Dynamic Analysis Information Management Device, Dynamic Analysis System, and Program

Abstract

To manage analysis results for each dynamics analysis application software that performs dynamics analysis upon dynamic images.SOLUTION: A dynamics analysis information management device 10 is capable of utilizing an AA analysis application 20A, a BB analysis application 20B and a CC analysis application 20C that perform dynamics analysis regarding a prescribed function or a prescribed disease upon a dynamic image obtained by photographing the dynamics of a subject, and the device receives specific information for specifying a dynamic image to be analyzed and an analysis application to be utilized from hospital terminals 30X, 30Y, 30Z,..., selects the analysis application that corresponds to the specific information, and manages a dynamics analysis result obtained through the dynamics analysis performed by the selected analysis application upon the dynamic image to be analyzed in association with the selected analysis application. The dynamics analysis result includes an analysis value obtained through the dynamics analysis and a determination result that indicates normality or abnormality about the prescribed function or the prescribed disease.SELECTED DRAWING: Figure 1

Description

Technical Field

[0001] The present invention relates to a dynamic analysis information management device and a dynamic analysis system and program in the mucus .

Background Art

[0002] Dynamic images obtained by radiographing the movement of a subject are expected to be useful for diagnosing diseases because they can observe the movement of the lungs and blood flow associated with breathing. On the other hand, since dynamic images are composed of a plurality of frame images, the information is enormous compared to still images, and it takes time to read out information effective for diagnosis from dynamic images.

[0003] In response to such problems, various application software (analysis applications) for analyzing dynamic images have been developed. Analysis processes for medical images include processes for detecting abnormal regions, processes for determining whether they are normal or abnormal, processes for calculating quantitative values used for diagnosis, and the like.

[0004] For example, a composite image diagnosis support system has been proposed that includes a plurality of diagnosis support means (CAD) that output a first reading result according to a specific algorithm for a diagnostic target image, and a determination processing means that acquires a plurality of first reading results and generates a second reading result based on composite diagnosis support according to a predetermined determination criterion (see Patent Document 1). In this system, images are managed by a first image database that stores diagnostic target images for which the second reading result is positive and a second image database that stores diagnostic target images for which the second reading result is negative.

Prior Art Documents

Patent Documents

[0005]

Patent Document 1

Summary of the Invention

Problems to be Solved by the Invention

[0006] However, in the technology described in Patent Document 1, although diagnostic target images are managed based on composite diseased / non-diseased determination results, the analysis results are not managed for each of a plurality of diagnostic support means (analysis applications), and it was difficult to collect normal case / abnormal case data for each analysis application. Further, in the technology described in Patent Document 1, a plurality of diagnostic support means perform analysis for the same purpose (such as determination of the presence or absence of Disease α), and there is no mechanism for managing information for each analysis application with a different purpose.

[0007] Normally, a doctor judges whether there is an abnormality in an image after knowing what a normal state is like. Therefore, in the development of analysis applications for dynamic images, etc., it is necessary to collect not only abnormal case data but also normal case data.

[0008] The present invention has been made in view of the above problems in the prior art, and an object thereof is to manage analysis results for each dynamic analysis application software that performs dynamic analysis on dynamic images.

Means for Solving the Problems

[0009] In order to solve the above problems, the invention according to claim 1 is a dynamic analysis information management device capable of using one or more dynamic analysis application software for performing dynamic analysis related to a predetermined function or a predetermined disease on a dynamic image obtained by photographing the movement state of a subject, comprising: a receiving unit that receives, from an external terminal, a dynamic image to be analyzed and specific information for specifying the dynamic analysis application software to be used among the one or more dynamic analysis application software; a selection unit that selects the dynamic analysis application software corresponding to the specific information; and a management unit that manages, in association with the selected dynamic analysis application software, a dynamic analysis result obtained by performing dynamic analysis on the dynamic image to be analyzed by the selected dynamic analysis application software. a transmission unit that transmits the dynamic analysis result to the external terminal The dynamic analysis result includes an analysis value obtained by dynamic analysis and a determination result indicating normal or abnormal for the predetermined function or the predetermined disease. See, the receiving unit receives, from the external terminal, confirmation diagnosis information indicating a confirmation diagnosis by a doctor regarding the predetermined function or the predetermined disease, and the management unit manages the confirmation diagnosis information in association with the selected dynamic analysis application software, and the management unit classifies the confirmation diagnosis information according to a determination result indicating normality or abnormality of the dynamic analysis result It is characterized by the above.

[0011] Claim 2 The invention according to claim 1 In the dynamic analysis information management device according to claim

[0012] Claim 3 The invention according to claim 1 or 2 In the dynamic analysis information management device according to claim

[0013] Claim 4 The invention according to claim 3 In the dynamic analysis information management device according to any one of claims 1 to

[0014] Claim 5 The invention according to claim 4In the dynamic analysis information management device according to any one of the preceding claims, the predetermined disease includes chronic obstructive pulmonary disease, pulmonary embolism, interstitial pneumonia, or asthma.

[0015] Claim 6 The invention described in claim 5 In the dynamic analysis information management device according to any one of claims 1 to

[0016] Claim 7 The invention described in claim 6 In the dynamic analysis information management device according to any one of claims 1 to

[0017] Claim 8 The invention described in claim a second transmission unit that transmits the dynamic analysis result to the external terminal is a dynamic analysis system including an external terminal and a dynamic analysis information management device capable of using one or more dynamic analysis application software for performing dynamic analysis on a dynamic image obtained by photographing the dynamic state of a subject with respect to a predetermined function or a predetermined disease, wherein the external terminal includes a transmission unit that transmits to the dynamic analysis information management device a dynamic image to be analyzed and specific information for specifying the dynamic analysis application software to be used among the one or more dynamic analysis application software, the dynamic analysis information management device includes a selection unit that selects the dynamic analysis application software corresponding to the specific information, and a management unit that manages the dynamic analysis result obtained by performing dynamic analysis on the dynamic image to be analyzed by the selected dynamic analysis application software in association with the selected dynamic analysis application software, See, the external terminal includes a display unit that displays the dynamic analysis result and a reception unit that receives confirmation diagnosis information indicating a confirmation diagnosis by a doctor regarding the predetermined function or the predetermined disease, the transmission unit transmits the confirmation diagnosis information to the dynamic analysis information management device, the management unit manages the confirmation diagnosis information in association with the selected dynamic analysis application software, and the management unit classifies the confirmation diagnosis information according to a determination result indicating normality or abnormality of the dynamic analysis result wherein the dynamic analysis result includes an analysis value obtained by dynamic analysis and a determination result indicating normal or abnormal with respect to the predetermined function or the predetermined disease.

