JP2011110303A - Medical image display system and program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To easily display detection result information of a medical image group to be used for reading and an abnormal shadow candidate conformable thereto even when re-radiographing is performed in examining a reading object. <P>SOLUTION: According to a medical image display system 100, detection result information of the abnormal shadow candidate detected using a medical image group of the same examination is stored in association with a medical image group which is an origin of detecting the detection result information concerned and identification information of examination in an image DB 351 of an image server 3. When an operating part 42 selects examination on the reading object and detection result information used in reading from the detection result information corresponding to the examination, a control part 41 of a reading terminal 4 acquires the selected detection result information and a medical image group corresponding to the selected detection result information from the image DB 351 of the image server 3 and causes a display part 43 to display them. <P>COPYRIGHT: (C)2011,JPO&INPIT

Description

  The present invention relates to a medical image display system and program.

  In recent years, with an increase in the incidence of breast cancer in women, interest in breast cancer screening has increased. In breast cancer screening, a doctor interprets a medical image obtained by photographing a breast to diagnose the presence or absence of an abnormality. However, the number of interpretation doctors who perform diagnosis is insufficient, and there is a problem that diagnosis is delayed.

  In order to improve such a problem, an abnormal shadow candidate detection apparatus (automatic shadow candidate detection device) that automatically detects abnormal shadow candidates indicating the characteristics of a lesion such as breast cancer from a medical image for the purpose of improving diagnostic accuracy or improving the efficiency of diagnostic work ( A CAD device (Computer-Aided Detection) has been developed.

  For example, Patent Document 1 describes a medical image processing system that detects abnormal shadow candidates from a medical image and displays detection result information. This patent document 1 describes a technique for narrowing and displaying only candidates that are difficult to determine whether they are true positives or false positives and that should be left to the doctor's final determination, or candidates that are low in visibility and are easily overlooked by the doctor.

  Detection result information of abnormal shadow candidates detected by the CAD device is transmitted to an image server that stores medical images, and stored in association with the medical images. And it is displayed on a display part with a medical image at the time of a doctor's interpretation, and is used for interpretation.

JP 2006-340835 A

  By the way, the detection algorithm in the CAD device includes an algorithm that performs detection for each medical image, and another algorithm that performs detection while comparing medical images of the same examination, for example, medical images of the left and right breasts. . In the case of an algorithm that performs detection using a medical image group of the same examination, normally, one detection result information including the detection result of each medical image used for detection is generated as one file. When re-imaging occurs in some medical images in a group of medical images of the same examination, the medical image for which imaging has failed is replaced with a medical image after re-imaging, and detection by the CAD device is performed again, and a new Detection result information is generated.

  Here, when a part of the medical image of the examination is re-photographed and new detection result information is generated, before and after the re-photographing, if a user such as an interpretation doctor does not perform any operation on the image server A medical image and detection result information coexist in the image server. Therefore, when a user interprets a medical image group of a certain examination, it is confirmed whether or not re-imaging has been performed for the examination. An operation for selecting a group of medical images to be included and detection result information corresponding thereto, or an operation for hiding a medical image and detection result information before re-imaging are necessary, which is complicated. In addition, there is a possibility that interpretation will be performed with the medical image group before re-imaging without noticing re-imaging, or detection result information created before re-imaging may be applied to the medical image group after re-imaging. There is also.

  An object of the present invention is to easily display a medical image group to be used for interpretation and detection result information of an abnormal shadow candidate corresponding to the medical image group on the display means even when re-imaging is performed in the examination of the interpretation target. Is to be able to do it.

In order to solve the above problem, a medical image display system according to claim 1 is provided.
Storage means for storing the detection result information of the abnormal shadow candidate detected using the medical image group of the same examination in association with the medical image group that is the detection source of the detection result information and the identification information of the examination;
Operation means for selecting an examination to be interpreted;
A selection means for selecting detection result information to be used for interpretation from detection result information corresponding to the examination selected by the operation means;
Control means for acquiring the selected detection result information and a medical image group corresponding to the selected detection result information from the storage means and displaying on the display means;
Is provided.

