From 58e8c2392fe2627160c180fa4804ce85712e32ca Mon Sep 17 00:00:00 2001 From: he <109787524@qq.com> Date: Fri, 28 Mar 2025 11:12:09 +0800 Subject: [PATCH] =?UTF-8?q?=E6=B7=BB=E5=8A=A0MRecisthhc?= MIME-Version: 1.0 Content-Type: text/plain; charset=UTF-8 Content-Transfer-Encoding: 8bit --- .../General/ReadingCalculateService.cs | 1 + .../MRECISTHCCCalculateService.cs | 1810 +++++++++++++++++ 2 files changed, 1811 insertions(+) create mode 100644 IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/General/ReadingCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/General/ReadingCalculateService.cs index 9f3c3b844..e89ddb4b8 100644 --- a/IRaCIS.Core.Application/Service/ReadingCalculate/General/ReadingCalculateService.cs +++ b/IRaCIS.Core.Application/Service/ReadingCalculate/General/ReadingCalculateService.cs @@ -33,6 +33,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate {CriterionType.IVUS,typeof(IVUSCalculateService) }, {CriterionType.OCT,typeof(OCTCalculateService) }, {CriterionType.MRIPDFF,typeof(MRIPDFFCalculateService) }, + {CriterionType.mRECISTHCC,typeof(MRECISTHCCCalculate) }, }; diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs new file mode 100644 index 000000000..bdee25c39 --- /dev/null +++ b/IRaCIS.Core.Application/Service/ReadingCalculate/MRECISTHCCCalculateService.cs @@ -0,0 +1,1810 @@ +using IRaCIS.Core.Application.Service.Reading.Dto; +using IRaCIS.Core.Application.ViewModel; +using IRaCIS.Core.Domain.Share; +using IRaCIS.Core.Infra.EFCore.Common; +using IRaCIS.Core.Infrastructure; +using MassTransit; +using Microsoft.AspNetCore.Mvc; + +namespace IRaCIS.Core.Application.Service.ReadingCalculate +{ + + [ApiExplorerSettings(GroupName = "Reading")] + public class MRECISTHCCCalculate(IRepository _readingTableQuestionAnswerRepository, + IRepository _visitTaskRepository, + IRepository _readingQuestionCriterionTrialRepository, + IRepository _readingTableQuestionTrialRepository, + IRepository _readingTableAnswerRowInfoRepository, + IRepository _readingQuestionTrialRepository, + IRepository _readingGlobalTaskInfoRepository, + IRepository _organInfoRepository, + IRepository _subjectVisitRepository, + IRepository _tumorAssessmentRepository, + IGeneralCalculateService _generalCalculateService, + IRepository _readingTaskQuestionAnswerRepository, IMapper _mapper, IUserInfo _userInfo, IStringLocalizer _localizer) : BaseService, ICriterionCalculateService + { + + /// + /// 获取阅片的计算数据 + /// + /// + /// + public async Task GetReadingCalculationData(GetReadingCalculationDataInDto inDto) + { + return new + { + }; + } + + #region 临时对象 单个请求的生命周期 避免重复查询数据库 + + private List visitTaskAnswerList; + + /// + /// 获取Sod的值 + /// + private decimal? sODData; + + private string nAString = "NA"; + #endregion + + #region 删除病灶获取起始病灶序号 + /// + /// 删除病灶获取起始病灶序号（RECIST1Point1 固定是1） + /// + /// + public async Task GetDeleteLesionStatrIndex(DeleteReadingRowAnswerInDto inDto) + { + return 1; + } + #endregion + + #region 获取阅片报告 + /// + /// 获取阅片报告 + /// + /// + /// + [HttpPost] + public async Task GetReadingReportEvaluation(GetReadingReportEvaluationInDto indto) + { + GetReadingReportEvaluationOutDto result = new GetReadingReportEvaluationOutDto(); + + result.CalculateResult = await this.GetReportVerify(new GetReportVerifyInDto() + { + VisitTaskId = indto.VisitTaskId + }); + + + var visitTaskInfo = await _visitTaskRepository.Where(x => x.Id == indto.VisitTaskId).FirstNotNullAsync(); + + result.ReadingTaskState = visitTaskInfo.ReadingTaskState; + var taskInfoList = await _generalCalculateService.GetReadingReportTaskList(indto.VisitTaskId); + + result.VisitTaskList = taskInfoList; + + var visitTaskIds = taskInfoList.Select(x => x.VisitTaskId).ToList(); + + var criterionId = visitTaskInfo.TrialReadingCriterionId; + var questionList = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == criterionId && x.ShowQuestion != ShowQuestion.Hide).ToListAsync(); + var tableQuestionList = await _readingTableQuestionTrialRepository.Where(x => x.TrialCriterionId == criterionId).OrderBy(x => x.ShowOrder).ToListAsync(); + var tableAnsweRowInfos = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == indto.VisitTaskId).ProjectTo(_mapper.ConfigurationProvider).ToListAsync(); + result.LesionCountList = tableAnsweRowInfos.GroupBy(x => x.LesionType).Select(x => new LesionDto + { + LesionType = x.Key!.Value, + Count = x.ToList().Count() + }).ToList(); + var answers = await _readingTaskQuestionAnswerRepository.Where(x => visitTaskIds.Contains(x.VisitTaskId)).ToListAsync(); + var tableAnswers = await _readingTableQuestionAnswerRepository.Where(x => visitTaskIds.Contains(x.VisitTaskId)).ToListAsync(); + var globalanswerList = await _readingGlobalTaskInfoRepository.Where(x => visitTaskIds.Contains(x.TaskId) && x.GlobalVisitTask.TaskState == TaskState.Effect && x.Answer != string.Empty).Select(x => new + { + x.TaskId, + x.GlobalVisitTask.VisitTaskNum, + x.QuestionId, + x.Answer + }).ToListAsync(); + var alltableAnsweRowInfos = await _readingTableAnswerRowInfoRepository.Where(x => visitTaskIds.Contains(x.VisitTaskId)).ToListAsync(); + var organIds = alltableAnsweRowInfos.Where(x => x.OrganInfoId != null).Select(x => x.OrganInfoId).Distinct().ToList(); + var organInfos = await _organInfoRepository.Where(x => organIds.Contains(x.Id)).ToListAsync(); + + var needChangeType = new List() { + QuestionMark.Organ, + QuestionMark.Location, + QuestionMark.Part, + }; + + // 第一级 + + #region 构造问题 + List questions = questionList.Where(x => x.Type == ReadingQestionType.Group).OrderBy(x => x.ShowOrder).Select(x => new ReadingReportDto() + { + QuestionId = x.Id, + GroupName = x.GroupName, + GroupEnName = x.GroupEnName, + IsShowInDicom = x.IsShowInDicom, + Type = x.Type, + GroupId = x.GroupId, + QuestionType = x.QuestionType, + LesionType = x.LesionType, + QuestionGenre = x.QuestionGenre, + DataSource = x.DataSource, + DictionaryCode = x.DictionaryCode, + TypeValue = x.TypeValue, + QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us), + ShowOrder = x.ShowOrder, + ValueType = x.ValueType, + Unit = x.Unit, + CustomUnit = x.CustomUnit, + ReportLayType = ReportLayType.Group, + HighlightAnswer = x.HighlightAnswer, + HighlightAnswerList = x.HighlightAnswerList, + }).ToList(); + + // 分组 + foreach (var item