Ophthalmologic information processing program and ophthalmological computer

Abstract

Provided are an ophthalmologic information processing program and an ophthalmological computer making it possible to reduce the burden on an examiner when a report is to be transmitted to another system.　This ophthalmologic information processing program is executed by a processor of an ophthalmological computer, thereby causing the ophthalmological computer to execute: a display step for causing a plurality of examination results be sequentially displayed on a screen, the examination results being for an eye under test from an eye examination device; a generation step for generating converted examination results obtained by converting the examination results to a predetermined format; and a transfer step for, upon receiving a transfer operation, executing transfer processing batchwise on a plurality of the converted examination results corresponding to the plurality of examination results. In the generation step, at least some of the plurality of converted examination results corresponding respectively to the plurality of examination results are generated before the transfer operation is received.

Description

Ophthalmological information processing program and ophthalmological computer

[0001] This invention relates to an ophthalmological information processing program and an ophthalmological computer.

[0002] In ophthalmology facilities, examination reports are used for diagnosis, and in the examination report, images acquired through an eye examination device, measurement values, and analysis results thereof are arranged as examination results in a predetermined format (see Patent Document 1).

[0003] For example, an examination report may be created by the examiner who performed the examination, and a diagnosis using the examination report may be made by another person. For example, the examination report created by the examiner may be managed in another system, such as a medical information management system of the facility. This allows the examination report to be viewed via a terminal device within the system.

[0004] International Publication No. 2020 / 116351

[0005] Conventionally, when test results such as reports converted into a predetermined format were transferred to another system, it was assumed that the examiner would check each test result one by one and correct or retest the contents as necessary. For this reason, conventionally, for example, each test result had to be displayed for the examiner to confirm, and the transfer operation for each test result had to be accepted before the results could be transferred to another system. Also, multiple test results could not be transferred together in a single transfer operation. It was thought that these constraints ensured the above operation.

[0006] However, with improvements in testing techniques (e.g., device alignment techniques and analysis techniques), the possibility of obtaining inappropriate test results is decreasing. Therefore, operations that assume that the examiner checks each test result one by one are becoming an excessive burden on the examiner.

[0007] In view of the conventional problems, the present disclosure aims to reduce the burden on an examiner when transmitting a report to another system.

[0008] An ophthalmic information processing program according to a first aspect of the present disclosure is an ophthalmic information processing program that, when executed by a processor of an ophthalmic computer, causes the ophthalmic computer to perform the following steps: a display step of sequentially displaying multiple test results on a screen, which are test results of a test eye obtained by an eye examination device; a generation step of generating converted test results by converting the test results into a predetermined format; and a transfer step of, when a transfer operation is received, performing a transfer process all at once on multiple converted test results corresponding to the multiple test results; wherein, in the generation step, at least some of the converted test results corresponding to each of the multiple test results are generated before the transfer operation is received.

[0009] The ophthalmological information processing device according to the second aspect of the present disclosure executes the above-described ophthalmological information processing program.

[0010] Fig. 1 is a schematic diagram illustrating the configuration of an ophthalmologic system according to first and second embodiments. Fig. 2 is a flowchart illustrating the flow of operations in the first embodiment. Fig. 3 is a flowchart illustrating the flow of operations in the second embodiment. Fig. 4 is a diagram illustrating a test result selection screen according to the embodiments. Fig. 5 is a diagram illustrating a test result display screen according to the embodiments.

[0011] Hereinafter, embodiments of the present disclosure will be described. Note that items grouped in < > below can be used independently or in conjunction with each other. Furthermore, part or all of each embodiment can be used in other embodiments.

[0012] <Device Configuration in Embodiments> The ophthalmological information processing program according to each embodiment of the present disclosure is executed by a processor of an ophthalmological computer. The ophthalmological computer may be integrated with an eye examination device.

[0013] The ophthalmic computer is connected to a medical information system that manages the test results obtained by various testing devices. For example, the medical information system manages the test reports created by the ophthalmic computer.

