WO2008015778A1 - Fluoroscopic imaging system - Google Patents
Fluoroscopic imaging system Download PDFInfo
- Publication number
- WO2008015778A1 WO2008015778A1 PCT/JP2007/000802 JP2007000802W WO2008015778A1 WO 2008015778 A1 WO2008015778 A1 WO 2008015778A1 JP 2007000802 W JP2007000802 W JP 2007000802W WO 2008015778 A1 WO2008015778 A1 WO 2008015778A1
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- WO
- WIPO (PCT)
- Prior art keywords
- imaging
- data
- injection
- fluoroscopic
- order data
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M5/145—Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons
- A61M5/1452—Pressure infusion, e.g. using pumps using pressurised reservoirs, e.g. pressurised by means of pistons pressurised by means of pistons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/48—Diagnostic techniques
- A61B6/481—Diagnostic techniques involving the use of contrast agents
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
- A61B6/50—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications
- A61B6/504—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body parts; specially adapted for specific clinical applications for diagnosis of blood vessels, e.g. by angiography
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H30/00—ICT specially adapted for the handling or processing of medical images
- G16H30/20—ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/142—Pressure infusion, e.g. using pumps
- A61M2005/14208—Pressure infusion, e.g. using pumps with a programmable infusion control system, characterised by the infusion program
Definitions
- the present invention relates to a fluoroscopic imaging system that includes a fluoroscopic imaging device, a chemical solution injection device, and an image browsing device, and captures and displays fluoroscopic image data from a subject into which a chemical solution is injected.
- CT Computer Tomography
- MR I Magnetic Resonance Imaging
- PET PET
- Ultrasonic diagnostic equipment etc.
- CT angio devices MRA (MR Angio) devices, and the like as medical devices that capture blood vessel images, which are fluoroscopic image data of subjects.
- a chemical solution such as a contrast medium or physiological saline may be injected into a subject, and a chemical solution injection device that automatically executes this injection has also been put into practical use.
- a general chemical solution injection device holds a chemical syringe filled with a chemical solution, and injects a chemical solution into a subject by press-fitting a biston member into the cylinder member.
- a fluoroscopic imaging system including the fluoroscopic imaging device as a part is constructed.
- a fluoroscopic imaging system includes, for example, a medical chart management device, an imaging management device, a fluoroscopic imaging device, a data storage device, an image browsing device, and the like.
- the medical chart management device is generally called a HIS (Hospital Information System) or the like, and manages a so-called electronic medical chart. This electronic medical record is created for each subject.
- HIS Hospital Information System
- imaging order data is created by the medical chart management device based on the electronic medical record of the subject. This imaging order data is obtained for each imaging operation that captures fluoroscopic image data from a subject. Generated.
- the imaging order data includes, for example, imaging work ID (Identity) which is unique identification information, identification information of the fluoroscopic imaging device, identification information of the subject, start and end of imaging It consists of date and time.
- imaging work ID Identity
- identification information of the fluoroscopic imaging device identification information of the fluoroscopic imaging device
- identification information of the subject start and end of imaging It consists of date and time.
- imaging order data is supplied from the medical chart management apparatus to the imaging management apparatus.
- the imaging management apparatus is generally called a radiology information system (RIS) or the like, and manages imaging order data for imaging fluoroscopic image data from a subject.
- RIS radiology information system
- the fluoroscopic imaging device acquires imaging order data from the imaging management device and executes an imaging operation.
- the fluoroscopic imaging apparatus captures fluoroscopic image data from the subject in correspondence with the imaging order data.
- This fluoroscopic image data is provided with at least a part of the imaging order data by the fluoroscopic imaging device and output to the data storage device.
- This data storage device is generally called PACS (Picture Archive and Communication System) or the like, and stores fluoroscopic image data to which imaging order data is added.
- PACS Picture Archive and Communication System
- An image browsing device commonly called a viewer is connected to the data storage device.
- the image browsing apparatus reads the fluoroscopic image data using the imaging order data as a search key and displays the fluoroscopic image data.
- the imaging management apparatus normally manages a plurality of imaging order data. For this reason, it is necessary to selectively provide one to the fluoroscopic imaging device from a plurality of imaging order data managed by the imaging management device. Therefore, there are two types of imaging management devices called push type and pull type.
- the push-type imaging management device selects one from a plurality of managed imaging order data, for example, by manual operation of an operator.
- the push type imaging management apparatus receives an imaging order data acquisition request from the fluoroscopic imaging apparatus, it returns one selected imaging order data.
- the pull-type imaging management device includes a request for acquiring imaging order data from the fluoroscopic imaging device. Along with this, an order search key is transmitted. This order retrieval key is made up of, for example, an imaging work ID of imaging order data.
- the imaging management apparatus searches imaging order data with the order search key, and returns the searched imaging order data to the fluoroscopic imaging apparatus.
- This fluoroscopic imaging device
- fluoroscopic image data is imaged from the subject corresponding to the imaging order data.
- the fluoroscopic imaging device selects one from the received plurality of imaging order data, for example, by an operator's manual operation.
- Patent Documents 1 and 2 There are various proposals for the fluoroscopic imaging system as described above (see, for example, Patent Documents 1 and 2).
- Patent Document 1 Japanese Patent Laid-Open No. 2 0 0 1 _ 1 0 1 3 2 0
- Patent Document 2 Japanese Patent Laid-Open No. 2 0 0 _ 1 9 8 8 0 8
- fluoroscopic image data is imaged from the subject by the fluoroscopic imaging device corresponding to the imaging order data, and the fluoroscopic image data is in a state where at least a part of the imaging order data is given. Saved.
- a subject whose fluoroscopic image data is captured is generally injected with a contrast medium or the like as a chemical solution by a chemical solution injection device.
- a contrast medium or the like as a chemical solution by a chemical solution injection device.
- the present invention has been made in view of the above-described problems, and an object of the present invention is to provide a fluoroscopic imaging system capable of easily setting at least part of injection condition data in a chemical injection device. To do.
- a first fluoroscopic imaging system of the present invention includes an imaging management device that manages imaging order data set for each imaging operation for imaging fluoroscopic image data from a subject, and an imaging order acquired from the imaging management device.
- a chemical imaging injection system comprising: an injection execution mechanism for injecting chemical liquid; and an injection execution mechanism corresponding to injection condition data set for each imaging operation.
- An injection control unit that performs operation control, a request input unit that receives an input operation of an acquisition request for injection condition data, and a request for transmitting the input operation acquisition request to the data control device And a data transmission device, wherein the data control device obtains at least a part of the imaging order data from the imaging management device in response to the received acquisition request, and at least the acquired imaging order data
- a setting reply unit that returns a part to the chemical injection device, and the chemical injection device receives at least part of the imaging order data returned from the data control device in response to the acquisition request as the injection condition data. It further includes an injection setting unit that is set as at least a part of the injection control unit.
- a second fluoroscopic imaging system of the present invention includes an imaging management device that manages imaging order data set for each imaging operation for imaging fluoroscopic image data from a subject, and an imaging order acquired from the imaging management device.
- a fluoroscopic imaging system comprising: an imaging execution mechanism that performs imaging of fluoroscopic image data; and an imaging management device An order receiving unit that receives imaging order data from the imaging unit, and an imaging control unit that controls the operation of the imaging execution mechanism in response to the received imaging order data, and the chemical injection device performs injection of the chemical
- An injection control unit that controls the operation of the injection execution mechanism in response to the injection condition data set for each imaging operation, a request input unit that receives an input operation of an acquisition request for injection condition data, and an input A request transmission unit that transmit
- the chemical injection device controls data in response to the acquisition request.
- the injection setting unit for setting the injection control unit as at least a part of laid et replied injection condition data of at least part of the imaging Odade over data were further includes.
- the chemical injection device of the present invention is a chemical injection device of the fluoroscopic imaging system of the present invention, and corresponds to an injection execution mechanism for executing injection of chemical solution and injection condition data set for each imaging operation.
- An injection control unit that controls the operation of the injection execution mechanism, a request input unit that receives an input operation of an acquisition request for injection condition data, a request transmission unit that transmits an input operation acquisition request to the data control device, and an acquisition request
- an injection setting unit that sets at least a part of the imaging order data returned from the data control device to the injection control unit as at least a part of the injection condition data.
- the first data control device of the present invention is a data control device of the first fluoroscopic imaging system of the present invention, and at least a part of the imaging order data corresponding to the received acquisition request.
- An order acquisition unit that acquires the imaging management device, and a setting reply unit that returns at least a part of the acquired imaging order data to the chemical injection device.
- the second data control device of the present invention is a data control device of the second fluoroscopic imaging system of the present invention, and at least a part of the imaging order data corresponding to the received acquisition request.
- An order acquisition unit for acquiring the image from the fluoroscopic imaging device, and the acquired imaging A setting response unit that returns at least part of the order data to the chemical injection device;
- an acquisition request input to the chemical injection device is transmitted to the data control device, and the data control device responds to the acquisition request from the imaging management device or the fluoroscopic imaging device.
- the imaging order data is returned from the data control device to the chemical injection device.
- at least a part of the imaging order data is set as at least a part of the injection condition data. For this reason, the workload of the operator to input the injection condition data is reduced.
- the various components referred to in the present invention may be formed so as to realize their functions.
- dedicated hardware that exhibits a predetermined function
- the predetermined function can be realized by a computer program. It can be realized as a given data processing device, a predetermined function realized in the data processing device by a combinatorial program, an arbitrary combination thereof, or the like.
- the various constituent elements referred to in the present invention do not have to be individually independent, but a plurality of constituent elements are formed as one member, and one constituent element is a plurality of members. It may be formed, a component is a part of another component, a part of a component overlaps a part of another component, and so on.
- the imaging order data can be set as at least a part of the injection condition data simply by inputting an acquisition request to the chemical liquid injector. For this reason, it is possible to reduce the work load for the operator to input the injection condition data. Nevertheless, since the imaging order data is already existing and essential for the fluoroscopic imaging apparatus, at least a part of the injection condition data can be automatically set without the need to create new data.
- FIG. 1 is a schematic block diagram showing a logical structure of a fluoroscopic imaging system according to an embodiment of the present invention.
- FIG. 2 is a block diagram showing a physical structure of the fluoroscopic imaging system.
- FIG. 3 is a perspective view showing the external appearance of a fluoroscopic imaging unit of a CT scanner and an injection execution head of a chemical solution injection device.
- FIG. 4 is a perspective view showing an appearance of a chemical liquid injector.
- FIG. 5 is a perspective view showing the appearance of the image browsing apparatus.
- FIG. 6 is a schematic block diagram showing a logical structure of the chemical liquid injector.
- FIG. 7 is a schematic front view showing a state in which a schematic image of a body section and a blank condition screen are displayed on the display screen of the chemical injection device.
- FIG. 8 is a schematic front view showing a state where a body classification is selected on the display screen of the chemical liquid injector.
- FIG. 9 is a schematic front view showing a state where an imaging region is selected and a target graph is displayed on the display screen of the chemical liquid injector.
- FIG. 10 is a schematic front view showing a state in which a temporal graph is displayed together with a target graph on the display screen of the chemical liquid injector.
- FIG. 11 is a schematic time chart showing the processing operation of the fluoroscopic imaging system. BEST MODE FOR CARRYING OUT THE INVENTION
- the fluoroscopic imaging system 100 includes an imaging management device RIS 100, a fluoroscopic imaging device CT scanner 200, data storage PACS 3 0 0 as a device, chemical injection device 4 0 0, control box 5 0 0 as a data control device, and image browsing device 6 0 0.
- CT scanner 2 0 0 0 power LAN (Loca Area Network) or other communication network 7 0 1, 7 0 2 RIS 1 0 0 and PACS 3 0 0 are connected.
- control box 500 is also connected to the RIS 100, the PACS 300, and the chemical solution injector 400 through the communication networks 703 to 705.
- An image browsing device 600 is connected to the P ACS 300 via a communication network 706.
- the fluoroscopic imaging system 1000 conforms to the so-called DI COM (Digita I Imaging and Communications in Medicine) standard. For this reason, the various devices 100 to 600 communicate each other with various data according to the rules of DI COM.
- DI COM Digita I Imaging and Communications in Medicine
- the CT scanner 200, the PACS 300, the chemical liquid injector 400, and the control pox 500 are each one, and any combination has a one-to-one relationship. .
- the RIS 100 of the present embodiment is a so-called computer device, and a dedicated computer program is installed. As the computer device executes various processes corresponding to this computer program, the RIS 100 has various functions such as the order management unit 1101, the order selection unit 102, the integrated control unit 103, etc. Logically realized.
- the order management unit 101 corresponds to a storage device such as an HDD (Hard Disc Drive), for example, and manages imaging order data for imaging fluoroscopic image data from a subject with unique identification information. To do.
- HDD Hard Disc Drive
- the imaging order data includes, for example, imaging work ID that is unique identification information, identification information of the CT scanner 200, date and time of imaging start and end, identification information of the subject, weight of the subject, body division or imaging part, Consists of text data such as the product name of the contrast agent that is a chemical solution.
- the order selection unit 102 corresponds to, for example, a function in which a CPU (Central Processing Unit) executes a predetermined process in response to an input operation of a keyboard or the like, and a plurality of in response to an input operation by a manufacturer. Select one from the imaging order data.
- a CPU Central Processing Unit
- the integrated control unit 103 corresponds to, for example, a function in which the CPU transmits and receives various data via a communication I / F (Interface). Returns the data in response to the acquisition request received from the CT scanner 200 or the control box 500.
- the CT scanner 200 includes a fluoroscopic imaging unit 2 0 1 and an imaging control unit 2 10 which are imaging execution mechanisms.
- the fluoroscopic imaging unit 2 0 1 captures fluoroscopic image data from a subject.
- the imaging control unit 2 10 0 controls the operation of the fluoroscopic imaging unit 2 0 1.
- the imaging control unit 210 includes a computer device on which a dedicated computer program is mounted.
- the imaging control unit 2 1 0 has a request transmission unit 2 1 1, an order reception unit 2 1 2, an imaging control unit 2 1 3, data
- Each unit such as the assigning unit 2 1 4 and the image transmitting unit 2 1 5 is logically realized as various functions.
- the request transmitter 2 1 1 communicates with the CPU in response to an input operation such as a keypad.
- Order receiving unit 2 1 2 receives imaging order data returned from R I S 1 0 0
- the imaging control unit 2 13 controls the operation of the fluoroscopic imaging unit 2 0 1 corresponding to the received imaging order data.
- the data adding unit 2 14 adds imaging order data to the fluoroscopic image data captured by the fluoroscopic imaging unit 2 0 1.
- the image transmission unit 2 15 transmits the fluoroscopic image data to which the imaging order data is assigned to P A C S 3 0 0.
- the fluoroscopic image data generated as described above includes, for example, bitmap data of a tomographic image.
- P A C S 3 0 0 of the present embodiment is a database server on which a dedicated computer program is also mounted.
- the P A C S 3 0 0 receives and stores the fluoroscopic image data to which the imaging order data is added from the C T scanner 2 0 0.
- the chemical liquid injector 400 has an injection control unit. 4 0 1 and injection head 4 1 0.
- Injection control unit 4 0 1 force ⁇ Controls the operation of injection execution head 4 1 0.
- the injection execution head 4 10 drives a chemical syringe 4 3 0 that is detachably attached to inject the chemical into the subject.
- the injection control unit 4 0 1 includes an operation panel 4 0 2, a touch panel 4 0 3, a controller unit 4 0 4, a composite unit 4 0 5, and a communication I. / F 4 0 6, etc.
- the injection execution head 4 1 0 has a syringe drive mechanism 4 1 1 which is an injection execution mechanism for driving the chemical syringe 4 3 0.
- the above-described units are connected to the computer unit 400 of the chemical solution injector 400.
- the computer unit 45 5 performs integrated control corresponding to the computer program in which each connected unit is installed.
- request input unit 4 2 2, request transmission unit 4 2 3, injection setting unit 4 2 4, history generation unit 4 2 6, history output unit 4 2 7, etc. are logically realized as various functions. Yes.
- the chemical solution injection device 400 has a condition storage unit 4 3 1, an image storage unit 4 3 2, a chemical solution storage unit 4 3 3, a category display unit 4 3 5, a category Input part 4 3 6, Part display part 4 3 7, Part input part 4 3 8, Operation reading part 4 3 9, Body input part 4 4 1, Chemical liquid display part 4 4 2, Chemical liquid input part 4 4 3, Chemical liquid readout
- Each part such as part 4 4 4, etc. is logically realized as various functions.
- Each storage unit 431 to 433 of the chemical solution injector 400 corresponds to a storage area constructed in the computer unit 400 corresponding to the above-described computer program.
- Each reading unit 4 3 9, 4 4 4 corresponds to the function of the computer unit 4 5 5 reading stored data.
- Each display unit 4 3 5, 4 3 7, 4 4 2 corresponds to a function of causing the computer unit 4 5 5 to display and output stored data on the touch panel 4 3.
- Each input unit 4 2 2, 4 3 6, 4 3 8, 4 4 1, 4 4 3 is a function that the computer unit 4 0 5 recognizes input operation to the operation panel 4 0 2 touch panel 4 0 3.
- the image storage unit 4 32 of the drug solution injector 400 stores schematic images of a plurality of body sections of a human body and a large number of imaging sites in association with each other.
- the section display unit 4 3 5 displays a schematic image of a plurality of body sections stored in the image storage unit 4 3 2 in an arrangement corresponding to the human body.
- the segment input unit 4 36 receives an input operation for selecting one of the plurality of body segments displayed as images by the segment display unit 4 35 as an input operation for one injection condition data.
- the region display unit 4 37 displays and outputs a schematic image of at least one imaging region corresponding to the body segment selected by the segment input unit 4 36.
- the site input unit 4 3 8 accepts an input operation for selecting an imaging site displayed as an image on the site display unit 4 37 as an input operation for one injection condition data.
- “head, chest, abdomen, legs” are defined as a plurality of body sections, and a schematic image corresponding to each of them is calculated by a computer. Registered in Knit 4 0 5
- a schematic image of “head, chest, abdomen, leg” corresponds to the shape of the human body, and the touch panel 40 Displayed at the top of screen 3
- schematic images such as “brain part, jaw part, and neck part” are registered in association with each other as a plurality of imaging parts.
- the “chest” schematic image is “heart and lungs”
- the “abdominal” schematic image is “stomach, liver, ⁇ ”
- the “leg” schematic image is “upper”.
- Model images such as “, bottom”, etc. are registered in association with each other.
- the condition storage unit 4 3 1 includes a syringe drive mechanism 4 1 for each of a large number of imaging regions of the human body.
- this operating condition data is a variable pattern that changes the injection rate of the contrast agent over time so that the contrast level of the fluoroscopic image data by the contrast agent approximates the optimum value. Is set.
- This variable pattern is optimally set based on experimental results. For example, as shown in Fig. 9, the injection rate is linearly reduced from the start of injection to a predetermined time, and thereafter the injection rate is kept constant. It is set as maintain.
- the operation reading unit 4 3 9 reads the operation condition data corresponding to the imaging region selected by the region input unit 4 3 8 from the condition storage unit 4 3 1.
- the body input unit 4 4 1 accepts an input operation of body weight as a human body matter related to imaging of fluoroscopic image data.
- the drug solution storage unit 4 3 3 stores, for each product name that is a plurality of types of contrast agents, the content concentration of the load, which is a contained component, as a drug solution item related to imaging of fluoroscopic image data. ing.
- the chemical liquid injector 400 can use a plurality of types of contrast agents, but the contrast concentrations of the contrast agents differ from product to product.
- the contrast level is different if the concentration of the difference is different. Therefore, the drug solution injection device 400 is selected for each product name of the contrast medium. 1 concentration is registered.
- the chemical liquid display unit 4 42 displays and outputs the product names of a plurality of contrast agents stored in the chemical liquid storage unit 4 33.
- the medicinal solution input unit 4 4 3 accepts an input operation for selecting one of the contrast medium types displayed and output by the medicinal solution display unit 4 4 2 as an input operation of one injection condition data.
- the chemical solution reading unit 4 4 4 reads out the concentration of the corridor corresponding to the type of contrast medium selected by the chemical solution input unit 4 4 3.
- the injection controller 4 2 1 is configured such that the computer unit 4 0 5 performs a predetermined processing operation.
- the syringe drive mechanism 4 11 is controlled according to the injection condition data set for each imaging operation.
- the request input unit 4 2 2 of the chemical liquid injector 400 receives an input operation of an injection condition data acquisition request.
- the request transmission unit 4 2 3 is equivalent to a function in which the computer unit 40 5 communicates with the communication I / F 4 0 6, and the control pox 5 0 0, and the like. 0 Send to 0.
- the injection setting unit 4 2 4 of the chemical liquid injection device 4 0 0 receives the injection condition data including a part of the imaging order data returned from the control box 5 0 0 in response to the acquisition request. 2 Set to 1.
- the chemical solution injection device 400 when operated to input the body classification, the imaging region, the body weight, the type of the contrast agent, etc. as the injection condition data by the touch panel 40 3 as described above.
- the operating condition data is set corresponding to the injection condition data.
- imaging order data is acquired via the control box 500. Then, from the imaging order data, body classification, imaging site, body weight, type of contrast medium, and the like are extracted as injection condition data, and operation condition data is set corresponding to the injection condition data.
- the history generating unit 4 2 6 of the chemical solution injection device 400 corresponds to a function of the computer unit 4 0 5 executing a predetermined process corresponding to the computer program, and the injection history in which the history of chemical solution injection is recorded Generate data.
- the injection history data generated in this way is, for example, text data such as an injection work ID that is identification information unique to each injection work, one of the horizontal axis and the vertical axis is elapsed time, and the other is injection. Consists of image data of a speed graph over time.
- the history output unit 4 2 7 of the chemical injection device 4 0 0 corresponds to the function of the computer unit 4 0 5 performing data communication through the communication I / F 4 0 6 and the like, and the generated injection history data Is sent to the control box 5 0 0.
- control box 5 0 0 of this embodiment is also a dedicated box.
- the computer unit 5001 executes various processes corresponding to the computer program. Therefore, in the control box 500, as shown in FIG. 1, each part such as an order acquisition unit 5 11 1, a setting reply unit 5 1 2 and a history transfer unit 5 1 4 is logically realized as various functions. Has been.
- the order obtaining unit 51 1 1 obtains imaging order data from R 1 S 1 00 in response to the acquisition request received from the chemical solution injector 400.
- the setting reply unit 51 returns a part of the acquired imaging order data to the chemical injection device 400 as a part of the injection condition data.
- the history transfer unit 5 14 receives the injection history data from the chemical solution injection device 4 0 0 and transfers it to the P A C S 3 0 0.
- the PACS 300 of the present embodiment not only stores the fluoroscopic image data received from the CT scanner 200 as described above, but also controls the control box 500 as described above.
- the injection history data received from is also saved.
