WO2021181967A1 - 内視鏡システム、制御方法、及び制御プログラム - Google Patents
内視鏡システム、制御方法、及び制御プログラム Download PDFInfo
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- WO2021181967A1 WO2021181967A1 PCT/JP2021/004175 JP2021004175W WO2021181967A1 WO 2021181967 A1 WO2021181967 A1 WO 2021181967A1 JP 2021004175 W JP2021004175 W JP 2021004175W WO 2021181967 A1 WO2021181967 A1 WO 2021181967A1
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- analysis
- endoscopic system
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- imaging
- illumination light
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
- A61B1/0655—Control therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00002—Operational features of endoscopes
- A61B1/00004—Operational features of endoscopes characterised by electronic signal processing
- A61B1/00009—Operational features of endoscopes characterised by electronic signal processing of image signals during a use of endoscope
- A61B1/000094—Operational features of endoscopes characterised by electronic signal processing of image signals during a use of endoscope extracting biological structures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00002—Operational features of endoscopes
- A61B1/00043—Operational features of endoscopes provided with output arrangements
- A61B1/00045—Display arrangement
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
- A61B1/05—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
- A61B1/0638—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements providing two or more wavelengths
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
- A61B1/0661—Endoscope light sources
- A61B1/0669—Endoscope light sources at proximal end of an endoscope
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
- A61B1/07—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements using light-conductive means, e.g. optical fibres
-
- G—PHYSICS
- G02—OPTICS
- G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
- G02B23/00—Telescopes, e.g. binoculars; Periscopes; Instruments for viewing the inside of hollow bodies; Viewfinders; Optical aiming or sighting devices
- G02B23/24—Instruments or systems for viewing the inside of hollow bodies, e.g. fibrescopes
- G02B23/2407—Optical details
- G02B23/2461—Illumination
- G02B23/2469—Illumination using optical fibres
-
- G—PHYSICS
- G02—OPTICS
- G02B—OPTICAL ELEMENTS, SYSTEMS OR APPARATUS
- G02B23/00—Telescopes, e.g. binoculars; Periscopes; Instruments for viewing the inside of hollow bodies; Viewfinders; Optical aiming or sighting devices
- G02B23/24—Instruments or systems for viewing the inside of hollow bodies, e.g. fibrescopes
- G02B23/2476—Non-optical details, e.g. housings, mountings, supports
- G02B23/2484—Arrangements in relation to a camera or imaging device
Definitions
- the present invention relates to an endoscopic system, a control method, and a control program.
- an endoscope system that continuously performs imaging while irradiating a subject with normal light such as white light and displays a live image. Further, there is known an endoscopic system that performs continuous imaging while irradiating a subject with special light such as narrow band light and performs analysis such as IEE (Image-Enhanced Endoscopy).
- IEE Image-Enhanced Endoscopy
- Patent Document 1 when the distance information is large (that is, screening observation), the size of the concavo-convex portion to be extracted is increased, and when the distance information is small (that is, magnified observation), the size of the concavo-convex portion to be extracted is decreased.
- An endoscopic device that adaptively detects uneven portions according to the above is described.
- Patent Document 2 when the observation target is magnified and observed based on the imaging size signal, a discrimination process for obtaining information further contributing to the diagnosis based on the characteristics of a specific portion or the like is executed, and the observation target is magnified and observed.
- An endoscopic system that skips the discrimination process when it is not used is described.
- the appropriate characteristics of the illumination light used for imaging for analysis may vary depending on the type of analysis. Then, if the illumination light having an inappropriate characteristic is used in the analysis to be performed, a highly accurate result cannot be obtained in the analysis.
- Patent Documents 1 and 2 do not switch and execute a plurality of types of analysis having different characteristics of appropriate illumination light, and the idea of appropriate characteristics of illumination light according to the type of analysis is described in Patent Document 1. , 2 is not disclosed.
- the present invention has been made in view of the above circumstances, and an object of the present invention is to provide an endoscope system, a control method, and a control program capable of presenting highly accurate analysis results according to an observation situation. And.
- the endoscope system of the present invention switches and displays a light source capable of switching and irradiating a plurality of types of illumination light having different characteristics and a plurality of types of analysis results based on an captured image obtained by imaging using the illumination light.
- a light source capable of switching and irradiating a plurality of types of illumination light having different characteristics and a plurality of types of analysis results based on an captured image obtained by imaging using the illumination light.
- the analysis of displaying the result on the display and the illumination light emitted by the light source are performed according to the possible display and the result of determining the size of the area to be imaged in the subject. It is provided with a characteristic and a processor for switching.
- control method of the endoscope system of the present invention includes a light source capable of switching and irradiating a plurality of types of illumination light having different characteristics, and a plurality of types of analysis based on an image captured by imaging using the illumination light. It is a control method of an endoscopic system including a display capable of switching and displaying the result, and a processor, depending on the result of the processor determining the size of the target area for imaging in the subject. Of the plurality of types of analysis, the analysis of displaying the result on the display and the characteristic of the illumination light emitted by the light source are switched.
- control program of the present invention switches and displays a light source capable of switching and irradiating a plurality of types of illumination light having different characteristics and a plurality of types of analysis results based on an captured image obtained by imaging using the illumination light. It is a control program of an endoscopic system including a possible display, and the result is displayed on the display among the plurality of types of analyzes according to the result of determining the size of the target area for imaging in the subject. This is for causing a computer to perform a process of switching between the analysis to be displayed and the characteristics of the illumination light emitted by the light source.
- an endoscope system a control method, and a control program capable of presenting highly accurate analysis results according to an observation situation.
- FIG. 100 It is a figure which shows an example of the endoscope apparatus 100 which is one Embodiment of this invention. It is a schematic diagram which shows the internal structure of the endoscope apparatus 100 shown in FIG. It is a figure which shows an example of the spectrum of the light generated by the light source apparatus 5 shown in FIG. It is a plan schematic diagram which shows the schematic structure of the image pickup device 23 shown in FIG. It is a figure which shows an example of the functional block of the system control unit 44 of the signal processing unit 42 shown in FIG. It is a figure which shows an example of the screen which is displayed on the display 7 at the time of wide area observation. It is a figure which shows an example of the screen which is displayed on the display 7 at the time of detailed observation. It is a figure which shows an example of analysis and switching of illumination light in an endoscope apparatus 100.
- FIG. 1 is a diagram showing an example of an endoscope device 100 according to an embodiment of the present invention.
- the endoscope device 100 is an example of the endoscope system of the present invention. As shown in FIG. 1, the endoscope device 100 includes an endoscope 1, a control device 4 to which the endoscope 1 is connected, and a light source device 5.
- the light source device 5 is an example of a light source capable of switching and irradiating a plurality of types of illumination light having different characteristics.
- the control device 4 includes a display 7 that displays an image captured by imaging the inside of the subject with the endoscope 1, and an input unit 6 that is an interface for inputting various information to the control device 4. , Are connected.
- the control device 4 controls the endoscope 1, the light source device 5, and the display 7.
- the display 7 has a display surface in which display pixels are arranged in a two-dimensional manner, and pixel data constituting the image data is drawn on each display pixel of the display surface to obtain an image based on the image data.
- the display is done.
- the display 7 switches the display image in response to a command from the control device 4. Further, the display 7 constitutes a display capable of switching and displaying the results of a plurality of types of analysis based on the captured image obtained by imaging.
- the endoscope 1 is a tubular member extending in one direction and is provided at an insertion portion 10 inserted into a subject and a proximal end portion of the insertion portion 10, and is provided for an observation mode switching operation, an imaging recording operation, a forceps operation, and the like.
- An operation unit 11 provided with an operation member for performing air supply / water supply operation, suction operation, etc., an angle knob 12 provided adjacent to the operation unit 11, an endoscope 1, a control device 4 and a light source device.
- a forceps hole for inserting forceps for collecting biological tissues such as cells or polyps is provided inside the operation unit 11 and the insertion unit 10.
- a channel for air supply and water supply is provided inside the operation unit 11 and the insertion unit 10.
- Various channels such as a suction channel are provided.
- the insertion portion 10 is composed of a flexible soft portion 10A, a curved portion 10B provided at the tip of the flexible portion 10A, and a hard tip portion 10C provided at the tip of the curved portion 10B.
