JP2014149689A - Report preparation support system and report preparation support program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a report preparation support system which allows a user to easily understand a correspondence between a character string on a reading report and an annotation attached to a medical image linked to the character string.SOLUTION: The report preparation support system has a display control unit and a linking unit. The display control unit causes a display part to display a preparation screen for preparing a medical report to be composed of a medical image to which at least one annotation is attached and multiple character strings. When an instruction to move a medical image to which only a desired annotation selected by an input unit is attached to a desired character string in the preparation screen is given, the linking unit links the medical image to which only the desired annotation is attached with the desired character string.

Description

  Embodiments described herein relate generally to a report creation support system and a report creation support program.

  In the medical field, specialized fields are subdivided. For example, when a medical image acquired by an X-ray CT apparatus, an MRI apparatus, or the like is interpreted, it is widely performed to request a specialized doctor (interpretation doctor). The interpreting doctor performs a task of collecting the findings as an interpretation report while confirming the medical image to be interpreted.

  For example, a report creation device is used to create the interpretation report. In the interpretation report creation using the report creation apparatus, the interpretation doctor confirms the medical image displayed on the display unit and finds the findings. Then, the interpretation doctor inputs the finding as a character string in the finding input field displayed on the display unit. The medical image used for finding the finding may be referred to as a “key image”.

  When creating an interpretation report, in order to clarify the region of interest in the key image (for example, a lesion such as a thrombus or a tumor), a figure such as a circle or polygon called an annotation is added to the key image. .

  Moreover, when creating an interpretation report, it is also possible to link the character string input in the finding input field and the medical image (hyperlink). The interpretation doctor selects a medical image to be linked via the input unit or the like, and drags the medical image. Then, the image interpretation doctor drops the dragged medical image onto a desired character string to be linked (hereinafter, the drag operation and the drop operation may be collectively referred to as “drag and drop”). By the drag and drop operation, address information indicating the storage destination of the selected medical image is linked to the dropped character string. Further, the report creation apparatus displays the identifiable information by changing the color of the linked character string and adding an underline in addition to the linking of the medical image. When the underlined character string is selected, the report creation apparatus displays a medical image linked to the selected character string.

JP 2005-301453 A

  Here, a plurality of annotations may be attached to one medical image. When such a medical image is hyperlinked to a desired character string, when the desired character string is selected, a medical image with a plurality of annotations is displayed on the display unit. Therefore, the report creation requester (doctor or the like) who confirmed the medical image has a description of which annotation the content of the desired character string is described in the medical image (whether it is a description corresponding to all of the plurality of annotations, It was difficult to grasp whether the description corresponds to the annotation).

  The embodiment is made to solve the above-mentioned problems, and it is possible to easily grasp the correspondence between the character string of the interpretation report and the annotation attached to the medical image linked to the character string. The purpose is to provide a simple report creation support technology.

  In order to solve the above problems, the report creation support system described in the embodiment includes a display control unit and a link unit. The display control unit causes the display unit to display a creation screen for creating an interpretation report including a medical image with at least one annotation and a plurality of character strings. The linking unit is a medical unit with only a desired annotation when an instruction is given to move a medical image with only the desired annotation selected by the input unit to a desired character string on the creation screen. Link the image to the desired string.

1 is an overall view showing a medical information system according to an embodiment. It is a block diagram which shows the report preparation assistance apparatus which concerns on embodiment. It is a figure which shows the display part which concerns on embodiment. It is a figure which shows the display part which concerns on embodiment. It is a figure which shows the display part which concerns on embodiment. It is a figure which shows the display part which concerns on embodiment. It is a figure which shows the display part which concerns on embodiment. It is a flowchart which shows operation | movement of the report preparation assistance apparatus which concerns on embodiment. It is a block diagram which shows the report preparation assistance apparatus which concerns on the modification 2. It is a figure which shows the display part which concerns on the modification 2. It is a figure which shows the display part which concerns on the modification 2. It is a figure which shows another example of the display part which concerns on the modification 2. FIG. It is a figure which shows another example of the display part which concerns on the modification 2. FIG. It is a block diagram which shows the report preparation assistance apparatus which concerns on the modification 3. It is a figure which shows the display part which concerns on the modification 3. It is a figure which shows the display part which concerns on the modification 3.

<Embodiment>
The configuration of the report creation support apparatus according to the present embodiment will be described with reference to FIGS.

