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Uat_Study
he 2023-05-26 11:25:58 +08:00
parent 33c55db206
commit 5f1a25c2ec
3 changed files with 88 additions and 29 deletions
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15
IRaCIS.Core.Application/Service/ReadingCalculate/Dto/CriterionCalculateDto.cs
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@ -105,6 +105,11 @@ namespace IRaCIS.Core.Application.ViewModel
/// </summary> /// </summary>
public bool BaseLineLessThan30 { get; set; } public bool BaseLineLessThan30 { get; set; }
/// <summary>
/// 非靶病灶中淋巴结病灶全部消失
/// </summary>
public bool NoTargetLymphLoss { get; set; }
} }
/// <summary> /// <summary>
@ -187,6 +192,16 @@ namespace IRaCIS.Core.Application.ViewModel
/// 至少有一个新靶病无法评估 /// 至少有一个新靶病无法评估
/// </summary> /// </summary>
public bool ExixtsUnevaluableState { get; set; } public bool ExixtsUnevaluableState { get; set; }
/// <summary>
/// 当有“存在”状态的淋巴结新靶病灶
/// </summary>
public bool ExixtsLymphTarget { get; set; }
/// <summary>
/// 当有“存在”或“太小”状态的非淋巴结新靶病灶
/// </summary>
public bool ExixtsOrLessNoLymphTarget{ get; set; }
} }
/// <summary> /// <summary>

93
IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
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@ -487,11 +487,11 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
// 与前一访视SOD相比变化量 // 与前一访视SOD相比变化量
new ReadingCalculateData (){QuestionType=QuestionType.LastVisitSODChange,GetDecimalNullFun=GetLastTaskSODChange,IsConvertedTask=true}, new ReadingCalculateData (){QuestionType=QuestionType.LastVisitSODChange,GetDecimalNullFun=GetLastTaskSODChange,IsConvertedTask=true},
//新靶病灶直径之和（iSOD） // 新靶病灶直径之和（iSOD）
new ReadingCalculateData (){QuestionType=QuestionType.ISOD,GetDecimalNullFun=GetiSODData,IsConvertedTask=true}, new ReadingCalculateData (){QuestionType=QuestionType.ISOD,GetDecimalNullFun=GetiSODData,IsConvertedTask=true},
// 与前一访视相比iSOD变化量 // 与触发iRECIST访视相比iSOD变化量
new ReadingCalculateData (){QuestionType=QuestionType.LastVisitiSODChange,GetDecimalNullFun=GetISODChange,IsConvertedTask=true}, new ReadingCalculateData (){QuestionType=QuestionType.ComparedTriggeringiSODChange,GetDecimalNullFun=GetComparedTriggeringiSODChange,IsConvertedTask=true},
// 靶病灶评估 // 靶病灶评估
new ReadingCalculateData (){QuestionType=QuestionType.TargetLesion,GetStringFun=GetTargetLesionEvaluate,IsConvertedTask=false}, new ReadingCalculateData (){QuestionType=QuestionType.TargetLesion,GetStringFun=GetTargetLesionEvaluate,IsConvertedTask=false},
@ -578,7 +578,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
List<QuestionType> questionTypes = new List<QuestionType>() List<QuestionType> questionTypes = new List<QuestionType>()
{ {
QuestionType.ISOD, QuestionType.ISOD,
QuestionType.LastVisitiSODChange, QuestionType.ComparedTriggeringiSODChange,
QuestionType.TargetLesion, QuestionType.TargetLesion,
QuestionType.NoTargetLesion, QuestionType.NoTargetLesion,
QuestionType.NewLesions, QuestionType.NewLesions,
@ -1388,18 +1388,19 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
} }
#endregion #endregion
#region 与前一访视相比iSOD变化量 #region 与触发iRECIST访视相比iSOD变化量
/// <summary> /// <summary>
/// 与前一访视相比iSOD变化量 /// 与触发iRECIST访视相比iSOD变化量
/// </summary> /// </summary>