- the curved portion 10B is configured to be bendable by rotating the angle knob 12.
- the curved portion 10B can be curved in an arbitrary direction and an arbitrary angle according to the part of the subject in which the endoscope 1 is used, and the tip portion 10C can be directed in a desired direction.
- FIG. 2 is a schematic view showing the internal configuration of the endoscope device 100 shown in FIG.
- FIG. 3 is a diagram showing an example of a spectrum of light generated by the light source device 5 shown in FIG.
- the light source device 5 can irradiate the illumination light by switching between normal light and special light.
- Normal light is light having an emission spectrum suitable for recognition by humans such as doctors, such as white light.
- the special light is light having an emission spectrum different from that of normal light and having an emission spectrum suitable for image analysis by a computer such as IEE.
- the light source device 5 includes a light source processor 51, a light source unit 52, and an optical path coupling unit 54.
- the light source processor 51 is connected to the system control unit 44 of the control device 4, and controls the light source unit 52 based on a command from the system control unit 44.
- the light source unit 52 has, for example, a plurality of semiconductor light sources, each of which is turned on or off, and when the light source unit 52 is turned on, the amount of light emitted from each semiconductor light source is controlled to emit illumination light that illuminates the observation target.
- the light source unit 52 includes a V-LED (Violet Light Emitting Diet) 52a, a B-LED (Blue Light Emitting Diode) 52b, a G-LED (Green Light Emitting Diode) 52c, and an R-LED (Red). It has an LED of 4 colors of Emitting DIode) 52d.
- the light source processor 51 independently controls the V-LED 52a, the B-LED 52b, the G-LED 52c, and the R-LED 52d to independently control the purple light V, the blue light B, the green light G, or the red light R. It is possible to emit light by changing the amount of light.
- the V-LED 52a generates purple light V having a center wavelength of 405 ⁇ 10 nm and a wavelength range of 380 to 420 nm.
- the B-LED 52b generates blue light B having a center wavelength of 450 ⁇ 10 nm and a wavelength range of 420 to 500 nm.
- the G-LED 52c generates green light G having a wavelength range of 480 to 600 nm.
- the R-LED52d generates red light R having a center wavelength of 620 to 630 nm and a wavelength range of 600 to 650 nm.
- the light source processor 51 emits white light having a light amount ratio of Vc: Bc: Gc: Rc among purple light V, blue light B, green light G, and red light R when irradiated with normal light.
- the light source processor 51 has a light amount ratio of Vs: Bs: Gs: Rs with purple light V, blue light B, green light G, and red light R as short-wavelength narrow-band light when irradiated with special light.
- Each LED 52a to 52d is controlled so as to emit the special light.
- the light amount ratio Vs: Bs: Gs: Rs is different from the light amount ratio Vc: Bc: Gc: Rc used when irradiating normal light, and is appropriately determined according to the purpose of observation. For example, when emphasizing superficial blood vessels, it is preferable to make Vs larger than other Bs, Gs, Rs, and when emphasizing mesopelagic blood vessels, Gs is made larger than other Vs, Gs, Rs. It is also preferable to increase the size.
- the optical path coupling unit 54 combines the lights emitted from the V-LED 52a, B-LED 52b, G-LED 52c, and R-LED 52d, and emits the combined light as illumination light.
- the illumination light emitted from the optical path coupling portion 54 of the light source portion 52 enters the light guide 53 described later built in the universal cord 13, and passes through the illumination lens 50 provided at the tip portion 10C of the insertion portion 10. The subject is illuminated.
- the tip portion 10C of the endoscope 1 includes an imaging optical system including an objective lens 21 and a lens group 22, an imaging element 23 that images a subject through the imaging optical system, and a memory 25 such as a RAM (Random Access Memory).
- a communication interface (I / F) 26, an image pickup driving unit 27, and a light guide 53 for guiding the illumination light emitted from the light source unit 52 to the illumination lens 50 are provided.
- the light guide 53 extends from the tip portion 10C to the connector portion 13A of the universal cord 13. With the connector portion 13A of the universal cord 13 connected to the light source device 5, the illumination light emitted from the light source portion 52 of the light source device 5 can be incident on the light guide 53.
- the image sensor 23 As the image sensor 23, a CCD (Charge Coupled Device) image sensor, a CMOS (Complementary Metal Oxide Semiconductor) image sensor, or the like is used.
- the image sensor 23 is a CMOS that uses a rolling shutter.
- the image sensor 23 has a light receiving surface in which a plurality of pixels are arranged two-dimensionally, and the optical image formed on the light receiving surface by the above imaging optical system is converted into an electric signal (imaging signal) in each pixel. do. Then, the image pickup element 23 converts the converted image pickup signal from an analog signal into a digital signal having a predetermined number of bits, and outputs the image pickup signal converted into the digital signal to the memory 25.
- the image pickup device 23 for example, one equipped with a color filter such as a primary color or a complementary color is used. A set of image pickup signals output from each pixel on the light receiving surface of the image sensor 23 is called an image pickup image signal.
- the image sensor 23 may be arranged at the tip portion 10C in a state where the light receiving surface is perpendicular to the optical axis Ax of the objective lens 21, or the light receiving surface is parallel to the optical axis Ax of the objective lens 21. It may be arranged in the tip portion 10C in such a state.
- the image pickup optical system provided in the endoscope 1 includes optical members (including the above lens group 22) such as a lens and a prism on the optical path of light from the subject between the image pickup element 23 and the objective lens 21. It is composed of an objective lens 21 and.
- the imaging optical system may be composed of only the objective lens 21.
- the objective lens 21 and the lens group 22 may be a lens having a variable angle of view (focal length) (for example, a zoom lens).
- the memory 25 temporarily records the digital image pickup signal output from the image pickup device 23.
- the communication I / F 26 is connected to the communication interface (I / F) 41 of the control device 4.
- the communication I / F 26 transmits the image pickup signal recorded in the memory 25 to the control device 4 through the signal line in the universal code 13.
- the image pickup drive unit 27 is connected to the system control unit 44 of the control device 4 via the communication I / F 26.
- the image pickup drive unit 27 drives the image pickup element 23 and the memory 25 based on a command from the system control unit 44 received by the communication I / F 26.
- the control device 4 includes a communication I / F 41 connected to the communication I / F 26 of the endoscope 1 by a universal code 13, a signal processing unit 42, a display controller 43, a system control unit 44, a recording medium 45, and the like. To be equipped.
- the communication I / F 41 receives the image pickup signal transmitted from the communication I / F 26 of the endoscope 1 and transmits it to the signal processing unit 42.
- the signal processing unit 42 has a built-in memory for temporarily recording the image pickup signal received from the communication I / F 41, and processes the image pickup image signal which is a set of the image pickup signals recorded in the memory (demosaic processing, gamma correction processing, etc.). Image processing) to generate captured image information in a format capable of recognition processing and the like.
- the captured image information generated by the signal processing unit 42 is recorded on a recording medium 45 such as a hard disk or a flash memory.
- the display controller 43 displays the captured image based on the captured image information generated by the signal processing unit 42 on the display 7.
- the coordinates of each pixel data constituting the captured image information generated by the signal processing unit 42 are managed in association with the coordinates of any of the display pixels constituting the display surface of the display 7.
- the system control unit 44 controls each part of the control device 4 and sends a command to the image pickup drive unit 27 of the endoscope 1 and the light source processor 51 of the light source device 5, and controls the entire endoscope device 100 in an integrated manner. do.
- the system control unit 44 controls the image pickup device 23 via the image pickup drive unit 27.
- the system control unit 44 controls the light source unit 52 via the light source processor 51.
- the control device 4 is composed of various processors that execute programs and perform processing, RAM, and ROM (Read Only Memory).
- programmable logic is a processor whose circuit configuration can be changed after manufacturing such as a general-purpose processor that executes a program and performs various processes, such as a CPU (Application Specific Processing Unit) and an FPGA (Field Programmable Gate Array).
- a dedicated electric circuit or the like which is a processor having a circuit configuration specially designed for executing a specific process such as a device (Programmable Logic Device: PLD) or an ASIC (Application Specific Integrated Circuit), is included.
- the structure of these various processors is an electric circuit that combines circuit elements such as semiconductor elements.
