WO2007135828A1 - Medical image interpretation system - Google Patents

Abstract

An interpretation image is selectable from medical images to prevent unnecessary image interpretation. A medical image interpretation system (100) stores image data on a medical image captured by a modality (30) in a PACS (40). An examination doctor terminal (50) is used by an examination doctor examining a patient to select an interpretation image from medical images stored in a PACS (40) and transmit interpretation order information on the selected interpretation image to an interpretation doctor terminal (60). The interpretation doctor terminal (60) is used by an interpretation doctor to interpret the interpretation image which the examination doctor requests to interpret. The interpretation doctor terminal (60) reads the interpretation image from the PACS (40) according to the interpretation order information transmitted from the examination doctor terminal (50) and transmits interpretation report information on the read interpretation image to the examination doctor terminal (50).

Description

 Specification

 Interpretation system

 Technical field

 The present invention relates to an interpretation system for interpreting a medical image obtained by imaging.

 Background art

 [0002] Conventionally, interpretation of medical images has been performed using film and shear casten. In recent years, medical images are stored as electronic data and can be referenced using a general PC (Personal Computer). It is changing to the shared data. Interpretation of medical images requires specialized knowledge and experience, and is often performed by specialists who interpret medical images (hereinafter referred to as “interpretators”). In the current system, after the radiographer interprets the medical image taken, the doctor examines the patient's medical condition comprehensively using the inspection result, palpation, and other test results in addition to the result of the radiology interpretation. It has become. The interpretation request from the examining doctor to the interpretation doctor is transmitted as an “interpretation order” (see, for example, Patent Document 1).

 Patent Document 1: JP-A-2006-79516

 Disclosure of the invention

 Problems to be solved by the invention

[0003] However, in the current system, the interpretation order is transmitted in the form of being added to the imaging order for instructing the imaging of the patient, so whether or not to request the interpretation in advance when requesting imaging. The power had to be determined. However, as a result, it is difficult to judge whether or not an interpretation by an interpreting physician is necessary before taking an image. As a result, there are cases where an interpretation order is issued for every image. In addition, the time limit for interpretation was often set as “urgent interpretation”. For this reason, there are many images that need to be urgently interpreted even though there is no need for interpretation. In addition, when requesting interpretation after the image was taken, the only way to change the order was.

[0004] The present invention has been made in view of the above problems in the prior art, and is unnecessary by enabling selection of an image to be interpreted from among a plurality of medical images. The problem is to prevent interpretation.

 Means for solving the problem

 In order to solve the above problem, according to a first aspect of the present invention, an image interpretation system is stored in an image storage unit that stores a plurality of medical images obtained by imaging, and the image storage unit. The medical doctor side terminal device that selects the image to be interpreted from among the medical images to be interpreted and transmits the interpretation order information related to the selected image to be interpreted, and the interpretation order transmitted from the medical doctor side terminal device An interpretation doctor side terminal device that reads out the interpretation target image from the image storage unit based on the information, and transmits interpretation report information for the read interpretation target image to the medical doctor side terminal device.

 [0006] Further, the medical doctor side terminal device includes a reading unit that reads a medical image stored in the image storage unit, a display unit that displays the read medical image on a screen, and the display Selecting means for selecting an image to be interpreted from among the medical images thus obtained, interpretation order information generating means for generating interpretation order information relating to the selected image to be interpreted, and the generated interpretation order It is preferable that the information processing apparatus further includes a transmission unit that transmits information to the radiology interpreting doctor terminal.

 [0007] Further, the medical doctor side terminal device includes an input unit for inputting memo information, and the transmission unit transmits the input memo information together with the image interpretation order information to the image interpretation doctor side terminal device. It is preferable to transmit.

 [0008] In addition, the interpretation doctor side terminal device receives the interpretation order information transmitted from the medical doctor side terminal device, and the interpretation target image based on the received interpretation order information. Read means for reading from the image storage means, display means for displaying the read image to be interpreted on the screen, input means for inputting interpretation result information for the displayed image to be interpreted, It is preferable to include interpretation report information generation means for generating interpretation report information based on the input interpretation result information, and transmission means for transmitting the generated interpretation report information to the medical doctor side terminal device.

[0009] According to a second aspect of the present invention, there is provided an image interpretation system comprising an image storage means for storing a plurality of medical images obtained by imaging, a doctor's side terminal device, and a radiology doctor side terminal device. The medical doctor side terminal device reads a medical image stored in the image storage unit, and displays a medical image read by the first reading unit on a screen. 1 display means, selection means for selecting an image to be interpreted from among the medical images displayed on the first display means, and interpretation order information relating to the selected interpretation target image is generated. Interpretation order information generation means; and first transmission means for transmitting the generated interpretation order information to the interpretation doctor-side terminal device.

