WO2019143064A1 - Système intégré de gestion d'informations d'image pathologique pour gérer intégralement toutes les étapes de l'examen pathologique à l'aide d'informations d'image - Google Patents

Système intégré de gestion d'informations d'image pathologique pour gérer intégralement toutes les étapes de l'examen pathologique à l'aide d'informations d'image Download PDF

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Publication number
WO2019143064A1
WO2019143064A1 PCT/KR2019/000363 KR2019000363W WO2019143064A1 WO 2019143064 A1 WO2019143064 A1 WO 2019143064A1 KR 2019000363 W KR2019000363 W KR 2019000363W WO 2019143064 A1 WO2019143064 A1 WO 2019143064A1
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Prior art keywords
information
inspection
specimen
image information
terminal
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PCT/KR2019/000363
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English (en)
Korean (ko)
Inventor
임준
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Seoul National University Hospital
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Seoul National University Hospital
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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H30/00—ICT specially adapted for the handling or processing of medical images
    • G16H30/20—ICT specially adapted for the handling or processing of medical images for handling medical images, e.g. DICOM, HL7 or PACS
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records

Definitions

  • the present invention relates to a pathological image information management system, and more particularly, to an integrated pathological image information management system that integrally manages a plurality of inspection steps performed in pathology inspection using image information.
  • EMR Electronic Medical Record
  • PACS Picture Archiving and Communication System
  • the pathology department provides a cornerstone to the direction of the clinician's treatment by making a diagnosis by observing the morphological changes of the tissue taken from the patient.
  • the pathologic examination process is divided into visual examination and microscopic examination.
  • the visual inspection is a test to observe the histologic structure of the resected tissue through biopsy and surgery and to closely observe and record lesion size, number, color, hemorrhage and necrosis, and the relationship with surrounding organs.
  • Microscopy is a test that records tissue morphologically by microscopic observation with a glass slide.
  • the inspector checks the clinical information of the specimen on the computer monitor, makes a note on the specimen, moves to the visual inspecting unit, performs the inspection on the specimen, And leave a record.
  • the efficiency of the examination is very poor.
  • specimens and inspection records may change during the process of making a note of the inspection records and electronically documenting them.
  • the photographed picture information is managed by a Picture Archiving and Communication System (PACS) which is operated separately from the electronic medical record, the inspection record is checked in the electronic medical record when reading the inspection result, There is an inconvenience that the image information processing system should be checked separately.
  • PACS Picture Archiving and Communication System
  • the clinical sample is reported at various stages such as registration, reception, visual inspection, lymph node dissection, embedding, segmentation, staining, and reading.
  • the problem is that the inspectors are different for each step.
  • An object of the present invention is to provide an integrated pathological image information management system capable of integrally managing a plurality of inspection steps performed in pathology inspection using image information.
  • an integrated pathological image information management system for integrally managing all steps of a pathological examination using image information, A reception terminal for registering; A visual inspection terminal for generating image information, voice information and character information for the specimen while the inspector performs visual inspection, and displaying the information on a screen (the voice information and the character information are electronically documented to form the finding information) ; A microscope inspection terminal for generating image information and character information of the specimen while the inspector performs a microscopic inspection (the character information is electronically documented to form the specimen information); A reading terminal displaying the image information and the finding information generated from the visual inspection terminal or the microscopy inspection terminal on one screen and displaying a plurality of inspection processes performed in the pathology inspection in a stepwise manner on a screen in a list; And a management server for processing the image information and the diagnostic information generated from the reception terminal, the visual inspection terminal, and the microscopic inspection terminal, and the clinical information of the patient.
  • the visual inspection terminal includes a test stand on which the specimen is placed, an image information input unit for imaging the specimen positioned on the inspection stand, a voice information input unit for recording test specimens of the specimen on the specimen, And a test information display unit for displaying clinical information and test information of the specimen on a screen; Wherein each of the elements constituting the visual inspection terminal is integrally formed in a predetermined space so that the inspector can check the clinical information of the specimen through the inspection information display unit without any movement, Information and character information, and may be stored in the management server.
  • the inspection information display unit displays, on one screen, a basic information area for inputting basic information on the specimen, a sound information area for recording audio information on visual inspection, and a plurality of sample lists on which visual inspection is performed A sample list area for reproducing and editing image information and audio information corresponding to each list, and a video information area for displaying a sample for a sample currently being examined or a sample selected from the list .
  • the reading terminal includes an image information area for displaying an image of a specimen selected for reading, a finding information area for displaying finding information on the specimen, and a plurality of inspection processes performed in the pathology examination of the specimen, Providing a user interface configured as an indicated test tracking area; When one of the inspection processes is selected from the list displayed in the inspection tracking area, the corresponding image information and the corresponding information may be displayed on the screen.