[0014] The ophthalmic examination apparatus has an examination unit (measurement unit or imaging unit) used to examine the subject's eye. The ophthalmic examination apparatus may be a measurement device that measures the subject's eye or a photography device that photographs the subject's eye. Examples of measurement devices include a refractive power measurement device, an aberrometer, an axial length measurement device, an ocular pressure measurement device, and a perimeter. The ophthalmic examination apparatus may also be a photography device that photographs the subject's eye and obtains the subject's eye image as an examination result. Examples of photography devices include an OCT device (optical coherence tomography), a fundus camera, an SLO device, and the like. Measurement results of the subject's eye may be obtained as examination results by processing the received light signals obtained by the photography device. For example, by processing OCT data or OCT images obtained by an OCT device (optical coherence tomography), measurement results regarding, for example, tissue layer thickness, dimensions, shape, and blood vessels can be obtained. However, the ophthalmic examination apparatus illustrated here is merely an example, and other devices may also be used. The eye examination device may also be a composite device that combines two or more measuring devices and photographing devices.

[0015] <Overview of Operation> In each embodiment of the present disclosure, the ophthalmic computer acquires examination results of the subject's eye obtained by the eye examination apparatus (acquisition step). The ophthalmic computer then converts the acquired examination results into a predetermined format to generate converted examination results (generation step). In this case, the predetermined format may be an examination report format. The examination report may be generated based on the examination results and a pre-prepared template. The template may at least define the content (combination) and layout of information to be included in the examination report. The examination report is used, for example, for diagnosis by a doctor. Here, when an image of the subject's eye is acquired as an examination result and an examination report is generated, the ophthalmic computer may process the image of the subject's eye to generate an examination report including the image of the subject's eye. For example, the examination report may include at least an image of the subject's eye related to a region corresponding to the purpose of the examination report. Additionally, the examination report may include at least one of measurement results and analysis results related to the image of the subject's eye.

[0016] Furthermore, when an image of the eye to be examined is acquired as the examination result, the converted examination result may be an image of the eye to be examined in DICOM format.

[0017] In each embodiment, the ophthalmic computer executes a transfer process for the generated converted test results (transfer step). Based on the transfer process, the converted test results are transferred to, for example, a medical information system. The medical information system, for example, digitizes medical information and manages it collectively using a server. The medical information system manages at least the converted test results.

[0018] The transfer process may be a process in which the ophthalmic computer directly outputs the converted test results to the medical information system, or a process in which the converted test results are temporarily stored in a memory shared between the ophthalmic computer and the medical information system and the medical information system is notified that the converted test results are available. After the notification, the medical information system accesses the converted test results and transfers them as appropriate.

[0019] Unless otherwise specified, the following description will be given assuming that the converted test results are output directly from the ophthalmologic computer to the medical information system through the transfer process. <Transfer process of converted test results in the first embodiment> In the first embodiment of the present disclosure, the converted test results are transferred to the medical information system without necessarily requiring a transfer operation. In the first embodiment, a first transfer step and a second transfer step are selectively executed to transfer the converted test results to the medical information system. That is, the converted test results are transferred through either the first transfer step or the second transfer step.

[0020] In the first transfer step, the test results that form the basis of the converted test results are displayed and a transfer operation is requested. For example, the examiner is requested to operate a switch that triggers the transfer. The interface through which the transfer operation is input may be a hardware interface, or a GUI may be used. In addition, in the first transfer step, the converted test results are transferred to the medical information system when the transfer operation is accepted. In this way, when the first transfer step is executed, it is assumed that the examiner will check the test results before transferring them.

[0021] In the second transfer step, the converted test results are transferred to the medical information system without requiring a transfer operation. That is, in the second transfer step, the transfer operation is not a prerequisite for transferring the converted test results. In this embodiment, the converted test results are transferred without requiring a transfer operation, at least while the test results are displayed. Therefore, in the second transfer step, the input of the transfer operation is omitted compared to the first transfer step, thereby reducing the burden on the examiner.

[0022] Furthermore, in the second transfer step, the converted test results may be transferred before the test results are displayed. This eliminates the need to check the test results, further reducing the burden on the examiner. However, it is not necessarily required that the test results be finally displayed on the ophthalmologic computer after the converted test results are transferred from the ophthalmologic computer to the medical information system.