The interpretation doctor-side terminal device receives the interpretation order information transmitted from the examination doctor-side terminal device, and reads a medical image stored in the image storage unit.

2 Based on the received interpretation order information, the readout means, the second display means, and the medical image read by the second readout means are converted into the interpretation target image and the medical image other than the interpretation target image. Display control means for displaying on the screen of the second display means in an identifiable manner, input means for inputting interpretation result information for the interpretation target image displayed on the second display means, and the input Interpretation report information generating means for generating interpretation report information based on the interpretation result information, and second transmission means for transmitting the generated interpretation report information to the medical doctor side terminal device.

 According to a third aspect of the present invention, there is provided an image interpretation system comprising an image storage means for storing a plurality of medical images obtained by radiographing, a medical doctor side terminal device, and an image interpretation doctor side terminal device. The medical doctor-side terminal device includes a first reading unit that reads a medical image stored in the image storage unit, and a first display unit that displays the medical image read by the first reading unit on a screen. Selection means for selecting an image to be interpreted from among the medical images displayed on the first display means, and interpretation order information for generating interpretation order information relating to the selected interpretation target image. Generation means, and first transmission means for transmitting the generated interpretation order information to the interpretation doctor side terminal device.

The interpretation doctor-side terminal device receives the interpretation order information transmitted from the examination doctor-side terminal device, and reads a medical image stored in the image storage unit.

2 Based on the received interpretation order information, the readout means, the second display means, and only the image to be interpreted among the medical images read by the second readout means are displayed on the screen of the second display means. Displayed on the display control means and the second display means. Input means for inputting interpretation result information for the image to be interpreted, interpretation report information generating means for generating interpretation report information based on the inputted interpretation result information, and the generated interpretation report information Second transmitting means for transmitting to the examining physician side terminal device.

 [0011] In addition, the medical doctor side terminal device includes an input unit for inputting memo information, and the first transmitting unit includes the input memo information together with the interpretation order information on the interpretation physician side. It is preferable to transmit to the terminal device.

 [0012] It is preferable that the interpretation order information includes identification information unique to the medical image.

 The invention's effect

 [0013] According to the first aspect of the present invention, in the medical doctor side terminal device, by making it possible to select a target image to be interpreted from among a plurality of medical images, in the medical doctor side terminal device. Unnecessary interpretation can be prevented.

[0014] In addition, in the medical doctor side terminal device, it is possible to select an image to be interpreted from among the displayed medical images, and to transmit interpretation order information for the minimum necessary image.

 [0015] Further, it is possible to transmit the memo information together with the interpretation order information from the examining physician side terminal device to the interpretation physician side terminal device.

[0016] In addition, the interpretation doctor side terminal device can display the interpretation target image, and can transmit interpretation report information for the interpretation target image to the medical doctor side terminal device.

[0017] According to the second aspect of the present invention, it is possible to select a plurality of medical images to be interpreted as the interpretation target images to be interpreted in the medical doctor side terminal device, thereby reducing the necessary minimum images. Interpretation order information can be transmitted, and unnecessary interpretation in the interpretation doctor side terminal device can be prevented.

[0018] According to the third aspect of the present invention, it is possible to select a plurality of medical images to be interpreted in the medical doctor-side terminal device, so that an interpretation target image to be interpreted can be selected. Interpretation order information can be transmitted, and unnecessary interpretation in the interpretation doctor side terminal device can be prevented. [0019] Further, it is possible to transmit the memo information together with the interpretation order information from the examining physician side terminal device to the interpretation physician side terminal device.

[0020] Further, it is possible to specify an image to be interpreted based on identification information unique to a medical image.

 Brief Description of Drawings

 FIG. 1 is a configuration diagram of an image interpretation system in a first embodiment of the present invention.

 FIG. 2 is a block diagram showing an internal configuration of a doctor's side terminal device.

 FIG. 3 is a block diagram showing an internal configuration of a radiogram interpretation doctor side terminal device.

 FIG. 4 is a flowchart showing an interpretation request process executed in a doctor's side terminal device.

 FIG. 5 is a diagram showing a display example of an interpretation request screen displayed on the display unit of the doctor's side terminal device.

