JP2006180929A - Device, method, program and system for assisting osteopathic treatment and diagnosis - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To give appropriate informed consent by simulating the state of an affected area visually during diagnosis for osteopathic treatment. <P>SOLUTION: A device for assisting osteopathic treatment 10 stores before-treatment image data including an affected area of a patient photographed before treatment and after-treatment image data including the affected area of the patient photographed after the treatment in a memory section 14, carries out morphing processing on the basis of the before-treatment image data and the after-treatment image data in an image processing section 11a, and displays interpolated image data formed by the morphing processing on a display section 17. The device for assisting osteopathic treatment 10 presents to the patient the interpolated image data formed by carrying out morphing processing on the basis of the image data indicating the states before and after the treatment. By doing so, the states of the affected area before and after the treatment can be simulated visually to make the patient to recognize the realistic state. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to a manipulative treatment diagnosis support apparatus, a manipulative treatment diagnosis support method, a manipulative treatment diagnosis support program, and a manipulative treatment diagnosis support system that support a diagnosis work in the case of a manipulative treatment.

  In recent years, in the medical community, before starting treatment, it is common sense that a doctor gives a sufficient explanation about a treatment method to a patient and gives informed consent for the consent of the patient. In the medical world, for example, the inside of a human body is imaged using various medical devices such as X-rays, CT (Computed Tomography), and MRI (Magnetic Resonance Imaging), and diagnosis is often performed based on the obtained image information. A number of techniques relating to the photographing and processing of such image information have been proposed (see, for example, Patent Document 1 and Patent Document 2). Such image information is useful as information for performing appropriate informed consent because the actual state of the affected area can be presented to the patient as visual information.

JP 2004-113491 A JP 2004-113492 A

  On the other hand, in recent years, not only medical treatment, but also manipulative treatment for improving health and improving constitution by correcting the distortion of the skeleton by manual treatment of a chiropractor and taking equality of the body has been actively performed. . And the concept of informed consent is spreading in order to perform more appropriate treatment even at the site of such body treatment.

  However, it is not allowed to make a diagnosis using a medical device such as an X-ray because the manipulative treatment is not a medical practice. For this reason, there are a few examples of trials using dummy dolls created by copying the human skeleton in advance in the bodywork industry. There are very many cases that only form consent is done.

  Therefore, it is difficult for the patient to obtain the information necessary to give consent to the treatment contents because the explanation contents received from the chiropractor are out of imagination. The current situation is that you can't do it, and you only have to trust the skill of the practitioner performing the treatment. On the other hand, there is also a problem that the anatomy remains unsatisfactory for the patient who cannot give sufficient explanation to the patient.

  In this way, in the bodywork, it cannot be said that the environment for appropriate informed consent has been established, and in fact, it has moved away from the conventional treatment system that directly shifts from oral diagnosis to manual treatment. The current situation is not done.

  The present invention has been made in view of such a situation, and it is possible to visually simulate the state of an affected area and contribute to the realization of appropriate informed consent. It is an object of the present invention to provide a support method, a manipulative treatment diagnosis support program, and a manipulative treatment diagnosis support system.

  The apparatus for assisting in diagnosis and treatment according to the present invention that achieves the above-mentioned object is an apparatus for assisting in diagnosis and treatment for assisting in diagnostic work during the body treatment, and includes a pre-treatment image including the affected part of the patient before the operation. Storage means for storing data and post-operative image data including the imaged affected part of the patient after the operation, and morphing processing based on the pre-operation image data and the post-operation image data stored in the storage means It is characterized by comprising image processing means for performing and display means for displaying interpolated image data created by morphing processing by the image processing means.

  In such a fixed body surgery diagnosis support apparatus according to the present invention, by presenting the patient with interpolated image data created by morphing processing based on image data indicating the situation before and after the procedure, simulation of the state of the affected area before and after the procedure is performed. Can be performed visually, and the patient can be made to recognize a more realistic state.

  Further, in the body treatment diagnostic support apparatus according to the present invention, the image processing means depicts a pre-operative skeleton image data depicting a skeleton corresponding to the pre-operative image data and a skeleton corresponding to the post-operative image data. Post-operative skeletal image data is created and stored in the storage means, and the display means creates the pre-operative skeletal image data and the post-operative skeleton image data created by the image processing means, the pre-operative image data and Displayed in association with the post-treatment image data. The image processing means performs a morphing process based on the pre-operative image data, the pre-operative skeleton image data, the post-operative image data, and the post-operative skeleton image data stored in the storage means, The display means displays the interpolated image data created by the morphing process by the image processing means.

