JP2003141250A - Diagnostic support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To make a diagnosis support system preparable a diagnostic report at an optional place even without specifying an image reading place. SOLUTION: Image storage means 12a to 12c, 14 store medical images generated by medical image generators 11a to 11c and a report storage means 17 stores report information including the diagnostic report and the medical images to be its preparation origin. Information processing means 21 to 25 are portable mobile equipment capable of preparing the diagnostic report by using the medical images stored in the image storage means 12a to 12c, 14 and storing the prepared diagnostic report in the report storage means 17. A control means 19 controls operations of the information processing means 21 to 25 so that they do not illegally access the image storage means or the report storage means 17 via a communication interface.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a diagnostic support system for supporting the production of a diagnostic report, and more particularly to a diagnostic support system capable of producing a diagnostic report at an arbitrary location without specifying the interpretation location.

[0002]

2. Description of the Related Art As a medical diagnostic device, an X-ray diagnostic device, X
X-ray CT system, magnetic resonance imaging system, nuclear medicine system,
There are various modalities such as ultrasound devices. The doctor appropriately selects these devices according to the medical condition of the patient, makes a diagnosis while observing the medical image acquired by the selected diagnostic device, and creates a diagnostic report. Computerization is progressing even in recent medical fields, and medical records are being digitized, and they are connected by a network to share information. Therefore, there is an increasing need to create a diagnostic report for an electronic medical chart, and nowadays, a electronic word chart is created using a keyboard and mouse using a report processing word processor that is provided separately from the medical image display device. I am creating a diagnostic report.

That is, conventionally, a medical doctor has an X-ray diagnostic apparatus, an X-ray CT apparatus, a magnetic resonance imaging apparatus (MR).
I), when it is judged that the examination needs to be performed by an image diagnostic apparatus such as a nuclear medicine apparatus and an ultrasonic apparatus (US), the examining physician instructs the radiology department on the modality to be examined and the site to be examined. And make an inspection order. The radiology department will carry out the examination of the patient according to the examination order. Upon completion of the examination, the radiologist interprets the image based on the medical image acquired by the examination, and the result of the image interpretation is completed as a diagnostic report. A diagnostic reporting system is a system used when creating this diagnostic report.

The conventional diagnostic reporting system creates a diagnostic report by the following procedure. First, a doctor who interprets an image (hereinafter referred to as an image interpreting doctor) observes the inspection image with an image display device such as a PACS (image storage and transfer system) or a photographic film. Information such as a patient ID number, a patient name, an examination modality, and an examination site is read from the observed examination image, and the information is input to the diagnostic reporting system using a keyboard, a mouse, or the like. Next, as a result of observing the inspection image, that is, the finding is input using the keyboard and the mouse as in the previous case, and the information such as the name of the image interpreting doctor and the date of the image interpretation is input,
The diagnostic report is complete. As described above, conventionally, a keyboard and a mouse are used as an input means to the diagnostic reporting system, but the operation of the keyboard and the mouse is a heavy burden for a radiogram interpreter who is not familiar with the keyboard operation. Also, with regard to Japanese input by keyboard operation, there was an operation to convert Kana-Kanji, so it took time to input.

FIG. 1 is a diagram showing a schematic configuration of a diagnosis support system using a conventional medical image management system for managing medical images using a high-speed network constructed in one hospital. This diagnosis support system provides support when a doctor observes and diagnoses a medical image captured by each device connected to a high-speed network built in one hospital. The diagnostic support system is a CT device 1.
1a, RI apparatus 11b, MR apparatus 11c, a CT medical image storage server 12a, RI medical image storage server 12b, MR medical image storage server 12c. Medical image storage server, an image database 14 for accumulating management attribute information of digitized medical images stored in each storage server for integrated management of images in each storage server, and observation of medical images And an image observation device 15 used at the time of diagnosis, a report terminal 16, and a report server 17
And a printer 18 and the like are connected via the high speed network 10. The high speed network 10 is a high speed local area network (LAN) configured by using optical fibers or the like for transmission lines. In such a medical image management system, for example, a medical image captured by the CT device 11a is stored in the CT medical image storage server 12a, and a medical image captured by the RI device 11b is stored in the RI medical image storage server 12b. MR device 11c
The medical images taken by the MR are medical image storage server 12 for MR.
It is stored in c. And these servers 12a-12
When it cannot be stored in c, it is stored in the image database 14 or the like. At this time, the digitized medical image includes patient information such as the examination date, patient ID of the patient whose image is symmetrical, name, sex, date of birth, age, and the type and image of the medical image generator. Various types of information such as the created parts are simultaneously recorded as management attributes.