The invention according to claim 2 is the invention according to claim 1,
The selection means acquires a list of detection result information corresponding to the examination selected by the operation means from the storage means, displays the list on the display means, and the detection selected by the operation means from the displayed list The result information is selected as detection result information used for interpretation.

The invention according to claim 3 is the invention according to claim 1,
The selection means selects the latest detection result information among the detection result information corresponding to the examination selected by the operation means as detection result information used for interpretation.

The program of the invention according to claim 4 is:
A computer connected to storage means for storing the detection result information of the abnormal shadow candidate detected from the medical image group of the same examination in association with the medical image group from which the detection result information is detected and the identification information of the examination; ,
Operation means for selecting the examination to be interpreted;
Selecting means for selecting detection result information used for interpretation from detection result information corresponding to the examination selected by the operation means;
Control means for acquiring the selected detection result information and a medical image group corresponding to the selected detection result information from the storage means and displaying on the display means;
To function as.

  According to the present invention, even when re-imaging is performed in the examination of the interpretation target, the medical image group to be used for the interpretation and the detection result information of the abnormal shadow candidate corresponding thereto are easily displayed on the display means. It becomes possible to do.

It is a figure which shows the example of whole structure of the medical image display system in this Embodiment. It is a block diagram which shows the functional structure of the image server of FIG. It is a block diagram which shows the functional structure of the image interpretation terminal of FIG. It is a figure which shows the flow of the medical image display process performed by the image interpretation terminal of FIG. 1, and an image server in 1st Embodiment. It is a figure which shows an example of the test | inspection list screen displayed on a display part in FIG.4 S3. FIG. 5 is a diagram showing an example of a medical image display screen displayed on the display unit in step S8 of FIG. It is a figure which shows another example of the test | inspection list screen of FIG. It is a figure which shows an example of the CAD information selection dialog displayed when a test | inspection is selected on the test | inspection list screen of FIG. 7A. It is a figure which shows the flow of the medical image display process B performed by the image interpretation terminal of FIG. 1, and an image server in 2nd Embodiment.

  Hereinafter, embodiments of a medical image display system according to the present invention will be described with reference to the drawings. However, the present invention is not limited to the following illustrated examples.

[First embodiment]
(Configuration of Medical Image Display System 100)
First, the configuration in the first embodiment will be described.
FIG. 1 shows a system configuration of a medical image display system 100 according to the first embodiment.
The medical image display system 100 is a system that captures a medical image, detects an abnormal shadow candidate from the medical image, and provides detection result information to the interpretation doctor together with the medical image.

  As illustrated in FIG. 1, the medical image display system 100 includes an image generation device 1, an abnormal shadow candidate detection device 2, an image server 3, and an image interpretation terminal 4. These devices 1 to 4 are connected to each other through a communication network N constructed in a medical institution such as a LAN (Local Area Network) so that data can be transmitted and received between them. The DICOM (Digital Imaging and Communication in Medicine) standard is applied to the communication network N.

Hereinafter, each component apparatus 1-4 is demonstrated.
The image generation apparatus 1 captures a human body and generates digital data of the captured image (medical image). For example, CR (Computed Radiography), FPD (Flat Panel Detector)
), CT (Computed Tomography), MRI (Magnetic Resonance Imaging), cassette-dedicated readers, film digitizers, and other modalities are applicable.

  In the present embodiment, it is assumed that a breast-specific CR that performs X-ray imaging of the left and right breasts is applied as the image generation apparatus 1 to generate image data of a breast image. Here, when examining the breast, imaging is performed on one or both of the left breast and the right breast in one examination. Further, there are a vertical direction (CC) and an oblique direction (MLO) as directions for photographing. Accordingly, image data of 1 to 4 medical image groups is generated in one examination.