 FIG. 6 is a flowchart showing a first image interpretation process executed in the image interpretation doctor side terminal device.

 FIG. 7 is a flowchart showing a second interpretation process executed in the interpretation doctor side terminal device according to the second embodiment of the present invention.

 FIG. 8 is a diagram showing a display example of an interpretation screen displayed on the display unit of the interpretation doctor side terminal device.

 FIG. 9 is a flowchart showing a third interpretation process executed in the interpretation doctor side terminal apparatus according to the third embodiment of the present invention.

 BEST MODE FOR CARRYING OUT THE INVENTION

[0022] [First embodiment]

 First, an image interpretation system according to the first embodiment of the present invention will be described.

 Figure 1 shows the structure of the interpretation system 100.

As shown in Fig. 1, the interpretation system 100 includes HIS (Hospital Information System) 10, RI S (Radiology Information System) 20, modality 30, PACS (Picture Arcmvmg and Communication System) 40, doctor's side terminal device 50, interpretation. Consists of a medical terminal device 60. HIS 10, RIS20, Modality 30, PACS40, Physician's J Terminal 50 is installed in a hospital and is connected to a communication network N1 such as a LAN (Local Area Network). Thus, they are connected to each other so that data can be transmitted and received. In addition, these hospital devices and the interpreting doctor side terminal device 60 are connected via a communication network N2 such as the Internet. In FIG. 1, the modality 30, the doctor side terminal device 50, and the radiology doctor side terminal device 60 are connected one by one, but the number of installed devices is not particularly limited.

 [0023] In the image interpretation system 100, the image data of the medical image captured by the modality 30 is stored in the PACS 40 (Process A). The medical doctor side terminal device 50 reads and displays the image data of the medical image stored in the PACS 40 (process B), and transmits the interpretation order information to the radiology doctor side terminal device 60 (process C). The interpretation doctor side terminal device 60 reads and displays the image to be interpreted from the PACS 40 based on the interpretation order information (Processing D), and transmits the interpretation report information to the medical doctor side terminal device 50 (Processing E).

 [0024] HIS10 is an information management system that manages information in hospitals. It accepts requests from doctors, and patient information on patients such as patient ID, name, and gender of patients to be imaged, examination IDs for examinations, It generates and manages radiograph order information including radiographing condition information such as radiographing parts and radiographing methods specified in the examination. The HIS 10 transmits the generated imaging order information to the RIS 20.

 The RIS 20 is an information system in the radiology department, and transmits radiographing order information to the modality 30.

 [0026] The modality 30 images a patient and generates image data of a medical image. For example, various types such as CT (and omputeci romography equipment); CR (Computed Radiography) equipment; MRI (Magnetic Resonance Imaging) equipment, X-ray imaging equipment, ultrasonic imaging equipment, endoscopic imaging equipment, etc. It is possible to apply a modality for taking a medical image.

[0027] The PACS 40 includes an image DB (Data Base), and stores and manages image data of a plurality of medical images transmitted from the modality 30. The medical doctor side terminal device 50 and the interpretation doctor side terminal device It is accessible from both sides. The PACS 40 provides the image data of the image DB to the requesting doctor-side terminal device 50 or the interpreting doctor-side terminal device 60 in response to a request from the examining-doctor-side terminal device 50 or the interpreting doctor-side terminal device 60. Each medical image is assigned a SOP Instance UID as identification information for identifying the image. S OP instance UID is the modality 30 manufacturer, model, value for each device, shooting date, It is a 64-digit value depending on the number, and a different value is assigned to each image. It is also possible to use the inspection instance UID, series instance UID, and image instance UID as identification information.

 [0028] The examiner-side terminal device 50 is a terminal device used by a doctor who examines a patient, and is an image to be interpreted to be interpreted from medical images that have been captured and stored in the PACS 40. Is selected, and interpretation order information related to the selected interpretation target image is transmitted to the interpretation doctor-side terminal device 60. The examining doctor interprets the medical image at the examining doctor side terminal device 50 (primary interpretation), extracts an image that needs to be interpreted by the interpreting doctor as an interpretation target image, and requests the interpreting doctor to interpret the image.

 FIG. 2 shows an internal configuration of the doctor's side terminal device 50.

 As shown in FIG. 2, the clinician's terminal device 50 includes a CPU (Central Processing Unit) 51, an operation unit 52, a display unit 53, a communication unit 54, a ROM (Read Only Memory) 55, and a RAM (Random Access Memory) 56. A storage unit 57 is provided, and each unit is connected by a bus 58.