[0023] <Types of Examination Reports> In this embodiment, when the converted examination result is an examination report, the examination report may be generated for each of multiple types of templates associated with at least one of the disease type and the examination conditions used by the eye examination device. For example, the ophthalmologic computer may acquire information regarding either the disease type of the subject's eye or the examination conditions for the subject's eye, and based on that information, selectively transfer an examination report based on at least one of multiple types of templates to the medical information system. This allows the medical information system to selectively receive an appropriate report based on at least one of the disease type of the subject's eye and the examination conditions for the subject's eye, thereby enabling a diagnosis based on an appropriate report.

[0024] The disease type may be, for example, an automatic diagnosis result for the test result. Furthermore, if information specifying the disease type of the subject, such as the past diagnosis results of the subject, is stored in advance, such information may be used.

[0025] Furthermore, for example, the following may be specified as the examination conditions. That is, at least one of the examined eye (whether it is left or right or both eyes), the examination region of the examined eye, and the examination content may be specified as the examination conditions. For example, if the eye examination apparatus is an OCT apparatus, the examination region or the examination content is specified based on examination conditions such as the fixation position, angle of view, scan settings (scan position, scan pattern, scan speed), and whether or not OCT-Angiography is used. Information indicating the examination conditions may be supplementary information associated with the examination results, or may be the examination results themselves.

[0026] The test report may be capable of generating a monocular report that outputs only the test results for one eye, and a binocular report that simultaneously displays the test results for both eyes. Whether to output a monocular report or a binocular report may be determined based on at least one of information regarding the presence or absence of binocular disease and the presence or absence of test results for both the left and right eyes. For example, the determination may be based on information regarding the disease type of the test eye and / or the test conditions for the test eye. Furthermore, if test results for both eyes have been obtained, a binocular report may be generated, and if test results for only one eye have been obtained, a monocular report may be generated and transferred, respectively. This allows the second transfer step to appropriately generate and transfer a binocular report and a monocular report.

[0027] <Automatic Selection of Examined Eye Images to be Placed in Examination Report> When the eye examination device is an ophthalmologic imaging device that acquires multiple images of the examined eye taken at different positions, and when some of the multiple images have structural features, the examined eye images near the features may be placed in the examination report. Note that the structural features may be features related to a disease.

[0028] If there is a limit to the number of subject eye images that can be arranged in an examination report, subject eye images near features may be preferentially arranged. For example, feature images with higher priorities may be arranged first. The priority may be determined according to the degree of structural abnormality. In particular, if the eye examination apparatus is an OCT apparatus and 3D OCT data is obtained as one of the examination results, the degree of structural abnormality may be obtained based on a probability distribution obtained by inputting the 3D OCT data into a trained model that acquires a probability distribution for identifying tissues in an image. For more details, please refer to Japanese Patent Application Laid-Open No. 2020-18794 filed by the present applicant.

[0029] Furthermore, if the eye examination apparatus is an OCT apparatus and three-dimensional OCT data is obtained as one of the examination results, two-dimensional images of several cross sections included in the three-dimensional OCT data may be arranged in the examination report. In this case, the spacing between the cross sections may be automatically determined or manually selected depending on, for example, the number of two-dimensional images that can be arranged on the report.

[0030] <Follow-up Examination> In this embodiment, a follow-up examination report may be generated based on examination results for the same eye on different examination dates. In this case, the follow-up examination report shows changes over time between the current and previous examination results. For example, the report may show at least both the current and previous examination results and the differences between them.

[0031] A follow-up examination report may be generated when it is determined that a follow-up examination has been performed, for example, based on information indicating the examination conditions for the current examination or by referring to past examination results. In this case, both a report based on the current examination results and a report for the follow-up examination may be generated.

[0032] In the second embodiment, a transfer operation is input to execute a batch transfer process for multiple converted test results. In the second embodiment, the ophthalmologic computer executes at least a selection step, a display step, a generation step, and a transfer step based on an ophthalmologic information processing program.

[0033] <Selection Step> In the second embodiment, a selection step may be executed to select test results from those obtained in advance to generate a converted test result. In the selection step, a plurality of test results obtained in advance, which are test results of the subject's eye obtained by the eye examination device, are selected at once. The plurality of test results are placed in a selected state to be displayed sequentially in the display step described below. The plurality of test results selected at once may be test results for a plurality of test dates or test results for a plurality of subjects.