  As a result, in the orthopedic treatment diagnosis support apparatus according to the present invention, by presenting the interpolated image data created by the morphing process based on the skeletal image data indicating the situation before and after the treatment to the patient, not only the appearance but also before and after the treatment. It is possible to visually simulate the state of the affected part skeleton, and to make the patient recognize a more realistic state.

  Specifically, in the surgical treatment diagnosis support apparatus according to the present invention, bone data obtained by modeling individual bone parts is stored in the storage unit, and the image processing unit is displayed on the display unit. The skeleton is measured and recognized in accordance with selection of feature points of the pre-treatment image data and / or the post-treatment image data, and the recognized skeleton is selected from the bone data stored in the storage means. The pre-operative skeleton image data and / or the post-operative skeleton image data can be created by selecting near bone data.

  Further, in the body surgery diagnostic support apparatus according to the present invention, model image data that is skeleton image data created by modeling in advance is stored in the storage unit, and the image processing unit is displayed on the display unit. Based on the pre-operative image data and / or the post-operative image data, desired model image data is selected from the model image data stored in the storage means, and the pre-operative skeleton image data and / or The post-treatment skeleton image data may be used.

  Furthermore, in the body treatment operation diagnosis support device according to the present invention, in order to make the patient recognize the state during the operation, a plurality of in-operation image data indicating the state during the operation is stored in the storage unit, and the display The means can also display a plurality of the on-treatment image data stored in the storage means arranged in time series or switched.

  In addition, the method for assisting in the treatment of surgical treatment according to the present invention that achieves the above-described object is the method for assisting in the diagnosis of surgical treatment for assisting in the diagnostic work during the surgical treatment of the preoperative image including the affected area of the patient before the surgical operation. Imaging and storing in a predetermined storage means, imaging post-operative image data including the affected part of the patient after the operation and storing it in the storage means, and the pre-operative image stored in the storage means The method includes a step of performing a morphing process based on the data and the post-treatment image data, and a step of displaying the interpolated image data created by the morphing process on a predetermined display means.

  Further, the surgical operation diagnosis support program according to the present invention that achieves the above-described object is a computer-executable surgical operation diagnosis support program that supports a diagnostic work in the case of the surgical operation. Processing for storing pre-treatment image data including the affected area and imaged post-operation image data including the affected area of the patient after the operation in a predetermined storage unit, the pre-operation image data stored in the storage unit, and the above The image processing apparatus includes a process of performing a morphing process based on post-treatment image data, and a process of displaying the interpolated image data created by the morphing process on a predetermined display unit.

  In such a surgical treatment diagnosis support method and a surgical treatment diagnosis support program according to the present invention, the interpolated image data created by the morphing process based on the image data indicating the state before and after the treatment is presented to the patient, before and after the treatment. It is possible to visually simulate the state of the affected area, and to make the patient recognize a more realistic state.

  Still further, a body surgery treatment support system according to the present invention that achieves the above-described object is a body treatment surgery support system that supports a diagnosis work in the body treatment, and a body treatment surgery support device owned by a body surgeon, A patient terminal owned by the patient, and the apparatus for assisting in diagnosis and treatment of body surgery includes pre-operative image data including an image of the affected area of the patient before the operation, and an operation including the image of the affected area of the patient after the operation. The post-image data is stored in a predetermined storage means, and the interpolated image data created by performing the morphing process based on the pre-operation image data and the post-operation image data stored in the storage means is stored in the predetermined display means. And the patient terminal includes the pre-treatment image data and the post-treatment image data stored in the storage unit in the stereotherapy diagnosis support device. It accesses the intraoperative stage information database about the intraoperative stage of is characterized by displaying on predetermined display means.

  In such a body treatment diagnosis support system according to the present invention, the interpolated image data created by the morphing process based on the image data indicating the situation before and after the treatment is presented to the patient, thereby simulating the state of the affected area before and after the treatment. Can be performed visually, and the patient can be made to recognize a more realistic state. Further, in the body treatment operation diagnosis support system according to the present invention, the operation process information database based on the image data imaged or created for each diagnosis is created and managed for each patient, so that only the medical chart based on conventional paper is managed. Compared to this, the management ability is dramatically improved, it is possible to grasp the treatment process appropriately and quickly, and the patient can access the treatment process information database, so that the patient himself can arbitrarily Thus, it is possible to construct an environment for obtaining the consent of not only the patient but also a close relative such as the family of the patient, and more appropriate informed consent can be realized.

  According to the present invention, it is possible to sufficiently explain the treatment contents to the patient, and also to obtain sufficient information necessary for giving consent to the treatment contents for the patient. It is possible to realize an environment for carrying out innovative informed consent that has moved away from the conventional treatment system that directly shifts to manual treatment.