- the system control unit 44 and the signal processing unit 42 may be composed of one of various processors, or a combination of two or more processors of the same type or different types (for example, a combination of a plurality of FPGAs or a CPU and an FPGA). It may be composed of a combination of).
- FIG. 4 is a schematic plan view showing a schematic configuration of the image pickup device 23 shown in FIG.
- the image pickup element 23 has a pixel row 62 composed of a plurality of pixels 61 arranged in the row direction X, a plurality of pixel rows 62 arranged in a column direction Y orthogonal to the row direction X, and a pixel arranged on the image pickup surface 60.
- a drive circuit 63 for driving the 61 and a signal processing circuit 64 for processing a pixel signal read from each pixel 61 of the pixel rows 62 arranged on the imaging surface 60 into a signal line are provided.
- the imaging surface 60 constitutes a light receiving surface.
- the end of the imaging surface 60 on one end side (upper side in the drawing) of the imaging surface 60 in the row direction Y is referred to as the upper end, and the other end of the imaging surface 60 in the row direction Y (lower side in the drawing).
- the part is called the lower end.
- the drive circuit 63 shown in FIG. 4 independently drives each pixel row 62 based on the signal from the image pickup drive unit 27, and resets each pixel 61 included in the pixel row 62 (stored in the photoelectric conversion element). (Emission of electric charge), reading out the pixel signal according to the electric charge accumulated in the photoelectric conversion element of each pixel 61 to the signal line, and the like.
- the signal processing circuit 64 shown in FIG. 4 performs correlation double sampling processing on the pixel signal read from each pixel 61 of the pixel row 62 into the signal line, and digitally signals the pixel signal after the correlation double sampling processing. Convert to and output.
- the signal processing circuit 64 is controlled by the image pickup driving unit 27.
- the signal processing unit 42 generates captured image information by performing signal processing such as demosaic processing and gamma correction processing on the pixel signal output from the image sensor 23.
- the endoscope device 100 is equipped with a continuous shooting mode that continuously generates a plurality of captured image information in response to one imaging instruction.
- the system control unit 44 drives the image sensor 23 by the image pickup drive unit 27 by the rolling shutter method to image the subject.
- the rolling shutter type drive includes a rolling reset drive and a rolling read drive.
- the rolling reset drive is a drive in which the process of resetting each pixel 61 of the pixel row 62 and starting the exposure of each pixel 61 is sequentially performed while changing the pixel row 62.
- the rolling read-out drive is a drive in which a signal is read from each pixel 61 of the exposed pixel row 62 and the process of ending the exposure of the pixel row 62 is sequentially performed while changing the pixel row 62.
- FIG. 5 is a diagram showing an example of a functional block of the system control unit 44 of the signal processing unit 42 shown in FIG.
- the processor of the signal processing unit 42 for example, by executing a control program stored in the ROM built in the signal processing unit 42, causes the captured image information generation unit 42a, the live image generation unit 42b, the analysis unit 42c, and the analysis unit 42c. It constitutes an analysis image generation unit 42d.
- the captured image information generation unit 42a generates captured image information by performing image processing such as demosaic processing or gamma correction processing on the image pickup signal obtained by the image pickup of the image pickup element 23.
- the captured image information generation unit 42a outputs the captured image information based on the imaging signal obtained by imaging during irradiation with normal light to the live image generation unit 42b as an imaging frame among the generated captured image information, and outputs the special light to the live image generation unit 42b.
- the captured image information based on the imaging signal obtained by imaging during irradiation is output to the analysis unit 42c as an imaging frame.
- the imaging frame is an imaging signal obtained by one imaging.
- the captured image information generation unit 42a has a determination unit 42e.
- the determination unit 42e determines, for example, the size of the image pickup target area by the image pickup device 23 in the subject into which the endoscope 1 is inserted, based on the image pickup image information generated by the image pickup image information generation unit 42a. do.
- the target area for imaging by the image sensor 23 is, for example, an area in the subject that is captured in the captured image obtained by imaging and output to the live image generation unit 42b as an imaging frame.
- the captured image information used by the determination unit 42e for determination may be captured image information of normal light, captured image information of special light, or captured image information of normal light and special light. You may.
- a user of the endoscope 1 inserts the endoscope 1 into a subject and performs an examination
- he / she first observes a wide area in the subject and observes an abnormal part such as a lesion.
- the user can increase the distance between the inner surface of the subject and the tip of the endoscope 1 (image sensor 23), or change the angle of view of the objective lens 21 and the lens group 22. In that case, the angle of view is widened or the digital zoom is used to widen the target area for imaging.
- the user finds an abnormal part by wide area observation, he / she performs detailed observation to observe the abnormal part in detail.
- the user shortens the distance between the inner surface of the subject and the tip of the endoscope 1, or if the angle of view of the objective lens 21 or the lens group 22 is variable, the angle of view thereof.
- the target area for imaging is narrowed by narrowing the angle of view or using the digital zoom.
- the determination unit 42e determines the size of the imaging target area, which changes according to the observation situation, and outputs the result of this determination to the analysis unit 42c. For example, the determination unit 42e determines the size of the imaging target area in two stages of “wide” and “narrow”. “Wide” constitutes the first size. “Narrow” constitutes a second area that is narrower than the first area.
- the determination of the size of the target area for imaging based on the captured image information is, for example, a trained model of AI (Artificial Intelligence) obtained by learning based on a large number of samples of a combination of the captured image and the size of the target area for imaging. Is done using. Alternatively, this determination may be made based on the captured image and a predetermined algorithm. However, as will be described later, the determination method by the determination unit 42e is not limited to these.
- AI Artificial Intelligence
- the live image generation unit 42b generates live image information for displaying a live image based on an imaging frame of normal light output from the captured image information generation unit 42a, and uses the generated live image information as captured image information. Output to the display controller 43 (see FIG. 2).
- the live image is a moving image that displays the result of continuous imaging by the image sensor 23 in real time.
- the analysis unit 42c performs analysis (image analysis) based on the image pickup frame of the special light output from the image capture image information generation unit 42a, and outputs the analysis result to the analysis image generation unit 42d. Further, the analysis unit 42c can perform a plurality of types of analysis based on the image pickup frame output from the image capture image information generation unit 42a. The analysis unit 42c switches the analysis to be executed based on the result of the determination of the size of the target area for imaging notified from the determination unit 42e.
- the plurality of types of analysis that can be performed by the analysis unit 42c include a first analysis for determining the presence or absence of an abnormal portion such as a lesion and a second analysis for analyzing the abnormal portion.
- the first analysis is associated with "wide” among the results of the determination by the determination unit 42e.
- the second analysis is associated with "narrow” among the results of the determination by the determination unit 42e.
- the analysis unit 42c performs the first analysis when the determination unit 42e outputs "wide” as the result of the determination, and performs the second analysis when the determination unit 42e outputs "narrow" as the result of the determination. ..
- the first analysis is, for example, a pick-up analysis for extracting an abnormal part such as a lesion from a captured image.
- the result of the pick-up analysis may be, for example, information such as the number of extracted abnormal parts, or an image in which the abnormal parts are highlighted in the captured image.
- the first analysis may be performed using a trained model of AI obtained by learning based on a large number of samples of a combination of the captured image and the extraction result of the abnormal portion, or may be predetermined with the captured image. It may be done based on an algorithm.
- the second analysis is, for example, a differential analysis that includes at least one analysis of the type of lesion and the degree of lesion at the abnormal site.
- the differential analysis is, for example, information indicating the type of lesion in the abnormal part of the target by a character string or the like, or information indicating the degree of lesion in the abnormal part of the target by numerical value or the like.
- the second analysis may be performed using a trained model of AI obtained by learning based on a large number of samples of a combination of the captured image and the analysis result of the type and degree of the lesion, or the captured image and the pre-existing image. It may be performed based on a predetermined algorithm.
- the analysis unit 42c may perform contour extraction of the captured image as an analysis in parallel with or switched to the above-mentioned pick-up analysis and discrimination analysis. For example, the analysis unit 42c identifies the contour of the biological structure reflected in the image indicated by the captured image information obtained by imaging during irradiation with special light.
- the biological structure of the specific object is, for example, a superficial blood vessel structure, a middle blood vessel structure, a deep blood vessel structure, or the like.
- the analysis by the analysis unit 42c is performed in parallel with the display of the live image.