[Overall Configuration of Medical Information System 1]
As shown in FIG. 1, the medical information system 1 includes a medical image photographing device 2, a medical image storage device 3, a report creation support device 4, and a report storage device 5. These devices are communicably connected via a network N such as a LAN (Local Area Network). Communication between apparatuses preferably conforms to DICOM (Digital Imaging and Communications in Medicine), which is a standard for medical images, but other standards may be applied as appropriate. Information communication is industry standard TCP / IP (Transmission Control Protocol / Internet Protocol) communication, and data is exchanged in packets (basic units of information to be transferred) via the network N.

  The medical imaging apparatus 2 is an imaging apparatus such as an X-ray imaging apparatus, an X-ray CT (Computed Tomography) apparatus, and an MRI (Magnetic Resonance Imaging) apparatus. Medical images can be acquired by imaging the subject with these imaging apparatuses. The acquired medical image is transmitted to the medical image storage device 3 in a file format conforming to DICOM, for example. The transmitted medical image includes image-related information accompanying the medical image, such as the date when the medical image was acquired and the imaging conditions. Since “image” and “image data” have a one-to-one correspondence, in the present embodiment, they may be regarded as the same.

  The medical image storage device 3 is a device that stores medical images and the like transmitted from the medical image photographing device 2. The medical image storage device 3 is a so-called computer, and includes a CPU (Central Processing Unit (not shown), a ROM (Read Only Memory) (not shown), a RAM (Random Access Memory, not shown), and a large-capacity storage device (not shown). (Not shown).

  The report creation support apparatus 4 is an apparatus for creating a radiogram interpretation report by recording findings relating to a medical image based on an instruction input from a radiogram interpretation doctor or the like. Details of the report creation support apparatus 4 will be described later.

  The report storage device 5 stores a creation screen template for creating an interpretation report, an interpretation report created by the report creation support device 4, and a medical image (key image) referred to when creating the interpretation report. It is a device to do. The report storage device 5 is a so-called computer, and includes a CPU (not shown), a ROM (not shown), a RAM (not shown), a large-capacity storage device (not shown), and the like. The medical image storage device 3 and the report storage device 5 may be configured as one device. Alternatively, the report creation support device 4 and the report storage device 5 can be configured as one device.

[Configuration of Report Creation Support Device]
As shown in FIG. 2, the report creation support device 4 includes an input unit 41, a display unit 42, and a processing unit 43. The report creation support apparatus 4 in the present embodiment is an example of a “report creation support system”.

(Input section)
The input unit 41 is provided for inputting various instructions in the report creation support apparatus 4. The input unit 41 includes, for example, a keyboard, a mouse, a trackball, a joystick, and the like. As the input unit 41, a GUI (Graphical User Interface) displayed on the display unit 42 can be used.

(Display section)
The display unit 42 is a display that displays an interpretation report and a medical image. In the present embodiment, a dual display having a first display unit 42a and a second display unit 42b is used. A medical image is displayed on the first display unit 42a. The second display section 42b displays a creation screen for creating an interpretation report and the created interpretation report.

(Processing part)
In the present embodiment, the processing unit 43 includes a communication unit 431, a display control unit 432, a report creation unit 433, an annotation unit 434, and a linking unit 435. The processing unit 43 is configured by a CPU, for example.

  The communication unit 431 acquires, from the medical image storage device 3, a medical image to be referred to when creating an interpretation report based on an instruction input from the input unit 41 or the like. For example, when an examination ID is input through the input unit 41, the communication unit 431 reads a medical image corresponding to the examination ID from the medical image storage device 3. Further, the communication unit 431 acquires a template for the interpretation report creation screen from the report storage device 5 based on an instruction input from the input unit 41 or the like. In addition, the communication unit 431 transmits an interpretation report created by the report creation support device 4 to the report storage device 5.

  The display control unit 432 performs various display controls on the display unit 42 (the first display unit 42a and the second display unit 42b). For example, the display control unit 432 displays the medical image acquired from the medical image storage device 3 on the first display unit 42a. In addition, the display control unit 432 causes the second display unit 42 b to display an interpretation report creation screen based on the template acquired from the report storage device 5.

