Multi-input reporting and editing tool

• US 7,607,079 B2
• Filed: 06/01/2007
• Issued: 10/20/2009
• Est. Priority Date: 07/09/2004
• Status: Active Grant

• Current Assignee: Bruce Reiner
• Original Assignee: Bruce Reiner
• Inventors: Reiner, Bruce
• Primary Examiner(s): Hutton, Doug
• Assistant Examiner(s): Blackwell, James H
• Application Number:
  US11/806,596
• Publication Number:
  US 20070237378A1
• Time in Patent Office: 872 Days
• Field of Search: 715230-234, 600/407, 382/128, 382/132, 345/619
• US Class Current: 715/233
• CPC Class Codes: G06F 3/04883 for inputting data by handwriting, e.g. gesture or text
• CPC Class Codes: G06Q 10/06 Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 30/40 for processing medical images, e.g. editing
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

The present invention relates to a multi-input reporting and editing tool, which performs as a dynamic instrument to allow multiple users'"'"' input into creating a report, such that end-users may accumulate, process, and analyze information, in a timely, efficient, and accurate fashion. The multi-input reporting and editing tool allows tracking of follow-up data over time, and creates a vehicle for database mining and quality assessment.

Claims

1. A computer-implemented medical reporting and editing method comprising:

displaying a stored image for a user on a display, said stored image containing of a plurality of annotation symbols embedded within said image and corresponding to a pre-defined, standardized graphical language that describes informational content associated with medical findings, wherein said graphical language is predetermined and said informational content is not displayed on said image;

displaying a current image for the user on said display with said stored image; and

autopopulating, upon receipt of a command, said current image with said plurality of embedded annotation symbols corresponding to the standardized graphical language, from said stored image, said embedded annotation symbols from said stored image being distinguished from those of said current image by color or format.

2. A computer-implemented medical reporting and editing method comprising:

displaying a first image to a user for review;

displaying a second image to said user on a same display as said first image, said second image which includes at least one annotated symbol embedded within said second image and corresponding to a pre-defined, graphical language that describes informational content associated with medical findings, wherein said graphical language is predetermined and said informational content is not displayed on said image;

moving said at least one annotated symbol from said second image onto said first image on said display, using an input device;

receiving said at least one annotated symbol from said second image on said first image, and embedding said annotated symbol within said first image, thereby producing an updated annotated first image; and

storing said updated annotated first image with said at least one annotated symbol thereon in a database.

3. A computer-implemented medical reporting and editing method comprising:

displaying an image for a first user;

receiving and embedding a first annotation within said image, said first annotation input by said first user using an input device and including at least one of a plurality of symbols corresponding to a pre-defined, standardized graphical language that describes informational content associated with medical findings, wherein said graphical language is predetermined and said informational content is not displayed on said image;

storing said annotated image annotated by said first user with said at least one symbol thereon in a database;

displaying said annotated image annotated by said first user, to a second user;

receiving and embedding a second annotation within said image, said second annotation input by said second user using another input device, and including at least one of a plurality of additional symbols corresponding to additional information utilizing the standardized graphical language, thereby automatically producing an updated annotated image; and

applying automated medical decision support systems to interpret said symbols in said updated annotated image, and to automatically generate a report therefrom.

4. A computer-implemented reporting and editing method comprising:

displaying an image for a first user on a computer monitor;

receiving a first annotation on said image, said first annotation input by said first user and including at least one of a plurality of symbols corresponding to predetermined information;

storing said annotated image with said at least one symbols thereon;

displaying said annotated image to a second user;

receiving a second annotation on said image, said second annotation input by said second user and including at least one of a plurality of additional symbols corresponding to additional predetermined information, thereby producing an updated annotated image;

wherein said symbols annotated by said first user are distinguished in at least color or format by said symbols annotated by said second user; and

automatically comparing said symbols annotated by one of said first or said second users, to a database of said plurality of symbols, such that when said symbols annotated by one of said first or said second users are not recognized and are discordant symbols, said first or said second users are automatically notified of said discordant symbols by a visual notification system on said computer monitor.