  Hereinafter, specific embodiments to which the present invention is applied will be described in detail with reference to the drawings.

  This embodiment is a systemic surgery diagnosis support system that supports a diagnostic work during a body surgery. In particular, this systemic surgery diagnosis support system can visually simulate the state of the affected area, which could not be expressed conventionally, and can contribute to the realization of appropriate informed consent.

  As shown in FIG. 1, the therapeutic treatment diagnosis support system includes a modified treatment diagnosis support device 10 owned by a modified surgeon and a patient terminal 20 owned by a patient via a predetermined network NT such as the Internet. Connected and configured.

  The orthopedic treatment diagnosis support apparatus 10 includes an information processing apparatus such as a personal computer. Specifically, as shown in FIG. 2, the body treatment diagnosis support apparatus 10 includes a CPU (Central Processing Unit) 11 that is a control unit that controls each part in an integrated manner, and a read-only ROM ( A read only memory (RAM) 12, a random access memory (RAM) 13 that functions as a work area, a storage unit 14 that stores various information including various programs in a readable and / or writable manner, and an external network NT A communication unit 15 that performs communication, an input operation control unit 16 that performs processing and control of an input operation via a predetermined operation device (not shown) as a user interface, and a display unit 17 that displays various types of information.

  The CPU 11 executes various programs including a manipulative treatment diagnosis support program for visually simulating the state of the affected part stored in the storage unit 14 and the like, and comprehensively controls each part.

  The ROM 12 stores various information including various programs. Information stored in the ROM 12 is read under the control of the CPU 11.

  The RAM 13 functions as a work area when the CPU 11 executes various programs, and temporarily stores various information and reads the stored various information under the control of the CPU 11.

  Under the control of the CPU 11, the storage unit 14, in addition to the manipulative treatment diagnosis support program, as will be described later, image data obtained by imaging the patient, and a skeleton depicting the skeleton corresponding to these image data Various types of information such as bone data obtained by modeling individual bone parts for creating image data and skeleton image data actually created are stored, and various types of stored information are read out. For example, a hard disk or a non-volatile memory can be used as the storage unit 14. In addition, the storage unit 14 includes a drive device that reads and / or writes various types of information on a storage medium such as a flexible disk or a memory card that is removable from the main body.

  The communication unit 15 is, for example, an analog line, a so-called Ethernet (registered trademark) LAN (Local Area Network), ISDN (Integrated Services Digital Network), ADSL (Asymmetric Digital Subscriber Line), or FTTH (Fiber To The). Various network communication lines such as Home), various wireless communication systems such as IEEE (Institute of Electrical and Electronic Engineers) 802.11 wireless LAN or so-called Bluetooth (Bluetooth), or so-called FOMA (registered trademark), etc. Is an interface for connecting to a network NT based on various systems such as W-CDMA (Wideband-Code Division Multiple Access) system or CDMA-2000 system such as HDR (High Data Rate). In addition, communication with the outside is performed.

  The input operation control unit 16 accepts an input operation via a predetermined operation device (not shown) as a user interface such as a keyboard, a mouse, a keypad, an infrared remote controller, a stick key, or a push button, for example, and indicates the operation content. A control signal is supplied to the CPU 11. For example, the input operation control unit 16 receives a predetermined input operation for creating skeleton image data. The input operation control unit 16 also functions as an image data input unit that connects a digital camera or the like and inputs captured image data.

  The display unit 17 is, for example, various displays such as a liquid crystal display (LCD), a plasma display panel (PDP), an organic electroluminescence display, or a cathode ray tube (CRT). It is a device and displays various image data and other various information under the control of the CPU 11. For example, the display unit 17 displays a screen when the CPU 11 activates the body treatment diagnosis support program.

  When performing a diagnosis of a patient, the surgical treatment diagnosis support apparatus 10 including such units executes a surgical treatment diagnosis support program under the control of the CPU 11 to display various image data and the like on the display unit 17. By doing this, the state of the affected area is visually simulated. In addition, the body treatment diagnosis support apparatus 10 stores image data captured or created every time diagnosis is performed in the storage unit 14 or the like as a treatment process information database for management.

  On the other hand, the patient terminal 20 is configured by an information processing apparatus such as a personal computer, and is configured in the same manner as the body treatment diagnosis support apparatus 10 illustrated in FIG. Specifically, as will be described later, the patient terminal 20 accesses the body treatment diagnosis support apparatus 10 by inputting an ID, a password, or the like that is uniquely assigned to each patient, and performs its own treatment process. It is configured so that the treatment process information regarding can be viewed arbitrarily.