- imaging order data is assigned to the fluoroscopic image data, and an imaging operation ID of the imaging order data is assigned to the injection history data. For this reason, the imaging order data and the injection history data are stored in the P A C S 3 0 0 in a state of being associated by the imaging operation ID.
- the image browsing apparatus 600 also includes a computer apparatus on which a dedicated computer program is mounted. As shown in FIG. 5, the image browsing apparatus 600 has a computer unit 601, a display unit 602, a controller unit 603, a communication I / F 604, and the like.
- the image browsing device 60 0 0 has a data reading unit 6 1 1, data display, as the computer unit 6 0 1 executes various processes corresponding to the computer program. Part 6 1 2.
- the data reading unit 6 1 1 is configured so that, for example, the computer unit 6 0 1 corresponds to the computer program and the input data to the control unit 6 0 3 and the communication I / F 6 0 4 to PACS 3 0 Corresponds to the function for accessing 0, etc.
- the fluoroscopic image data and the injection history data associated with the image work ID are read from PACS 300.
- the data display unit 6 1 2 corresponds to a function for the computer unit 60 1 to display the received data of the communication I / F 60 4 on the display unit 60 2, and the read fluoroscopic image data And injection history data are displayed.
- the RIS 100 computer program described above manages imaging order data for imaging fluoroscopic image data from a subject with unique identification information, and supports operator input operations. Select one of multiple imaging order data, and return one selected imaging order data in response to an acquisition request received from CT scanner 2 0 0 or control box 5 0 0 , Etc. are described as software for causing RIS 100 to execute.
- the computer program of the CT scanner 200 transmits an imaging order data acquisition request to the RIS 100 corresponding to the input operation of the operator, and is returned from the RIS 100.
- Receiving the imaging order data controlling the operation of the fluoroscopic imaging unit 210 in response to the received imaging order data, and adding the imaging order data to the fluoroscopic image data captured by the fluoroscopic imaging unit 210. It is described as software for causing the imaging control unit 210 to execute the assignment, transmission of the fluoroscopic image data to which the imaging order data is assigned, to the PACS 300, and the like.
- the computer program of the chemical injection device 400 causes the touch panel 40 03 to display and output a schematic image of a plurality of registered body sections corresponding to the human body shape, and to display the image.
- the operation condition data is set based on the injection condition data consisting of a part of the imaging order data returned from the control box 5 0 0, and the injection history data including the time chart corresponding to the chemical injection Is generated as software for causing the computer unit 400 to execute, such as generating the injection history data and transmitting the generated injection history data to the control pox 500.
- This resource includes, for example, a data file that associates a schematic image of multiple body segments of a human body with schematic images of a large number of imaging regions, and operating condition data of the syringe drive mechanism for each of the multiple imaging regions of the human body. Data files, data files of bar concentration for each product name of multiple contrast media, etc.
- the computer program of the control box 500 receives injection history data from the chemical injection device 400, and when the injection history data is received, the imaging order data is received in RIS 100. Sending an acquisition request, receiving imaging order data returned from RIS 100, adding imaging work ID, which is individual identification information of imaging order data, to injection history data, and imaging work ID is Output the given injection history data to PACS 300, etc., etc. It is stated.
- the computer program of PACS 300 receives fluoroscopic image data provided with imaging order data from CT scanner 200 and stores it, and performs imaging work of imaging order data. It is described as software that allows PACS 300 to execute the process of receiving and storing injection history data with IDs from control box 500, etc.
- the computer program of the image browsing apparatus 600 reads out the fluoroscopic image data associated with the imaging work ID and the injection history data from the PACS 300, for example, And the injection history data are described as software for causing the computer unit 6 0 1 to execute.
- the imaging order data is composed of text data such as imaging work ID, identification information of the CT scanner 200, date and time of imaging start and end, and the like. This imaging order data is usually created based on the electronic medical record for each subject.
- the imaging order data consists of various data necessary for imaging work with the CT scanner 200. For this reason, data that can specify the injection operation of the chemical injection device 400 is not included.
- imaging order data When such an imaging order data is registered in RIS 100, when the imaging operation is executed, the operator manually operates RIS 100 to cope with the imaging operation. One imaging order data is selected.
- a chemical liquid injector 400 is arranged in the vicinity of the fluoroscopic imaging unit 2 0 1 of the CT scanner 2 0 0. Then, a test solution (not shown) located in the fluoroscopic imaging unit 210 is connected to the chemical solution with an extension tube. The syringe 4 3 0 is connected, and this chemical solution syringe 4 3 0 is loaded into the injection execution head 4 1 0 of the chemical solution injection device 4 0 0.
- an imaging region selection screen is displayed in a horizontally long rectangle.
- a horizontally long condition screen is displayed in which the injection rate of the chemical solution is the vertical axis and the injection time is the horizontal axis.
- the identification information of the chemical solution, the identification information of the imaging region, and the like are input to the operation panel 40 2 by the operator as a part of the injection condition data.
- the operator presses one of the schematic images of the plurality of body sections displayed on the touch panel 40 3 with his / her finger. Then, as shown in FIG. 8, only the schematic image of the selected body segment is brightened and the other schematic images are darkened, and a schematic image of the scanner mechanism is displayed above the schematic image of the selected body segment. Is done.
- the target graph corresponding to the imaging region as the injection condition data is read out by the computer unit 45, and the operating condition Set as data.
- the operating conditions correspond to the body weight and the chode concentration. Data is adjusted.
- the target graph is registered as a variable pattern that changes the injection rate with time as the operating condition data for the injection of the contrast medium.
- the variable pattern satisfies a predetermined total injection amount. Is set to
- the total injection amount of the contrast agent odor corresponding to the body weight of the subject is registered as "A (g / Kg)" based on the experimental results. Therefore, when the subject's weight is input as “B (Kg)”, the total injection amount of the bar in proportion to this weight is calculated as “A x B (g)”. Furthermore, when the contrast concentration of the contrast agent is read as “C (g / ml)”, the total injection amount of the contrast agent becomes “(A x B) / C (ml)” in inverse proportion to the concentration. Calculated.
- the target graph When the total injection amount is calculated in this way, as shown in FIG. 9, when the target graph is registered with a predetermined variable pattern, for example, it is surrounded by the waveform and the x / y axis. The target graph is displaced up and down so that the injection time does not change so that the area that corresponds to the total injection amount.
- the target graph generated as described above is displayed as a target time graph on the condition screen of the touch panel 40 3.
- an operation icon “correction” is also displayed on the work screen. By inputting the operation icon, it is possible to manually correct the injection condition data and the target graph.
- an operation icon "determine” is also displayed on the work screen.
- the target graph is fixed and the injection of the contrast medium is executed.
- the operation of the syringe drive mechanism 4 11 is controlled in accordance with the set target graph, and the contrast medium is injected into the subject.
- the injection condition data can be automatically set in addition to being manually set in the chemical injection device 400 as described above. it can. More specifically, as shown in FIG. 7, the chemical injection device 400 according to the present embodiment also displays an operation icon “automatic setting” on the initial screen of the injection operation.
- the imaging order data includes the imaging work ID, the identification information of the CT scanner 200, the date and time of imaging start and end, the identification information of the subject, the weight of the subject, Consists of body classification or imaging region, product name of contrast medium, etc.
- control box 5 0 0 extracts the identification information of the subject, the weight of the subject, the body classification or imaging part, the product name of the contrast agent, etc. from the acquired imaging order data, and this is the injection condition. It returns to the chemical injection device 400 as part of the data.
- injection condition data including a part of the imaging order data returned from the control box 500 in response to the acquisition request is set.
- the injection condition data is automatically set in this way, the target graph is read and adjusted accordingly.
- the adjusted target graph is displayed as a target time graph on the condition screen of the touch panel 4 03.
- the target graph is confirmed and the contrast medium is injected.
- the syringe drive mechanism 41 is controlled in accordance with the set target graph, and the contrast medium is injected into the subject.
- a time-lapse graph consisting of the actual injection rate is generated in real time and displayed on the touch panel 4 0 3 together with the target graph as shown in FIG.
- injection history data including a time-dependent graph of the actual injection speed is generated.
- the injection history data generated in this way includes, for example, injection work IDs that are identification information unique to each injection work, actual injection start and end dates and times, chemical injection device 400 identification information, injection It consists of text data such as condition data, and image data of time-lapse graphs.
- the chemical injection device 400 when the injection operation is completed, the chemical injection device 400 also generates completion notification data to which at least the injection operation ID is given and the completion is notified. Therefore
- the chemical injection device 400 that has completed the injection operation transmits completion notification data and imaging order data to the control box 500.
- control box 50 0 transfers the completion notification data received from the chemical solution injector 400 to R I S 100.
- This R IS 100 is stored in a state in which the received completion notification data is related to the imaging order data by the injection work ID.
- control box 5 0 0 transfers the injection history data received from the chemical solution injection device 4 0 0 to P A C S 3 0 0.
- This P A C S 3 0 0 stores the received injection history data in a state managed by the imaging work ID.
- the imaging operation by the CT scanner 200 is started before and after the injection operation by the chemical injection device 400 is completed as described above.
- the operator inputs an operation to start imaging to the imaging control unit 2 10 of the CT scanner 2 200.
- the imaging control unit 2 1 0 of the CT scanner 2 0 0 transmits an imaging order data acquisition request to the RIS 1 1 0 0. Then, this RIS 1 0 0 is obtained by the CT scanner 2 0 0 Return 1 (to be said.
- the operation of the fluoroscopic imaging unit 201 is controlled in accordance with the imaging order data received by the imaging control unit 210, so that the imaging work of the fluoroscopic image data is executed. Is done.
- imaging order data is added to the fluoroscopic image data in the imaging control unit 210.
- the fluoroscopic image data to which the imaging order data is added is transmitted to the P A C S 300.
- the PACS 300 stores the received fluoroscopic image data in a state managed by the imaging work ID of the imaging order data. Then, when the operator browses the fluoroscopic image data, for example, the fluoroscopic image data is read from the PA 300 by manual operation of the image browsing device 600.
- the fluoroscopic image data of the imaging work ID is read from the PACS 300 and displayed on the display unit 602 of the image browsing apparatus 600. Is done.
- the injection history data is also read out from the PACS 300 by the imaging operation ID, and is displayed on the display unit 602 of the image browsing apparatus 600 as necessary.
- an acquisition request input to the chemical injection device 400 is transmitted to the control box 500 as described above. Then, in response to the acquisition request, the control box 500 acquires imaging order data from the RIS 100 or the C T scanner 200.
- a part of the imaging order data is transferred from the control box 500 to the chemical liquid injector 400 as at least a part of the injection condition data.
- injection condition data consisting of imaging order data is set.
- the injection history data is also stored in association with the fluoroscopic image data stored as described above. For this reason, for example, injection history data can also be confirmed when viewing fluoroscopic image data. Accordingly, an operator viewing the fluoroscopic image data can check how the chemical solution has been injected into the subject at the time of capturing the fluoroscopic image data.
- the fluoroscopic image data and the injection history data are related by the imaging operation ID.
- the imaging operation ID is used as the imaging order data when the injection condition data is automatically set. Acquired at 4 0 0.
- the imaging order data acquired from the RIS 1 0 0 through the control box 5 0 0 to the chemical injection device 4 0 0 is used for automatic setting of injection condition data and generation of injection history data. Can be used for both.
- the drug solution injector 400 is used as a contrast agent. Vary the injection rate. However, since the time-lapse graph of the injection rate is included in the injection history data, it is possible to confirm in detail how the contrast agent was injected.
- the injection history data can be confirmed together with the fluoroscopic image data, so that the injection history data can be used as evidence. .
- the various devices 100 to 600 of the fluoroscopic imaging system 100 mutually communicate various data in accordance with the rules of D ICOM.
- the communication data of D I C O M is difficult to falsify, so the evidence history of injection history data is high.
- a time-course graph is included in the injection history data. Therefore, even complicated injection condition data that corrects the target graph for changing the injection speed can be easily input to the chemical solution injection device 400.
- injection history data containing text data such as injection condition data is stored as P A C S 3 0 0.
- various statistical data related to chemical solution injection can be generated from a large number of accumulated injection history data.
- various statistical data related to the chemical injection can be generated together with the imaging conditions included in the imaging order data.
- the completion notification data of the injection work is stored in the RI ISO 100 from the chemical solution injector 400 through the control box 500.
- this RIS 1 00 since the completion notification data is managed in association with the imaging order data, for example, the start time and end time of chemical injection from the RIS 1 0 0 to the CT scanner 2 0 0 together with the imaging order data, etc. Can also be notified.
- the start time of image capturing should be adjusted according to that time. Can do.
- the present invention is not limited to the above-described embodiment, and various modifications are allowed without departing from the scope of the invention.
- the imaging order data acquired from R IS 100 is transferred to the chemical injection device 400 by the control box 500 as a part of the injection condition data.
- control box 5 0 0 transfers all of the imaging order data to the chemical injection device 4 0 0, and a part of the imaging order data received by the chemical injection device 4 0 0 May be selected as injection condition data.
- RI 100 is a push type and that the control box 5 00 acquires appropriate imaging order data according to timing.
- R I S 100 may be a pull type.
- the CT scanner 200 sends a request for acquiring imaging order data to the RISO 100 with at least one order search key. Then, the RI S 1 00 selects and returns one of the plurality of imaging order data corresponding to the acquisition request and the order search key received from the CT scanner 2 200.
- the control box 5 0 0 transmits an acquisition request for imaging order data to the R 1 S 1 0 0. Then, the RI S 100 returns a piece of imaging order data selected corresponding to the acquisition request received from the control pod 50 00.
- R 1 S 1 0 0 returns a plurality of imaging order data in response to the acquisition request received from the CT scanner 2 0 0.
- the CT scanner 200 receives an operation for selecting one of the returned plurality of imaging order data, and notifies the selected imaging order data to the RISO 100.
- the RI S 100 searches for a part from a plurality of imaging order data in response to the acquisition request and the order search key received from the CT scanner 20 00, and returns a response.
- the CT scanner 20 0 receives an operation for selecting one of the returned imaging order data, and notifies the selected imaging order data to the R 1 S 1 0 0.
- the control box 5 0 0 acquires appropriate imaging order data and assigns an imaging work ID or the like to the injection history data. be able to.
- the control box 50 0 is exemplified to acquire the imaging order data provided from the RIS 1 0 0 unconditionally.
- the control box 500 may send an imaging order data acquisition request to the RIS 10 00 together with at least one order search key.
- RIS 1 0 0 searches for a part from a plurality of imaging order data corresponding to the order search key received from control box 5 0 0, and performs CT on the part of the searched imaging order data. If there is one notified from Scanner 2 0 0, reply. As described above, appropriate imaging order data can be obtained more reliably than the control box 500 force.
- the chemical liquid injector 400 transmits at least part of the input injection condition data as an order search key to the control pox 500 with the acquisition request.
- the control pox 500 may transfer the received acquisition request and order search key to the RIS 100.
- control pox 5 0 0 is exemplified to acquire the imaging order data from the R 1 S 1 0 0.
- RIS 1 0 0 and CT scanner 2 0 0 are connected via control pox 5 0 0 and control imaging order data transmitted from RIS 1 0 0 to CT scanner 2 0 0 Box 5 0 0 may be obtained.
- control box 5 0 0 is connected to the CT scanner 2 0 0 without being connected to the RIS 1 0 0, and the control box 5 0 0 from this CT scanner 2 0 0 to the imaging order data May be obtained.
- control box 5 0 0 transfers the acquisition request received from the chemical injection device 4 0 0 to the CT scanner 2 0 0 and receives it from the CT scanner 2 0 0 force control box 5 0 0
- the imaging order data may be returned in response to the acquisition request.
- the injection history data generated by the chemical solution injector 400 is stored in the PACS 300 together with the fluoroscopic image data generated by the CT scanner 200.
- the imaging order data and the injection history data can be managed in association with the work ID or the like.
- the fluoroscopic image data registered in PACS 300 is also assigned the work ID of the imaging order data, so that the fluoroscopic image data and the injection history data can be associated with each other. .
- the fluoroscopic image data and the injection history data can be associated with each other by the imaging work ID, and the imaging order data can be read out from the RISO 100 by the imaging work ID.
- imaging work ID of the imaging order data may be attached to the fluoroscopic image data, and the entire imaging order data may be added to the injection history data.
- the imaging order data may be assigned to the fluoroscopic image data, the injection history data, and the like. You may distribute and assign to.
- both the time-course graph and the target graph may be included in the injection history data.
- the entire display image of the touch panel 40 3 of the chemical solution injector 400 may be included in the injection history data.
- the injection history data is exemplified by the text data such as the injection work ID and the date and time, and the image data of the graph of the injection speed over time.
- the injection history data may consist only of the above text data.
- the chemical solution injection device 400 is exemplified to vary the injection speed of the contrast agent and to include the time-lapse graph in the injection history data. But chemicals The injection device 400 may inject the contrast medium at a constant rate. In this case, it is not meaningful to generate and record a graph over time. Therefore, the injection rate should be included in the injection history data as text data.
- the injection condition data is set in the chemical solution injection device 400 is illustrated.
- the injection condition data may be notified from the chemical solution injection device 400 to the control pox 500, and the injection condition data may be notified from the control pox 50 00 to the RI ISO 100.
- the injection condition data can be notified from the RI S 100 to the CT scanner 200 along with the imaging order data.
- the imaging operation can be adjusted in accordance with the injection condition data.
- the injection history data is completed by the chemical injection device 400, and then transmitted to the control box 500.
- the chemical injection device 400 may distribute the injection history data to the control box 50 0 and transmit it, and the injection history data may be completed in the control box 500.
- the chemical injection device 400 sends the injection condition data and start date and time to the control box 50 0 0 at the start of injection, and transmits the injection speed etc. in sequence during the injection process, and the injection ends. Also send the end date and time.
- the injection history data can be completed and output from the various data accumulated in the control box 500 from the start of injection to the end of injection.
- various devices 100 to 600 communicated with each other in the DICOM format, which is difficult to tamper with, thereby demonstrating high evidence capability such as injection history data.
- the chemical injection device 400 may generate injection history data in a data format that is difficult to tamper with, such as PDF (Portable Document Format).
- the control box 500 is connected to the chemical injection device 400 from JPEG (Joint Photographic Cod i ng
- Injection history data received in Experts Group format may be converted to PDF format. Further, the chemical solution injector 400 and the control box 500 are connected to a so-called Internet, and an electronic signature may be acquired and added to the injection history data.
- the injection condition data including the imaging order data acquired from the RIS 1 0 0 via the control box 5 0 0 by the chemical injection device 4 0 0 is the injection execution head.
- An example is shown on the touch panel 4 0 3 of the injection control unit 4 0 1 that is separate from 4 1 0.
- a small display panel (not shown) is arranged in parallel as a data display section in the injection execution head 4 10, and injection condition data including imaging order data is displayed there. Good.
- the injection condition data can be confirmed at the position of the injection execution head 4 10 which is placed in the vicinity of the subject and the chemical syringe 4 3 0 is attached.
- injection condition data such as identification information of a subject is input to the chemical injection device 400, and the chemical injection device 400 receives the injection condition data and the injection condition data acquired from the imaging order data.
- a warning may be issued if the injection condition data to be verified does not match.
- the injection condition data it is possible to prevent the injection condition data from being automatically set with incorrect imaging order data. Furthermore, if such a warning is displayed on the display panel of the injection execution head 4 10 described above, it is possible for the operator to recognize the warning quickly and reliably.
- an RFID chip in which at least a part of the injection condition data is recorded is mounted on the chemical syringe 43, and an RFID reader that reads the injection condition data from the RFID chip is attached to the chemical injection device 400.
- the medical solution injection device 400 may collate the injection condition data of the RFID chip of the chemical syringe 43 30 with the injection condition data acquired from the imaging order data (not shown).
- the product ID of the chemical solution is recorded on the RFID chip as described above, and at least the product ID of the chemical solution unsuitable for injection is set as the unsuitable ID for each subject and set in the imaging order data.
- the product ID input from the RFID chip and the inappropriate ID set in the imaging order data may be collated, and a warning may be issued if they match (not shown).
- the prefilled type drug solution syringe is shipped in a state where the drug solution is filled. Therefore, an RFI D in which chemical data is registered as a data storage means is attached to a prefilled type chemical syringe (not shown).
- the chemical solution data includes, for example, various data such as volume, pressure resistance, cylinder inner diameter, piston stroke, identification data for each individual, and product ID, It consists of various data such as chemical classification, ingredients, viscosity, and expiration date.
- the product ID of the chemical solution is registered due to the chemical classification of the chemical solution, the contained components, and the chemical structure, and is not related to the syringe capacity. For example, if there are products from Company A and Company B as contrast agents for cardiac use for CT, the type of chemical solution ⁇ contrast agent for cardiac use for CT '' is common, but water-soluble or oily Or chemical classification such as ionic or nonionic, monomer type or dimer type If so, the product ID is different.
- the imaging order data the above-mentioned inappropriate ID, etc. are registered in addition to the subject ID for each subject, personal data such as gender and age, various data on diseases, and the like.
- the chemical data is acquired from the R FI D chip by the R F I D reader.
- the chemical liquid injector acquires the injection condition data from the imaging order data
- the inappropriate ID set in the injection condition data is compared with the product ID set in the chemical liquid data.
- the injection device can automatically detect and notify the operator. Therefore, the operator can quickly recognize itself and take measures such as changing the chemical solution.
- the product ID is automatically acquired when the drug syringe is loaded into the injection execution head, and the inappropriate ID is automatically acquired when imaging order data is input as the injection condition data. For this reason, there is no need for dedicated work for acquisition and verification, and product IDs and inappropriate IDs can be verified easily and reliably.
- the chemical component contained in the RFID chip of the chemical syringe is recorded as data, and the improper injection component is registered in the imaging order data as the inappropriate component, and the contained component and the inappropriate component are collated. It is also possible.
- the chemical classification of the chemical solution is recorded on the RFID chip of the chemical syringe, and the chemical classification that is inappropriate for injection is registered as an inappropriate classification in the imaging order data, and the chemical classification and the inappropriate classification are collated. It is also possible.
- the syringe drive mechanism is operated until it is confirmed that the inappropriate ID or the like is not registered in the imaging order data, or if the inappropriate ID and the product ID do not match if registered. It can also be initially set to disabled. In this case, it is possible to reliably and automatically prevent inadequate chemicals from being injected into the subject.
- imaging order data is generally created from electronic medical records for each subject, and the electronic medical records show the product ID, ingredients, chemical classification, etc. of drugs with side effects. It can be registered as an inappropriate component or inappropriate classification. Therefore, imaging order data in which inappropriate IDs are registered as described above can be easily created.
- the syringe drive mechanism 4111 may be controlled to be inoperable until the warning is released. In this case, it is possible to prevent the medicinal solution that becomes a warning target from being injected into the subject.
- the chemical solution injection device 400 was exemplified to inject only the contrast medium into the subject by using one chemical solution syringe 40.