/// <param name="inDto"></param> /// <param name="inDto"></param>
/// <returns></returns> /// <returns></returns>
public async Task<decimal?> GetISODChange(ReadingCalculateDto inDto) public async Task<decimal?> GetComparedTriggeringiSODChange(ReadingCalculateDto inDto)
{ {
var lastTaskId = await this.GetLastVisitTaskId(inDto); var firstChangeTaskId = await GetFirstChangeTaskId(inDto);
var lastiSOD = (await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == lastTaskId && x.ReadingQuestionTrial.QuestionType == QuestionType.ISOD).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
var firstChangeiSOD = (await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == firstChangeTaskId && x.ReadingQuestionTrial.QuestionType == QuestionType.ISOD).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
var value = await GetiSODData(inDto); var value = await GetiSODData(inDto);
@ -1407,7 +1408,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
{ {
return null; return null;
} }
return value.NullChange0() - lastiSOD; return value.NullChange0() - firstChangeiSOD;
} }
#endregion #endregion
@ -1702,10 +1703,10 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
/// { /// {
/// 靶病灶疗效为 NE /// 靶病灶疗效为 NE
/// } /// }
/// else if (所有非淋巴结靶病灶消失，径线总和为0 mm && 所有淋巴结靶病灶的短径缩小到 < 10 mm) /// else if (所有非淋巴结靶病灶消失，径线总和为0 mm && 所有淋巴结靶病灶的短径缩小到 < 10 mm && 非靶病灶中淋巴结病灶全部消失)
/// { /// {
/// 靶病灶疗效为 iCR /// 靶病灶疗效为 iCR
/// } else if (与基线期SOD相比减小≥30 %) /// } else if (与基线期SOD相比减小≥30 %||(所有非淋巴结靶病灶消失，径线总和为0 mm && 所有淋巴结靶病灶的短径缩小到 < 10 mm&&非靶病灶中有淋巴结病灶为非消失))
/// { /// {
/// 靶病灶疗效为 iPR /// 靶病灶疗效为 iPR
/// } /// }
@ -1721,7 +1722,6 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
var tableQuestion = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).SelectMany(x => x.TableRowInfoList).ToList(); var tableQuestion = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).SelectMany(x => x.TableRowInfoList).ToList();
var lastVisitTaskId = await GetLastVisitTaskId(inDto); var lastVisitTaskId = await GetLastVisitTaskId(inDto);
var firstChangeTaskId = await GetFirstChangeTaskId(inDto);
var targetLesionQuestionId = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.TargetLesion).Select(x => x.QuestionId).FirstOrDefault(); var targetLesionQuestionId = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.TargetLesion).Select(x => x.QuestionId).FirstOrDefault();
var sodQuestionId = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SOD).Select(x => x.QuestionId).FirstOrDefault(); var sodQuestionId = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SOD).Select(x => x.QuestionId).FirstOrDefault();
@ -1738,8 +1738,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
MeetRECISTPD = (await GetTargetLesionEvaluate(inDto)) == TargetAssessment.PD.GetEnumInt(), MeetRECISTPD = (await GetTargetLesionEvaluate(inDto)) == TargetAssessment.PD.GetEnumInt(),
// 本次访视SOD与触发iRECIST访视相比本次访视SOD增加不小于5mm // 本次访视SOD与触发iRECIST访视相比本次访视SOD增加不小于5mm
SODTiggerAddGreaterThan5 = firstChangeTaskId==inDto.VisitTaskId ? false : await GetSODData(inDto) - (await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == firstChangeTaskId && x.ReadingQuestionTrialId == sodQuestionId) SODTiggerAddGreaterThan5 = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.ComparedTriggeringiSODChange).Sum(x => x.Answer.IsNullOrEmptyReturn0()) >= 5,
.Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0() >= 5,
//比整体访视期间最低点SOD增加≥20 % //比整体访视期间最低点SOD增加≥20 %
LowSodAddGreaterThan20Percent = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.LowPercent).Sum(x => x.Answer.IsNullOrEmptyReturn0()) >= 20, LowSodAddGreaterThan20Percent = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.LowPercent).Sum(x => x.Answer.IsNullOrEmptyReturn0()) >= 20,
@ -1761,8 +1760,22 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
// 与基线期SOD相比减小≥30 % // 与基线期SOD相比减小≥30 %
BaseLineLessThan30 = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SODPercent).Sum(x => x.Answer.IsNullOrEmptyReturn0()) <= -30, BaseLineLessThan30 = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SODPercent).Sum(x => x.Answer.IsNullOrEmptyReturn0()) <= -30,
//非靶病灶中淋巴结病灶全部消失
NoTargetLymphLoss = true,
}; };
var noTargetTableQuestion = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.NonTargetLesions).SelectMany(x => x.TableRowInfoList).ToList();
foreach (var item in noTargetTableQuestion)
{
if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(YesOrNoOrNa.Yes)))
{
resultData.NoTargetLymphLoss = resultData.NoTargetLymphLoss && item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.State).Select(x => x.Answer).FirstOrDefault() == NoTargetState.Loss.GetEnumInt();
}
}
foreach (var item in tableQuestion) foreach (var item in tableQuestion)
{ {
@ -1811,14 +1824,14 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
// 靶病灶疗效为 NE // 靶病灶疗效为 NE
result = TargetAssessment.NE; result = TargetAssessment.NE;
} }
// else if (所有非淋巴结靶病灶消失，径线总和为0 mm && 所有淋巴结靶病灶的短径缩小到 < 10 mm) // else if (所有非淋巴结靶病灶消失，径线总和为0 mm && 所有淋巴结靶病灶的短径缩小到 < 10 mm && 非靶病灶中淋巴结病灶全部消失)
else if(resultData.AllLesionVanish&&resultData.AllMinorAxisLessThan10) else if (resultData.AllLesionVanish&&resultData.AllMinorAxisLessThan10&& resultData.NoTargetLymphLoss)
{ {
// 靶病灶疗效为 iCR // 靶病灶疗效为 iCR
result = TargetAssessment.iCR; result = TargetAssessment.iCR;
} }
// else if (与基线期SOD相比减小≥30 %) // else if (与基线期SOD相比减小≥30 %||(所有非淋巴结靶病灶消失，径线总和为0 mm && 所有淋巴结靶病灶的短径缩小到 < 10 mm&&非靶病灶中有淋巴结病灶为非消失))
else if(resultData.BaseLineLessThan30) else if (resultData.BaseLineLessThan30||(resultData.AllLesionVanish && resultData.AllMinorAxisLessThan10 && !resultData.NoTargetLymphLoss))
{ {
// 靶病灶疗效为 iPR // 靶病灶疗效为 iPR
result = TargetAssessment.iPR; result = TargetAssessment.iPR;
@ -1982,11 +1995,11 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
/// { /// {
/// 疗效为 iCPD /// 疗效为 iCPD
/// } /// }
/// else if (上一访视新靶病灶评估为“iCPD”&& 有"存在"状态的新靶病灶) /// else if (上一访视新靶病灶评估为“iCPD”&& （当有“存在”状态的淋巴结新靶病灶||当有“存在”或“太小”状态的非淋巴结新靶病灶）)
/// { /// {
/// 疗效为 iCPD /// 疗效为 iCPD
/// } /// }
/// else if (有存在状态的新靶病灶时评估为该结果) /// else if (当有“存在”状态的淋巴结新靶病灶||当有“存在”或“太小”状态的非淋巴结新靶病灶)
/// { /// {
/// 疗效为 iUPD /// 疗效为 iUPD
/// } /// }
@ -2029,15 +2042,41 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
// 至少有一个新靶病无法评估 // 至少有一个新靶病无法评估
ExixtsUnevaluableState = tableQuestion.SelectMany(x => x.TableQuestionList).Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NewTargetLesionState.NotEvaluable)), ExixtsUnevaluableState = tableQuestion.SelectMany(x => x.TableQuestionList).Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NewTargetLesionState.NotEvaluable)),
