像送信機能とＭＰＰＳ送信機能の両方を有するものやＤＩＣＯＭ画像送信機能は有するがＭＰＰＳ送信機能は有しない種々の機種が導入されている。一方、これらの画像診断装置を導入している顧客からはすでに導入している後者の画像診断装置にも画像情報だけでなく、患者名、患者ＩＤ、Ｘ線撮影の場合のＸ線管の印加電圧、電流撮影時間などの検査関連情報を送信するためにＭＰＰＳ送信機能の追加についての要望がある。
このような場合従来は、高機能レベルの機種に交換するか、大幅な内部改造を行うなどの方法が採られ多大の支出を要した。 Since the price of an image diagnostic apparatus increases as the function level increases, it is difficult to introduce a high-functionality image diagnostic apparatus when constructing a medical image information system. Initially, DICOM image transmission function and MPPS transmission function Various models having both and having a DICOM image transmission function but not an MPPS transmission function have been introduced. On the other hand, from the customers who have introduced these diagnostic imaging apparatuses, not only the image information but also the application of the X-ray tube in the case of the patient name, patient ID, and X-ray imaging to the latter diagnostic imaging apparatus already introduced. There is a demand for the addition of an MPPS transmission function to transmit examination-related information such as voltage and current imaging time.
In such a case, conventionally, a method of exchanging with a model having a high function level or making a large internal modification has been taken, and a great deal of expenditure has been required.

上記の要望に対応するために、本発明のＭＰＰＳゲートウエイは、ＭＰＰＳ送信機能を有しないＤＩＣＯＭ画像送信機能を備えた画像診断装置にＭＰＰＳ送信機能を付加するＭＰＰＳゲートウエイであって、前記画像診断装置からのＤＩＣＯＭプロトコルにて画像情報を受信する画像受信手段と、前記受信した画像情報から検査関連情報を取り出す情報取出手段と、前記取り出した検査関連情報をＭＰＰＳ規格に整合するデータに構成するデータ構成手段と、前記構成したデータを送信するＭＰＰＳ送信手段とを備えている。
さらに本発明のＭＰＰＳゲートウエイは、検査終了信号を発生させる終了信号発生手段と、前記検査終了信号を送信するＭＰＰＳ送信手段とを備えている。 In order to meet the above-described demand, the MPPS gateway of the present invention is an MPPS gateway that adds an MPPS transmission function to an image diagnostic apparatus having a DICOM image transmission function that does not have an MPPS transmission function. Image receiving means for receiving image information by DICOM protocol, information extracting means for extracting examination related information from the received image information, and data configuration means for configuring the extracted examination related information into data that conforms to the MPPS standard And MPPS transmission means for transmitting the configured data.
The MPPS gateway according to the present invention further comprises end signal generating means for generating a test end signal and MPPS transmission means for transmitting the test end signal.

前記終了信号発生手段は、検査単位の情報を取得する情報取得手段と、取得した検査単位情報が保存されている検査単位情報と同一かを判別する情報判別手段を備え、同一の場合は再度検査単位情報の取得を繰り返し、不同一の場合は検査終了信号を発生させるものである。
また、前記終了信号発生手段は、検査時間を計時するタイマーと、タイマー計時時間が予め設定された設定時間を越えたかを判別するタイムアウト判別手段を備え、タイムアウト前においてはタイマーを停止して新規画像情報を受信し、タイムアウトの場合は検査終了信号を発生させるものである。
さらに、前記終了信号発生手段は、手動で検査終了信号を送信する信号発生器によるものである。 The end signal generating means includes an information acquiring means for acquiring information on the examination unit and an information determining means for determining whether the acquired examination unit information is the same as the stored examination unit information. Unit information is repeatedly acquired, and if they are not identical, an inspection end signal is generated.
Further, the end signal generating means includes a timer for measuring the inspection time and a time-out determining means for determining whether the timer time exceeds a preset set time. When information is received and a timeout occurs, an inspection end signal is generated.
Further, the end signal generating means is a signal generator for manually transmitting an inspection end signal.