  In addition, the display control unit 432 according to the present embodiment includes a switching unit 432a. The report creation support device 4 has a mode in which the annotation displayed on the medical image can be manipulated (hereinafter sometimes referred to as “first mode”), and the annotation is attached by fixing the annotation to the medical image. It has a mode for generating a medical image (hereinafter sometimes referred to as “second mode”). That is, the first mode is a mode in which the position and shape of the annotation can be changed. The second mode is a mode in which the annotation position and shape cannot be changed. The switching unit 432a performs switching between the first mode and the second mode based on an instruction input from the input unit 41 or the like.

  Based on the instruction input from the input unit 41 or the like, the report creation unit 433 enters the content of the finding in the finding input field of the interpretation report creation screen displayed on the second display unit 42b. For example, when the input unit 41 is composed of a keyboard, the report creation unit 433 records the character associated with the character key pressed by the image interpretation doctor as electronic data in the observation input column, thereby allowing the finding input column to store the finding. Fill in the content. The findings are composed of a plurality of character strings.

  The annotation unit 434 adds an annotation to the medical image displayed on the first display unit 42a based on an instruction input from the input unit 41 or the like.

  An annotation is a mark for facilitating recognition of an attention site or the like by adding it to a medical image. Annotations are displayed in various forms. For example, an annotation is drawn on a medical image such as an arrow pointing to a target region (lesioned part, etc.), a circle, an ellipse, a polygon surrounding the target region, or a line drawn freehand so as to surround the target region. It is a figure to be made. The annotation also includes a scale indicating the size of the site of interest.

FIG. 3 is a diagram illustrating an example of the medical image I displayed on the first display unit 42a. In FIG. 3, a circular annotation A _{1, an} arrow-shaped annotation A ₂ , and an annotation A ₃ are attached to the medical image I. Thus, a plurality of annotations may be added to one medical image.

  Annotation can be added manually or automatically.

  When annotation is added manually, the image interpretation doctor draws a figure on the target region of the medical image under the first mode. The annotation unit 434 displays the drawn figure as an annotation on the medical image. Thereafter, the switching unit 432a switches from the first mode to the second mode. Accordingly, the annotation unit 434 generates a medical image with an annotation by fixing the displayed annotation to the medical image (that is, the annotation unit 434 adds an annotation to the medical image).

On the other hand, when annotation is automatically added, for example, the technique disclosed in Japanese Patent Application Laid-Open No. 2010-57902 can be applied. Here, an example of adding three annotations as shown in FIG. 3 will be described. The interpretation doctor selects one annotation from a plurality of preset annotations. In the first mode, when the interpreting doctor selects a region of interest in the medical image with the mouse (input unit 41), the annotation unit 434 displays the selected annotation (annotation A ₁ ) on the selected portion. . The interpreting physician adjusts the position of the annotation A ₁ via the input unit 41. Similarly, the annotation unit 434 displays the arrow annotation A ₂ and the annotation A ₃ in the medical image I. Thereafter, the switching unit 432a switches from the first mode to the second mode based on the instruction input from the input unit 41. Thereby, the annotation unit 434 fixes the displayed annotations A _{1 to} A ₃ to the medical image I (that is, the annotation unit 434 adds an annotation to the medical image, see FIG. 3).

  Instead of selecting annotations, annotations are automatically generated based on preset information (for example, a combination of multiple annotations based on an interpretation doctor's interpretation routine or annotation information used when creating past interpretation reports). It may be displayed. For example, when a site of interest is selected by the input unit 41, the annotation unit 434 automatically selects an annotation based on preset information and displays it at the position of the site of interest.

  The annotation may be added by overlaying the annotation image on the medical image, or by replacing the pixels in the region where the annotation is displayed in the medical image based on the annotation GSPS (Grayscale Softcopy Presentation State). Good.

  The linking unit 435 receives only the desired annotation when an instruction is given to move the medical image with only the desired annotation selected by the input unit 41 to the desired character string on the creation screen. Link the medical image to the desired character string. The linking process is performed in a state where a medical image with an annotation is displayed on the first display unit 42a and an interpretation report creation screen is displayed on the second display unit 42b.

  In the present embodiment, “desired annotation” refers to an annotation indicating an area related to contents described in a desired character string desired by an interpretation doctor among annotations added to a medical image. The “desired character string” refers to a character string to be linked (hyperlinked) with a medical image among a plurality of character strings indicated in the interpretation report. The “instruction to move” refers to a drag and drop operation. “Linking a medical image to a desired character string” refers to associating medical image data with data of a desired character string shown in an interpretation report. This association includes, for example, the position of the image (pasting position) and the size of the image in the interpretation report.