  In such a manipulative treatment diagnosis support system, the manipulative treatment diagnosis support device 10 is used when diagnosing an affected area prior to performing an actual manual treatment. This orthopedic treatment diagnosis support apparatus 10 is functionally configured as shown in FIG.

  That is, the body surgery diagnostic support apparatus 10 includes a captured image data storage unit 14a that stores image data including an image of an affected part of a patient, a created skeleton image data storage unit 14b that stores skeleton image data, and skeleton image data. The storage unit 14 includes a bone data obtained by modeling individual bone parts to be created and a model data storage unit 14c that stores model image data that is skeleton image data created by modeling in advance. The captured image data storage unit 14a stores a plurality of pieces of image data including the affected part of the imaged patient. In this case, the body treatment diagnosis support apparatus 10 captures a plurality of image data including image data before and after the treatment for each diagnosis so that the treatment process can be visually grasped, and stores this image data. It is desirable to store in the unit 14a. The created skeleton image data storage unit 14b stores skeleton image data created corresponding to the image data stored in the captured image data storage unit 14a. Further, the model data storage unit 14c stores bone data obtained by modeling about 200 bone parts forming a human body. As this bone data, it is desirable to store a plurality of types of bone data created in accordance with the size, shape, symptom, and the like of the same part. The model data storage unit 14c may store model image data that is skeleton image data created by modeling in advance as necessary. As the model image data, it is desirable to store a plurality of types created according to size, shape, and symptom. The captured image data storage unit 14a and the created skeleton image data storage unit 14b are provided for each patient, and the model data storage unit 14c is provided in common for patients. In addition, the body treatment surgery support apparatus 10 includes an image processing unit 11a that performs a morphing process or the like on various image data stored in the storage unit 14 as a function of the body treatment surgery support program by the CPU 11.

  In the orthopedic surgery diagnosis support system including such a orthopedic surgery diagnosis support apparatus 10, image data including an affected area of a patient is captured using a digital camera or the like regardless of the initial diagnosis or subsequent diagnosis, and the orthopedic treatment is performed. The captured image data storage unit 14a of the diagnosis support apparatus 10 is stored. In particular, in the systemic surgery diagnosis support system, at the first visit, the image data is captured as information indicating the state before the treatment. Note that in the body surgery diagnostic support system, moving image data including an affected area of a patient may be captured using a digital video camera or the like. In the following, for convenience of explanation, a case will be described in which still image data is captured and a diagnosis based on this is performed.

  When the preoperative image data indicating the state before the operation is stored in the captured image data storage unit 14a in the body treatment diagnosis support device 10, the image processing unit 11a performs the preoperative image data on the basis of the preoperative image data. Is created and associated with the pre-treatment image data and stored in the created skeleton image data storage unit 14b.

  Specifically, in the surgical treatment diagnosis support apparatus 10, although not shown in particular, by a surgeon or the like who performs diagnosis in a state where the preoperative image data stored in the captured image data storage unit 14a is displayed on the display unit 17. Pre-operative skeleton image data can be created by selecting feature points using a predetermined operation device such as a mouse. In other words, when the preoperative image data taken is the patient's face, for example, when the preoperative treatment image support apparatus 10 is selected, a predetermined location such as the eyes, nose, mouth, ears, and crown is selected as a feature point. Accordingly, the size and shape of the skeleton are measured and recognized under the control of the image processing unit 11a. Then, the orthopedic surgery diagnosis support apparatus 10 selects the bone data closest to the recognized skeleton from the bone data stored in the model data storage unit 14c under the control of the image processing unit 11a. The pre-treatment skeleton image data is automatically created based on the information and stored in the created skeleton image data storage unit 14b and displayed on the display unit 17. At this time, in the orthopedic surgery diagnosis support apparatus 10, for example, when the creation button of the skeleton image data displayed on the display unit 17 is selected using an operation device such as a mouse, the bone data is displayed on the display unit. You may make it give the animation effect which jumps from the screen periphery of 17 screens to the center part, and forms pre-treatment skeleton image data.

  In addition, when the created pre-operative skeletal image data is different from that actually recognized by the manual practitioner by the manual practitioner diagnostic support apparatus 10, the practitioner performs the bone manipulator in units of bone data. It can also be changed to a desired one. At this time, in the surgical treatment support apparatus 10 for manipulative treatment, although not particularly illustrated, for each category such as skull, skull, spine, rib cage, upper limb bone, free upper limb bone, hand bone, lower limb bone, free lower limb bone, foot bone. Then, a thumbnail image or the like of the bone data is displayed on the display unit 17, and the bone data to be changed is selected from the created pre-operative skeleton image data and a desired one of the thumbnail images. The bone data shown in the thumbnail image can be replaced.