[0019] Claim 9 The invention according to claim to a computer of a dynamic analysis information management device capable of using one or more dynamic analysis application softwares for performing a dynamic analysis related to a predetermined function or a predetermined disease on a dynamic image obtained by photographing the movement state of a subject part Receiving, from an external terminal, a dynamic image to be analyzed and specific information for specifying the dynamic analysis application software to be used among the one or more dynamic analysis application softwares part Selecting the dynamic analysis application software corresponding to the specific information part Managing, in association with the selected dynamic analysis application software, a dynamic analysis result obtained by performing a dynamic analysis on the dynamic image to be analyzed by the selected dynamic analysis application software functioning as a transmission unit that transmits the dynamic analysis result to the external terminal A program for causing the dynamic analysis result to include an analysis value obtained by dynamic analysis and a determination result indicating normal or abnormal for the predetermined function or the predetermined disease See, the receiving unit receives, from the external terminal, confirmation diagnosis information indicating a confirmation diagnosis by a doctor regarding the predetermined function or the predetermined disease, and the management unit manages the confirmation diagnosis information in association with the selected dynamic analysis application software, and the management unit classifies the confirmation diagnosis information according to a determination result indicating normality or abnormality of the dynamic analysis result Characterized by.

Effect of the Invention

[0021] According to the present invention, the analysis results can be managed for each dynamic analysis application software that performs dynamic analysis on a dynamic image.

Brief Description of the Drawings

[0022]

Figure 1

Figure 2

Figure 3

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Figure 8

Figure 9

Mode for Carrying Out the Invention

[0023] Hereinafter, with reference to the drawings, embodiments of the dynamic analysis system according to the present invention will be described. However, the scope of the invention is not limited to the illustrated examples.

[0024] [First Embodiment] <Configuration of the Dynamic Analysis System> FIG. 1 shows the system configuration of the dynamic analysis system 100 in the first embodiment. As shown in FIG. 1, the dynamic analysis system 100 includes a dynamic analysis information management device 10, and hospital terminals 30X, 30Y, 30Z,... that are external terminals used by doctors belonging to each hospital (X Hospital, Y Hospital, Z Hospital,...). The dynamic analysis information management device 10 and the hospital terminals 30X, 30Y, 30Z,... are connected so as to be able to perform data communication via a communication network NT such as the Internet.

[0025] The dynamic analysis information management device 10 can use AA analysis application 20A, BB analysis application 20B, and CC analysis application 20C as one or more dynamic analysis application softwares (hereinafter referred to as "analysis applications") for performing dynamic analysis on the dynamic images transmitted from the hospital terminals 30X, 30Y, 30Z,....

[0026] When taking a dynamic image, a subject is irradiated with radiation such as X-rays in a pulsed manner at predetermined time intervals (pulsed irradiation), or continuously irradiated at a low dose without interruption (continuous irradiation), so as to obtain a plurality of images showing the dynamics of the subject. A series of images obtained by dynamic imaging is called a dynamic image. Each of the plurality of images constituting the dynamic image is called a frame image. In dynamic imaging, morphological changes in the expansion and contraction of the lungs, heartbeat, blood flow, movement of limb joints, etc. accompanying respiratory movement are the objects of imaging.

[0027] The AA analysis application 20A, the BB analysis application 20B, and the CC analysis application 20C each perform dynamic analysis related to a predetermined function or a predetermined disease on a dynamic image obtained by imaging the dynamics of a subject (patient). The predetermined functions include a ventilation function, a blood flow function, a plastic function, etc. For example, in the dynamic analysis related to the ventilation function, processes such as calculating a quantitative analysis value for evaluating the ventilation function and determining whether the ventilation function is normal or abnormal are performed. The predetermined diseases include Chronic Obstructive Pulmonary Disease (COPD), pulmonary embolism, interstitial pneumonia, asthma, etc. For example, in the dynamic analysis related to COPD, processes such as calculating a quantitative analysis value for diagnosing COPD and determining whether it is COPD (abnormal) or normal are performed.

[0028] The AA analysis application 20A, the BB analysis application 20B, and the CC analysis application 20C can be used by being installed in the dynamic analysis information management device 10. For example, the AA analysis application 20A is an analysis application for COPD, the BB analysis application 20B is an analysis application for plastic surgery, and the CC analysis application 20C is an analysis application for pulmonary embolism. The purposes of each analysis application may be different or the same. Hereinafter, when the AA analysis application 20A, the BB analysis application 20B, and the CC analysis application 20C are not particularly distinguished, they are referred to as the analysis application 20. Here, it is assumed that the dynamic analysis information management device 10 can use three analysis applications 20, but the number of analysis applications 20 that the dynamic analysis information management device 10 can use is not limited to this.

[0029] The control unit 11 of the dynamic analysis information management device 10 requests the analysis application 20 designated from the hospital terminals 30X, 30Y, 30Z,... to analyze the dynamic image, and manages the dynamic analysis result obtained by the analysis application 20. In addition, the dynamic analysis information management device 10 manages the definitive diagnosis information indicating the definitive diagnosis diagnosed by the doctor while referring to the dynamic analysis result in the hospital terminals 30X, 30Y, 30Z,....

[0030] The hospital terminals 30X, 30Y, 30Z,... are computer devices such as PCs (Personal Computers) and tablet terminals used in each hospital. The hospital terminals 30X, 30Y, 30Z,... transmit the dynamic image obtained by photographing the dynamics of the subject to the dynamic analysis information management device 10. Hereinafter, when the hospital terminals 30X, 30Y, 30Z,... are not particularly distinguished, they are referred to as the hospital terminal 30.

[0031] <Configuration of the dynamic analysis information management device> Fig. 2 shows the functional configuration of the dynamic analysis information management device 10. As shown in Fig. 2, the dynamic analysis information management device 10 includes a control unit 11, an operation unit 12, a display unit 13, a communication unit 14, a storage unit 15, the AA analysis application 20A, the BB analysis application 20B, the CC analysis application 20C, etc.

[0032] The control unit 11 is composed of a CPU (Central Processing Unit), a RAM (Random Access Memory), etc., and comprehensively controls the processing operations of each part of the dynamic analysis information management device 10. Specifically, the CPU reads out various processing programs stored in the storage unit 15, expands them in the RAM, and performs various processes in cooperation with the programs.

[0033] The operation unit 12 is composed of a keyboard equipped with cursor keys, character / numeric input keys, various function keys, etc., and a pointing device such as a mouse, and outputs an operation signal input by a key operation on the keyboard or a mouse operation to the control unit 11.

[0034] The display unit 13 is composed of a monitor such as an LCD (Liquid Crystal Display), and displays various screens according to the instruction of a display signal input from the control unit 11.