  The image generation apparatus 1 is an apparatus that complies with the above-mentioned DICOM standard, and can input various information attached to the generated medical image, for example, patient information and examination information from the outside, and can also automatically generate the information. it can. The patient information includes information such as patient identification information (for example, patient ID) for identifying the patient, patient name, sex, date of birth, and the like. The examination information includes examination identification information for identifying the examination (for example, examination ID), examination date, examination site, laterality (left, right), direction (vertical direction (CC), oblique direction (MLO)), Information such as modality type is included. The image generation apparatus 1 adds the above patient information, examination information, UID (Unique ID) for identifying the image as header information to the generated medical image, and detects an abnormal shadow candidate detection apparatus 2 via the communication network N. And to the image server 3. In addition, when not conforming to the DICOM standard, incidental information can be input to the image generating apparatus 1 using a DICOM conversion apparatus (not shown).

  The abnormal shadow candidate detection device 2 is a computer that performs image analysis of a medical image supplied from the image generation device 1 and performs detection processing of an abnormal shadow candidate. The abnormal shadow candidate detection device 2 includes a control unit configured by a CPU (Central Processing Unit) and a RAM (Random Access Memory), a storage unit such as an HDD (Hard Disk Drive), and a communication unit such as a LAN card. The storage unit of the abnormal shadow candidate detection device 2 stores a detection algorithm detection algorithm corresponding to the type of abnormal shadow to be detected. The control unit of the abnormal shadow candidate detection device 2 is stored in the storage unit. The abnormal shadow candidate is detected from each medical image input via the communication unit in cooperation with the detection program. For example, mass candidates in the breast image and shadow candidates of the microcalcification cluster are detected.

  As an abnormal shadow candidate detection algorithm, a known algorithm can be applied. For example, as an algorithm for a tumor shadow candidate in a breast image, a method using an iris filter disclosed in Japanese Patent Laid-Open No. 10-91758, a method using a Laplacian filter (Journal of the Institute of Electronics, Information and Communication Engineers (D-II) , Vol. J76-D-II, no. 2, pp. 241-249, 1993), etc. are applicable. In addition, as a detection algorithm for micro-calcification cluster shadow candidates, for example, Morphology filter (The Institute of Electronics, Information and Communication Engineers (D-II), Vol.J71-D-II, no.7, pp.1170-1176, 1992), Laplacian filter (The Institute of Electrical, Information and Communication Engineers Journal (D-II), Vol. J71-D-II, no. 10, pp. 1994-2001, 1998) Applicable.

  When the abnormal shadow candidate detection process by the detection algorithm is completed, the abnormal shadow candidate detection device 2 generates detection result information (hereinafter referred to as CAD information) of the abnormal shadow candidate. The CAD information includes, for example, the presence / absence of an abnormal shadow candidate, character information indicating the number of detected abnormal shadow candidates, position information of each detected abnormal shadow candidate area, and a representative point (for example, a center of gravity) of each detected abnormal shadow candidate Etc.) of multiple items such as position information. Then, the header information of the detection source medical image is added to the generated CAD information and transmitted to the image server 3 by the communication unit.

Here, the detection algorithm in the abnormal shadow candidate detection apparatus 2 includes an algorithm that performs detection for each medical image, or detects while comparing medical image groups (for example, left and right breast medical images) of the same examination. There are also algorithms that do this. In the present embodiment, the abnormal shadow candidate detection device 2 detects abnormal shadow candidates from each medical image using all the medical image groups of the same examination, and generates one CAD information including the detection result of each medical image. It will be explained as a thing.
The CAD information is generated as a file in a predetermined format (referred to as a CAD file). The CAD file is composed of actual data of CAD information and header information. The header information includes an examination ID corresponding to the CAD information and a UID of a medical image group (a medical image group serving as a detection source). The header information includes a position (address) where a detection result for each medical image constituting the medical image group is stored.

