下载影像维护处理

IRC.Core.SCP/IRC.Core.SCP.csproj

@@ -19,7 +19,7 @@
 	  <PackageReference Include="fo-dicom.Imaging.ImageSharp" Version="5.2.1" />
 	  <PackageReference Include="Microsoft.AspNetCore.Mvc.NewtonsoftJson" Version="8.0.10" />
 	  <PackageReference Include="AutoMapper" Version="13.0.1" />
-	  <PackageReference Include="Minio" Version="6.0.4" />
+	  <PackageReference Include="Minio" Version="6.0.3" />
 	  <PackageReference Include="My.Extensions.Localization.Json" Version="3.3.0">
 		  <TreatAsUsed>true</TreatAsUsed>
 	  </PackageReference>

IRaCIS.Core.Application/IRaCIS.Core.Application.csproj

@@ -53,7 +53,7 @@
 		<PackageReference Include="Microsoft.AspNetCore.OpenApi" Version="8.0.10" />
 		<PackageReference Include="MimeKit" Version="4.11.0" />
 		<PackageReference Include="MiniExcel" Version="1.41.2" />
-		<PackageReference Include="Minio" Version="6.0.5" />
+		<PackageReference Include="Minio" Version="6.0.3" />
 		<PackageReference Include="MiniWord" Version="0.9.2" />
 		<PackageReference Include="Serilog.AspNetCore" Version="9.0.0" />
 		<PackageReference Include="My.Extensions.Localization.Json" Version="3.3.0">

IRaCIS.Core.Application/IRaCIS.Core.Application.xml

@@ -1118,6 +1118,14 @@
             <param name="trialId"></param>
             <returns></returns>
         </member>
+        <!-- Badly formed XML comment ignored for member "M:IRaCIS.Core.Application.Service.TrialImageDownloadService.TrialImageAddExtralField(System.Guid,IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.DicomInstance},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.DicomStudy},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.DicomSeries})" -->
+        <member name="M:IRaCIS.Core.Application.Service.TrialImageDownloadService.DownloadDeleteTrialImage(System.Guid)">
+            <summary>
+            下载已经删除的影像
+            </summary>
+            <param name="trialId"></param>
+            <returns></returns>
+        </member>
         <member name="T:IRaCIS.Core.Application.Service.AttachmentService">
             <summary>
             医生文档关联关系维护

IRaCIS.Core.Application/Service/Common/TrialImageDownloadService.cs

@@ -1,22 +1,30 @@
 using DocumentFormat.OpenXml.EMMA;
+using DocumentFormat.OpenXml.Office2010.Excel;
+using DocumentFormat.OpenXml.Office2013.Drawing.ChartStyle;
 using FellowOakDicom;
 using FellowOakDicom.Imaging;
 using FellowOakDicom.Imaging.Render;
 using FellowOakDicom.IO.Buffer;
 using IRaCIS.Core.Application.Helper;
+using IRaCIS.Core.Application.ViewModel;
+using IRaCIS.Core.Domain.Models;
 using MassTransit;
 using Microsoft.AspNetCore.Authorization;
 using Microsoft.AspNetCore.Hosting;
 using Microsoft.AspNetCore.Mvc;
+using MiniExcelLibs;
 using SharpCompress.Common;
 using System;
 using System.Collections.Generic;
+using System.Data;
+using System.Diagnostics;
 using System.Linq;
 using System.Text;
 using System.Text.RegularExpressions;
 using System.Threading.Tasks;
 using System.Web;
 using static IRaCIS.Core.Domain.Share.StaticData;
+using static Microsoft.EntityFrameworkCore.DbLoggerCategory;
 
 namespace IRaCIS.Core.Application.Service
 {
@@ -243,7 +251,8 @@ namespace IRaCIS.Core.Application.Service
         /// <returns></returns>
         [HttpGet]
         [AllowAnonymous]
-        public async Task<IResponseOutput> DownloadAndUploadTrialData(Guid trialId, [FromServices] IRepository<DicomInstance> _instanceRepository,
+        public async Task<IResponseOutput> DownloadAndUploadTrialData(Guid trialId,
+            [FromServices] IRepository<DicomInstance> _instanceRepository,
             [FromServices] IRepository<DicomStudy> _studyRepository,
             [FromServices] IRepository<DicomSeries> _seriesRepository)
         {
@@ -334,6 +343,609 @@ namespace IRaCIS.Core.Application.Service
             return ResponseOutput.Ok();
         }
 
+
+        /// <summary>
+        /// 维护dir 需求新增的字段
+
+        /// </summary>
+        /// <param name="trialId"></param>
+        /// <param name="_instanceRepository"></param>
+        /// <param name="_studyRepository"></param>