- the chemical solution injection device may inject a contrast medium, physiological saline, or the like into the subject as a chemical solution using a plurality of chemical solution syringes (not shown).
- injection condition data for sequentially injecting a contrast medium and physiological saline as a drug solution to a subject can be registered in the imaging order data.
- the CT scanner 200 is used as the fluoroscopic imaging device, and the chemical solution injector 400 injects the CT contrast agent as the chemical solution.
- the fluoroscopic imaging device is composed of an MR I, PET device, an ultrasonic diagnostic device, etc., and a medical solution injection device may inject a contrast medium therefor.
- the CT scanner 200 and the chemical liquid injector 400 are individually operated as stand-alone units.
- the CT scanner 200 and the chemical injection device 400 may link various operations by data communication.
- each part of the fluoroscopic imaging system 1000 is one.
- each of multiple fluoroscopic imaging systems has one RIS 100, CT scanner 200, chemical injection device 400, and one control box 500.
- the ACS 300 and the image browsing device 600 may be shared (not shown). However, even in such a case, there may be a plurality of hardware connected in parallel (not shown), such as RIS 100, PACS 300, and image browsing apparatus 600.
- the fluoroscopic image data and the injection history data are stored by one PACS 300.
- the hardware for storing the fluoroscopic image data and the hardware for storing the injection history data may be formed separately and connected via a communication network.
- RIS 100, CT scanner 200, P ACS 300, chemical injection device 400, control pox 500, and image viewing device 600 are formed separately and are connected by communication networks 701 to 706. Exemplified that they are connected.
- the various devices 200 to 600 as described above may be integrally formed by various combinations.
- the injection control unit 401 and the control box 500 of the chemical injection device 400 are integrally formed
- the RIS 100 and the PACS 300 are integrally formed
- the P ACS 300 and the image It is also possible that the browsing device 600 is integrally formed.
- RI 100 and PACS 300 are integrally formed in the control box 500, the control box 500, the PACS 300, and the image viewing device 6
- the imaging control unit 210, RIS 100, and control box 500 of the CT scanner 200 are integrally formed, and the imaging control unit 210, PACS 300, and the control pox 500 of the CT scanner 200 are integrated. It is also possible that the image viewing apparatus 600 is formed integrally with the image viewing apparatus 600.
- the image browsing device 600 and the PACS 300 are integrally formed, and the imaging control unit 2 of the control box 500 and the CT scanner 200 is added thereto.
- each unit of various devices 100 to 600 is logically realized as various functions by operating the computer device corresponding to the computer program.
- each part is also possible to form unique hardware. It is also possible to form a part as software and a part as hardware.
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Abstract
Description
明 細 書 Specification
透視撮像システム Fluoroscopic imaging system
技術分野 Technical field
[0001] 本発明は、 透視撮像装置と薬液注入装置と画像閲覧装置とを有し、 薬液が 注入される被験者から透視画像データを撮像して表示する透視撮像システム に関する。 TECHNICAL FIELD [0001] The present invention relates to a fluoroscopic imaging system that includes a fluoroscopic imaging device, a chemical solution injection device, and an image browsing device, and captures and displays fluoroscopic image data from a subject into which a chemical solution is injected.
背景技術 Background art
[0002] 現在、 被験者の透視画像データである断層画像を撮像する透視撮像装置と しては、 C T (Computed Tomography)スキャナ、 MR I (Magnetic Resonance Imaging)装置、 P ET (Positron Emission Tomography)装置、 超音波診断装 置、 等がある。 また、 被験者の透視画像データである血管画像を撮像する医 療装置としては、 CTアンギオ装置、 MRA(MR Angio)装置、 等がある。 [0002] At present, CT (Computed Tomography) scanner, MR I (Magnetic Resonance Imaging) apparatus, PET (Positron Emission Tomography) apparatus, Ultrasonic diagnostic equipment, etc. In addition, there are CT angio devices, MRA (MR Angio) devices, and the like as medical devices that capture blood vessel images, which are fluoroscopic image data of subjects.
[0003] 上述のような装置を使用するとき、 被験者に造影剤や生理食塩水などの薬 液を注入することがあり、 この注入を自動的に実行する薬液注入装置も実用 化されている。 一般的な薬液注入装置は、 薬液が充填されている薬液シリン ジを保持し、 そのシリンダ部材にビストン部材を圧入することで被験者に薬 液を注入する。 [0003] When using a device such as that described above, a chemical solution such as a contrast medium or physiological saline may be injected into a subject, and a chemical solution injection device that automatically executes this injection has also been put into practical use. A general chemical solution injection device holds a chemical syringe filled with a chemical solution, and injects a chemical solution into a subject by press-fitting a biston member into the cylinder member.
[0004] 透視撮像装置はスタンドアロンでも機能するが、 通常は透視撮像装置を一 部とした透視撮像システムが構築される。 このような透視撮像システムは、 例えば、 カルテ管理装置、 撮像管理装置、 透視撮像装置、 データ保存装置、 画像閲覧装置、 等からなる。 [0004] Although the fluoroscopic imaging device functions as a stand-alone, normally, a fluoroscopic imaging system including the fluoroscopic imaging device as a part is constructed. Such a fluoroscopic imaging system includes, for example, a medical chart management device, an imaging management device, a fluoroscopic imaging device, a data storage device, an image browsing device, and the like.
[0005] カルテ管理装置は、 一般には H I S (Hospital Information System)等と呼 称されており、 いわゆる電子カルテを管理する。 この電子カルテは、 被験者 ごとに作成されている。 [0005] The medical chart management device is generally called a HIS (Hospital Information System) or the like, and manages a so-called electronic medical chart. This electronic medical record is created for each subject.
[0006] 例えば、 ある被験者から透視画像データを撮像する場合、 その被験者の電 子カルテに基づいてカルテ管理装置で撮像オーダデータが作成される。 この 撮像オーダデ一タは、 被験者から透視画像デ一タを撮像する撮像作業ごとに 生成される。 [0006] For example, when fluoroscopic image data is captured from a subject, imaging order data is created by the medical chart management device based on the electronic medical record of the subject. This imaging order data is obtained for each imaging operation that captures fluoroscopic image data from a subject. Generated.
[0007] より具体的には、 撮像オーダデータは、 例えば、 固有の識別情報である撮 像作業 I D ( I dent i ty)、 透視撮像装置の識別情報、 被験者の識別情報、 撮像 開始および終了の日時、 等からなる。 [0007] More specifically, the imaging order data includes, for example, imaging work ID (Identity) which is unique identification information, identification information of the fluoroscopic imaging device, identification information of the subject, start and end of imaging It consists of date and time.
[0008] このような撮像オーダデータがカルテ管理装置から撮像管理装置に供給さ れる。 撮像管理装置は、 一般には R I S (Rad i o l ogy I nformat i on System)等 と呼称されており、 被験者から透視画像データを撮像するための撮像オーダ データを管理する。 [0008] Such imaging order data is supplied from the medical chart management apparatus to the imaging management apparatus. The imaging management apparatus is generally called a radiology information system (RIS) or the like, and manages imaging order data for imaging fluoroscopic image data from a subject.
[0009] 透視撮像装置は、 撮像管理装置から撮像オーダデータを取得して撮像作業 を実行する。 その場合、 透視撮像装置では、 撮像オーダデータに対応して被 験者から透視画像データが撮像される。 この透視画像データは、 透視撮像装 置で撮像オーダデータの少なくとも一部が付与されてデータ保存装置に出力 される。 The fluoroscopic imaging device acquires imaging order data from the imaging management device and executes an imaging operation. In that case, the fluoroscopic imaging apparatus captures fluoroscopic image data from the subject in correspondence with the imaging order data. This fluoroscopic image data is provided with at least a part of the imaging order data by the fluoroscopic imaging device and output to the data storage device.
[0010] このデータ保存装置は、 一般には P A C S (P i cture Arch i ve and Commun i c at i on System)等と呼称されており、 撮像オーダデータが付与された透視画像 データを保存する。 [0010] This data storage device is generally called PACS (Picture Archive and Communication System) or the like, and stores fluoroscopic image data to which imaging order data is added.
[001 1 ] データ保存装置には、 一般にビューァと呼称される画像閲覧装置が接続さ れている。 この画像閲覧装置は、 例えば、 撮像オーダデータを検索キーとし て透視画像データを読み出し、 その透視画像データを表示する。 [001 1] An image browsing device commonly called a viewer is connected to the data storage device. For example, the image browsing apparatus reads the fluoroscopic image data using the imaging order data as a search key and displays the fluoroscopic image data.
[0012] ただし、 撮像管理装置は、 通常は複数の撮像オーダデータを管理している 。 このため、 撮像管理装置で管理されている複数の撮像オーダデータから透 視撮像装置に一つを選択的に提供する必要がある。 そこで、 撮像管理装置に はプッシュ型とプル型と呼称される形式がある。 However, the imaging management apparatus normally manages a plurality of imaging order data. For this reason, it is necessary to selectively provide one to the fluoroscopic imaging device from a plurality of imaging order data managed by the imaging management device. Therefore, there are two types of imaging management devices called push type and pull type.
[0013] プッシュ型の撮像管理装置は、 例えば、 作業者の手動操作により、 管理し ている複数の撮像オーダデータから一つを選定する。 このプッシュ型の撮像 管理装置は、 透視撮像装置から撮像オーダデータの取得要求を受信すると、 選定されている一つの撮像オーダデータを返信する。 [0013] The push-type imaging management device selects one from a plurality of managed imaging order data, for example, by manual operation of an operator. When the push type imaging management apparatus receives an imaging order data acquisition request from the fluoroscopic imaging apparatus, it returns one selected imaging order data.
[0014] プル型の撮像管理装置は、 透視撮像装置から撮像オーダデータの取得要求 とともにオーダ検索キーが送信される。 このオーダ検索キーは、 例えば、 撮 像オーダデータの撮像作業 I D等からなる。 [0014] The pull-type imaging management device includes a request for acquiring imaging order data from the fluoroscopic imaging device. Along with this, an order search key is transmitted. This order retrieval key is made up of, for example, an imaging work ID of imaging order data.
[0015] そこで、 撮像管理装置はオーダ検索キーで撮像オーダデータを検索し、 検 索された撮像オーダデータを透視撮像装置に返信する。 この透視撮像装置は[0015] Therefore, the imaging management apparatus searches imaging order data with the order search key, and returns the searched imaging order data to the fluoroscopic imaging apparatus. This fluoroscopic imaging device
、 一つの適正な撮像オーダデータが返信された場合、 その撮像オーダデータ に対応して被験者から透視画像デ一タを撮像する。 When one appropriate imaging order data is returned, fluoroscopic image data is imaged from the subject corresponding to the imaging order data.
[0016] 一方、 複数の撮像オーダデータが検索されて返信された場合、 透視撮像装 置では、 例えば、 作業者の手動操作により、 受信した複数の撮像オーダデ一 タから一つが選定される。 On the other hand, when a plurality of imaging order data is retrieved and returned, the fluoroscopic imaging device selects one from the received plurality of imaging order data, for example, by an operator's manual operation.
[0017] なお、 上述のように撮像管理装置から送信された撮像オーダデータが透視 撮像装置で確定されると、 このことが撮像管理装置に通知される。 このため[0017] When the imaging order data transmitted from the imaging management apparatus as described above is determined by the fluoroscopic imaging apparatus, this is notified to the imaging management apparatus. For this reason
、 プル型の撮像管理装置でも、 透視撮像装置で透視画像データの撮像に利用 された一つの撮像オーダデータが特定される。 Even in the pull-type imaging management apparatus, one imaging order data used for imaging fluoroscopic image data by the fluoroscopic imaging apparatus is specified.
[0018] 上述のような透視撮像システムとしては、 各種の提案がある(例えば、 特許 文献 1 , 2参照)。 There are various proposals for the fluoroscopic imaging system as described above (see, for example, Patent Documents 1 and 2).
特許文献 1 :特開 2 0 0 1 _ 1 0 1 3 2 0号 Patent Document 1: Japanese Patent Laid-Open No. 2 0 0 1 _ 1 0 1 3 2 0
特許文献 2:特開 2 0 0 5 _ 1 9 8 8 0 8号 Patent Document 2: Japanese Patent Laid-Open No. 2 0 0 _ 1 9 8 8 0 8
発明の開示 Disclosure of the invention
発明が解決しょうとする課題 Problems to be solved by the invention
[0019] 上述のような透視撮像システムでは、 撮像オーダデータに対応して透視撮 像装置により被験者から透視画像データが撮像され、 透視画像データは撮像 オーダデータの少なくとも一部が付与された状態で保存される。 In the fluoroscopic imaging system as described above, fluoroscopic image data is imaged from the subject by the fluoroscopic imaging device corresponding to the imaging order data, and the fluoroscopic image data is in a state where at least a part of the imaging order data is given. Saved.
[0020] 上述のように透視画像データが撮像される被験者には、 一般的に薬液注入 装置により薬液として造影剤等が注入される。 しかし、 被験者には造影剤を 適正速度で適正容量のみ注入する必要がある。 [0020] As described above, a subject whose fluoroscopic image data is captured is generally injected with a contrast medium or the like as a chemical solution by a chemical solution injection device. However, it is necessary to inject only the appropriate volume of the contrast medium at the appropriate rate in the subject.
[0021 ] このため、 作業者は被験者の撮像部位や体重などを考慮して造影剤の注入 速度や注入総量などを決定し、 これを注入条件データとして薬液注入装置に 入力する必要がある。 しかし、 この作業は煩雑で熟達していない作業者には 困難である。 [0021] For this reason, the operator needs to determine the injection speed of the contrast medium, the total injection volume, and the like in consideration of the imaging region and the body weight of the subject, and input this as injection condition data to the drug solution injector. However, this task is complicated and unskilled Have difficulty.
[0022] 本発明は上述のような課題に鑑みてなされたものであり、 薬液注入装置に 注入条件データの少なくとも一部を簡単に設定することができる透視撮像シ ステムを提供することを目的とする。 The present invention has been made in view of the above-described problems, and an object of the present invention is to provide a fluoroscopic imaging system capable of easily setting at least part of injection condition data in a chemical injection device. To do.
課題を解決するための手段 Means for solving the problem
[0023] 本発明の第一の透視撮像システムは、 被験者から透視画像データを撮像す る撮像作業ごとに設定される撮像オーダデ一タを管理する撮像管理装置と、 撮像管理装置から取得する撮像オーダデータに対応して被験者から透視画像 データを撮像する透視撮像装置と、 透視画像データが撮像される被験者に薬 液を注入する薬液注入装置と、 薬液注入装置と撮像管理装置とのデータ通信 を仲介するデータ制御装置と、 を有する透視撮像システムであって、 薬液注 入装置は、 薬液の注入を実行する注入実行機構と、 撮像作業ごとに設定され る注入条件データに対応して注入実行機構を動作制御する注入制御部と、 注 入条件データの取得要求の入力操作を受け付ける要求入力部と、 入力操作さ れた取得要求をデータ制御装置に送信する要求送信部と、 を有し、 データ制 御装置は、 受信した取得要求に対応して撮像オーダデータの少なくとも一部 を撮像管理装置から取得するオーダ取得部と、 取得された撮像オーダデータ の少なくとも一部を薬液注入装置に返信する設定返信部と、 を有し、 薬液注 入装置は、 取得要求に対応してデータ制御装置から返信された撮像オーダデ ータの少なくとも一部を注入条件データの少なくとも一部として注入制御部 に設定する注入設定部を、 さらに有する。 [0023] A first fluoroscopic imaging system of the present invention includes an imaging management device that manages imaging order data set for each imaging operation for imaging fluoroscopic image data from a subject, and an imaging order acquired from the imaging management device. Data communication between a fluoroscopic imaging device that captures fluoroscopic image data from a subject corresponding to the data, a chemical injection device that injects a chemical into a subject whose fluoroscopic image data is captured, and data communication between the chemical injection device and the imaging management device A chemical imaging injection system comprising: an injection execution mechanism for injecting chemical liquid; and an injection execution mechanism corresponding to injection condition data set for each imaging operation. An injection control unit that performs operation control, a request input unit that receives an input operation of an acquisition request for injection condition data, and a request for transmitting the input operation acquisition request to the data control device And a data transmission device, wherein the data control device obtains at least a part of the imaging order data from the imaging management device in response to the received acquisition request, and at least the acquired imaging order data A setting reply unit that returns a part to the chemical injection device, and the chemical injection device receives at least part of the imaging order data returned from the data control device in response to the acquisition request as the injection condition data. It further includes an injection setting unit that is set as at least a part of the injection control unit.
[0024] 本発明の第二の透視撮像システムは、 被験者から透視画像データを撮像す る撮像作業ごとに設定される撮像オーダデ一タを管理する撮像管理装置と、 撮像管理装置から取得する撮像オーダデータに対応して被験者から透視画像 データを撮像する透視撮像装置と、 透視画像データが撮像される被験者に薬 液を注入する薬液注入装置と、 薬液注入装置と撮像管理装置とのデータ通信 を仲介するデータ制御装置と、 を有する透視撮像システムであって、 透視撮 像装置は、 透視画像データの撮像を実行する撮像実行機構と、 撮像管理装置 から撮像オーダデータを受信するオーダ受信部と、 受信された撮像オーダデ ータに対応して撮像実行機構を動作制御する撮像制御部と、 を有し、 薬液注 入装置は、 薬液の注入を実行する注入実行機構と、 撮像作業ごとに設定され る注入条件データに対応して注入実行機構を動作制御する注入制御部と、 注 入条件データの取得要求の入力操作を受け付ける要求入力部と、 入力操作さ れた取得要求をデータ制御装置に送信する要求送信部と、 を有し、 データ制 御装置は、 受信した取得要求に対応して撮像オーダデータの少なくとも一部 を透視撮像装置から取得するオーダ取得部と、 取得された撮像オーダデータ の少なくとも一部を薬液注入装置に返信する設定返信部と、 を有し、 薬液注 入装置は、 取得要求に対応してデータ制御装置から返信された撮像オーダデ ータの少なくとも一部を注入条件データの少なくとも一部として注入制御部 に設定する注入設定部を、 さらに有する。 [0024] A second fluoroscopic imaging system of the present invention includes an imaging management device that manages imaging order data set for each imaging operation for imaging fluoroscopic image data from a subject, and an imaging order acquired from the imaging management device. Data communication between a fluoroscopic imaging device that captures fluoroscopic image data from a subject corresponding to the data, a chemical injection device that injects a chemical into a subject whose fluoroscopic image data is captured, and data communication between the chemical injection device and the imaging management device A fluoroscopic imaging system comprising: an imaging execution mechanism that performs imaging of fluoroscopic image data; and an imaging management device An order receiving unit that receives imaging order data from the imaging unit, and an imaging control unit that controls the operation of the imaging execution mechanism in response to the received imaging order data, and the chemical injection device performs injection of the chemical An injection control unit that controls the operation of the injection execution mechanism in response to the injection condition data set for each imaging operation, a request input unit that receives an input operation of an acquisition request for injection condition data, and an input A request transmission unit that transmits the operated acquisition request to the data control device, and the data control device acquires at least a part of the imaging order data from the fluoroscopic imaging device in response to the received acquisition request. An order acquisition unit, and a setting reply unit that returns at least a part of the acquired imaging order data to the chemical injection device. The chemical injection device controls data in response to the acquisition request. The injection setting unit for setting the injection control unit as at least a part of laid et replied injection condition data of at least part of the imaging Odade over data were further includes.
[0025] 本発明の薬液注入装置は、 本発明の透視撮像システムの薬液注入装置であ つて、 薬液の注入を実行する注入実行機構と、 撮像作業ごとに設定される注 入条件データに対応して注入実行機構を動作制御する注入制御部と、 注入条 件データの取得要求の入力操作を受け付ける要求入力部と、 入力操作された 取得要求をデータ制御装置に送信する要求送信部と、 取得要求に対応してデ ータ制御装置から返信された撮像オーダデータの少なくとも一部を注入条件 データの少なくとも一部として注入制御部に設定する注入設定部と、 を有す る。 [0025] The chemical injection device of the present invention is a chemical injection device of the fluoroscopic imaging system of the present invention, and corresponds to an injection execution mechanism for executing injection of chemical solution and injection condition data set for each imaging operation. An injection control unit that controls the operation of the injection execution mechanism, a request input unit that receives an input operation of an acquisition request for injection condition data, a request transmission unit that transmits an input operation acquisition request to the data control device, and an acquisition request And an injection setting unit that sets at least a part of the imaging order data returned from the data control device to the injection control unit as at least a part of the injection condition data.
[0026] 本発明の第一のデータ制御装置は、 本発明の第一の透視撮像システムのデ ータ制御装置であって、 受信した取得要求に対応して撮像オーダデータの少 なくとも一部を撮像管理装置から取得するオーダ取得部と、 取得された撮像 オーダデータの少なくとも一部を薬液注入装置に返信する設定返信部と、 を 有する。 [0026] The first data control device of the present invention is a data control device of the first fluoroscopic imaging system of the present invention, and at least a part of the imaging order data corresponding to the received acquisition request. An order acquisition unit that acquires the imaging management device, and a setting reply unit that returns at least a part of the acquired imaging order data to the chemical injection device.
[0027] 本発明の第二のデータ制御装置は、 本発明の第二の透視撮像システムのデ ータ制御装置であって、 受信した取得要求に対応して撮像オーダデータの少 なくとも一部を透視撮像装置から取得するオーダ取得部と、 取得された撮像 オーダデータの少なくとも一部を薬液注入装置に返信する設定返信部と、 を 有する。 [0027] The second data control device of the present invention is a data control device of the second fluoroscopic imaging system of the present invention, and at least a part of the imaging order data corresponding to the received acquisition request. An order acquisition unit for acquiring the image from the fluoroscopic imaging device, and the acquired imaging A setting response unit that returns at least part of the order data to the chemical injection device;
[0028] 従って、 本発明の透視撮像システムでは、 薬液注入装置に入力操作される 取得要求がデータ制御装置に送信され、 その取得要求に対応してデータ制御 装置が撮像管理装置や透視撮像装置から撮像オーダデータを取得する。 その 撮像オーダデータはデータ制御装置から薬液注入装置に返信される。 この薬 液注入装置では、 撮像オーダデータの少なくとも一部が注入条件データの少 なくとも一部として設定される。 このため、 作業者が注入条件データを入力 操作する作業負担が軽減される。 Therefore, in the fluoroscopic imaging system of the present invention, an acquisition request input to the chemical injection device is transmitted to the data control device, and the data control device responds to the acquisition request from the imaging management device or the fluoroscopic imaging device. Obtain imaging order data. The imaging order data is returned from the data control device to the chemical injection device. In this chemical injection device, at least a part of the imaging order data is set as at least a part of the injection condition data. For this reason, the workload of the operator to input the injection condition data is reduced.