  When CAD information is generated once and a part of the medical image of the examination is re-photographed, the abnormal shadow candidate detection apparatus 2 does not re-photograph the medical image after the re-photographing ( CAD information is generated again using a medical image in which imaging has not failed. For example, after CAD information α (file name; pattern 1) for medical images A, B, C, and D of examination 1 is generated and transmitted to the image server 3, the medical image C is re-photographed due to a photographing error and becomes medical. When the image F is newly captured, new CAD information β (file name; pattern 2) is generated for the examination 1 with the medical images A, B, F, and D as detection sources and transmitted to the image server 3. The That is, a plurality of CAD information may be generated for one examination and transmitted to the image server 3.

  The image server 3 in FIG. 1 includes an image DB (Data Base) 351, and the medical image generated by the image generation device 1 and the CAD information received from the abnormal shadow candidate detection device 2 are associated with the image DB 351. Store and manage its input and output.

FIG. 2 shows a functional configuration example of the image server 3.
As shown in FIG. 2, the image server 3 includes a control unit 31, an operation unit 32, a display unit 33, a communication unit 34, and a storage unit 35, and each unit is connected by a bus 36.

The control unit 31 includes a CPU, a RAM, and the like. The CPU of the control unit 31 reads out various programs such as a system program and a processing program stored in the storage unit 35, expands them in the RAM, and executes various processes according to the expanded programs.
For example, the control unit 31 executes a server side process of a medical image display process (see FIG. 4) described later.

  The operation unit 32 includes a keyboard provided with character input keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse, and a key press signal pressed by the keyboard and an operation signal by the mouse. To the control unit 31 as an input signal.

  The display unit 33 includes, for example, a monitor such as a CRT (Cathode Ray Tube) or an LCD (Liquid Crystal Display), and displays various screens according to instructions of display signals input from the control unit 31.

  The communication unit 34 is configured by a LAN card or the like, and transmits / receives data to / from an external device connected to the communication network N via a switching hub.

  The storage unit 35 includes, for example, an HDD (Hard Disk Drive), a semiconductor nonvolatile memory, or the like. The storage unit 35 stores various programs as described above. In addition, the storage unit 35 stores an image DB 351 for storing a medical image captured from the image generation device 1 and CAD information captured from the abnormal shadow candidate detection device 2.

The image DB 351 has an image management table that stores management information regarding each medical image stored in the image DB 351. In the image management table, management information for each medical image is stored as one record. The management information includes UID, examination information, patient information, and file information (file name of medical image and corresponding CAD information, file storage location, file creation date / time, file size, etc.).
When a medical image is received from the image generation apparatus 1, the received medical image is stored in the image DB 351, and management information is created based on the received medical image header information by the control unit 31, Stored in the image management table. When the CAD information from the abnormal shadow candidate detection device 2 is received, the received CAD information is stored in the image DB 351, and the UID included in the header information of the CAD information from the image management table by the control unit 31. A record having a matching UID is searched, and the file name, storage location, file creation date / time, etc. of CAD information are additionally written in the searched record. In this way, the medical image, the examination information about the medical image, and the detection result information of the abnormal shadow candidate detected from the medical image are stored in the image DB 351 so as to be searchable in association with each other. As described above, since a plurality of CAD information may be generated from the abnormal shadow candidate detection apparatus 2 for one examination, a plurality of CAD information may be associated with one medical image. For example, CAD information α (pattern 1) and CAD information β (pattern 2) are associated with the medical images A, B, and D of the examination 1 described above, and CAD information α (pattern 1) is associated with the medical image C. , CAD information β (pattern 2) is associated with image F.

  Returning to FIG. 1, the interpretation terminal 4 acquires the medical image designated by the operation of the interpretation doctor and the CAD information corresponding thereto from the image server 3 and displays it.

