自动计算触发
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he
@@ -154,7 +154,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
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{
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IsChangeOtherTask = false,
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VisitTaskId = inDto.VisitTaskId,
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ComputationTrigger = ComputationTrigger.Report,
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ComputationTrigger = ComputationTrigger.InitialCalculation,
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});
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}
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}
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@@ -209,7 +209,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
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{
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await service.CalculateTask(new CalculateTaskInDto()
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{
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ComputationTrigger= ComputationTrigger.Report,
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ComputationTrigger= ComputationTrigger.InitialCalculation,
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VisitTaskId = inDto.VisitTaskId
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});
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}
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@@ -513,88 +513,81 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
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List<ReadingCalculateData> calculateList = new List<ReadingCalculateData>()
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{
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/*
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* 保存影像质量问题
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* 如果：不正常：PET-CT不能融合， FDG-PET的评估设置为NE
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*
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* 保存二维页面病灶
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*
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* 保存
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*
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*
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*
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*/
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// 是否存在Pet
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new ReadingCalculateData (){QuestionType=QuestionType.ExistPET,GetStringFun=GetExistPET},
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new ReadingCalculateData (){QuestionType=QuestionType.ExistPET,GetStringFun=GetExistPET ,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, } },
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//垂直径乘积之和（SPD）
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new ReadingCalculateData (){QuestionType=QuestionType.SPD,GetDecimalFun=GetSPD},
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new ReadingCalculateData (){QuestionType=QuestionType.SPD,GetDecimalFun=GetSPD,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, ComputationTrigger.CTSave,ComputationTrigger.RemoveLesion,}},
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// 与基线相比SPD变化的百分比
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new ReadingCalculateData (){QuestionType=QuestionType.SPDChange,GetStringFun=CompareBaselineSPD},
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new ReadingCalculateData (){QuestionType=QuestionType.SPDChange,GetStringFun=CompareBaselineSPD,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, ComputationTrigger.CTSave,ComputationTrigger.RemoveLesion,}},
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// 脾脏垂直径
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new ReadingCalculateData (){QuestionType=QuestionType.SpleenLength,GetDecimalNullFun=GetSpleenLength,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.SplenicApexPosition,ComputationTrigger.PositionSpleenFloor,}},
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// 与基线相比脾肿大增加的百分比
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new ReadingCalculateData (){QuestionType=QuestionType.SplenoncusChange,GetStringFun=GetSplenoncusChange},
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new ReadingCalculateData (){QuestionType=QuestionType.SplenoncusChange,GetStringFun=GetSplenoncusChange,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, ComputationTrigger.SplenicApexPosition,ComputationTrigger.PositionSpleenFloor,}},
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// 与最低点相比脾脏垂直径长度的增加值
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new ReadingCalculateData (){QuestionType=QuestionType.SplenoncusAdd,GetStringFun=GetSplenoncusAdd},
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new ReadingCalculateData (){QuestionType=QuestionType.SplenoncusAdd,GetStringFun=GetSplenoncusAdd,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, ComputationTrigger.SplenicApexPosition,ComputationTrigger.PositionSpleenFloor,}},
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// 与基线相比脾垂直径变化值
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new ReadingCalculateData (){QuestionType=QuestionType.SplenoncusDiameterChange,GetStringFun=GetSplenoncusDiameterChange},
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new ReadingCalculateData (){QuestionType=QuestionType.SplenoncusDiameterChange,GetStringFun=GetSplenoncusDiameterChange,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, ComputationTrigger.SplenicApexPosition,ComputationTrigger.PositionSpleenFloor,}},
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// 脾肿垂直径最低点访视
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new ReadingCalculateData (){QuestionType=QuestionType.LowestSplenoncusVisit,GetStringFun=GetLowestSplenoncusVisit},
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new ReadingCalculateData (){QuestionType=QuestionType.LowestSplenoncusVisit,GetStringFun=GetLowestSplenoncusVisit,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, ComputationTrigger.SplenicApexPosition,ComputationTrigger.PositionSpleenFloor,}},
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// 获取脾脏状态
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new ReadingCalculateData (){QuestionType=QuestionType.SplenicStatus,GetStringFun=GetSplenicStatus,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.SplenicApexPosition,ComputationTrigger.PositionSpleenFloor,}},
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// 获取脾脏评估
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new ReadingCalculateData (){QuestionType=QuestionType.SplenicEvaluation,GetStringFun=GetSplenicEvaluation},
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new ReadingCalculateData (){QuestionType=QuestionType.SplenicEvaluation,GetStringFun=GetSplenicEvaluation,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, ComputationTrigger.SplenicApexPosition,ComputationTrigger.PositionSpleenFloor,ComputationTrigger.SplenicEvaluation,}},
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//靶病灶评估
