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Test.EIImageViewer
he 2022-11-02 11:10:06 +08:00
parent f1630fc8ec
commit a198a6fc3e
2 changed files with 93 additions and 50 deletions
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5
IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs
View File

@ -19,6 +19,11 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
public class TargetLesionCalculateDto
{
/// <summary>
/// 是否存在靶病灶
/// </summary>
public bool ExistsTargetLesion { get; set; }
/// <summary>
/// 非淋巴结靶病灶长径之和 decimal
/// </summary>

134
IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
View File

@ -885,7 +885,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
var thisRowData = thisQuestionAsnwer.Where(x => x.RowIndex == item).SelectMany(x => x.TableQuestionList).ToList();
var thisValue = thisRowData.Where(x => x.QuestionMark == QuestionMark.ShortAxis).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
if (thisValue - lastValue > 5)
if (thisValue - lastValue >= 5)
{
isExists = true;
}
@ -1190,6 +1190,49 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
/// 获取靶病灶评估
/// </summary>
/// <param name="inDto"></param>
/// <remarks>
/// 靶病灶疗效评估算法：
/// If（没有靶病灶）
/// {
/// 靶病灶疗效为 ND。
/// }else
/// {
/// 初始化靶病灶疗效为 SD
/// If（上次访视点评估是CR）
/// {
/// If(当前访视点淋巴结病灶, 至少一个淋巴结靶病灶短径≥10 mm 并且该淋巴结靶病灶短径绝对增加值≥5 mm)
/// {
/// 靶病灶疗效为 PD
/// }
/// If(当前访视点非淋巴结病灶至少一个非淋巴结靶病灶的长径＞0 mm。)
/// {
/// 靶病灶疗效为 PD
/// }
/// } else if（比整体访视期间最低点SOD增加≥20 %）
/// {
/// 靶病灶疗效为 PD
/// }else
/// {
/// If （有被评估为NE的单个靶病灶）
/// {
/// 靶病灶疗效为 NE
/// }else
/// {
/// If(与基线期SOD相比减小≥30 %
/// {
/// If(与整体访视期间最低点SOD相比增加＜20 % 或者 比整体访视期间最低点SOD绝对增加值＜5 mm)
/// {
/// 靶病灶疗效为 PR
/// }
/// }
/// if (非淋巴结靶病灶长径之和 == 0 并且所有淋巴结靶病灶的短径 < 10)
/// {
/// 靶病灶疗效为 CR
/// }
/// }
/// }
/// }
/// </remarks>
/// <returns></returns>
public async Task<string> GetTargetLesionEvaluate(ReadingCalculateDto inDto)
{
@ -1204,6 +1247,9 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
}
TargetLesionCalculateDto resultData = new TargetLesionCalculateDto()
{
// 是否存在靶病灶
ExistsTargetLesion= tableQuestion.Count()>0,
//非淋巴结靶病灶长径之和 decimal
SumOfDiameter = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SumOfDiameter).Sum(x => x.Answer.IsNullOrEmptyReturn0()),
@ -1228,14 +1274,10 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
LowPercentBigger20 = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.LowPercent).Sum(x => x.Answer.IsNullOrEmptyReturn0()) >= 20,
// SOD 变化值 比整体访视期间SOD最低点SOD绝对增加值＜5 mm
LowChangeLess5 = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.LowestIncrease).Sum(x => x.Answer.IsNullOrEmptyReturn0()) < 5
&& inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.LowestIncrease).Sum(x => x.Answer.IsNullOrEmptyReturn0()) >- 5
,
LowChangeLess5 = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.LowestIncrease).Sum(x => x.Answer.IsNullOrEmptyReturn0()) < 5,
// 比整体访视期间SOD最低点SOD绝对增加值≥5 mm
LowChangeBigger5 = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.LowestIncrease).Sum(x => x.Answer.IsNullOrEmptyReturn0()) >= 5
|| inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.LowestIncrease).Sum(x => x.Answer.IsNullOrEmptyReturn0()) <=- 5
,
LowChangeBigger5 = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.LowestIncrease).Sum(x => x.Answer.IsNullOrEmptyReturn0()) >= 5,
// 被评估为NE的单个靶病灶 是否存在状态为不可评估的靶病灶
ExixtsNETargetLesion = tableQuestion.SelectMany(x => x.TableQuestionList).Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(TargetState.UnableEvaluate)),
@ -1284,54 +1326,50 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
TargetAssessment result = TargetAssessment.NE;
if (resultData.SumOfDiameter == 0 && resultData.DiameterLessThan10 && !resultData.ExixtsNETargetLesion)
{
result = TargetAssessment.CR;
}
else if (
(resultData.SODPercentBigger30 && resultData.LowPercentLess20 && !resultData.ExixtsNETargetLesion)
||
(resultData.SODPercentBigger30 && resultData.LowChangeLess5 && !resultData.ExixtsNETargetLesion)
)
{
result = TargetAssessment.PR;
}
else if (
(resultData.SODPercentLess30 && resultData.LowPercentLess20 && !resultData.ExixtsNETargetLesion)
||
(resultData.SODPercentLess30 && resultData.LowChangeLess5 && !resultData.ExixtsNETargetLesion)
)
{
result = TargetAssessment.SD;
}
else if (resultData.LowPercentBigger20 && resultData.LowChangeBigger5)
{
result = TargetAssessment.PD;
}
else if (
(resultData.LowPercentLess20 && resultData.ExixtsNETargetLesion)
||
(resultData.LowPercentBigger20 && resultData.LowChangeLess5 && resultData.ExixtsNETargetLesion)
)
{
result = TargetAssessment.NE;
}
else if (!resultData.ExixtsNETargetLesion && resultData.SumOfDiameter == 0 && resultData.SODPercent == 0)
TargetAssessment result = TargetAssessment.SD;
if (!resultData.ExistsTargetLesion)
{
result = TargetAssessment.ND;
}
else if (
(resultData.LastTargetLesionEvaluate.EqEnum(TargetAssessment.CR) && resultData.CurrenShortBigger10 && resultData.IsAddFive)
||
(resultData.LastTargetLesionEvaluate.EqEnum(TargetAssessment.CR) && resultData.CurrentMajoreBigger0)
)
else
{
if (resultData.LastTargetLesionEvaluate.EqEnum(TargetAssessment.CR))
{
if (resultData.CurrenShortBigger10 && resultData.IsAddFive)
{
result = TargetAssessment.PD;
}
if (resultData.CurrentMajoreBigger0)
{
result = TargetAssessment.PD;
}
}
else if (resultData.LowPercentBigger20)
{
result = TargetAssessment.PD;
}
else
{
if (resultData.ExixtsNETargetLesion)
{
result = TargetAssessment.NE;
} else
{
if (resultData.SODPercentBigger30)
{
if (resultData.LowPercentLess20||resultData.LowChangeLess5)
{
result = TargetAssessment.PR;
}
if (resultData.SumOfDiameter == 0 && resultData.DiameterLessThan10)
{
result = TargetAssessment.CR;
}
}
}
}
}
return result.GetEnumInt();
}