[0035] The communication unit 14 is composed of a network interface, etc., and performs data transmission and reception with external devices connected via the communication network NT.

[0036] The storage unit 15 is composed of an HDD (Hard Disk Drive), an SSD (Solid State Drive), etc., and stores various processing programs, parameters and files necessary for the execution of the programs. For example, in the storage unit 15, there are a Web server program for realizing the function of a Web server that communicates with the Web browser installed on the hospital terminal 30 by the HTTP protocol and provides various Web screens to the Web browser, and an application program that operates on the Web server and provides a dynamic analysis information management service to the user of the hospital terminal 30 via the Web browser, etc.

[0037] In addition, the storage unit 15 stores dynamic analysis application programs for realizing the AA analysis application 20A, the BB analysis application 20B, and the CC analysis application 20C, respectively.

[0038] In addition, the storage unit 15 stores a master DB (DataBase) 151 and an app-specific DB 152. The storage unit 15 also has an image storage area 153.

[0039] The master DB 151 is a database for managing analysis applications 20 related to dynamic analysis performed on the dynamic image, dynamic analysis results, confirmed diagnosis information by doctors, etc. for each dynamic image for which an analysis request has been made.

[0040] Fig. 3 shows an example of the data configuration of the master DB 151. In the master DB 151, for each dynamic image, a hospital ID, hospital name, patient ID, patient name, shooting date, device name, frame rate, number of frames, name of the requesting doctor, name of the requested analysis application_k, requested analysis application ID_k, determination result_k, report_k, confirmed diagnosis information, SOP instance UID, etc. are associated and stored. Here, k is an integer from 1 to n, and n is the number of analysis applications 20 used for the dynamic image.

[0041] The hospital ID and hospital name are the identification information and name of the hospital where the dynamic image was taken, respectively. The patient ID and patient name are the identification information and name of the patient who was the subject of the dynamic image shooting, respectively. The shooting date is the date when the dynamic image was taken. The device name is the name of the device (modality) where the dynamic image was taken. The frame rate is the number of frame images per second of the dynamic image. The number of frames is the number of a series of frame images that make up the dynamic image. The name of the requesting doctor is the name of the doctor who requested the analysis of the dynamic image.

[0042] The name of the requested analysis application _k and the ID of the requested analysis application _k are, respectively, the name and identification information of the k-th analysis application 20 for which analysis of the moving image has been requested. The determination result _k is the determination result obtained by performing dynamic analysis on the moving image by the k-th analysis application 20. The report _k is a report created by the k-th analysis application 20 for the moving image. Here, the report is specified by the file name of the report.

[0043] The definitive diagnosis information is information indicating the definitive diagnosis diagnosed by a doctor for the moving image. The SOP instance UID is identification information assigned to the moving image. The records in the master DB 151 are associated with the moving images stored in the image storage area 153 by the SOP instance UID.

[0044] The per-application DB 152 is prepared for each analysis application 20 that can be used by the moving image analysis information management device 10. Each of the per-application DBs 152 is a database for managing the moving image analysis results related to the moving image analysis by the corresponding analysis application 20 for each moving image for which a request for moving image analysis using the analysis application 20 corresponding to the per-application DB 152 has been made.

[0045] Examples of the data configurations of the per-application DB 152 are shown in FIGS. 4(a) and (b). FIG. 4(a) is the per-application DB 152 corresponding to the AA analysis application 20A, and FIG. 4(b) is the per-application DB 152 corresponding to the BB analysis application 20B. In the per-application DB 152, for each moving image for which a request for moving image analysis using the analysis application 20 corresponding to the per-application DB 152 has been made, the analysis application ID, hospital ID, patient ID, analysis value, determination result, report, SOP instance UID, etc. are associated and stored.

[0046] The analysis application ID is identification information of the analysis application 20 corresponding to the per-application DB 152. For example, in the per-application DB 152 shown in Fig. 4(a), "1111" corresponding to the AA analysis application 20A is stored in the "Analysis Application ID" field. The analysis value is an analysis value obtained by performing dynamic analysis on the moving image by the analysis application 20 corresponding to the per-application DB 152. When there are multiple analysis values, they are distinguished as analysis value 1, analysis value 2, etc. The determination result is a determination result obtained by performing dynamic analysis on the moving image by the analysis application 20 corresponding to the per-application DB 152. The determination result is information indicating normal or abnormal for a predetermined function or a predetermined disease. As the determination result, it may be "normal" or "abnormal", or it may be a result indicating "abnormal" by specifying a disease name such as "suspected COPD". The report is a report created by the analysis application 20 corresponding to the per-application DB 152 for the moving image. Here, the report is specified by the file name of the report. The records in the per-application DB 152 are associated with the moving images stored in the image storage area 153 by the SOP instance UID.

[0047] In the image storage area 153, files of moving images received from the hospital terminals 30 of each hospital are stored. The moving image has attached information. The attached information includes examination ID, shooting date, device name, site, patient ID, patient name, date of birth, gender, SOP instance UID, frame rate, number of frames, hospital ID, hospital name, etc. The examination ID is identification information of the examination related to the moving image. The site is the site targeted for the examination (shooting). The date of birth and gender are the date of birth and gender of the patient targeted for shooting the moving image, respectively.

[0048] Also, the storage unit 15 stores a user information table 154. The user information table 154 is a table for managing user information regarding users (doctors) who use the dynamic analysis system 100. In the user information table 154, for each user, a user ID, password, doctor's name, phone number, email address, hospital name, department, etc. are associated and stored. The user ID is the identification information of the user. The password is used for user authentication when the user logs in to the system. The doctor's name, phone number, and email address are, respectively, the name, phone number, and email address of the user (doctor). The hospital name is the name of the hospital to which the user belongs. The department is the department to which the user belongs.

[0049] The AA analysis application 20A is a processing unit that performs dynamic analysis on a dynamic image for a predetermined function or a predetermined disease, and is realized by software processing through the cooperation of the control unit 11 and the dynamic analysis application program corresponding to the AA analysis application 20A. The BB analysis application 20B is a processing unit that performs dynamic analysis on a dynamic image for a predetermined function or a predetermined disease, and is realized by software processing through the cooperation of the control unit 11 and the dynamic analysis application program corresponding to the BB analysis application 20B. The CC analysis application 20C is a processing unit that performs dynamic analysis on a dynamic image for a predetermined function or a predetermined disease, and is realized by software processing through the cooperation of the control unit 11 and the dynamic analysis application program corresponding to the CC analysis application 20C.

[0050] The communication unit 14 (reception unit) receives, from the hospital terminal 30, the dynamic image to be analyzed and the specific information for specifying the analysis application 20 to be used among one or more analysis applications 20. In the first embodiment, as the specific information, the analysis application name (the name of the analysis application 20) is used.

