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随访脾脏长度更新，自动计算脾脏状态

uat_us
caiyiling 2024-01-12 09:43:32 +08:00
parent 1d1cb9617e
commit 2fdb103a3c
6 changed files with 139 additions and 58 deletions
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7
src/api/trials.js
View File

@ -3481,6 +3481,13 @@ export function getSplenicState(visitTaskId, spleenLength) {
method: 'post'
})
}
export function getSplenicVerify(visitTaskId) {
return request({
url: `/LuganoCalculate/getSplenicVerify?visitTaskId=${visitTaskId}`,
method: 'post'
})
}
export function uploadTrialSiteSurveyUser(trialId, baseUrl, routeUrl, param) {
return request({
url: `/TrialSiteSurvey/UploadTrialSiteSurveyUser?trialId=${trialId}&baseUrl=${baseUrl}&routeUrl=${routeUrl}`,

2
src/views/trials/trials-panel/reading/dicoms/components/DicomCanvas.vue
View File

@ -867,7 +867,7 @@ export default {
renderMeasuredData(e) {
this.stack.frame = !isNaN(parseInt(this.stack.frame)) ? parseInt(this.stack.frame) : 0
var idx = this.visitTaskList.findIndex(i => i.VisitTaskId === this.stack.visitTaskId)
if(idx === -1) return
if (idx === -1) return
this.measureData = this.visitTaskList[idx].MeasureData
const { element } = e.detail
const ToolStateManager = cornerstoneTools.globalImageIdSpecificToolStateManager

4
src/views/trials/trials-panel/reading/dicoms/components/Fusion/PetCt.vue
View File

@ -697,11 +697,11 @@ export default {
this.onAnnotationModified(e)
} else {
// annotation.isInsideVolume = false
console.log('异常标记：',annotation)
console.log('异常标记：', annotation)
const { remark } = annotation.data
if (remark === 'Liver' || remark === 'Mediastinum') {
this.$refs['questions'].setOutsideMeasuredData(annotation)
}else{
} else {
this.$refs['tableQuestions'].setOutsideMeasuredData(annotation)
}
// // 移除标记

38
src/views/trials/trials-panel/reading/dicoms/components/Fusion/TableQuestionItem.vue
View File

@ -257,7 +257,7 @@ export default {
pictureBaseStr: '',
currentMarkTool: '',
firstRenderAnnotation: true,
isInsideVolume:true
isInsideVolume: true
}
},
mounted() {
@ -611,7 +611,7 @@ export default {
resolve()
})
},
setOutsideMeasuredData(measureData){
setOutsideMeasuredData(measureData) {
this.isInsideVolume = false
var suvObj = this.questions.find(i => i.QuestionMark === 20)
this.$set(this.questionForm, suvObj.Id, '')
@ -621,20 +621,20 @@ export default {
this.$set(this.questionForm, 'saveTypeEnum', 0)
}
this.$set(this.questionForm, 'OtherMeasureData', measureData)
var isLymph = this.getQuestionVal(2)
isLymph = !isNaN(parseInt(isLymph)) ? parseInt(isLymph) : null
const lesionPart = this.getQuestionVal(8)
const lesionOrgan = this.getQuestionVal(6)
var suvMax = this.getQuestionVal(20)
this.$emit('resetQuestions', { isLymphLesion: isLymph, lesionPart, lesionOrgan, suvMax, saveTypeEnum: this.questionForm.saveTypeEnum, rowIndex: this.rowIndex, questionId: this.parentQsId, anwsers: this.questionForm })
this.toolType = measureData.type
if (this.questionForm.MeasureData) {
this.organList = []
this.getOrganInfoList()
} else {
this.organList = []
this.getOrganInfoList()
}
var isLymph = this.getQuestionVal(2)
isLymph = !isNaN(parseInt(isLymph)) ? parseInt(isLymph) : null
const lesionPart = this.getQuestionVal(8)
const lesionOrgan = this.getQuestionVal(6)
var suvMax = this.getQuestionVal(20)
this.$emit('resetQuestions', { isLymphLesion: isLymph, lesionPart, lesionOrgan, suvMax, saveTypeEnum: this.questionForm.saveTypeEnum, rowIndex: this.rowIndex, questionId: this.parentQsId, anwsers: this.questionForm })
this.toolType = measureData.type
if (this.questionForm.MeasureData) {
this.organList = []
this.getOrganInfoList()
} else {
this.organList = []
this.getOrganInfoList()
}
},
returnFloat(num) {
if (num) return
@ -719,13 +719,13 @@ export default {
handleSave() {
this.$refs.measurementForm.validate(async valid => {
if (!valid) return
if(!this.isInsideVolume){
if (!this.isInsideVolume) {
this.$alert('当前标记在图像外，不允许保存！', '提示', {
callback: action => {
this.$message({
type: 'info',
message: `action: ${ action }`
});
message: `action: ${action}`
})
}
})
return