The image observing device 15 is directly operated by a doctor and is composed of a workstation 15a for observing and diagnosing medical images. The doctor makes a diagnosis while visually observing the medical images displayed on the plurality of monitors 15b to 15d as illustrated. Monitor 15b-1
The medical image displayed in 5d is the medical image storage server 12
It may be one directly read from a to 12c or one read from the image database 14. The image observation device 15 is installed in an examination room 13d (interpretation room, conference room, etc.) in the hospital. Actually, a plurality of image observation devices are installed in each room in the hospital through the high-speed network 10, but only one image observation device is shown in FIG.

The report terminal 16 is directly operated by a doctor and is constructed so that a diagnostic report can be directly created while visually observing a medical image displayed on the image observing device 15. The report terminal 16 is installed in a hospital, is a notebook PC,
It may be a desktop PC. Report server 17
Stores the diagnostic report created by the report terminal 16 in the report database 17b and the report creation support data necessary for creating the report. The report server 17 has a monitor 17a and can manage diagnostic reports in an integrated manner. The printer 18 prints out a diagnostic report according to an instruction from the report terminal 16 or the report server 17. Various devices other than this are connected, but they are omitted.

[0008]

In such a diagnosis support system, a doctor who makes a diagnosis based on a medical image uses the image observation device 15 to access the image database 14 or the medical image storage servers 12a to 12c. . Since each image database 14 records management attribute information for medical image retrieval such as which medical image of which patient is stored together with the medical image, desired medical images are recorded based on the management attribute information. Is read out, the medical image to be browsed is read from the image database 14 and is displayed on each monitor 15b to 15d of the image observation apparatus 15 to make a diagnosis. At this time, the doctor simultaneously creates a report while operating the report terminal 16.

However, since the image observation apparatus 15 is limited to a specific examination room 13d or the like installed in the hospital, when the diagnosis report is prepared, the diagnosis report is prepared unless the user goes to that place. I couldn't. Therefore, there is a problem that the user has to go to a specific room to create a diagnostic report and create the diagnostic report there. Further, when a doctor creates a diagnostic report at another hospital or the like, the doctor himself must operate according to the report terminal 16 because the model and specifications of the report terminal 16 installed in each hospital are different. There was a problem.

The present invention has been made in view of the above points, and an object of the present invention is to provide a diagnostic support system capable of creating a diagnostic report at an arbitrary location without specifying the interpretation location.

[0011]

According to a first aspect of the present invention, there is provided a diagnosis support system including one or a plurality of image storage means for storing medical images generated by one or a plurality of medical image generators, and the image storage means. A portable information processing unit capable of creating a diagnostic report using the medical image stored therein, and an operation when the information processing unit accesses the image storage unit via a communication interface unit. And a control means for controlling the operation. Since the doctor can access the image storage means via the communication interface means by using a portable information processing means (for example, a mobile device), a diagnostic report can be obtained at an arbitrary location without specifying the interpretation location. It is possible to create. In addition, since the doctor can create a diagnostic report by using the information processing means that he or she is accustomed to, he / she can be freed from the hassle of having a different keyboard. Since it is not preferable in terms of security that the information processing unit can freely access the image storage unit, a control unit is provided to control the access of the information processing unit. Further, as a communication interface means, IrDA (Infrared D)
infrared communication such as ata Association)
Wired / Wireless LAN or Bluetooth (Bluetooth)
A communication interface such as a short-range wireless communication referred to as th) is applicable.

According to a second aspect of the present invention, there is provided a diagnosis support system according to the first aspect, further comprising report storage means for storing report information including a diagnostic report and a medical image from which the report is created. The information processing means controls the operation when accessing the image storage means or the report storage means via the communication interface means. The image storage means may be included in the medical image generating apparatus or may be separately provided with an image database for storing only medical images. Similarly, in the case of a diagnostic report, there is also a report storage means for storing the diagnostic report and the medical image that is the source of the diagnostic report, that is, the key image. Therefore, it is desirable that the report information including the diagnostic report and the key image created by the information processing means can be newly stored in the report storage means. Therefore, the control means allows the information processing means to access the report storage means. In this case as well, the access of the information processing means is similarly controlled by the control means from the viewpoint of security.