FIG. 3 shows a functional configuration example of the image interpretation terminal 4.
As shown in FIG. 3, the interpretation terminal 4 includes a control unit 41, an operation unit 42, a display unit 43, a communication unit 44, and a storage unit 45, and each unit is connected by a bus 46.

The control unit 41 includes a CPU, a RAM, and the like. The CPU of the control unit 41 reads out various programs such as system programs and processing programs stored in the storage unit 45, expands them in the RAM, and executes various processes according to the expanded programs.
For example, the control unit 41 executes an interpretation terminal side process of a medical image display process to be described later.

  The operation unit 42 includes a keyboard having character input keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse, and a key pressing signal pressed by the keyboard and an operation signal by the mouse. Are output to the control unit 41 as an input signal.

  The display unit 43 includes, for example, a monitor such as a CRT or LCD, and displays various screens in accordance with display signal instructions input from the control unit 41.

  The communication unit 44 is configured by a LAN card or the like, and transmits / receives data to / from an external device connected to the communication network N via a switching hub.

  The storage unit 45 is configured by, for example, an HDD or a semiconductor nonvolatile memory. The storage unit 45 stores various programs as described above. In addition, the storage unit 45 stores image processing parameters (a lookup table defining a gradation curve used for gradation processing, an enhancement degree of frequency processing, and the like) for adjusting a medical image to an image quality suitable for diagnosis. is doing.

(Operation of Medical Image Display System 100)
Next, the operation of the medical image display system 100 will be described.
FIG. 4 shows a flowchart of a medical image display process executed by the image server 3 and the image interpretation terminal 4. The server side process of the medical image display process is executed in cooperation with the control unit 31 and the program stored in the storage unit 35. The interpretation terminal side process of the medical image display process is executed in cooperation with the control unit 41 and the program stored in the storage unit 45.

  In the interpretation terminal 4, when a search condition such as a patient ID and an examination date is input from the search screen displayed on the display unit 43 by the operation unit 42 and the search is instructed, the examination information that matches the input search condition is displayed. A list request is transmitted to the image server 3 by the communication unit 44 (step S1). In the image server 3, when a request for a search condition and an inspection information list is received by the communication unit 34, management information related to an inspection that matches the received search condition is searched from the image DB 351, and an inspection information list is generated. Then, it is transmitted to the interpretation terminal 4 by the communication unit 34 (step S2). The examination information list generated in step S2 includes items such as examination ID for identifying the examination, patient ID, patient name, examination date, CAD file name corresponding to the examination, creation date / time of the CAD file, and the like. Contains information.

In the radiogram interpretation terminal 4, when the examination information list is received by the communication unit 44, the examination list screen 431 is displayed on the display unit 43 based on the received examination information list (step S3).
FIG. 5 shows an example of the examination list screen 431 displayed on the display unit 43 in step S3. As shown in FIG. 5, the inspection list screen 431 displays a list of the contents of the received inspection information list. In FIG. 5, in the “CAD presence / absence” column, the CAD file name (for example, pattern 1 and pattern 2) when the CAD information corresponding to the examination exists, The text “arrival” is displayed. The CAD file creation date is displayed in the “CAD date” field, and the CAD file creation time is displayed in the “CAD time” field. When an examination is selected from the examination list screen 431 with the mouse of the operation unit 42 or the like, the selected examination is selected as an interpretation target. If a plurality of pieces of CAD information exist for the same examination, they are displayed in units of combination of examination and CAD information so that CAD information used for interpretation of the examination can be selected together. For example, in FIG. 5, since the CAD of pattern 1 and pattern 2 is associated with the examination of examination ID 12345678, either CAD pattern 1 or pattern 2 is used as CAD information used for interpretation of a medical image for the examination. It is displayed so that it can be selected.

  When the examination and CAD information corresponding to the examination are selected by the operation unit 42 from the examination list screen 431 (step S4), information for specifying the selected examination and CAD information (examination ID, CAD file name, etc.) Is transmitted to the image server 3 by the communication unit 44, and an image acquisition request is made (step S5).