[0029] なお、 本発明で云う各種の構成要素は、 その機能を実現するように形成さ れていればよく、 例えば、 所定の機能を発揮する専用のハードウェア、 所定 の機能がコンピュータプログラムにより付与されたデ一タ処理装置、 コンビ ユータブログラムによりデータ処理装置に実現された所定の機能、 これらの 任意の組み合わせ、 等として実現することができる。 [0029] It should be noted that the various components referred to in the present invention may be formed so as to realize their functions. For example, dedicated hardware that exhibits a predetermined function, and the predetermined function can be realized by a computer program. It can be realized as a given data processing device, a predetermined function realized in the data processing device by a combinatorial program, an arbitrary combination thereof, or the like.
[0030] また、 本発明で云う各種の構成要素は、 個々に独立した存在である必要も なく、 複数の構成要素が一個の部材として形成されていること、 一つの構成 要素が複数の部材で形成されていること、 ある構成要素が他の構成要素の一 部であること、 ある構成要素の一部と他の構成要素の一部とが重複している こと、 等でよい。 [0030] Further, the various constituent elements referred to in the present invention do not have to be individually independent, but a plurality of constituent elements are formed as one member, and one constituent element is a plurality of members. It may be formed, a component is a part of another component, a part of a component overlaps a part of another component, and so on.
[0031 ] 本発明の透視撮像システムでは、 薬液注入装置に取得要求を入力操作する だけで、 撮像オーダデータの少なくとも一部を注入条件データの少なくとも 一部として設定することができる。 このため、 作業者が注入条件データを入 力操作する作業負担を軽減することができる。 それでいて、 撮像オーダデ一 タは透視撮像装置のために従来から既存かつ必須であるので、 新規なデータ 作成などを必要とすることなく注入条件データの少なくとも一部を自動設定 することができる。 [0031] In the fluoroscopic imaging system of the present invention, at least a part of the imaging order data can be set as at least a part of the injection condition data simply by inputting an acquisition request to the chemical liquid injector. For this reason, it is possible to reduce the work load for the operator to input the injection condition data. Nevertheless, since the imaging order data is already existing and essential for the fluoroscopic imaging apparatus, at least a part of the injection condition data can be automatically set without the need to create new data.
図面の簡単な説明 Brief Description of Drawings
[0032] 上述した目的、 および、 その他の目的、 特徴および利点は、 以下に述べる 好適な実施の形態、 および、 それに付随する以下の図面によって、 さらに明 らかになる。 [0032] The above-described objectives and other objectives, features, and advantages are described below. The preferred embodiment and the following drawings accompanying it will become more apparent.
[図 1 ]本発明の実施の形態の透視撮像システムの論理構造を示す模式的なプロ ック図である。 FIG. 1 is a schematic block diagram showing a logical structure of a fluoroscopic imaging system according to an embodiment of the present invention.
[図 2]透視撮像システムの物理構造を示すブロック図である。 FIG. 2 is a block diagram showing a physical structure of the fluoroscopic imaging system.
[図 3] C Tスキャナの透視撮像ュニッ卜と薬液注入装置の注入実行へッドとの 外観を示す斜視図である。 FIG. 3 is a perspective view showing the external appearance of a fluoroscopic imaging unit of a CT scanner and an injection execution head of a chemical solution injection device.
[図 4]薬液注入装置の外観を示す斜視図である。 FIG. 4 is a perspective view showing an appearance of a chemical liquid injector.
[図 5]画像閲覧装置の外観を示す斜視図である。 FIG. 5 is a perspective view showing the appearance of the image browsing apparatus.
[図 6]薬液注入装置の論理構造を示す模式的なブロック図である。 FIG. 6 is a schematic block diagram showing a logical structure of the chemical liquid injector.
[図 7]薬液注入装置の表示画面に身体区分の模式画像と白紙状態の条件画面と が表示された状態を示す模式的な正面図である。 FIG. 7 is a schematic front view showing a state in which a schematic image of a body section and a blank condition screen are displayed on the display screen of the chemical injection device.
[図 8]薬液注入装置の表示画面に身体区分が選定された状態を示す模式的な正 面図である。 FIG. 8 is a schematic front view showing a state where a body classification is selected on the display screen of the chemical liquid injector.
[図 9]薬液注入装置の表示画面に撮像部位が選定されて目標グラフが表示され た状態を示す模式的な正面図である。 FIG. 9 is a schematic front view showing a state where an imaging region is selected and a target graph is displayed on the display screen of the chemical liquid injector.
[図 10]薬液注入装置の表示画面に目標グラフとともに経時グラフが表示され た状態を示す模式的な正面図である。 FIG. 10 is a schematic front view showing a state in which a temporal graph is displayed together with a target graph on the display screen of the chemical liquid injector.
[図 11 ]透視撮像システムの処理動作を示す模式的なタイムチヤ一トである。 発明を実施するための最良の形態 FIG. 11 is a schematic time chart showing the processing operation of the fluoroscopic imaging system. BEST MODE FOR CARRYING OUT THE INVENTION
[0033] 本発明の実施の形態を図面を参照して以下に説明する。 本発明の実施の形 態の透視撮像システム 1 0 0 0は、 図 1および図 2に示すように、 撮像管理 装置である R I S 1 0 0、 透視撮像装置である C Tスキャナ 2 0 0、 データ 保存装置である P A C S 3 0 0、 薬液注入装置 4 0 0、 データ制御装置であ る制御ボックス 5 0 0、 画像閲覧装置 6 0 0、 を有する。 An embodiment of the present invention will be described below with reference to the drawings. As shown in FIGS. 1 and 2, the fluoroscopic imaging system 100 according to the embodiment of the present invention includes an imaging management device RIS 100, a fluoroscopic imaging device CT scanner 200, data storage PACS 3 0 0 as a device, chemical injection device 4 0 0, control box 5 0 0 as a data control device, and image browsing device 6 0 0.
[0034] 本実施の形態の透視撮像システム 1 0 0 0では、 図示するように、 C Tス キヤナ 2 0 0力 L A N (Loca l Area Network)等の通信ネットワーク 7 0 1 , 7 0 2により R I S 1 0 0および P A C S 3 0 0と接続されている。 [0035] —方、 制御ボックス 500も、 通信ネットワーク 703〜705により、 R I S 1 00、 PACS 300、 薬液注入装置 400、 と接続されている。 そして、 P ACS 300には、 画像閲覧装置 600が通信ネットワーク 70 6により接続されている。 In the fluoroscopic imaging system 1 0 0 0 of this embodiment, as shown in the figure, CT scanner 2 0 0 power LAN (Loca Area Network) or other communication network 7 0 1, 7 0 2 RIS 1 0 0 and PACS 3 0 0 are connected. [0035] On the other hand, the control box 500 is also connected to the RIS 100, the PACS 300, and the chemical solution injector 400 through the communication networks 703 to 705. An image browsing device 600 is connected to the P ACS 300 via a communication network 706.
[0036] 本実施の形態の透視撮像システム 1 000は、 いわゆる D I COM(Digita I Imaging and Communications in Medicine)規格に準拠してしゝる。 この め 、 その各種装置 1 00〜600は、 D I COMの規約で各種データを相互通 信する。 [0036] The fluoroscopic imaging system 1000 according to the present embodiment conforms to the so-called DI COM (Digita I Imaging and Communications in Medicine) standard. For this reason, the various devices 100 to 600 communicate each other with various data according to the rules of DI COM.
[0037] 本実施の形態の透視撮像システム 1 000では、 CTスキャナ 200、 P A C S 300、 薬液注入装置 400、 制御ポックス 500、 が各々一個であ り、 何れの組み合わせも一対一の関係となっている。 [0037] In the fluoroscopic imaging system 1 000 of the present embodiment, the CT scanner 200, the PACS 300, the chemical liquid injector 400, and the control pox 500 are each one, and any combination has a one-to-one relationship. .
[0038] 本実施の形態の R I S 1 00は、 いわゆるコンピュータ装置からなり、 専 用のコンピュータプログラムが実装されている。 このコンピュータプログラ ムに対応してコンピュータ装置が各種処理を実行することにより、 R I S 1 00には、 オーダ管理部 1 01、 オーダ選定部 1 02、 統合制御部 1 03、 等の各部が各種機能として論理的に実現されている。 [0038] The RIS 100 of the present embodiment is a so-called computer device, and a dedicated computer program is installed. As the computer device executes various processes corresponding to this computer program, the RIS 100 has various functions such as the order management unit 1101, the order selection unit 102, the integrated control unit 103, etc. Logically realized.
[0039] オーダ管理部 1 01は、 例えば、 HDD(Hard Disc Dr i ve)などの記憶デバ イスに相当し、 被験者から透視画像データを撮像するための撮像オーダデ一 タを固有の識別情報で管理する。 [0039] The order management unit 101 corresponds to a storage device such as an HDD (Hard Disc Drive), for example, and manages imaging order data for imaging fluoroscopic image data from a subject with unique identification information. To do.
[0040] その撮像オーダデータは、 例えば、 固有の識別情報である撮像作業 I D、 C Tスキャナ 200の識別情報、 撮像開始および終了の日時、 被験者の識別 情報、 被験者の体重、 身体区分または撮像部位、 薬液である造影剤の製品名 称、 等のテキストデータからなる。 [0040] The imaging order data includes, for example, imaging work ID that is unique identification information, identification information of the CT scanner 200, date and time of imaging start and end, identification information of the subject, weight of the subject, body division or imaging part, Consists of text data such as the product name of the contrast agent that is a chemical solution.
[0041] オーダ選定部 1 02は、 例えば、 キーボードなどの入力操作に対応して C P U (Central Processing Unit)が所定処理を実行する機能などに相当し、 作 業者の入力操作に対応して複数の撮像オーダデータから一つを選定する。 [0041] The order selection unit 102 corresponds to, for example, a function in which a CPU (Central Processing Unit) executes a predetermined process in response to an input operation of a keyboard or the like, and a plurality of in response to an input operation by a manufacturer. Select one from the imaging order data.
[0042] 統合制御部 1 03は、 例えば、 CPUが通信 I / F (Interface)により各種 データを送受信する機能などに相当し、 上述の選定されている一つの撮像ォ ーダデータを C Tスキャナ 2 0 0や制御ボックス 5 0 0から受信する取得要 求に対応して返信する。 [0042] The integrated control unit 103 corresponds to, for example, a function in which the CPU transmits and receives various data via a communication I / F (Interface). Returns the data in response to the acquisition request received from the CT scanner 200 or the control box 500.
[0043] 本実施の形態の C Tスキャナ 2 0 0は、 図 2に示すように、 撮像実行機構 である透視撮像ュニット 2 0 1 と撮像制御ュニット 2 1 0とを有する。 透視 撮像ュニット 2 0 1は、 被験者から透視画像データを撮像する。 撮像制御ュ ニット 2 1 0は、 透視撮像ュニット 2 0 1を動作制御する。 As shown in FIG. 2, the CT scanner 200 according to the present embodiment includes a fluoroscopic imaging unit 2 0 1 and an imaging control unit 2 10 which are imaging execution mechanisms. The fluoroscopic imaging unit 2 0 1 captures fluoroscopic image data from a subject. The imaging control unit 2 10 0 controls the operation of the fluoroscopic imaging unit 2 0 1.
[0044] より詳細には、 撮像制御ュニット 2 1 0は、 専用のコンピュータプログラ ムが実装されているコンピュータ装置からなる。 このコンピュータ装置がコ ンピュータプログラムに対応して各種処理を実行することにより、 撮像制御 ユニット 2 1 0には、 要求送信部 2 1 1、 オーダ受信部 2 1 2、 撮像制御部 2 1 3、 データ付与部 2 1 4、 画像送信部 2 1 5、 等の各部が各種機能とし て論理的に実現されている。 [0044] More specifically, the imaging control unit 210 includes a computer device on which a dedicated computer program is mounted. When this computer device executes various processes corresponding to the computer program, the imaging control unit 2 1 0 has a request transmission unit 2 1 1, an order reception unit 2 1 2, an imaging control unit 2 1 3, data Each unit such as the assigning unit 2 1 4 and the image transmitting unit 2 1 5 is logically realized as various functions.
[0045] 要求送信部 2 1 1は、 キーポードなどの入力操作に対応して C P Uが通信 [0045] The request transmitter 2 1 1 communicates with the CPU in response to an input operation such as a keypad.
I / Fにより各種データを送受信する機能などに相当し、 作業者の入力操作 に対応して R I S 1 0 0に撮像オーダデータの取得要求を送信する。 オーダ 受信部 2 1 2は、 R I S 1 0 0から返信される撮像オーダデータを受信する Corresponds to a function to send and receive various data by I / F, and sends an imaging order data acquisition request to RI 100 1 0 in response to the operator's input operation. Order receiving unit 2 1 2 receives imaging order data returned from R I S 1 0 0
[0046] 撮像制御部 2 1 3は、 受信した撮像オーダデータに対応して透視撮像ュニ ット 2 0 1を動作制御する。 データ付与部 2 1 4は、 透視撮像ュニット 2 0 1で撮像された透視画像データに撮像オーダデータを付与する。 The imaging control unit 2 13 controls the operation of the fluoroscopic imaging unit 2 0 1 corresponding to the received imaging order data. The data adding unit 2 14 adds imaging order data to the fluoroscopic image data captured by the fluoroscopic imaging unit 2 0 1.
[0047] 画像送信部 2 1 5は、 撮像オーダデータが付与された透視画像データを P A C S 3 0 0に送信する。 なお、 上述のように生成される透視画像データは 、 例えば、 断層画像のビットマップデ一タからなる。 [0047] The image transmission unit 2 15 transmits the fluoroscopic image data to which the imaging order data is assigned to P A C S 3 0 0. Note that the fluoroscopic image data generated as described above includes, for example, bitmap data of a tomographic image.
[0048] 本実施の形態の P A C S 3 0 0は、 やはり専用のコンピュータプログラム が実装されているデータべ一スサーバからなる。 P A C S 3 0 0は、 C Tス キヤナ 2 0 0から撮像オーダデータが付与された透視画像データを受信して 保存する。 [0048] P A C S 3 0 0 of the present embodiment is a database server on which a dedicated computer program is also mounted. The P A C S 3 0 0 receives and stores the fluoroscopic image data to which the imaging order data is added from the C T scanner 2 0 0.
[0049] 本実施の形態の薬液注入装置 4 0 0は、 図 4に示すように、 注入制御ュニ ット 4 0 1 と注入実行へッド 4 1 0とを有する。 注入制御ュニット 4 0 1力《 注入実行へッド 4 1 0を動作制御する。 注入実行へッド 4 1 0は、 着脱自在 に装着される薬液シリンジ 4 3 0を駆動して薬液を被験者に注入する。 [0049] As shown in FIG. 4, the chemical liquid injector 400 according to the present embodiment has an injection control unit. 4 0 1 and injection head 4 1 0. Injection control unit 4 0 1 force << Controls the operation of injection execution head 4 1 0. The injection execution head 4 10 drives a chemical syringe 4 3 0 that is detachably attached to inject the chemical into the subject.
[0050] より詳細には、 注入制御ュニット 4 0 1は、 図 2に示すように、 操作パネ ル 4 0 2、 タツチパネル 4 0 3、 コントローラユニット 4 0 4、 コンビュ一 タュニット 4 0 5、 通信 I / F 4 0 6、 等を有する。 注入実行へッド 4 1 0 は、 薬液シリンジ 4 3 0を駆動する注入実行機構であるシリンジ駆動機構 4 1 1を有する。 [0050] More specifically, as shown in Fig. 2, the injection control unit 4 0 1 includes an operation panel 4 0 2, a touch panel 4 0 3, a controller unit 4 0 4, a composite unit 4 0 5, and a communication I. / F 4 0 6, etc. The injection execution head 4 1 0 has a syringe drive mechanism 4 1 1 which is an injection execution mechanism for driving the chemical syringe 4 3 0.
[0051 ] 薬液注入装置 4 0 0のコンピュータユニット 4 0 5には、 上述の各部が接 続されている。 コンピュータユニット 4 0 5は、 接続されている各部を実装 されているコンピュータプログラムに対応して統合制御する。 [0051] The above-described units are connected to the computer unit 400 of the chemical solution injector 400. The computer unit 45 5 performs integrated control corresponding to the computer program in which each connected unit is installed.
[0052] このため、 薬液注入装置 4 0 0には、 図 1に示すように、 注入制御部 4 2 [0052] For this reason, as shown in FIG.
1、 要求入力部 4 2 2、 要求送信部 4 2 3、 注入設定部 4 2 4、 履歴生成部 4 2 6、 履歴出力部 4 2 7、 等の各部が各種機能として論理的に実現されて いる。 1, request input unit 4 2 2, request transmission unit 4 2 3, injection setting unit 4 2 4, history generation unit 4 2 6, history output unit 4 2 7, etc. are logically realized as various functions. Yes.
[0053] さらに、 薬液注入装置 4 0 0には、 図 6に示すように、 条件記憶部 4 3 1 、 画像記憶部 4 3 2、 薬液記憶部 4 3 3、 区分表示部 4 3 5、 区分入力部 4 3 6、 部位表示部 4 3 7、 部位入力部 4 3 8、 動作読出部 4 3 9、 身体入力 部 4 4 1、 薬液表示部 4 4 2、 薬液入力部 4 4 3、 薬液読出部 4 4 4、 等の 各部も各種機能として論理的に実現されている。 Furthermore, as shown in FIG. 6, the chemical solution injection device 400 has a condition storage unit 4 3 1, an image storage unit 4 3 2, a chemical solution storage unit 4 3 3, a category display unit 4 3 5, a category Input part 4 3 6, Part display part 4 3 7, Part input part 4 3 8, Operation reading part 4 3 9, Body input part 4 4 1, Chemical liquid display part 4 4 2, Chemical liquid input part 4 4 3, Chemical liquid readout Each part such as part 4 4 4, etc. is logically realized as various functions.
[0054] 薬液注入装置 4 0 0の各記憶部 4 3 1〜4 3 3は、 上述のコンピュータプ ログラムに対応してコンピュータュニット 4 0 5に構築された記憶エリアな どに相当する。 各読出部 4 3 9 , 4 4 4は、 コンピュータユニット 4 0 5が 記憶データを読み出す機能などに相当する。 [0054] Each storage unit 431 to 433 of the chemical solution injector 400 corresponds to a storage area constructed in the computer unit 400 corresponding to the above-described computer program. Each reading unit 4 3 9, 4 4 4 corresponds to the function of the computer unit 4 5 5 reading stored data.
[0055] 各表示部 4 3 5 , 4 3 7 , 4 4 2は、 コンピュータユニット 4 0 5が記憶 データをタツチパネル 4 0 3に表示出力させる機能などに相当する。 各入力 部 4 2 2、 4 3 6 , 4 3 8 , 4 4 1 , 4 4 3は、 コンピュータユニット 4 0 5が操作パネル 4 0 2ゃタツチパネル 4 0 3への入力操作を認識する機能な どに相当する。 Each display unit 4 3 5, 4 3 7, 4 4 2 corresponds to a function of causing the computer unit 4 5 5 to display and output stored data on the touch panel 4 3. Each input unit 4 2 2, 4 3 6, 4 3 8, 4 4 1, 4 4 3 is a function that the computer unit 4 0 5 recognizes input operation to the operation panel 4 0 2 touch panel 4 0 3. Corresponds to
[0056] 薬液注入装置 4 0 0の画像記憶部 4 3 2は、 人体の複数の身体区分と多数 の撮像部位との模式画像を関連させて記憶している。 区分表示部 4 3 5は、 画像記憶部 4 3 2が記憶している複数の身体区分の模式画像を人体に対応し た配列で表示する。 [0056] The image storage unit 4 32 of the drug solution injector 400 stores schematic images of a plurality of body sections of a human body and a large number of imaging sites in association with each other. The section display unit 4 3 5 displays a schematic image of a plurality of body sections stored in the image storage unit 4 3 2 in an arrangement corresponding to the human body.
[0057] 区分入力部 4 3 6は、 区分表示部 4 3 5で画像表示された複数の身体区分 から一つを選択する入力操作を、 一つの注入条件データの入力操作として受 け付ける。 部位表示部 4 3 7は、 区分入力部 4 3 6で選択された身体区分に 対応して少なくとも一つの撮像部位の模式画像を表示出力する。 部位入力部 4 3 8は、 部位表示部 4 3 7で画像表示された撮像部位を選定する入力操作 を、 一つの注入条件データの入力操作として受け付ける。 The segment input unit 4 36 receives an input operation for selecting one of the plurality of body segments displayed as images by the segment display unit 4 35 as an input operation for one injection condition data. The region display unit 4 37 displays and outputs a schematic image of at least one imaging region corresponding to the body segment selected by the segment input unit 4 36. The site input unit 4 3 8 accepts an input operation for selecting an imaging site displayed as an image on the site display unit 4 37 as an input operation for one injection condition data.
[0058] より具体的には、 薬液注入装置 4 0 0では、 複数の身体区分として 「頭部 、 胸部、 腹部、 脚部」 が規定されており、 これらの各々に対応した模式画像 がコンピュータュニット 4 0 5に登録されている。 More specifically, in the liquid injector 400, “head, chest, abdomen, legs” are defined as a plurality of body sections, and a schematic image corresponding to each of them is calculated by a computer. Registered in Knit 4 0 5
[0059] そこで、 薬液注入装置 4 0 0に所定操作を実行すると、 図 7に示すように 、 「頭部、 胸部、 腹部、 脚部」 の模式画像が人体形状に対応してタツチパネ ル 4 0 3の画面上部に表示出力される。 Therefore, when a predetermined operation is performed on the chemical liquid injector 400, as shown in FIG. 7, a schematic image of “head, chest, abdomen, leg” corresponds to the shape of the human body, and the touch panel 40 Displayed at the top of screen 3
[0060] また、 上述の身体区分である 「頭部」 の模式画像には、 複数の撮像部位と して 「脳部、 顎部、 首部」 等の模式画像が関連されて登録されている。 同様 に、 「胸部」 の模式画像には 「心臓部、 肺部」 、 「腹部」 の模式画像には 「 胃部、 肝臓部、 ■■■」 、 「脚部」 の模式画像には 「上部、 下部」 、 などの模式 画像が関連されて登録されている。 In addition, in the schematic image of the “head” that is the above-described body classification, schematic images such as “brain part, jaw part, and neck part” are registered in association with each other as a plurality of imaging parts. Similarly, the “chest” schematic image is “heart and lungs”, the “abdominal” schematic image is “stomach, liver, ■■■”, and the “leg” schematic image is “upper”. Model images such as “, bottom”, etc. are registered in association with each other.
[0061 ] そこで、 タツチパネル 4 0 3に人体形状で表示出力された複数の身体範囲 の模式画像の一つが手動操作されると、 図 8に示すように、 その一つの模式 画像のみ上方にスキャナ機構の模式画像が表示出力され、 手動操作された一 つの模式画像のみが明転するとともに他の模式画像は暗転する。 [0061] Therefore, when one of the schematic images of a plurality of body ranges displayed and output in a human body shape on the touch panel 40 3 is manually operated, as shown in FIG. 8, only the one schematic image is scanned upward. This model image is displayed and output, and only one manually operated model image is brightened and the other model images are darkened.