[0051] The control unit 11 (selection unit) selects an analysis application 20 corresponding to the specific information received from the hospital terminal 30 from among one or more analysis applications 20 available in the dynamic analysis information management device 10.

[0052] The control unit 11 (normalization unit) normalizes the dynamic image to be analyzed and provides the normalized dynamic image to the selected analysis application 20. Normalization means to unify in accordance with a predetermined standard.

[0053] The control unit 11 (management unit) manages the dynamic analysis results obtained by performing dynamic analysis on the dynamic image to be analyzed using the selected analysis application 20 in association with the selected analysis application 20. The dynamic analysis results include the analysis values obtained by dynamic analysis and the determination results indicating normal or abnormal for a predetermined function or a predetermined disease.

[0054] The communication unit 14 (transmission unit, second transmission unit) transmits the dynamic analysis results to the hospital terminal 30. The communication unit 14 (reception unit) receives from the hospital terminal 30 the definitive diagnosis information indicating the definitive diagnosis by a doctor regarding a predetermined function or a predetermined disease. The definitive diagnosis information includes information indicating normal or abnormal for a predetermined function or a predetermined disease based on the doctor's diagnosis. The definitive diagnosis information includes information indicating the disease name (such as COPD, pulmonary embolism, interstitial pneumonia, asthma, etc.).

[0055] The control unit 11 (management unit) manages the definitive diagnosis information received from the hospital terminal 30 in association with the selected analysis application 20.

[0056] <Configuration of the hospital terminal> FIG. 5 shows the functional configuration of the hospital terminal 30. As shown in FIG. 5, the hospital terminal 30 includes a control unit 31, an operation unit 32, a display unit 33, a communication unit 34, a storage unit 35, and the like.

[0057] The control unit 31 is composed of a CPU, a RAM, etc., and comprehensively controls the processing operations of each part of the hospital terminal 30. Specifically, the CPU reads out various processing programs stored in the storage unit 35, expands them in the RAM, and performs various processes in cooperation with the programs.

[0058] The operation unit 32 is composed of a keyboard equipped with cursor keys, character / numeric input keys, various function keys, etc., and a pointing device such as a mouse, and outputs an operation signal input by a key operation on the keyboard or a mouse operation to the control unit 31. Further, the operation unit 32 may be provided with a touch panel laminated on the display unit 33, and output an operation signal corresponding to the position of a touch operation by a user's finger or the like to the control unit 31. For example, the operation unit 32 is used when specifying the analysis application 20 (the analysis application 20 requesting analysis) to be used among one or more analysis applications 20 available in the dynamic analysis information management device 10 for the dynamic image to be analyzed, or when inputting definitive diagnosis information.

[0059] The display unit 33 is composed of a monitor such as an LCD, and displays various screens according to an instruction of a display signal input from the control unit 31.

[0060] The communication unit 34 is composed of a network interface or the like, and transmits and receives data to and from external devices connected via a communication network NT, a LAN (Local Area Network), or the like.

[0061] The storage unit 35 is composed of an HDD, an SSD, etc., and stores various processing programs, parameters and files necessary for the execution of the programs, etc. For example, the storage unit 35 stores a web browser program for realizing a web browser.

[0062] The communication unit 34 (transmission unit) transmits the dynamic image to be analyzed and specific information for specifying the analysis application 20 to be used among one or more analysis applications 20 to the dynamic analysis information management device 10.

[0063] The display unit 33 displays the dynamic analysis result received from the dynamic analysis information management device 10. The operation unit 32 (reception unit) receives the definitive diagnosis information indicating the definitive diagnosis by a doctor regarding a predetermined function or a predetermined disease. The communication unit 34 (transmission unit) transmits the definitive diagnosis information to the dynamic analysis information management device 10.

[0064] <Operation of the Dynamic Analysis System> Next, the operation in the dynamic analysis system 100 will be described. Prior to the following processes, when accessing the dynamic analysis information management device 10 from the hospital terminal 30, a login process is performed. First, when a doctor operates the operation unit 32 at the hospital terminal 30 to access the dynamic analysis information management device 10, the control unit 11 of the dynamic analysis information management device 10 transmits display data for displaying a login screen of the dynamic analysis information service to the hospital terminal 30 via the communication unit 14. A login screen is displayed on the display unit 33 of the hospital terminal 30, and the doctor operates the operation unit 32 to input the user ID and password.

[0065] When the combination of the user ID and password input at the hospital terminal 30 matches the information registered in the user information table 154 of the storage unit 15, the control unit 11 of the dynamic analysis information management device 10 permits the use of the dynamic analysis information management device 10 from the hospital terminal 30 (user authentication).

[0066] FIG. 6, FIG. 7, and FIG. 8 are ladder charts showing a dynamic analysis information management process executed by the dynamic analysis information management device 10 and a hospital terminal 30 installed in a certain hospital. The processing in the dynamic analysis information management device 10 is realized by software processing in cooperation with the control unit 11 and the program stored in the storage unit 15, and the processing in the hospital terminal 30 is realized by software processing in cooperation with the control unit 31 and the program stored in the storage unit 35. Note that in FIGS. 6, 7, and 8, for clarity, the AA analysis application 20A and the BB analysis application 20B are described independently of the dynamic analysis information management device 10.

[0067] When the movement of a subject (patient) is photographed in a modality within the hospital, the control unit 31 of the hospital terminal 30 acquires a dynamic image from the modality via the communication unit 34 (step S1). The dynamic image is attached with additional information such as an examination ID, a photographing date, a device name, a site, a patient ID, a patient name, a date of birth, a gender, an SOP instance UID, a frame rate, the number of frames, a hospital ID, and a hospital name.

[0068] Next, the control unit 31 receives a designation of an analysis application 20 for requesting a dynamic analysis by an operation from the operation unit 32 of the doctor (step S2). For example, all the analysis applications 20 available in the dynamic analysis information management device 10 are displayed as candidates on the display unit 33 of the hospital terminal 30, and the doctor designates an analysis application 20 to be used for the analysis from among the displayed analysis applications 20.

[0069] Next, the communication unit 34 of the hospital terminal 30 transmits the dynamic image to be analyzed and specific information (hereinafter referred to as "application specific information") for specifying the designated analysis application 20 to the dynamic analysis information management device 10 (step S3). Here, the analysis application name is used as the application specific information.