  Further, in the body treatment surgical diagnosis support apparatus 10, when model image data created in advance is stored in the model data storage unit 14 c, model data is based on the pre-treatment image data displayed on the display unit 17. The pre-operative skeleton image data may be obtained by selecting desired model image data from the model image data stored in the storage unit 14c. That is, in the body treatment surgery diagnosis support apparatus 10, model image data for each symptom is created in advance, and this is stored in the model data storage unit 14c, thereby eliminating the need for creating skeleton image data before surgery. You may make it do.

When the pre-operative image data and the pre-operative skeleton image data are created in this way, the body treatment diagnosis support apparatus 10 creates the pre-operative image data DA ₁ and the pre-operative skeleton image data DA as shown in FIG. 4, for example. ₂ are displayed in the window displayed on the display unit 17 in association with each other. Incidentally, here, the practitioner before skeletal image data DA ₂ the upper portion of the left orbital portion is suspended downward. In this state, the body treatment diagnostic support apparatus 10 controls the image processing unit 11a in response to selection of a morphing button displayed on the display unit 17 using an operation device such as a mouse, although not particularly illustrated. under the, before treatment performed morphing processing based on the image data DA ₁ and the treatment before skeletal image data DA _2, a plurality of interpolation images based on the relevant treatment before the image data DA ₁ and the treatment before skeletal image data DA ₂ Create data. Then, the manipulative treatment diagnosis support apparatus 10, by animate continuously display unit 17 a plurality of interpolated image data created, from before treatment image data DA ₁ to before treatment skeletal image data DA _2, and The video that gradually changes from the pre-operative skeleton image data DA ₂ to the pre-operative image data DA ₁ is displayed on the display unit 17. In this case, the manipulative treatment diagnosis support apparatus 10 may display the interpolated image data by arranging the image data DA ₁ and before treatment skeletal image data DA ₂ before treatment in the window shown in FIG. 4, in a different window Interpolated image data may be displayed. In the manipulative treatment diagnosis support apparatus 10 gradually changes to before treatment image data DA from ₁ to before treatment skeletal image data DA _2, and / or treatment before skeletal image data DA ₂ before treatment from the image data DA ₁ The video may be automatically displayed on the display unit 17, and the scale bar or the like (not shown) displayed on the display unit 17 is operated by using an operation device, so that the interpolation ratio is arbitrarily changed and displayed. It can also be made.

  In the therapeutic surgery support system, the interpolated image data created by the morphing process by the modified surgical diagnosis support apparatus 10 is presented to the patient so that the patient can appropriately recognize the current state of the affected area before the surgery. be able to. In particular, in the systemic surgery diagnosis support system, by presenting the interpolated image data created by the morphing process to the patient, it is possible to give the patient a sense of entertainment and also to ease the diagnosis atmosphere. Become.

In manipulative treatment diagnosis support apparatus 10, when thus creating an interpolated image data, the skeleton after treatment to create a treatment after skeletal image data predicted, prepared in association with the treatment before skeletal image data DA ₂ skeleton image The data is stored in the data storage unit 14b.

Specifically, in the manipulative treatment diagnosis support apparatus 10, as with the creation before treatment described above skeleton image data DA _2, under the control of the image processing section 11a, selection of feature points, before treatment skeleton image the method of substitution or the like of the bone data constituting the data DA _2, it is possible to create a treatment after skeletal image data. Further, in the surgical treatment diagnosis support apparatus 10, when model image data created in advance is stored in the model data storage unit 14c, by selecting desired model image data, the postoperative skeleton image data is obtained. Also good.