[0062] 同時に、 その下部には関連する複数の撮像部位の模式画像が表示出力され る。 そこで、 その表示出力された複数の撮像部位の模式画像の一つが手動操 作されると、 図 9に示すように、 その一つの模式画像のみが明転するととも に他の模式画像は暗転する。 At the same time, schematic images of a plurality of related imaging parts are displayed and output at the lower part. Therefore, one of the schematic images of the plurality of imaged parts displayed and output is manually operated. When created, as shown in Fig. 9, only one of the schematic images is brightened while the other schematic image is darkened.
[0063] 条件記憶部 4 3 1は、 人体の多数の撮像部位ごとにシリンジ駆動機構 4 1 [0063] The condition storage unit 4 3 1 includes a syringe drive mechanism 4 1 for each of a large number of imaging regions of the human body.
1の動作条件データを記憶している。 より具体的には、 この動作条件データ は、 造影剤による透視画像データの造影度が最適値に近似する状態を維持す るように、 造影剤の注入速度を時間経過により変化させる可変パターンとし て設定されている。 1 operation condition data is stored. More specifically, this operating condition data is a variable pattern that changes the injection rate of the contrast agent over time so that the contrast level of the fluoroscopic image data by the contrast agent approximates the optimum value. Is set.
[0064] この可変パターンは実験結果に基づいて最適に設定されるが、 例えば、 図 9に示すように、 注入開始から所定時間までは注入速度を線形に低下させ、 以後は注入速度を一定に維持する、 などとして設定されている。 [0064] This variable pattern is optimally set based on experimental results. For example, as shown in Fig. 9, the injection rate is linearly reduced from the start of injection to a predetermined time, and thereafter the injection rate is kept constant. It is set as maintain.
[0065] 動作読出部 4 3 9は、 部位入力部 4 3 8で選定された撮像部位に対応する 動作条件データを条件記憶部 4 3 1から読み出す。 身体入力部 4 4 1は、 透 視画像データの撮像に関連する人体の身体事項として体重の入力操作を受け 付ける。 The operation reading unit 4 3 9 reads the operation condition data corresponding to the imaging region selected by the region input unit 4 3 8 from the condition storage unit 4 3 1. The body input unit 4 4 1 accepts an input operation of body weight as a human body matter related to imaging of fluoroscopic image data.
[0066] 薬液記憶部 4 3 3は、 複数の造影剤の種類である製品名称ごとに、 含有成 分であるョ一ドの含有濃度を透視画像データの撮像に関連する薬液事項とし て記憶している。 つまり、 薬液注入装置 4 0 0は、 複数種類の造影剤を利用 することができるが、 その造影剤は製品ごとにョ一ドの含有濃度が相違して いる。 [0066] The drug solution storage unit 4 3 3 stores, for each product name that is a plurality of types of contrast agents, the content concentration of the load, which is a contained component, as a drug solution item related to imaging of fluoroscopic image data. ing. In other words, the chemical liquid injector 400 can use a plurality of types of contrast agents, but the contrast concentrations of the contrast agents differ from product to product.
[0067] 被験者に造影剤を注入して透視画像データを撮像する場合、 ョ一ド濃度が 相違すると造影度が相違するので、 薬液注入装置 4 0 0は、 造影剤の製品名 称ごとにョ一ド濃度が登録されている。 [0067] When fluoroscopic image data is imaged by injecting a contrast medium into a subject, the contrast level is different if the concentration of the difference is different. Therefore, the drug solution injection device 400 is selected for each product name of the contrast medium. 1 concentration is registered.
[0068] 薬液表示部 4 4 2は、 薬液記憶部 4 3 3が記憶している複数の造影剤の製 品名称を表示出力する。 薬液入力部 4 4 3は、 薬液表示部 4 4 2で表示出力 された造影剤の種類から一つを選択する入力操作を、 一つの注入条件データ の入力操作として受け付ける。 薬液読出部 4 4 4は、 薬液入力部 4 4 3で選 択された造影剤の種類に対応してョ一ド濃度を読み出す。 The chemical liquid display unit 4 42 displays and outputs the product names of a plurality of contrast agents stored in the chemical liquid storage unit 4 33. The medicinal solution input unit 4 4 3 accepts an input operation for selecting one of the contrast medium types displayed and output by the medicinal solution display unit 4 4 2 as an input operation of one injection condition data. The chemical solution reading unit 4 4 4 reads out the concentration of the corridor corresponding to the type of contrast medium selected by the chemical solution input unit 4 4 3.
[0069] 注入制御部 4 2 1は、 コンピュータュニット 4 0 5が所定の処理動作を実 行する機能などに相当し、 撮像作業ごとに設定される注入条件データに対応 してシリンジ駆動機構 4 1 1を動作制御する。 [0069] The injection controller 4 2 1 is configured such that the computer unit 4 0 5 performs a predetermined processing operation. The syringe drive mechanism 4 11 is controlled according to the injection condition data set for each imaging operation.
[0070] さらに、 薬液注入装置 4 0 0の要求入力部 4 2 2は、 注入条件データの取 得要求の入力操作を受け付ける。 要求送信部 4 2 3は、 コンピュータュニッ ト 4 0 5が通信 I / F 4 0 6力、ら制御ポックス 5 0 0と通信する機能などに 相当し、 入力操作された取得要求を制御ボックス 5 0 0に送信する。 Furthermore, the request input unit 4 2 2 of the chemical liquid injector 400 receives an input operation of an injection condition data acquisition request. The request transmission unit 4 2 3 is equivalent to a function in which the computer unit 40 5 communicates with the communication I / F 4 0 6, and the control pox 5 0 0, and the like. 0 Send to 0.
[0071 ] 薬液注入装置 4 0 0の注入設定部 4 2 4は、 取得要求に対応して制御ポッ クス 5 0 0から返信された撮像オーダデータの一部からなる注入条件データ を注入制御部 4 2 1に設定する。 [0071] The injection setting unit 4 2 4 of the chemical liquid injection device 4 0 0 receives the injection condition data including a part of the imaging order data returned from the control box 5 0 0 in response to the acquisition request. 2 Set to 1.
[0072] つまり、 薬液注入装置 4 0 0は、 前述のようにタツチパネル 4 0 3などに より、 身体区分、 撮像部位、 体重、 造影剤の種類、 等が注入条件データとし て入力操作されると、 この注入条件データに対応して動作条件データが設定 される。 That is, when the chemical solution injection device 400 is operated to input the body classification, the imaging region, the body weight, the type of the contrast agent, etc. as the injection condition data by the touch panel 40 3 as described above. The operating condition data is set corresponding to the injection condition data.
[0073] しかし、 上述のようにタツチパネル 4 0 3の 「自動設定」 などの操作アイ コンが入力操作されると、 制御ボックス 5 0 0を経由して撮像オーダデータ が取得される。 そして、 その撮像オーダデータから、 身体区分、 撮像部位、 体重、 造影剤の種類、 等が注入条件データとして抽出され、 この注入条件デ ータに対応して動作条件データが設定される。 However, as described above, when an operation icon such as “automatic setting” on the touch panel 400 is input, imaging order data is acquired via the control box 500. Then, from the imaging order data, body classification, imaging site, body weight, type of contrast medium, and the like are extracted as injection condition data, and operation condition data is set corresponding to the injection condition data.
[0074] 薬液注入装置 4 0 0の履歴生成部 4 2 6は、 コンピュータユニット 4 0 5 がコンピュータプログラムに対応して所定処理を実行する機能などに相当し 、 薬液注入の履歴を記録した注入履歴データを生成する。 [0074] The history generating unit 4 2 6 of the chemical solution injection device 400 corresponds to a function of the computer unit 4 0 5 executing a predetermined process corresponding to the computer program, and the injection history in which the history of chemical solution injection is recorded Generate data.
[0075] このように生成される注入履歴データは、 例えば、 注入作業ごとに固有の 識別情報である注入作業 I D等のテキストデータと、 横軸と縦軸との一方が 経過時間で他方が注入速度の経時グラフの画像データからなる。 [0075] The injection history data generated in this way is, for example, text data such as an injection work ID that is identification information unique to each injection work, one of the horizontal axis and the vertical axis is elapsed time, and the other is injection. Consists of image data of a speed graph over time.
[0076] 薬液注入装置 4 0 0の履歴出力部 4 2 7は、 コンピュータユニット 4 0 5 が通信 I / F 4 0 6によりデータ通信を実行する機能などに相当し、 生成さ れた注入履歴データを制御ボックス 5 0 0に送信する。 [0076] The history output unit 4 2 7 of the chemical injection device 4 0 0 corresponds to the function of the computer unit 4 0 5 performing data communication through the communication I / F 4 0 6 and the like, and the generated injection history data Is sent to the control box 5 0 0.
[0077] 本実施の形態の制御ボックス 5 0 0は、 図 2に示すように、 やはり専用の コンピュータプログラムが実装されているコンピュータュニット 5 0 1、 通 信 I / F 5 0 2、 等を有する。 [0077] As shown in FIG. 2, the control box 5 0 0 of this embodiment is also a dedicated box. A computer unit in which a computer program is installed, a communication I / F 500, and the like.
[0078] 制御ボックス 5 0 0も、 コンピュータユニット 5 0 1がコンピュータプロ グラムに対応して各種処理を実行する。 このため、 制御ボックス 5 0 0には 、 図 1に示すように、 オーダ取得部 5 1 1、 設定返信部 5 1 2、 履歴転送部 5 1 4、 等の各部が各種機能として論理的に実現されている。 Also in the control box 500, the computer unit 5001 executes various processes corresponding to the computer program. Therefore, in the control box 500, as shown in FIG. 1, each part such as an order acquisition unit 5 11 1, a setting reply unit 5 1 2 and a history transfer unit 5 1 4 is logically realized as various functions. Has been.
[0079] オーダ取得部 5 1 1は、 薬液注入装置 4 0 0から受信した取得要求に対応 して、 撮像オーダデータを R I S 1 0 0から取得する。 設定返信部 5 1 2は 、 取得された撮像オーダデータの一部を注入条件データの一部として薬液注 入装置 4 0 0に返信する。 履歴転送部 5 1 4は、 注入履歴データを薬液注入 装置 4 0 0から受信して P A C S 3 0 0に転送する。 The order obtaining unit 51 1 1 obtains imaging order data from R 1 S 1 00 in response to the acquisition request received from the chemical solution injector 400. The setting reply unit 51 returns a part of the acquired imaging order data to the chemical injection device 400 as a part of the injection condition data. The history transfer unit 5 14 receives the injection history data from the chemical solution injection device 4 0 0 and transfers it to the P A C S 3 0 0.
[0080] このため、 本実施の形態の P A C S 3 0 0は、 前述のように C Tスキャナ 2 0 0から受信する透視画像デ一タを保存するだけではなく、 上述のように 制御ボックス 5 0 0から受信する注入履歴データも保存する。 [0080] For this reason, the PACS 300 of the present embodiment not only stores the fluoroscopic image data received from the CT scanner 200 as described above, but also controls the control box 500 as described above. The injection history data received from is also saved.
[0081 ] そして、 前述のように透視画像データには撮像オーダデータが付与されて おり、 この撮像オーダデータの撮像作業 I Dが注入履歴データに付与されて いる。 このため、 撮像オーダデータと注入履歴データとは撮像作業 I Dによ り関連付けられた状態で P A C S 3 0 0に保存される。 [0081] As described above, imaging order data is assigned to the fluoroscopic image data, and an imaging operation ID of the imaging order data is assigned to the injection history data. For this reason, the imaging order data and the injection history data are stored in the P A C S 3 0 0 in a state of being associated by the imaging operation ID.
[0082] 本実施の形態の画像閲覧装置 6 0 0も、 専用のコンピュータプログラムが 実装されているコンピュータ装置からなる。 画像閲覧装置 6 0 0は、 図 5に 示すように、 コンピュータユニット 6 0 1、 ディスプレイユニット 6 0 2、 コントローラュニット 6 0 3、 通信 I / F 6 0 4、 等を有する。 [0082] The image browsing apparatus 600 according to the present embodiment also includes a computer apparatus on which a dedicated computer program is mounted. As shown in FIG. 5, the image browsing apparatus 600 has a computer unit 601, a display unit 602, a controller unit 603, a communication I / F 604, and the like.
[0083] 画像閲覧装置 6 0 0は、 コンピュータユニット 6 0 1がコンピュータプロ グラムに対応して各種処理を実行することにより、 図 1に示すように、 デ一 タ読出部 6 1 1、 データ表示部 6 1 2、 を有する。 [0083] As shown in FIG. 1, the image browsing device 60 0 0 has a data reading unit 6 1 1, data display, as the computer unit 6 0 1 executes various processes corresponding to the computer program. Part 6 1 2.
[0084] データ読出部 6 1 1は、 例えば、 コンピュータュニット 6 0 1がコンビュ —タプログラムとコントロ一ラュニット 6 0 3への入力データとに対応して 通信 I / F 6 0 4から P A C S 3 0 0にアクセスする機能などに相当し、 撮 像作業 I Dで関連付けられている透視画像データと注入履歴データとを P A C S 3 0 0から読み出す。 [0084] The data reading unit 6 1 1 is configured so that, for example, the computer unit 6 0 1 corresponds to the computer program and the input data to the control unit 6 0 3 and the communication I / F 6 0 4 to PACS 3 0 Corresponds to the function for accessing 0, etc. The fluoroscopic image data and the injection history data associated with the image work ID are read from PACS 300.
[0085] データ表示部 6 1 2は、 コンピュータユニット 6 0 1が通信 I / F 6 0 4 の受信データをディスプレイュニット 6 0 2に表示させる機能などに相当し 、 読み出された透視画像データと注入履歴データとを表示する。 [0085] The data display unit 6 1 2 corresponds to a function for the computer unit 60 1 to display the received data of the communication I / F 60 4 on the display unit 60 2, and the read fluoroscopic image data And injection history data are displayed.
[0086] なお、 上述のような R I S 1 0 0のコンピュータプログラムは、 例えば、 被験者から透視画像データを撮像するための撮像オーダデータを固有の識別 情報で管理すること、 作業者の入力操作に対応して複数の撮像オーダデータ から一つを選定すること、 選定されている一つの撮像オーダデータを C Tス キヤナ 2 0 0や制御ボックス 5 0 0から受信する取得要求に対応して返信す ること、 等を R I S 1 0 0に実行させるためのソフトウエアとして記述され ている。 [0086] Note that the RIS 100 computer program described above, for example, manages imaging order data for imaging fluoroscopic image data from a subject with unique identification information, and supports operator input operations. Select one of multiple imaging order data, and return one selected imaging order data in response to an acquisition request received from CT scanner 2 0 0 or control box 5 0 0 , Etc. are described as software for causing RIS 100 to execute.
[0087] また、 C Tスキャナ 2 0 0のコンピュータプログラムは、 例えば、 作業者 の入力操作に対応して R I S 1 0 0に撮像オーダデータの取得要求を送信す ること、 R I S 1 0 0から返信される撮像オーダデータを受信すること、 受 信した撮像オーダデータに対応して透視撮像ュニット 2 0 1を動作制御する こと、 透視撮像ュニット 2 0 1で撮像された透視画像データに撮像オーダデ ータを付与すること、 撮像オーダデータが付与された透視画像データを P A C S 3 0 0に送信すること、 等を撮像制御ユニット 2 1 0に実行させるため のソフトウエアとして記述されている。 [0087] Further, the computer program of the CT scanner 200, for example, transmits an imaging order data acquisition request to the RIS 100 corresponding to the input operation of the operator, and is returned from the RIS 100. Receiving the imaging order data, controlling the operation of the fluoroscopic imaging unit 210 in response to the received imaging order data, and adding the imaging order data to the fluoroscopic image data captured by the fluoroscopic imaging unit 210. It is described as software for causing the imaging control unit 210 to execute the assignment, transmission of the fluoroscopic image data to which the imaging order data is assigned, to the PACS 300, and the like.
[0088] また、 薬液注入装置 4 0 0のコンピュータプログラムは、 例えば、 登録さ れている複数の身体区分の模式画像を人体形状に対応してタツチパネル 4 0 3に表示出力させること、 その画像表示させた複数の身体区分から一つを選 択するタツチパネル 4 0 3への入力操作を受け付けること、 その選択された 身体区分に対応して少なくとも一つの撮像部位の模式画像を表示出力させる こと、 その画像表示させた撮像部位を選定する入力操作を受け付けること、 その選定された撮像部位に対応する動作条件データを読み出すこと、 体重の 入力操作を受け付けること、 登録されている複数の造影剤の製品名称を表示 出力させること、 その表示出力させた造影剤の種類から一つを選択する入力 操作を受け付けること、 選択された造影剤の種類に対応してョ一ド濃度を読 み出すこと、 その読み出された動作条件データを入力操作された体重と読み 出されたョ一ド濃度とに対応して調整すること、 調整された動作条件データ である注入総量を表示出力させること、 表示出力させた注入総量をデータ修 正する手動操作を受け付けること、 その入力データに対応して注入総量を調 整すること、 その調整された動作条件データでシリンジ駆動機構 4 1 1を動 作制御すること、 「自動設定」 などの操作アイコンをタツチパネル 4 0 3に 表示出力させること、 その操作アイコンが入力操作されると取得要求を制御 ボックス 5 0 0に送信すること、 この取得要求に対応して制御ボックス 5 0 0から返信された撮像オーダデ一タの一部からなる注入条件デ一タにより動 作条件データを設定すること、 薬液注入に対応して経時グラフを内包した注 入履歴データを生成すること、 生成された注入履歴データを制御ポックス 5 0 0に送信すること、 等をコンピュータュニット 4 0 5に実行させるための ソフトウエアとして記述されている。 [0088] Further, the computer program of the chemical injection device 400, for example, causes the touch panel 40 03 to display and output a schematic image of a plurality of registered body sections corresponding to the human body shape, and to display the image. Accepting an input operation to the touch panel for selecting one of the plurality of selected body sections, and displaying and outputting a schematic image of at least one imaging region corresponding to the selected body section; Accepting an input operation to select an imaged part to be displayed, reading operation condition data corresponding to the selected imaged part, accepting an input operation for weight, Product names of multiple registered contrast agents Show To output, to accept an input operation for selecting one of the displayed contrast agent types, to read the bar concentration corresponding to the selected contrast agent type, and to read Adjusting the corresponding operating condition data according to the input weight and the read bar concentration, displaying and outputting the adjusted total injection volume, which is the adjusted operating condition data, and displaying the total injection volume displayed To accept manual operation to correct the data, adjust the total injection volume corresponding to the input data, operate the syringe drive mechanism 4 1 1 with the adjusted operating condition data, The operation icon such as "" is displayed and output on the touch panel 4 0 3, and when the operation icon is input, an acquisition request is sent to the control box 5 0 0. The operation condition data is set based on the injection condition data consisting of a part of the imaging order data returned from the control box 5 0 0, and the injection history data including the time chart corresponding to the chemical injection Is generated as software for causing the computer unit 400 to execute, such as generating the injection history data and transmitting the generated injection history data to the control pox 500.
[0089] なお、 薬液注入装置 4 0 0には、 上述のようなコンピュータプログラムに 利用されるリソースも登録されている。 このリソースは、 例えば、 人体の複 数の身体区分の模式画像と多数の撮像部位の模式画像とを関連させたデータ ファイル、 人体の多数の撮像部位ごとのシリンジ駆動機構 4 1 1の動作条件 データのデータファイル、 複数の造影剤の製品名称ごとのョ一ド濃度のデ一 タファイル、 等からなる。 It should be noted that resources used for the computer program as described above are also registered in the chemical liquid injector 400. This resource includes, for example, a data file that associates a schematic image of multiple body segments of a human body with schematic images of a large number of imaging regions, and operating condition data of the syringe drive mechanism for each of the multiple imaging regions of the human body. Data files, data files of bar concentration for each product name of multiple contrast media, etc.
[0090] また、 制御ボックス 5 0 0のコンピュータプログラムは、 例えば、 薬液注 入装置 4 0 0から注入履歴データを受信すること、 注入履歴データが受信さ れると R I S 1 0 0に撮像オーダデータの取得要求を送信すること、 R I S 1 0 0から返信される撮像オーダデータを受信すること、 撮像オーダデータ の個別の識別情報である撮像作業 I Dを注入履歴データに付与すること、 撮 像作業 I Dが付与された注入履歴データを P A C S 3 0 0に出力すること、 等をコンピュータュニット 5 0 1に実行させるためのソフトウエアとして記 述されている。 [0090] Further, the computer program of the control box 500, for example, receives injection history data from the chemical injection device 400, and when the injection history data is received, the imaging order data is received in RIS 100. Sending an acquisition request, receiving imaging order data returned from RIS 100, adding imaging work ID, which is individual identification information of imaging order data, to injection history data, and imaging work ID is Output the given injection history data to PACS 300, etc., etc. It is stated.
[0091 ] また、 P A C S 3 0 0のコンピュータプログラムは、 例えば、 撮像オーダ デ一タが付与された透視画像デ一タを C Tスキャナ 2 0 0から受信して保存 すること、 撮像オーダデータの撮像作業 I Dが付与された注入履歴データを 制御ボックス 5 0 0から受信して保存すること、 等を P A C S 3 0 0に実行 させるためのソフトウエアとして記述されている。 [0091] Further, the computer program of PACS 300, for example, receives fluoroscopic image data provided with imaging order data from CT scanner 200 and stores it, and performs imaging work of imaging order data. It is described as software that allows PACS 300 to execute the process of receiving and storing injection history data with IDs from control box 500, etc.
[0092] そして、 画像閲覧装置 6 0 0のコンピュータプログラムは、 例えば、 撮像 作業 I Dで関連付けられている透視画像データと注入履歴データとを P A C S 3 0 0から読み出すこと、 読み出された透視画像データと注入履歴データ とを表示すること、 等をコンピュータュニット 6 0 1に実行させるためのソ フトウエアとして記述されている。 Then, the computer program of the image browsing apparatus 600 reads out the fluoroscopic image data associated with the imaging work ID and the injection history data from the PACS 300, for example, And the injection history data are described as software for causing the computer unit 6 0 1 to execute.
[0093] 上述のような構成において、 本実施の形態の透視撮像システム 1 0 0 0を 使用して被験者から透視画像データを撮像する方法を以下に順番に説明する 。 まず、 作業者は事前に R I S 1 0 0に撮像オーダデータを登録しておく。 In the configuration as described above, a method for imaging fluoroscopic image data from a subject using the fluoroscopic imaging system 100 of this embodiment will be described in order below. First, the operator registers the imaging order data in RIS 100.