ＭＰＰＳ送信機能を有しない画像診断装置とＤＩＣＯＭネットワークとの間にＭＰＰＳゲートウエイを介設することにより、前記画像診断装置自体を改造することなく、ＭＰＰＳ送信機能付画像診断装置と同様に画像および検査情報をＤＩＣＯＭネットワークを介して画像サーバーやＭＰＰＳサーバーに送信することができる。これにより最初から高機能レベルのＭＰＰＳ送信機能付装置を装備することなく、運用で必要に応じてＭＰＰＳゲートウエイを付加してＭＰＰＳ送信機能を持たせることができ、医療システム構成の多大なコストを軽減できる。   By interposing an MPPS gateway between an image diagnostic apparatus that does not have an MPPS transmission function and a DICOM network, images and examination information can be obtained in the same manner as the image diagnostic apparatus with an MPPS transmission function without modifying the image diagnostic apparatus itself. Can be transmitted to the image server or MPPS server via the DICOM network. As a result, MPPS gateways can be added to the MPPS gateway as needed in operation without having to install a device with a high-functionality MPPS transmission function from the beginning, thus reducing the significant cost of the medical system configuration. it can.

本発明実施例のＭＰＰＳゲートウエイ９をＭＰＰＳ送信機能を有しないＸ線撮影装置１Ａに適用したＤＩＣＯＭネットワーク８の構成図を図１に示す。Ｘ線撮影装置１Ａは、ＭＰＰＳゲートウエイ９を介してＤＩＣＯＭネットワーク８に接続されており、点線で示されるように、Ｘ線撮影装置１Ａからの画像情報は画像サーバー４に、患者名や検査関連情報がＭＰＰＳサーバー５に送信され個々に収集される。   FIG. 1 shows a configuration diagram of a DICOM network 8 in which the MPPS gateway 9 of the embodiment of the present invention is applied to an X-ray imaging apparatus 1A having no MPPS transmission function. The X-ray imaging apparatus 1A is connected to the DICOM network 8 via the MPPS gateway 9, and the image information from the X-ray imaging apparatus 1A is sent to the image server 4 and the patient name and examination related information as indicated by the dotted line. Are sent to the MPPS server 5 and collected individually.

前記ＭＰＰＳゲートウエイ９は、演算処理プログラムを実行するマイクロコンピュータ
、入出力インターフェースおよび演算処理プログラムを記憶させておくメモリを主体として構成される演算処理装置、例えばパーソナルコンピュータで構成されるもので、その機能を図２の機能ブロック図に示す。 The MPPS gateway 9 is composed of a microcomputer for executing an arithmetic processing program, an input / output interface, and an arithmetic processing device mainly composed of a memory for storing the arithmetic processing program, for example, a personal computer. Is shown in the functional block diagram of FIG.

このＭＰＰＳゲートウエイ９は、前記Ｘ線撮影装置１ＡからのＤＩＣＯＭ送信データを受信するパーソナルコンピュータの入力インターフェースの画像受信機能１０と、ＤＩＣＯＭ受信データを解析し、画像に関連する患者名、ＩＤナンバー、Ｘ線管の印加電圧、電流、撮影時間などの関連情報および検査終了情報を検出する情報検出プログラムにより実行される情報検出機能１１と、検出されたデータをＭＰＰＳ規格のフォーマットに配列させるデータ構成機能１２と、検査終了を判別する検査終了判別機能１３と、このＭＰＰＳ規格に対応して配列されたデータをＤＩＣＯＭネットワーク８に送出するための出力インターフェースのＭＰＰＳ送信機能１４を備えている。   The MPPS gateway 9 analyzes the DICOM received data by the image receiving function 10 of the input interface of the personal computer that receives the DICOM transmission data from the X-ray imaging apparatus 1A, and the patient name, ID number, X An information detection function 11 executed by an information detection program for detecting related information such as applied voltage, current, and imaging time of the tube, and examination end information, and a data configuration function 12 for arranging the detected data in the format of the MPPS standard And an inspection end determination function 13 for determining the end of the inspection, and an MPPS transmission function 14 as an output interface for transmitting data arranged in accordance with the MPPS standard to the DICOM network 8.

