From d6a7e8dc6273537a64d3d002dd1880f6b0aad6c4 Mon Sep 17 00:00:00 2001 From: he <10978375@qq.com> Date: Mon, 6 Mar 2023 11:27:43 +0800 Subject: [PATCH] =?UTF-8?q?=E4=BF=AE=E6=94=B9?= MIME-Version: 1.0 Content-Type: text/plain; charset=UTF-8 Content-Transfer-Encoding: 8bit --- .../Reading/Dto/ReadingCalculateViewModel.cs | 5 + .../ReadingImageTaskService.cs | 2 + .../RECIST1Point1CalculateService.cs | 239 ++++++++++++------ 3 files changed, 164 insertions(+), 82 deletions(-) diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs index 1d18eaa1a..4fab6332f 100644 --- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs +++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs @@ -24,6 +24,11 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto /// public decimal LowSod { get; set; } + /// + /// 当前SOD + /// + public decimal PresentSod { get; set; } + /// /// 是否存在靶病灶 (当前访视 至少一个靶病灶的状态为存在) /// diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs index c3dd14ba5..e2e65f24b 100644 --- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs +++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs @@ -1977,6 +1977,8 @@ namespace IRaCIS.Application.Services task.IsNeedReadClinicalData = clinicalDataList.Where(x => x.ClinicalDataLevel != ClinicalLevel.Subject).Count() > 0; } + // 如果已经签名 就不需要再读了 + task.IsNeedReadClinicalData = visitTaskInfo.ReadingTaskState == ReadingTaskState.HaveSigned ? false : task.IsNeedReadClinicalData; task.DigitPlaces = criterionInfo.DigitPlaces; task.CriterionType = criterionInfo.CriterionType; task.IseCRFShowInDicomReading = criterionInfo.IseCRFShowInDicomReading; diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs index d6be526cf..d7fdd40b4 100644 --- a/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs +++ b/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs @@ -1377,54 +1377,63 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate /// /// /// - /// 靶病灶疗效评估算法： - ///if（没有靶病灶） + /// 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 + /// 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） - ///{ - ///修改靶病灶疗效为 CR - ///If （有被评估为NE的单个靶病灶） - ///{ - ///靶病灶疗效为 NE - ///} - ///If(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（最低点SOD不为0，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（mm）≥5 mm） + /// 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 - /// { - /// if （有被评估为NE的单个靶病灶） + /// + /// } + ///} + ///else ///{ - /// 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 + /// //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 (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 - ///} - /// } + ///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 + /// + /// } + ///} ///} /// /// @@ -1435,14 +1444,17 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate { return TargetAssessment.NA.GetEnumInt(); } - + TargetLesionCalculateDto resultData = new TargetLesionCalculateDto() { - // 是否存在靶病灶 (当前访视 至少一个靶病灶的状态为存在) - ExistsTargetLesion=false, + // 是否存在靶病灶 + ExistsTargetLesion = tableQuestion.Count() > 0, // 最低SOD - LowSod=(await GetLowSODVisit(inDto)).Select(x=>x.SOD).FirstOrDefault(), + 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()), @@ -1506,9 +1518,6 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate foreach (var item in tableQuestion) { - // 是否存在靶病灶 (当前访视 至少一个靶病灶的状态为存在) - resultData.ExistsTargetLesion = resultData.ExistsTargetLesion || item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.State).Select(x => x.Answer).FirstOrDefault() == NoTargetState.Exist.GetEnumInt(); - if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(YesOrNoOrNa.Yes))) { // 淋巴结的短径 @@ -1533,59 +1542,125 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate .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 { - if (resultData.LastTargetLesionEvaluate.EqEnum(TargetAssessment.CR)) + //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) { - if (resultData.ExixtsNETargetLesion) - { - result = TargetAssessment.NE; - } - if (resultData.CurrenShortBigger10 && resultData.IsAddFive) - { - result = TargetAssessment.PD; - } - if (resultData.CurrentMajoreBigger0) + //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.LowPercentBigger20 && resultData.LowChangeBigger5) { + // 靶病灶疗效为 PD result = TargetAssessment.PD; } } - else { - if (resultData.LowSod != 0 && resultData.LowPercentBigger20 && resultData.LowChangeBigger5) + //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.LowChangeBigger5) { + // 靶病灶疗效为PD 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; - } - } - } - } - - } + //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) + if (resultData.CurrenShortBigger10 && resultData.IsAddFive) + { + //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();