5. A computer-implemented medical reporting and editing method comprising:

displaying an image for a first user;

receiving and embedding a first annotation within said image, said first annotation input by said first user using an input device and including at least one of a plurality of symbols corresponding to predetermined information, thereby producing an annotated image, each symbol of said plurality of symbols being a pre-defined, graphical language that describes informational content associated with medical findings, wherein said graphical language is predetermined and said informational content is not displayed on said image;

storing said annotated image annotated by said first user with said at least one symbol thereon in a database;

displaying said annotated image annotated by said first user, to a second user;

receiving and embedding a second annotation within said image, said second annotation input by said second user using another input device, and including at least one of a plurality of additional symbols corresponding to additional predetermined information, thereby producing an updated annotated image, wherein said symbols annotated by said first user are distinguished in at least color or format by said symbols annotated by said second user to show said annotations inputted by said first user or said second user;

allowing edits to be made to at least one of said first or said second annotations on said updated annotated image by at least one of said first or said second users based on a predetermined access granted to said at least one of said first or said second users;

automatically correlating the graphical symbols into a standardized lexicon of medical terminology that converts to one of a graphical medical report or a textual medical report in said database; and

automatically updating said medical report to be stored in said database, by dynamically changing its contents over time whenever each said updated annotated image is created.

6. The method according to claim 5, wherein said first and second annotations are performed over time on a plurality of images.

7. The method according to claim 5, wherein an input device is used to annotate said image or said updated annotated image with said symbols by said first user and said second user.

8. The method according to claim 7, wherein said input device is a programmable stylus.

9. The method according to claim 7, further comprising:

applying automated decision support systems to interpret said updated annotated image.

10. The method according to claim 9, wherein findings from said automated decision support systems can be shown on said updated annotated image as at least one of text or symbols, wherein said symbols from said automated decision support systems differ in at least one of a format and a color from said symbols inputted by said first or said second users.

11. The method according to claim 10, wherein neural networks are applied to further define and interpret said updated annotated image.

12. The method according to claim 9, wherein said report contains both said text and said symbols.

13. The method according to claim 7, wherein said updated annotated image with symbols thereon is stored separately as a key image from other images in said image study.

14. The method according to claim 13, wherein said key image is displayed in a pre-selected user format, which includes pre-selected variables.

15. The method according to claim 7, further comprising:

providing additional data to a user to assist in image interpretation of said updated annotated image.

16. The method according to claim 5, further comprising:

providing said image from a plurality of images in an image study.

17. The method according to claim 5, further comprising:

confirming said text correctly denotes said symbols when said symbols are placed on said image by said first or said second users; and

editing said text when said symbols are incorrectly denoted.

18. The method according to claim 5, wherein the method is used in the field of radiology.

19. The method according to claim 5, wherein temporal subtraction can be applied to said reports to show changes in said updated annotated image.

20. The method according to claim 5, wherein said updated annotated image includes one of an x-ray, a digital representation, a photograph, a graphical representation, a blueprint, or a medical printout.

21. The method according to claim 5, wherein said displaying steps are performed by a Picture Archiving and Communication System (PACS).

22. The method according to claim 5, wherein said storing step is performed by a Picture Archiving and Communication System (PACS).

23. The method according to claim 5, further comprising:

receiving an additional annotation of at least an additional symbol from said plurality of symbols, wherein said additional symbol corresponds to a modifier, which identifies and quantifies said updated annotated image.

24. The method according to claim 5, wherein said display is one of a touch screen or a pair of goggles.

25. The method according to claim 5, further comprising:

utilizing biometrics to identify and authenticate said first or second users;

wherein said predetermined access granted to said first or second users includes differing log in and edit privileges of said updated annotated image and report based on predetermined criteria.

26. A computer system having a program for performing medical image reporting and editing, comprising:

means for displaying an image;

means for receiving and embedding an annotated image with at least one of a plurality of symbols corresponding to predetermined information, to produce an updated annotated image, each symbol of said plurality of symbols being a pre-defined, graphical language that describes informational content associated with medical findings, where said graphical language is predetermined and said informational content is not displayed on said image;

wherein said symbols are distinguished in at least color or format from other of said plurality of symbols added by different users and/or at different times;

means for storing said updated annotated image by each said user, with said symbols thereon;

means for allowing edits by each said user, to be made to at least one of said first or second annotations on said updated annotated image based on a predetermined access granted to the users;

means for correlating the graphical symbols into a standardized lexicon of medical terminology that converts to one of a graphical medical report or a textual medical report to be stored in said database; and

means for automatically updating said medical report in said database, by dynamically changing its contents over time whenever each said updated annotated image is created.