Ｘ線撮影装置１ＡからＭＰＰＳサーバー５に対しＭＰＰＳ送信を実行するには、検査単位の情報を認識して検査が終了したことを検知し、検査終了信号を送信する必要がある。この検査終了信号を検知する方法として以下に示す（１）から（４）の方法が用いられる。
（１）検査単位の情報（例えばＳｔｕｄｙ Ｉｎｓｔａｎｃｅ ＵＩＤ（Ｕｎｉｑｕｅ Ｉｄｅｎｔｉｔｙ））で検知する方法を図３のフローチャートで示す。ＭＰＰＳゲートウエイ９により、Ｘ線撮影装置１Ａから送信される画像情報を読込（ＳＴ１）、検査単位の情報（例えばＳｔｕｄｙ Ｉｎｓｔａｎｃｅ ＵＩＤ）を取得し（ＳＴ２）、Ｘ線管球の印加電圧、電流、Ｘ線照射時間、患者名、患者ＩＤなどのＭＰＰＳデータを作成する（ＳＴ３）。そして、取得した「Ｓｔｕｄｙ Ｉｎｓｔａｎｃｅ ＵＩＤ」が保存している「Ｓｔｕｄｙ Ｉｎｓｔａｎｃｅ ＵＩＤ」と同一かを判別し（ＳＴ４）、ＹＥＳの場合は画像情報読込（ＳＴ１）を繰り返し、ＮＯの場合はＭＰＰＳサーバー５に検査終了信号を送信し（ＳＴ５）、「Ｓｔｕｄｙ Ｉｎｓｔａｎｃｅ ＵＩＤ」を保存して（ＳＴ６）画像情報読込（ＳＴ１）を繰り返す。
（２）タイマーで検知する方法を図４のフローチャートで示す。ＭＰＰＳゲートウエイ９にタイマーを設定し、タイマーがタイムアウトしたかを監視する（ＳＴ１）。ＮＯならば新規画像を受信したかを判別し（ＳＴ２）、ＹＥＳならタイマーを停止し（ＳＴ３）、画像情報を読込（ＳＴ４）、前記（１）の方法と同様にＭＰＰＳデータを作成した後（ＳＴ５）、タイマーをスタートさせ（ＳＴ６）、タイムアウトの監視を繰り返す（ＳＴ１）。一方、新規画像の受信がＮＯならタイムアウトの監視を繰り返す（ＳＴ１）。また、タイムアウトの監視において（ＳＴ１）ＹＥＳならＭＰＰＳサーバー５に検査終了信号を送信し（ＳＴ７）、タイマーの監視を繰り返す（ＳＴ１）。
（３）手動で検査終了信号を送信する方法を図５のフローチャートで示す。ＭＰＰＳゲートウエイ９に検査終了信号を送信するための検査終了ボタンを設け、検査終了ボタンが押されたかを監視しておき（ＳＴ１）、ＮＯなら監視を繰り返し、ＹＥＳなら検査終了信号を送信し（ＳＴ２）、検査終了ボタンを監視する（ＳＴ１）。
（４）上記の検査終了信号の送信方法を組み合わせて用いる。 In order to perform MPPS transmission from the X-ray imaging apparatus 1A to the MPPS server 5, it is necessary to recognize the information of the inspection unit, detect that the inspection is completed, and transmit an inspection end signal. The following methods (1) to (4) are used as a method for detecting this inspection end signal.
(1) A method of detecting by inspection unit information (for example, Study Instance UID (Unique Identity)) is shown in the flowchart of FIG. The image information transmitted from the X-ray imaging apparatus 1A is read by the MPPS gateway 9 (ST1), the information of the examination unit (for example, Study Instance UID) is acquired (ST2), the applied voltage, current, X of the X-ray tube MPPS data such as the irradiation time, patient name, and patient ID is created (ST3). Then, it is determined whether the acquired “Study Instance UID” is the same as the stored “Study Instance UID” (ST4). If YES, the image information reading (ST1) is repeated. If NO, the MPPS server 5 is checked. An inspection end signal is transmitted (ST5), "Study Instance UID" is saved (ST6), and image information reading (ST1) is repeated.
(2) The method of detecting with the timer is shown in the flowchart of FIG. A timer is set in the MPPS gateway 9 to monitor whether the timer has timed out (ST1). If NO, it is determined whether a new image has been received (ST2), if YES, the timer is stopped (ST3), image information is read (ST4), and MPPS data is created in the same manner as in the method (1) ( ST5), the timer is started (ST6), and the time-out monitoring is repeated (ST1). On the other hand, if reception of a new image is NO, timeout monitoring is repeated (ST1). If time-out monitoring (ST1) is YES, a test end signal is transmitted to the MPPS server 5 (ST7), and timer monitoring is repeated (ST1).
(3) A method of manually transmitting the inspection end signal is shown in the flowchart of FIG. An inspection end button for transmitting an inspection end signal is provided to the MPPS gateway 9 to monitor whether the inspection end button has been pressed (ST1). If NO, the monitoring is repeated. If YES, an inspection end signal is transmitted (ST2). ), The inspection end button is monitored (ST1).
(4) A combination of the above-described inspection end signal transmission methods is used.