[0094] この撮像オーダデータは、 例えば、 撮像作業 I D、 C Tスキャナ 2 0 0の 識別情報、 撮像開始および終了の日時、 等のテキストデータからなる。 この 撮像オーダデータは、 通常は被験者ごとの電子カルテに基づいて作成される The imaging order data is composed of text data such as imaging work ID, identification information of the CT scanner 200, date and time of imaging start and end, and the like. This imaging order data is usually created based on the electronic medical record for each subject.
[0095] このため、 撮像オーダデータには、 被験者の識別情報や体重なども登録さ れる。 ただし、 撮像オーダデータは、 C Tスキャナ 2 0 0での撮像作業に必 要な各種データからなる。 このため、 薬液注入装置 4 0 0の注入作業を特定 できるデータは内包されていない。 [0095] For this reason, identification information, body weight, and the like of the subject are also registered in the imaging order data. However, the imaging order data consists of various data necessary for imaging work with the CT scanner 200. For this reason, data that can specify the injection operation of the chemical injection device 400 is not included.
[0096] このような撮像オーダデータが R I S 1 0 0に登録された状態で、 撮像作 業が実行されるときには、 作業者が R I S 1 0 0を手動操作することにより 、 その撮像作業に対応した一つの撮像オーダデータが選定される。 [0096] When such an imaging order data is registered in RIS 100, when the imaging operation is executed, the operator manually operates RIS 100 to cope with the imaging operation. One imaging order data is selected.
[0097] —方、 撮像作業の現場では、 図 3に示すように、 C Tスキャナ 2 0 0の透 視撮像ュニット 2 0 1の近傍に薬液注入装置 4 0 0が配置される。 そして、 透視撮像ュニット 2 0 1に位置する被験者(図示せず)に延長チューブで薬液 シリンジ 4 3 0が連結され、 この薬液シリンジ 4 3 0が薬液注入装置 4 0 0 の注入実行へッド 4 1 0に装填される。 On the other hand, in the field of imaging work, as shown in FIG. 3, a chemical liquid injector 400 is arranged in the vicinity of the fluoroscopic imaging unit 2 0 1 of the CT scanner 2 0 0. Then, a test solution (not shown) located in the fluoroscopic imaging unit 210 is connected to the chemical solution with an extension tube. The syringe 4 3 0 is connected, and this chemical solution syringe 4 3 0 is loaded into the injection execution head 4 1 0 of the chemical solution injection device 4 0 0.
[0098] つぎに、 作業者が注入制御ュニット 4 0 1の操作パネル 4 0 2の入力操作 などで薬液注入装置 4 0 0を起動させると、 図 7に示すように、 タツチパネ ル 4 0 3の上部に複数の身体区分の模式画像が人体形状に対応して表示され る。 [0098] Next, when the operator activates the chemical solution injection device 4 0 0 by an input operation of the operation panel 4 0 2 of the injection control unit 4 0 1 or the like, as shown in FIG. 7, the touch panel 4 0 3 A schematic image of multiple body sections is displayed at the top corresponding to the human body shape.
[0099] その下方には、 横長の矩形に撮像部位の選択画面が表示される。 タツチパ ネル 4 0 3の下半部には、 薬液の注入速度が縦軸で注入時間が横軸の横長の 矩形の条件画面が表示される。 このような状態で、 例えば、 薬液の識別情報 、 撮像部位の識別情報、 等が注入条件データの一部として作業者により操作 パネル 4 0 2に入力操作される。 [0099] Below that, an imaging region selection screen is displayed in a horizontally long rectangle. In the lower half of the touch panel 40 3, a horizontally long condition screen is displayed in which the injection rate of the chemical solution is the vertical axis and the injection time is the horizontal axis. In such a state, for example, the identification information of the chemical solution, the identification information of the imaging region, and the like are input to the operation panel 40 2 by the operator as a part of the injection condition data.
[0100] さらに、 タツチパネル 4 0 3に表示された複数の身体区分の模式画像の一 つを作業者が手指で押圧する。 すると、 図 8に示すように、 その選択された 身体区分の模式画像のみ明転するとともに他の模式画像は暗転し、 その選択 された身体区分の模式画像の上方にスキャナ機構の模式画像が表示される。 [0100] Further, the operator presses one of the schematic images of the plurality of body sections displayed on the touch panel 40 3 with his / her finger. Then, as shown in FIG. 8, only the schematic image of the selected body segment is brightened and the other schematic images are darkened, and a schematic image of the scanner mechanism is displayed above the schematic image of the selected body segment. Is done.
[0101 ] 同時に、 その下部には選択された身体区分に関連する複数の撮像部位の模 式画像が読み出されて選択画面に表示される。 そこで、 その一つを作業者が 手指などで入力操作すると、 図 9に示すように、 その選択された一つの模式 画像のみが明転するとともに他の模式画像は暗転する。 [0101] At the same time, schematic images of a plurality of imaging regions related to the selected body segment are read out below and displayed on the selection screen. Therefore, when an operator performs an input operation with one finger or the like, as shown in FIG. 9, only the selected schematic image is highlighted and the other schematic images are darkened.
[0102] 上述のように撮像部位が選択されると、 薬液注入装置 4 0 0では、 その撮 像部位を注入条件データとして対応する目標グラフがコンピュータュニット 4 0 5で読み出され、 動作条件データとして設定される。 [0102] When the imaging region is selected as described above, in the chemical solution injector 400, the target graph corresponding to the imaging region as the injection condition data is read out by the computer unit 45, and the operating condition Set as data.
[0103] ただし、 注入条件データとして体重が入力操作され、 注入条件データとし て造影剤の種類が入力操作されてョード濃度が読み出されると、 その体重と ョ一ド濃度とに対応して動作条件データが調整される。 [0103] However, when the body weight is input as injection condition data and the contrast medium type is input as injection condition data and the odo concentration is read out, the operating conditions correspond to the body weight and the chode concentration. Data is adjusted.
[0104] より具体的には、 薬液注入装置 4 0 0では、 造影剤の注入の動作条件デ一 タとして、 注入速度を時間経過により変化させる可変パターンで目標グラフ が登録されている。 ただし、 その可変パターンは所定の注入総量を満足する ように設定されている。 [0104] More specifically, in the drug solution injector 400, the target graph is registered as a variable pattern that changes the injection rate with time as the operating condition data for the injection of the contrast medium. However, the variable pattern satisfies a predetermined total injection amount. Is set to
[0105] そして、 被験者の体重に対応した造影剤のョードの注入総量が、 実験結果 に基づいて 「A (g/Kg)」 などと登録されている。 そこで、 被験者の体重が 「 B (Kg)」 としてデータ入力されると、 この体重に比例したョ一ドの注入総量 が 「A x B (g)」 として算出される。 さらに、 造影剤のョ一ド濃度が 「C (g/m l )」 などと読み出されると、 その造影剤の注入総量が含有濃度に反比例して 「(A x B) / C (m l )」 として算出される。 [0105] Then, the total injection amount of the contrast agent odor corresponding to the body weight of the subject is registered as "A (g / Kg)" based on the experimental results. Therefore, when the subject's weight is input as “B (Kg)”, the total injection amount of the bar in proportion to this weight is calculated as “A x B (g)”. Furthermore, when the contrast concentration of the contrast agent is read as “C (g / ml)”, the total injection amount of the contrast agent becomes “(A x B) / C (ml)” in inverse proportion to the concentration. Calculated.
[0106] このように注入総量が算出されると、 図 9に示すように、 所定の可変バタ —ンで目標グラフが登録されている場合、 例えば、 その波形と x / y軸とで 包囲される面積が注入総量に対応するように、 その注入時間は変化されるこ となく目標グラフが上下に変位される。 When the total injection amount is calculated in this way, as shown in FIG. 9, when the target graph is registered with a predetermined variable pattern, for example, it is surrounded by the waveform and the x / y axis. The target graph is displaced up and down so that the injection time does not change so that the area that corresponds to the total injection amount.
[0107] そして、 上述のように生成された目標グラフがタツチパネル 4 0 3の条件 画面に目標の経時グラフとして表示される。 このとき、 作業画面には 「修正 」 なる操作アイコンも表示されるので、 これが入力操作されることにより、 手動操作で注入条件デ一タゃ目標グラフなどを修正することもできる。 Then, the target graph generated as described above is displayed as a target time graph on the condition screen of the touch panel 40 3. At this time, an operation icon “correction” is also displayed on the work screen. By inputting the operation icon, it is possible to manually correct the injection condition data and the target graph.
[0108] また、 作業画面には 「決定」 なる操作アイコンも表示されるので、 これが 入力操作されると目標グラフが確定されて造影剤の注入が実行される。 その 場合、 薬液注入装置 4 0 0では、 設定されている目標グラフに対応してシリ ンジ駆動機構 4 1 1が動作制御され、 被験者に造影剤が注入される。 [0108] In addition, an operation icon "determine" is also displayed on the work screen. When this is input, the target graph is fixed and the injection of the contrast medium is executed. In that case, in the chemical liquid injector 400, the operation of the syringe drive mechanism 4 11 is controlled in accordance with the set target graph, and the contrast medium is injected into the subject.
[0109] ただし、 本実施の形態の透視撮像システム 1 0 0 0では、 上述のように注 入条件データを薬液注入装置 4 0 0に手動操作で設定することの他、 自動設 定することもできる。 より具体的には、 本実施の形態の薬液注入装置 4 0 0 は、 図 7に示すように、 注入作業の初期画面に 「自動設定」 なる操作アイコ ンも表示される。 [0109] However, in the fluoroscopic imaging system 100 according to the present embodiment, the injection condition data can be automatically set in addition to being manually set in the chemical injection device 400 as described above. it can. More specifically, as shown in FIG. 7, the chemical injection device 400 according to the present embodiment also displays an operation icon “automatic setting” on the initial screen of the injection operation.
[01 10] そこで、 この 「自動設定」 の操作アイコンが手動操作されると、 図 1 1に 示すように、 取得要求が制御ボックス 5 0 0に送信される。 この制御ボック ス 5 0 0は、 薬液注入装置 4 0 0から受信した取得要求を R I S 1 0 0に転 送する。 [01 1 1 ] すると、 この R I S 1 0 0は、 前述のように選定されている一つの撮像ォ —ダデータを制御ボックス 5 0 0に返信する。 この制御ボックス 5 0 0は、 R I S 1 0 0から撮像オーダデータを受信すると、 その撮像オーダデータの 一部を注入条件データの少なくとも一部として薬液注入装置 4 0 0に返信す る。 [0110] Therefore, when the “automatic setting” operation icon is manually operated, an acquisition request is transmitted to the control box 500 as shown in FIG. This control box 500 forwards the acquisition request received from the chemical injection device 400 to RIS 100. [01 1 1] Then, this RIS 1 0 0 returns one imaging order data selected as described above to the control box 5 0 0. When receiving the imaging order data from the RIS 100, the control box 500 returns a part of the imaging order data to the drug solution injector 400 as at least a part of the injection condition data.
[01 12] より具体的には、 撮像オーダデータは、 前述のように、 撮像作業 I D、 C Tスキャナ 2 0 0の識別情報、 撮像開始および終了の日時、 被験者の識別情 報、 被験者の体重、 身体区分または撮像部位、 造影剤の製品名称、 等からな る。 [01 12] More specifically, as described above, the imaging order data includes the imaging work ID, the identification information of the CT scanner 200, the date and time of imaging start and end, the identification information of the subject, the weight of the subject, Consists of body classification or imaging region, product name of contrast medium, etc.
[01 13] そこで、 制御ボックス 5 0 0は、 取得した撮像オーダデータから、 被験者 の識別情報、 被験者の体重、 身体区分または撮像部位、 造影剤の製品名称、 等を抽出し、 これを注入条件データの一部として薬液注入装置 4 0 0に返信 する。 [01 13] Therefore, the control box 5 0 0 extracts the identification information of the subject, the weight of the subject, the body classification or imaging part, the product name of the contrast agent, etc. from the acquired imaging order data, and this is the injection condition. It returns to the chemical injection device 400 as part of the data.
[01 14] なお、 本実施の形態の透視撮像システム 1 0 0 0では、 後述する注入履歴 データに利用するため、 注入作業 I Dなどの注入条件データとならない撮像 オーダデータの一部も、 制御ボックス 5 0 0から薬液注入装置 4 0 0に送信 される。 [0114] In the fluoroscopic imaging system 100 according to the present embodiment, since it is used for injection history data to be described later, a part of the imaging order data that does not become injection condition data such as an injection operation ID is also used in the control box Sent from 5 0 0 to chemical injection device 4 0 0.
[01 15] 薬液注入装置 4 0 0では、 取得要求に対応して制御ボックス 5 0 0から返 信された撮像オーダデータの一部からなる注入条件データが設定される。 こ のように注入条件データが自動設定されると、 これに対応して目標グラフが 読み出されて調整される。 [0115] In the chemical solution injection device 400, injection condition data including a part of the imaging order data returned from the control box 500 in response to the acquisition request is set. When the injection condition data is automatically set in this way, the target graph is read and adjusted accordingly.
[01 16] すると、 図 9に示すように、 この調整された目標グラフがタツチパネル 4 0 3の条件画面に目標の経時グラフとして表示される。 このような状態で作 業画面の 「決定」 なる操作アイコンが入力操作されると、 目標グラフが確定 されて造影剤の注入が実行される。 Then, as shown in FIG. 9, the adjusted target graph is displayed as a target time graph on the condition screen of the touch panel 4 03. In this state, when the operation icon “Determination” on the work screen is input, the target graph is confirmed and the contrast medium is injected.
[01 17] その場合、 薬液注入装置 4 0 0では、 設定されている目標グラフに対応し てシリンジ駆動機構 4 1 1が動作制御され、 被験者に造影剤が注入される。 [0117] In that case, in the drug solution injector 400, the syringe drive mechanism 41 is controlled in accordance with the set target graph, and the contrast medium is injected into the subject.
[01 18] このとき、 リアルタイムに経過時間が計測されるとともに、 実際の注入速 度も検出されるので、 その注入速度が目標グラフに適合するようにシリンジ 駆動機構 4 1 1の動作がフィードバック制御される。 [01 18] At this time, the elapsed time is measured in real time and the actual injection speed Therefore, the operation of the syringe drive mechanism 4 1 1 is feedback controlled so that the injection speed matches the target graph.
[01 19] さらに、 実際の注入速度からなる経時グラフがリアルタイムに生成され、 図 1 0に示すように、 目標グラフとともにタツチパネル 4 0 3に表示される[01 19] Furthermore, a time-lapse graph consisting of the actual injection rate is generated in real time and displayed on the touch panel 4 0 3 together with the target graph as shown in FIG.
。 そして、 注入作業が完了すると、 実際の注入速度の経時グラフを内包する 注入履歴データが生成される。 . When the injection work is completed, injection history data including a time-dependent graph of the actual injection speed is generated.
[0120] このように生成される注入履歴データは、 例えば、 注入作業ごとに固有の 識別情報である注入作業 I D、 実際の注入開始および終了の日時、 薬液注入 装置 4 0 0の識別情報、 注入条件データ、 等のテキストデータと、 経時グラ フの画像データからなる。 [0120] The injection history data generated in this way includes, for example, injection work IDs that are identification information unique to each injection work, actual injection start and end dates and times, chemical injection device 400 identification information, injection It consists of text data such as condition data, and image data of time-lapse graphs.
[0121 ] また、 薬液注入装置 4 0 0は、 注入作業が完了すると、 少なくとも注入作 業 I Dが付与されていて完了を通知する完了通知データも生成する。 そこで[0121] Further, when the injection operation is completed, the chemical injection device 400 also generates completion notification data to which at least the injection operation ID is given and the completion is notified. Therefore
、 注入作業を完了した薬液注入装置 4 0 0は、 完了通知データと撮像オーダ データとを制御ボックス 5 0 0に送信する。 The chemical injection device 400 that has completed the injection operation transmits completion notification data and imaging order data to the control box 500.
[0122] すると、 この制御ボックス 5 0 0は、 薬液注入装置 4 0 0から受信した完 了通知データを R I S 1 0 0に転送する。 この R I S 1 0 0は、 受信した完 了通知データを注入作業 I Dにより撮像オーダデータに関連させた状態で保 存する。 [0122] Then, the control box 50 0 transfers the completion notification data received from the chemical solution injector 400 to R I S 100. This R IS 100 is stored in a state in which the received completion notification data is related to the imaging order data by the injection work ID.
[0123] また、 制御ボックス 5 0 0は、 薬液注入装置 4 0 0から受信した注入履歴 データを P A C S 3 0 0に転送する。 この P A C S 3 0 0は、 受信した注入 履歴データを撮像作業 I Dで管理する状態で保存する。 In addition, the control box 5 0 0 transfers the injection history data received from the chemical solution injection device 4 0 0 to P A C S 3 0 0. This P A C S 3 0 0 stores the received injection history data in a state managed by the imaging work ID.
[0124] 通常の作業では、 前述のように薬液注入装置 4 0 0による注入作業が完了 する前後に、 C Tスキャナ 2 0 0による撮像作業が開始される。 その場合、 作業者により C Tスキャナ 2 0 0の撮像制御ュニット 2 1 0に撮像開始が入 力操作される。 [0124] In the normal operation, the imaging operation by the CT scanner 200 is started before and after the injection operation by the chemical injection device 400 is completed as described above. In this case, the operator inputs an operation to start imaging to the imaging control unit 2 10 of the CT scanner 2 200.
[0125] すると、 C Tスキャナ 2 0 0の撮像制御ユニット 2 1 0は、 R I S 1 0 0 に撮像オーダデータの取得要求を送信する。 すると、 この R I S 1 0 0は、 前述のように選定されている一つの撮像オーダデータが C Tスキャナ 2 0 0 に返1 (言される。 Then, the imaging control unit 2 1 0 of the CT scanner 2 0 0 transmits an imaging order data acquisition request to the RIS 1 1 0 0. Then, this RIS 1 0 0 is obtained by the CT scanner 2 0 0 Return 1 (to be said.
[0126] そこで、 この C Tスキャナ 200では、 撮像制御ュニット 2 1 0が受信し た撮像オーダデータに対応して透視撮像ュニット 20 1が動作制御されるこ とにより、 透視画像データの撮像作業が実行される。 [0126] Therefore, in this CT scanner 200, the operation of the fluoroscopic imaging unit 201 is controlled in accordance with the imaging order data received by the imaging control unit 210, so that the imaging work of the fluoroscopic image data is executed. Is done.
[0127] これで透視撮像ュニット 20 1により被験者から透視画像データが撮像さ れると、 撮像制御ュニット 2 1 0では、 透視画像データに撮像オーダデータ が付与される。 つぎに、 撮像制御ュニット 2 1 0では、 撮像オーダデータが 付与された透視画像データが P A C S 300に送信される。 [0127] When fluoroscopic image data is captured from the subject by the fluoroscopic imaging unit 201, imaging order data is added to the fluoroscopic image data in the imaging control unit 210. Next, in the imaging control unit 210, the fluoroscopic image data to which the imaging order data is added is transmitted to the P A C S 300.
[0128] この P A C S 300は、 受信した透視画像データを撮像オーダデータの撮 像作業 I Dで管理する状態で保存する。 そして、 作業者が透視画像データを 閲覧するときは、 例えば、 画像閲覧装置 600の手動操作により P A C S 3 00から透視画像データを読み出す。 [0128] The PACS 300 stores the received fluoroscopic image data in a state managed by the imaging work ID of the imaging order data. Then, when the operator browses the fluoroscopic image data, for example, the fluoroscopic image data is read from the PA 300 by manual operation of the image browsing device 600.
[0129] その場合、 例えば、 撮像作業 I Dが検索キーとして入力操作されることに より、 その撮像作業 I Dの透視画像データが P A C S 300から読み出され て画像閲覧装置 600のディスプレイュニット 602に表示される。 このと き、 その撮像作業 I Dにより注入履歴データも P A C S 300から読み出さ れるので、 必要により画像閲覧装置 600のディスプレイュニット 602に 表示される。 In this case, for example, when the imaging work ID is input as a search key, the fluoroscopic image data of the imaging work ID is read from the PACS 300 and displayed on the display unit 602 of the image browsing apparatus 600. Is done. At this time, the injection history data is also read out from the PACS 300 by the imaging operation ID, and is displayed on the display unit 602 of the image browsing apparatus 600 as necessary.
[0130] 本実施の形態の透視撮像システム 1 000では、 上述のように薬液注入装 置 400に入力操作される取得要求が制御ボックス 500に送信される。 す ると、 その取得要求に対応して制御ボックス 500が R I S 1 00や C Tス キヤナ 200から撮像オーダデータを取得する。 In the fluoroscopic imaging system 1000 according to the present embodiment, an acquisition request input to the chemical injection device 400 is transmitted to the control box 500 as described above. Then, in response to the acquisition request, the control box 500 acquires imaging order data from the RIS 100 or the C T scanner 200.
[0131] その撮像オーダデータの一部が注入条件データの少なくとも一部として制 御ボックス 500から薬液注入装置 400に転送される。 この薬液注入装置 400では、 撮像オーダデータからなる注入条件データが設定される。 A part of the imaging order data is transferred from the control box 500 to the chemical liquid injector 400 as at least a part of the injection condition data. In this chemical injection device 400, injection condition data consisting of imaging order data is set.
[0132] このため、 作業者が注入条件データを入力操作する作業負担を軽減するこ とができ、 注入条件データの誤入力も防止することができる。 それでいて、 撮像オーダデータは C Tスキャナ 200のために従来から既存かつ必須であ る。 このため、 新規なデータ作成などを必要とすることなく、 注入条件デ一 タの少なくとも一部を自動設定することができる。 [0132] For this reason, it is possible to reduce the work load for the operator to input the injection condition data, and to prevent erroneous input of the injection condition data. Nevertheless, the imaging order data is traditionally indispensable for CT scanner 200. The Therefore, it is possible to automatically set at least part of the injection condition data without the need to create new data.
[01 33] しかも、 本実施の形態の透視撮像システム 1 0 0 0では、 上述のように保 存される透視画像データに関連付けられて注入履歴データも保存される。 こ のため、 例えば、 透視画像データを閲覧するときに注入履歴データも確認す ることができる。 従って、 透視画像データを閲覧する作業者が、 その透視画 像データの撮像時に被験者に薬液が如何に注入されたかまで確認することが できる。 In addition, in the fluoroscopic imaging system 100 according to the present embodiment, the injection history data is also stored in association with the fluoroscopic image data stored as described above. For this reason, for example, injection history data can also be confirmed when viewing fluoroscopic image data. Accordingly, an operator viewing the fluoroscopic image data can check how the chemical solution has been injected into the subject at the time of capturing the fluoroscopic image data.
[01 34] 特に、 上述のように透視画像データと注入履歴データとは撮像作業 I Dで 関連されるが、 その撮像作業 I Dは、 注入条件データを自動設定するときに 撮像オーダデータとして薬液注入装置 4 0 0に取得される。 [01 34] In particular, as described above, the fluoroscopic image data and the injection history data are related by the imaging operation ID. The imaging operation ID is used as the imaging order data when the injection condition data is automatically set. Acquired at 4 0 0.