- the analysis image generation unit 42d generates analysis result image information for displaying the analysis result image indicating the analysis result output from the analysis unit 42c, and displays the generated analysis result image information controller 43 (see FIG. 2). Output to.
- the analysis result image includes an image showing the result of the above-mentioned pick-up analysis, an image showing the result of the discrimination analysis, an IEE image showing the result of contour extraction, and the like.
- the IEE image is an image in which the outline of the structure of the subject is emphasized based on the imaging signal obtained by imaging when irradiating special light such as a blue laser.
- special light such as a blue laser constitutes light for image-enhanced observation.
- the IEE image is an image in which the surface blood vessel structure is emphasized, an image in which the middle layer blood vessel structure is emphasized, an image in which the deep blood vessel structure is emphasized, and the like.
- FIG. 6 is a diagram showing an example of a screen displayed on the display 7 during wide area observation.
- FIG. 7 is a diagram showing an example of a screen displayed on the display 7 during detailed observation.
- the display controller 43 displays, for example, the screen 70 shown in FIGS. 6 and 7 on the display 7 based on the captured image information and the analysis result image information output from the signal processing unit 42.
- the screen 70 includes a main screen 71 and a sub screen 72.
- a live image based on the live image information output from the live image generation unit 42b of the signal processing unit 42 is displayed.
- an analysis result image based on the analysis result image information output from the analysis image generation unit 42d of the signal processing unit 42 is displayed.
- the endoscope device 100 is obtained by imaging a live image based on the captured image information obtained by imaging in the first period irradiated with normal light and by imaging in the second period irradiated with special light.
- the screen 70 including the result of the analysis based on the captured image information and the captured image information is displayed.
- the above-mentioned determination unit 42e determines that the area to be imaged is "wide", and as a result, the analysis unit 42c executes the pick-up analysis. Therefore, as shown in FIG. 6, the result of the pick-up analysis is displayed on the sub screen 72.
- the above-mentioned determination unit 42e determines that the area to be imaged is "narrow", and as a result, the analysis unit 42c executes the discrimination analysis. Therefore, as shown in FIG. 7, the result of the discrimination analysis is displayed on the sub screen 72.
- the endoscope device 100 displays the result on the display 7 of the plurality of types of analysis by switching the analysis to be executed according to the result of determining the size of the image pickup target area in the subject. Switch the analysis to be made.
- the endoscope device 100 performs a plurality of types of analysis in parallel, and the result is displayed on the display 7 among the plurality of types of analysis according to the result of determining the size of the target area for imaging in the subject. You may switch the analysis to display.
- the usage pattern of the analysis result of the analysis unit 42c is not limited to this.
- the analysis result of the analysis unit 42c may be displayed by a display different from the display 7, or may be transmitted to a storage unit of the endoscope device 100 or another device and stored.
- the display controller 43 displays the IEE image output from the signal processing unit 42 as the main screen of the screen 70. It may be displayed on a portion different from the 71 and the sub screen 72, or on a display different from the display 7.
- FIG. 8 is a diagram showing an example of analysis and switching of illumination light in the endoscope device 100.
- the horizontal axis represents time.
- the user of the endoscope device 100 performs the above-mentioned wide-area observation until the time t1 and performs the detailed observation after the time t1.
- the illumination light timing 75 is a timing at which the light source device 5 irradiates the illumination light according to a command from the control device 4.
- the WLI in the illumination light timing 75 is a timing at which the light source device 5 irradiates normal light such as white light as illumination light.
- the IEE 1 at the illumination light timing 75 is the timing at which the light source device 5 irradiates the first special light as the illumination light.
- the IEE2 at the illumination light timing 75 is a timing at which the light source device 5 irradiates a second special light different from the first special light as the illumination light.
- the first special light is special light having the first characteristic (spectrum) suitable for the above-mentioned pick-up analysis (first analysis), and is associated with the pick-up analysis.
- the first special light is illumination light including narrow-band short-wavelength light and white light, and can generate an image captured image in which minute color tone changes are emphasized as compared with illumination light containing only white light. It is the illumination light.
- the first special light is not limited to this, and can be, for example, various illumination lights having characteristics suitable for pick-up analysis.
- the second special light is a special light having a second characteristic suitable for the above-mentioned discrimination analysis (second analysis), and is associated with the discrimination analysis.
- the second special light is illumination light of narrow band short wavelength light, which enables generation of an captured image suitable for observing blood vessels, surface structures, and the like.
- the second special light is not limited to this, and can be, for example, various illumination lights having characteristics suitable for differential analysis.
- the light source device 5 repeatedly executes a predetermined irradiation operation in the period T.
- This irradiation operation is an operation of irradiating normal light and then irradiating special light (first special light or second special light).
- the image pickup timing 76 is a timing at which the image pickup device 23 takes an image (exposure) according to a command from the control device 4.
- the vertical direction at the imaging timing 76 indicates the position of the pixel row 62 in the column direction Y (see FIG. 4).
- the image pickup timing 76 is deviated for each pixel row 62. In the example shown in FIG. 7, the image sensor 23 performs imaging at a frame rate of 60 fps (frames per second).
- the first period in which the light source device 5 continuously irradiates the normal light extends over a plurality of consecutive frames in the image pickup by the image pickup element 23.
- the second period in which the light source device 5 continuously irradiates the special light extends over at least one frame in the image pickup by the image pickup device 23. In the example shown in FIG. 7, the second period extends over a plurality of consecutive frames by the image sensor 23.
- the light source device 5 repeats the operation of continuously irradiating the normal light over a plurality of continuous imaging operation frames and then irradiating the special light. Then, as described above, the control device 4 displays a live image (moving image) on the display 7 based on the captured image obtained when the normal light is irradiated, and is based on the captured image obtained when the special light is irradiated. Perform analysis.
- the control device 4 causes the analysis unit 42c to perform the pick-up analysis until the time t1, and sets the illumination light emitted by the light source device 5 as the first special light.
- the analysis unit 42c can execute the pick-up analysis based on the image pickup frame 76a within the period of irradiation with the first special light suitable for the pick-up analysis, for example.
- the control device 4 causes the analysis unit 42c to execute the discrimination analysis, and sets the illumination light emitted by the light source device 5 as the second special light.
- the analysis unit 42c can execute the differential analysis based on the imaging frames 76b and 76c within the period of irradiation with the second special light suitable for the differential analysis, for example.
- the control device 4 has the illumination lens 50 in addition to the analysis of displaying the result on the display 7 among the plurality of types of analysis according to the result of determining the size of the image pickup target area in the subject.
- the characteristics of the illumination light emitted by the lens are also switched. Thereby, while presenting the analysis result according to the observation situation, the analysis according to the observation situation can be performed with high accuracy by the captured image obtained by the illumination light having appropriate characteristics.
- the control device 4 switches the analysis for displaying the result on the display 7 and the characteristics of the illumination light among the plurality of types of analysis.
- the configuration is not limited to this.
- the control device 4 after the state in which the determination result by the determination unit 42e is "wide", the state in which the determination result by the determination unit 42e is "narrow" continues for a predetermined time (1 second as an example). If this is the case, the above switching may be performed. That is, even if the determination result by the determination unit 42e changes from “wide” to "narrow", the control device 4 described above when the determination result by the determination unit 42e returns to "wide” within a predetermined time. It is not necessary to switch between.
- the control device 4 picks up the determination result when the determination result by the determination unit 42e returns to "wide".
- the result of the analysis may be displayed on the display 7, and the state may be returned to the state in which the light source device 5 is irradiated with the first special light.
- the determination unit 42e determines the size of the imaging target area in two stages of "wide” and “narrow” has been described, but the determination unit 42e determines the size of the imaging target area in three or more stages. May be good.
- the control device 4 may switch the characteristics of the analysis and the illumination light for displaying the result on the display 7 in three or more ways according to the determination result of three or more stages by the determination unit 42e.
- the determination unit 42e is provided in the captured image information generation unit 42a, and the high second position for determining the size of the target area for imaging based on the captured image information generated by the captured image information generation unit 42a has been described.
- the position where the unit 42e is provided and the determination method by the determination unit 42e are not limited to this.
- the determination unit 42e acquires information indicating the current angle of view of the objective lens 21 or the lens group 22, and uses the acquired information to perform imaging.
- the size of the target area may be determined.