  • the inspector performs inspection while checking clinical information directly from a visual inspection terminal without moving separately for visual inspection, , Voice information, and character information, and thus the examination can be efficiently conducted.
  • the test record is automatically saved as video or audio without handwriting, there is no possibility of change of specimen and test record.
  • the integrated pathology image information management system stores and manages not only image information but also inspection information, so that both the examiner and the reader can conveniently perform the task.
  • the inspector can confirm the basic information of the specimen, the clinical information, the image of the specimen currently being inspected, or the inspection image that has been performed in the past through the screen of the visual inspection terminal.
  • the reader can check and track all the inspection processes performed in the pathology inspection step by step through the screen of the reading terminal, and can check the image information and the feature information stored in each inspection process while comparing them on a single screen.
  • FIG. 1 is a block diagram schematically showing an integrated pathology image information management system of the present invention.
  • FIGS. 2 and 3 are views schematically showing the visual inspection terminal of FIG. 1.
  • FIG. 4 is a view illustrating a pathology inspection process by the integrated pathology image information management system of FIG.
  • FIG. 5 is a diagram showing a user interface of the inspection information display unit of FIG.
  • FIG. 6 is a diagram showing a user interface of the reading terminal of FIG. 1;
  • FIG. 1 is a schematic view of an integrated pathology image information management system of the present invention
  • FIGS. 2 and 3 are schematic views of a visual inspection terminal of FIG. 1.
  • FIG. The integrated pathological image information management system 1 of the present invention includes a reception terminal 15, a visual inspection terminal 20, a microscopic inspection terminal 30, a read terminal 35 and a management server 10.
  • the reception terminal 15 assigns a serial number to the tissue, registers it together with the patient information, and receives the pathology examination.
  • the inspector When the pathological examination request is received by the reception terminal 15, the inspector performs visual inspection of the specimen through the visual inspection terminal 20.
  • Visual inspection is the first step in finding a lesion. The examiner checks the area and type of the specimen, measures the length and weight, and then looks for the lesion.
  • the visual inspection terminal 20 of the present invention generates image information, voice information, and character information for a specimen while the inspector performs visual inspection, and displays the information on the screen.
  • the visual inspection terminal 20 includes a test table 21 on which a specimen is placed, an image information input unit 22 positioned above the test table 21 to image the specimen, A voice information input unit 24, a character information input unit 26 for inputting the test results of the test sample into an electronic document, and a test information display unit 28 for displaying clinical information and test results of the test sample on the screen.
  • each element constituting the visual inspection terminal 20 is integrally formed in a predetermined space, the examiner can perform a visual inspection conveniently.
  • an examiner checks the clinical information of a specimen on a computer monitor, moves to a visual inspection table provided in a separate space, conducts a visual inspection, and then moves to another photographing room, I took a picture and recorded it.
  • the visual inspection terminal 20 of the present invention solves this inconvenience.
  • the examiner confirms the clinical information of the specimen through the inspection information display unit 28 at one place without moving separately, Information, voice information, and character information, and is automatically stored in the management server 10.
  • the image information input unit 22 records all progress of the visual inspection, generates the image information, and stores it in the management server 10.
  • the image information input unit 22 may be a video camera capable of capturing a moving image and converting the image information into an electronic file such as an AVI or an AUD.
  • the management server 10 matches the received image information with patient information and stores the same.
  • the examiner examines the findings on the color, the number, the size, the hardness of the lesion, the bleeding and the necrosis, And can record audio information through the input unit 24.
  • the voice information input unit 24 generates one recording file (e.g., MP3, etc.) for one sample and stores it as voice information in the management server 10.
  • the management server 10 stores the received voice information in association with the patient information.
  • the management server 10 can convert the voice information into an electronic document.
  • the management server 10 may include a voice recognizer for converting voice information into an electronic document, or an obligatory party may connect to the management server 10 via a terminal to convert voice information into an electronic document.
  • the inspector can input and store test results as character information using a character information input unit (e.g., a keyboard, etc.).
  • the management server 10 converts the inputted character information into an electronic document and stores it.
  • the voice information and the character information are electronically documented to form the finding information.
  • the visual inspection terminal 20 is for observing the histological structure of the specimen. After the visual inspection is completed, the inspector cuts the lesion site and its peripheral parts to produce a tissue slide, and the morphological change . To prepare a tissue slide, a series of procedures such as lymph node dissection, embedding, segmentation, and dyeing are performed.
  • the microscopic inspection terminal 30 may include image information generating means and character information generating means. Therefore, while the inspector performs the microscopic inspection using the microscope inspection terminal 30, the microscope inspection terminal 30 generates image information and character information of the specimen tissue and stores the image information and the character information in the management server 10.
  • image information features such as the size and shape of the cells observed through microscopic examination, the size and shape of the nucleus, the relationship between the cells, the constituent material inside the cell, the degree of cell division, the infectious bacteria, foreign substances, Is recorded through the microscope inspection terminal 30 and is stored as image information.
  • the inspector can input inspection information into the microscope inspection terminal 30 as character information and store the inspection information.