[01 35] つまり、 R I S 1 0 0から制御ボックス 5 0 0を経由して薬液注入装置 4 0 0に取得される撮像オーダデータを、 注入条件データの自動設定と注入履 歴データの生成との両方に利用することができる。 In other words, the imaging order data acquired from the RIS 1 0 0 through the control box 5 0 0 to the chemical injection device 4 0 0 is used for automatic setting of injection condition data and generation of injection history data. Can be used for both.
[01 36] また、 本実施の形態の透視撮像システム 1 0 0 0では、 C Tスキャナ 2 0 0で撮像される透視画像データを良好な状態とするため、 薬液注入装置 4 0 0が造影剤の注入速度を可変させる。 しかし、 その注入速度の経時グラフが 注入履歴データに内包されるので、 造影剤が如何に注入されたかを詳細に確 認することができる。 [0136] Further, in the fluoroscopic imaging system 100 according to the present embodiment, since the fluoroscopic image data captured by the CT scanner 20 00 is in a good state, the drug solution injector 400 is used as a contrast agent. Vary the injection rate. However, since the time-lapse graph of the injection rate is included in the injection history data, it is possible to confirm in detail how the contrast agent was injected.
[01 37] また、 もしも造影剤の注入作業に疑義が発生したような場合でも、 透視画 像データとともに注入履歴データを確認することができるので、 その注入履 歴データを証拠とすることができる。 [01 37] In addition, even if there is doubt about the injection of contrast media, the injection history data can be confirmed together with the fluoroscopic image data, so that the injection history data can be used as evidence. .
[01 38] 特に、 本実施の形態の透視撮像システム 1 0 0 0の各種装置 1 0 0〜6 0 0は D I C O Mの規約で各種データを相互通信する。 D I C O Mの通信デ一 タは改竄が困難なので、 注入履歴データの証拠能力が高い。 [0138] In particular, the various devices 100 to 600 of the fluoroscopic imaging system 100 according to the present embodiment mutually communicate various data in accordance with the rules of D ICOM. The communication data of D I C O M is difficult to falsify, so the evidence history of injection history data is high.
[01 39] さらに、 同一の被験者から透視画像データを再度撮像するような場合でも 、 前回の注入履歴データを参照することができる。 このため、 薬液注入装置 4 0 0に的確な注入条件データを簡単に入力することができる。 [0140] 特に、 病状の進行のために体重が変化している被験者から透視画像データ を再度撮像するような場合でも、 前回の透視画像データと注入履歴データと を参照することにより、 薬液注入装置 4 0 0に的確な注入条件データを簡単 に入力することができる。 [0139] Furthermore, even when fluoroscopic image data is imaged again from the same subject, the previous injection history data can be referred to. For this reason, it is possible to easily input accurate injection condition data to the chemical liquid injector 400. [0140] In particular, even when fluoroscopic image data is captured again from a subject whose weight has changed due to the progression of a medical condition, by referring to the previous fluoroscopic image data and injection history data, Accurate injection condition data can be easily input to 400.
[0141 ] しかも、 本実施の形態では注入履歴データに経時グラフが内包されている 。 従って、 注入速度を可変させる目標グラフを補正するような複雑な注入条 件データでも、 薬液注入装置 4 0 0に簡単に入力することができる。 [0141] Moreover, in the present embodiment, a time-course graph is included in the injection history data. Therefore, even complicated injection condition data that corrects the target graph for changing the injection speed can be easily input to the chemical solution injection device 400.
[0142] さらに、 本実施の形態の透視撮像システム 1 0 0 0では、 注入条件データ などのテキストデータが内包されている注入履歴データが P A C S 3 0 0で 保存される。 このため、 例えば、 蓄積された多数の注入履歴データから薬液 注入に関連した各種の統計データを生成することができる。 Furthermore, in the fluoroscopic imaging system 100 according to the present embodiment, injection history data containing text data such as injection condition data is stored as P A C S 3 0 0. For this reason, for example, various statistical data related to chemical solution injection can be generated from a large number of accumulated injection history data.
[0143] 特に、 注入履歴データが撮像オーダデータとともに保存されるので、 撮像 オーダデータに内包される撮像条件などとともに薬液注入に関連した各種の 統計データを生成することもできる。 In particular, since the injection history data is stored together with the imaging order data, various statistical data related to the chemical injection can be generated together with the imaging conditions included in the imaging order data.
[0144] しかも、 注入作業の完了通知データが薬液注入装置 4 0 0から制御ボック ス 5 0 0を経由して R I S 1 0 0に保存される。 この R I S 1 0 0では、 完 了通知データが撮像オーダデータと関連されて管理されるので、 例えば、 R I S 1 0 0から C Tスキャナ 2 0 0に撮像オーダデータとともに薬液注入の 開始時刻や終了時刻などを通知することもできる。 [0144] In addition, the completion notification data of the injection work is stored in the RI ISO 100 from the chemical solution injector 400 through the control box 500. In this RIS 1 00, since the completion notification data is managed in association with the imaging order data, for example, the start time and end time of chemical injection from the RIS 1 0 0 to the CT scanner 2 0 0 together with the imaging order data, etc. Can also be notified.
[0145] この場合、 C Tスキャナ 2 0 0を操作する作業者が薬液注入の開始時刻や 終了時刻を参照することができるので、 その時刻に対応して画像撮像の開始 時刻を調整するようなことができる。 [0145] In this case, since the operator operating the CT scanner 200 can refer to the start time and end time of the chemical injection, the start time of image capturing should be adjusted according to that time. Can do.
[0146] なお、 本発明は上記形態に限定されるものではなく、 その要旨を逸脱しな い範囲で各種の変形を許容する。 例えば、 上記形態では R I S 1 0 0から取 得した撮像オーダデータを制御ボックス 5 0 0が、 その一部を注入条件デ一 タとして薬液注入装置 4 0 0に転送することを例示した。 [0146] The present invention is not limited to the above-described embodiment, and various modifications are allowed without departing from the scope of the invention. For example, in the above embodiment, it is exemplified that the imaging order data acquired from R IS 100 is transferred to the chemical injection device 400 by the control box 500 as a part of the injection condition data.
[0147] しかし、 制御ボックス 5 0 0が撮像オーダデータの全部を薬液注入装置 4 0 0に転送し、 この薬液注入装置 4 0 0が受信した撮像オーダデータの一部 を注入条件データとして取捨選択してもよい。 However, the control box 5 0 0 transfers all of the imaging order data to the chemical injection device 4 0 0, and a part of the imaging order data received by the chemical injection device 4 0 0 May be selected as injection condition data.
[0148] また、 上記形態では R I S 1 0 0がプッシュ型であり、 制御ボックス 5 0 0が適正な撮像オーダデータをタイミングにより取得することを例示した。 し力、し、 R I S 1 0 0がプル型であってもよい。 [0148] Further, in the above-described embodiment, it is exemplified that RI 100 is a push type and that the control box 5 00 acquires appropriate imaging order data according to timing. And R I S 100 may be a pull type.
[0149] その場合、 C Tスキャナ 2 0 0は、 撮像オーダデータの取得要求を少なく とも一つのオーダ検索キ一とともに R I S 1 0 0に送信する。 すると、 R I S 1 0 0は、 C Tスキャナ 2 0 0から受信した取得要求とオーダ検索キーと に対応して複数の撮像オーダデータから一つを選定して返信する。 [0149] In that case, the CT scanner 200 sends a request for acquiring imaging order data to the RISO 100 with at least one order search key. Then, the RI S 1 00 selects and returns one of the plurality of imaging order data corresponding to the acquisition request and the order search key received from the CT scanner 2 200.
[0150] そして、 制御ボックス 5 0 0は、 取得要求を受信すると撮像オーダデータ の取得要求を R I S 1 0 0に送信する。 すると、 R I S 1 0 0は、 制御ポッ クス 5 0 0から受信した取得要求に対応して選定されている一つの撮像ォー ダデータを返信する。 [0150] When receiving the acquisition request, the control box 5 0 0 transmits an acquisition request for imaging order data to the R 1 S 1 0 0. Then, the RI S 100 returns a piece of imaging order data selected corresponding to the acquisition request received from the control pod 50 00.
[0151 ] または、 R I S 1 0 0は、 C Tスキャナ 2 0 0から受信した取得要求に対 応して複数の撮像オーダデータを返信する。 この場合、 C Tスキャナ 2 0 0 は、 返信された複数の撮像オーダデータから一つが選定される操作を受け付 け、 選定された撮像オーダデータを R I S 1 0 0に通知する。 [0151] Or, R 1 S 1 0 0 returns a plurality of imaging order data in response to the acquisition request received from the CT scanner 2 0 0. In this case, the CT scanner 200 receives an operation for selecting one of the returned plurality of imaging order data, and notifies the selected imaging order data to the RISO 100.
[0152] または、 R I S 1 0 0は、 C Tスキャナ 2 0 0から受信した取得要求とォ ーダ検索キーとに対応して複数の撮像オーダデータから一部を検索して返信 する。 C Tスキャナ 2 0 0は、 返信された撮像オーダデータから一つが選定 される操作を受け付け、 選定された撮像オーダデータを R I S 1 0 0に通知 する。 [0152] Alternatively, the RI S 100 searches for a part from a plurality of imaging order data in response to the acquisition request and the order search key received from the CT scanner 20 00, and returns a response. The CT scanner 20 0 receives an operation for selecting one of the returned imaging order data, and notifies the selected imaging order data to the R 1 S 1 0 0.
[0153] そこで、 制御ボックス 5 0 0力 撮像オーダデータの取得要求を R I S 1 0 0に転送すると、 R I S 1 0 0は、 制御ボックス 5 0 0から受信した取得 要求に対応して C Tスキャナ 2 0 0から通知されている一つの撮像オーダデ ータを返信する。 [0153] Therefore, when the acquisition request of the control box 5 0 0 force imaging order data is transferred to RIS 1 0 0, the RIS 1 0 0 responds to the acquisition request received from the control box 5 0 0 and the CT scanner 2 0 One imaging order data notified from 0 is returned.
[0154] 上述のようにすることで、 R I S 1 0 0がプル型であっても、 制御ボック ス 5 0 0が適正な撮像オーダデータを取得して撮像作業 I Dなどを注入履歴 データに付与することができる。 [0155] また、 上記形態では制御ボックス 5 0 0が R I S 1 0 0から提供される撮 像オーダデータを無条件に取得することを例示した。 しかし、 制御ボックス 5 0 0が、 撮像オーダデータの取得要求を少なくとも一つのオーダ検索キー とともに R I S 1 0 0に送信してもよい。 [0154] By doing as described above, even if the RIS 1 0 0 is a pull type, the control box 5 0 0 acquires appropriate imaging order data and assigns an imaging work ID or the like to the injection history data. be able to. [0155] Further, in the above embodiment, the control box 50 0 is exemplified to acquire the imaging order data provided from the RIS 1 0 0 unconditionally. However, the control box 500 may send an imaging order data acquisition request to the RIS 10 00 together with at least one order search key.
[0156] この場合、 R I S 1 0 0は、 制御ボックス 5 0 0から受信したオーダ検索 キーに対応して複数の撮像オーダデータから一部を検索し、 検索された一部 の撮像オーダデータに C Tスキャナ 2 0 0から通知されている一つがあれば 返信する。 上述のようにすることで、 制御ボックス 5 0 0力 より確実に適 正な撮像オーダデータを取得することができる。 [0156] In this case, RIS 1 0 0 searches for a part from a plurality of imaging order data corresponding to the order search key received from control box 5 0 0, and performs CT on the part of the searched imaging order data. If there is one notified from Scanner 2 0 0, reply. As described above, appropriate imaging order data can be obtained more reliably than the control box 500 force.
[0157] なお、 上述のような場合、 例えば、 薬液注入装置 4 0 0は、 入力操作され る注入条件データの少なくとも一部をオーダ検索キーとして取得要求ととも に制御ポックス 5 0 0に送信し、 制御ポックス 5 0 0は、 受信した取得要求 とオーダ検索キーとを R I S 1 0 0に転送すればよい。 In the above-described case, for example, the chemical liquid injector 400 transmits at least part of the input injection condition data as an order search key to the control pox 500 with the acquisition request. The control pox 500 may transfer the received acquisition request and order search key to the RIS 100.
[0158] さらに、 上記形態では制御ポックス 5 0 0が R I S 1 0 0から撮像オーダ データを取得することを例示した。 し力、し、 R I S 1 0 0と C Tスキャナ 2 0 0とが制御ポックス 5 0 0を経由して接続されており、 R I S 1 0 0から C Tスキャナ 2 0 0まで送信される撮像オーダデータを制御ボックス 5 0 0 が取得してもよい。 [0158] Furthermore, in the above embodiment, the control pox 5 0 0 is exemplified to acquire the imaging order data from the R 1 S 1 0 0. RIS 1 0 0 and CT scanner 2 0 0 are connected via control pox 5 0 0 and control imaging order data transmitted from RIS 1 0 0 to CT scanner 2 0 0 Box 5 0 0 may be obtained.
[0159] また、 制御ボックス 5 0 0が R I S 1 0 0に接続されることなく C Tスキ ャナ 2 0 0に接続されており、 この C Tスキャナ 2 0 0から制御ボックス 5 0 0が撮像オーダデータを取得してもよい。 [0159] Also, the control box 5 0 0 is connected to the CT scanner 2 0 0 without being connected to the RIS 1 0 0, and the control box 5 0 0 from this CT scanner 2 0 0 to the imaging order data May be obtained.
[0160] その場合、 例えば、 制御ボックス 5 0 0が、 薬液注入装置 4 0 0から受信 する取得要求を C Tスキャナ 2 0 0に転送し、 C Tスキャナ 2 0 0力 制御 ボックス 5 0 0から受信した取得要求に対応して撮像オーダデータを返信す ればよい。 [0160] In that case, for example, the control box 5 0 0 transfers the acquisition request received from the chemical injection device 4 0 0 to the CT scanner 2 0 0 and receives it from the CT scanner 2 0 0 force control box 5 0 0 The imaging order data may be returned in response to the acquisition request.
[0161 ] または、 C Tスキャナ 2 0 0力 プル型の R I S 1 0 0から返信された複 数の撮像オーダデータから一つが選定される操作を受け付け、 その選定され た撮像オーダデータを制御ボックス 5 0 0に転送してもよい。 [0162] さらに、 上記形態では薬液注入装置 4 0 0で生成された注入履歴データが C Tスキャナ 2 0 0で生成された透視画像データとともに P A C S 3 0 0に 保存されることを例示した。 [0161] Or CT scanner 2 0 0 Force Pull-type RIS 1 0 0 Accepts an operation to select one from multiple imaging order data, and the selected imaging order data is control box 5 0 It may be transferred to 0. [0162] Further, in the above embodiment, the injection history data generated by the chemical solution injector 400 is stored in the PACS 300 together with the fluoroscopic image data generated by the CT scanner 200.
[0163] し力、し、 薬液注入装置 4 0 0から制御ボックス 5 0 0を経由して R I S 1 0 0に注入履歴データを送信し、 この注入履歴データを R I S 1 0 0に保存 させてもよい。 この場合、 R I S 1 0 0では、 撮像オーダデータと注入履歴 データとを作業 I Dなどで関連させて管理することができる。 [0163] Even if the injection history data is transmitted from the chemical injection device 4 0 0 to the RIS 1 0 0 via the control box 5 0 0 and this injection history data is stored in the RIS 1 0 0 Good. In this case, in RI ISO 100, the imaging order data and the injection history data can be managed in association with the work ID or the like.
[0164] この場合でも、 P A C S 3 0 0に登録されている透視画像データにも撮像 オーダデータの作業 I Dが付与されているので、 やはり透視画像データと注 入履歴データとを関連させることができる。 [0164] Even in this case, the fluoroscopic image data registered in PACS 300 is also assigned the work ID of the imaging order data, so that the fluoroscopic image data and the injection history data can be associated with each other. .
[0165] さらに、 上記形態では撮像オーダデータの全部が透視画像データに付与さ れて P A C S 3 0 0に保存されることを例示した。 し力、し、 撮像オーダデ一 タの撮像作業 I Dのみが透視画像データに付与されてもよい。 [0165] Further, in the above embodiment, it has been exemplified that all of the imaging order data is attached to the fluoroscopic image data and stored in the PACS 300. Only the imaging work ID of the imaging order data may be added to the fluoroscopic image data.
[0166] この場合でも、 撮像作業 I Dにより透視画像データと注入履歴データとを 関連付けることができ、 撮像オーダデータは撮像作業 I Dにより R I S 1 0 0から読み出すことができる。 [0166] Even in this case, the fluoroscopic image data and the injection history data can be associated with each other by the imaging work ID, and the imaging order data can be read out from the RISO 100 by the imaging work ID.
[0167] また、 撮像オーダデータの撮像作業 I Dのみ透視画像データに付与し、 撮 像オーダデータの全部を注入履歴データに付与してもよく、 撮像オーダデ一 タを透視画像データと注入履歴データとに振り分けて付与してもよい。 [0167] In addition, only the imaging work ID of the imaging order data may be attached to the fluoroscopic image data, and the entire imaging order data may be added to the injection history data. The imaging order data may be assigned to the fluoroscopic image data, the injection history data, and the like. You may distribute and assign to.
[0168] さらに、 注入履歴データに経時グラフと目標グラフとの両方を内包させて もよい。 薬液注入装置 4 0 0のタツチパネル 4 0 3の表示画像の全体を注入 履歴データに内包させてもよい。 [0168] Furthermore, both the time-course graph and the target graph may be included in the injection history data. The entire display image of the touch panel 40 3 of the chemical solution injector 400 may be included in the injection history data.
[0169] また、 上記形態では注入履歴データが、 注入作業 I Dや日時等のテキスト データと、 注入速度の経時グラフの画像データと、 からなることを例示した 。 しかし、 注入履歴データが、 上述のテキストデータのみからなってもよい [0169] In the above embodiment, the injection history data is exemplified by the text data such as the injection work ID and the date and time, and the image data of the graph of the injection speed over time. However, the injection history data may consist only of the above text data.
[0170] 特に、 上記形態では薬液注入装置 4 0 0が造影剤の注入速度を可変し、 そ の経時グラフを注入履歴データに内包させることを例示した。 しかし、 薬液 注入装置 4 0 0が造影剤を一定速度で注入してもよい。 この場合、 経時グラ フを生成して記録する意味は低い。 従って、 注入速度をテキストデータで注 入履歴データに内包させることがよい。 [0170] In particular, in the above embodiment, the chemical solution injection device 400 is exemplified to vary the injection speed of the contrast agent and to include the time-lapse graph in the injection history data. But chemicals The injection device 400 may inject the contrast medium at a constant rate. In this case, it is not meaningful to generate and record a graph over time. Therefore, the injection rate should be included in the injection history data as text data.
[0171 ] また、 上記形態では薬液注入装置 4 0 0に注入条件データが設定されるこ とのみ例示した。 しかし、 その注入条件データが薬液注入装置 4 0 0から制 御ポックス 5 0 0に通知されてもよく、 その注入条件データが制御ポックス 5 0 0から R I S 1 0 0に通知されてもよい。 この場合、 注入条件データを R I S 1 0 0から C Tスキャナ 2 0 0に撮像オーダデータなどとともに通知 することができる。 [0171] In the above embodiment, only the injection condition data is set in the chemical solution injection device 400 is illustrated. However, the injection condition data may be notified from the chemical solution injection device 400 to the control pox 500, and the injection condition data may be notified from the control pox 50 00 to the RI ISO 100. In this case, the injection condition data can be notified from the RI S 100 to the CT scanner 200 along with the imaging order data.
[0172] 従って、 C Tスキャナ 2 0 0を操作する作業者が注入条件データを参照す ることができるので、 注入条件データに対応して撮像動作を調整するような ことができる。 また、 C Tスキャナ 2 0 0の撮像制御ュニット 2 1 0が取得 した注入条件データに基づいて撮像動作を自動調整することも不可能ではな い。 [0172] Therefore, since the operator operating the CT scanner 200 can refer to the injection condition data, the imaging operation can be adjusted in accordance with the injection condition data. In addition, it is not impossible to automatically adjust the imaging operation based on the injection condition data acquired by the imaging control unit 210 of the CT scanner 200.
[0173] また、 上記形態では薬液注入装置 4 0 0で注入履歴データを完成してから 制御ボックス 5 0 0に送信することを例示した。 し力、し、 薬液注入装置 4 0 0が注入履歴データを制御ボックス 5 0 0に分散して送信し、 制御ボックス 5 0 0で注入履歴データを完成してもよい。 [0173] In the above embodiment, the injection history data is completed by the chemical injection device 400, and then transmitted to the control box 500. The chemical injection device 400 may distribute the injection history data to the control box 50 0 and transmit it, and the injection history data may be completed in the control box 500.
[0174] より具体的には、 薬液注入装置 4 0 0が注入開始とともに注入条件データ や開始日時などを制御ボックス 5 0 0に送信し、 注入過程で注入速度などを 制逐次送信し、 注入終了とともに終了日時などを送信する。 この場合、 制御 ボックス 5 0 0が注入開始から注入終了まで蓄積した各種データから注入履 歴データを完成して出力することができる。 [0174] More specifically, the chemical injection device 400 sends the injection condition data and start date and time to the control box 50 0 0 at the start of injection, and transmits the injection speed etc. in sequence during the injection process, and the injection ends. Also send the end date and time. In this case, the injection history data can be completed and output from the various data accumulated in the control box 500 from the start of injection to the end of injection.
[0175] また、 上記形態では各種装置 1 0 0〜6 0 0が改竄困難な D I C O M形式 で各種データを相互通信することにより、 注入履歴データなどの証拠能力が 高いことを例示した。 しかし、 薬液注入装置 4 0 0が注入履歴データを P D F (Portab l e Document Format)などの改竄困難なデータフォーマツ卜で生成 してもよい。 [0176] 同様に、 制御ボックス 5 0 0が薬液注入装置 4 0 0から J P E G (Jo i nt Ph otograph i c Cod i ng [0175] Further, in the above embodiment, various devices 100 to 600 communicated with each other in the DICOM format, which is difficult to tamper with, thereby demonstrating high evidence capability such as injection history data. However, the chemical injection device 400 may generate injection history data in a data format that is difficult to tamper with, such as PDF (Portable Document Format). [0176] Similarly, the control box 500 is connected to the chemical injection device 400 from JPEG (Joint Photographic Cod i ng
Experts Group)形式で受信した注入履歴データを P D F形式に変換してもよ しゝ。 さらに、 薬液注入装置 4 0 0や制御ボックス 5 0 0が、 いわゆるインタ ーネッ卜に接続されており、 電子署名を取得して注入履歴データに付与して もよい。 Injection history data received in Experts Group format may be converted to PDF format. Further, the chemical solution injector 400 and the control box 500 are connected to a so-called Internet, and an electronic signature may be acquired and added to the injection history data.