A specific example of linking will be described below with reference to FIGS. 4A to 4D. Here, in the medical image I annotation A ₁ to A ₃ shown in FIG. 3 attached, description will be given of a case where only the annotation A ₁ is selected. In the following description, an annotation A ₁ is "desired annotation", string β is "desired character string." String beta, it is assumed that the observation of a region indicated by annotation A ₁ is described. The link operation is described as being executed in the second mode.

The interpretation doctor inputs the patient ID, the patient's name, and the like on the interpretation report creation screen W displayed on the second display unit 42b. Further, the interpretation doctor inputs the character string α and the character string β indicating the findings regarding the medical image I in the finding input field F ₁ (see FIG. 4A).

Thereafter, radiologist, with respect to the string beta, to link with the medical image I annotation A ₁ is attached.

In this case, radiologist, the input unit 41 selects the annotation _{A 1} (see drag operation. Figure 4B). The display control unit 432 changes the display mode so that the annotations A ₁ which is selected becomes distinguishable from other annotation. For example, the display control unit 432 changes the display color of the selected annotation A ₁ and the display color of other annotations. Alternatively, the display control unit 432 may display a mark indicating that it has been selected in the vicinity of the selected annotation A _1. In FIG. 4B, the selected annotation (annotation A ₁ ) is indicated by a broken line in order to distinguish the selected annotation from other annotations.

When the annotation A ₁ is selected, the linking unit 435 specifies the specific information (Study instance UID, SOP instance UID, examination date, medical image photographing apparatus that performed the examination) included in the medical image I on which the selected annotation is displayed. 2 type, obtains the positional information, etc.) of the designated annotation a ₁ as the information of URL.

Thereafter, radiologist, the input unit 41, to drop the medical image I while selecting the annotation A ₁ to the string β displayed on the second display section 42b (see FIG. 4C). The linking unit 435 links the dropped medical image I to the character string β. Linked medical image I, for example, is displayed on the image display area F ₂ of the creation screen W (see FIG. 4D). Then, the linking unit 435 creates information related to the hyperlink including the acquired specific information (hereinafter sometimes referred to as “hyperlink URL information”), and stores the information in the report storage device 5 in association with the interpretation report.

  The display control unit 432 displays the character string β in a state where it can be distinguished from other character strings. For example, the display control unit 432 changes the display color of the character string β to the display color of another character string and displays the character string β with an underline (see FIG. 4D).

  Although an example in which one annotation is selected has been described above, a plurality of annotations can also be selected. For example, when the input unit 41 is a keyboard, the image interpretation doctor can select a plurality of annotations by performing key operations while holding down the SHIFT key.

  It is also possible to link a plurality of medical images to a certain character string. For example, in the above example, after the medical image I is linked to the character string β, a different medical image I ′ is dragged and dropped on the character string β by the interpreting doctor. In this case, the linking unit 435 links the dropped medical image I ′ to the character string β together with the medical image I.

[Operation]
Next, the operation of the report creation support apparatus 4 according to this embodiment will be described with reference to FIG.

  First, the report creation support device 4 is activated. When the report creation support device 4 is activated, the communication unit 431 acquires a template for the interpretation report creation screen from the report storage device 5. The display control unit 432 displays the acquired interpretation report creation screen on the second display unit 42b (S10).

  Next, when an examination ID is input from the input unit 41, the communication unit 431 acquires a medical image corresponding to the examination ID from the medical image storage device 3. The display control unit 432 displays the acquired medical image on the first display unit 42a (S11).

  The interpretation doctor observes the medical image displayed on the first display unit 42a and finds out findings. Then, the image interpretation doctor inputs the findings on the image interpretation report creation screen displayed on the second display unit 42b.

Further, the interpreting doctor designates a site of interest in the medical image via the input unit 41. Based on this instruction input, the annotation unit 434 adds an annotation to the site of interest (S12). Hereinafter, description will be made assuming that a plurality of annotations A _{1 to} A ₃ are added to the medical image I (see FIG. 3).

Here, the image interpretation doctor links (hyperlinks) a medical image referred to at the time of input to a desired character string among the input character strings. In this case, the image interpretation doctor selects a desired annotation (annotation A ₁ ) from a plurality of annotations using the input unit 41 (S13).