When the post-operative skeletal image data is created in this manner in the orthopedic treatment diagnosis support apparatus 10, as shown in FIG. 5, for example, the pre-operative image data DA ₁ and the pre-operative skeleton are displayed in the window displayed on the display unit 17. The post-treatment skeleton image data DB ₂ is displayed side by side with the image data DA ₂ . Here, the post-operative skeletal image data DB _{2 in} which the upper part of the left orbit that was drooping is restored to the normal position is shown. Then, in the orthopedic treatment diagnosis support apparatus 10, although not particularly illustrated, the control of the image processing unit 11 a is performed in response to selection of the morphing button displayed on the display unit 17 using an operation device such as a mouse. In addition, the morphing process based on the pre-operative skeleton image data DA ₂ and the post-operative skeleton image data DB ₂ and the morphing process based on the pre-operative image data DA ₁ and the post-operative skeleton image data DB ₂ are performed. A plurality of interpolated image data based on the above, and by continuously displaying the generated plurality of interpolated image data on the display unit 17 from the pre-operative skeleton image data DA ₂ to the post-operative skeleton image data DB ₂ , and / or from treatment after skeletal image data DB ₂ to before treatment skeletal image data DA ₂ video and varying gradually, before treatment image From the data DA ₁ to treatment after skeletal image data DB _2, and / or on the display unit 17 an image that gradually changes to treatment after skeletal image data DB ₂ before treatment image data DA ₁ from. At this time, the body treatment diagnostic support apparatus 10 may display the interpolated image data side by side with the post-operative skeleton image data DB ₂ or the like in the window shown in FIG. 5, or display the interpolated image data in another window. May be. Further, as described above, the body surgery diagnostic support apparatus 10 may automatically display a video that gradually changes between two pieces of image data on the display unit 17, or may be displayed on the display unit 17. By operating a scale bar or the like not to be operated using an operation device, the interpolation ratio may be arbitrarily changed and displayed.

In this way, the chiropractor makes a diagnosis prior to the operation based on the pre-operation image data DA ₁ , the pre-operation skeleton image data DA ₂ , and the post-operation skeleton image data DB ₂ , and their interpolated image data. The actual manual treatment is performed after obtaining the consent of. Then, in the body treatment diagnosis support system, a plurality of in-operation image data indicating the state of the operation is captured using a digital camera or the like at a key point during the operation, and after the operation, the affected part of the patient after the operation is captured. The post-treatment image data including the image data is captured, and these image data are associated with the pre-treatment image data DA ₁ and stored in the captured image data storage unit 14a of the body treatment surgical diagnosis support apparatus 10. Further, in the body treatment surgery diagnosis support apparatus 10, when the image data during treatment and the image data after treatment are stored in the captured image data storage unit 14a, the image processing unit 11a is based on the post-treatment image data as necessary. create a treatment after skeletal image data DB ₂ again by, in association with the treatment before the image data DA ₁ is stored in the created skeleton image data storage unit 14b.

When the post-operative image data is created in this manner in the body treatment diagnostic support apparatus 10, for example, as shown in FIG. 6, the pre-operative image data DA ₁ and the pre-operative skeleton image are displayed in the window displayed on the display unit 17, for example. Data DA ₂ , post-treatment image data DB ₁ , and post-treatment skeleton image data DB ₂ are displayed in association with each other. Then, as described above, in the body treatment diagnosis support apparatus 10, although not particularly illustrated, the image processing unit is selected in response to selection of the morphing button displayed on the display unit 17 using an operation device such as a mouse. the original 11a control, before treatment morphing process and based on the image data DA ₁ and the treatment after the image data DB _1, and before treatment skeleton image data DA ₂ the practitioner after skeletal image data DB ₂ and morphing processing based on such Then, a plurality of interpolated image data based on these image data is created, and the created plurality of interpolated image data are continuously displayed on the display unit 17 as animations, whereby the pre-treatment image data DA ₁ and the post-treatment image data DB ₁ to a, and / or to the practitioner before the image data DA ₁ from treatment after the image data DB ₁ and video or varying gradually, before treatment skeleton image And from the data DA ₂ to treatment after skeletal image data DB _2, and / or on the display unit 17 an image that gradually changes to treatment after skeletal image data DB ₂ from the before treatment skeleton image data DA _2. At this time, the body treatment diagnostic support apparatus 10 may display the interpolated image data side by side with the post-operative skeleton image data DB ₂ or the like in the window shown in FIG. 6, or display the interpolated image data in another window. May be. Further, as described above, the body surgery diagnostic support apparatus 10 may automatically display a video that gradually changes between two pieces of image data on the display unit 17, or may be displayed on the display unit 17. By operating a scale bar or the like not to be operated using an operation device, the interpolation ratio may be arbitrarily changed and displayed.

  In addition, the body treatment diagnosis support apparatus 10 may cause the display unit 17 to display in-operation image data captured during the operation so that the patient can recognize the state during the operation. At this time, the body treatment diagnosis support apparatus 10 displays a plurality of in-operation image data in time series on the display unit 17 or selects a predetermined switching button displayed on the display unit 17 to select any arbitrary image data. It is desirable to display image data during treatment at the time.

  In the orthopedic surgery diagnosis support system, the interpolated image data created by the morphing process by the orthopedic surgery diagnosis support apparatus 10 and image data during the surgery are presented to the patient, thereby simulating the state of the affected area before and after the surgery. This can be done visually and allows the patient to recognize a more realistic state. Therefore, in the surgical treatment support system for manipulative treatment, it is possible to explain the content of appropriate treatment to the patient and to obtain sufficient information necessary for giving consent to the treatment content for the patient, A sufficient relationship of trust can be established between the nurse and the patient.