 [0030] The CPU 51 reads out various processing programs stored in the ROM 55, develops them in the RAM 56, and comprehensively controls the operation of each part of the doctor's side terminal device 50 according to these programs. The CPU 51 reads the image data of a plurality of medical images stored in the PACS 40 and displays them on the screen of the display unit 53. Further, the CPU 51 generates interpretation order information related to the interpretation target image selected by the operation of the operation unit 52.

 The operation unit 52 includes a keyboard having numeric keys, character keys, function keys, etc., a mouse, etc., and generates an operation signal corresponding to the operation and outputs it to the CPU 51. The operation unit 52 is a selection means for selecting an image to be interpreted from the medical images displayed on the display unit 53. The operation unit 52 is an input means for inputting memo information indicating information to be transmitted from the examining doctor to the interpretation doctor.

 The display unit 53 is configured by an LCD (Liquid Crystal Display) or the like, and displays an operation screen, a processing result of the CPU 51, a medical image, and the like according to an instruction from the CPU 51.

[0033] The communication unit 54 includes a communication interface such as a network interface card or a modem, and communicates with other devices. The communication unit 54 receives interpretation order information including identification information corresponding to the image to be interpreted selected from the operation unit 52, and input from the operation unit 52. The received memo information is transmitted to the interpretation doctor side terminal device 60.

The ROM 55 is composed of a nonvolatile semiconductor memory, and stores a system program executed by the CPU 51, various processing programs, data, and the like.

The RAM 56 forms a work area for temporarily storing various programs executed by the CPU 51 and data related to these programs.

The storage unit 57 stores various information such as parameters and data necessary for processing in the doctor's side terminal device 50, processing results, and the like.

[0037] The interpreting doctor side terminal device 60 is a terminal device used when the interpreting doctor interprets the image to be interpreted requested to be interpreted by the examining doctor, and the interpreting order transmitted from the examining doctor side terminal device 50 is used. Based on the information, the image to be interpreted is read from the PACS 40, and the interpretation report information for the read image to be interpreted is transmitted to the medical doctor side terminal device 50. The interpreting doctor

The next interpretation is to interpret the image to be interpreted by the interpretation doctor side terminal device 60).

FIG. 3 shows an internal configuration of the interpretation doctor side terminal device 60.

 As shown in FIG. 3, the interpreting doctor side terminal device 60 includes a CPU 61, an operation unit 62, a display unit 63, a communication unit 64, ROM65, RAM66, and a storage unit 67, and each unit is connected by a bus 68. The

 [0039] The CPU 61 reads out various processing programs stored in the ROM 65, develops them in the RAM 66, and comprehensively controls the operation of each unit of the radiology doctor side terminal device 60 according to these programs. The CPU 61 reads an image to be interpreted from the PACS 40 based on the identification information included in the interpretation order information received from the medical doctor side terminal device 50, and displays it on the screen of the display unit 63. Further, the CPU 61 generates interpretation report information based on the interpretation result information for the interpretation target image displayed on the display unit 63. Interpretation report information is generated as files such as DA, HIML (HyperText Markup Language), XML (Extensible Markup Language), PDF (Portable Document Format), and WORD.

The operation unit 62 includes a keyboard having numeric keys, character keys, function keys, etc., a mouse, and the like, and generates an operation signal corresponding to the operation and outputs it to the CPU 61. The operation unit 62 is an input means for inputting interpretation result information for the interpretation target image displayed on the display unit 63. [0041] The display unit 63 is configured with an LCD equal force, and in accordance with an instruction from the CPU 61, an operation screen and a CP

The processing result of U61, the image to be interpreted, etc. are displayed.

[0042] The communication unit 64 includes a communication interface such as a network interface card and a modem, and communicates with other devices. The communication unit 64 receives the interpretation order information transmitted from the medical doctor side terminal device 50. Further, the communication unit 64 transmits the interpretation report information to the doctor's side terminal device 50.

[0043] The ROM 65 is composed of a nonvolatile semiconductor memory, and stores a system program executed by the CPU 61, various processing programs, data, and the like.

The RAM 66 forms a work area for temporarily storing various programs executed by the CPU 61 and data related to these programs.

The storage unit 67 stores various types of information such as parameters and data necessary for processing in the interpretation doctor side terminal device 60, and processing results.

Next, an operation in the image interpretation system 100 will be described.

 First, an imaging plan for a patient is made by the doctor, and imaging order information including patient information and imaging condition information is transmitted from the HIS10 to the RIS20. Then, an imaging engineer gives an imaging instruction, and imaging order information is transmitted from the RIS 20 to the modality 30.