- the determination unit 42e measures with the measuring device.
- Information indicating the result may be acquired, and the acquired information may be used to determine the size of the image pickup target area. As an example, if the measured distance is equal to or greater than the threshold value, the area to be imaged is determined to be "wide", and if the measured distance is less than the threshold value, the area to be imaged is wide. Is determined to be "narrow".
- the endoscope device 100 controls to correct the intensity of the illumination light emitted by the light source device 5 so that the brightness of the obtained captured image is within a predetermined range, it is determined.
- the unit 42e may acquire information indicating the result of this correction and use the acquired information to determine the size of the imaging target area.
- the intensity of the illumination light emitted by the light source device 5 is controlled to be relatively high so as to maintain the brightness of the captured image.
- the tip of the endoscope 1 is close to the inner surface of the subject, so that the illumination light easily reaches the inner surface of the subject. Therefore, the intensity of the illumination light emitted by the light source device 5 is controlled to be relatively low so as to maintain the brightness of the captured image.
- the determination unit 42e determines that the area to be imaged is "wide", and the illumination device 5 irradiates the illumination. If the light intensity is less than the threshold value, the area to be imaged is determined to be "narrow".
- the determination unit 42e may determine the size of the target area for imaging by using at least two determination methods in combination among the above determination methods.
- the analysis of the presence or absence of the abnormal portion by the analysis unit 42c is, for example, the detection of the region of interest in the subject into which the endoscope 1 is inserted.
- the analysis unit 42c detects a region of interest in the subject from the image indicated by the captured image information obtained by imaging during irradiation with special light.
- the region of interest is, for example, an abnormal region such as an region that is likely to be a lesion, and is an region of interest in the observation in the subject that is recommended for attention.
- the analysis image generation unit 42d provides image information for displaying an image with emphasis on the region of interest detected by the analysis unit 42c in the image indicated by the captured image information obtained by imaging during irradiation with special light. Generate. As a result, the region-focused image is displayed on the sub-screen 72, and the operator of the endoscope 1 can easily recognize the region of interest in the subject.
- the analysis image generation unit 42d expands the color difference between the abnormal part (lesion part or the like) and the normal part, which is the region of interest, in the image indicated by the captured image information obtained by imaging during irradiation with special light. Image information for displaying the color difference expansion image that has undergone the color difference expansion processing may be generated. As a result, the color difference expanded image is displayed on the sub screen 72, and the operator of the endoscope 1 can easily distinguish between the abnormal part and the normal part in the subject.
- the analysis for analyzing the abnormal part by the analysis unit 42c may include, for example, selection of similar case images.
- the analysis unit 42c selects a case image similar to the captured image information obtained by imaging during irradiation with special light by searching a database accessible to the endoscope device 100.
- the analysis image generation unit 42d generates image information for displaying an image showing the result of selection by the analysis unit 42c.
- the result of selection by the analysis unit 42c may be the case image itself selected by the analysis unit 42c, or the case image associated with the case image selected by the analysis unit 42c in the above database. It may be information such as a diagnosis result regarding.
- the selection result of the similar case image is displayed on the sub screen 72, and the operator of the endoscope 1 can easily compare the state in the subject under observation with the similar case.
- the analysis for analyzing the abnormal part by the analysis unit 42c may include discrimination between a tumor and a non-tumor.
- the analysis unit 42c determines whether or not the biological region reflected in the image indicated by the image captured image information obtained by imaging during irradiation with special light is a tumor.
- the analysis image generation unit 42d generates image information for displaying an image showing the result of discrimination by the analysis unit 42c.
- the result of discrimination by the analysis unit 42c may be information indicating whether or not the biological region reflected in the most recently captured image is a tumor, or it may be a tumor after the current examination is started. It may be information indicating the number of biological regions determined to be present.
- the discrimination result of the tumor and the non-tumor is displayed on the sub screen 72, and it is possible to support the observation by the operator of the endoscope 1 and the operation of the endoscope 1.
- the analysis for analyzing the abnormal part by the analysis unit 42c may include the identification of the state of the organ.
- the analysis unit 42c identifies the state of the organs reflected in the image indicated by the captured image information obtained by imaging during irradiation with special light.
- the state of the organ is, for example, the oxygen saturation for each region, the thickness, density, pattern, and uniformity of the vascular structure, the surface structure of the large intestine (for example, pit-like structure), the surface structure of the duodenum (for example, villous structure), and the like.
- the analysis image generation unit 42d generates image information for displaying an image showing a specific result by the analysis unit 42c.
- the analysis image generation unit 42d generates an oxygen saturation image that images the oxygen saturation for each specified region.
- the identification result of the state of the organ is displayed on the sub screen 72, and it is possible to support the observation by the operator of the endoscope 1 and the operation of the endoscope 1.
- the analysis for analyzing the abnormal part by the analysis unit 42c may include the generation of the planned separation line.
- the analysis unit 42c is scheduled to be cut off, which is a line to be cut off in order to remove a tumor or the like from the biological region reflected in the image indicated by the captured image information obtained by imaging during irradiation with special light. Determine the line (demarkation line).
- the analysis image generation unit 42d generates image information for displaying an image with a scheduled separation line determined by the analysis unit 42c in the image indicated by the captured image information obtained by imaging during irradiation with special light. do. As a result, the image with the scheduled separation line is displayed on the sub screen 72, and the operator of the endoscope 1 can easily recognize the scheduled separation line in the subject.
- the configuration in which the lengths of the first period of irradiating normal light and the second period of irradiating special light are constant in the repetition of each cycle T has been described, but the first period of irradiating normal light and The length of each of the second periods of irradiating the special light may not be constant (or indefinite) in the repetition of each cycle T.
- the ratio of the lengths of the first period and the second period in one cycle T is 3: 1, and the ratio of the lengths of the first period and the second period in the other cycle T is 3. : 2 may be used.
- the cycle T which is the repeating cycle of the operation of irradiating the normal light and the special light
- the cycle T may be indefinite.
- the cycle T the configuration in which the normal light is first irradiated and then the special light is irradiated has been described, but in the cycle T, the special light may be first irradiated and then the normal light may be irradiated.
- the spectrum of normal light may be constant at the repetition of each cycle T, or may be indefinite at the repetition of each cycle T.
- spectrum of the special light may be constant at the repetition of each period T or may be indefinite at the repetition of each period T.
- the configuration in which the second period of irradiating the special light is immediately after the first period of irradiating the normal light has been described, but the light source device 5 is used between the first period and the second period. There may be a non-irradiation period in which the illumination light is not applied.
- the endoscope device 100 has been described as an example of the endoscope system of the present invention, the endoscope system of the present invention may be realized by a plurality of devices connected to each other via a network. For example, at least a part of the processing by the control device 4 may be executed by another device connected to the endoscope device 100 via a network.
- Control program The control program stored in the ROM of the control device 4 is stored in a computer-readable non-transitory storage medium.
- a "computer-readable storage medium” includes, for example, an optical medium such as a CD-ROM (Compact Disc-ROM), a magnetic storage medium such as a USB (Universal Serial Bus) memory, or a memory card. Also, such a program, It can also be provided by downloading over the network.
- a light source that can switch between multiple types of illumination light with different characteristics and illuminate
- a display that can switch and display the results of multiple types of analysis based on the captured image obtained by imaging using the above illumination light, and Depending on the result of determining the size of the area to be imaged in the subject, the analysis of displaying the result on the display among the plurality of types of analysis and the characteristic of the illumination light emitted by the light source are switched.
- the processor Endoscopic system with.
- the endoscopic system described The plurality of types of analysis include a first analysis for determining the presence or absence of an abnormal portion based on the captured image and a second analysis for analyzing the abnormal portion based on the captured image.
- the above processor When the area of the target area is the first area, the result of the first analysis is displayed. When the area of the target area is a second area narrower than the first area, the result of the second analysis is displayed. Endoscopic system.
- the endoscopic system according to any one of (1) and (2).
- the plurality of types of analysis include a first analysis and a second analysis that are different from each other.
- the above processor When the area of the target area is the first area, the result of the first analysis is displayed, and the characteristic of the illumination light is set as the characteristic associated with the first analysis. When the area of the target area is a second area narrower than the first area, the result of the second analysis is displayed, and the characteristics of the illumination light are associated with the second analysis. Characteristic Endoscopic system.