+        /// <param name="_seriesRepository"></param>
+        /// <returns></returns>
+        public async Task<IResponseOutput> TrialImageAddExtralField(Guid trialId,
+                        [FromServices] IRepository<DicomInstance> _instanceRepository,
+             [FromServices] IRepository<DicomStudy> _studyRepository,
+             [FromServices] IRepository<DicomSeries> _seriesRepository)
+        {
+            //            UPDATE DicomStudy
+            //SET DicomStudyDate = CONVERT(char(8), StudyTime, 112),                --yyyyMMdd
+            //    DicomStudyTime = REPLACE(CONVERT(char(8), StudyTime, 108), ':', ''); --HHmmss
+            //                where DicomStudyDate = ''
+
+
+            //instance 找到传输语法为空的，然后分组
+            var seriesList = _instanceRepository.Where(t => t.TrialId == trialId && t.TransferSytaxUID == "")
+                //按照序列 和  NumberOfFrames 分组
+                .GroupBy(t => new { t.NumberOfFrames, t.SeriesId })
+                // 每个分组 取数据最小的一条
+                .Select(g => new { g.Key.SeriesId, g.Key.NumberOfFrames, g.OrderBy(t => t.FileSize).First().Path }).ToList();
+
+            foreach (var item in seriesList)
+            {
+                var stream = await _oSSService.GetStreamFromOSSAsync(item.Path);
+
+                var dicomFile = DicomFile.Open(stream);
+
+                var pixelData = DicomPixelData.Create(dicomFile.Dataset);
+
+                //获取像素是否为封装形式
+                var syntax = dicomFile.Dataset.InternalTransferSyntax;
+
+                //读取需要维护的值
+                var transferSyntaxUID = dicomFile.FileMetaInfo.GetSingleValueOrDefault(DicomTag.TransferSyntaxUID, string.Empty);
+                var mediaStorageSOPClassUID = dicomFile.FileMetaInfo.GetSingleValueOrDefault(DicomTag.MediaStorageSOPClassUID, string.Empty);
+                var mediaStorageSOPInstanceUID = dicomFile.FileMetaInfo.GetSingleValueOrDefault(DicomTag.MediaStorageSOPInstanceUID, string.Empty);
+                var sOPClassUID = dicomFile.Dataset.GetSingleValueOrDefault(DicomTag.SOPClassUID, string.Empty);
+
+                //维护序列层级四个字段   后再用sql 维护study series 时间拆分 和 MediaStorageSOPInstanceUID
+                await _instanceRepository.BatchUpdateNoTrackingAsync(t => t.SeriesId == item.SeriesId, t => new DicomInstance()
+                {
+                    IsEncapsulated = syntax.IsEncapsulated,
+                    TransferSytaxUID = transferSyntaxUID,
+                    MediaStorageSOPClassUID = mediaStorageSOPClassUID,
+                    SOPClassUID = sOPClassUID,
+                });
+
+            }
+
+            return ResponseOutput.Ok();
+
+        }
+
+
+        /// <summary>
+        /// 下载已经删除的影像
+        /// </summary>
+        /// <param name="trialId"></param>
+        /// <returns></returns>
+        [HttpPost]
+        [AllowAnonymous]
+        public async Task<IResponseOutput> DownloadDeleteTrialImage(Guid trialId)
+        {
+            trialId = Guid.Parse("01000000-ac13-0242-6397-08dcd2d2a091");
+
+            var downloadInfo = _trialRepository.Where(t => t.Id == trialId, ignoreQueryFilters: true).Select(t => new
+            {
+                t.ResearchProgramNo,
+
+                VisitList = t.SubjectVisitList
+                .Select(sv => new
+                {
+                    TrialSiteCode = sv.TrialSite.TrialSiteCode,
+                    SubjectCode = sv.Subject.Code,
+                    VisitName = sv.VisitName,
+                    StudyList = sv.StudyList.Select(u => new
+                    {
+                        u.PatientId,
+                        u.StudyTime,
+                        u.StudyCode,
+
+                        SeriesList = u.SeriesList.Select(z => new
+                        {
+                            z.Modality,
+                            z.SeriesNumber,
+
+                            InstancePathList = z.DicomInstanceList.Where(t => t.IsDeleted == true || t.DicomSerie.IsDeleted == true || t.IsReading == false || t.DicomSerie.IsReading == false).Select(k => new