in questions) + { + item.Childrens = questionList.Where(x => x.GroupId == item.QuestionId).OrderBy(x => x.ShowOrder).Select(x => new ReadingReportDto() + { + GroupName = x.GroupName, + QuestionId = x.Id, + IsShowInDicom = x.IsShowInDicom, + GroupEnName = x.GroupEnName, + QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us), + LesionType = x.LesionType, + QuestionGenre = x.QuestionGenre, + DataSource = x.DataSource, + DictionaryCode = x.DictionaryCode, + Type = x.Type, + QuestionType = x.QuestionType, + TypeValue = x.TypeValue, + ShowOrder = x.ShowOrder, + OrderMark = x.OrderMark, + ValueType = x.ValueType, + Unit = x.Unit, + CustomUnit = x.CustomUnit, + ReportLayType = ReportLayType.Question, + HighlightAnswer = x.HighlightAnswer, + HighlightAnswerList = x.HighlightAnswerList, + }).ToList(); + + // 问题 + foreach (var question in item.Childrens) + { + + foreach (var task in taskInfoList) + { + var globalAnswer = globalanswerList.Where(x => x.TaskId == task.VisitTaskId && x.QuestionId == question.QuestionId).OrderByDescending(x => x.VisitTaskNum).FirstOrDefault(); + + var answer = answers.Where(x => x.VisitTaskId == task.VisitTaskId && x.ReadingQuestionTrialId == question.QuestionId).FirstOrDefault(); + question.Answer.Add(new TaskQuestionAnswer() + { + Answer = answer == null ? string.Empty : answer.Answer, + IsGlobalChange = globalAnswer == null ? false : true, + GlobalChangeAnswer = globalAnswer == null ? string.Empty : globalAnswer.Answer, + TaskName = task.TaskName, + VisitTaskId = task.VisitTaskId, + + }); + } + + // 构造表格行数据 + + + var rowlist = tableAnsweRowInfos.Where(x => x.QuestionId == question.QuestionId).OrderBy(x => x.RowIndex).ToList(); + + + question.Childrens = rowlist.Select(x => new ReadingReportDto() + { + QuestionName = question.OrderMark + x.RowIndex.GetLesionMark(), + SplitOrMergeLesionName = x.MergeName.IsNullOrEmpty() ? x.SplitName : x.MergeName, + SplitOrMergeType = x.SplitOrMergeType, + LesionType = question.LesionType, + IsShowInDicom = question.IsShowInDicom, + IsCanEditPosition = x.IsCanEditPosition, + RowIndex = x.RowIndex, + BlindName = x.BlindName, + ReportLayType = ReportLayType.Lesions, + }).ToList(); + + + foreach (var row in question.Childrens) + { + // tableQuestion + row.Childrens = tableQuestionList.Where(x => x.ReadingQuestionId == question.QuestionId).Select(x => new ReadingReportDto() + { + QuestionName = x.QuestionName.LanguageName(x.QuestionEnName, _userInfo.IsEn_Us), + QuestionId = x.ReadingQuestionId, + TableQuestionId = x.Id, + Type = x.Type, + LesionType = question.LesionType, + TableQuestionType = x.TableQuestionType, + RowId = row.RowId, + IsShowInDicom = question.IsShowInDicom, + DataSource = x.DataSource, + DictionaryCode = x.DictionaryCode, + QuestionMark = x.QuestionMark, + TypeValue = x.TypeValue, + RowIndex = row.RowIndex, + ShowOrder = x.ShowOrder, + ValueType = x.ValueType, + Unit = x.Unit, + ReportLayType = ReportLayType.TableQuestion, + }).ToList(); + + + foreach (var tableQuestion in row.Childrens) + { + foreach (var task in taskInfoList) + { + var rowinfo = alltableAnsweRowInfos.Where(x => x.VisitTaskId == task.VisitTaskId && x.QuestionId == tableQuestion.QuestionId && x.RowIndex == tableQuestion.RowIndex).FirstOrDefault(); + var taskQuestionAnswer = new TaskQuestionAnswer() + { + Answer = tableAnswers.Where(x => x.VisitTaskId == task.VisitTaskId && x.QuestionId == tableQuestion.QuestionId && x.RowIndex == tableQuestion.RowIndex && x.TableQuestionId == tableQuestion.TableQuestionId).Select(x => x.Answer).FirstIsNullReturnEmpty(), + TaskName = task.TaskName, + VisitTaskId = task.VisitTaskId, + }; + if (rowinfo != null && rowinfo.OrganInfoId != null) + { + var organInfo = organInfos.Where(x => x.Id == rowinfo.OrganInfoId).FirstOrDefault(); + + + if (organInfo != null && needChangeType.Contains(tableQuestion.QuestionMark)) + { + if (_userInfo.IsEn_Us) + { + switch (tableQuestion.QuestionMark) + { + case QuestionMark.Organ: + taskQuestionAnswer.Answer = organInfo.TULOCEN; + + break; + case QuestionMark.Location: + if (organInfo.IsCanEditPosition) + { + + } + else + { + taskQuestionAnswer.Answer = organInfo.TULATEN; + + } + break; + case QuestionMark.Part: + + taskQuestionAnswer.Answer = organInfo.PartEN; + + break; + + } + + } + else + { + switch (tableQuestion.QuestionMark) + { + case QuestionMark.Organ: + taskQuestionAnswer.Answer = organInfo.TULOC; + break; + case QuestionMark.Location: + if (organInfo.IsCanEditPosition) + { + + } + else + { + taskQuestionAnswer.Answer = organInfo.TULAT; + + } + break; + case QuestionMark.Part: + taskQuestionAnswer.Answer = organInfo.Part; + break; + + } + } + + } + } + tableQuestion.Answer.Add(taskQuestionAnswer); + } + } + + + } + + + }; + } + #endregion + + + + result.TaskQuestions = questions; + + + + return result; + + } + #endregion + + /// + /// 测试计算 + /// + /// + /// + /// + [HttpPost] + public async Task TestCalculate(Guid visitTaskId, QuestionType type) + { + ReadingCalculateDto readingData = await _generalCalculateService.GetReadingCalculateDto(visitTaskId); + await ReadingCalculate(readingData, new List() { type }); + } + + + + /// + /// 计算任务 + /// + /// + /// + [HttpPost] + public async Task CalculateTask(CalculateTaskInDto inDto) + { + ReadingCalculateDto readingData = await _generalCalculateService.GetReadingCalculateDto(inDto.VisitTaskId); + readingData.IsChangeOtherTask = inDto.IsChangeOtherTask; + await ReadingCalculate(readingData); + } + + /// + /// 获取报告验证的信息(这里每个标准可能不一样 返回用object) + /// + /// + /// + public async Task GetReportVerify(GetReportVerifyInDto inDto) + { + return new GetReportVerifyOutDto() + { + TumorEvaluate = await this.GetReportTumor(inDto.VisitTaskId), + IsExistDisease = await this.GetReportIsExistDisease(inDto.VisitTaskId), + + }; + } + + + /// + /// 自动计算 + /// + /// + /// + /// + public async Task ReadingCalculate(ReadingCalculateDto inDto, List? calculateType = null) + { + + #region 计算 这里顺序非常重要 后面计算的值要依赖前面计算的结果 + var needAddList = new List(); + + + List calculateList = new List() + { + //靶病灶径线之和（SOD） + new ReadingCalculateData (){QuestionType=QuestionType.SOD,GetDecimalNullFun=GetSODData}, + + //非淋巴结靶病灶长径之和 + new ReadingCalculateData (){QuestionType=QuestionType.SumOfDiameter,GetDecimalNullFun=GetSumOfDiameter}, + + //与基线SOD相比变化量（mm） + new