From children to the elderly, X-ray imaging of the head, chest, abdomen, spine, limbs, and joints is widely used. Radiation technologists often refer to image coverage and locations from past x-ray images of the same patient. Quick and accurate positioning and imaging conditions setting reduce the burden on patients and technicians. We develop a patient-specific X-ray image reference support system. The system uses a classification table for patient-specific image references based on the Ministry of Health, Labor and Welfare standard JJ1017. This system is also useful for sharing image information between multiple facilities. This system has been evaluated in facilities for children and people with severe disabilities. For one radiography, 31 patients are evaluated before use and 20 patients after use. For two radiographs, evaluate 15 patients before use and 16 patients after use. Two radiation technologists will evaluate both methods. The experience of the two radiation technologists is 22 and 11 years. The comparison of performance before and after use is the average time to process work and the ease of use of the system. The usefulness of the system has been clarified.
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