In the therapeutic surgery support system, the diagnosis using the modified surgery diagnosis support apparatus 10 is performed for each patient. Then, in the body treatment diagnosis support system, pre-treatment image data DA ₁ , post-treatment image data DB ₁ , and in-treatment image data captured for each diagnosis are stored in the captured image data storage unit 14a and for each diagnosis. The created pre-operative skeleton image data DA ₂ and post-operative skeleton image data DB ₂ are stored in the created skeleton image data storage unit 14b. That is, in the body treatment diagnosis support system, the plurality of image data are used to manage each patient as a treatment process information database described above. At this time, in the systemic surgery diagnosis support system, the comments of the surgeon regarding the diagnosis and the situation of each treatment may be added.

  In this way, in the surgical treatment diagnosis support system, it is possible to appropriately and quickly grasp the treatment process by creating and managing a treatment process information database based on image data imaged or created for each diagnosis for each patient. Is possible.

  Further, as described above, in the surgical treatment diagnosis support system, an ID or password is uniquely given to each patient, and the surgical process information database constructed in the surgical treatment diagnosis support apparatus 10 from the patient terminal 20 is used. Configure to be accessible. As a result, the patient accesses the treatment process information database via the patient terminal 20, and displays the various image data, comments, etc. described above on the display unit or the like to view the treatment process information database. It can be easily grasped. At this time, in the body surgery diagnostic support system, the interpolated image data created by the morphing process can be viewed through the patient terminal 20, so that the patient confirms his / her treatment process while having a sense of entertainment. be able to. In the systemic surgery diagnosis support system, not only a patient but also a close relative such as the family of the patient can grasp the treatment process of the patient via the patient terminal 20. Accordingly, in the body treatment diagnosis support system, it is possible to construct an environment for obtaining consent of not only the patient but also the family and the like, and more appropriate informed consent can be realized.

  As described above, in the orthopedic treatment diagnosis support system shown as the embodiment of the present invention, the interpolated image data created by the morphing process based on the image data indicating the situation before and after the treatment by the stereotactic treatment diagnosis support apparatus 10 is stored in the patient. By presenting in the above, it is possible to visually simulate the state of the affected area before and after the treatment, and to make the patient recognize a more realistic state. Therefore, in the systemic surgery diagnosis support system, it is possible to sufficiently explain the treatment content to the patient, and also to obtain sufficient information necessary for giving consent to the treatment content for the patient, It is possible to realize an environment for carrying out novel informed consent that has moved away from the conventional treatment system that directly shifts from oral diagnosis to manual treatment.

  In addition, in the systemic surgery diagnosis support system, a treatment process information database based on image data captured or created for each diagnosis is created and managed for each patient, thereby making a leap forward compared to conventional chart-only management using paper. Therefore, the management ability is improved and the treatment process can be grasped appropriately and quickly.

  Further, in the systemic surgery diagnosis support system, by enabling the patient to access the treatment process information database, the patient himself / herself can arbitrarily confirm his / her treatment process and not only the patient but also the patient's treatment process information database. It is possible to construct an environment for obtaining the consent of close relatives such as family members, and to realize more appropriate informed consent.

  The present invention is not limited to the embodiment described above. For example, in the above-described embodiment, it has been described that image data creation and management of the surgical process information database are performed by the single surgical treatment diagnosis support apparatus 10, but the present invention provides functions of the surgical treatment diagnosis support apparatus, You may isolate | separate into the terminal device used in the case of a diagnosis, and the server apparatus which stores a treatment process information database.

  In the above-described embodiment, the case where diagnosis is performed based on still image data has been described. However, the present invention can also be applied to diagnosis based on moving image data. For example, the operation status may be recorded to create voice data, and diagnosis based on arbitrary digital data such as the voice data and image data may be performed.

  Thus, it goes without saying that the present invention can be modified as appropriate without departing from the spirit of the present invention.

It is a figure explaining the structure of the body treatment surgery diagnostic support system shown as embodiment of this invention. It is a block diagram explaining the hardware constitutions of the fixed body treatment diagnosis assistance apparatus in the same fixed body treatment diagnosis support system. It is a block diagram explaining the functional structure of the same body treatment diagnosis support apparatus. It is a figure explaining the example of the window which displays pre-treatment image data and pre-treatment skeleton image data. It is a figure explaining the example of the window which displays pre-treatment image data, pre-treatment skeleton image data, and post-treatment skeleton image data. It is a figure explaining the example of the window which displays pre-treatment image data, pre-treatment skeleton image data, post-treatment image data, and post-treatment skeleton image data.