Radiologist, drag the medical image I while selecting the annotation A ₁ (S13 state), drops to the desired character string (S14).

  The linking unit 435 links the medical image I dropped on a desired character string (S15: hyperlink).

  In this way, an interpretation report in which a hyperlink between a medical image with only a desired annotation and a desired character string is created is completed (S16). The created interpretation report is stored in the report storage device 5 together with the hyperlink URL information.

  When referring to the created interpretation report, the report creation requester inputs an examination ID into an operation terminal (for example, a PC owned by the report creator). The operation terminal reads an interpretation report corresponding to the input examination ID from the report storage device 5 and displays it on the display screen of the operation terminal. When a desired character string in the displayed interpretation report is selected by a keyboard or the like of the operation terminal, the operation terminal displays a medical image linked to the desired character string. In the displayed medical image, only an annotation (desired annotation) indicating an area related to a desired character string is shown. Therefore, the report creation requester can easily grasp which region of the medical image the content described in the desired character string relates to. That is, by displaying a medical image with only a desired annotation, the diagnosis efficiency by the report creation requester is improved.

  The configuration of the report creation support system according to the present embodiment is not limited to the above configuration. For example, a system composed of a plurality of devices can be constructed.

  As a specific example, an example in which an image browsing apparatus for browsing medical images is provided will be described. The image browsing apparatus is a so-called computer, and includes a CPU (not shown), a ROM (not shown), a RAM (not shown), a display unit, and the like. The image browsing device can receive a medical image from the medical image storage device 3 and display it on a display unit using application software called an image viewer. Then, the image browsing apparatus executes processing related to display of medical images and addition of annotations. That is, the display unit of the image browsing apparatus corresponds to the “first display unit 42a”.

  On the other hand, the report creation support apparatus 4 executes processing related to the interpretation report creation (including the link between the medical image and the character string) (in this case, the report creation support apparatus 4 includes the first display unit 42a and the annotation). Part 434 is not required). As a result, it is possible to perform the same operation as the configuration of the above embodiment. In this case, the report creation support device 4 and the image browsing device are examples of the report creation support system.

  Alternatively, instead of providing the report creation support device 4, the function of the report creation support device 4 may be executed by another device (computer) such as the medical imaging device 2. For example, it is possible to cause the medical image photographing apparatus 2 to perform the above operation by causing the medical image photographing apparatus 2 to execute a predetermined report creation support program. Such a report creation support program has at least a display control function and a linking function. The display control function is a creation screen for creating an interpretation report including a medical image with at least one annotation and a plurality of character strings on a display unit of a computer (for example, the medical image photographing apparatus 2). Is displayed. In the link function, when an instruction to move a medical image with only a desired annotation selected by an input unit provided in the computer to a desired character string on the creation screen is given, only the desired annotation is displayed. The attached medical image is linked to a desired character string.

[Action / Effect]
The operation and effect of the report creation support system according to the present embodiment will be described.

  The report creation support system includes a display control unit 432 and a link attaching unit 435. The display control unit 432 creates an image interpretation report including a medical image with at least one annotation and a plurality of character strings for the display unit (the first display unit 42a and the second display unit 42b). To display the creation screen. The linking unit 435 receives only the desired annotation when an instruction is given to move the medical image with only the desired annotation selected by the input unit 41 to the desired character string on the creation screen. Link the medical image to the desired character string.

  Thus, the linking unit 435 links a medical image with only a desired annotation and a desired character string. Therefore, a doctor or the like who observes the medical image linked to the character string can easily determine which region of the medical image the content shown in the character string is described. That is, according to the report creation support system in the present embodiment, it is possible to easily grasp the correspondence between the character string of the interpretation report and the annotation attached to the medical image linked to the character string.

  In addition, the display control unit 432 in the report creation support system includes a switching unit 432a. The switching unit 432a switches between the first mode in which the annotation displayed on the medical image can be operated and the second mode in which the annotation is attached to the medical image and the medical image with the annotation is generated. . The selection of a desired annotation by the input unit 41 is performed in the second mode.

  As described above, the switching unit 432a switches between the first mode and the second mode, whereby the annotation can be fixed to the medical image. In addition, since the annotation can be selected and dragged and dropped while the annotation is fixed, the annotation position does not shift when the annotation attached to the medical image is dragged.