+                            {
+                                k.Path,
+                                k.FileSize
+                            }).ToList()
+                        })
+
+                    }).ToList()
+                }).ToList()
+
+            }).FirstOrDefault();
+
+
+            var filesizes = downloadInfo.VisitList.SelectMany(t => t.StudyList).SelectMany(t => t.SeriesList).SelectMany(t => t.InstancePathList).Sum(t => t.FileSize);
+            var count2 = downloadInfo.VisitList.SelectMany(t => t.StudyList).SelectMany(t => t.SeriesList).SelectMany(t => t.InstancePathList).Count();
+
+            Console.WriteLine($"下载总数量：{count2},总大小{filesizes}");
+
+            if (downloadInfo != null)
+            {
+                var downloadJobs = new List<(string Path, Func<Task> Job)>();
+
+                var rootFolder = @"E:\DownloadImage";
+
+                //var rootFolder = FileStoreHelper.GetDonwnloadImageFolder(_hostEnvironment);
+
+                // 获取无效字符（系统定义的）
+                string invalidChars = new string(Path.GetInvalidFileNameChars()) + new string(Path.GetInvalidPathChars());
+
+                // 用正则表达式替换所有非法字符为下划线或空字符
+                string pattern = $"[{Regex.Escape(invalidChars)}]";
+
+                var regexNo = Regex.Replace(downloadInfo.ResearchProgramNo, pattern, "_");
+
+                // 创建一个临时文件夹来存放文件
+                string trialFolderPath = Path.Combine(rootFolder, $"{regexNo}_{NewId.NextGuid()}");
+                Directory.CreateDirectory(trialFolderPath);
+
+                foreach (var visitItem in downloadInfo.VisitList)
+                {
+                    if (visitItem.StudyList.Count() == 0)
+                    {
+                        continue;
+                    }
+
+                    #region 处理 中心，受试者dicom non-dicom 文件夹层级
+
+                    //var siteFolderPath = Path.Combine(trialFolderPath, visitItem.TrialSiteCode);
+                    //if (!Directory.Exists(siteFolderPath))
+                    //{
+                    //    Directory.CreateDirectory(siteFolderPath);
+                    //}
+
+                    #endregion
+
+
+                    foreach (var studyInfo in visitItem.StudyList)
+                    {
+                        // 遍历 Series
+                        foreach (var seriesInfo in studyInfo.SeriesList)
+                        {
+                            string studyDicomFolderPath = Path.Combine(trialFolderPath, $"{visitItem.SubjectCode}_{visitItem.VisitName}", $"{studyInfo.StudyCode}_{studyInfo.StudyTime?.ToString("yyyy-MM-dd")}", $"{seriesInfo.SeriesNumber}");
+
+                            // 创建 影像 文件夹
+                            Directory.CreateDirectory(studyDicomFolderPath);
+
+                            // 遍历 InstancePathList
+                            foreach (var instanceInfo in seriesInfo.InstancePathList)
+                            {
+                                // 复制文件到相应的文件夹
+                                string destinationPath = Path.Combine(studyDicomFolderPath, Path.GetFileName(instanceInfo.Path));
+
+
+                                //加入到下载任务里
+                                downloadJobs.Add((instanceInfo.Path, () => _oSSService.DownLoadFromOSSAsync(instanceInfo.Path, destinationPath)));
+
+                                //下载到当前目录
+                                //await _oSSService.DownLoadFromOSSAsync(instanceInfo.Path, destinationPath);
+                            }
+                        }
+
+
+                    }
+                }
+
+                #region 异步方式处理
+
+                int totalCount = downloadJobs.Count;
+                int downloadedCount = 0;
+
+                // 在 trialFolderPath 下面放一个失败记录文件
+                string failedLogPath = Path.Combine(trialFolderPath, "failed_downloads.txt");
+
+                // 确保文件存在（如果之前有就清空）
+                File.WriteAllText(failedLogPath, "");
+
+                foreach (var job in downloadJobs)
+                {
+                    try
+                    {
+                        await job.Job();