[0047] In the modality 30, the patient is imaged based on the imaging order information, and image data of a medical image is generated. The image data generated by Modality 30 is PACS

Sent to 40 and saved in the image database in PACS40.

Next, with reference to FIG. 4, the interpretation request process executed in the doctor's side terminal device 50 will be described. The interpretation request process is realized by the cooperation of the CPU 51 and the program stored in the ROM 55.

 [0049] First, the CPU 51 reads the image data of a plurality of medical images stored in the PACS 40 (step S1), and displays the medical images on the screen of the display unit 53 based on the read image data. (Step S2). Here, the examining doctor interprets the medical image displayed on the display unit 53 (primary interpretation) and determines whether or not the interpretation by the interpreting doctor is necessary. At this stage, subjects that require specialized interpretation by an interpreting physician are removed.

[0050] Next, when an interpretation request is made (step S3; YES), an operation from the operation unit 52 is performed. An image to be interpreted is selected from the medical images displayed on the screen of the display unit 53 (step S4).

 [0051] Next, memo information for the interpretation doctor is input from the operation unit 52 (step S5). The memo information includes, for example, an interpretation request sentence, clinical information, and communication items. The interpretation request text includes a request for interpretation, a point to be noted in interpretation, and a request for comparative interpretation with past images. The clinical information includes the patient's medical condition and progress information. As a transmission item, the interpretation deadline, etc. are described.

 Next, a transmission destination of interpretation order information is selected by an operation from the operation unit 52 (step S6). It is desirable to request interpretation from a radiographing doctor appropriate for the image to be interpreted according to the imaging part of the image to be interpreted and the modality 30 at which the image to be interpreted is captured.

 Next, the CPU 51 generates interpretation order information including identification information corresponding to the interpretation target image selected in step S4 (step S7). Then, the communication unit 54 transmits the interpretation order information generated in step S7 and the memo information input in step S5 to the selected interpretation doctor-side terminal device 60 in step S6. (Step S8). Here, it is preferable that the interpretation order information and the memo information are related in some way. For example, a memo information file may be attached to the interpretation order information and transmitted to the interpretation doctor side terminal device 60, or the interpretation order information may include the memo information.

 Thus, the interpretation request process is completed.

 Note that if no interpretation request is made in step S3 (step S3; NO), the interpretation request process ends.

FIG. 5 shows a display example of an interpretation request screen 530 displayed on the display unit 53 of the doctor's side terminal device 50. As shown in FIG. 5, interpretation request screen 530 includes an image display unit 531, a patient information display unit 532, a memo information input unit 533, and an interpretation order transmission destination selection unit 534. The image display unit 531 displays a plurality of medical images read from the PACS 40. The patient information display unit 532 displays patient information and examination information corresponding to the medical image selected in the image display unit 531. In the memo information input unit 533, memo information such as an interpretation request text, clinical information, and communication items input by the operation doctor is displayed. Interpretation The order transmission destination selection unit 534 selects the transmission destination of the interpretation order information from the pull-down menu.

 Next, with reference to FIG. 6, the first image interpretation process executed in the image interpretation doctor side terminal device 60 will be described. The first image interpretation process is realized by the cooperation of the CPU 61 and the program stored in the ROM 65.

 [0057] First, when the interpretation order information and the memo information transmitted from the medical doctor side terminal device 50 are received by the communication unit 64 (step S11; YES), the CPU 61 identifies the identification information included in the interpretation order information. Based on the image data, the image data of the image to be interpreted is read from the PACS 40 (step S12), and the image to be interpreted is displayed on the screen of the display unit 63 based on the read image data (step S13). Further, the CPU 61 displays memo information on the screen of the display unit 63 (step S14). Here, the interpretation doctor interprets the interpretation target image displayed on the display unit 63 (secondary interpretation).

 [0058] Next, the interpretation doctor inputs interpretation result information from the operation unit 62 (step S15), and the CPU 61 generates interpretation report information for the interpretation target image based on the input interpretation result information. (Step S16).

 [0059] Then, the generated interpretation report information is transmitted to the medical doctor side terminal device 50 by the communication unit 64 (step S17).

 Thus, the first image interpretation process is completed.