[0034] <Display step> Multiple test results are displayed sequentially on the screen, and as a result, each test result is confirmed by the examiner. If multiple test results are selected at once in the selection step, the multiple test results selected at once are displayed sequentially. A switching operation may be required to switch between test results sequentially. The switching operation may be an operation on a GUI arranged on the screen on which the test results are displayed sequentially. Based on the switching operation, the test result on the screen may be switched to another test result (switching step).

[0035] Furthermore, an editing operation may be accepted while any of the test results is displayed on the screen, in which case the ophthalmologic computer changes the content of the converted test result corresponding to the test result based on the editing operation (editing step).

[0036] In the transfer step of the second embodiment, when the ophthalmic computer receives a transfer operation, the ophthalmic computer executes a batch transfer process for a plurality of converted test results corresponding to each of a plurality of test results. At this time, the batch transfer process may be executed for at least a plurality of test results that are displayed sequentially. As a result, for example, the transfer process of a plurality of converted test results to a medical information system is started by a single transfer operation.

[0037] The transfer operation in the second embodiment can be carried out in the same manner as described above for the first transfer step in the first embodiment.

[0038] <Generation Step> In the generation step, the ophthalmic computer generates converted test results corresponding to the test results. The description of the first embodiment can be used for the contents of the converted test results. In the second embodiment, the ophthalmic computer generates at least some of the converted test results corresponding to each of the multiple test results selected at once before accepting a transfer operation. In other words, at least some of the converted test results are generated before the examiner accepts the transfer operation (particularly while checking the test results). The remaining part is generated after accepting the transfer operation. By generating at least some of the converted test results before accepting the transfer operation, the time from when the transfer operation for the multiple converted test results is input to when the transfer process for all of the converted test results is completed can be reduced.

[0039] In the generating step, the process of generating at least some of the converted test results may be performed in the background while the test results are displayed on the screen. Since the process of generating the converted test results is unlikely to interfere with the sequential display of the test results, the examiner can easily check the test results.

[0040] Furthermore, in the second embodiment, the trigger for starting the generation of a converted test result corresponding to each test result may be a switching operation input while each test result is displayed on the screen. The generation of a converted test result corresponding to the test result most recently displayed on the screen is started based on the switching operation. Since the switching operation is input after the examiner confirms and further edits the test result, even if a converted test result for a test result whose display has been completed is generated before a transfer operation is accepted, rework such as re-editing is unlikely to occur. Therefore, the converted test result can be efficiently generated before a transfer operation is accepted.

[0041] The timing for starting generation of the converted test results corresponding to each test result is not necessarily limited to this. For example, a test report for each test result may be generated while the test result is being displayed.

[0042] Examples of embodiments of the present disclosure will be described with reference to the drawings.

[0043] 1 shows a schematic configuration of an ophthalmologic system 1 according to the first embodiment. The ophthalmologic system 1 includes an OCT apparatus 10, a PC (personal computer) 20, and a medical information system 30. The apparatuses may be connected to each other via a network.

[0044] In this embodiment, an OCT device 10 is used as an example of an ophthalmic examination device. The OCT device 10 acquires OCT data of the subject's eye via an examination optical system (not shown). For example, the examination optical system includes an OCT light source, a scanning unit for scanning the OCT light, an optical system for irradiating the subject's eye with the OCT light, and a light-receiving element for receiving light reflected by the tissue of the subject's eye. Unless otherwise specified, in this embodiment, OCT data of the fundus is acquired. The OCT data may be, for example, two-dimensional OCT data (B-scan data) or three-dimensional OCT data. A two-dimensional tomographic image is generated based on the two-dimensional OCT data. Furthermore, a three-dimensional image and an OCT front image (also referred to as an en-face image) are acquired based on the three-dimensional OCT data. Motion contrast data may also be used. The motion contrast may be information capturing, for example, blood flow in the subject's eye or changes in retinal tissue. MC data is obtained by processing multiple OCT data acquired at different times for the same location.

[0045] The OCT apparatus 10 may further include an observation optical system. The observation optical system is an optical system different from the above-described examination optical system, and acquires a front image of the fundus as an observation image. The observation optical system may be a fundus camera optical system, an SLO optical system, or other optical system.

[0046] In this embodiment, a PC 20 is used as an example of an ophthalmologic computer. In this embodiment, the PC 20 also serves as a control unit that controls the operation of the OCT device 10. The PC 20 also acquires, as examination results, images of the subject's eye (various OCT images and observation images) captured via the OCT device 10, as well as analysis results of the subject's eye images. The PC 20 also generates an examination report based on the image data of the subject's eye.