+                    }
+                    catch (Exception ex)
+                    {
+
+
+                        string errorMessage = $"[{DateTime.Now:yyyy-MM-dd HH:mm:ss}] 下载失败: {job.Path}, 错误: {ex.Message}\r\n";
+
+                        Console.WriteLine(errorMessage);
+
+                        await File.AppendAllTextAsync(failedLogPath, errorMessage);
+                    }
+
+                    downloadedCount++;
+
+                    // 每处理50个，输出一次进度（或最后一个时也输出）
+                    if (downloadedCount % 50 == 0 || downloadedCount == totalCount)
+                    {
+                        Console.WriteLine($"已下载 {downloadedCount} / {totalCount} 个文件，完成 {(downloadedCount * 100.0 / totalCount):F2}%");
+                    }
+                }
+                #endregion
+
+                #region 多线程测试
+
+                //const int batchSize = 15;
+                //int totalCount = downloadJobs.Count;
+                //int downloadedCount = 0;
+
+                //for (int i = 0; i < downloadJobs.Count; i += batchSize)
+                //{
+                //    var batch = downloadJobs.Skip(i).Take(batchSize).Select(job => job());
+
+                //    await Task.WhenAll(batch);
+
+                //    downloadedCount += batch.Count();
+
+                //    Console.WriteLine($"已下载 {downloadedCount} / {totalCount} 个文件，完成 {(downloadedCount * 100.0 / totalCount):F2}%");
+                //}
+                #endregion
+
+            }
+
+            return ResponseOutput.Ok();
+
+
+        }
+
+
+        [AllowAnonymous]
+        public async Task<IResponseOutput> ReadDicomDataWriteDB([FromServices] IRepository<DicomInstance> _instanceRepository)
+        {
+            var testPath = @"E:\WXT001";
+            var path = @"E:\WXT001";
+
+            var files = Directory.GetFiles(testPath, "*", SearchOption.AllDirectories)
+                // 只要没有后缀（Windows 显示类型是 .file）
+                .Where(f => string.IsNullOrEmpty(Path.GetExtension(f)))
+                .Where(f => Guid.TryParse(Path.GetFileNameWithoutExtension(f), out _))
+                .ToList();
+
+            Console.WriteLine($"找到 {files.Count} 个 DICOM 文件");
+
+            int total = files.Count;
+            int processed = 0;
+            double lastPercent = 0;
+
+            var options = new ParallelOptions { MaxDegreeOfParallelism = 12 };
+
+            // 输出文件路径
+            var outputFile = Path.Combine(@"D:\dicomWrite", $"{Guid.NewGuid()}_dicom_info.txt");
+
+            var outputErrorFile = Path.Combine(@"D:\dicomWrite", $"{Guid.NewGuid()}_dicom_info_error.txt");
+
+            // 用并发安全的写法（锁保护）
+            var fileLock = new object();
+
+            foreach (var file in files)
+            {
+                try
+                {
+                    var id = Guid.Parse(Path.GetFileNameWithoutExtension(file));
+                    var dicomFile = DicomFile.Open(file);
+
+                    var dataset = dicomFile.Dataset;
+                    var fileMeta = dicomFile.FileMetaInfo;
+                    var syntax = dataset.InternalTransferSyntax;
+
+
+
+                    //单位  设备   PatientId Visit   检查UId  帧数  
+
+                    var stationName = dataset.GetSingleValueOrDefault(DicomTag.StationName, string.Empty);
+
+                    var institutionName = dataset.GetSingleValueOrDefault(DicomTag.InstitutionName, string.Empty);
+
+                    var manufacturer = dataset.GetSingleValueOrDefault(DicomTag.Manufacturer, string.Empty);
+
+                    //PatientID TrialCode_SubjectCode
+                    //var patientID = dataset.GetSingleValueOrDefault(DicomTag.PatientID, string.Empty);
+
+                    //SubjectCode
+                    var clinicalTrialSubjectID = dataset.GetSingleValueOrDefault(DicomTag.ClinicalTrialSubjectID, string.Empty);
+                    //访视visitNum
+                    var clinicalTrialTimePointID = dataset.GetSingleValueOrDefault(DicomTag.ClinicalTrialTimePointID, string.Empty);
+                    var studyInstanceUID = dataset.GetSingleValueOrDefault(DicomTag.StudyInstanceUID, string.Empty);
