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修改

Uat_Study
he 2023-03-06 11:27:43 +08:00
parent c4c237f131
commit d6a7e8dc62
3 changed files with 164 additions and 82 deletions
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5
IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs
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@ -24,6 +24,11 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
/// </summary> /// </summary>
public decimal LowSod { get; set; } public decimal LowSod { get; set; }
/// <summary>
/// 当前SOD
/// </summary>
public decimal PresentSod { get; set; }
/// <summary> /// <summary>
/// 是否存在靶病灶 (当前访视 至少一个靶病灶的状态为存在) /// 是否存在靶病灶 (当前访视 至少一个靶病灶的状态为存在)
/// </summary> /// </summary>

2
IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
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@ -1977,6 +1977,8 @@ namespace IRaCIS.Application.Services
task.IsNeedReadClinicalData = clinicalDataList.Where(x => x.ClinicalDataLevel != ClinicalLevel.Subject).Count() > 0; 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.DigitPlaces = criterionInfo.DigitPlaces;
task.CriterionType = criterionInfo.CriterionType; task.CriterionType = criterionInfo.CriterionType;
task.IseCRFShowInDicomReading = criterionInfo.IseCRFShowInDicomReading; task.IseCRFShowInDicomReading = criterionInfo.IseCRFShowInDicomReading;

209
IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
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@ -1377,52 +1377,61 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
/// </summary> /// </summary>
/// <param name="inDto"></param> /// <param name="inDto"></param>
/// <remarks> /// <remarks>
/// 靶病灶疗效评估算法： /// 靶病灶疗效评估算法-20230306确认版本：
///if（没有靶病灶） ///if（基线没有靶病灶）
///{ ///{
/// 靶病灶疗效为 ND /// 靶病灶疗效为 ND
///}else ///}else
///{ ///{
/// 初始化靶病灶疗效为 SD /// 初始化靶病灶疗效为 SD
///If（上次访视点评估是CR） ///
/// if (与基线期SOD相比减小≥30 %）
/// { /// {
///修改靶病灶疗效为 CR /// 靶病灶疗效为 PR
///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) ///
///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 PD /// 靶病灶疗效为 CR
///
/// } /// }
///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）
///{
/// 靶病灶疗效为 PD
///}else
/// {
///if （有被评估为NE的单个靶病灶） ///if （有被评估为NE的单个靶病灶）
/// { /// {
/// 靶病灶疗效为 NE /// 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) ///if (最低点SOD > 0)
///{ ///{
/// 靶病灶疗效为 CR /// 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
///
/// } /// }
///} ///}
///} ///}
@ -1438,12 +1447,15 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
TargetLesionCalculateDto resultData = new TargetLesionCalculateDto() 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) // 是否存在靶病灶
ExistsTargetLesion=false, ExistsTargetLesion = tableQuestion.Count() > 0,
// 最低SOD // 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 //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()), 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) 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))) if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(YesOrNoOrNa.Yes)))
{ {
// 淋巴结的短径 // 淋巴结的短径
@ -1533,59 +1542,125 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
.Select(x => x.Answer).FirstOrDefaultAsync()) ?? string.Empty; .Select(x => x.Answer).FirstOrDefaultAsync()) ?? string.Empty;
TargetAssessment result = TargetAssessment.SD; TargetAssessment result = TargetAssessment.SD;
//if（基线没有靶病灶）
if (!resultData.ExistsTargetLesion) if (!resultData.ExistsTargetLesion)
{ {
// 靶病灶疗效为 ND
result = TargetAssessment.ND; result = TargetAssessment.ND;
} }
else else
{ {
if (resultData.LastTargetLesionEvaluate.EqEnum(TargetAssessment.CR)) //初始化靶病灶疗效为 SD
{ result = TargetAssessment.SD;
if (resultData.ExixtsNETargetLesion)
{
result = TargetAssessment.NE;
}
if (resultData.CurrenShortBigger10 && resultData.IsAddFive)
{
result = TargetAssessment.PD;
}
if (resultData.CurrentMajoreBigger0)
{
result = TargetAssessment.PD;
}
}
else //if (与基线期SOD相比减小≥30 %）
{
if (resultData.LowSod != 0 && resultData.LowPercentBigger20 && resultData.LowChangeBigger5)
{
result = TargetAssessment.PD;
}
else
{
if (resultData.ExixtsNETargetLesion)
{
result = TargetAssessment.NE;
}
else
{
if (resultData.SODPercentBigger30) if (resultData.SODPercentBigger30)
{ {
if (resultData.LowPercentLess20 || resultData.LowChangeLess5) //靶病灶疗效为 PR
{
result = TargetAssessment.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) if (resultData.SumOfDiameter == 0 && resultData.DiameterLessThan10 && resultData.NonTargetStateIsLoss)
{ {
//靶病灶疗效为 CR
result = TargetAssessment.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
{
//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;
}
}
//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(); return result.GetEnumInt();