[0047] The PC 20 includes at least a processor 21 (processing device) and a memory 22. In this embodiment, the memory 22 pre-stores a control program for the OCT device 10, an image processing program for processing OCT data, an ophthalmologic information processing program for generating and transferring an examination report, fixed value data, and the like. The various programs are read and executed by the processor 21. The memory 22 may also store examination results acquired via the OCT device 10. For example, examination results of the subject's eye acquired in a previous examination may be pre-stored in the memory 22.

[0048] An operation unit 23 such as a mouse and a keyboard may be connected to the PC 20. Various operations are input via the operation unit 23.

[0049] The medical information system 30 digitizes medical information and manages it centrally using a server. The managed medical information includes at least examination reports created by the PC 20. Other information managed may include medical images, medical records, image interpretation results, etc. In this embodiment, the medical images include OCT data acquired via the OCT device 10 and a portion of the observation images, and the medical records, image interpretation results, etc. include disease information of the subject as subject information. Each piece of information is managed in association with the subject's identification information.

[0050] Various types of medical information managed by the medical information system 30 can be displayed on a diagnostic terminal (not shown), thereby enabling the division of labor between examination and diagnosis.

[0051] <Explanation of Operation> Next, with reference to the flowchart in FIG. 2, the flow of operations in the ophthalmologic system 1 from examining the subject's eye to transferring the examination report to the medical information system 30 will be described.

[0052] First, a patient search is performed by the PC 20 (S1). By registering the name and ID of the subject in advance, the subject can be searched for and identified on the search screen. This allows the subject's information to be associated with the test results to be obtained.

[0053] Next, the PC 20 controls the OCT device 10 to examine (measure) the subject's eye (S2). This acquires OCT data of the subject. The OCT device 10 may perform imaging based on examination conditions set by the examiner. For example, at least one of the following examination conditions may be set: the subject's eye to be examined (whether it is left or right or both eyes), the fixation position, the angle of view, the scan settings (scan position, scan pattern, scan speed), and whether or not OCT-Angiography is used. Multiple imaging operations with different examination conditions may also be performed. A portion of the examination results may be displayed on a confirmation screen. Here, OCT images and analysis results with a relatively low processing load may be displayed. If it is confirmed via the confirmation screen that the desired examination results have been obtained, the examination results are stored in the memory 22 of the PC 20. If it is confirmed that an unexpected examination result has been obtained (e.g., due to poor imaging), re-imaging is performed. The confirmation screen may include a re-imaging button for receiving an instruction to re-imaging.

[0054] In this embodiment, after the examination is completed, an examination report is created and transferred. In this embodiment, the process branches into a flow for manually transferring the examination report (S3 to S5) and a flow for automatically transferring the examination report (S6, S7). In this embodiment, the transfer setting indicating which of the two procedures will be performed is preset based on the examiner's selection operation. Note that the transfer setting may be set for each examination condition. For example, the transfer setting may be preset so that automatic transfer is performed under certain examination conditions and manual transfer is performed under other examination conditions.

[0055] First, the flow of manually transferring an examination report (S3 to S5) will be described. In this embodiment, the examination report is manually transferred via a viewer displayed by the PC 20.

[0056] The PC 20 first launches the viewer (S3). The viewer is launched at any timing based on a launch operation. The viewer creates an examination report based on the examination results and a pre-prepared template (S4). The examination report includes images based on the OCT data and analysis results of the OCT data. The analysis results may be a two-dimensional map such as a heat map, segmentation results, or numerical information such as measurement values. The PC 20 analyzes the OCT data as needed to obtain the analysis results.

[0057] As an example, in this embodiment, three types of reports, a macular disease report, a glaucoma report, and an angiogram report, may be generated as examination reports. The macular disease report is used to diagnose macular disease. The glaucoma report is used to diagnose glaucoma. The angiogram report provides a summary of the state of each vascular network. Which report is generated may be automatically determined based on, for example, the examination conditions and results. For example, a macular disease report may be generated when the periphery of the macula is imaged, a glaucoma report may be generated when a wide area of ​​the retina is imaged, and an angiogram report may be generated when MC data is acquired. Furthermore, disease information of the subject may be acquired from the medical information system 30 or the like, and an examination report may be selected based on the disease information. However, the types of reports and the contents of the imaging operations corresponding to each report are not necessarily limited to these.