  In the image server 3, when the image acquisition request is received by the communication unit 34, the CAD information of the examination selected by the interpretation terminal 4 and the medical image group corresponding to the CAD information are retrieved from the image DB 351 and read out. Then, it is transmitted to the radiogram interpretation terminal 4 by the communication unit 34 (step S6).

  In the image interpretation terminal 4, when the medical image group and the CAD file are received by the communication unit 44, the received medical image group is displayed on the medical image display screen 432 of the display unit 43 (step S7). When the display of CAD information is instructed by the operation unit 42, the CAD information is displayed on the medical image displayed on the display unit 43 (step S8), and the medical image display process is ended.

  FIG. 6 shows an example of the medical image display screen 432 displayed on the display unit 43 in step S8 of FIG. As shown in FIG. 6, the medical image display screen 432 displays medical image groups of the same examination side by side or sequentially in accordance with an instruction from the operation unit 42. Further, in accordance with an instruction from the operation unit 42, CAD information (for example, a CAD outline P1 indicating a region of an abnormal shadow candidate, a CAD mark (not shown) indicating a representative point of the abnormal shadow candidate, and whether or not an abnormal shadow candidate is detected) And overlay information P2 indicating the number of detections) are displayed.

  For example, if it is desired to display the medical image group after re-imaging of the above-described examination 1 in step S4, if CAD information β (file name: pattern 2) which is the latest CAD information is selected as CAD information used for interpretation, Images A, B, F, and D corresponding to pattern 2 can be displayed on the medical image display screen 432. That is, even when re-imaging is performed in the examination of the interpretation target, a medical image reflecting re-imaging by a simple operation of selecting CAD information created after re-imaging (that is, the latest). The group and CAD information corresponding to the group can be easily displayed on the display unit 43.

  In the first embodiment, the CAD information is selected from the examination information list. However, as shown in FIG. 7A, the examination is selected from the examination list screen 431, and the examination is performed. When selected, the control unit 41 displays a dialog D displaying a list of CAD information (CAD file name, file creation date / time) about the selected examination on the examination list screen 431 as shown in FIG. 7B. The CAD information may be selected from the dialog D. In this case, the CAD file name, file creation date / time, etc. may be acquired in advance by including them in the inspection information list as described above, or after the selection of the inspection, the CAD information of the selected inspection It is good also as acquiring only a list.

[Second Embodiment]
Next, a second embodiment of the present invention will be described.
Since the configuration of the second embodiment is the same as the configuration of the first embodiment, a description thereof will be omitted, and the operation of the second embodiment will be described.

  FIG. 8 shows a flowchart of medical image display processing (referred to as medical image display processing B) executed by the image server 3 and the image interpretation terminal 4 in the second embodiment. The server side process of the medical image display process B is executed in cooperation with the control unit 31 and the program stored in the storage unit 35. The interpretation terminal side process of the medical image display process B is executed in cooperation with the control unit 41 and a program stored in the storage unit 45.

  In the interpretation terminal 4, when a search condition such as a patient ID and an examination date is input from the search screen displayed on the display unit 43 by the operation unit 42 and the search is instructed, the examination information that matches the input search condition is displayed. A list request is transmitted to the image server 3 by the communication unit 44 (step S11). In the image server 3, when a request for a search condition and an inspection information list is received by the communication unit 34, management information related to an inspection that matches the received search condition is searched from the image DB 351, and an inspection information list is generated. Then, it is transmitted to the interpretation terminal 4 by the communication unit 34 (step S12). The examination information list generated in step S12 includes items such as examination ID for identifying the examination, patient ID, patient name, examination date, CAD file name corresponding to the examination, creation date / time of the CAD file, and the like. Contains information.

