CN-114980793-B - Endoscope examination support device, program product, and recording medium

Abstract

The endoscope examination support device is provided with an examination condition information acquisition unit that acquires examination condition information indicating an examination condition in an endoscope examination of a subject using an endoscope, based on an endoscope image obtained by imaging the inside of the subject and insertion shape information indicating an insertion shape of an insertion section into the subject, an examination support information generation unit that generates operation support information for supporting an insertion operation of the insertion section by a user who operates the endoscope in the endoscope, based on the examination condition information obtained by the examination condition information acquisition unit, and a surgical operation evaluation unit that evaluates a surgical operation including an insertion operation of the insertion section by the user in the endoscope, based on the examination condition information obtained by the examination condition information acquisition unit, thereby generating surgical operation evaluation information.

Inventors

• Naoki Fukatsu
• DONG TIAOLIANG
• FUJITA HIROMASA

Assignees

• 奥林巴斯株式会社

Dates

Publication Date

20260505

Application Date

20200120

Claims (20)

1. 1. An endoscope auxiliary device, comprising: an examination condition information acquisition unit that acquires examination condition information indicating an examination condition in an endoscopy performed on a subject using an endoscope, based on insertion shape information indicating an insertion shape of an insertion portion into the subject and an endoscope image obtained by the endoscope capturing an image of the subject; A surgical operation evaluation unit for evaluating a surgical operation including an insertion operation of the insertion unit performed by a user operating the endoscope in an endoscopic examination based on the examination condition information obtained by the examination condition information obtaining unit, thereby generating surgical operation evaluation information, and A recording unit that records, as endoscopic information, images and information obtained in an endoscopic examination performed on the subject using the endoscope, The surgical operation evaluation unit determines whether the endoscopic information is information obtained when the insertion operation of the insertion unit is a normal difficulty or information obtained when the insertion operation of the insertion unit is a high difficulty, and generates surgical operation evaluation information for difficulty corresponding to the determined difficulty.
2. 2. An endoscopy assisting apparatus according to claim 1, wherein, The endoscope examination support device further includes an examination support information generation unit that generates operation support information for supporting an insertion operation of the insertion unit by a user who operates the endoscope during the endoscope examination, based on the examination condition information acquired by the examination condition information acquisition unit.
3. 3. An endoscopy assisting apparatus according to claim 2, wherein, The recording unit also associates and records, as the endoscopy information, an endoscope image group including a plurality of the endoscope images obtained in the endoscopy, an insertion shape information group including a plurality of the insertion shape information, and an operation support time information group including a plurality of the operation support information, The surgical operation evaluation unit generates surgical operation evaluation information based on the endoscopy information recorded in the recording unit.
4. 4. An endoscopy assisting apparatus according to claim 2, wherein, The inspection status information acquisition unit includes: A first recognition processing unit configured to perform a process for recognizing an inspection condition corresponding to 1 endoscope image to obtain a first recognition result; a second recognition processing unit configured to perform a process for recognizing examination conditions corresponding to a plurality of endoscope images that are continuous in time to obtain a second recognition result, and And an examination status detection processing unit configured to acquire the examination status information by processing at least one of the first recognition result, the second recognition result, insertion position information, and an insertion shape image, wherein the insertion position information is information included in the insertion shape information and is information indicating an insertion position of the insertion unit inserted into the subject, and the insertion shape image is information included in the insertion shape information and is information obtained by visualizing an insertion shape of the insertion unit inserted into the subject.
5. 5. An endoscopy assisting apparatus according to claim 2, wherein, The recording unit also associates and records, as the endoscopy information, an endoscope image group including a plurality of the endoscope images obtained in the endoscopy, an insertion shape information group including a plurality of the insertion shape information, and an operation support time information group including a plurality of the operation support information, The operation support time information group includes information capable of determining, for each guide information, a presentation time for presenting a plurality of guide information included in each of a plurality of operation support information generated in the endoscopy to the user, The surgical operation evaluation unit includes: A first analysis processing unit configured to perform analysis processing based on the endoscope image group included in the endoscope examination information, thereby obtaining a first analysis result including analysis values of 1 or more evaluation indexes corresponding to an operation of the endoscope estimated to be performed by the user in one time of the endoscope examination; A second analysis processing unit configured to perform analysis processing based on an insertion shape information group including a plurality of pieces of insertion shape information included in the endoscope operation estimated to be performed by the user in one endoscope operation, thereby obtaining a second analysis result including analysis values of 1 or more evaluation indexes corresponding to the operation of the endoscope, and And an evaluation processing unit configured to generate the operation evaluation information by performing a process using the first analysis result, the second analysis result, and the operation support time information set included in the endoscopy information.
6. 6. An endoscopy assisting apparatus according to claim 2, wherein, The recording unit also associates and records, as the endoscopy information, an endoscope image group including a plurality of the endoscope images obtained in the endoscopy, an insertion shape information group including a plurality of the insertion shape information, and an operation support time information group including a plurality of the operation support information, The inspection support information generating unit is configured to perform processing for causing the recording unit to record information indicating an estimation result obtained by estimating whether or not an operation corresponding to the guidance information included in the operation support information has been completed.