ReadingCalculateData (){QuestionType=QuestionType.SODChange,GetDecimalNullFun=GetSODChange}, + + //与基线访视相比SOD变化百分比 + new ReadingCalculateData (){QuestionType=QuestionType.SODPercent,GetDecimalNullFun=GetSODPercent}, + + //与整个访视期间SOD最低点相比增加的值（mm） //其他任务需要改 + new ReadingCalculateData (){QuestionType=QuestionType.LowestIncrease,GetDecimalNullFun=GetLowestIncrease,/*ChangeAllTaskFun=ChangeAllLowestIncrease*/}, + + //与整个访视期间SOD最低点相比增加的百分比 //其他任务需要改 + new ReadingCalculateData (){QuestionType=QuestionType.LowPercent,GetDecimalNullFun=GetLowPercent,/*ChangeAllTaskFun=ChangeAllLowPercent*/}, + + //整个访视期间SOD最低点访视名称 //其他任务需要改 + new ReadingCalculateData (){QuestionType=QuestionType.LowVisit,GetStringFun=GetLowVisit,/*ChangeAllTaskFun=ChangeAllLowVisitName*/}, + + //是否存在非淋巴结靶病灶 + new ReadingCalculateData (){QuestionType=QuestionType.IsLymphTarget,GetStringFun=GetIsLymphTarget}, + + //是否存在淋巴结靶病灶且该病灶比上一访视短径增加5MM以上 + new ReadingCalculateData (){QuestionType=QuestionType.IsAddFive,GetStringFun=GetIsAddFive}, + + //被评估为NE的单个靶病灶 + new ReadingCalculateData (){QuestionType=QuestionType.NETarget,GetStringFun=GetNETarget}, + + //靶病灶评估 + new ReadingCalculateData (){QuestionType=QuestionType.TargetLesion,GetStringFun=GetTargetLesionEvaluate}, + + //非靶病灶评估 + new ReadingCalculateData (){QuestionType=QuestionType.NoTargetLesion,GetStringFun=GetNoTargetLesionEvaluate}, + + //是否存在新病灶 + new ReadingCalculateData (){QuestionType=QuestionType.NewLesions,GetStringFun=GetNewLesionEvaluate}, + + //整体肿瘤评估 + new ReadingCalculateData (){QuestionType=QuestionType.Tumor,GetStringFun=GetTumor}, + + //是否存在疾病 + new ReadingCalculateData (){QuestionType=QuestionType.ExistDisease,GetStringFun=GetIsExistDisease}, + + }; + + // 没有靶病灶只计算最后几个 + if (inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).Sum(x => x.TableRowInfoList.Count()) == 0) + { + + List questionTypes = new List() + { + QuestionType.TargetLesion, + QuestionType.NoTargetLesion, + QuestionType.NewLesions, + QuestionType.Tumor, + QuestionType.ExistDisease, + }; + + // 没有靶病灶就删除其他几个答案的值 + var isNeedDeleteTypes = calculateList.Where(x => !questionTypes.Contains(x.QuestionType)).Select(x => x.QuestionType).ToList(); + + + var isNeedDeleteIds = inDto.QuestionInfo.Where(x => x.QuestionType != null && isNeedDeleteTypes.Contains(x.QuestionType.Value)).Select(x => x.QuestionId).ToList(); + + await _readingTaskQuestionAnswerRepository.BatchUpdateNoTrackingAsync(x => x.VisitTaskId == inDto.VisitTaskId && isNeedDeleteIds.Contains(x.ReadingQuestionTrialId), x => new ReadingTaskQuestionAnswer + { + Answer = string.Empty + }); + + + + calculateList = calculateList.Where(x => questionTypes.Contains(x.QuestionType)).ToList(); + + + + + + } + + if (calculateType != null) + { + calculateList = calculateList.Where(x => calculateType.Contains(x.QuestionType)).ToList(); + } + + var typeNAList = new List + { + QuestionType.SODChange, + QuestionType.SODPercent, + QuestionType.LowestIncrease, + QuestionType.LowPercent, + }; + + foreach (var calculate in calculateList) + { + var item = inDto.QuestionInfo.FirstOrDefault(x => x.QuestionType == calculate.QuestionType); + + if (item != null) + { + //计算答案 + if (inDto.IsOnlyChangeAllTask == false) + { + + #region 计算答案 + if (calculate.GetDecimalFun != null) + { + item.Answer = (await calculate.GetDecimalFun(inDto)).ToString(); + + } + else if (calculate.GetDecimalNullFun != null) + { + var value = await calculate.GetDecimalNullFun(inDto); + if (value == null) + { + if (typeNAList.Contains(item.QuestionType ?? QuestionType.SOD)) + { + item.Answer = nameof(YesOrNoOrNa.NA); + + } + else + { + item.Answer = this.nAString; + + } + + } + else + + { + item.Answer = value == null ? string.Empty : value.Value.ToString(); + } + } + else if (calculate.GetStringFun != null) + { + item.Answer = await calculate.GetStringFun(inDto); + } + #endregion + // 修改修约小数位数 + + List valueOfTypes = new List() { + + ValueOfType.Decimals, + ValueOfType.Percentage + }; + + if (inDto.DigitPlaces != -1) + { + try + { + + if (valueOfTypes.Contains(item.ValueType)) + { + item.Answer = decimal.Round(decimal.Parse(item.Answer ?? "0"), inDto.DigitPlaces).ToString("F" + inDto.DigitPlaces.ToString()); + } + } + catch (Exception) + { + + + } + } + + + + needAddList.Add(new ReadingTaskQuestionAnswer() + { + Answer = item.Answer, + ReadingQuestionTrialId = item.QuestionId, + }); + } + + // 修改全局 + if (inDto.IsChangeOtherTask && calculate.ChangeAllTaskFun != null) + { + await calculate.ChangeAllTaskFun(new ChangeAllTaskDto() + { + calculateDto = inDto, + QuestionId = item.QuestionId, + }); + } + + } + } + + + + var questionIds = needAddList.Select(x => x.ReadingQuestionTrialId).ToList(); + + await _readingTaskQuestionAnswerRepository.BatchDeleteNoTrackingAsync(x => questionIds.Contains(x.ReadingQuestionTrialId) && x.VisitTaskId == inDto.VisitTaskId); + needAddList.ForEach(x => + { + x.SubjectId = inDto.SubjectId; + x.ReadingQuestionCriterionTrialId = inDto.CriterionId; + x.VisitTaskId = inDto.VisitTaskId; + x.TrialId = inDto.TrialId; + x.SubjectId = inDto.SubjectId; + }); + + await _readingTaskQuestionAnswerRepository.AddRangeAsync(needAddList); + + await _readingTaskQuestionAnswerRepository.SaveChangesAsync(); + #endregion + + + } + + + /// + /// 获取报告整体整体评估 + /// + /// + /// + public async Task GetReportTumor(Guid visitTaskId) + { + return await GetTumor(await _generalCalculateService.GetReadingCalculateDto(visitTaskId)); + } + + /// + /// 获取报告是否存在疾病 + /// + /// + /// + public async Task GetReportIsExistDisease(Guid visitTaskId) + { + return await GetIsExistDisease(await _generalCalculateService.GetReadingCalculateDto(visitTaskId)); + } + + /// + /// 验证访视提交 + /// + /// + /// + public async Task VerifyVisitTaskQuestions(VerifyVisitTaskQuestionsInDto inDto) + { + + if (await _readingTaskQuestionAnswerRepository.AnyAsync(x => x.ReadingQuestionTrial.QuestionType == QuestionType.ImageQualityAssessment && x.VisitTaskId == inDto.VisitTaskId && x.Answer == ImageQualityEvaluation.Abnormal.GetEnumInt())) + { + //影像质量不正常 验证 + return; + } + + var tableAnswerList = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && (x.Answer == string.Empty || x.Answer == null) + && x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.State) + .Select(x => new + { + x.ReadingQuestionTrial.OrderMark, + x.RowIndex, + x.ReadingTableQuestionTrial.QuestionMark, + x.Answer, + }).ToListAsync(); + + // 错误信息 + string errorMassage = string.Empty; + var rowAnswerList = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && (x.MeasureData == string.Empty || x.MeasureData == null)) + .Select(x => new + { + x.ReadingQuestionTrial.OrderMark, + x.RowIndex, + x.Id, + }).ToListAsync(); + var unableEvaluateRowIds = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && x.Answer == TargetState.UnableEvaluate.GetEnumInt() + && x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.State) + .Select(x => x.RowId).Distinct().ToListAsync(); + + + List measureDataList = rowAnswerList.Where(x => !unableEvaluateRowIds.Contains(x.Id)).Select(x => x.OrderMark + x.RowIndex.GetLesionMark()).ToList(); + List stateIsNullList = tableAnswerList.Select(x => x.OrderMark + x.RowIndex.GetLesionMark()).ToList(); + List allExists = measureDataList.Intersect(stateIsNullList).ToList(); + // 取差 + measureDataList = measureDataList.Except(allExists).ToList(); + stateIsNullList = stateIsNullList.Except(allExists).ToList(); + if (measureDataList.Count() > 0) + { + // 无标记 + errorMassage += _localizer["ReadingCalculate_NoMarker", string.Join(',', measureDataList)] + ","; + } + + if (tableAnswerList.Count > 0) + { + // 状态为空 + errorMassage += _localizer["ReadingCalculate_StatusIsEmpty", string.Join(',', stateIsNullList)] + ","; + } + + if (allExists.Count > 0) + { + // 未做标记且状态为空 + errorMassage += _localizer["ReadingCalculate_NoMarkerEmpty", string.Join(',', stateIsNullList)] + ","; + } + + + if (errorMassage != string.Empty) + { + errorMassage = _localizer["ReadingCalculate_Questionable"] + errorMassage; + throw new BusinessValidationFailedException(errorMassage); + } + } + + + + #region 将上一次的访视病灶添加到这一次 + + /// + /// 将上一次的访视病灶添加到这一次 + /// + /// + /// + public async Task AddTaskLesionAnswerFromLastTask(AddTaskLesionAnswerFromLastTaskInDto inDto) + { + var visitTaskId = inDto.VisitTaskId; + + var taskinfo = await _visitTaskRepository.Where(x => x.Id == visitTaskId).FirstNotNullAsync(); + + var baseLineVisitId = await _subjectVisitRepository.Where(x => x.SubjectId == taskinfo.SubjectId && x.IsBaseLine).Select(x => x.Id).FirstOrDefaultAsync(); + + // 判断当前任务是否是基线 + if (taskinfo.SourceSubjectVisitId != baseLineVisitId) + { + // 判断当前任务是是否有表格问题答案 + if (!(await _readingTableQuestionAnswerRepository.AnyAsync(x => x.VisitTaskId == visitTaskId))) + { + + var LastVisitTaskId = await _visitTaskRepository.Where(x => x.ReadingCategory == ReadingCategory.Visit && + x.TrialReadingCriterionId == taskinfo.TrialReadingCriterionId && + x.IsAnalysisCreate == taskinfo.IsAnalysisCreate && + x.DoctorUserId == taskinfo.DoctorUserId && + x.IsSelfAnalysis == taskinfo.IsSelfAnalysis && + x.SubjectId == taskinfo.SubjectId && x.ReadingTaskState == ReadingTaskState.HaveSigned && x.VisitTaskNum < taskinfo.VisitTaskNum && x.TaskState == TaskState.Effect && x.ArmEnum == taskinfo.ArmEnum + ).OrderByDescending(x => x.VisitTaskNum).Select(x => x.Id).FirstOrDefaultAsync(); + + + + var copyTableAnswers = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == LastVisitTaskId).Select(x => new CopyTableAnswerDto() + { + Answer = x.Answer, + QuestionId = x.QuestionId, + RowId = x.RowId, + QuestionMark = x.ReadingTableQuestionTrial.QuestionMark, + TableQuestionId = x.TableQuestionId, + RowIndex = x.RowIndex, + TrialId = x.TrialId + }).ToListAsync(); + + var tableRowAnswers = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == LastVisitTaskId).ProjectTo(_mapper.ConfigurationProvider).ToListAsync(); + + + tableRowAnswers.ForEach(x => + { + x.VisitTaskId = visitTaskId; + x.IsCurrentTaskAdd = false; + x.Id = NewId.NextGuid(); + x.SeriesId = null; + x.InstanceId = null; + x.MeasureData = string.Empty; + x.PicturePath = string.Empty; + }); + + tableRowAnswers.ForEach(x => + { + x.SplitRowId = tableRowAnswers.Where(y => y.OriginalId == x.SplitRowId).Select(y => y.Id).FirstOrDefault(); + x.MergeRowId = tableRowAnswers.Where(y => y.OriginalId == x.MergeRowId).Select(y => y.Id).FirstOrDefault(); + + }); + + List notNeedCopyMarks = new List() + { + QuestionMark.MajorAxis, + QuestionMark.ShortAxis, + QuestionMark.State, + }; + + var tableAnswers = copyTableAnswers.Select(x => new ReadingTableQuestionAnswer + { + Id = NewId.NextGuid(), + Answer = notNeedCopyMarks.Contains(x.QuestionMark) ? string.Empty : x.Answer, + QuestionId = x.QuestionId, + RowIndex = x.RowIndex, + RowId = tableRowAnswers.Where(y => y.OriginalId == x.RowId).Select(x => x.Id).FirstOrDefault(), + TableQuestionId = x.TableQuestionId, + TrialId = x.TrialId, + VisitTaskId = visitTaskId, + }); + + + + + var addList = _mapper.Map>(tableRowAnswers); + + await _readingTableAnswerRowInfoRepository.AddRangeAsync(addList); + await _readingTableQuestionAnswerRepository.AddRangeAsync(tableAnswers); + + addList.ForEach(x => + { + x.MergeRow = null; + x.SplitRow = null; + + }); + await _readingTableQuestionAnswerRepository.SaveChangesAsync(); + + } + } + + return new AddTaskLesionAnswerFromLastTaskOutDto() + { + + IsBaseLine = taskinfo.SourceSubjectVisitId == baseLineVisitId, + }; + + } + #endregion + + #region 获取SOD + + /// + /// 获取SOD + /// + /// + /// 靶病灶径线之和（SOD） + /// 非淋巴结的长径 和淋巴结的短径 + /// + /// + public async Task GetSODData(ReadingCalculateDto inDto) + { + if (sODData != null) + { + return sODData.Value; + } + + var tableQuestion = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).SelectMany(x => x.TableRowInfoList).ToList(); + + if (tableQuestion.Count() == 0) + { + return null; + } + + decimal result = 0; + + foreach (var item in tableQuestion) + { + if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(YesOrNoOrNa.Yes))) + { + // 淋巴结的短径 + result += (item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.ShortAxis).Select(x => x.Answer).FirstOrDefault()).IsNullOrEmptyReturn0(); + } + + if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(YesOrNoOrNa.No))) + { + // 非淋巴结的长径 + result += item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.MajorAxis).