- the endoscopic system according to any one of (1) to (3).
- the light source continuously irradiates the illumination light of the first characteristic in the first period over a plurality of consecutive imaging operation frames, and then in the second period over at least one imaging operation frame. Repeat the operation of irradiating the illumination light with the second characteristic, which is different from the characteristic,
- the plurality of types of analysis are performed based on the captured image obtained by the imaging in the second period.
- the processor switches the characteristics of the illumination light in the second period according to the result of determining the size of the target area. Endoscopic system.
- the endoscopic system described above The processor displays a moving image based on the captured image obtained by the imaging in the first period on the display or a display different from the display. Endoscopic system.
- the endoscopic system according to (4) or (5) The illumination light of the first characteristic is white light, and the illumination light of the second characteristic is light for image enhancement observation. Endoscopic system.
- the endoscopic system according to any one of (4) to (6).
- the lengths of the first period and the second period are constant in the repetition of the operation or indefinite in the repetition of the operation. Endoscopic system.
- the endoscopic system according to any one of (4) to (7).
- the spectra of the illumination light of the first characteristic and the illumination light of the second characteristic are constant in the repetition of the operation, or indefinite in the repetition of the operation. Endoscopic system.
- the endoscopic system according to any one of (4) to (9).
- the first period is longer than the second period, Endoscopic system.
- the endoscopic system according to any one of (1) to (11).
- the processor determines the size of the target area for imaging by using the captured image. Endoscopic system.
- the endoscopic system according to any one of (1) to (12).
- the above imaging is performed by an optical system with a variable angle of view.
- the processor determines the size of the target area for imaging by using the angle of view of the optical system. Endoscopic system.
- the endoscopic system according to any one of (1) to (13).
- the processor determines the size of the image pickup target area by using the measurement result of the distance between the tip of the endoscope having the image pickup element for performing the image pickup and the image pickup target. Endoscopic system.
- the endoscopic system according to any one of (1) to (13).
- the intensity of the illumination light emitted by the light source is corrected according to the distance between the tip of the endoscope having the image sensor that performs the image pickup and the object to be imaged.
- the processor determines the size of the target area for imaging by using the result of the correction of the intensity. Endoscopic system.
- the analysis of the presence or absence of the abnormal portion includes the detection of the region of interest in the subject into which the endoscope including the image sensor for performing the imaging is inserted. Endoscopic system.
- the analysis of the abnormal site includes analysis of at least one of the type of lesion and the degree of lesion at the abnormal site. Endoscopic system.
- a light source capable of switching and irradiating a plurality of types of illumination light having different characteristics
- a display capable of switching and displaying the results of a plurality of types of analysis based on an image captured by imaging using the above illumination light
- a processor It is a control method of the endoscopic system provided.
- the above processor Depending on the result of determining the size of the area to be imaged in the subject, the analysis of displaying the result on the display among the plurality of types of analysis and the characteristic of the illumination light emitted by the light source are switched. , Control method.
- An endoscope including a light source capable of switching and irradiating a plurality of types of illumination light having different characteristics, and a display capable of switching and displaying the results of a plurality of types of analysis based on an image captured by imaging using the illumination light.
- a control program for the mirror system Depending on the result of determining the size of the area to be imaged in the subject, the analysis of displaying the result on the display among the plurality of types of analysis and the characteristic of the illumination light emitted by the light source are switched. , A control program that lets a computer perform processing.