[0177] さらに、 上記形態では薬液注入装置 4 0 0により制御ボックス 5 0 0を経 由して R I S 1 0 0から取得された撮像オーダデータからなる注入条件デ一 タが、 注入実行へッド 4 1 0とは別体の注入制御ュニット 4 0 1のタツチパ ネル 4 0 3に表示されることを例示した。 [0177] Further, in the above embodiment, the injection condition data including the imaging order data acquired from the RIS 1 0 0 via the control box 5 0 0 by the chemical injection device 4 0 0 is the injection execution head. An example is shown on the touch panel 4 0 3 of the injection control unit 4 0 1 that is separate from 4 1 0.
[0178] しかし、 注入実行へッド 4 1 0にデータ表示部として小型のディスプレイ パネル(図示せず)が並設されており、 そこに撮像オーダデータからなる注入 条件データなどが表示されてもよい。 この場合、 被験者の近傍に配置されて 薬液シリンジ 4 3 0が装着される注入実行へッド 4 1 0の位置で、 注入条件 デ一タを確認することができる。 [0178] However, a small display panel (not shown) is arranged in parallel as a data display section in the injection execution head 4 10, and injection condition data including imaging order data is displayed there. Good. In this case, the injection condition data can be confirmed at the position of the injection execution head 4 10 which is placed in the vicinity of the subject and the chemical syringe 4 3 0 is attached.
[0179] また、 上記形態では薬液注入装置 4 0 0が必要とする注入条件データの全 部が、 R I S 1 0 0から取得された撮像オーダデータから抽出されることを 例示した。 しかし、 薬液注入装置 4 0 0が必要とする注入条件データの一部 のみ撮像オーダデータから取得され、 他部は薬液注入装置 4 0 0に入力操作 されてもよい。 [0179] Further, in the above embodiment, it is exemplified that all of the injection condition data required by the chemical solution injection device 400 is extracted from the imaging order data acquired from the RIS 100. However, only part of the injection condition data required by the chemical liquid injector 400 may be acquired from the imaging order data, and the other part may be input to the chemical liquid injector 400.
[0180] さらに、 被験者の識別情報などの注入条件データが薬液注入装置 4 0 0に 入力操作され、 その注入条件データと撮像オーダデータから取得された注入 条件データとを薬液注入装置 4 0 0が照合し、 照合される注入条件データが 整合しないと警告を報知してもよい。 [0180] Further, injection condition data such as identification information of a subject is input to the chemical injection device 400, and the chemical injection device 400 receives the injection condition data and the injection condition data acquired from the imaging order data. A warning may be issued if the injection condition data to be verified does not match.
[0181 ] この場合、 間違った撮像オーダデータで注入条件データが自動設定される ことを防止できる。 さらに、 このような警告を、 前述した注入実行ヘッド 4 1 0のディスプレイパネルに表示させれば、 作業者に迅速かつ確実に警告を 認識させることができる。 [0182] また、 少なくとも注入条件データの一部が記録されている R F I Dチップ が薬液シリンジ 4 3 0に搭載されており、 その R F I Dチップから注入条件 データを読み取る R F I Dリーダが薬液注入装置 4 0 0に搭載されており、 薬液注入装置 4 0 0が薬液シリンジ 4 3 0の R F I Dチップの注入条件デ一 タと撮像オーダデータから取得された注入条件データとを照合してもよい(図 示せず)。 [0181] In this case, it is possible to prevent the injection condition data from being automatically set with incorrect imaging order data. Furthermore, if such a warning is displayed on the display panel of the injection execution head 4 10 described above, it is possible for the operator to recognize the warning quickly and reliably. [0182] Also, an RFID chip in which at least a part of the injection condition data is recorded is mounted on the chemical syringe 43, and an RFID reader that reads the injection condition data from the RFID chip is attached to the chemical injection device 400. The medical solution injection device 400 may collate the injection condition data of the RFID chip of the chemical syringe 43 30 with the injection condition data acquired from the imaging order data (not shown).
[0183] この場合、 間違った撮像オーダデータで注入条件データが自動設定される こと、 間違った薬液シリンジ 4 3 0で薬液注入が実行されること、 を防止で きる。 それでいて、 作業者が注入条件データを入力操作する必要がなく、 そ の誤入力も防止することができる。 [0183] In this case, it is possible to prevent the injection condition data from being automatically set with the wrong imaging order data and the chemical injection with the wrong chemical syringe 4 30 from being performed. Nevertheless, it is not necessary for the operator to input the injection condition data, and erroneous input can be prevented.
[0184] さらに、 上述のような R F I Dチップに薬液の製品 I Dを記録しておき、 被験者ごとに少なくとも注入に不適な薬液の製品 I Dを不適 I Dとして撮像 オーダデータに設定しておき、 薬液注入装置 4 0 0力 R F I Dチップから 入力された製品 I Dと撮像オーダデータに設定されている不適 I Dとを照合 し、 これが整合すると警告を報知してもよい(図示せず)。 [0184] Further, the product ID of the chemical solution is recorded on the RFID chip as described above, and at least the product ID of the chemical solution unsuitable for injection is set as the unsuitable ID for each subject and set in the imaging order data. The product ID input from the RFID chip and the inappropriate ID set in the imaging order data may be collated, and a warning may be issued if they match (not shown).
[0185] より具体的には、 プレフィルドタイプの薬液シリンジは、 薬液が充填され た状態で出荷される。 そこで、 プレフィルドタイプの薬液シリンジに、 デ一 タ記憶手段として薬液データが登録されている R F I Dを装着しておく(図示 せず)。 [0185] More specifically, the prefilled type drug solution syringe is shipped in a state where the drug solution is filled. Therefore, an RFI D in which chemical data is registered as a data storage means is attached to a prefilled type chemical syringe (not shown).
[0186] その薬液データは、 例えば、 その薬液シリンジに関する、 容量、 耐圧、 シ リンダ内径、 ピストンストローク、 個体ごとの識別データ、 などの各種デ一 タと、 充填されている薬液に関する、 製品 I D、 化学分類、 含有成分、 粘度 、 消費期限、 などの各種データからなる。 [0186] The chemical solution data includes, for example, various data such as volume, pressure resistance, cylinder inner diameter, piston stroke, identification data for each individual, and product ID, It consists of various data such as chemical classification, ingredients, viscosity, and expiration date.
[0187] 薬液の製品 I Dは、 その薬液の化学分類と含有成分と化学構造とに起因し て登録されており、 シリンジ容量などには関連していない。 例えば、 C T用 で心臓用の造影剤として A社と B社との製品が存在している場合、 薬液の種 別である 「C T用で心臓用の造影剤」 は共通でも、 水溶性か油性か、 イオン 性か非イオン性か、 モノマー型かダイマー型か、 などの化学分類が相違する ならば、 その製品 I Dは相違する。 [0187] The product ID of the chemical solution is registered due to the chemical classification of the chemical solution, the contained components, and the chemical structure, and is not related to the syringe capacity. For example, if there are products from Company A and Company B as contrast agents for cardiac use for CT, the type of chemical solution `` contrast agent for cardiac use for CT '' is common, but water-soluble or oily Or chemical classification such as ionic or nonionic, monomer type or dimer type If so, the product ID is different.
[0188] さらに、 その薬液種別と化学分類とが共通でも、 含有成分が相違するなら ば製品 I Dは相違し、 薬液種別と化学分類と含有成分とが共通でも、 例えば 、 1つでも含有成分の化学構造が相違するならば製品 I Dは相違する。 [0188] Furthermore, even if the chemical type and chemical classification are the same, if the contained components are different, the product ID will be different, and even if the chemical type, chemical class and contained components are the same, for example, even one of the contained components If the chemical structure is different, the product ID is different.
[0189] —方、 プレフィルドタイプで容量が 「200 (m l )」 と 「500 (m l )」 との薬液シ リンジに同一の薬液が充填されているならば、 その薬液シリンジは容量によ り製品としては別個であるが薬液の製品 I Dは同一である。 [0189] — On the other hand, if the same chemical solution is filled in the chemical syringes with the prefilled type with the capacity of “200 (ml)” and “500 (ml)”, the chemical syringe will depend on the volume. The product ID of the chemical solution is the same.
[0190] 一方、 撮像オーダデータには、 被験者ごとの被験者 I D、 性別や年齢など の個人データ、 疾病に関する各種データ、 等の他、 上述の不適 I D、 等も登 録しておく。 このような状態で、 薬液注入装置の注入実行ヘッドに薬液シリ ンジが適切に装填されると、 その R F I Dチップから R F I Dリーダにより 薬液データが取得される。 [0190] On the other hand, in the imaging order data, the above-mentioned inappropriate ID, etc. are registered in addition to the subject ID for each subject, personal data such as gender and age, various data on diseases, and the like. In this state, when the chemical syringe is properly loaded in the injection execution head of the chemical injection device, the chemical data is acquired from the R FI D chip by the R F I D reader.
[0191 ] そして、 薬液注入装置が撮像オーダデータから注入条件データを取得する と、 その注入条件データに設定されている不適 I Dと薬液データに設定され ている製品 I Dとが照合される。 [0191] Then, when the chemical liquid injector acquires the injection condition data from the imaging order data, the inappropriate ID set in the injection condition data is compared with the product ID set in the chemical liquid data.
[0192] そして、 その製品 I Dと不適 I Dとが整合すると、 「この薬液は、 この被 験者には注入できません。 」 などの警告メッセージをタツチパネルに表示出 力させるとともに、 シリンジ駆動機構を作動不能に動作制御する。 [0192] When the product ID and the inappropriate ID match, a warning message such as "This drug cannot be injected into this subject" is displayed on the touch panel and the syringe drive mechanism is disabled. Control the operation.
[0193] このため、 例えば、 被験者に注入される薬液が C T用の造影剤などの種別 は適切でありながらも、 副作用などの被験者の個人的な理由で注入不適な場 合に、 これを薬液注入装置が自動的に検出して作業者に報知することができ る。 従って、 作業者は迅速に自体を認識して薬液の変更などの対処を実行す ることができる。 [0193] For this reason, for example, if the type of chemical that is injected into the subject is appropriate for the type of CT contrast agent, but is inappropriate for injection due to the subject's personal reasons such as side effects, this is the case. The injection device can automatically detect and notify the operator. Therefore, the operator can quickly recognize itself and take measures such as changing the chemical solution.
[0194] 特に、 薬液シリンジが注入実行へッドに装填されると自動的に製品 I Dが 取得され、 注入条件データとして撮像オーダデータが入力されると不適 I D も自動的に取得される。 このため、 その取得や照合のために専用の作業など が必要なく、 簡単かつ確実に製品 I Dと不適 I Dとを照合することができる [0195] 同様に、 薬液シリンジの R F I Dチップに薬液の含有成分をデータ記録し ておき、 撮像オーダデータに注入不適な含有成分を不適成分として登録して おき、 含有成分と不適成分とが照合することも可能である。 [0194] In particular, the product ID is automatically acquired when the drug syringe is loaded into the injection execution head, and the inappropriate ID is automatically acquired when imaging order data is input as the injection condition data. For this reason, there is no need for dedicated work for acquisition and verification, and product IDs and inappropriate IDs can be verified easily and reliably. [0195] Similarly, the chemical component contained in the RFID chip of the chemical syringe is recorded as data, and the improper injection component is registered in the imaging order data as the inappropriate component, and the contained component and the inappropriate component are collated. It is also possible.
[0196] また、 薬液シリンジの R F I Dチップに薬液の化学分類をデータ記録して おき、 撮像オーダデータに注入不適な化学分類を不適分類として登録してお き、 化学分類と不適分類とが照合することも可能である。 [0196] Also, the chemical classification of the chemical solution is recorded on the RFID chip of the chemical syringe, and the chemical classification that is inappropriate for injection is registered as an inappropriate classification in the imaging order data, and the chemical classification and the inappropriate classification are collated. It is also possible.
[01 97] これらの場合、 被験者への注入の適否を含有成分や化学分類ごとに管理す ることができる。 このため、 例えば、 初めて注入する薬液でも適否を的確に 予想するようなことができる。 [01 97] In these cases, the propriety of injection into the subject can be managed for each component and chemical classification. For this reason, for example, it is possible to accurately predict whether or not a chemical solution is injected for the first time.
[01 98] さらに、 撮像オーダデータに不適 I D等が登録されていないか、 登録され ている場合に不適 I D等と製品 I D等とが整合しないか、 が確認されるまで 、 シリンジ駆動機構を作動不能に初期設定しておくこともできる。 この場合 、 不適な薬液が被験者に注入されることを確実かつ自動的に防止できる。 [01 98] Furthermore, the syringe drive mechanism is operated until it is confirmed that the inappropriate ID or the like is not registered in the imaging order data, or if the inappropriate ID and the product ID do not match if registered. It can also be initially set to disabled. In this case, it is possible to reliably and automatically prevent inadequate chemicals from being injected into the subject.
[01 99] なお、 前述のように撮像オーダデータは一般的に被験者ごとの電子カルテ から作成され、 その電子カルテには副作用がある薬品の製品 I Dや含有成分 や化学分類などを、 不適 I Dや不適成分や不適分類として登録しておくこと ができる。 このため、 上述のように不適 I D等が登録された撮像オーダデ一 タは容易に作成することができる。 [01 99] As mentioned above, imaging order data is generally created from electronic medical records for each subject, and the electronic medical records show the product ID, ingredients, chemical classification, etc. of drugs with side effects. It can be registered as an inappropriate component or inappropriate classification. Therefore, imaging order data in which inappropriate IDs are registered as described above can be easily created.
[0200] また、 上述のように薬液注入装置 4 0 0が警告を報知するとき、 その警告 が解除されるまでシリンジ駆動機構 4 1 1を動作不能に制御してもよい。 こ の場合、 警告の対象となるような薬液が被験者に注入されることを防止でき る。 [0200] Further, as described above, when the chemical injection device 400 notifies a warning, the syringe drive mechanism 4111 may be controlled to be inoperable until the warning is released. In this case, it is possible to prevent the medicinal solution that becomes a warning target from being injected into the subject.
[0201 ] さらに、 上記形態では薬液注入装置 4 0 0が一個の薬液シリンジ 4 3 0に より被験者に造影剤のみを注入することを例示した。 しかし、 薬液注入装置 が複数の薬液シリンジにより薬液として造影剤や生理食塩水などを被験者に 注入してもよい(図示せず)。 このような場合、 例えば、 被験者に薬液として 造影剤と生理食塩水とを順番に注入する注入条件データを、 撮像オーダデ一 タに登録しておくことができる。 [0202] また、 上記形態では透視撮像装置として CTスキャナ 200を使用し、 薬 液注入装置 400が薬液として CT用の造影剤を注入することを例示した。 しかし、 透視撮像装置が MR Iや P ET装置や超音波診断装置などからなり 、 それ用の造影剤などを薬液注入装置が注入してもよい。 [0201] Furthermore, in the above-described embodiment, the chemical solution injection device 400 was exemplified to inject only the contrast medium into the subject by using one chemical solution syringe 40. However, the chemical solution injection device may inject a contrast medium, physiological saline, or the like into the subject as a chemical solution using a plurality of chemical solution syringes (not shown). In such a case, for example, injection condition data for sequentially injecting a contrast medium and physiological saline as a drug solution to a subject can be registered in the imaging order data. [0202] In the above embodiment, the CT scanner 200 is used as the fluoroscopic imaging device, and the chemical solution injector 400 injects the CT contrast agent as the chemical solution. However, the fluoroscopic imaging device is composed of an MR I, PET device, an ultrasonic diagnostic device, etc., and a medical solution injection device may inject a contrast medium therefor.
[0203] さらに、 上記形態では CTスキャナ 200と薬液注入装置 400とが個々 にスタンドアロンで動作することを例示した。 し力、し、 CTスキャナ 200 と薬液注入装置 400とがデータ通信により各種の動作を連動させてもよい [0203] Further, in the above embodiment, the CT scanner 200 and the chemical liquid injector 400 are individually operated as stand-alone units. The CT scanner 200 and the chemical injection device 400 may link various operations by data communication.
[0204] また、 上記形態では説明を簡単とするため、 透視撮像システム 1 000の 各部が各々一個であることを例示した。 しかし、 大規模な病院などでは、 複 数の透視撮像システムの各々が R I S 1 00と C Tスキャナ 200と薬液注 入装置 400と制御ボックス 500とを一個ずつ有し、 その複数の透視撮像 システムが P ACS 300と画像閲覧装置 600とを共有する構造でよい(図 示せず)。 ただし、 このような場合でも、 R I S 1 00や P A C S 300や画 像閲覧装置 600などのハードウエアは並列に接続された複数であってよい( 図示せず)。 [0204] Also, in the above embodiment, for simplicity of explanation, it is illustrated that each part of the fluoroscopic imaging system 1000 is one. However, in large hospitals, each of multiple fluoroscopic imaging systems has one RIS 100, CT scanner 200, chemical injection device 400, and one control box 500. The ACS 300 and the image browsing device 600 may be shared (not shown). However, even in such a case, there may be a plurality of hardware connected in parallel (not shown), such as RIS 100, PACS 300, and image browsing apparatus 600.
[0205] さらに、 上記形態では一個の P A C S 300で透視画像データと注入履歴 データとが保存されることを例示した。 しかし、 透視画像データを保存する ハードウェアと注入履歴デ一タを保存するハードウェアとが別個に形成され ていて通信ネットワークで接続されていてもよい。 [0205] Further, in the above embodiment, it is exemplified that the fluoroscopic image data and the injection history data are stored by one PACS 300. However, the hardware for storing the fluoroscopic image data and the hardware for storing the injection history data may be formed separately and connected via a communication network.
[0206] また、 上記形態では、 R I S 1 00、 CTスキャナ 200、 P ACS 30 0、 薬液注入装置 400、 制御ポックス 500、 画像閲覧装置 600、 が別 体に形成されていて通信ネットワーク 701〜706により接続されている ことを例示した。 [0206] Also, in the above embodiment, RIS 100, CT scanner 200, P ACS 300, chemical injection device 400, control pox 500, and image viewing device 600 are formed separately and are connected by communication networks 701 to 706. Exemplified that they are connected.
[0207] しかし、 上述のような各種装置 200〜 600が各種の組み合わせで一体 に形成されていてもよい。 例えば、 薬液注入装置 400の注入制御ユニット 401 と制御ボックス 500が一体に形成されていること、 これに R I S 1 00や PACS 300が一体に形成されていること、 P ACS 300と画像 閲覧装置 600とが一体に形成されていること、 等も可能である。 [0207] However, the various devices 200 to 600 as described above may be integrally formed by various combinations. For example, the injection control unit 401 and the control box 500 of the chemical injection device 400 are integrally formed, the RIS 100 and the PACS 300 are integrally formed, the P ACS 300 and the image It is also possible that the browsing device 600 is integrally formed.
[0208] また、 制御ボックス 500に、 R I S 1 00や P A C S 300が一体に形 成されていること、 制御ボックス 500と PACS 300と画像閲覧装置 6[0208] In addition, RI 100 and PACS 300 are integrally formed in the control box 500, the control box 500, the PACS 300, and the image viewing device 6
00とが一体に形成されていること、 等も可能である。 It is also possible that 00 is integrally formed.
[0209] さらに、 C Tスキャナ 200の撮像制御ユニット 21 0と R I S 1 00と 制御ボックス 500とが一体に形成されていること、 CTスキャナ 200の 撮像制御ュニット 21 0と PACS 300と制御ポックス 500とが一体に 形成されていること、 これに画像閲覧装置 600が一体に形成されているこ と、 等も可能である。 [0209] Further, the imaging control unit 210, RIS 100, and control box 500 of the CT scanner 200 are integrally formed, and the imaging control unit 210, PACS 300, and the control pox 500 of the CT scanner 200 are integrated. It is also possible that the image viewing apparatus 600 is formed integrally with the image viewing apparatus 600.
[0210] また、 画像閲覧装置 600と P ACS 300とが一体に形成されているこ と、 これに制御ボックス 500や CTスキャナ 200の撮像制御ュニット 2 [0210] In addition, the image browsing device 600 and the PACS 300 are integrally formed, and the imaging control unit 2 of the control box 500 and the CT scanner 200 is added thereto.
1 0が一体に形成されていること、 等も可能である。 It is also possible that 10 is integrally formed.
[0211] さらに、 上記形態ではコンピュータプログラムに対応してコンピュータ装 置が動作することにより、 各種装置 1 00〜 600の各部が各種機能として 論理的に実現されることを例示した。 [0211] Furthermore, in the above-described embodiment, it is exemplified that each unit of various devices 100 to 600 is logically realized as various functions by operating the computer device corresponding to the computer program.
[0212] しかし、 その各部の各々を固有のハードウェアとして形成することも可能 であり、 一部をソフトウエアとして形成するとともに一部をハ一ドウエアと して形成することも可能である。 [0212] However, it is also possible to form each part as unique hardware. It is also possible to form a part as software and a part as hardware.
[0213] なお、 当然ながら、 上述した各種の形態は、 その内容が相反しないかぎり[0213] Needless to say, the various forms described above, unless the contents conflict.
、 各種に組み合わせることができる。 また、 上述した実施の形態および変形 例では、 各部の構造などを具体的に説明したが、 その構造などは本願発明の 機能を満足する範囲で各種に変更することができる。 Can be combined in various ways. Further, in the above-described embodiments and modifications, the structure of each part has been specifically described, but the structure and the like can be changed in various ways within a range that satisfies the functions of the present invention.
Claims
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| JP2008527649A JP5575394B2 (en) | 2006-08-04 | 2007-07-27 | Fluoroscopic imaging system |
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| WO (1) | WO2008015778A1 (en) |
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| JP2009240539A (en) * | 2008-03-31 | 2009-10-22 | Nemoto Kyorindo:Kk | Fluoroscopic imaging system |
| JP2012143380A (en) * | 2011-01-12 | 2012-08-02 | Hitachi Aloka Medical Ltd | Ultrasonic diagnostic equipment |
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| JP2005198808A (en) * | 2004-01-15 | 2005-07-28 | Nemoto Kyorindo:Kk | Fluoroscopic system |
| JP2006116001A (en) * | 2004-10-20 | 2006-05-11 | Konica Minolta Medical & Graphic Inc | Radiograph detector and radiography system |
| EP1825876A4 (en) * | 2004-11-11 | 2009-09-16 | Nemoto Kyorindo Co Ltd | Chemical liquid infusion system |
| JP2006198043A (en) * | 2005-01-19 | 2006-08-03 | Toshiba Corp | Medical image diagnostic system, patient information management system, and patient information management method |
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| JP2002177252A (en) * | 2000-12-13 | 2002-06-25 | Toshiba Corp | Contrast agent injector and diagnostic system including the contrast agent injector |
| JP2003323494A (en) * | 2002-05-08 | 2003-11-14 | Canon Inc | Medical examination system |
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| JP5575394B2 (en) | 2014-08-20 |
| JPWO2008015778A1 (en) | 2009-12-17 |
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