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0(); + } + } + + sODData = result; + + return sODData.Value; + + + + } + #endregion + + #region 非淋巴结靶病灶长径之和 + /// + /// 非淋巴结靶病灶长径之和 + /// + /// + /// + public async Task GetSumOfDiameter(ReadingCalculateDto inDto) + { + var tableQuestion = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).SelectMany(x => x.TableRowInfoList).ToList(); + + if (tableQuestion.Count() == 0) + { + return null; + } + + decimal result = 0; + + foreach (var item in tableQuestion) + { + if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(YesOrNoOrNa.No))) + { + // 非淋巴结的长径 + result += item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.MajorAxis).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0(); + } + } + + + return result; + } + #endregion + + #region 与基线SOD相比变化量（mm） + /// + /// 与基线SOD相比变化量（mm） + /// + /// + /// + public async Task GetSODChange(ReadingCalculateDto inDto) + { + + var value = await GetSODData(inDto); + + if (value == null || inDto.IsBaseLine) + { + return null; + } + return value.NullChange0() - await GetBaseLineSOD(inDto); + } + #endregion + + #region 与基线访视相比SOD变化百分比 + /// + /// 与基线访视相比SOD变化百分比 + /// + /// + /// + public async Task GetSODPercent(ReadingCalculateDto inDto) + { + var thisSOD = await GetSODData(inDto); + + if (thisSOD == null || inDto.IsBaseLine) + { + return null; + } + + var baseLineSOD = await GetBaseLineSOD(inDto); + + if (baseLineSOD == 0) + { + return 100; + } + else + { + return (thisSOD.NullChange0() - baseLineSOD) * 100 / baseLineSOD; + } + } + #endregion + + #region 与整个访视期间SOD最低点相比增加的值（mm） + /// + /// 与整个访视期间SOD最低点相比增加的值（mm） + /// + /// + /// + /// 要更新之前的 + /// + /// + public async Task GetLowestIncrease(ReadingCalculateDto inDto) + { + var value = await GetSODData(inDto); + if (value == null || inDto.IsBaseLine) + { + return null; + } + var decimalAnswerList = await GetLowSODVisit(inDto); + var minSOD = decimalAnswerList.OrderBy(x => x.SOD).Select(x => x.SOD).FirstOrDefault(); + return value.NullChange0() - minSOD; + } + #endregion + + #region 与整个访视期间SOD最低点相比增加的百分比 + /// + /// 与整个访视期间SOD最低点相比增加的百分比 + /// + /// + /// + /// 要更新之前的 + /// + /// + public async Task GetLowPercent(ReadingCalculateDto inDto) + { + var thisSOD = await GetSODData(inDto); + if (thisSOD == null || inDto.IsBaseLine) + { + return null; + } + var decimalAnswerList = await GetLowSODVisit(inDto); + var minSOD = decimalAnswerList.OrderBy(x => x.SOD).Select(x => x.SOD).FirstOrDefault(); + + if (minSOD == 0) + { + return 100; + } + else + { + return (thisSOD.NullChange0() - minSOD) * 100 / minSOD; + } + + + } + #endregion + + #region 整个访视期间SOD最低点访视名称 + /// + /// 整个访视期间SOD最低点访视名称 + /// + /// + /// + /// 要更新之前的 + /// + /// + public async Task GetLowVisit(ReadingCalculateDto inDto) + { + if (inDto.IsBaseLine) + { + return nameof(YesOrNoOrNa.NA); + } + var targetCount = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).SelectMany(x => x.TableRowInfoList).Count(); + if (targetCount == 0) + { + return nameof(YesOrNoOrNa.NA); + } + + var decimalAnswerList = await GetLowSODVisit(inDto); + return decimalAnswerList.OrderBy(x => x.SOD).Select(x => x.BlindName).FirstOrDefault() ?? string.Empty; + } + #endregion + + #region 是否存在非淋巴结靶病灶 + /// + /// 是否存在非淋巴结靶病灶 + /// + /// + /// + public async Task GetIsLymphTarget(ReadingCalculateDto inDto) + { + var result = IsLymph.No.GetEnumInt(); + var tableQuestion = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).SelectMany(x => x.TableRowInfoList).ToList(); + + foreach (var item in tableQuestion) + { + if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(IsLymph.No))) + { + result = IsLymph.Yes.GetEnumInt(); + } + } + + + + return result; + } + #endregion + + #region 是否存在淋巴结靶病灶且该病灶比上一访视短径增加5MM以上 + /// + /// 是否存在淋巴结靶病灶且该病灶比上一访视短径增加5MM以上 + /// + /// + /// + public async Task GetIsAddFive(ReadingCalculateDto inDto) + { + if (inDto.IsBaseLine) + { + return YesOrNoOrNa.NA.GetEnumInt(); + } + var addFiveList = await GetIsAddFiveRowIndexs(inDto); + var isExists = addFiveList.Count() > 0 ? true : false; + + return isExists ? YesOrNoOrNa.Yes.GetEnumInt() : YesOrNoOrNa.No.GetEnumInt(); + + } + + /// + /// 获取存在淋巴结靶病灶且该病灶比上一访视短径增加5MM以上的病灶 + /// + /// + /// + public async Task> GetIsAddFiveRowIndexs(ReadingCalculateDto inDto) + { + List result = new List(); + var LastVisitTaskId = await this.GetLastVisitTaskId(inDto); + var questionIds = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).Select(x => x.QuestionId).ToList(); + var lastQuestionAsnwer = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == LastVisitTaskId && questionIds.Contains(x.QuestionId)).Include(x => x.ReadingQuestionTrial).Include(x => x.ReadingTableQuestionTrial).ToListAsync(); + var rowIndexs = lastQuestionAsnwer.Where(x => x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(YesOrNoOrNa.Yes)).Select(x => x.RowIndex).Distinct().OrderBy(x => x).ToList(); + var thisQuestionAsnwer = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).SelectMany(x => x.TableRowInfoList).ToList(); + foreach (var item in rowIndexs) + { + var lastValue = lastQuestionAsnwer.Where(x => x.RowIndex == item && x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.ShortAxis).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0(); + + 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) + { + result.Add(item); + } + } + + return result; + } + #endregion + + #region 被评估为NE的单个靶病灶 + /// + /// 被评估为NE的单个靶病灶 + /// + /// + /// + public async Task GetNETarget(ReadingCalculateDto inDto) + { + if (inDto.IsBaseLine) + { + return ExistOrNA.NA.GetEnumInt(); + } + + var result = inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.TargetLesion && x.Answer.EqEnum(TargetAssessment.NE)); + + return result ? ExistOrNA.Exist.GetEnumInt() : ExistOrNA.NotExist.GetEnumInt(); + } + #endregion + + #region 整体肿瘤评估 + + /// + /// 整体肿瘤评估 + /// + /// + /// + public async Task GetTumor(ReadingCalculateDto inDto) + { + + if (inDto.IsBaseLine) + { + return OverallAssessment.NA.GetEnumInt(); + } + + var targetLesion = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.TargetLesion).Select(x => x.Answer).FirstOrDefault(); + var noTargetLesion = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.NoTargetLesion).Select(x => x.Answer).FirstOrDefault(); + var newLesions = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.NewLesions).Select(x => x.Answer).FirstOrDefault(); + var result = await _tumorAssessmentRepository.Where(x => + x.TargetLesion == (TargetAssessment)int.Parse(targetLesion.IsNullOrEmpty() ? TargetAssessment.NA.GetEnumInt() : targetLesion) && + x.NonTargetLesions == (NoTargetAssessment)int.Parse(noTargetLesion.IsNullOrEmpty() ? NoTargetAssessment.NA.GetEnumInt() : noTargetLesion) && + x.NewLesion == (NewLesionAssessment)int.Parse(newLesions.IsNullOrEmpty() ? NewLesionAssessment.NA.GetEnumInt() : newLesions)).Select(x => x.OverallEfficacy).ToListAsync(); + + return result.Count == 0 ? OverallAssessment.NE.GetEnumInt() : result[0].GetEnumInt(); + } + #endregion + + #region 是否存在疾病 + /// + /// 是否存在疾病 + /// + /// + /// + public async Task GetIsExistDisease(ReadingCalculateDto inDto) + { + if (!inDto.IsBaseLine) + { + return string.Empty; + } + + var lesionCount = inDto.QuestionInfo.SelectMany(x => x.TableRowInfoList).Count(); + + return lesionCount > 0 ? ExistDisease.Yes.GetEnumInt() : ExistDisease.No.GetEnumInt(); + } + #endregion + + + #region 修改其他标准 + + #region 修改与整个访视期间SOD最低点相比增加的值（mm） + + /// + /// 修改与整个访视期间SOD最低点相比增加的值（mm） + /// + /// + /// + public async Task ChangeAllLowestIncrease(ChangeAllTaskDto inDto) + { + var visitTaskList = await GetVisitTaskAnswerList(inDto.calculateDto); + + var lowSod = (await GetLowSODVisit(inDto.calculateDto)).Select(x => x.SOD).OrderBy(x => x).FirstOrDefault(); + + foreach (var item in visitTaskList.Where(x => x.VisitTaskId != inDto.calculateDto.BaseLineTaskId)) + { + await _readingTaskQuestionAnswerRepository.BatchUpdateNoTrackingAsync(x => x.VisitTaskId == item.VisitTaskId && x.ReadingQuestionTrialId == inDto.QuestionId, x => new ReadingTaskQuestionAnswer() + { + Answer = (item.SOD - lowSod).ToString() + }); + } + } + + #endregion + + + #region 修改整个访视期间SOD最低点相比增加的百分比 + + /// + /// 修改整个访视期间SOD最低点相比增加的百分比 + /// + /// + /// + //public async Task ChangeAllLowPercent(ChangeAllTaskDto inDto) + //{ + // var visitTaskList = await GetVisitTaskAnswerList(inDto.calculateDto); + + // var lowSod = (await GetLowSODVisit(inDto.calculateDto)).Select(x => x.SOD).OrderBy(x => x).FirstOrDefault(); + + // foreach (var item in visitTaskList.Where(x => x.VisitTaskId != inDto.calculateDto.BaseLineTaskId)) + // { + // decimal percent = 0; + // if (lowSod == 0) + // { + // percent = 100; + // } + // else + // { + // percent = decimal.Round((item.SOD - lowSod) * 100 / lowSod, 2); + // } + + // await _readingTaskQuestionAnswerRepository.BatchUpdateNoTrackingAsync(x => x.VisitTaskId == item.VisitTaskId && x.ReadingQuestionTrialId == inDto.QuestionId, x => new ReadingTaskQuestionAnswer() + // { + // Answer = percent.ToString() + // }); + // } + //} + + #endregion + + #region 修改最低方式点名称 + /// + /// 修改最低方式点名称 + /// + /// + /// + public async Task ChangeAllLowVisitName(ChangeAllTaskDto inDto) + { + // 找到所有访视任务的Id + + var visitTaskIds = await _visitTaskRepository.Where(x => x.IsAnalysisCreate == inDto.IsAnalysisCreate && + x.ReadingCategory == ReadingCategory.Visit && + x.TrialReadingCriterionId == inDto.calculateDto.TrialReadingCriterionId && + x.TaskState == TaskState.Effect && x.ReadingTaskState == ReadingTaskState.HaveSigned && x.ArmEnum == inDto.calculateDto.ArmEnum).Select(x => x.Id).ToListAsync(); + + var answer = (await GetLowSODVisit(inDto.calculateDto)).OrderBy(x => x.SOD).Select(x => x.BlindName).FirstOrDefault(); + visitTaskIds = visitTaskIds.Where(x => x != inDto.calculateDto.BaseLineTaskId).ToList(); + await this.ChangeAllVisitTaskAnswer(visitTaskIds, inDto.QuestionId, answer); + + } + #endregion + + + #endregion + + #region 通用方法 + + #region 修改所有访视任务的答案 + /// + /// 修改所有访视任务的答案 + /// + /// + /// + /// + /// + private async Task ChangeAllVisitTaskAnswer(List visitTaskGuids, Guid questionId, string answer) + { + await _readingTaskQuestionAnswerRepository.BatchUpdateNoTrackingAsync(x => visitTaskGuids.Contains(x.VisitTaskId) && x.ReadingQuestionTrialId == questionId, x => new ReadingTaskQuestionAnswer() + { + Answer = answer + }); + } + #endregion + + + #region 获取基线SOD + /// + /// 获取基线SOD + /// + /// + /// + private async Task GetBaseLineSOD(ReadingCalculateDto inDto) + { + if (await _visitTaskRepository.AnyAsync(x => x.Id == inDto.VisitTaskId && x.SourceSubjectVisit.IsBaseLine && x.IsAnalysisCreate == inDto.IsAnalysisCreate && x.ArmEnum == inDto.ArmEnum)) + { + return 0; + } + + // 先找到基线的任务 + var baseLineTaskId = await _visitTaskRepository.Where(x => x.SubjectId == inDto.SubjectId && x.ReadingCategory == ReadingCategory.Visit + && x.TrialReadingCriterionId == inDto.TrialReadingCriterionId && + + x.SourceSubjectVisit.IsBaseLine && x.TaskState == TaskState.Effect && + x.IsAnalysisCreate == inDto.IsAnalysisCreate + && x.DoctorUserId == inDto.DoctorUserId + && x.IsSelfAnalysis == inDto.IsSelfAnalysis && x.ArmEnum == inDto.ArmEnum) + .Select(x => x.Id).FirstOrDefaultAsync(); + + + var baseLineSOD = (await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == baseLineTaskId && x.ReadingQuestionTrial.QuestionType == QuestionType.SOD).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0(); + return baseLineSOD; + } + #endregion + + + /// + /// 获取最低方式 + /// + /// + /// + public async Task> GetLowSODVisit(ReadingCalculateDto inDto) + { + var taskAnswerList = await GetVisitTaskAnswerList(inDto); + + taskAnswerList = taskAnswerList.Where(x => x.VisitTaskId != inDto.VisitTaskId).ToList(); + + var taskIds = taskAnswerList.Select(x => x.VisitTaskId).ToList(); + + // 排除无法评估 + var unableEvaluateTaskIds = await _readingTableQuestionAnswerRepository.Where(x => taskIds.Contains(x.VisitTaskId) && + x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.State + && x.ReadingQuestionTrial.LesionType == LesionType.TargetLesion + && x.Answer == TargetState.UnableEvaluate.GetEnumInt() + ) + .Select(x => x.VisitTaskId).Distinct().ToListAsync(); + + taskAnswerList = taskAnswerList.Where(x => !unableEvaluateTaskIds.Contains(x.VisitTaskId)).ToList(); + return taskAnswerList.OrderBy(x => x.SOD).ToList(); + } + + #region 获取访视任务信息 + /// + /// 获取访视任务信息 + /// + /// + /// + public async Task> GetVisitTaskAnswerList(ReadingCalculateDto inDto) + { + if (visitTaskAnswerList == null) + { + // 查询的时候要把自己排除 因为查询出来的可能不是计算出的最新的 + visitTaskAnswerList = await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId != inDto.VisitTaskId && x.VisitTask.ReadingCategory == ReadingCategory.Visit + && x.VisitTask.IsAnalysisCreate == inDto.IsAnalysisCreate + && x.VisitTask.IsSelfAnalysis == inDto.IsSelfAnalysis + && x.VisitTask.VisitTaskNum < inDto.VisitTaskNum + && x.ReadingQuestionCriterionTrialId == inDto.TrialReadingCriterionId + && x.SubjectId == inDto.SubjectId && x.VisitTask.ReadingTaskState == ReadingTaskState.HaveSigned && x.VisitTask.ArmEnum == inDto.ArmEnum && x.VisitTask.TaskState == TaskState.Effect && x.ReadingQuestionTrial.QuestionType == QuestionType.SOD) + .Select(x => new VisitTaskAnswerInfo + { + VisitTaskId = x.VisitTaskId, + QuestionId = x.ReadingQuestionTrialId, + VisitName = x.VisitTask.SourceSubjectVisit.VisitName, + BlindName = x.VisitTask.TaskBlindName, + + SOD = x.Answer.IsNullOrEmptyReturn0(), + }).ToListAsync(); + + // 这里是需要加上自己的 基线不用管 + if (visitTaskAnswerList.Count > 0) + { + visitTaskAnswerList.Add(new VisitTaskAnswerInfo() + { + VisitTaskId = inDto.VisitTaskId, + BlindName = inDto.TaskBlindName, + QuestionId = visitTaskAnswerList[0].QuestionId, + VisitName = inDto.VisitName, + SOD = (await GetSODData(inDto)).ToString().IsNullOrEmptyReturn0(), + }); + } + + + } + + return visitTaskAnswerList; + } + #endregion + + /// + /// 获取上一个访视任务Id + /// + /// + private async Task GetLastVisitTaskId(ReadingCalculateDto inDto) + { + // 拿到这一个访视 + var thisNum = await _subjectVisitRepository.Where(x => x.Id == inDto.SubjectVisitId).Select(x => x.VisitNum).FirstOrDefaultAsync(); + + // 先找到上一个访视 + var lastVisitId = await _subjectVisitRepository.Where(x => x.SubjectId == inDto.SubjectId && !x.IsLostVisit && x.VisitNum < thisNum).OrderByDescending(x => x.VisitNum).Select(x => x.Id).FirstOrDefaultAsync(); + + // 找到访视任务Id + + var LastVisitTaskId = await _visitTaskRepository.Where(x => x.ReadingCategory == ReadingCategory.Visit && + x.TrialReadingCriterionId == inDto.TrialReadingCriterionId && + x.TaskState == TaskState.Effect && + x.IsAnalysisCreate == inDto.IsAnalysisCreate + && x.SourceSubjectVisitId == lastVisitId && x.ArmEnum == inDto.ArmEnum).Select(x => x.Id).FirstOrDefaultAsync(); + + return LastVisitTaskId; + } + #endregion + + #region 计算阅片问题 外层问题 + + #region 获取靶病灶评估 + /// + /// 获取靶病灶评估 + /// + /// + /// + /// 靶病灶疗效评估算法-20230306确认版本： + ///if（基线没有靶病灶） + ///{ + /// 靶病灶疗效为 ND + ///}else + ///{ + /// 初始化靶病灶疗效为 SD + /// + /// if (与基线期SOD相比减小≥30 %） + /// { + /// 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且淋巴结非靶病灶全部消失) + /// { + /// 靶病灶疗效为 CR + /// + /// } + /// + ///if （有被评估为NE的单个靶病灶） + /// { + /// 靶病灶疗效为 NE + /// + /// } + /// + ///if (最低点SOD > 0) + ///{ + /// if（比整体访视期间最低点SOD增加≥20 % 且与整个访视期间最低点相比增加的值≥5 mm） + /// { + /// 靶病灶疗效为 PD + /// + /// } + ///} + ///else + ///{ + /// //进入该分支最低点SOD=0 + /// if (当前访视SOD > 0 且与整个访视期间最低点相比增加的值≥5 mm) + /// { + /// 靶病灶疗效为PD + /// + /// } + ///} + /// + ///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 + /// + /// } + ///} + ///} + /// + /// + public async Task GetTargetLesionEvaluate(ReadingCalculateDto inDto) + { + var tableQuestion = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).SelectMany(x => x.TableRowInfoList).ToList(); + if (inDto.IsBaseLine) + { + return TargetAssessment.NA.GetEnumInt(); + } + + TargetLesionCalculateDto resultData = new TargetLesionCalculateDto() + { + + + // 是否存在靶病灶 + ExistsTargetLesion = tableQuestion.Count() > 0, + + // 最低SOD + LowSod = (await GetLowSODVisit(inDto)).Select(x => x.SOD).FirstOrDefault(), + + // 当前Sod + PresentSod = (await GetSODData(inDto)) ?? 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()), + + //所有淋巴结靶病灶的短径小于10mm bool + DiameterLessThan10 = true, + + // SOD变化百分比 + SODPercent = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SODPercent).Sum(x => x.Answer.IsNullOrEmptyReturn0()), + + // SOD 百分比与基线期SOD相比减小≥30% bool + SODPercentBigger30 = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SODPercent).Sum(x => x.Answer.IsNullOrEmptyReturn0()) <= -30, + + // SOD 百分比 与基线期SOD相比减小＜30% bool + SODPercentLess30 = 0 > inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SODPercent).Sum(x => x.Answer.IsNullOrEmptyReturn0()) && + + inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SODPercent).Sum(x => x.Answer.IsNullOrEmptyReturn0()) > -30, + + // SOD 百分比 整体访视期间SOD最低点SOD相比增加＜20% + LowSODPercentLess20 = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.LowPercent).Sum(x => x.Answer.IsNullOrEmptyReturn0()) < 20, + + // SOD 百分比 比整体访视期间SOD最低点SOD增加≥20% + LowSODPercentBigger20 = 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 + LowSODChangeLess5 = 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 + LowSODChangeBigger5 = 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)), + + //// 上次访视点整体肿瘤评估 + LastTargetLesionEvaluate = string.Empty, + + // 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 + CurrentMajoreBigger0 = false, + + // 当前访视点淋巴结病灶, 至少一个淋巴结靶病灶短径≥10 mm + CurrenShortBigger10 = false, + + // 靶病灶短径增加值有5mm的Index + AddFiveIndexs = await GetIsAddFiveRowIndexs(inDto), + + // 短径有10mm的Index + ShortBigger10Indexs = new List(), + + //淋巴结非靶病灶状态全部为消失 + NonTargetStateIsLoss = true, + + // 该淋巴结靶病灶短径绝对增加值≥5 mm + IsAddFive = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.IsAddFive && x.Answer.EqEnum(YesOrNoOrNa.Yes)).Count() > 0, + }; + + var nonTargetTableQuestion = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.NonTargetLesions).SelectMany(x => x.TableRowInfoList).ToList(); + + foreach (var item in nonTargetTableQuestion) + { + if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(YesOrNoOrNa.Yes))) + { + // 淋巴结非靶病灶状态全部为消失 + resultData.NonTargetStateIsLoss = resultData.NonTargetStateIsLoss && item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.State).Select(x => x.Answer).FirstOrDefault() == NoTargetState.Loss.GetEnumInt(); + } + } + + + foreach (var item in tableQuestion) + { + if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(YesOrNoOrNa.Yes))) + { + // 淋巴结的短径 + resultData.DiameterLessThan10 = resultData.DiameterLessThan10 && (item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.ShortAxis).Select(x => x.Answer).FirstOrDefault()).IsNullOrEmptyReturn0() < 10; + + var shortIsBigger10 = (item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.ShortAxis).Select(x => x.Answer).FirstOrDefault()).IsNullOrEmptyReturn0() >= 10; + resultData.CurrenShortBigger10 = resultData.CurrenShortBigger10 || shortIsBigger10; + + if (shortIsBigger10) + { + resultData.ShortBigger10Indexs.Add(item.RowIndex); + } + + + } + + if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && !x.Answer.EqEnum(YesOrNoOrNa.Yes))) + { + // 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 + resultData.CurrentMajoreBigger0 = resultData.CurrentMajoreBigger0 || (item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.MajorAxis).Select(x => x.Answer).FirstOrDefault()).IsNullOrEmptyReturn0() > 0; + } + } + + + var lastVisitTaskId = await GetLastVisitTaskId(inDto); + var questionId = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.Tumor).Select(x => x.QuestionId).FirstOrDefault(); + resultData.LastTargetLesionEvaluate = (await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == lastVisitTaskId && x.ReadingQuestionTrialId == questionId) + .Select(x => x.Answer).FirstOrDefaultAsync()) ?? string.Empty; + + TargetAssessment result = TargetAssessment.SD; + //if（基线没有靶病灶） + if (!resultData.ExistsTargetLesion) + { + // 靶病灶疗效为 ND + result = TargetAssessment.ND; + } + else + { + //初始化靶病灶疗效为 SD + result = TargetAssessment.SD; + + //if (与基线期SOD相比减小≥30 %） + if (resultData.SODPercentBigger30) + { + //靶病灶疗效为 PR + result = TargetAssessment.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且淋巴结非靶病灶全部消失) + if (resultData.SumOfDiameter == 0 && resultData.DiameterLessThan10 && resultData.NonTargetStateIsLoss) + { + //靶病灶疗效为 CR + result = TargetAssessment.CR; + } + // if （有被评估为NE的单个靶病灶） + if (resultData.ExixtsNETargetLesion) + { + // 靶病灶疗效为 NE + result = TargetAssessment.NE; + } + //if (最低点SOD > 0) + if (resultData.LowSod > 0) + { + // if（比整体访视期间最低点SOD增加≥20 % 且与整个访视期间最低点相比增加的值≥5 mm） + if (resultData.LowSODPercentBigger20 && resultData.LowSODChangeBigger5) + { + // 靶病灶疗效为 PD + result = TargetAssessment.PD; + } + } + else + { + //进入该分支最低点SOD=0 + // if (当前访视SOD > 0 且与整个访视期间最低点相比增加的值≥5 mm) + if (resultData.PresentSod > 0 && resultData.LowSODChangeBigger5) + { + // 靶病灶疗效为PD + result = TargetAssessment.PD; + } + } + //if（上次访视点评估是CR） + if (resultData.LastTargetLesionEvaluate.EqEnum(TargetAssessment.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) + // 换句话说 就是 短径≥10 的病灶 和 短径增加值≥5的病灶 的交集数量大于0 + if (resultData.ShortBigger10Indexs.Intersect(resultData.AddFiveIndexs).ToList().Count() > 0) + { + //靶病灶疗效为 PD + result = TargetAssessment.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。) + if (resultData.CurrentMajoreBigger0) + { + //靶病灶疗效为 PD + result = TargetAssessment.PD; + } + } + + + + #region 之前的逻辑 备注 + //if (resultData.LastTargetLesionEvaluate.EqEnum(TargetAssessment.CR)) + //{ + // if (resultData.ExixtsNETargetLesion) + // { + // result = TargetAssessment.NE; + // } + // if (resultData.CurrenShortBigger10 && resultData.IsAddFive) + // { + // result = TargetAssessment.PD; + // } + // if (resultData.CurrentMajoreBigger0) + // { + // result = TargetAssessment.PD; + // } + //} + + //else + //{ + // if (resultData.LowSod != 0 && resultData.LowPercentBigger20 && resultData.LowChangeBigger5) + // { + // 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 && resultData.NonTargetStateIsLoss) + // { + // result = TargetAssessment.CR; + // } + // } + // } + // } + + + //} + #endregion + + + } + + return result.GetEnumInt(); + } + #endregion + + #region 获取非靶病灶评估 + + /// + /// 获取非靶病灶评估 + /// + /// + /// + public async Task GetNoTargetLesionEvaluate(ReadingCalculateDto inDto) + { + + NoTargetAssessment result = NoTargetAssessment.NN; + + if (inDto.IsBaseLine) + { + return NoTargetAssessment.NA.GetEnumInt(); + } + + var tableRows = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.NonTargetLesions).SelectMany(x => x.TableRowInfoList).ToList(); + + var tableQuestions = tableRows.SelectMany(x => x.TableQuestionList).ToList(); + + //任意单个病灶 / 病灶组评估为“显著增大” + if (tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NoTargetState.Increase))) + { + result = NoTargetAssessment.PD; + } + // 任意单个病灶/病灶组评估为“无法评估”并且没有“显著增大” + else if (tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NoTargetState.UnableEvaluate)) && + !tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NoTargetState.Increase)) + ) + { + result = NoTargetAssessment.NE; + } + // 所有单个病灶/病灶组评估为”存在”或者有些评估为“消失”有些评估为“存在”,且没有“显著增大”和“无法评估”的病灶 + else if (tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NoTargetState.Exist)) + && !tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && (x.Answer.EqEnum(NoTargetState.Increase) || x.Answer.EqEnum(NoTargetState.UnableEvaluate))) + + ) + { + result = NoTargetAssessment.NN; + } + //所有单个病灶/病灶组状态评估状态为“消失” + else if (tableQuestions.Count(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NoTargetState.Loss)) == tableQuestions.Count(x => x.QuestionMark == QuestionMark.State) && tableQuestions.Count(x => x.QuestionMark == QuestionMark.State) > 0) + { + result = NoTargetAssessment.CR; + } + + // 基线时没有非靶病灶 + else if (tableQuestions.Count() == 0) + { + result = NoTargetAssessment.ND; + } + else + { + return string.Empty; + } + + return result.GetEnumInt(); + + } + + #endregion + + #region 获取新病灶评估 + /// + /// 获取新病灶评估 + /// + /// + /// + public async Task GetNewLesionEvaluate(ReadingCalculateDto inDto) + { + + NewLesionAssessment result = NewLesionAssessment.No; + if (inDto.IsBaseLine) + { + return NewLesionAssessment.NA.GetEnumInt(); + } + + var tableRows = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.NewLesions).SelectMany(x => x.TableRowInfoList).ToList(); + + var tableQuestions = tableRows.SelectMany(x => x.TableQuestionList).ToList(); + + + + // 当前访视存在至少一个明确新病灶 + if (tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NewLesionState.Exist))) + { + result = NewLesionAssessment.Yes; + } + //只要有任何一个新病灶状态为“无法评估” + else if (tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NewLesionState.UnableEvaluate))) + { + result = NewLesionAssessment.NE; + } + //当前访视不存在明确新病灶且存在至少一个疑似新病灶 + else if (!tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NewLesionState.Exist)) && + tableQuestions.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NewLesionState.Suspected)) + ) + { + result = NewLesionAssessment.Suspected; + } + + + else + { + result = NewLesionAssessment.No; + } + return result.GetEnumInt(); + + } + #endregion + + #endregion + + } + +}