[0070] In the dynamic analysis information management device 10, the communication unit 14 receives the dynamic image to be analyzed and the application specific information (step S4). The control unit 11 of the dynamic analysis information management device 10 stores the dynamic image to be analyzed received from the hospital terminal 30 in the image storage area 153, and creates a record of the dynamic image to be analyzed received from the hospital terminal 30 in the master DB 151 (step S5). Specifically, the control unit 11 acquires the hospital ID, hospital name, patient ID, patient name, shooting date, device name, frame rate, number of frames, and SOP instance UID from the attached information of the dynamic image to be analyzed, and registers these pieces of information in the master DB 151 as a new record. Further, the control unit 11 acquires the name of the doctor corresponding to the user ID of the logged-in user from the user information table 154, and stores this doctor name in the "requesting doctor name" field of the corresponding record (the record of the dynamic image to be analyzed) in the master DB 151.

[0071] Next, the control unit 11 selects the analysis application 20 corresponding to the application identification information (analysis application name) received from the hospital terminal 30 (step S6). The control unit 11 selects the specified number of analysis applications 20 in step S2.

[0072] Next, the control unit 11 registers the selected analysis application 20 in the master DB 151 (step S7). Specifically, for each selected analysis application 20, the control unit 11 stores the analysis application name of the k-th analysis application 20 in the "requested analysis application name_k" field and the analysis application ID of the k-th analysis application 20 in the "requested analysis application ID_k" field for the corresponding record in the master DB 151. k is an integer from 1 to n, and n is the number of selected analysis applications 20.

[0073] In addition, the control unit 11 creates a record of the dynamic image to be analyzed in the per-application DB 152 corresponding to the selected analysis application 20 (step S8). Specifically, the control unit 11 registers the analysis application ID, hospital ID, patient ID, and SOP instance UID in the per-application DB 152 corresponding to the selected analysis application 20 as a new record. More specifically, the control unit 11 stores the value of the "requested analysis application ID_k" field corresponding to the selected analysis application 20, which is included in the record of the dynamic image to be analyzed in the master DB 151, in the "analysis application ID" field of the per-application DB 152 corresponding to the selected analysis application 20. In addition, the control unit 11 stores the values of the "hospital ID", "patient ID", and "SOP instance UID" fields, which are included in the record of the dynamic image to be analyzed in the master DB 151, in the "hospital ID", "patient ID", and "SOP instance UID" fields of the per-application DB 152 corresponding to the selected analysis application 20.

[0074] Next, the control unit 11 normalizes the dynamic image to be analyzed received from the hospital terminal 30 (step S9). For example, the control unit 11 adjusts the original dynamic image received from the hospital terminal 30 to a predetermined video specification (frame rate, resolution, etc.). The control unit 11 also stores the normalized dynamic image in the image storage area 153.

[0075] Next, moving on to FIG. 7, the control unit 11 requests the selected analysis application 20 to analyze the dynamic image to be analyzed (the normalized dynamic image) (step S10). Here, it is assumed that the AA analysis application 20A and the BB analysis application 20B are selected. The control unit 11 passes the normalized dynamic image to the AA analysis application 20A and the BB analysis application 20B and requests dynamic analysis.

[0076] The AA analysis application 20A acquires the normalized dynamic image (step S11), performs dynamic analysis related to the AA analysis application 20A on the normalized dynamic image, and creates a report on the dynamic analysis (step S12). The AA analysis application 20A outputs dynamic analysis results (analysis values, determination results) and reports (step S13).

[0077] FIG. 9 shows an example of a COPD examination report 40 created by the COPD analysis application 20 for a dynamic image of the chest. The report 40 includes a patient information area 41, analysis value areas 42, 43, determination result areas 44, 45, 46, etc. The patient information area 41 includes patient information such as the patient's name, gender, patient ID, date of birth, height, weight, BMI, etc. The analysis value areas 42, 43 include analysis values obtained by dynamic analysis of the dynamic image. The value in the analysis value area 42 is the change rate of the lung field area, and the value in the analysis value area 43 is the diaphragm displacement (right / left). In the determination result area 44, the possibility of COPD determined based on the change rate of the lung field area is indicated by the position of the triangular mark 44A. In the determination result area 45, the possibility of COPD determined based on the diaphragm displacement is indicated by the position of the triangular mark 45A. The determination result area 46 includes a comprehensive determination result indicating whether it is COPD or normal. Here, a determination result of "suspected COPD" is shown.

[0078] Similarly, the BB analysis application 20B acquires the normalized dynamic image (step S14), performs dynamic analysis related to the BB analysis application 20B on the normalized dynamic image, creates a report on the dynamic analysis (step S15), and outputs the dynamic analysis results (analysis values, determination results) and the report (step S16).

[0079] The control unit 11 of the dynamic analysis information management device 10 acquires the dynamic analysis results and reports from each of the analysis applications 20 (AA analysis application 20A and BB analysis application 20B) that requested the analysis (step S17).

[0080] Next, the control unit 11 registers the dynamic analysis results and reports obtained from each analysis application 20 in the master DB 151 and the per-application DB 152 of the storage unit 15 (step S18).

[0081] Specifically, in each of the per-application DBs 152 corresponding to the used analysis applications 20, the control unit 11 stores the dynamic analysis results (analysis values, determination results) in the "Analysis Values 1, 2,..." and "Determination Result" fields of the corresponding records, and stores the file name of the report in the "Report" field. That is, for each analysis application 20 selected in step S6, the control unit 11 stores the dynamic analysis results obtained by the dynamic analysis using the analysis application 20 in the per-application DB 152 corresponding to the analysis application 20, thereby associating the dynamic analysis results with the analysis application 20. Note that the report file itself is stored in the storage unit 15.

[0082] Also, for each used analysis application 20, the control unit 11 stores the determination result of the analysis application 20 in the "Determination Result_k" field corresponding to the "Requested Analysis Application Name_k" and "Requested Analysis Application ID_k" included in the corresponding record of the master DB 151, and stores the file name of the report of the analysis application 20 in the "Report_k" field corresponding to the analysis application 20. That is, for each analysis application 20 selected in step S6, the control unit 11 stores the determination result obtained by the dynamic analysis using the analysis application 20 in the "Determination Result_k" field corresponding to the "Requested Analysis Application Name_k" and "Requested Analysis Application ID_k" included in the corresponding record of the master DB 151, thereby associating the determination result with the analysis application 20.

[0083] Next, moving on to FIG. 8, the communication unit 14 of the dynamic analysis information management device 10 transmits the dynamic analysis results and reports obtained from each of the used analysis applications 20 to the hospital terminal 30 (step S19).

[0084] At the hospital terminal 30, when the communication unit 34 receives the dynamic analysis results and reports of each analysis application 20 (step S20), the control unit 31 causes the display unit 33 to display the dynamic analysis results and reports of each analysis application 20 (step S21). The doctor checks the dynamic analysis results and reports displayed on the display unit 33.

