融合修改

2024-02-26 17:15:43 +08:00
parent 552e7a430d
commit 9eabd9031b
4 changed files with 141 additions and 7 deletions
@@ -15,5 +15,12 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate.Interface
 		/// <param name="inDto"></param>
 		/// <returns></returns>
 		Task CalculateTargetLesionStatus(CalculateTargetLesionStatusInDto inDto);
+
+		/// <summary>
+		/// 计算靶病灶融合后状态
+		/// </summary>
+		/// <param name="inDto"></param>
+		/// <returns></returns>
+		Task CalculateMergeTargetLesionStatus(CalculateTargetLesionStatusInDto inDto);
 	}
 }
@@ -869,11 +869,117 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
        }

        /// <summary>
-        /// 计算靶病灶状态
+        /// 计算融合靶病灶的状态
        /// </summary>
        /// <param name="inDto"></param>
        /// <returns></returns>
-        public async Task CalculateTargetLesionStatus(CalculateTargetLesionStatusInDto inDto)
+        public async Task CalculateMergeTargetLesionStatus(CalculateTargetLesionStatusInDto inDto)
+        {
+			var taskInfo = await _visitTaskRepository.Where(x => x.Id == inDto.VisitTaskId).FirstNotNullAsync();
+
+			// 找到靶病灶问题
+			var targetQuestion = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == taskInfo.TrialReadingCriterionId && x.LesionType == LesionType.TargetLesion).FirstOrDefaultAsync();
+			if (targetQuestion != null)
+			{
+				// 找到状态问题
+				var stateQuestion = await _readingTableQuestionTrialRepository.Where(x => x.ReadingQuestionId == targetQuestion.Id && x.QuestionMark == QuestionMark.State).FirstOrDefaultAsync();
+				if (stateQuestion != null)
+				{
+
+					// 找到主病灶的状态
+					var state = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && x.RowIndex == (int)Math.Floor(inDto.RowNumber) && x.TableQuestionId == stateQuestion.Id).Select(x => x.Answer).FirstOrDefaultAsync();
+
+					// 长径
+					var majorAxis = (await _readingTableQuestionAnswerRepository.Where(x =>
+					x.VisitTaskId == inDto.VisitTaskId &&
+					x.RowIndex == (int)Math.Floor(inDto.RowNumber) &&
+					x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.MajorAxis &&
+					x.QuestionId == targetQuestion.Id
+					).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
+
+					// 短径
+					var shortAxis = (await _readingTableQuestionAnswerRepository.Where(x =>
+					x.VisitTaskId == inDto.VisitTaskId &&
+					x.RowIndex == (int)Math.Floor(inDto.RowNumber) &&
+					x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.ShortAxis &&
+					x.QuestionId == targetQuestion.Id
+					).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
+
+					// 找到ppd问题
+					var ppdQuestion = await _readingTableQuestionTrialRepository.Where(x => x.ReadingQuestionId == targetQuestion.Id && x.QuestionMark == QuestionMark.PPD).FirstOrDefaultAsync();
+
+					if (ppdQuestion != null)
+					{
+						var pPdAnswer = (await _readingTableQuestionAnswerRepository.Where(x =>
+						   x.VisitTaskId == inDto.VisitTaskId &&
+						   x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.PPD &&
+						   x.QuestionId == targetQuestion.Id &&
+						   x.RowIndex == inDto.RowNumber
+						   ).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
+
+
+						// 是否符合疾病进展
+						var accord = false;
+
+						var lowPPDInfo = await GetLowPPDInfo(new GetPPDInfoInDto()
+						{
+							RowIndex = (int)Math.Floor(inDto.RowNumber),
+							VisitTaskId = inDto.VisitTaskId,
+							QuestionId = inDto.QuestionId,
+						});
+
+
+						if (lowPPDInfo.NadirPPD != 0)
+						{
+							//当前融合靶病灶LDi>15 mm  &&
+							//(当前融合靶病灶的ppd-最低点PPD)/最低点PPD ≥50 %
+
+							if (majorAxis >= 15 &&
+								(pPdAnswer - lowPPDInfo.NadirPPD) * 100 / lowPPDInfo.NadirPPD >= 50 
+							{
+								accord = true;
+							}
+						}
+
+						// 符合疾病进展
+						if (accord)
+						{
+							await _readingTableQuestionAnswerRepository.UpdatePartialFromQueryAsync(x =>
+							x.VisitTaskId == inDto.VisitTaskId &&
+							x.RowIndex == inDto.RowNumber &&
+							x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.State &&
+							x.QuestionId == targetQuestion.Id, x => new ReadingTableQuestionAnswer()
+							{
+								Answer = TargetState.DiseaseProgression.GetEnumInt()
+							}
+							);
+						}
+						else if (state == TargetState.DiseaseProgression.GetEnumInt())
+						{
+							await _readingTableQuestionAnswerRepository.UpdatePartialFromQueryAsync(x =>
+								x.VisitTaskId == inDto.VisitTaskId &&
+								x.RowIndex == inDto.RowNumber &&
+								x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.State &&
+								x.QuestionId == targetQuestion.Id, x => new ReadingTableQuestionAnswer()
+								{
+									Answer = TargetState.Exist.GetEnumInt()
+								}
+								);
+						}
+
+
+					}
+				}
+
+			}
+		}
+
+		/// <summary>
+		/// 计算靶病灶状态
+		/// </summary>
+		/// <param name="inDto"></param>
+		/// <returns></returns>
+		public async Task CalculateTargetLesionStatus(CalculateTargetLesionStatusInDto inDto)
        {
            if (inDto.RowNumber % 1 != 0)
            {