- an endoscope system a control method, and a control program capable of presenting highly accurate analysis results according to an observation situation.
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Abstract
Description
<本発明の一実施形態である内視鏡装置100>
図1は、本発明の一実施形態である内視鏡装置100の一例を示す図である。
図2は、図1に示す内視鏡装置100の内部構成を示す模式図である。図3は、図2に示した光源装置5が発生させる光のスペクトルの一例を示す図である。
図4は、図2に示した撮像素子23の概略構成を示す平面模式図である。
図5は、図2に示した信号処理部42のシステム制御部44の機能ブロックの一例を示す図である。
図6は、広域観察時にディスプレイ7に表示される画面の一例を示す図である。図7は、詳細観察時にディスプレイ7に表示される画面の一例を示す図である。
図8は、内視鏡装置100における解析及び照明光の切り替えの一例を示す図である。
ローリングシャッタ方式の撮像素子23を用いる構成について説明したが、グローバルシャッタ方式の撮像素子23を用いる構成としてもよい。
判定部42eが撮像の対象エリアの広さを「広い」及び「狭い」の2段階で判定する構成について説明したが、判定部42eが撮像の対象エリアの広さを3段階以上で判定してもよい。この場合に、制御装置4は、判定部42eによる3段階以上の判定結果に応じて、ディスプレイ7に結果を表示させる解析及び照明光の特性を3通り以上に切り替えてもよい。
また、判定部42eが撮像画像情報生成部42aに設けられ、撮像画像情報生成部42aにおいて生成された撮像画像情報に基づいて撮像の対象エリアの広さを判定する高二位について説明したが、判定部42eを設ける位置や判定部42eによる判定方法はこれに限らない。
また、内視鏡1の先端に、撮像素子23による撮像の対象(被検体内の内表面)との距離を測定する測定器が設けられている場合、判定部42eは、その測定器による測定結果を示す情報を取得し、取得した情報を用いて、撮像の対象エリアの広さを判定してもよい。一例としては、測定された上記の距離が閾値以上であれば撮像の対象エリアの広さを「広い」と判定し、測定された上記の距離が閾値未満であれば撮像の対象エリアの広さを「狭い」と判定する。
また、内視鏡装置100において、得られる撮像画像の明るさが予め定められた範囲の明るさになるように、光源装置5が照射する照明光の強度を補正する制御が行われる場合、判定部42eは、この補正の結果を示す情報を取得し、取得した情報を用いて、撮像の対象エリアの広さを判定してもよい。
また、判定部42eは、上記の各判定方法のうち少なくとも2つの判定方法を組み合わせて用いて、撮像の対象エリアの広さを判定してもよい。
解析部42cによる異常個所の有無の解析は、例えば、内視鏡1が挿入された被検体内の注目領域の検出である。例えば、解析部42cは、特殊光の照射時の撮像により得られた撮像画像情報が示す画像から、被検体内の注目領域を検出する。注目領域は、例えば、病変である可能性が高い領域などの異常個所であり、被検体内の観察のうち注目が推奨される領域である。解析画像生成部42dは、特殊光の照射時の撮像により得られた撮像画像情報が示す画像において、解析部42cにより検出された注目領域を強調した注目領域強調画像を表示するための画像情報を生成する。これにより、注目領域強調画像がサブ画面72に表示され、内視鏡1の操作者は、被検体内における注目領域を容易に認識できる。又は、解析画像生成部42dは、特殊光の照射時の撮像により得られた撮像画像情報が示す画像において、注目領域である異常部(病変部など)と正常部との色の差を拡張する色差拡張処理を行った色差拡張画像を表示するための画像情報を生成してもよい。これにより、色差拡張画像がサブ画面72に表示され、内視鏡1の操作者は、被検体内における異常部と正常部を容易に見分けることができる。
解析部42cによる異常個所を分析する解析は、例えば、類似症例画像の選択を含んでもよい。例えば、解析部42cは、特殊光の照射時の撮像により得られた撮像画像情報と類似する症例画像を、内視鏡装置100がアクセス可能なデータベースを検索することにより選択する。解析画像生成部42dは、解析部42cによる選択の結果を示す画像を表示するための画像情報を生成する。解析部42cによる選択の結果とは、解析部42cが選択した症例画像そのものであってもよいし、解析部42cが選択した症例画像に対して上記のデータベースにおいて対応付けられている、その症例画像に関する診断結果等の情報であってもよい。これにより、類似症例画像の選択結果がサブ画面72に表示され、内視鏡1の操作者は、観察中の被検体内の状態と、類似症例との比較を容易に行うことができる。
通常光を照射する第1の期間及び特殊光を照射する第2の期間の各長さが、周期Tごとの繰り返しにおいて一定である構成について説明したが、通常光を照射する第1の期間及び特殊光を照射する第2の期間の各長さが、周期Tごとの繰り返しにおいて一定でなくても(不定であっても)よい。例えば、ある周期Tにおける第1の期間及び第2の期間の各長さの比が3:1であり、他の周期Tにおける第1の期間及び第2の期間の各長さの比が3:2であってもよい。
本発明の内視鏡システムの一例として内視鏡装置100を説明したが、本発明の内視鏡システムは、ネットワークを介して互いに接続される複数の装置によって実現されてもよい。例えば、上記の制御装置4による処理の少なくとも一部を、内視鏡装置100とネットワークを介して接続される他の装置により実行する構成としてもよい。
制御装置4のROMに記憶される制御プログラムは、プログラムをコンピュータが読取可能な一時的でない(non-transitory)記憶媒体に記憶される。このような「コンピュータ読取可能な記憶媒体」は、例えば、CD-ROM(Compact Disc-ROM)等の光学媒体や、USB(Universal Serial Bus)メモリ又はメモリカード等の磁気記憶媒体等を含む。また、このようなプログラムを、
ネットワークを介したダウンロードによって提供することもできる。
特性が異なる複数種類の照明光を切り替えて照射可能な光源と、
上記照明光を用いた撮像により得られる撮像画像に基づく複数種類の解析の結果を切り替えて表示可能なディスプレイと、
被検体内における上記撮像の対象エリアの広さを判定した結果に応じて、上記複数種類の解析のうち上記ディスプレイに結果を表示させる解析と、上記光源が照射する照明光の特性と、を切り替えるプロセッサと、
を備える内視鏡システム。
(1)記載の内視鏡システムであって、
上記複数種類の解析は、上記撮像画像に基づいて異常個所の有無を判別する第1の解析と、上記撮像画像に基づいて異常個所を分析する第2の解析と、を含み、
上記プロセッサは、
上記対象エリアの広さが第1の広さである場合、上記第1の解析の結果を表示させ、
上記対象エリアの広さが上記第1の広さより狭い第2の広さである場合、上記第2の解析の結果を表示させる、
内視鏡システム。
(1)又は(2)のいずれか1つに記載の内視鏡システムであって、
上記複数種類の解析は、互いに異なる第1の解析と第2の解析とを含み、
上記プロセッサは、
上記対象エリアの広さが第1の広さである場合、上記第1の解析の結果を表示させ、上記照明光の特性を上記第1の解析と対応付けられた特性とし、
上記対象エリアの広さが上記第1の広さより狭い第2の広さである場合、上記第2の解析の結果を表示させ、上記照明光の特性を上記第2の解析と対応付けられた特性とする、
内視鏡システム。
(1)から(3)のいずれか1つに記載の内視鏡システムであって、
上記光源は、連続した複数の撮像動作フレームに渡る第1の期間に第1の特性の照明光を連続して照射した後、少なくとも1つの撮像動作フレームに渡る第2の期間に上記第1の特性と異なる第2の特性の照明光を照射する動作を繰り返し、
上記複数種類の解析は、上記第2の期間の上記撮像により得られる上記撮像画像に基づいて行われ、
上記プロセッサは、上記対象エリアの広さを判定した結果に応じて、上記第2の期間における上記照明光の特性を切り替える、
内視鏡システム。
(4)記載の内視鏡システムであって、
上記プロセッサは、上記第1の期間の上記撮像により得られる撮像画像に基づく動画を、上記ディスプレイ、又は上記ディスプレイと異なるディスプレイに表示させる、
内視鏡システム。
(4)又は(5)記載の内視鏡システムであって、
上記第1の特性の照明光は白色光であり、上記第2の特性の照明光は画像強調観察用の光である、
内視鏡システム。
(4)から(6)のいずれか1つに記載の内視鏡システムであって、
上記第1の期間及び上記第2の期間の各長さは、上記動作の繰り返しにおいて一定であり、又は上記動作の繰り返しにおいて不定である、
内視鏡システム。
(4)から(7)のいずれか1つに記載の内視鏡システムであって、
上記第1の特性の照明光及び上記第2の特性の照明光のスペクトルは、上記動作の繰り返しにおいて一定であり、又は上記動作の繰り返しにおいて不定である、
内視鏡システム。
(4)から(8)のいずれか1つに記載の内視鏡システムであって、
上記第1の期間と上記第2の期間との間に上記光源の無照射期間がある、
内視鏡システム。
(4)から(9)のいずれか1つに記載の内視鏡システムであって、
上記第1の期間は上記第2の期間より長い期間である、
内視鏡システム。
(1)から(10)のいずれか1つに記載の内視鏡システムであって、
上記プロセッサは、上記対象エリアの広さが第1の広さである状態の後、上記対象エリアの広さが上記第1の広さより狭い第2の広さである状態が予め定められた時間以上継続すると、上記複数種類の解析のうち上記ディスプレイに結果を表示させる解析と、上記光源が照射する照明光の特性と、を切り替える、
内視鏡システム。
(1)から(11)のいずれか1つに記載の内視鏡システムであって、
上記プロセッサは、上記撮像の対象エリアの広さを、上記撮像画像を用いて判定する、
内視鏡システム。
(1)から(12)のいずれか1つに記載の内視鏡システムであって、
上記撮像は、画角が可変の光学系により行われ、
上記プロセッサは、上記撮像の対象エリアの広さを、上記光学系の画角を用いて判定する、
内視鏡システム。
(1)から(13)のいずれか1つに記載の内視鏡システムであって、
上記プロセッサは、上記撮像の対象エリアの広さを、上記撮像を行う撮像素子を有する内視鏡の先端と、上記撮像の対象と、の間の距離の測定結果を用いて判定する、
内視鏡システム。
(1)から(13)のいずれか1つに記載の内視鏡システムであって、