  It is also possible to realize the report creation support system according to the present embodiment by causing a computer to execute a program. Such a report creation support program has a display control function and a linking function. The display control function causes the display unit to display a creation screen for creating an interpretation report including a medical image with at least one annotation and a plurality of character strings. In the link function, when an instruction to move a medical image with only a desired annotation selected by the input unit 41 to a desired character string on the creation screen is given, only the desired annotation is added. A medical image is linked to a desired character string.

  Thus, the link function allows the computer to link a medical image with only a desired annotation and a desired character string. Therefore, a doctor or the like who observes the medical image linked to the character string can easily determine which part of the medical image the content shown in the character string is described. That is, by executing the report creation support program in this embodiment, it is possible to easily grasp the correspondence between the character string of the interpretation report and the annotation attached to the medical image linked to the character string. .

<Modification 1>
In the above embodiment, an example in which a medical image with an annotation and a desired character string are linked in the second mode (a mode in which the position and shape of the annotation cannot be changed) has been described. Similar processing can also be performed in the first mode.

  On the other hand, the first mode is a mode in which the position and shape of the annotation can be changed. Therefore, if drag and drop is performed with the annotation selected in the first mode, the position of the annotation may move.

  Therefore, the linking unit 435 stores the position of the selected annotation when the annotation is selected by the input unit 41 in the first mode. Then, when the operation amount of the input unit 41 exceeds a predetermined amount, the linking unit 435 determines that the operation is a drag and drop operation, and stores the position stored for the desired character string. Link medical images that are annotated with. The predetermined amount is a value that can determine whether the operation by the input unit 41 is an operation on an annotation or a drag-and-drop operation. For example, the vertical (or horizontal) length on the display screen of the first display unit 42a can be applied as a predetermined amount.

  The report creation support apparatus 4 in the present modification example can select a desired annotation in the first mode and link a medical image to a desired character string. That is, the report creation support apparatus 4 does not need to switch to the second mode. Therefore, it is possible to more easily perform a hyperlink between a desired character string and a medical image with only a desired annotation.

<Modification 2>
In the above embodiment, the configuration in which a desired annotation is directly selected by the input unit 41 has been described. However, the selection of a desired annotation is not limited to the above example.

  For example, in a medical image with a plurality of annotations, there may be a case where all annotations other than a certain annotation are desired to be selected.

  In this case, as illustrated in FIG. 6, the processing unit 43 includes a communication unit 431, a display control unit 432, a report creation unit 433, an annotation unit 434, a linking unit 435, and a selection unit 436.

  When one annotation is designated by the input unit 41, the selection unit 436 selects another annotation as a desired annotation.

An example of processing by the selection unit 436 will be described with reference to FIGS. 7A and 7B. 7A and 7B are diagrams illustrating the medical image I displayed on the first display unit 42a. Four annotations (annotations A _{1 to} A ₄ ) are attached to the medical image I.

Radiologist is to specify an annotation A ₁ by the input unit 41 (Figure 7A reference. Annotations A ₁ to the specified Figures 7A shown in dashed lines). At this time, the selection unit 436 selects an annotation (annotation A ₂ to annotation A ₄ ) attached to the medical image I other than the annotation A ₁ as a desired annotation (see FIG. 7B). By dragging and dropping the medical image I in FIG. 7B, the linking unit 435 can link the medical image I with only the annotations A ₂ to A ₄ to a desired character string.

  Alternatively, when one annotation is designated by the input unit 41, the selection unit 436 can select an annotation in the vicinity of the designated annotation as a desired annotation.

Another example of processing by the selection unit 436 will be described with reference to FIGS. 8A and 8B. 8A and 8B are diagrams showing the medical image I displayed on the first display unit 42a. Six annotations (annotations A _{1 to} A ₆ ) are attached to the medical image I.

Radiologist is to specify an annotation A ₆ by the input unit 41 (Figure 8A reference. Annotation A ₆ that the designated Figure 8A shows in broken lines). At this time, the selection unit 436 selects the annotation A ₆ and the annotation (annotation A ₃ to annotation A ₅ ) in the vicinity of the annotation A ₆ as a desired annotation (see FIG. 8B). By dragging and dropping the medical image I in FIG. 8B, the linking unit 435 can link the medical image I with only the annotations A ₃ to A ₆ to a desired character string. “Neighboring the designated annotation” means an annotation within a predetermined pixel range from the designated annotation. The predetermined pixel range can be arbitrarily set.