  • the management server 10 matches and stores the received image information with the patient information, converts the received text information into an electronic document, and stores the converted electronic document.
  • the electronic documented character information constitutes the finding information.
  • the reading terminal 35 displays the image information and the finding information generated from the visual inspection terminal 20 or the microscopy inspection terminal 30 on one screen.
  • the reader can refer to the corresponding image information while checking the electronic documented observation information through the screen.
  • the reading terminal 35 displays a list of a plurality of inspection processes performed in the pathology examination step by step, and the reader selects desired items from the list and checks the image information and the finding information for each step have. That is, since the image information and the finding information of the entire inspection process constituting the pathological inspection can be tracked, it is possible to minimize the medical accidents in which the specimen and the inspection record are changed. Further, according to the present invention, since the inspector can also track the previous inspection contents, it is possible to prevent the medical accident in advance by verifying the inspection contents with the reader in multiple. Furthermore, even if a medical accident occurs in which the sample and the test record are changed, it is possible to track the process causing the accident and prevent the recurrence thereafter.
  • the management server 10 stores and processes information generated from the reception terminal 15, the visual inspection terminal 20 and the microscopic inspection terminal 30, for example, image information, feature information, or clinical information of a patient.
  • the management server 10 includes a video information processing unit 12 and an electronic medical record unit 14.
  • the image information processing unit 12 stores and processes the image information of the pathology examination so as to be interlocked with the image image photographed by X-ray, CT, MRI, ultrasound or the like.
  • the electronic medical record unit 14 stores and manages the patient's basic information, clinical information, and examination findings or findings of the specimen.
  • FIG. 4 is a view illustrating a pathology inspection process by the integrated pathology image information management system of FIG.
  • the reception terminal 15 gives a serial number to the human body for performing the pathology examination, registers it together with the patient information, and receives the pathology examination (S10).
  • the reception terminal 15 is provided with image information generating means, which can generate image information of a specimen and store it in the management server 10.
  • the visual inspection terminal 20 If the pathological inspection request is received by the reception terminal 15, the visual inspection terminal 20 generates image information and observation information for the specimen while the inspector performs visual inspection on the specimen, and sends them to the management server 10 (S20).
  • a tissue slide is created to observe the morphological changes of the tissue (S30).
  • a video image information generating means for recording a tissue slide is additionally provided to generate image information for all processes such as lymph node dissection, embedding, discoloration, staining, and the like, and store the generated image information in the management server 10.
  • the microscope testing terminal 30 can observe the tissue slide to generate image information and observation information, and store them in the management server 10 (S40).
  • FIG. 5 is a diagram showing a user interface of the inspection information display unit of FIG.
  • the user interface of the inspection information display section is divided into a basic information area 51, an audio information area 52, an inspection information area 53, a specimen list area 54 and an image information area 55 on one screen, do.
  • the basic information area 51 can input or inquire the pathology number, patient basic information, serial number of the specimen, and the like.
  • the audio information area 52 may control the audio information input unit 24 to record the inspection results of the inspector as audio information or reproduce the recorded contents during the visual inspection.
  • the inspection information area 53 can input detailed inspection information such as a pathology number, a publishing site, a collection site, a date of inspection acceptance, and an inspection date and time for the specimen, or display the inputted information.
  • the sample list area 54 displays a plurality of sample lists on which visual inspection is performed, and can reproduce or edit video information and audio information corresponding to each list.
  • the image information area 55 displays an image of a specimen currently being examined or a specimen selected from the list. Accordingly, the inspector can confirm the basic information of the specimen and the patient, as well as the images of the visual inspection in progress or in the past, through the screen provided in the user interface of the inspection information display unit.
  • FIG. 6 is a diagram showing a user interface of the reading terminal of FIG. 1;
  • the user interface of the reading terminal includes an image information area 61, a feature information area 62, and an inspection tracking area 63 for displaying a list of a plurality of inspection processes performed in the pathology inspection of the specimen, ).
  • the reader performs the reading based on the contents displayed on the reading terminal.
  • the basic information of the sample such as the registration number, the pathology number, and the like
  • the result of the pathology test of the corresponding sample is displayed on the screen Is displayed.
  • the image information area 61 displays an image or an image of a specimen selected for reading
  • the finding information area 62 displays pathological examination finding information for the specimen. Therefore, the reader can conveniently read while simultaneously comparing the image information and the feature information displayed on one screen, and the read contents can be further input into the feature information area 62
  • a plurality of inspection processes proceed during the pathological examination of one specimen, And displays them in a list.
  • the reader selects any one of the lists displayed in the inspection tracking area 63, corresponding image information and feature information are displayed in the image information area 61 and the feature information area 62, respectively. Therefore, the reader can identify and track all the inspection processes performed on one sample step by step, and further compare the inspection information of the previous process with each process, thereby minimizing the medical accident in which the sample and inspection records are changed have.