In the image interpretation terminal 4, when the examination information list is received by the communication unit 44, the examination list screen 431 is displayed on the display unit 43 based on the received examination information list (step S13).
The examination list screen 431 displayed on the display unit 43 in step S3 is the same as that shown in FIG. 7A. When an examination is selected from the examination list screen 431 with the mouse of the operation unit 42, the selected examination is performed. Is selected as an interpretation target.

  When an examination is selected from the examination list screen 431 by the operation unit 42 (step S14), information of the selected examination (such as an examination ID) is transmitted to the image server 3 by the communication unit 44, and an image acquisition request is made ( Step 15).

  In the image server 3, when the image acquisition request is received by the communication unit 34, the CAD information with the latest creation date is retrieved and read out from the CAD information corresponding to the examination selected in the interpretation terminal 4. A medical image group corresponding to the latest CAD information is retrieved from the image DB 351 and read out, and transmitted to the image interpretation terminal 4 by the communication unit 34 (step S16).

  In the image interpretation terminal 4, when the medical image group and CAD information are received by the communication unit 44, the received medical image group is displayed on the medical image display screen of the display unit 43 (step S17). When the display of CAD information is instructed by the operation unit 42, the CAD information is displayed on the medical image displayed on the display unit 43 (step S18), and the medical image display process B ends.

  The medical image display screen displayed on the display unit 43 in step S18 of FIG. 8 is the same as the medical image display screen 432 shown in FIG. In the second embodiment, the latest CAD information and the medical image corresponding to the latest CAD information about the selected examination are automatically acquired from the image server 3 and displayed. Therefore, even when re-imaging is performed, the latest CAD information after re-imaging and the medical that conforms to this without performing operations such as selection of a medical image used for interpretation and selection of CAD information by the interpretation doctor Since the image can be displayed on the display unit 43, the interpretation work can be made efficient. In addition, it is possible to prevent inconveniences such as reading a medical image before re-imaging or displaying CAD information that does not match the medical image on the medical image.

  In the second embodiment, the latest CAD information corresponding to the selected examination is selected and the medical image group corresponding to the latest CAD information is selected on the image server 3 side. It may be performed on the interpretation terminal 4 side. For example, when the image server 3 receives information specifying an examination and an image acquisition request from the interpretation terminal 4, all of the CAD information and the medical image corresponding to the selected examination are read from the image DB 351 and sent to the interpretation terminal 4. Then, the control unit 41 of the interpretation terminal 4 may automatically select the latest CAD information and the corresponding medical image group from the received CAD information and display them on the display unit 43.

  As described above, according to the medical image display system 100 in the first embodiment, the detection result information of abnormal shadow candidates detected using the medical image group of the same examination is stored in the image DB 351 of the image server 3. Are stored in association with the medical image group from which the detection result information is detected and the identification information of the examination, and the control unit 41 of the interpretation terminal 4 responds to the examination of the interpretation target and the examination by the operation unit 42. When detection result information to be used for interpretation is selected from the detection result information to be acquired, the selected detection result information and a medical image group corresponding to the selected detection result information are acquired from the image DB 351 of the image server 3. Are displayed on the display unit 43.

  Therefore, even when re-imaging is performed in the examination of the interpretation target, a medical image reflecting re-imaging by a simple operation of selecting CAD information created after re-imaging (that is, the latest). It is possible to easily display the group and CAD information corresponding to the group on the display unit 43.

  Further, according to the medical image display system 100 in the second embodiment, the detection result information of abnormal shadow candidates detected using the medical image group of the same examination is stored in the image DB 351 of the image server 3. Is stored in association with the medical image group and the identification information of the examination, and the control unit 41 of the interpretation terminal 4 selects the selected examination when the examination of the interpretation target is selected by the operation unit 42. And the image acquisition request are transmitted to the image server 3. When receiving the information specifying the selected examination and the image acquisition request, the control unit 31 of the image server 3 uses the latest detection result information among the detection result information corresponding to the selected examination for the interpretation. The selected detection result information and the medical image group corresponding to the selected detection result information are acquired from the image DB 351 of the image server 3 and transmitted to the interpretation terminal 4. The control unit 41 of the image interpretation terminal 4 causes the display unit 43 to display the detection result information and the medical image group transmitted from the image server 3.