上記撮像を行う撮像素子を有する内視鏡の先端と、上記撮像の対象と、の間の距離に応じて、上記光源が照射する照明光の強度の補正が行われ、
上記プロセッサは、上記撮像の対象エリアの広さを、上記強度の補正の結果を用いて判定する、
内視鏡システム。
(2)記載の内視鏡システムであって、
上記異常個所の有無の解析は、上記撮像を行う撮像素子を備える内視鏡が挿入された被検体内の注目領域の検出を含む、
内視鏡システム。
(2)記載の内視鏡システムであって、
上記異常個所の分析は、上記異常個所における、病変の種類及び病変の程度の少なくともいずれかの分析を含む、
内視鏡システム。
(2)記載の内視鏡システムであって、
上記異常個所の分析は、類似症例画像の選択を含む、
内視鏡システム。
(2)記載の内視鏡システムであって、
上記異常個所の分析は、腫瘍及び非腫瘍の判別を含む、
内視鏡システム。
(2)記載の内視鏡システムであって、
上記異常個所の分析は、器官の状態の特定を含む、
内視鏡システム。
(2)記載の内視鏡システムであって、
上記異常個所の分析は、切離予定線の生成を含む、
内視鏡システム。
(1)から(20)のいずれか1つに記載の内視鏡システムであって、
上記撮像は、ローリングシャッタ方式の撮像素子により行われる、
内視鏡システム。
(1)から(21)のいずれか1つに記載の内視鏡システムであって、
上記撮像は、グローバルシャッタ方式の撮像素子により行われる、
内視鏡システム。
特性が異なる複数種類の照明光を切り替えて照射可能な光源と、上記照明光を用いた撮像により得られる撮像画像に基づく複数種類の解析の結果を切り替えて表示可能なディスプレイと、プロセッサと、を備える内視鏡システムの制御方法であって、
上記プロセッサが、
被検体内における上記撮像の対象エリアの広さを判定した結果に応じて、上記複数種類の解析のうち上記ディスプレイに結果を表示させる解析と、上記光源が照射する照明光の特性と、を切り替える、
制御方法。
特性が異なる複数種類の照明光を切り替えて照射可能な光源と、上記照明光を用いた撮像により得られる撮像画像に基づく複数種類の解析の結果を切り替えて表示可能なディスプレイと、を備える内視鏡システムの制御プログラムであって、
被検体内における上記撮像の対象エリアの広さを判定した結果に応じて、上記複数種類の解析のうち上記ディスプレイに結果を表示させる解析と、上記光源が照射する照明光の特性と、を切り替える、
処理をコンピュータに実行させるための制御プログラム。
4 制御装置
5 光源装置
6 入力部
7 ディスプレイ
10 挿入部
10A 軟性部
10B 湾曲部
10C 先端部
11 操作部
12 アングルノブ
13 ユニバーサルコード
13A コネクタ部
13B コネクタ部13A
21 対物レンズ
22 レンズ群
23 撮像素子
25 メモリ
26,41 通信I/F
27 撮像駆動部
42 信号処理部
42a 撮像画像情報生成部
42b ライブ画像生成部
42c 解析部
42d 解析画像生成部
42e 判定部
43 表示コントローラ
44 システム制御部
45 記録媒体
50 照明用レンズ
51 光源用プロセッサ
52 光源部
52a V-LED
52b B-LED
52c G-LED
52d R-LED
53 ライトガイド
54 光路結合部
60 撮像面
61 画素
62 画素行
63 駆動回路
64 信号処理回路
70 画面
71 メイン画面
72 サブ画面
75 照明光タイミング
76 撮像タイミング
76a,76b,76c 撮像フレーム
100 内視鏡装置
t1 時刻
Claims (25)
- 特性が異なる複数種類の照明光を切り替えて照射可能な光源と、
前記照明光を用いた撮像により得られる撮像画像に基づく複数種類の解析の結果を切り替えて表示可能なディスプレイと、
被検体内における前記撮像の対象エリアの広さを判定した結果に応じて、前記複数種類の解析のうち前記ディスプレイに結果を表示させる解析と、前記光源が照射する照明光の特性と、を切り替えるプロセッサと、
を備える内視鏡システム。 - 請求項1記載の内視鏡システムであって、
前記複数種類の解析は、前記撮像画像に基づいて異常個所の有無を判別する第1の解析と、前記撮像画像に基づいて異常個所を分析する第2の解析と、を含み、
前記プロセッサは、
前記対象エリアの広さが第1の広さである場合、前記第1の解析の結果を表示させ、 前記対象エリアの広さが前記第1の広さより狭い第2の広さである場合、前記第2の解析の結果を表示させる、
内視鏡システム。 - 請求項1又は2のいずれか1項記載の内視鏡システムであって、
前記複数種類の解析は、互いに異なる第1の解析と第2の解析とを含み、
前記プロセッサは、
前記対象エリアの広さが第1の広さである場合、前記第1の解析の結果を表示させ、前記照明光の特性を前記第1の解析と対応付けられた特性とし、
前記対象エリアの広さが前記第1の広さより狭い第2の広さである場合、前記第2の解析の結果を表示させ、前記照明光の特性を前記第2の解析と対応付けられた特性とする、 内視鏡システム。 - 請求項1から3のいずれか1項記載の内視鏡システムであって、
前記光源は、連続した複数の撮像動作フレームに渡る第1の期間に第1の特性の照明光を連続して照射した後、少なくとも1つの撮像動作フレームに渡る第2の期間に前記第1の特性と異なる第2の特性の照明光を照射する動作を繰り返し、
前記複数種類の解析は、前記第2の期間の前記撮像により得られる前記撮像画像に基づいて行われ、
前記プロセッサは、前記対象エリアの広さを判定した結果に応じて、前記第2の期間における前記照明光の特性を切り替える、
内視鏡システム。 - 請求項4記載の内視鏡システムであって、
前記プロセッサは、前記第1の期間の前記撮像により得られる撮像画像に基づく動画を、前記ディスプレイ、又は前記ディスプレイと異なるディスプレイに表示させる、
内視鏡システム。 - 請求項4又は5記載の内視鏡システムであって、
前記第1の特性の照明光は白色光であり、前記第2の特性の照明光は画像強調観察用の光である、
内視鏡システム。 - 請求項4から6のいずれか1項記載の内視鏡システムであって、
前記第1の期間及び前記第2の期間の各長さは、前記動作の繰り返しにおいて一定であり、又は前記動作の繰り返しにおいて不定である、
内視鏡システム。 - 請求項4から7のいずれか1項記載の内視鏡システムであって、
前記第1の特性の照明光及び前記第2の特性の照明光のスペクトルは、前記動作の繰り返しにおいて一定であり、又は前記動作の繰り返しにおいて不定である、
内視鏡システム。 - 請求項4から8のいずれか1項記載の内視鏡システムであって、
前記第1の期間と前記第2の期間との間に前記光源の無照射期間がある、
内視鏡システム。 - 請求項4から9のいずれか1項記載の内視鏡システムであって、
前記第1の期間は前記第2の期間より長い期間である、
内視鏡システム。 - 請求項1から10のいずれか1項記載の内視鏡システムであって、
前記プロセッサは、前記対象エリアの広さが第1の広さである状態の後、前記対象エリアの広さが前記第1の広さより狭い第2の広さである状態が予め定められた時間以上継続すると、前記複数種類の解析のうち前記ディスプレイに結果を表示させる解析と、前記光源が照射する照明光の特性と、を切り替える、
内視鏡システム。 - 請求項1から11のいずれか1項記載の内視鏡システムであって、
前記プロセッサは、前記撮像の対象エリアの広さを、前記撮像画像を用いて判定する、 内視鏡システム。 - 請求項1から12のいずれか1項記載の内視鏡システムであって、
前記撮像は、画角が可変の光学系により行われ、
前記プロセッサは、前記撮像の対象エリアの広さを、前記光学系の画角を用いて判定する、
内視鏡システム。 - 請求項1から13のいずれか1項記載の内視鏡システムであって、
前記プロセッサは、前記撮像の対象エリアの広さを、前記撮像を行う撮像素子を有する内視鏡の先端と、前記撮像の対象と、の間の距離の測定結果を用いて判定する、
内視鏡システム。 - 請求項1から13のいずれか1項記載の内視鏡システムであって、
前記撮像を行う撮像素子を有する内視鏡の先端と、前記撮像の対象と、の間の距離に応じて、前記光源が照射する照明光の強度の補正が行われ、
前記プロセッサは、前記撮像の対象エリアの広さを、前記強度の補正の結果を用いて判定する、
内視鏡システム。 - 請求項2記載の内視鏡システムであって、
前記異常個所の有無の解析は、前記撮像を行う撮像素子を備える内視鏡が挿入された被検体内の注目領域の検出を含む、
内視鏡システム。 - 請求項2記載の内視鏡システムであって、
前記異常個所の分析は、前記異常個所における、病変の種類及び病変の程度の少なくともいずれかの分析を含む、
内視鏡システム。 - 請求項2記載の内視鏡システムであって、
前記異常個所の分析は、類似症例画像の選択を含む、
内視鏡システム。 - 請求項2記載の内視鏡システムであって、
前記異常個所の分析は、腫瘍及び非腫瘍の判別を含む、
内視鏡システム。 - 請求項2記載の内視鏡システムであって、
前記異常個所の分析は、器官の状態の特定を含む、
内視鏡システム。 - 請求項2記載の内視鏡システムであって、
前記異常個所の分析は、切離予定線の生成を含む、
内視鏡システム。 - 請求項1から20のいずれか1項記載の内視鏡システムであって、
前記撮像は、ローリングシャッタ方式の撮像素子により行われる、
内視鏡システム。 - 請求項1から21のいずれか1項記載の内視鏡システムであって、
前記撮像は、グローバルシャッタ方式の撮像素子により行われる、
内視鏡システム。 - 特性が異なる複数種類の照明光を切り替えて照射可能な光源と、前記照明光を用いた撮像により得られる撮像画像に基づく複数種類の解析の結果を切り替えて表示可能なディスプレイと、プロセッサと、を備える内視鏡システムの制御方法であって、
前記プロセッサが、
被検体内における前記撮像の対象エリアの広さを判定した結果に応じて、前記複数種類の解析のうち前記ディスプレイに結果を表示させる解析と、前記光源が照射する照明光の特性と、を切り替える、
制御方法。 - 特性が異なる複数種類の照明光を切り替えて照射可能な光源と、前記照明光を用いた撮像により得られる撮像画像に基づく複数種類の解析の結果を切り替えて表示可能なディスプレイと、を備える内視鏡システムの制御プログラムであって、
被検体内における前記撮像の対象エリアの広さを判定した結果に応じて、前記複数種類の解析のうち前記ディスプレイに結果を表示させる解析と、前記光源が照射する照明光の特性と、を切り替える、
処理をコンピュータに実行させるための制御プログラム。
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| EP4119999A1 (en) | 2023-01-18 |
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