本発明のＭＰＰＳゲートウエイはパーソナルコンピュータ等のディジタル演算処理装置で構成されているので、画像に含まれていない情報をＭＰＰＳ送信する場合にはＭＰＰＳゲートウエイ９のキーボードにて手動で送信情報を入力し送信も可能である。また、ＭＰＰＳ送信する情報を確認する必要がある場合にはＭＰＰＳゲートウエイ９にて確認の表示も可能である。   Since the MPPS gateway of the present invention is composed of a digital arithmetic processing unit such as a personal computer, when transmitting information that is not included in the image by MPPS transmission, the transmission information is manually input from the keyboard of the MPPS gateway 9 and transmitted. Is also possible. When it is necessary to confirm information to be transmitted by MPPS, confirmation can be displayed on the MPPS gateway 9.

ＤＩＣＯＭプロトコルによる通信機能は有するがＭＰＰＳ送信機能を有しないＸ線撮影装置、超音波診断装置、ＭＲＩ診断装置などの画像診断装置に適用できる。   The present invention can be applied to image diagnostic apparatuses such as an X-ray imaging apparatus, an ultrasonic diagnostic apparatus, and an MRI diagnostic apparatus that have a communication function based on the DICOM protocol but do not have an MPPS transmission function.

本発明による医療画像情報システムの構成図である。It is a block diagram of the medical image information system by this invention. 実施例によるＭＰＰＳゲートウエイの機能ブロック図である。It is a functional block diagram of the MPPS gateway by an Example. 実施例に係る検査終了信号を検知する手順を示すフローチャートである。It is a flowchart which shows the procedure which detects the test | inspection completion signal which concerns on an Example. 実施例に係る検査終了信号を検知する手順を示す他のフローチャートである。It is another flowchart which shows the procedure which detects the test | inspection completion signal which concerns on an Example. 実施例に係る検査終了信号を検知する手順を示す他のフローチャートである。It is another flowchart which shows the procedure which detects the test | inspection completion signal which concerns on an Example. 従来の医療画像情報システムの構成図である。It is a block diagram of the conventional medical image information system.