[0058] In this embodiment, a binocular report or a monocular report is selectively generated. A selection operation as to whether the disease is binocular or monocular is accepted, and either a binocular report or a monocular report is generated in response to the selection operation.

[0059] The PC 20 automatically arranges the OCT images and analysis results according to a predetermined report template. However, even if the OCT device 10 captures a large number of OCT images, there are space limitations on the number of OCT images that can be arranged in the examination report, so the automatically arranged images may not be the images intended by the examiner. In response to this, the OCT images arranged in the examination report can be changed based on operational input.

[0060] These various examination reports are displayed alternatively on the viewer. For example, a tab is provided for each examination report, and the examiner can switch to the desired examination report by selecting the corresponding tab. A transfer button (link button) is also displayed along with the examination report. By operating the transfer button, the displayed examination report is transferred to the medical information system 30 (S5). Furthermore, if another examination report needs to be transferred, the examiner changes the examination report displayed on the viewer and performs the same operation. In this way, when manually transferring a report, the examiner is required to confirm the examination report each time and then perform the transfer operation.

[0061] Next, the flow of automatically transferring the inspection report (S6, S7) will be described.

[0062] In this case, after the examination is completed, the PC 20 generates an examination report without launching the viewer (S6). As in (S4) above, the examination report is created based on the examination results and a template prepared in advance.

[0063] Whether to generate one of the three types of reports, i.e., a macular disease report, a glaucoma report, and an angiogram report, is automatically selected based on the test conditions and test results. For example, whether to generate a report may be determined based on whether the required OCT images and analysis results for that report template have been acquired.

[0064] In this embodiment, whether to generate a binocular report or a monocular report is determined based on the test results obtained this time and previously.

[0065] For example, if the current and previous test results only include results for one eye, a monocular report is generated. On the other hand, if the current and previous test results include results for both eyes, a binocular report is generated. When generating a binocular report, if both eyes were tested in the current test, a binocular report is generated based on the current test. Furthermore, if only one eye was tested in the current test and only test results obtained in previous tests exist for the other eye, a binocular report is generated using the current test result for one eye and the most recent past test result for the other eye.

[0066] In this embodiment, the examination report automatically generated as described above is automatically transferred to the medical information system 30 (S7). In other words, in this case, the examiner is not required to check the generated report on the viewer and perform a transfer operation. Therefore, the examiner does not need to check the report one by one and input a transfer operation for each examination or report, thereby reducing the burden on the examiner. In this embodiment, by going through the confirmation screen after the examination, the examiner can ensure the quality of the examination results, and as a result, the quality of the automatically generated examination report is also more likely to be ensured.

[0067] Second Example In the first example, a report is generated and transferred each time an examination is completed. In contrast, in the second example, after examinations are performed on multiple subjects, reports are transferred to the medical information system 30 all at once.

[0068] In the second embodiment, the explanation of the automatic transfer flow will be omitted and the case of manual transfer will be explained. In the second embodiment, for example, test reports for multiple tests may be transferred collectively for each specified test date. The following explanation will be given with reference to the flowchart in Figure 3.

[0069] After the multiple examinations are completed, the viewer is started (S3).

[0070] First, the test result selection screen is displayed as shown in Fig. 4. On the test result selection screen, test results acquired in advance are listed in a list 110, for example.

[0071] The test result selection screen includes a GUI 120 for setting conditions for the search results to be selected. By setting desired conditions via the GUI 120, test results that meet the conditions are selected all at once. There may be multiple types of settable conditions, and test results may be selected by combining multiple conditions.

[0072] Conditions that can be set via the GUI 120 include, for example, the examination date, the subject, and the disease. For example, by specifying the examination date, multiple examination results obtained on the specified examination date are selected all at once (S21). In the following explanation, unless otherwise specified, a case will be described in which the examination date is set as a condition.

[0073] After the test results are selected, the test result display screen shown in Fig. 5 is displayed. The test results that form the basis of the test report are confirmed by the examiner.