 [0060] As described above, according to the interpretation system 100 in the first embodiment, in the medical doctor side terminal device 50, the interpretation target to be interpreted from among a plurality of medical images stored in the PACS 40. The image can be selected, and the interpretation order information for the minimum necessary image can be transmitted to the interpretation doctor side terminal device 60. Therefore, the interpretation doctor side terminal device 60 interprets only the image selected as the image to be interpreted, so that unnecessary interpretation in the interpretation doctor side terminal device 60 can be prevented and the burden on the interpretation doctor is reduced. Can be reduced.

 [0061] In addition, since it is possible to make an interpretation request at any timing for medical images taken so far, operability can be improved.

[0062] Further, together with the interpretation order information, the doctor side terminal device 50 transfers the information to the interpretation doctor side terminal device 60. Since the memo information can be transmitted, detailed instructions can be transmitted from the examining doctor to the interpreting doctor.

 [0063] Since the interpretation order information includes identification information corresponding to the image, the image to be interpreted can be specified based on the identification information.

[0064] [Second Embodiment]

 Next, a second embodiment to which the present invention is applied will be described.

 Since the interpretation system in the second embodiment has the same configuration as the interpretation system 100 shown in the first embodiment, the same components are denoted by the same reference numerals, and the configuration is not illustrated. The description is omitted. Hereinafter, the configuration and processing characteristic of the second embodiment will be described.

[0065] In the first embodiment, the interpretation doctor side terminal device 60 has the ability to read only the image to be interpreted from the PACS 40 based on the interpretation order information transmitted from the doctor side doctor device 50. In the second embodiment, a case will be described in which the medical doctor side terminal device 60 reads all medical images of the PACS 40.

[0066] The CPU 61 of the interpreting doctor side terminal device 60 reads a plurality of medical images stored in the PACS 40 and displays them on the screen of the display unit 63. At that time, the CPU 61 converts the medical image read from the PACS 40 force into the image to be interpreted and the medical image other than the image to be interpreted based on the identification information included in the image interpretation order information received from the medical doctor side terminal device 50. Is displayed on the screen of the display unit 63 in an identifiable manner.

Next, the operation will be described.

 Since the process in the doctor's side terminal device 50 is the same as the interpretation request process (see FIG. 4) described in the first embodiment, the description thereof is omitted.

With reference to FIG. 7, the second image interpretation process executed in the image interpretation doctor side terminal device 60 will be described. The second image interpretation process is realized by the cooperation of the CPU 61 and the program stored in the ROM 65.

[0069] First, when interpretation order information and memo information transmitted from the medical doctor side terminal device 50 are received by the communication unit 64 (step S21; YES), all medical data stored in the PACS 40 are stored by the CPU 61. Image data of the image is read (step S22). And CPU6 1, the medical image is displayed on the screen of the display unit 63 based on the read image data. At this time, based on the interpretation order information, the CPU 61 displays the image to be interpreted and the medical image other than the image to be interpreted on the screen of the display unit 63 so as to be distinguishable (step S23). Specifically, only the medical image corresponding to the identification information included in the interpretation order information is displayed surrounded by a red frame, or displayed with a mark indicating that it is an image to be interpreted. The target image and other medical images can be identified. Further, the CPU 61 displays memo information on the screen of the display unit 63 (step S24). Here, the image interpretation doctor interprets the image to be interpreted displayed on the display unit 63 (secondary interpretation).

 [0070] Next, the interpretation doctor inputs interpretation result information from the operation unit 62 (step S25), and the CCU 61 generates interpretation report information for the interpretation target image based on the input interpretation result information. (Step S26).

 Then, the generated interpretation report information is transmitted to the medical doctor side terminal device 50 by the communication unit 64 (step S27).

 Thus, the second image interpretation process is completed.

 FIG. 8 shows a display example of the interpretation screen 630 displayed on the display unit 63 of the interpretation doctor side terminal device 60. As shown in FIG. 8, on the image display unit 631 of the interpretation screen 630, a plurality of medical images read out by the PACS 40 are displayed. In the example shown in FIG. 8, the image to be interpreted 631a, 631c is displayed surrounded by a thick frame, and it is discriminated from medical images 631b, 631d, 631e, 631f other than the image to be interpreted. The

 [0073] As described above, according to the interpretation system in the second embodiment, the diagnostic doctor's terminal device 50 determines the interpretation target image to be interpreted from among a plurality of medical images stored in the PACS 40. The interpretation order information for the minimum necessary image can be selected and transmitted to the interpretation doctor side terminal device 60. The interpreting doctor side terminal device 60 displays a plurality of medical images stored in the PA CS40 so that the image to be interpreted can be distinguished from a medical image other than the image to be interpreted. Therefore, only the image selected as the image to be interpreted is used. Can be interpreted. Therefore, unnecessary interpretation in the interpretation doctor side terminal device 60 can be prevented, and the burden on the interpretation doctor can be reduced.