符号の説明Explanation of symbols

１ Ｘ線撮影装置
１Ａ Ｘ線撮影装置
２ 超音波診断装置
３ ＭＲＩ診断装置
４ 画像サーバー
５ ＭＰＰＳサーバー
６ 画像観察ビューワ
７ ＨＩＳ
８ ＤＩＣＯＭネットワーク
９ ＭＰＰＳゲートウエイ
１０ 画像受信機能
１１ 情報検出機能
１２ データ構成機能
１３ 検査終了判別機能
１４ ＭＰＰＳ送信機能 DESCRIPTION OF SYMBOLS 1 X-ray imaging apparatus 1A X-ray imaging apparatus 2 Ultrasonic diagnostic apparatus 3 MRI diagnostic apparatus 4 Image server 5 MPPS server 6 Image observation viewer 7 HIS
8 DICOM network 9 MPPS gateway 10 Image reception function 11 Information detection function 12 Data configuration function 13 Examination end determination function 14 MPPS transmission function

Claims (5)

ＭＰＰＳ送信機能を有しないＤＩＣＯＭ画像送信機能を備えた画像診断装置にＭＰＰＳ送信機能を付加するＭＰＰＳゲートウエイであって、前記画像診断装置からのＤＩＣＯＭプロトコルにて画像情報を受信する画像受信手段と、前記受信した画像情報から検査関連情報を取り出す情報取出手段と、前記取り出した検査関連情報をＭＰＰＳ規格に整合するデータに構成するデータ構成手段と、前記構成したデータを送信するＭＰＰＳ送信手段とを備えていることを特徴するＭＰＰＳゲートウエイ。   An MPPS gateway for adding an MPPS transmission function to an image diagnostic apparatus having a DICOM image transmission function that does not have an MPPS transmission function, the image receiving means for receiving image information by the DICOM protocol from the image diagnostic apparatus, and Information extraction means for extracting inspection-related information from received image information, data configuration means for configuring the extracted inspection-related information into data that conforms to the MPPS standard, and MPPS transmission means for transmitting the configured data MPPS gateway, characterized by 検査終了信号を発生させる終了信号発生手段と、前記検査終了信号を送信するＭＰＰＳ送信手段とを備えていることを特徴する請求項１記載のＭＰＰＳゲートウエイ。   2. The MPPS gateway according to claim 1, further comprising: an end signal generating unit that generates a test end signal; and an MPPS transmission unit that transmits the test end signal. 前記終了信号発生手段は、検査単位の情報を取得する情報取得手段と、取得した検査単位情報が保存されている検査単位情報と同一かを判別する情報判別手段を備え、同一の場合は再度検査単位情報の取得を繰り返し、不同一の場合は検査終了信号を発生させるものであることを特徴とする請求項１記載のＭＰＰＳゲートウエイ。   The end signal generating means includes an information acquiring means for acquiring information on the examination unit and an information determining means for determining whether the acquired examination unit information is the same as the stored examination unit information. 2. The MPPS gateway according to claim 1, wherein acquisition of unit information is repeated, and if they are not identical, an inspection end signal is generated. 前記終了信号発生手段は、検査時間を計時するタイマーと、タイマー計時時間が予め設定された設定時間を越えたかを判別するタイムアウト判別手段を備え、タイムアウト前においてはタイマーを停止して新規画像情報を受信し、タイムアウトの場合は検査終了信号を発生させることを特徴とする請求項１記載のＭＰＰＳゲートウエイ。   The end signal generating means includes a timer for measuring the inspection time and a time-out determining means for determining whether the timer time exceeds a preset set time. Before the time-out, the timer is stopped to obtain new image information. 2. The MPPS gateway according to claim 1, wherein a test end signal is generated when a time-out occurs. 前記終了信号発生手段は、手動で検査終了信号を送信する信号発生器によるものであることを特徴とするＭＰＰＳゲートウエイ。   The MPPS gateway according to claim 1, wherein the end signal generating means is a signal generator for manually transmitting an inspection end signal.
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