7. 7. An endoscopy assisting apparatus of claim 6, wherein, The operation evaluation unit is configured to calculate an operation completion rate corresponding to a proportion of completion of an operation corresponding to each piece of guidance information presented in one endoscopic examination, based on the information indicating the estimation result recorded in the recording unit, and to generate the operation evaluation information including the information indicating the calculated operation completion rate.
8. 8. An endoscopy assisting apparatus according to claim 1, wherein, The surgical operation evaluation unit is configured to calculate a surgical operation score indicating a comprehensive evaluation of a surgical operation performed in one of the endoscopes, and to generate the surgical operation evaluation information including the calculated surgical operation score.
9. 9. An endoscopy assisting apparatus according to claim 1, wherein, The endoscope auxiliary device further comprises: an inspection evaluation value calculating unit configured to calculate an inspection evaluation value for evaluating the quality of the endoscope at a time based on the endoscope information recorded in the recording unit.
10. 10. An endoscopy assisting apparatus in accordance with claim 9, wherein, The examination evaluation value calculation unit is configured to calculate at least one of an ileocecum arrival rate, an intestinal tract cleaning degree, and an adenoma detection ratio as the examination evaluation value.
11. 11. An endoscopy assisting apparatus according to claim 2, wherein, The endoscope examination support device further includes a display control unit configured to perform processing for generating visual information corresponding to the operation support information and displaying the visual information on a display device, and processing for generating visual information corresponding to the operation evaluation information and displaying the visual information on the display device.
12. 12. An endoscopy assisting apparatus according to claim 2, wherein, The endoscope auxiliary device further includes a sound generating unit configured to perform an operation for generating and outputting a sound corresponding to the operation auxiliary information.
13. 13. An endoscopy assisting apparatus according to claim 2, wherein, The inspection support information generating unit is configured to perform processing for presenting the operation support information in different modes for each operation difficulty associated with the insertion operation of the insertion unit.
14. 14. The endoscopy assisting apparatus of claim 4, wherein the endoscope comprises a main body, The endoscope auxiliary device further comprises an operation condition detection processing unit configured to acquire operation condition information corresponding to information indicating a current operation condition of the user who is operating the endoscope, The inspection condition detection processing unit is configured to acquire the inspection condition information by processing at least one of the first recognition result, the second recognition result, the insertion position information, the insertion shape image, and the operation condition information.
15. 15. The endoscopy assisting apparatus of claim 14, wherein the endoscope comprises a main body, The operation condition detection processing unit is configured to acquire the operation condition information by processing a detection result obtained by detecting at least one of an image obtained by capturing the user, movement information capable of specifying movement of the user, line-of-sight information capable of specifying line of sight of the user, and sound acquired from the user.
16. 16. The endoscopy assisting apparatus of claim 14, wherein the endoscope comprises a main body, The examination assistance information generating unit is configured to generate the operation assistance information for presenting different guidance information according to whether or not the skill level of the user corresponds to the skill level of a skilled person, based on the examination status information and user information including information on the skill level of the user who operates the endoscope.
17. 17. The endoscopy assisting apparatus of claim 16, wherein the endoscope comprises a main body, The user information including information related to a skill level of the user operating the endoscope includes at least one of a number of years of experience of endoscopy of the user, a number of cases of experience of the user, a clinical department of the user, a presence or absence of qualification of a certified doctor of the user, and a presence or absence of qualification of a specialist of the user.
18. 18. The endoscopy assisting apparatus of claim 14, wherein the endoscope comprises a main body, The examination assistance information generating unit is configured to perform processing for generating operation assistance information including guidance information for presenting a current work content of the user, when a determination result is obtained that the skill level of the user corresponds to the skill level of a skilled person based on user information including information on the skill level of the user operating the endoscope.
19. 19. The endoscopy assisting apparatus of claim 14, wherein the endoscope comprises a main body, The recording unit associates and records, as the endoscopy information, an endoscope image group including a plurality of the endoscope images obtained in the endoscopy, an insertion shape information group including a plurality of the insertion shape information, an operation support time information group including a plurality of the operation support information, and an operation condition information group including a plurality of operation condition information acquired in accordance with an action of the user in one of the endoscopy.
20. 20. The endoscopy assisting apparatus of claim 19, wherein the endoscope comprises a main body, The endoscope auxiliary device further comprises: a first analysis processing unit configured to perform analysis processing based on an endoscope image group including a plurality of the endoscope images obtained in the endoscopy, included in the endoscope examination information, to obtain a first analysis result including analysis values of 1 or more evaluation indexes corresponding to an operation of the endoscope estimated to be performed by the user in one of the endoscopy; A second analysis processing unit configured to perform analysis processing based on the insertion shape information set included in the endoscope operation estimated to be performed by the user in one time of the endoscope operation, thereby obtaining a second analysis result including analysis values of 1 or more evaluation indexes corresponding to the operation of the endoscope; a third analysis processing unit configured to perform analysis processing based on the operation state information group included in the endoscopy information to obtain a third analysis result including analysis values of 1 or more evaluation indexes corresponding to actions of a user in one of the endoscopy, and And an evaluation processing unit configured to generate the operation evaluation information by performing processing using the first analysis result, the second analysis result, the third analysis result, and the operation support time information set.