+                    var seriesInstanceUID = dataset.GetSingleValueOrDefault(DicomTag.SeriesInstanceUID, string.Empty);
+                    var sOPInstanceUID = dataset.GetSingleValueOrDefault(DicomTag.SOPInstanceUID, string.Empty);
+
+                    var numberOfFrames = dataset.GetSingleValueOrDefault(DicomTag.NumberOfFrames, 1);
+
+
+                    // 传输语法 
+                    var transferSyntaxUID = fileMeta.GetSingleValueOrDefault(DicomTag.TransferSyntaxUID, string.Empty);
+                    var sOPClassUID = dataset.GetSingleValueOrDefault(DicomTag.SOPClassUID, string.Empty);
+                    var mediaStorageSOPClassUID = fileMeta.GetSingleValueOrDefault(DicomTag.MediaStorageSOPClassUID, string.Empty);
+
+                    var mediaStorageSOPInstanceUID = fileMeta.GetSingleValueOrDefault(DicomTag.MediaStorageSOPInstanceUID, string.Empty);
+
+
+                    // 拼接一行 CSV 格式
+                    var line = string.Join(",",
+                        id,
+                        stationName,
+                        institutionName,
+                        manufacturer,
+                        clinicalTrialSubjectID,
+                        clinicalTrialTimePointID,
+                        studyInstanceUID,
+                        seriesInstanceUID,
+                        sOPInstanceUID,
+                        numberOfFrames,
+                        transferSyntaxUID,
+                        sOPClassUID,
+                        mediaStorageSOPClassUID,
+                        mediaStorageSOPInstanceUID
+
+                    );
+
+
+                    await File.AppendAllTextAsync(outputFile, line + Environment.NewLine);
+
+                    await _instanceRepository.BatchUpdateNoTrackingAsync(
+                        t => t.Id == id,
+                        t => new DicomInstance
+                        {
+                            IsEncapsulated = syntax.IsEncapsulated,
+                            TransferSytaxUID = transferSyntaxUID,
+                            MediaStorageSOPClassUID = mediaStorageSOPClassUID,
+                            SOPClassUID = sOPClassUID,
+                            MediaStorageSOPInstanceUID = mediaStorageSOPInstanceUID
+                        }, false);
+                }
+                catch (Exception ex)
+                {
+                    var errorMsg = $"{DateTime.Now}❌ {file} 解析失败: {ex.Message}";
+                    Console.WriteLine(errorMsg);
+
+                    await File.AppendAllTextAsync(outputErrorFile, errorMsg + Environment.NewLine);
+                }
+                finally
+                {
+                    var done = Interlocked.Increment(ref processed);
+                    double percent = done * 100.0 / total;
+
+                    // 只在进度提升 >= 1% 时打印
+                    if (percent - lastPercent >= 5.0 || done == total)
+                    {
+                        lastPercent = percent;
+                        Console.WriteLine($"{DateTime.Now}   进度: {done}/{total} ({percent:F2}%)");
+                    }
+                }
+
+            }
+
+
+
+
+
+
+            return ResponseOutput.Ok();
+        }
+
+        #region 维护已经下载本地的数据
+
+        [AllowAnonymous]
+        public async Task<IResponseOutput> ReadExcelData([FromServices] IRepository<DicomInstance> _instanceRepository)
+        {
+            var rows = await MiniExcel.QueryAsync<DicomSOPInfo>(@"C:\Users\hang\Desktop\维护数据读取.xlsx");
+
+            rows = rows.Where(t => !string.IsNullOrEmpty(t.InstanceId.ToString())).ToList();
+
+            var outputErrorFile = Path.Combine(@"D:\dicomWrite", $"{Guid.NewGuid()}_dicom_info_error.txt");
+
+            foreach (var item in rows)
+            {
+
+
+                try
+                {
+                    await _instanceRepository.BatchUpdateNoTrackingAsync(
+                       t => t.Id == item.InstanceId,
+                       t => new DicomInstance
+                       {