[0074] Further, together with the interpretation order information, the doctor side terminal device 50 transfers the information to the interpretation doctor side terminal device 60. Since the memo information can be transmitted, detailed instructions can be transmitted from the examining doctor to the interpreting doctor.

[0075] Further, since the interpretation order information includes identification information corresponding to the image, the image to be interpreted can be specified based on the identification information.

[0076] [Third Embodiment]

 Next, a third embodiment to which the present invention is applied will be described.

 Since the interpretation system in the third embodiment has the same configuration as the interpretation system 100 shown in the first embodiment, the same components are denoted by the same reference numerals, and the configuration is not illustrated. The description is omitted. The configuration and processing characteristic of the third embodiment will be described below.

In the third embodiment, as in the second embodiment, the interpretation doctor-side terminal device 60

The ability to read all medical images from the PACS 40 A case will be described in which only the images to be interpreted are displayed among the read medical images.

The CPU 61 of the interpreting doctor side terminal device 60 reads a plurality of medical images stored in the PACS 40. The CPU 61 displays only the image to be interpreted among the medical images read from the PACS 40 on the screen of the display unit 63 based on the identification information included in the interpretation order information received from the medical doctor side terminal device 50.

Next, the operation will be described.

 Since the process in the doctor's side terminal device 50 is the same as the interpretation request process (see FIG. 4) described in the first embodiment, the description thereof is omitted.

With reference to FIG. 9, a third image interpretation process executed in the image interpretation doctor side terminal device 60 will be described. The third image interpretation process is realized by the cooperation of the CPU 61 and the program stored in the ROM 65.

[0081] First, when interpretation order information and memo information transmitted from the medical doctor side terminal device 50 are received by the communication unit 64 (step S31; YES), all medical data stored in the PACS 40 are received by the CPU 61. Image data of the image is read (step S32). Then, the CPU 61 displays only the image to be interpreted among the read medical images on the screen of the display unit 63 based on the interpretation order information (step S33). Specifically, the interpretation order Only the medical image corresponding to the identification information included in the information is displayed. Further, the CPU 61 displays memo information on the screen of the display unit 63 (step S34). Here, the image interpretation doctor interprets the image to be interpreted displayed on the display unit 63 (secondary interpretation).

 [0082] Next, the interpretation doctor inputs interpretation result information from the operation unit 62 (step S35), and the CPU 61 generates interpretation report information for the interpretation target image based on the input interpretation result information. (Step S36).

 [0083] Then, the generated interpretation report information is transmitted to the doctor's side terminal device 50 by the communication unit 64 (step S37).

 This completes the third image interpretation process.

 [0084] As described above, according to the interpretation system in the third embodiment, the diagnosis doctor-side terminal device 50 determines the interpretation target image to be interpreted from among a plurality of medical images stored in the PACS 40. The interpretation order information for the minimum necessary image can be selected and transmitted to the interpretation doctor side terminal device 60. The interpretation doctor-side terminal device 60 displays only the image to be interpreted among the plurality of medical images stored in the PACS 40, so that only the image selected as the image to be interpreted can be interpreted. Therefore, unnecessary interpretation in the interpreting doctor side terminal device 60 can be prevented, and the burden on the interpreting doctor can be reduced.

 [0085] In addition, since it is possible to transmit the memo information together with the interpretation order information from the examining physician side terminal device 50 to the interpreting physician side terminal device 60, detailed information on the patient's situation is given from the examining physician to the interpreting physician. Can be transmitted.

[0086] Further, since the interpretation order information includes the identification information corresponding to the image, the image to be interpreted can be specified based on the identification information.

Note that the description in each of the above embodiments is an example of an image interpretation system according to the present invention, and the present invention is not limited to this. The detailed configuration and detailed operation of each device can be changed as appropriate without departing from the spirit of the present invention.