[0085] Next, at the hospital terminal 30, the control unit 31 receives an input of definitive diagnosis information indicating a definitive diagnosis regarding a predetermined function or a predetermined disease by an operation from the doctor's operation unit 32 (step S22). The doctor reads the dynamic image of the analysis target while referring to the dynamic analysis results and reports, and inputs information indicating normal or abnormal regarding a predetermined function or a predetermined disease, or information indicating the disease name. The communication unit 34 transmits the definitive diagnosis information to the dynamic analysis information management device 10 (step S23).

[0086] At the dynamic analysis information management device 10, when the communication unit 14 receives the definitive diagnosis information transmitted from the hospital terminal 30 (step S24), the control unit 11 registers the definitive diagnosis information in the corresponding record of the master DB 151 (step S25). The control unit 11 associates the definitive diagnosis information received from the hospital terminal 30 with the "requested analysis application name_k" and "requested analysis application ID_k" included in the corresponding record of the master DB 151, thereby associating the definitive diagnosis information with the analysis application 20 (the analysis application 20 that performed the analysis on the dynamic image targeted for the definitive diagnosis). Thus, the dynamic analysis information management process ends.

[0087] As described above, according to the first embodiment, the dynamic analysis information management device 10 selects the analysis application 20 corresponding to the application identification information received from the hospital terminal 30, and manages the dynamic analysis results of the selected analysis application 20 in association with the selected analysis application 20. Therefore, the analysis results can be managed for each analysis application 20 that performs dynamic analysis on dynamic images. In particular, since the dynamic analysis results include the analysis values and the determination results indicating normal or abnormal, the dynamic analysis information management device 10 can manage (accumulate) normal cases (data in which the analysis value and the determination result of "normal" are obtained) and abnormal cases (data in which the analysis value and the determination result of "abnormal" are obtained) for each analysis application 20. The accumulated data of normal cases and abnormal cases can be used for machine learning and the like associated with the development and improvement of the analysis application 20.

[0088] In the per-application DB 152, the dynamic analysis result data obtained by performing dynamic analysis by the analysis application 20 corresponding to the per-application DB 152 is associated with the data (analysis application ID) regarding the analysis application 20 corresponding to the per-application DB 152. The dynamic analysis result data includes the analysis value data obtained by dynamic analysis and the determination result data indicating normal or abnormal regarding a predetermined function or a predetermined disease.

[0089] For example, when collecting data of normal cases (determination result is normal) for a dynamic image analyzed by the AA analysis application 20A, records in which the "determination result" field is "normal" are extracted from the per-application DB 152 corresponding to the AA analysis application 20A, and the dynamic image stored in the image storage area 153 is specified by the "SOP instance UID" included in this record. Also, the "analysis value" included in the extracted record can be used together with the dynamic image.

[0090] Also, when collecting data on abnormal cases (judgment results are abnormal or disease names) for the dynamic images analyzed by the AA analysis app 20A, from the app-specific DB 152 corresponding to the AA analysis app 20A, records where the "judgment result" field is "abnormal" or "disease name" are extracted, and based on the "SOP instance UID" included in this record, the dynamic images stored in the image storage area 153 are identified. Also, the "analysis values" included in the extracted records can be used together with the dynamic images.

[0091] In addition, the dynamic analysis information management device 10 can also accumulate the final diagnosis result for the dynamic image together with the dynamic analysis result by associating and managing the definitive diagnosis information indicating the definitive diagnosis by the doctor with the analysis app 20 used for the analysis. Thereby, it is possible to construct a high-quality database including not only the dynamic analysis results automatically generated by the analysis app 20 but also the definitive diagnosis information related to the doctor's diagnosis.

[0092] For example, when collecting data on normal cases (definitive diagnosis information is normal) for the dynamic images analyzed by the AA analysis app 20A, from the master DB 151, records where the "requested analysis app name_k" field is "AA" and the "definitive diagnosis information" field is "normal" are extracted, and based on the "SOP instance UID" included in this record, the dynamic images stored in the image storage area 153 are identified. Also, the "judgment result_k" corresponding to the AA analysis app 20A included in the extracted records can be used together with the dynamic images. Also, for the analysis values of the dynamic analysis by the AA analysis app 20A, they can be obtained from the app-specific DB 152 corresponding to the AA analysis app 20A based on the "SOP instance UID". Note that the data with normal definitive diagnosis information may be classified according to the judgment results (normal, abnormal, disease name, etc.) by the AA analysis app 20A.

[0093] In addition, when collecting data on abnormal cases (confirmed diagnosis information is abnormal or disease name) for the dynamic images analyzed by the AA analysis application 20A, from the master DB 151, records are extracted where the "requested analysis application name_k" field is "AA" and the "confirmed diagnosis information" field is "abnormal" or "disease name", and the dynamic images stored in the image storage area 153 are identified by the "SOP instance UID" included in this record. Also, the "judgment result_k" corresponding to the AA analysis application 20A included in the extracted record can be used together with the dynamic images. Further, regarding the analysis values of the dynamic analysis by the AA analysis application 20A, they can be obtained from the application-specific DB 152 corresponding to the AA analysis application 20A based on the "SOP instance UID". Note that the data with confirmed diagnosis information being abnormal or disease name may be classified according to the judgment results (normal, abnormal, disease name, etc.) by the AA analysis application 20A.

[0094] Also, since normalization such as adjusting the video specifications (frame rate, resolution, etc.) is performed on the dynamic images to be analyzed and then provided to the analysis application 20, in the situation (multi-vendor) where various dynamic images generated by various modalities in each hospital are handled, it becomes possible to support dynamic analysis regardless of the video specifications of the original dynamic images.

[0095] Note that in the first embodiment, the case of using the analysis application name as the application identification information has been described, but it is also possible to use the analysis application ID as the application identification information. Also, the application identification information does not necessarily have to be content that directly specifies the analysis application 20. For example, as the application identification information, it is also possible to use the name of the function or the name of the disease that is the purpose of the dynamic analysis. In this case, the doctor operating the hospital terminal 30 designates the name of the function or the name of the disease in step S2, and the name of the function or the name of the disease is transmitted from the hospital terminal 30 to the dynamic analysis information management device 10. In the dynamic analysis information management device 10, the analysis application 20 corresponding to the name of the function or the name of the disease is selected in step S6.

[0096] [Second Embodiment] Next, a second embodiment to which the present invention is applied will be described. Since the dynamic analysis system in the second embodiment has the same configuration as the dynamic analysis system 100 shown in the first embodiment, FIGS. 1, 2, and 5 are incorporated by reference, and the illustration and description of its configuration are omitted. Also, the master DB 151 and the per-application DB 152 shall have the same configuration as shown in FIGS. 3 and 4. Hereinafter, the characteristic configurations and processes in the second embodiment will be described.