// 当有“存在”状态的淋巴结新靶病灶
ExixtsLymphTarget = false,
// 当有“存在”或“太小”状态的非淋巴结新靶病灶
ExixtsOrLessNoLymphTarget = false,
}; };
foreach (var item in tableQuestion) foreach (var item in tableQuestion)
{ {
data.AllVanish = data.AllVanish && item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NewTargetLesionState.Loss)); data.AllVanish = data.AllVanish && item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NewTargetLesionState.Loss));
data.ExixtsLymphTarget = data.ExixtsLymphTarget ||
(
item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NewTargetLesionState.Exist)) &&
item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(YesOrNoOrNa.Yes))
);
data.ExixtsOrLessNoLymphTarget = data.ExixtsLymphTarget ||
(
(
item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NewTargetLesionState.Exist))
|| item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NewTargetLesionState.TooSmall))
)
&&
item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && !x.Answer.EqEnum(YesOrNoOrNa.Yes))
);
} }
NewTargetLesionAssessment result = NewTargetLesionAssessment.ND; NewTargetLesionAssessment? result = null;
// if（所有新靶病灶消失或一直不存在任何新靶病灶） // if（所有新靶病灶消失或一直不存在任何新靶病灶）
if(data.NotExistsNewTargetLesion||data.AllVanish) if(data.NotExistsNewTargetLesion||data.AllVanish)
@ -2051,14 +2090,14 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
// 疗效为 iCPD // 疗效为 iCPD
result = NewTargetLesionAssessment.iCPD; result = NewTargetLesionAssessment.iCPD;
} }
// else if (上一访视新靶病灶评估为“iCPD”&& 有"存在"状态的新靶病灶) // else if (上一访视新靶病灶评估为“iCPD”&& （当有“存在”状态的淋巴结新靶病灶||当有“存在”或“太小”状态的非淋巴结新靶病灶）)
else if (data.LastTaskNewTargetLesion.EqEnum(NewTargetLesionAssessment.iCPD) && data.HaveExixtsState) else if (data.LastTaskNewTargetLesion.EqEnum(NewTargetLesionAssessment.iCPD) && data.ExixtsLymphTarget && data.ExixtsOrLessNoLymphTarget)
{ {
// 疗效为 iCPD // 疗效为 iCPD
result = NewTargetLesionAssessment.iCPD; result = NewTargetLesionAssessment.iCPD;
} }
// else if (有存在状态的新靶病灶时评估为该结果) // else if (当有“存在”状态的淋巴结新靶病灶||当有“存在”或“太小”状态的非淋巴结新靶病灶)
else if ( data.HaveExixtsState) else if ( data.HaveExixtsState||data.ExixtsOrLessNoLymphTarget)
{ {
// 疗效为 iUPD // 疗效为 iUPD
result = NewTargetLesionAssessment.iUPD; result = NewTargetLesionAssessment.iUPD;
@ -2070,7 +2109,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
result = NewTargetLesionAssessment.NE; result = NewTargetLesionAssessment.NE;
} }
return result.GetEnumInt(); return result==null?string.Empty: result.Value.GetEnumInt();
} }
#endregion #endregion

9
IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
View File

@ -1246,6 +1246,11 @@ namespace IRaCIS.Core.Domain.Share
/// 无法评估 /// 无法评估
/// </summary> /// </summary>
NotEvaluable=3, NotEvaluable=3,
/// <summary>
/// 太小
/// </summary>
TooSmall=4,
} }
/// <summary> /// <summary>
@ -1469,9 +1474,9 @@ namespace IRaCIS.Core.Domain.Share
ISOD = 24, ISOD = 24,
/// <summary> /// <summary>
/// 与前一访视相比iSOD变化量 /// 与触发iRECIST访视相比iSOD变化量 Compared with triggering iRECIST visit
/// </summary> /// </summary>
LastVisitiSODChange = 25, ComparedTriggeringiSODChange = 25,
/// <summary> /// <summary>
/// 新靶病灶评估 /// 新靶病灶评估