 Industrial applicability

[0088] The interpretation system according to the present invention can be used in the medical field of interpreting medical images obtained by imaging a patient. Explanation of symbols

 100 interpretation system

10 HIS

 20 RIS

 30 modalities

 40 PACS

 50 Doctor's terminal

51 CPU

 52 Operation section

 53 Display

 54 Communication Department

 55 ROM

 56 RAM

 57 Memory

 58 Bus

 60 Interpreting physician terminal

61 CPU

 62 Operation section

 63 Display

 64 Communications department

 65 ROM

 66 RAM

 67 Memory

 68 Bus

 N1 communication network

N2 communication network

Claims

 The scope of the claims  [1] Image storage means for storing a plurality of medical images obtained by imaging,  A clinician-side terminal device that selects an image to be interpreted from among medical images stored in the image storage means and transmits interpretation order information related to the selected image to be interpreted;  The diagnostic doctor side terminal device power Reads the interpretation target image from the image storage unit based on the transmitted interpretation order information, and transmits interpretation report information for the read interpretation target image to the diagnostic doctor side terminal device. An image interpretation system comprising: an image interpretation doctor side terminal device.  [2] The doctor side terminal device is  Reading means for reading the medical image stored in the image storage means; display means for displaying the read medical image on a screen;  Selecting means for selecting an image to be interpreted from among the displayed medical images;  Interpretation order information generating means for generating interpretation order information relating to the selected interpretation target image;  The interpretation system according to claim 1, further comprising: a transmission unit configured to transmit the generated interpretation order information to the interpretation doctor-side terminal device. [3] The doctor side terminal device is  An input means for inputting memo information is provided.  3. The interpretation system according to claim 2, wherein the transmission means transmits the inputted memo information together with the interpretation order information to the interpretation doctor side terminal device.  [4] The radiological doctor side terminal device is: Receiving means for receiving interpretation order information transmitted from the doctor's side terminal device; and reading means for reading out the image to be interpreted based on the received interpretation order information; Display means for displaying the read image to be interpreted on a screen;  An input means for inputting interpretation result information for the displayed interpretation target image;  Interpretation report information generating means for generating interpretation report information based on the input interpretation result information;  The image interpretation report according to any one of claims 1 to 3, further comprising: a transmission unit configured to transmit the generated image interpretation report information to the medical doctor side terminal device. system.  An interpretation system comprising an image storage means for storing a plurality of medical images obtained by photographing, a doctor's side terminal device, and a doctor's side terminal device,  The doctor's side terminal device is  A first reading means for reading a medical image stored in the image storage means; a first display means for displaying the medical image read by the first reading means on a screen;  Selecting means for selecting an image to be interpreted from among the medical images displayed on the first display means;  Interpretation order information generating means for generating interpretation order information relating to the selected interpretation target image;  A first transmission means for transmitting the generated interpretation order information to the interpretation doctor side terminal device;  With  The radiological doctor side terminal device  Receiving means for receiving interpretation order information transmitted from the medical doctor side terminal device; second reading means for reading a medical image stored in the image storage means; second display means; Based on the received interpretation order information, the medical image read by the second reading means can be distinguished from the interpretation target image and a medical image other than the interpretation target image. Display control means for displaying on the screen of the second display means,  Input means for inputting interpretation result information for the interpretation target image displayed on the second display means;  Interpretation report information generating means for generating interpretation report information based on the input interpretation result information;  A second transmission means for transmitting the generated interpretation report information to the doctor's side terminal device;  Interpretation system characterized by having  An interpretation system comprising an image storage means for storing a plurality of medical images obtained by photographing, a doctor's side terminal device, and a doctor's side terminal device,  The doctor's side terminal device is  First reading means for reading a medical image stored in the image storage means, first display means for displaying the medical image read by the first reading means on a screen,  Selecting means for selecting an image to be interpreted from among the medical images displayed on the first display means;  Interpretation order information generating means for generating interpretation order information relating to the selected interpretation target image;  A first transmission means for transmitting the generated interpretation order information to the interpretation doctor side terminal device;  With  The radiological doctor side terminal device  Receiving means for receiving interpretation order information transmitted from the medical doctor side terminal device; second reading means for reading a medical image stored in the image storage means; second display means; Display control means for displaying only the image to be interpreted among the medical images read by the second reading means on the screen of the second display means based on the received interpretation order information; Input means for inputting interpretation result information for the interpretation target image displayed on the second display means;  Interpretation report information generating means for generating interpretation report information based on the input interpretation result information;  A second transmission means for transmitting the generated interpretation report information to the medical doctor side terminal device;  Interpretation system characterized by having [7] The doctor side terminal device is  An input means for inputting memo information is provided.  The first transmission means transmits the input memo information together with the interpretation order information to the interpretation doctor-side terminal device, according to claim 5 or claim 6. Interpretation system. [8] The interpretation system according to any one of claims 1 to 7, wherein the interpretation order information includes identification information unique to the medical image.