[0097] In the second embodiment, when each hospital contracts with a company that manages the dynamic analysis information management device 10 regarding the use of the dynamic analysis information management device 10, the analysis application 20 used by the hospital is set. For example, in a contract for X hospital to use the dynamic analysis information management service provided by the dynamic analysis information management device 10, if AA analysis application 20A and BB analysis application 20B are specified among AA analysis application 20A, BB analysis application 20B, and CC analysis application 20C, the administrator of the dynamic analysis information management device 10 registers the correspondence between X hospital and the specified AA analysis application 20A and BB analysis application 20B.

[0098] In the storage unit 15 of the dynamic analysis information management device 10, an analysis application setting table indicating the correspondence between the hospital name and the analysis application 20 is stored. In the analysis application setting table, one or more analysis applications 20 are associated with the hospital name to be set.

[0099] The administrator of the dynamic analysis information management device 10 selects the hospital name to be set and the analysis application 20 specified for the hospital name from the operation unit 12 on the setting screen displayed on the display unit 13 according to the contract content. Then, the control unit 11 associates the selected hospital name and analysis application 20 and stores them in the analysis application setting table.

[0100] Next, the operation in the dynamic analysis system of the second embodiment will be described. Here, in the dynamic analysis information management process shown in FIGS. 6, 7, and 8, the description will focus on the parts different from the first embodiment.

[0101] In the second embodiment, in the dynamic analysis information management process, step S2 is omitted. That is, the doctor operating the hospital terminal 30 does not explicitly specify the analysis application 20.

[0102] At the hospital terminal 30, in step S3, the communication unit 34 transmits the dynamic image and the hospital name as the application identification information to the dynamic analysis information management device 10 (step S3). Specifically, since the hospital name is included in the attached information of the dynamic image, by transmitting the dynamic image from the hospital terminal 30 to the dynamic analysis information management device 10, the hospital name will also be transmitted.

[0103] At the dynamic analysis information management device 10, in step S6, the control unit 11 selects the analysis application 20 corresponding to the application identification information based on the application identification information (hospital name) received from the hospital terminal 30 (step S6). Specifically, the control unit 11 refers to the analysis application setting table stored in the storage unit 15, identifies the analysis application 20 corresponding to the hospital name received from the hospital terminal 30, and selects this analysis application 20 (step S6). Regarding other processes in the dynamic analysis information management process, they are the same as those in the first embodiment.

[0104] As described above, according to the second embodiment, by previously setting the correspondence between the hospital name and the analysis application 20 in the analysis application setting table, the dynamic analysis information management device 10 can select the analysis application 20 to be used for analysis based on the hospital name transmitted from the hospital terminal 30 to the dynamic analysis information management device 10. Also, similar to the first embodiment, the dynamic analysis results of the selected analysis application 20 are managed in association with the selected analysis application 20, so the analysis results can be managed for each analysis application 20 that performs dynamic analysis on the dynamic image.

[0105] In the second embodiment, as the additional information of the moving image, although the application specific information (hospital name) is transmitted from the hospital terminal 30 to the moving image analysis information management device 10, by transmitting the user ID of the logged-in user from the hospital terminal 30 to the moving image analysis information management device 10, the control unit 11 of the moving image analysis information management device 10 may specify the hospital name (the hospital to which the doctor who requested the moving image analysis belongs) corresponding to the user ID from the user information table 154. Also, by associating in advance the IP address assigned to each hospital terminal 30 with the hospital name of each hospital terminal 30, the control unit 11 of the moving image analysis information management device 10 may specify the hospital name from the IP address of the hospital terminal 30. In the moving image analysis information management device 10, the control unit 11 refers to the analysis application setting table and selects the analysis application 20 corresponding to the specified hospital name.

[0106] Also, in the second embodiment, although the case of using the hospital name as the application specific information transmitted from the hospital terminal 30 to the moving image analysis information management device 10 has been described, it is also possible to use the department of medicine or the doctor's name as the application specific information. Specifically, in the analysis application setting table, one or more analysis applications 20 are set for the department of medicine or the doctor's name. Also, the department of medicine (the department of medicine where the moving image was taken, the department of medicine to which the doctor who requested the moving image analysis belongs) or the doctor's name (the doctor who requested the moving image analysis) is included in the additional information of the moving image, and by transmitting the moving image from the hospital terminal 30 to the moving image analysis information management device 10, the application specific information (department of medicine or doctor's name) is transmitted. In the moving image analysis information management device 10, the control unit 11 refers to the analysis application setting table and selects the analysis application 20 corresponding to the application specific information based on the application specific information (department of medicine or doctor's name) received from the hospital terminal 30. Also, when using the department of medicine or doctor's name as the application specific information, the hospital terminal 30 may send the user ID of the logged-in user to the dynamic analysis information management device 10, so that the control unit 11 of the dynamic analysis information management device 10 can specify the department of medicine or doctor's name corresponding to the user ID from the user information table 154.

[0107] Also, it is possible to use the site (the site to be imaged in the dynamic image) as the application specific information. Specifically, in the analysis application setting table, one or more analysis applications 20 are set for the site. Since the site is included in the attached information of the dynamic image, by sending the dynamic image from the hospital terminal 30 to the dynamic analysis information management device 10, the application specific information (site) is also sent. In the dynamic analysis information management device 10, the control unit 11 refers to the analysis application setting table and selects the analysis application 20 corresponding to the application specific information based on the application specific information (site) received from the hospital terminal 30.

[0108] Note that the descriptions in the above embodiments are examples of the dynamic analysis system according to the present invention and are not limited thereto. The detailed configuration and detailed operation of each device constituting the system can be appropriately changed without departing from the spirit of the present invention.

[0109] For example, in the above embodiments, in the master DB 151, the record of the dynamic image to be analyzed includes the definitive diagnosis information and the information of the analysis application 20 (requested analysis application name_k, requested analysis application ID_k, etc.), so that the analysis application 20 using the definitive diagnosis information for dynamic analysis is associated. However, without providing a "definitive diagnosis information" field in the master DB 151, by updating the "judgment result_k" in the record of the dynamic image to be analyzed with the content of the definitive diagnosis information, the analysis application 20 using the definitive diagnosis information for dynamic analysis may be associated. Also, in the app-specific DB 152 corresponding to the analysis app 20 used for dynamic analysis, the "judgment result" in the record of the dynamic image to be analyzed may be updated with the content of the definitive diagnosis information, so that the definitive diagnosis information is associated with the analysis app 20 used for dynamic analysis.