[0074] In this embodiment, the examination result display screen selectively displays one of the multiple examination results selected at once in the display area 200 (S22). In the case of OCT, the examination results for each scan pattern are displayed in the display area 200. As in the first embodiment, the PC 20 automatically arranges the OCT images and analysis results for each examination according to a predetermined report template. If OCT data for the same subject's eye is acquired using multiple scan patterns in a single examination, each scan pattern is displayed in the third list 500. A scan pattern to be displayed in the display area 200 is selected from those displayed in the third list 500 and switched. If the scan pattern is composed of multiple scan lines, a tomographic image related to any of the scan lines may be displayed in the display area 200. Analysis results such as a thickness map are also displayed in the display area 200.

[0075] The examination results displayed in the display area 200 are edited based on an editing operation (S24). The OCT images and analysis results arranged in the examination report can be changed based on an operation input. For example, the tomographic image displayed in the display area 200 may be changed to that of another scan line. Also, the reference position of the analysis in the analysis results may be changed.

[0076] The test result display screen includes a second list 300 and a "Next" button 400. The second list 300 displays one of multiple test results selected at once in the display area 200. Any of the multiple test results listed in the second list 300 can be selected, and the selected result is displayed in the display area 200. The multiple test results are also arranged in a predetermined order (e.g., chronological order). When the "Next" button 400 is operated (S25: YES), the test result next in order to the currently selected test result is newly selected and displayed in the display area 200 (S26). Therefore, in the second embodiment, multiple test results can be confirmed without switching screens from the test result display screen 200, allowing for smooth confirmation work.

[0077] In the second embodiment, the selection of a new test result via the second list 300 and the "Next" button 400 triggers the start of generation of an inspection report for the test result that was previously selected (i.e., the test result that was previously displayed in the display area) (S27). The inspection report is generated in the background while the next and subsequent test results are displayed in the display area 200. The inspection report is also temporarily stored in the computer's memory (e.g., a temporary storage area, such as the main memory).

[0078] This process is repeated for all the test results selected at once.

[0079] Furthermore, if a test result that has already been displayed once before transfer is selected and displayed again, and further editing is performed on the test result, the test report that was previously created may be discarded, and a test report may be generated based on the test result that reflects the new editing.

[0080] A transfer button (link button) is displayed on the test result display screen. Operating the transfer button 600 (S28: YES) initiates the transfer of test reports to the medical information system 30. Since test reports corresponding to at least some of the test results selected at once are generated in advance, the test reports may be transferred first from the already generated test reports. The remaining test reports that have not yet been generated at the time of operating the transfer button 600 are subsequently generated after operating the transfer button 600 (S29). The process of generating the remaining test reports may be performed after operating the transfer button 600 and before the transfer begins, or may be performed in parallel with the transfer of the previously generated test reports. A progress bar or the like may be displayed to allow the examiner to understand the transfer status. Furthermore, the viewer may automatically close after the transfer is complete. In this embodiment, at least some of the test reports are generated before the transfer operation is accepted, thereby reducing the time required from the input of the transfer operation for the multiple test reports to the completion of the transfer of all test reports.

[0081] <Modifications> Although the present disclosure has been described above based on the embodiments, it should be understood that the present disclosure is not necessarily limited to the above embodiments.

[0082] For example, in the above embodiment, both manual transfer and automatic transfer are used, but only one of them may be implemented in the device.

[0083] For example, in the first embodiment, automatic transfer is triggered by the end of the examination. However, this is not necessarily limited to this, and the trigger for automatic transfer may be, for example, the start of the viewer or the timing when a patient search (S1) is performed to examine a new subject.

[0084] For example, in the first embodiment, test reports are transferred one by one for each transfer operation, and in the second embodiment, multiple test reports are transferred in bulk based on the transfer operation. These two methods may be used together. For example, in the second embodiment, when multiple test results are selected in advance, two types of transfer operations, an individual transfer operation for transferring the individual results and a bulk transfer operation for transferring the results in bulk, may be selectively accepted, and the transfer may be performed by the selected method.

[0085] In addition, in each embodiment, if a follow-up examination is performed and an examination report is transferred based on a transfer operation, the examination report based on the current examination results may be generated under the same report generation conditions as the examination report based on the previous examination results. In this case, the current examination report may be automatically generated without requiring the current examination results to be displayed on the examination result display screen. The report generation conditions may be conditions that specify at least one of the report type in the previous examination report and the report editing results. For the examination results obtained in the follow-up examination, an appropriate examination report can be generated without the examiner having to check them. Reports generated automatically in this manner may also be set as targets for bulk transfer. <Other Forms> The present disclosure also discloses the following ophthalmic information processing program and ophthalmic information processing device.