A diagnosis support system according to a third aspect is the diagnosis support system according to the second aspect, wherein the image storage means and the report storage means are connected to each other via a network, and the information processing means includes the communication interface means. Is connected to the network via the network, and the control unit classifies processes accessible by the information processing unit into the image storage unit or the report storage unit connected to the network into a plurality of security levels. Every time, the information processing means determines which of the plurality of security levels the information processing means belongs to when the information processing means is connected to the network, and the information processing means performs the communication via the communication interface means based on the determined security level. When accessing the image storage means or the report storage means It is for controlling the operation. When the one or more image storage means and the report storage means are connected via the network, the information processing means is configured to be connected to the network via the communication interface means. Therefore, the information processing means can access other devices such as the image storage means, the report storage means, and other printers connected to the network via the network. Therefore, here, the processes accessible by the information processing means are
For example, the security level is classified into a level at which each device can be referenced and written, a level at which only each device can be referenced, and a level at which only printing can be performed. The security level is determined when the information processing means is connected to the network, and the access of the information processing means is controlled based on the security level. This can enhance the security of medical images and report information.

A diagnosis support system according to a fourth aspect of the present invention is the diagnostic support system according to the first, second or third aspect, wherein the communication interface means is an interface based on Bluetooth. This is a configuration in which the communication interface means is configured by short-distance wireless communication called Bluetooth. Bluetooth
Since various settings such as an IP address are not required unlike a LAN, connection can be easily made. For example, if a doctor tries to connect at various places in a hospital, Bluetooth makes it easy to connect without changing any settings, and even if you bring it to another hospital, there is no need to change it there. Can be easily connected.

A diagnosis support system according to claim 5 is the diagnosis support system according to claim 1, 2 or 3, wherein the control means is used when the information processing means accesses the image storage means or the report storage means via the Internet. It controls the operation of. This refers to the case where the communication interface means is the Internet, and in this case as well, the control means similarly controls the access of the information processing means.

According to a sixth aspect of the present invention, in the diagnosis support system according to the fourth aspect, each of the image storage means, the report storage means and other means connected to the network has an interface based on the Bluetooth. The information processing means is configured to be connected to the network via any one of the Bluetooth-based interfaces included in the respective means. This is because each means connected to the network is equipped with Bluetooth, and the doctor can diagnose at any place by connecting any one of the means connected to this network with the information processing means via Bluetooth. Can create reports.

[0017]

BEST MODE FOR CARRYING OUT THE INVENTION Preferred embodiments of a diagnosis support system according to the present invention will be described below with reference to the accompanying drawings. FIG. 2 is a diagram showing an outline of the overall configuration of the diagnosis support system of the present invention. This diagnosis support system provides support when a doctor observes and diagnoses a medical image captured by each device connected to a high-speed network built in one hospital.

The diagnostic support system includes CT devices 11a, R
I device 11b, MR device 11c, CT medical image storage server 12a, RI medical image storage server 12b, MR medical image storage server 12c, image database 14, image observation device 15, report terminal 16, report server 1
7, printer 18, user security management server 19
And the like are connected via a high speed network 10. The high speed network 10 is a high speed local area network (LAN) configured by using optical fibers or the like for transmission lines. CT medical image storage server 12
a, the RI medical image storage server 12b and the MR medical image storage server 12c are the CT device 11a and the RI device 11 respectively.
b, a medical image captured by a medical image generator such as the MR device 11c is digitized and stored. That is, the medical image captured by the CT device 11a is stored in the CT medical image storage server 12a, and the medical image captured by the RI device 11b is stored in the RI medical image storage server 12b and captured by the MR device 11c. MR medical images
It is stored in the medical image storage server 12c. At this time, the digitized medical image includes patient information such as the examination date, patient ID of the patient whose image is symmetrical, name, sex, date of birth, age, and the type and image of the medical image generator. Various types of information such as the created parts are simultaneously recorded as management attributes.

Each CT medical image storage server 12a, RI
The medical image storage server 12b for medical use and the medical image storage server 12c for MR are provided with an interface corresponding to a short-range wireless communication system called Bluetooth, which is currently in the spotlight as a new wireless communication system. Therefore, each CT medical image storage server 12
a, the RI medical image storage server 12b, and the MR medical image storage server 12c are mobile devices 21 to 25 each equipped with an interface corresponding to the short-range wireless communication system.
It is configured to be connectable with. Mobile devices 21-25
Is a laptop computer (PC) or PDA (Persona)
l Digital Assistants) and other small information processing devices. In the figure, the mobile device 21 may be communicatively connected to the CT medical image storage server 12a, the mobile device 22 to the RI medical image storage server 12b, and the mobile device 23 to the MR medical image storage server 12c. It is shown. The image database 14 stores management attribute information of digitized medical images stored in each storage server in order to manage the images in each storage server in an integrated manner. The medical image generation apparatuses 11a to 11c and the medical image storage servers 12a to 12c.
Etc. are individually arranged in the inspection rooms 13a to 13c in the hospital.