[0110] Also, in each of the above embodiments, the case where the AA analysis app 20A, the BB analysis app 20B, and the CC analysis app 20C operate inside the dynamic analysis information management device 10 has been described. However, each analysis app 20 only needs to be available to the dynamic analysis information management device 10 and may operate outside the dynamic analysis information management device 10. For example, when a certain analysis app 20 executes processing outside the dynamic analysis information management device 10, such as a server device of an app providing company that provides the analysis app 20, in step S10, the communication unit 14 of the dynamic analysis information management device 10 transmits the dynamic image and the analysis request instruction to the analysis app 20 (such as the server device of the app providing company), and in step S17, the communication unit 14 of the dynamic analysis information management device 10 receives the dynamic analysis result and the report transmitted from the analysis app 20.

[0111] Also, in each of the above embodiments, in the dynamic analysis information management device 10, both the original dynamic image in the state received from the hospital terminal 30 and the normalized dynamic image are stored in the image storage area 153. However, either the original dynamic image or the normalized dynamic image may be stored in the image storage area 153.

[0112] The computer-readable medium for storing the program for executing each process is not limited to the above examples, and a portable recording medium can also be applied. Also, as a medium for providing the program data via a communication line, a carrier wave may be applied.

Explanation of Reference Numerals

[0113] 10 Dynamic analysis information management device 11 Control unit 14 Communication unit 15 Memory unit 20A AA analysis application 20B BB analysis application 20C CC analysis application 30 Hospital terminal 30X, 30Y, 30Z, ··· Hospital terminals 31 Control unit 32 Operation unit 33 Display unit 34 Communication unit 35 Memory unit 40 Report 100 Dynamic analysis system 151 Master DB 152 App-specific DB NT Communication network

Claims

1. A dynamic analysis information management device capable of using one or more dynamic analysis application softwares for performing dynamic analysis on a dynamic image obtained by photographing the dynamics of an object to be imaged, regarding a predetermined function or a predetermined disease, comprising: a receiving unit that receives, from an external terminal, a dynamic image to be analyzed and specific information for specifying the dynamic analysis application software to be used among the one or more dynamic analysis application softwares; a selection unit that selects the dynamic analysis application software corresponding to the specific information; a management unit that manages, in association with the selected dynamic analysis application software, a dynamic analysis result obtained by performing dynamic analysis on the dynamic image to be analyzed by the selected dynamic analysis application software; a transmission unit that transmits the dynamic analysis result to the external terminal; and comprising: the dynamic analysis result includes an analysis value obtained by dynamic analysis and a determination result indicating normal or abnormal regarding the predetermined function or the predetermined disease; the receiving unit receives, from the external terminal, confirmation diagnosis information indicating a confirmation diagnosis by a doctor regarding the predetermined function or the predetermined disease; the management unit manages the confirmation diagnosis information in association with the selected dynamic analysis application software; the management unit classifies the confirmation diagnosis information according to the determination result indicating normal or abnormal of the dynamic analysis result; A dynamic analysis information management device characterized by the above.

2. The confirmation diagnosis information includes information indicating normal or abnormal regarding the predetermined function or the predetermined disease based on a doctor's diagnosis; The dynamic analysis information management device according to claim 1, characterized by the above.

3. The confirmation diagnosis information includes information indicating a disease name; The dynamic analysis information management device according to claim 1 or 2, characterized by the above.

4. The predetermined function includes a ventilation function, a blood flow function, or a plastic function; The dynamic analysis information management device according to any one of claims 1 to 3, characterized by the above.

5. The predetermined disease includes chronic obstructive pulmonary disease, pulmonary embolism, interstitial pneumonia, or asthma; The dynamic analysis information management device according to any one of claims 1 to 4, characterized by the above.

6. The specific information is the name of the dynamic analysis application software, the name of the predetermined function, the name of the predetermined disease, a site, a hospital name, a department, or a doctor's name. The dynamic analysis information management device according to any one of claims 1 to 5, characterized in that.

7. Comprising a normalization unit that normalizes the dynamic image of the object to be analyzed and provides the normalized dynamic image to the selected dynamic analysis application software. The dynamic analysis information management device according to any one of claims 1 to 6, characterized in that.

8. A dynamic analysis system comprising an external terminal and a dynamic analysis information management device capable of using one or more dynamic analysis application software for performing dynamic analysis on a dynamic image obtained by photographing the dynamic state of a subject with respect to a predetermined function or a predetermined disease. The external terminal includes a transmission unit that transmits to the dynamic analysis information management device a dynamic image of the object to be analyzed and specific information for specifying the dynamic analysis application software to be used among the one or more dynamic analysis application software. The dynamic analysis information management device includes a selection unit that selects the dynamic analysis application software corresponding to the specific information, a management unit that manages the dynamic analysis result obtained by performing dynamic analysis on the dynamic image of the object to be analyzed by the selected dynamic analysis application software in association with the selected dynamic analysis application software, and a second transmission unit that transmits the dynamic analysis result to the external terminal. The dynamic analysis result includes an analysis value obtained by dynamic analysis and a determination result indicating normal or abnormal regarding the predetermined function or the predetermined disease. The external terminal includes a display unit that displays the dynamic analysis result and a reception unit that receives definitive diagnosis information indicating a definitive diagnosis by a doctor regarding the predetermined function or the predetermined disease. The transmission unit transmits the definitive diagnosis information to the dynamic analysis information management device. The management unit manages the definitive diagnosis information in association with the selected dynamic analysis application software. The management unit classifies the definitive diagnosis information according to the determination result indicating normal or abnormal of the dynamic analysis result. A dynamic analysis system, characterized in that.

9. The computer of a dynamic analysis information management device capable of using one or more dynamic analysis application software for performing dynamic analysis on a dynamic image obtained by photographing the dynamic state of a subject with respect to a predetermined function or a predetermined disease. A receiving unit that receives, from an external terminal, a dynamic image to be analyzed and specific information for specifying the dynamic analysis application software to be used among the one or more dynamic analysis application software; A selection unit that selects the dynamic analysis application software corresponding to the specific information; A management unit that manages, in association with the selected dynamic analysis application software, a dynamic analysis result obtained by performing dynamic analysis on the dynamic image to be analyzed by the selected dynamic analysis application software; A transmission unit that transmits the dynamic analysis result to the external terminal; A program for causing the above functions, The dynamic analysis result includes an analysis value obtained by dynamic analysis and a determination result indicating normal or abnormal regarding the predetermined function or the predetermined disease; The receiving unit receives, from the external terminal, confirmation diagnosis information indicating a confirmation diagnosis by a doctor regarding the predetermined function or the predetermined disease; The management unit manages the confirmation diagnosis information in association with the selected dynamic analysis application software; The management unit classifies the confirmation diagnosis information according to the determination result indicating normal or abnormal of the dynamic analysis result; A program characterized by the above.

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