[0086] A first ophthalmic information processing program that, when executed by a processor of an ophthalmic computer, causes the ophthalmic computer to execute the following: an acquisition step for acquiring examination results of a subject's eye using an eye examination device; a generation step for generating converted examination results of the subject's eye based on the examination results and a pre-prepared template; a first transfer step for displaying the converted examination results and requesting a transfer operation, and performing a transfer process on the converted examination results if the transfer operation is accepted; and a second transfer step for transferring the converted examination results to a medical information system that performs a transfer process on the converted examination results without requesting the transfer operation, the second transfer step being selectively executed in conjunction with the first transfer step.

[0087] In the second ophthalmologic information processing program, in the first ophthalmologic information processing program, the second transfer step further executes a transfer process for the converted examination result before displaying the converted examination result.

[0088] The third ophthalmologic information processing program is the first or second ophthalmologic information processing program, wherein the generation step generates the converted examination results as an examination report, and the examination report can be generated for each of multiple types of templates associated with at least one of the disease type and the examination conditions used by the eye examination device; the acquisition step acquires second information regarding the disease type in the test eye and any of the examination conditions for the test eye along with the examination results; and the second transfer step selectively transfers the examination report based on at least one of the multiple types of templates to the medical information system based on the second information.

[0089] The fourth ophthalmological information processing program is the third ophthalmological information processing program, wherein the generation step is capable of generating a binocular report based on the test results of both eyes and a monocular report based on the test results of one eye, and the acquisition step selectively transfers the binocular report and the monocular report based on either information regarding the presence or absence of binocular disease or the presence or absence of test results for both the left and right eyes, along with the test results.

[0090] The ophthalmologic computer executes any one of the first to fourth ophthalmologic information processing programs.

Claims

1. An ophthalmology information processing program, When executed by a processor of the ophthalmic computer, An acquisition step of acquiring an examination result of the subject's eye by the eye examination apparatus; A generating step of generating a converted test result of the subject's eye based on the test result and a template prepared in advance; a first transfer step of displaying the conversion test result and requesting a transfer operation, and executing a transfer process on the conversion test result when the transfer operation is accepted; An ophthalmic information processing program that causes the ophthalmic computer to execute a second transfer step that is selectively executed between the first transfer step and a second transfer step that transfers the converted test results to a medical information system that performs a transfer process on the converted test results without requesting the transfer operation.

2. 2. The ophthalmologic information processing program according to claim 1, wherein in the second transfer step, a transfer process for the converted examination result is further executed before the converted examination result is displayed.

3. In the generating step, an examination report of the subject's eye is generated based on the examination result and a template prepared in advance, and the examination report can be generated for each of a plurality of types of the template associated with at least one of a disease type and an examination condition for the eye examination apparatus, In the acquiring step, together with the examination result, information on a disease type in the subject's eye and any of the examination conditions for the subject's eye are acquired, 3. The ophthalmologic information processing program according to claim 1, wherein in the second transfer step, the examination report based on at least one of a plurality of types of the templates is selectively transferred based on the information acquired in the acquisition step.

4. In the generating step, a binocular report based on a test result of both eyes and a monocular report based on a test result of one eye can be generated, In the acquisition step, together with the test results, information on the presence or absence of a binocular disease and information on the presence or absence of test results for both the left and right eyes are acquired, 3. The ophthalmologic information processing program according to claim 1, wherein in the second transfer step, the binocular report and the monocular report are selectively transferred based on the information acquired in the acquisition step.

5. A display step of sequentially displaying the plurality of test results on a screen; a transfer step of performing a batch transfer process on the plurality of test results and the corresponding plurality of converted test results when a transfer operation is received by the ophthalmic computer; An ophthalmologic information processing program according to any one of claims 1 to 4, wherein in the generation step, at least a portion of the converted test results corresponding to each of the test results are generated before the transfer operation is accepted.

6. An ophthalmologic computer that executes the ophthalmologic information processing program according to any one of claims 1 to 5.