The image observing device 15 is directly operated by a doctor and is composed of a workstation 15a for observing and diagnosing medical images. The doctor makes a diagnosis while visually observing the medical images displayed on the plurality of monitors 15b to 15d as illustrated. Monitor 15b-1
The medical image displayed in 5d is the medical image storage server 12
It is directly read from a to 12c. The image observation device 15 is installed in an examination room 13d (interpretation room, conference room, etc.) in the hospital. Actually, a plurality of image observation devices are installed in each room in the hospital via the high-speed network 10, but only one image observation device is shown in the figure. The report terminal 16 is directly operated by a doctor, and is configured to directly generate a diagnostic report while visually observing a medical image displayed on the image observation device 15. Here, the report terminal 16 also has an interface compatible with the above-mentioned short-range wireless communication system, and the figure shows a state in which the mobile device 24 is connected. The workstation 15a may have an interface compatible with the short-range wireless communication system.

The report server 17 includes a report terminal 16
And the diagnostic reports created by the mobile devices 21 to 25 are stored in the report database 17b, and the report creation support data necessary for the report creation is also stored. The report server 17 is a monitor 17a.
With this, it is possible to manage diagnostic reports in an integrated manner. The report server 17 also has an interface compatible with the above-mentioned short-range wireless communication system, and the figure shows a state in which the mobile device 25 is connected. The printer 18 prints out a diagnostic report according to an instruction from the report terminal 16, each mobile device 21 to 25, or the report server 17. Printer 1
8 also has an interface compatible with the above-mentioned short-range wireless communication system, and the figure shows a state in which the mobile device 25 is connected. Therefore, the printer 18
Can print out a diagnostic report directly according to instructions from the mobile device 25. In addition to these, a nuclear medicine device, an ultrasonic device (US), and the like are connected as various medical image generating devices, but they are omitted.

The user security management server 19 is provided in each CT medical image storage server 12a, RI medical image storage server 12b, MR medical image storage server 12c, report terminal 16, report server 17, printer 18, etc. The mobile devices 21 to 25 control access to the devices connected to the high-speed network 10 via an interface compatible with the short-range wireless communication system. For example, based on the ID and password transmitted from the mobile devices 21 to 25, it is determined whether the ID can access another device and the security level of the ID is determined. Here, as the security level, for example, the level 1 refers to a case where reference and writing to each device are possible, the level 2 refers to a case where only reference to each device is possible, and the level 3 refers to a case where only printing is possible. . User security management server 19
Controls access to mobile devices 21 to 25 according to security levels 1 to 3.

Next, the operation of the diagnosis support system of FIG. 2 will be described. First, the doctor MRs the mobile device 23 equipped with an interface compatible with the short-range wireless communication system.
Take it to the room where the medical image storage server 12c is installed. Then, the doctor operates the mobile device 23 and clicks the access point detection button on the screen. Then, a search for an access point in the vicinity, that is, an interface corresponding to the short-range wireless communication system is started by the short-range wireless communication system. The MR medical image storage server 12 is used as a nearby access point.
The interface of c is detected. When a nearby access point is detected, the interfaces point to each other in a master-slave relationship called a piconet.
o Establish a Point connection. Point t between the MR medical image storage server 12c and the mobile device 23
When the o Point connection is established, the MR medical image storage server 12c on the master side issues an ID and password request for security authentication to the mobile device 23 on the slave side. As a result, a window requesting the ID and password is displayed on the screen of the mobile device 23.

The doctor inputs the ID and password in the predetermined places on this window and clicks the send button. Upon receiving the ID and the password, the MR medical image storage server 12c transmits them to the user security management server 19. The user security management server 19 performs personal authentication based on the received ID and password, determines the security level of the person based on the personal security database, and sends it to the MR medical image storage server 12c. The MR medical image storage server 12c limits the access right of the mobile device 23 according to the received security level, and issues a connection permission to the device connected to the high speed network 10.