Description

Endoscope examination support device, program product, and recording medium Technical Field The present invention relates to an endoscope auxiliary device, a method of operating the endoscope auxiliary device, and a non-transitory recording medium storing a program. Background In the field of endoscopes, techniques for supporting various operations performed by a user, such as an insertion operation of inserting a flexible elongated insertion portion into a deep portion of a subject, have been conventionally proposed. Specifically, for example, international publication No. 2016/135966 discloses a device that detects the shape of an insertion portion of an endoscope, and generates operation support information indicating the state of the insertion portion based on the shape of the insertion portion. However, according to the structure disclosed in International publication No. 2016/135966, for example, there is a problem in that information generated by various operations performed by a user in endoscopy to assist an insertion operation of an insertion portion or the like is limited to information within a range that can be estimated from the shape of the insertion portion. Therefore, according to the structure disclosed in international publication No. 2016/135966, for example, when the insertion portion is inserted into the deep portion of the subject, there is a problem in that information for prompting an appropriate operation according to the condition in the endoscopy may not be presented to the user. Further, according to the structure disclosed in International publication No. 2016/135966, for example, there is a problem that evaluation of an operation performed in an endoscopic examination, such as an insertion operation of an insertion portion, cannot be presented to a user after the endoscopic examination is completed. The present invention has been made in view of the above circumstances, and an object of the present invention is to provide an endoscopy assisting apparatus capable of improving inspection quality in endoscopy, an operation method of the endoscopy assisting apparatus, and a non-transitory recording medium storing a program. Disclosure of Invention Means for solving the problems An endoscope examination support device according to one embodiment of the present invention includes an examination condition information acquisition unit that acquires insertion shape information indicating an insertion shape of an insertion unit into a subject, and a surgical operation evaluation unit that evaluates a surgical operation including an insertion operation of the insertion unit by a user who operates the endoscope during an endoscope on the basis of the insertion shape information acquired by the examination condition information acquisition unit, thereby generating surgical operation evaluation information. In the method of operating an endoscope auxiliary device according to one aspect of the present invention, an examination condition information acquisition unit acquires insertion shape information indicating an insertion shape of an insertion unit into a subject, and a surgical operation evaluation unit evaluates a surgical operation including an insertion operation of the insertion unit by a user operating the endoscope in an endoscopic examination based on the insertion shape information acquired by the examination condition information acquisition unit, thereby generating surgical operation evaluation information. In a non-transitory recording medium having a program recorded thereon according to one embodiment of the present invention, the program causes a computer to execute a process of acquiring insertion shape information indicating an insertion shape of an insertion portion of an endoscope into a subject, and evaluating a surgical operation including an insertion operation of the insertion portion performed by a user operating the endoscope in endoscopy based on the insertion shape information, thereby generating surgical operation evaluation information. Drawings Fig. 1 is a diagram showing a configuration of a main part of an endoscope system including an endoscope auxiliary device according to an embodiment. Fig. 2 is a block diagram for explaining an example of the configuration of the endoscope system according to the first embodiment. Fig. 3 is a block diagram for explaining an example of the configuration of the inspection status information acquiring unit according to the first embodiment. Fig. 4 is a diagram for explaining an example of table data used in the processing performed in the endoscope system according to the first embodiment. Fig. 5 is a block diagram for explaining an example of the configuration of the surgical operation evaluation unit according to the first embodiment. Fig. 6 is a flowchart for explaining an example of processing performed in the endoscope system according to the first embodiment. Fig. 7 is a view showing an example of a display image d