27. The computer system of claim 26, further comprising:

means for forwarding said updated annotated image to a selected user.

28. The computer system according to claim 26, further comprising:

means for applying automated decision support systems to interpret said updated annotated image.

29. The computer system according to claim 28, further comprising:

means for providing additional data to a user to assist in image interpretation of said updated annotated image.

30. The computer system according to claim 26, further comprising:

means for confirming said text correctly denotes said symbols when said symbols are placed on said updated annotated image; and

means for editing said text when said symbols are incorrectly denoted.

31. The computer system according to claim 26, further comprising:

means for receiving an additional annotation of at least an additional symbol from said plurality of symbols, wherein said additional symbol corresponds to a modifier, which identifies and quantifies said updated annotated image.

32. A computer system for performing medical image reporting and editing, comprising:

at least one memory containing at least one program comprising the steps of;

displaying an image for a first user;

receiving and embedding a first annotation within said image inputted by said first user using an input device, of at least one of a plurality of symbols corresponding to predetermined information, each symbol of said plurality of symbols being a pre-defined, graphical language that describes informational content associated with medical findings, wherein said graphical language is predetermined and said informational content is not displayed on said image;

storing said annotated image annotated by said first user with said symbols thereon in a database;

displaying said annotated image annotated by said first user, to a second user;

receiving and embedding a second annotation within said image inputted by said second user using another input device, of at least one of a plurality of additional symbols corresponding to predetermined information, thereby producing an updated image, wherein said symbols annotated by said first user are distinguished in at least color or format by said symbols annotated by said second user to show said annotations inputted by said first user or said second user;

allowing edits to be made to at least one of said first or said second annotations on each of said updated annotated images by at least one of said first or said second users based on a predetermined access granted to said at least one of said first or said second users;

automatically correlating the graphical symbols into a standardized lexicon of medical terminology that converts to one of a graphical medical report or a textual medical report in said database; and

automatically updating said medical report in said database, by dynamically changing its contents over time whenever each said updated annotated image is created; and

at least one processor for running the program.

33. A computer-readable medium whose contents cause a computer system to perform medical image reporting and editing, the computer system having a program comprising the steps of:

displaying an image for a first user;

receiving and embedding a first annotation within said image inputted by said first user, of at least one of a plurality of symbols corresponding to predetermined information, each symbol of said plurality of symbols being a pre-defined, graphical language that describes informational content associated with medical findings, wherein said graphical language is predetermined and said informational content is not displayed on said image;

storing said annotated image annotated by said first user with said symbols thereon in a database;

displaying said annotated image annotated by said first user, to a second user;

receiving and embedding a second annotation within said image inputted by said second user using another input device, of at least one of a plurality of additional symbols corresponding to predetermined information, thereby producing an updated image, wherein said symbols annotated by said first user are distinguished in at least color or format by said symbols annotated by said second user to show said annotations inputted by said first user or said second user;

allowing edits to be made to at least one of said first or said second annotations on each of said updated annotated images by at least one of said first or said second users based on a predetermined access granted to said at least one of said first or said second users;

automatically correlating the graphical symbols into a standardized lexicon of medical terminology that converts to one of a graphical medical report or a textual medical report in said database; and

automatically updating said medical report in said database, by dynamically changing its contents over time whenever each said updated annotated image is created.

34. A computer-implemented medical reporting and editing method comprising:

displaying an image for a first user;

receiving and embedding a first annotation within said image, said first annotation input by said first user using an input device and including at least one of a plurality of symbols corresponding to a standardized, pre-defined, graphical language that describes informational content associated with medical findings, wherein said graphical language is predetermined and said informational content is not displayed on said image;

storing said image annotated by said first user, with said at least one symbol thereon in a database;

displaying said image annotated by said first user, to a second user; and

receiving and embedding a second annotation within said image, said second annotation input by said second user using another input device, and including at least one of a plurality of additional symbols corresponding to additional information utilizing the standardized graphical language, thereby producing an updated annotated image; and

storing said image annotated by said second user, with said at least one symbol thereon, in said database;

wherein a user-selected annotated image containing medically relevant information, is stored separately from other annotated images as a key image in said database, said key image being a representative image that is forwarded to a pre-selected user for separate action by said pre-selected user.