When the connection permission is issued, the mobile device 23 can access the MR medical image storage server 12c via the short-range wireless communication system. The mobile device 23 can also access other devices connected to the high-speed network 10 via the MR medical image storage server 12c. On the other hand, the doctor uses the MR medical image storage server 12c or the mobile device 23 to access the image database 14 or the medical image storage servers 12a to 12c. In the image database 14 or each of the medical image storage servers 12a to 12c, management attribute information for medical image retrieval of which patient and when the medical image is stored together with the medical image is recorded. A desired medical image is searched based on the information, the medical image to be browsed is read from the image database 14 and is displayed on the monitor of the MR medical image storage server 12c to make a diagnosis.

At the same time as this diagnosis is performed, the doctor uses the mobile device 23 to transmit a request signal for an image interpretation patient list to the MR medical image storage server 12c via the short-range wireless communication system. M receiving this request signal
The R medical image storage server 12c transmits the image interpretation patient list to the mobile device 23 via the short-range wireless communication system. The mobile device 23 has a diagnostic report creation screen for each image interpretation patient list, and the doctor creates a diagnostic report according to the report creation screen. At this time, the doctor can appropriately attach the image being displayed on the console of the MR medical image storage server 12c as a key image to the diagnostic report. When the MR medical image storage server 12c is operated to transmit the key image to the mobile device 23 via the short-range wireless communication system, the key image is attached at a predetermined position on the diagnostic report creation screen.

When the preparation of the diagnostic report is completed, the diagnostic report is transmitted to the MR medical image storage server 12c via the near field communication system. Then, the MR medical image storage server 12c transmits the received diagnostic report (with the key image attached) to the report server 17. Further, when the diagnosis report is to be printed out, it is possible to print it from the nearby printer 18 via the MR medical image storage server 12c.

The doctor uses the mobile device 23 to make an MR.
When the list of undiagnosed reports is received via the short-range wireless communication system of the medical image storage server 12c, the connection of the short-range wireless communication system is disconnected. As a result, a list of undiagnosed reports is stored in the mobile device 23, and the doctor can connect to the MR medical image storage server 12c from another device based on the list to create a diagnostic report. become able to. For example, a doctor may enter C from the room in which the MR medical image storage server 12c is installed.
When the user moves to the room in which the T medical image storage server 12a is installed, he / she operates the mobile device 23 in the same manner and clicks the access point detection button on the screen to access nearby by the short-range wireless communication method. It is connected to the CT medical image storage server 12a as a POI. Then, from there, the completed diagnostic report can be transmitted to the report server 17 via the CT medical image storage server 12a. Also, the CT medical image storage server 1
MR medical image storage server 12c on the console 2a
It is also possible to take in the medical image of and read the medical image of the MR medical image storage server 12c.

Further, since the mobile device 23 is portable, it is possible to carry out image interpretation processing anywhere without choosing a place. For example, it is possible to paste a key image on the diagnostic report creation screen and later operate the mobile device 23 at home or another facility (hospital) to create a report. Therefore, the doctor can create a diagnostic report at any place without choosing an image interpretation place.
FIG. 3 is a diagram showing a specific example in the case of image interpretation at a facility at a remote place. In the figure, medical institutions 31 and 32 are shown in FIG.
The diagnostic reading center 33 is a doctor's home or a hospital, and these are connected via the Internet 30.

The doctor performs the above-described diagnostic report creation work at the medical institution 31, and as a result, loads the undiagnosed report list into the mobile device 23, and the mobile device 2
Let's take 3 and go to the next medical institution 32. In this case, since the medical institution 32 is also equipped with the diagnostic support system as shown in FIG. 2, the mobile device 23 is used to connect to the diagnostic support system of the medical institution 32 via a near field wireless interface. . In the figure, Poi is displayed on the image interpretation site (report terminal 16 in FIG. 2) of the medical institution 32.
nt to Point Connected. Then, from this image interpretation site via the Internet 30, the medical institution 3
1. Access the diagnosis support system. Internet 3
When access is made to the diagnosis support system of the medical institution 31 via 0, an internet server (not shown) requests the mobile device 23 for an ID and password for security authentication, as described above. put out.
As a result, a window requesting the ID and password is displayed on the screen of the mobile device 23.