+                           IsEncapsulated = item.IsEncapsulated,
+                           TransferSytaxUID = item.TransferSyntaxUID,
+                           MediaStorageSOPClassUID = item.MediaStorageSOPClassUID,
+                           SOPClassUID = item.SOPClassUID,
+                           MediaStorageSOPInstanceUID = item.MediaStorageSOPInstanceUID
+                       }, false);
+                }
+                catch (Exception ex)
+                {
+
+                    var errorMsg = $"{item.InstanceId}  {DateTime.Now}  更新失败: {ex.Message}";
+                    Console.WriteLine(errorMsg);
+
+                    await File.AppendAllTextAsync(outputErrorFile, errorMsg + Environment.NewLine);
+                }
+
+
+            }
+
+
+
+
+            return ResponseOutput.Ok();
+        }
+
+        public class DicomSOPInfo
+        {
+            public Guid InstanceId { get; set; }
+
+
+            public string TransferSyntaxUID { get; set; }
+
+            public string SOPClassUID { get; set; }
+
+            public string MediaStorageSOPClassUID { get; set; }
+
+            public string MediaStorageSOPInstanceUID { get; set; }
+
+            public bool IsEncapsulated => DicomTransferSyntax.Lookup(DicomUID.Parse(TransferSyntaxUID)).IsEncapsulated;
+
+
+
+        }
+
+        #endregion
+
+
+        #region 通过Excel  读取未下载的，边下载边维护数据
+
+        [AllowAnonymous]
+        public async Task<IResponseOutput> WriteNeedDealData([FromServices] IRepository<DicomInstance> _instanceRepository)
+        {
+
+            #region 获取差集数据
+            //var rows = await MiniExcel.QueryAsync<DicomSOPInfo>(@"C:\Users\hang\Desktop\维护数据读取.xlsx");
+
+            //rows = rows.Where(t => !string.IsNullOrEmpty(t.InstanceId.ToString())).ToList();
+
+            //var allRows = await MiniExcel.QueryAsync<NeedDealInstanceInfo>(@"C:\Users\hang\Desktop\AllData.xlsx");
+
+            //allRows = allRows.Where(t => !string.IsNullOrEmpty(t.InstanceId.ToString())).ToList();
+
+            //var needDealRows = allRows.Where(t => !rows.Select(c => c.InstanceId).Contains(t.InstanceId)).ToList();
+
+            //var outputFile = Path.Combine(@"D:\dicomWrite", $"{Guid.NewGuid()}_dicom_info.txt");
+
+            //foreach (var item in needDealRows)
+            //{
+            //    var line = string.Join(",", item.InstanceId, item.Path);
+
+            //    await File.AppendAllTextAsync(outputFile, line + Environment.NewLine);
+            //}
+
+            #endregion
+
+            var folder = FileStoreHelper.GetIRaCISRootDataFolder(_hostEnvironment);
+
+            var needDealRows = await MiniExcel.QueryAsync<NeedDealInstanceInfo>(Path.Combine(folder, "needDownload.xlsx"));
+
+            needDealRows = needDealRows.Where(t => !string.IsNullOrEmpty(t.InstanceId.ToString())).ToList();
+
+
+
+            var outputFile = Path.Combine(folder, $"{Guid.NewGuid()}_dicom_info.txt");
+
+            var outputErrorFile = Path.Combine(folder, $"{Guid.NewGuid()}_dicom_info_error.txt");
+
+            int total = needDealRows.Count();
+
+            Console.WriteLine($"需要处理数量{total}");
+
+            int processed = 0;
+            double lastPercent = 0;
+
+            foreach (var item in needDealRows)
+            {
+
+                try
+                {
+                    await using var stream = await _oSSService.GetStreamFromOSSAsync(item.Path);
+
+                    var dicomFile = DicomFile.Open(stream);
+
+                    var dataset = dicomFile.Dataset;
+                    var fileMeta = dicomFile.FileMetaInfo;
+
+                    var pixelData = DicomPixelData.Create(dicomFile.Dataset);
+
+                    //获取像素是否为封装形式
+                    var syntax = dicomFile.Dataset.InternalTransferSyntax;
+
+                    var stationName = dataset.GetSingleValueOrDefault(DicomTag.StationName, string.Empty);
+
+                    var institutionName = dataset.GetSingleValueOrDefault(DicomTag.InstitutionName, string.Empty);
+
+                    var manufacturer = dataset.GetSingleValueOrDefault(DicomTag.Manufacturer, string.Empty);