  Therefore, even when re-imaging is performed in the examination of the interpretation target, the latest CAD information after re-imaging is automatically performed without performing selection of a medical image displayed by the interpretation doctor or selection of CAD information. In addition, since the medical image conforming to this can be displayed on the display unit 43, it is possible to improve the interpretation work efficiency.

In addition, the description content in the said embodiment is a suitable example of this invention, and is not limited to this.
For example, in the first embodiment, it is described that the function as a storage unit is provided in the image server 3, and the function as an operation unit, a selection unit, a control unit, and a display unit is provided in the image interpretation terminal 4. In the second embodiment, the image server 3 is provided with functions as storage means and selection means, and the interpretation terminal 4 is provided with functions as selection means, control means, and display means. May be configured to be provided in one apparatus. In addition, as described above, the interpretation terminal 4 may have a function as the selection unit in the second embodiment. In any case, each storage unit of the image server 3 and the image interpretation terminal 4 stores a program for realizing the function installed in the own device, and each program is controlled by the cooperation of the control unit and the program. The function is executed. In the first and second embodiments, the abnormal shadow candidate detection device 2 has been described as a separate device from the image server 3, but the image server 3 includes a detection program for the abnormal shadow candidate detection device 2. The image server 3 may be configured to detect abnormal shadow candidates.

  In the above description, an example in which a hard disk, a semiconductor nonvolatile memory, or the like is used as a computer-readable medium of the program according to the present invention is disclosed, but the present invention is not limited to this example. As another computer-readable medium, a portable recording medium such as a CD-ROM can be applied. A carrier wave is also applied as a medium for providing program data according to the present invention via a communication line.

  In addition, the detailed configuration and detailed operation of each device constituting the medical image display system can be changed as appropriate without departing from the spirit of the present invention.

DESCRIPTION OF SYMBOLS 100 Medical image display system 1 Image generation apparatus 2 Abnormal shadow candidate detection apparatus 3 Image server 31 Control part 32 Operation part 33 Display part 34 Communication part 35 Storage part 36 Bus 351 Image DB
4 Interpretation terminal 41 Control unit 42 Operation unit 43 Display unit 44 Communication unit 45 Storage unit 46 Bus

Claims (4)

Storage means for storing the detection result information of the abnormal shadow candidate detected using the medical image group of the same examination in association with the medical image group that is the detection source of the detection result information and the identification information of the examination;
Operation means for selecting an examination to be interpreted;
A selection means for selecting detection result information to be used for interpretation from detection result information corresponding to the examination selected by the operation means;
Control means for acquiring the selected detection result information and a medical image group corresponding to the selected detection result information from the storage means and displaying on the display means;
A medical image display system comprising:   The selection means acquires a list of detection result information corresponding to the examination selected by the operation means from the storage means, displays the list on the display means, and the detection selected by the operation means from the displayed list The medical image display system according to claim 1, wherein the result information is selected as detection result information used for interpretation.   The medical image display system according to claim 1, wherein the selection unit selects the latest detection result information among the detection result information corresponding to the examination selected by the operation unit as detection result information used for interpretation. A computer connected to storage means for storing the detection result information of the abnormal shadow candidate detected from the medical image group of the same examination in association with the medical image group from which the detection result information is detected and the identification information of the examination; ,
Operation means for selecting the examination to be interpreted;
Selecting means for selecting detection result information used for interpretation from detection result information corresponding to the examination selected by the operation means;
Control means for acquiring the selected detection result information and a medical image group corresponding to the selected detection result information from the storage means and displaying on the display means;
Program to function as.

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