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  • Epidemiology (AREA)
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  • Radiology & Medical Imaging (AREA)
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Abstract

L'invention concerne un système intégré de gestion d'informations d'image pathologique pour gérer intégralement toutes les étapes de d'examen réalisées dans un examen pathologique à l'aide d'informations d'image. Le système de gestion d'informations d'image pathologique intégré comprend: un terminal d'examen macroscopique pour générer des informations d'image, des informations vocales et des informations de texte pour un spécimen tandis qu'un examinateur effectue un examen macroscopique, et afficher les informations sur un écran; un terminal d'examen microscopique pour générer des informations d'image et des informations de texte de l'échantillon tandis que l'examinateur effectue un examen microscopique; un terminal de lecture pour afficher les informations d'image et les informations de manifestation générées à partir du terminal d'examen macroscopique ou du terminal d'examen microscopique sur un écran, et afficher une pluralité de processus d'examen effectués dans l'étape d'examen pathologique étape par étape sous forme de liste sur l'écran; et un serveur de gestion pour traiter les informations d'image et les informations de manifestation générées à partir de ces terminaux, et des informations cliniques du patient.
PCT/KR2019/000363 2018-01-19 2019-01-10 Système intégré de gestion d'informations d'image pathologique pour gérer intégralement toutes les étapes de l'examen pathologique à l'aide d'informations d'image Ceased WO2019143064A1 (fr)

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KR1020180007010A KR102164452B1 (ko) 2018-01-19 2018-01-19 병리검사의 전체 단계를 영상정보를 이용하여 통합적으로 관리하는 통합 병리영상정보관리 시스템
KR10-2018-0007010 2018-01-19

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Cited By (1)

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Publication number Priority date Publication date Assignee Title
WO2022234377A1 (fr) 2021-05-07 2022-11-10 Algoscope Station d'anatomie et cytologie pathologiques pour examen macroscopique

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KR102817551B1 (ko) 2022-07-28 2025-06-05 가톨릭대학교 산학협력단 다중 정보 분석 기반 최적의 바이오 마커 분석법 제안 장치 및 방법

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KR20060128285A (ko) * 2005-06-10 2006-12-14 주식회사 휴민텍 디지털 카메라를 이용한 병리 육안조직 촬영시스템
JP2014241173A (ja) * 2009-07-10 2014-12-25 コニカミノルタ株式会社 医療情報システムおよびそのためのプログラム
KR20150060294A (ko) * 2013-11-26 2015-06-03 서울대학교병원 (분사무소) 전자의무기록 시스템 기반의 음성 판독 정보 관리 장치 및 그 관리 방법
KR20160149809A (ko) * 2015-06-19 2016-12-28 가톨릭대학교 산학협력단 의료 검사를 위한 이미지 분석 관리 방법 및 서버

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Publication number Priority date Publication date Assignee Title
KR20020016289A (ko) * 2000-08-25 2002-03-04 박범 인터넷을 이용한 원격 병리진단 방법 및 시스템
KR20060128285A (ko) * 2005-06-10 2006-12-14 주식회사 휴민텍 디지털 카메라를 이용한 병리 육안조직 촬영시스템
JP2014241173A (ja) * 2009-07-10 2014-12-25 コニカミノルタ株式会社 医療情報システムおよびそのためのプログラム
KR20150060294A (ko) * 2013-11-26 2015-06-03 서울대학교병원 (분사무소) 전자의무기록 시스템 기반의 음성 판독 정보 관리 장치 및 그 관리 방법
KR20160149809A (ko) * 2015-06-19 2016-12-28 가톨릭대학교 산학협력단 의료 검사를 위한 이미지 분석 관리 방법 및 서버

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022234377A1 (fr) 2021-05-07 2022-11-10 Algoscope Station d'anatomie et cytologie pathologiques pour examen macroscopique
FR3122734A1 (fr) 2021-05-07 2022-11-11 Algoscope Station d’anatomie et cytologie pathologiques pour examen macroscopique

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KR20190088663A (ko) 2019-07-29

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