The doctor inputs the ID and password in the predetermined places on this window and clicks the send button. Upon receiving the ID and password, the Internet server sends them to the user security management server 19. The user security management server 19 performs personal authentication based on the received ID and password, determines the security level of the person based on the personal security database, and sends it to the Internet server. The Internet server limits the access right of the mobile device 23 according to the received security level, and the medical institution 3
The connection permission to the other device connected to the high speed network 10 of the diagnosis support system 1 is issued. When this connection permission is issued, the mobile device 23 can freely access each device in the diagnostic support system via the short-range wireless communication system and the Internet 30, and the above-mentioned process will be performed thereafter. In this manner, the image can be read out and the diagnostic report creation process can be performed in the same manner as when creating a diagnostic report in the medical institution 31.

Incidentally, in FIG. 3, the mobile device 23 is brought into the image interpretation center 33 such as a doctor's home or a hospital,
By connecting to the diagnostic support system of the medical institution 31, 32 via the short-distance wireless interface in the image interpretation center 33 and the Internet 30, the diagnostic report creation process can be similarly performed.

In the above-described embodiment, the CT device, the RI device, the MR device and the like have been described as examples of the medical image generating device. However, other than this, CR (Computed Rad)
iography) device and DR (Digital R)
A medical image generating device such as an adiography device may be connected to the network.

[0034]

According to the diagnosis support system of the present invention,
This has the effect that a diagnostic report can be created at any location without specifying the interpretation location.

[Brief description of drawings]

FIG. 1 is a diagram showing an outline of an overall configuration of a conventional diagnosis support system.

FIG. 2 is a diagram showing an outline of an overall configuration of a diagnosis support system of the present invention.

FIG. 3 is a diagram showing a specific example in the case of reading an image at a facility at a distant place.

[Explanation of symbols]

10 ... High-speed network, 11a ... CT device, 11b ...
RI device, 11c ... MR device, 12a ... CT medical image storage server, 12b ... RI medical image storage server, 12
c ... MR medical image storage server, 14 ... Image database, 15 ... Image observation device, 15a ... Workstation, 15b-15d ... Monitor, 16 ... Report terminal, 1
7 ... report server, 17b ... report database,
17a ... Monitor, 18 ... Printer, 19 ... User security management server, 21-25 ... Mobile device

─────────────────────────────────────────────────── ─── Continuation of front page (51) Int.Cl. ⁷ Identification code FI theme code (reference) A61B 8/00 G01N 24/02 520Y G01R 33/32 A61B 5/05 390 F term (reference) 4C093 AA01 AA22 AA26 AA30 CA15 FG18 FH03 FH04 FH06 FH07 FH08 FH09 4C096 AA20 AB36 AD15 AD16 DD18 DE03 DE04 DE06 DE07 DE08 DE09 4C301 EE13 EE15 JA20 JC20 KK31 LL11 LL20 4C601 EE11 EE12 GD20 KK33 LL09 LL09 LL09 LL09 LL11

Claims (6)

[Claims] 1. A diagnostic report is created using one or a plurality of image storage means for storing medical images generated by one or a plurality of medical image generators, and the medical images stored in the image storage means. Diagnostic support, comprising: portable information processing means capable of performing the above operations; and control means for controlling the operation when the information processing means accesses the image storage means via the communication interface means. system. 2. The report storage device according to claim 1, further comprising report storage means for storing report information including a diagnostic report and a medical image from which the diagnostic report was created, wherein the control means includes the communication interface means. A diagnosis support system characterized by controlling an operation when accessing the image storage means or the report storage means via a. 3. The image storage unit and the report storage unit according to claim 2, wherein the image storage unit and the report storage unit are respectively connected via a network, and the information processing unit is connected to the network via the communication interface unit. The control means classifies processes accessible to the information processing means to the image storage means or the report storage means connected to the network into a plurality of security levels. When connected to a network, it is determined which of the plurality of security levels it belongs to, and based on the determined security level, the information processing means, via the communication interface means, the image storage means or the report storage means. Is characterized by controlling the operation when accessing to Diagnostic support system. 4. The diagnostic support system according to claim 1, 2 or 3, wherein the communication interface means is an interface based on Bluetooth. 5. The control means according to claim 1, 2 or 3, wherein the control means controls an operation when the information processing means accesses the image storage means or the report storage means via the Internet. Diagnostic support system. 6. The information storage means according to claim 4, wherein each of the image storage means, the report storage means, and other means connected to the network has an interface based on the Bluetooth. A diagnostic support system configured to be connected to the network via any one of the Bluetooth-based interfaces provided in each of these means.