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new ReadingCalculateData (){QuestionType=QuestionType.TargetLesion,GetStringFun=GetTargetLesionEvaluate},
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new ReadingCalculateData (){QuestionType=QuestionType.TargetLesion,GetStringFun=GetTargetLesionEvaluate,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, ComputationTrigger.CTSave,ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,ComputationTrigger.MergeLesion,}},
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//非靶病灶评估
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new ReadingCalculateData (){QuestionType=QuestionType.NoTargetLesion,GetStringFun=GetNoTargetLesionEvaluate},
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new ReadingCalculateData (){QuestionType=QuestionType.NoTargetLesion,GetStringFun=GetNoTargetLesionEvaluate,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, ComputationTrigger.CTSave,ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,}},
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//新病灶评估
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new ReadingCalculateData (){QuestionType=QuestionType.NewLesionEvaluation,GetStringFun=GetNewLesionEvaluate},
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new ReadingCalculateData (){QuestionType=QuestionType.NewLesionEvaluation,GetStringFun=GetNewLesionEvaluate,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, ComputationTrigger.CTSave,ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,}},
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//获取肝脏评估
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new ReadingCalculateData (){QuestionType=QuestionType.LiverAssessment,GetStringFun=GetLiverAssessment},
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new ReadingCalculateData (){QuestionType=QuestionType.LiverAssessment,GetStringFun=GetLiverAssessment,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, ComputationTrigger.LiverStatus,}},
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// // 骨髓中是否存在局灶性 FDG亲和病灶的证据
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//new ReadingCalculateData (){QuestionType=QuestionType.EvidenceFocalFDG,GetStringFun=GetEvidenceFocalFDG,ComputationTrigger=ComputationTrigger.Lesion},
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// 骨髓中是否存在局灶性 FDG亲和病灶的证据
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new ReadingCalculateData (){QuestionType=QuestionType.EvidenceFocalFDG,GetStringFun=GetEvidenceFocalFDG,ComputationTriggerList=new List<ComputationTrigger>(){ }},
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//CT/MRI
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new ReadingCalculateData (){QuestionType=QuestionType.CTandMRI,GetStringFun=CTMRIEvaluation},
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new ReadingCalculateData (){QuestionType=QuestionType.CTandMRI,GetStringFun=CTMRIEvaluation,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, ComputationTrigger.LiverStatus,ComputationTrigger.SplenicApexPosition,ComputationTrigger.PositionSpleenFloor,ComputationTrigger.SplenicEvaluation,ComputationTrigger.CTSave,ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,ComputationTrigger.MergeLesion,}},
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// PET 5PS评分
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new ReadingCalculateData (){QuestionType=QuestionType.PET5PS,GetStringFun=GetPET5PS,ComputationTrigger=ComputationTrigger.Lesion},
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new ReadingCalculateData (){QuestionType=QuestionType.PET5PS,GetStringFun=GetPET5PS,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.ImageQuality, ComputationTrigger.LiverBloodPool,ComputationTrigger.MediastinalPool,ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,} },
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// 修改PET 5PS评分备注
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new ReadingCalculateData (){QuestionType=QuestionType.PSScoreRemarks,GetStringFun=GetPET5PSRemark,ComputationTrigger=ComputationTrigger.Lesion},
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new ReadingCalculateData (){QuestionType=QuestionType.PSScoreRemarks,GetStringFun=GetPET5PSRemark,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.LiverBloodPool,ComputationTrigger.MediastinalPool,ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,}},
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//与基线相比摄取值变化
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new ReadingCalculateData (){QuestionType=QuestionType.UptakeChange,GetStringFun=GetUptakeChange,ComputationTrigger=ComputationTrigger.Lesion},
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new ReadingCalculateData (){QuestionType=QuestionType.UptakeChange,GetStringFun=GetUptakeChange,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.LiverBloodPool,ComputationTrigger.MediastinalPool,ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,}},
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// FDG-PET 评估结果
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new ReadingCalculateData (){QuestionType=QuestionType.FDGPET,GetStringFun=GetFDGPETOverallAssessment},
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new ReadingCalculateData (){QuestionType=QuestionType.FDGPET,GetStringFun=GetFDGPETOverallAssessment,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, ComputationTrigger.ImageQuality, ComputationTrigger.LiverBloodPool,ComputationTrigger.MediastinalPool,ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,ComputationTrigger.PDGPET,}},
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// 上一次 FDG-PET 评估结果
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new ReadingCalculateData (){QuestionType=QuestionType.LastFDGPET,GetStringFun=GetLastFDGPETOverallAssessment},
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new ReadingCalculateData (){QuestionType=QuestionType.LastFDGPET,GetStringFun=GetLastFDGPETOverallAssessment,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,}},
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// 影像学整体肿瘤评估
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new ReadingCalculateData (){QuestionType=QuestionType.ImgOncology,GetStringFun=GetImgOncology},
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new ReadingCalculateData (){QuestionType=QuestionType.ImgOncology,GetStringFun=GetImgOncology,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, ComputationTrigger.LiverStatus,ComputationTrigger.SplenicApexPosition,ComputationTrigger.PositionSpleenFloor,ComputationTrigger.SplenicEvaluation,ComputationTrigger.LiverBloodPool,ComputationTrigger.MediastinalPool,ComputationTrigger.CTSave,ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,ComputationTrigger.PDGPET,ComputationTrigger.MergeLesion,}},
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//SUVmax
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new ReadingCalculateData (){QuestionType=QuestionType.SUVmax,GetDecimalNullFun=GetSuvMax},
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new ReadingCalculateData (){QuestionType=QuestionType.SUVmax,GetDecimalNullFun=GetSuvMax,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,}},
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// SUVmax所在病灶