+
+                    //PatientID TrialCode_SubjectCode
+                    //var patientID = dataset.GetSingleValueOrDefault(DicomTag.PatientID, string.Empty);
+
+                    //SubjectCode
+                    var clinicalTrialSubjectID = dataset.GetSingleValueOrDefault(DicomTag.ClinicalTrialSubjectID, string.Empty);
+                    //访视visitNum
+                    var clinicalTrialTimePointID = dataset.GetSingleValueOrDefault(DicomTag.ClinicalTrialTimePointID, string.Empty);
+                    var studyInstanceUID = dataset.GetSingleValueOrDefault(DicomTag.StudyInstanceUID, string.Empty);
+                    var seriesInstanceUID = dataset.GetSingleValueOrDefault(DicomTag.SeriesInstanceUID, string.Empty);
+                    var sOPInstanceUID = dataset.GetSingleValueOrDefault(DicomTag.SOPInstanceUID, string.Empty);
+
+                    var numberOfFrames = dataset.GetSingleValueOrDefault(DicomTag.NumberOfFrames, 1);
+
+
+                    // 传输语法 
+                    var transferSyntaxUID = fileMeta.GetSingleValueOrDefault(DicomTag.TransferSyntaxUID, string.Empty);
+                    var sOPClassUID = dataset.GetSingleValueOrDefault(DicomTag.SOPClassUID, string.Empty);
+                    var mediaStorageSOPClassUID = fileMeta.GetSingleValueOrDefault(DicomTag.MediaStorageSOPClassUID, string.Empty);
+
+                    var mediaStorageSOPInstanceUID = fileMeta.GetSingleValueOrDefault(DicomTag.MediaStorageSOPInstanceUID, string.Empty);
+
+
+                    var line = string.Join(",",
+                       item.InstanceId,
+                       stationName,
+                       institutionName,
+                       manufacturer,
+                       clinicalTrialSubjectID,
+                       clinicalTrialTimePointID,
+                       studyInstanceUID,
+                       seriesInstanceUID,
+                       sOPInstanceUID,
+                       numberOfFrames,
+                       transferSyntaxUID,
+                       sOPClassUID,
+                       mediaStorageSOPClassUID,
+                       mediaStorageSOPInstanceUID
+
+                   );
+
+
+                    await File.AppendAllTextAsync(outputFile, line + Environment.NewLine);
+
+                    //维护序列层级四个字段   后再用sql 维护study series 时间拆分 和 MediaStorageSOPInstanceUID
+                    await _instanceRepository.BatchUpdateNoTrackingAsync(
+                           t => t.Id == item.InstanceId,
+                           t => new DicomInstance
+                           {
+                               IsEncapsulated = syntax.IsEncapsulated,
+                               TransferSytaxUID = transferSyntaxUID,
+                               MediaStorageSOPClassUID = mediaStorageSOPClassUID,
+                               SOPClassUID = sOPClassUID,
+                               MediaStorageSOPInstanceUID = mediaStorageSOPInstanceUID
+                           }, false);
+                }
+                catch (Exception ex)
+                {
+
+                    var errorMsg = $"{DateTime.Now}❌ 失败: {ex.Message}";
+                    Console.WriteLine(errorMsg);
+
+                    await File.AppendAllTextAsync(outputErrorFile, errorMsg + Environment.NewLine);
+                }
+                finally
+                {
+                    processed++;
+                    double percent = processed * 100.0 / total;
+
+                    // 每提升 5% 或完成时输出
+                    if (percent - lastPercent >= 5.0 || processed == total)
+                    {
+                        lastPercent = percent;
+                        Console.WriteLine($"{DateTime.Now}   进度: {processed}/{total} ({percent:F2}%)");
+                    }
+                }
+
+
+            }
+
+            return ResponseOutput.Ok();
+        }
+
+        public class NeedDealInstanceInfo
+        {
+            public Guid InstanceId { get; set; }
+
+            public string Path { get; set; }
+        }
+        #endregion
     }
 
 }