  In this manner, by providing the selection unit 436, it is possible to select a plurality of annotations at a time. That is, according to the report creation support apparatus 4 according to the present modification, even when there are a plurality of desired annotations, they can be easily selected.

  Note that it is possible to set in advance how a desired annotation is selected (whether it is performed in the processing of the above embodiment or processing using the selection unit 436). For example, the report creation support apparatus 4 has a mode corresponding to each selection in advance. The interpretation doctor can select and set an arbitrary mode from these modes when selecting an annotation.

<Modification 3>
Before linking a medical image to a desired character string, there is a case where it is desired to check the medical image (medical image with only a selected annotation attached).

  In this case, as illustrated in FIG. 9, the processing unit 43 includes a communication unit 431, a display control unit 432, a report creation unit 433, an annotation unit 434, a linking unit 435, and a reduced image creation unit 437.

  When a desired annotation is selected, the reduced image creation unit 437 creates a reduced image of a medical image with only the desired annotation. The display control unit 432 causes the display unit 42 to display the generated reduced image.

  An example of a reduced image displayed by the reduced image creation unit 437 will be described with reference to FIGS. 10A and 10B. 10A and 10B are diagrams illustrating the medical image I displayed on the first display unit 42a.

For example, in the medical image I, (shown Figure 10A reference. FIG Annotation A ₂ of the selected 10A in dashed lines) which radiologist has selected the annotation A ₂ as desired annotation. At this time, the reduced image creation unit 437 creates a reduced image I _s that only the selected annotation A ₂ is attached. The display control unit 432 displays superimposed a reduced image I _s created medical image I (see FIG. 10B).

  In this way, by displaying a reduced image indicating the selected annotation, the interpreting doctor can obtain the desired medical image to be linked before linking the desired character string and the medical image. It can be confirmed whether the image is a medical image with only an annotation.

  Although several embodiments of the present invention have been described, these embodiments are presented by way of example and are not intended to limit the scope of the invention. These novel embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the scope of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, and are included in the invention described in the claims and the equivalents thereof.

DESCRIPTION OF SYMBOLS 1 Medical information system 2 Medical image imaging device 3 Medical image storage device 4 Report production assistance device 5 Report storage device 41 Input part 42 Display part 42a 1st display part 42b 2nd display part 43 Processing part 431 Communication part 432 Display control Section 432a Switching section 433 Report creation section 434 Annotation section 435 Linking section

Claims (7)

A display control unit for displaying a creation screen for creating an interpretation report composed of a medical image with at least one annotation and a plurality of character strings on the display unit;
When an instruction to move the medical image with only the desired annotation selected by the input unit to the desired character string on the creation screen is given, the medical image with only the desired annotation A linking unit for linking to the desired character string;
A report creation support system characterized by comprising: The display unit
A first display for displaying a medical image with the annotation;
A second display unit for displaying the creation screen;
The report creation support system according to claim 1, further comprising: The display control unit generates a medical image with the annotation by attaching a first mode in which the annotation displayed on the medical image can be operated and fixing the annotation to the medical image. Has a switching part that can be switched between
The report creation support system according to claim 1 or 2, wherein the selection of the desired annotation by the input unit is performed in the first mode or the second mode. In the medical image, a plurality of the annotations are attached,
4. The report creation support according to claim 1, further comprising: a selection unit that selects another annotation as the desired annotation when one annotation is designated by the input unit. 5. system. In the medical image, a plurality of the annotations are attached,
4. The apparatus according to claim 1, further comprising: a selection unit that selects an annotation in the vicinity of the designated annotation as the desired annotation when one annotation is designated by the input unit. 5. Report creation support system. In the medical image, a plurality of the annotations are attached,
A reduced image creation unit that creates a reduced image of the medical image to which only the desired annotation is attached when the desired annotation is selected;
The report creation support system according to claim 1, wherein the display control unit displays the reduced image on the display unit. On the computer,
A display control function for displaying a creation screen for creating an interpretation report composed of a medical image with at least one annotation and a plurality of character strings on the display unit;
When an instruction to move the medical image with only the desired annotation selected by the input unit to the desired character string on the creation screen is given, the medical image with only the desired annotation A linking function for linking to the desired character string;
A report creation support program characterized in that

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