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new ReadingCalculateData (){QuestionType=QuestionType.SUVmaxLesion,GetStringFun=GetSuvMaxFocus},
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new ReadingCalculateData (){QuestionType=QuestionType.SUVmaxLesion,GetStringFun=GetSuvMaxFocus,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,}},
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//是否存在疾病
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new ReadingCalculateData (){QuestionType=QuestionType.ExistDisease,GetStringFun=GetIsExistDisease},
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new ReadingCalculateData (){QuestionType=QuestionType.ExistDisease,GetStringFun=GetIsExistDisease,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, ComputationTrigger.CTSave,ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,}},
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@@ -681,7 +674,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
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}
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calculateList = calculateList.Where(x => x.ComputationTrigger == null || x.ComputationTrigger == inDto.ComputationTrigger).ToList();
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calculateList = calculateList.Where(x =>x.ComputationTriggerList.Contains(inDto.ComputationTrigger)).ToList();
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var typeNAList = new List<QuestionType>
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{
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QuestionType.SODChange,
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@@ -2046,13 +2039,42 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
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#endregion
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#region 与基线相比SPD变化的百分比
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#region 脾脏垂直径
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/// <summary>
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/// 与基线相比SPD变化的百分比
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/// 获取脾脏垂直径
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/// </summary>
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/// <param name="inDto"></param>
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/// <returns></returns>
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public async Task<string> CompareBaselineSPD(ReadingCalculateDto inDto)
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public async Task<decimal?> GetSpleenLength(ReadingCalculateDto inDto)
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{
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// 脾尖答案
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var splenicTopAnswer = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SplenicTopPosition).Select(x => x.Answer).FirstOrDefault();
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// 脾底答案
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var splenicBottomAnswer = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SplenicBottomPosition).Select(x => x.Answer).FirstOrDefault();
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decimal? spleenLength=null;
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if (splenicTopAnswer != null && splenicBottomAnswer != null)
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{
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spleenLength = splenicTopAnswer.IsNullOrEmptyReturn0() - splenicBottomAnswer.IsNullOrEmptyReturn0();
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if (spleenLength < 0)
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{
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spleenLength = 0 - spleenLength;
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}
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return spleenLength;
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}
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return spleenLength;
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}
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#endregion
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#region 与基线相比SPD变化的百分比
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/// <summary>
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/// 与基线相比SPD变化的百分比
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/// </summary>
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/// <param name="inDto"></param>
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/// <returns></returns>
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public async Task<string> CompareBaselineSPD(ReadingCalculateDto inDto)
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{
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if (inDto.IsBaseLine)
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{
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@@ -2400,6 +2422,23 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
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}
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/// <summary>
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/// 获取脾脏状态
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/// </summary>
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/// <param name="inDto"></param>
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/// <returns></returns>
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public async Task<string> GetSplenicStatus(ReadingCalculateDto inDto)
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{
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var spleenLength= inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SpleenLength).Select(x => x.Answer).FirstOrDefault();
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if (spleenLength == string.Empty)
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{
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return string.Empty;
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}
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else
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{
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return await GetSplenicState(inDto.VisitTaskId, spleenLength.IsNullOrEmptyReturn0());
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}
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}
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#region 获取脾脏评估
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@@ -2488,12 +2527,52 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
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/// <returns></returns>
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public async Task<string> GetPET5PS(ReadingCalculateDto inDto)
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{
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//病灶最大SUVmax、肝脏血池、纵膈血池SUVmax未发生改变时，不用计算
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// 如果是保存影像进来 PET-CT不能融合 就是NE
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if (inDto.ComputationTrigger == ComputationTrigger.ImageQuality)