Explanation of symbols

10 Manipulative treatment diagnosis support device 11 CPU
11a Image processing unit 12 ROM
13 RAM
DESCRIPTION OF SYMBOLS 14 Memory | storage part 14a Captured image data memory | storage part 14b Creation frame | skeleton image data memory | storage part 14c Model data memory | storage part 15 Communication part 16 Input operation control part 17 Display part 20 Patient terminal DA ₁ Preoperative image data DA ₂ Preoperative image data DB ₁ image data after operation DB ₂ image data after operation NT network

Claims (9)

A machine operation diagnosis support device for supporting diagnosis work in the case of a manipulative treatment,
Storage means for storing pre-operative image data including the imaged affected area of the patient before the operation and post-operative image data including the imaged image of the affected area of the patient after the operation;
Image processing means for performing a morphing process based on the pre-treatment image data and the post-treatment image data stored in the storage means;
And a display means for displaying interpolated image data created by the morphing process by the image processing means. The image processing means creates pre-operative skeletal image data depicting the skeleton corresponding to the pre-operative image data and post-operative skeleton image data depicting the skeleton corresponding to the post-operative image data, and stores them in the storage means. Remember,
The display means displays the pre-operative skeleton image data and the post-operative skeleton image data created by the image processing means in association with the pre-operative image data and the post-operative image data. The apparatus for assisting diagnosis and treatment of manipulative treatment according to claim 1. The image processing means performs a morphing process based on the pre-operative image data, the pre-operative skeleton image data, the post-operative image data, and the post-operative skeleton image data stored in the storage means,
The apparatus for assisting in body surgery diagnosis according to claim 2, wherein the display means displays interpolated image data created by morphing processing by the image processing means. The storage means stores bone data that models individual bone parts,
The image processing means measures and recognizes a skeleton in response to selection of feature points of the pre-treatment image data and / or post-treatment image data displayed on the display means, and stores them in the storage means. 3. The body treatment according to claim 2, wherein the pre-operative skeleton image data and / or the post-operative skeleton image data are created by selecting bone data close to the recognized skeleton from the bone data thus obtained. Diagnosis support device. The storage means stores model image data which is skeleton image data created by modeling in advance,
The image processing means obtains desired model image data from the model image data stored in the storage means based on the pre-treatment image data and / or the post-treatment image data displayed on the display means. The body surgery diagnostic support apparatus according to claim 2, wherein the apparatus is selected and used as the pre-operative skeleton image data and / or the post-operative skeleton image data. The storage means stores a plurality of in-operation image data indicating an imaged state during the operation,
The apparatus for assisting in body surgery diagnosis according to claim 1, wherein the display unit displays the plurality of image data during the operation stored in the storage unit in a time series or in a switched manner. A method for assisting in the diagnosis of manipulative treatment, which supports the diagnosis work during the manipulative treatment
Capturing pre-operative image data including the affected area of the patient before the operation and storing it in a predetermined storage means;
Imaging the post-treatment image data including the affected area of the patient after the treatment and storing it in the storage means;
Performing a morphing process based on the pre-treatment image data and the post-treatment image data stored in the storage means;
And a step of displaying the interpolated image data created by the morphing process on a predetermined display means. A computer-executable manipulative treatment diagnosis support program for supporting diagnosis work during manipulative treatment,
A process for storing the pre-treatment image data including the imaged affected area of the patient before the operation and the post-operation image data including the imaged image of the affected area of the patient after the operation in a predetermined storage unit;
A process of performing a morphing process based on the pre-treatment image data and the post-treatment image data stored in the storage unit;
And a process for displaying the interpolated image data created by the morphing process on a predetermined display means. A manipulative treatment diagnosis support system for supporting diagnosis work during manipulative treatment,
A device for assisting in diagnosis and treatment of manipulative treatment owned by a chiropractor,
A patient terminal owned by the patient,
The body surgery diagnostic support apparatus stores pre-treatment image data including the imaged affected area of the patient before the operation and post-operation image data including the imaged affected area of the patient after the operation in a predetermined storage unit, Interpolated image data created by performing a morphing process based on the pre-treatment image data and the post-treatment image data stored in the storage means is displayed on a predetermined display means,
The terminal for a patient accesses a treatment process information database relating to the treatment process of the patient including the pre-treatment image data and the post-treatment image data stored in the storage unit in the orthopedic treatment diagnosis support device, A manipulative treatment diagnosis support system characterized by displaying on a predetermined display means.