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{
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if (await ImageQualityIsUnableFuse(inDto))
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{
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return PET5PSScore.NE.GetEnumInt();
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}
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}
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// 如果不是保存肝脏血池和纵隔血池
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if (inDto.ComputationTrigger != ComputationTrigger.LiverBloodPool && inDto.ComputationTrigger != ComputationTrigger.MediastinalPool)
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{
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// 先在数据库查这几个值
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List<QuestionType?> needSearchTypes = new List<QuestionType?>()
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{
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QuestionType.SUVmax,
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QuestionType.PET5PS,
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};
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var dataBaseDataList = await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && needSearchTypes.Contains(x.ReadingQuestionTrial.QuestionType)).Select(x => new
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{
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x.Answer,
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x.ReadingQuestionTrial.QuestionType
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}).ToListAsync(); ;
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// 数据库中最大SUVmax
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var dataBaseSUVmax = dataBaseDataList.Where(x => x.QuestionType == QuestionType.SUVmax).Select(x => x.Answer).FirstIsNullReturnEmpty();
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// 如果SUVmax没变 就不重新计算
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if (dataBaseSUVmax == (await GetSuvMax(inDto)).ToString())
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{
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return dataBaseDataList.Where(x => x.QuestionType == QuestionType.PET5PS).Select(x => x.Answer).FirstIsNullReturnEmpty();
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}
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}
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//if (inDto.IsBaseLine)
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//{
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// return SpleenAssessment.Stabilization.GetEnumInt();
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//}
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if (inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.ExistPET && x.Answer == ReadingYesOrNo.No.GetEnumInt()))
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{
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return PET5PSScore.NE.GetEnumInt();
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@@ -2577,8 +2656,33 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
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/// <returns></returns>
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public async Task<string> GetUptakeChange(ReadingCalculateDto inDto)
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{
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//PET5ps评分改变时，才计算
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if (inDto.IsBaseLine)
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//PET5ps评分改变时，才计算
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List<QuestionType?> needSearchTypes = new List<QuestionType?>()
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{
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QuestionType.PET5PS,
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QuestionType.UptakeChange,
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};
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var dataBaseDataList = await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && needSearchTypes.Contains(x.ReadingQuestionTrial.QuestionType)).Select(x => new
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{
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x.Answer,
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x.ReadingQuestionTrial.QuestionType
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}).ToListAsync(); ;
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// 数据库中PET5ps评分
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var dataBasePET5ps = dataBaseDataList.Where(x => x.QuestionType == QuestionType.PET5PS).Select(x => x.Answer).FirstIsNullReturnEmpty();
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if (dataBasePET5ps == await GetPET5PS(inDto))
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{
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return dataBaseDataList.Where(x => x.QuestionType == QuestionType.UptakeChange).Select(x => x.Answer).FirstIsNullReturnEmpty();
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}
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if (inDto.IsBaseLine)
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{
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return SUVChangeVSBaseline.NA.GetEnumInt();
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}
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@@ -2658,7 +2762,23 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
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public async Task<string> GetFDGPETOverallAssessment(ReadingCalculateDto inDto)
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{
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if (inDto.IsBaseLine)
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// 如果是保存影像进来 PET-CT不能融合 就是NE
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if (inDto.ComputationTrigger == ComputationTrigger.ImageQuality)
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{
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if (await ImageQualityIsUnableFuse(inDto))
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{
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if (inDto.IsBaseLine)
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{
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return FDGPETOverallAssessment.NA.GetEnumInt();
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}
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else
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{
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return FDGPETOverallAssessment.NE.GetEnumInt();
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}
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}
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}
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if (inDto.IsBaseLine)
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{
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return FDGPETOverallAssessment.NA.GetEnumInt();
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}
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