2
src/views/trials/trials-panel/reading/dicoms/components/Fusion/TableQuestions.vue
View File

@ -749,7 +749,7 @@ export default {
this.$refs[refName][0].clearMeasurement()
}
},
setOutsideMeasuredData(annotation){
setOutsideMeasuredData(annotation) {
if (this.activeItem.activeCollapseId && this.activeItem.activeRowIndex && this.activeName) {
const refName = `${this.activeItem.activeCollapseId}_${this.activeItem.activeRowIndex}`
this.$refs[refName][0].setOutsideMeasuredData(annotation)

144
src/views/trials/trials-panel/reading/dicoms/components/Questions.vue
View File

@ -33,7 +33,7 @@
<script>
// import { uploadPrintscreen } from '@/api/reading'
import { saveImageQuality, getSplenicState } from '@/api/trials'
import { saveImageQuality, getSplenicState,getSplenicVerify } from '@/api/trials'
import QuestionItem from './QuestionItem'
import DicomEvent from './DicomEvent'
import { mapGetters } from 'vuex'
@ -77,7 +77,9 @@ export default {
spleenStatusId: '',
spleenLengthId: '',
isBaseLineTask: false,
criterionType: null
criterionType: null,
spleenInfo:null,
calculateSpleenStatus:''
}
},
computed: {
@ -91,6 +93,14 @@ export default {
if(this.isQulityIssues){
DicomEvent.$emit('questionFormChange', true)
}
// if(this.criterionType === 2 && this.groupClassify === 3 && this.calculateSpleenStatus && this.calculateSpleenStatus !== this.questionForm[this.spleenStatusId]){
// for (let i = 0; i < this.questions[0].Childrens.length; i++) {
// if (this.questions[0].Childrens[i].QuestionType === 49) {
// this.questions[0].Childrens[i].ShowQuestion = 2
// break
// }
// }
// }
}
},
currentReadingTaskState: {
@ -132,7 +142,12 @@ export default {
}
this.measurements.push(i)
})
if(this.readingTaskState < 2 && !this.isBaseLineTask && !this.spleenInfo){
const { Result } = await getSplenicVerify(visitTaskId)
this.spleenInfo = Result
}
}
for (var i = 0; i < questions.length; i++) {
var v = questions[i]
v.IsBaseLineTask = this.isBaseLineTask
@ -151,6 +166,8 @@ export default {
if (v.QuestionType === 48) {
// 脾脏长度
this.spleenLengthId = v.Id
this.calculateSpleenStatus = ''
this.setSpleenStatus(this.questionForm[this.spleenLengthId])
}
}
if (v.Childrens.length > 0) {
@ -192,33 +209,22 @@ export default {
if (!valid) return
// lugano标准校验脾脏状态是否符合要求
if (this.criterionType === 2 && this.groupClassify === 3) {
var res = await this.getSplenicState()
if (res.isSuccess) {
var systemSpleenStatus = isNaN(parseInt(res.result)) ? null : parseInt(res.result)
var currentSpleenStatus = this.questionForm[this.spleenStatusId]
var currentSpleenLength = this.questionForm[this.spleenLengthId]
currentSpleenStatus = isNaN(parseInt(currentSpleenStatus)) ? null : parseInt(currentSpleenStatus)
if (currentSpleenLength && currentSpleenStatus === 5) {
// '脾脏状态为不可评估，不需要添加标记!'
this.$alert(this.$t('trials:lugano:message:validSpleen1'), this.$t('trials:lugano:fusionDialog:warning'), {
var currentSpleenStatus = this.questionForm[this.spleenStatusId]
var currentSpleenLength = this.questionForm[this.spleenLengthId]
currentSpleenStatus = isNaN(parseInt(currentSpleenStatus)) ? null : parseInt(currentSpleenStatus)
var idx = this.measurements.findIndex(i => i.QuestionType === 48)
if (currentSpleenLength && currentSpleenStatus === 5) {
// '脾脏状态为不可评估，不需要添加标记!'
this.$alert(this.$t('trials:lugano:message:validSpleen1'), this.$t('trials:lugano:fusionDialog:warning'), {
callback: _ => {}
})
} else {
if (systemSpleenStatus !== currentSpleenStatus) {
// 系统自动计算的脾脏状态为：xxx，当前设置的脾脏状态为：yyy，是否继续保存？
var message = this.$t('trials:lugano:message:validSpleen2').replace('xxx', this.$fd('SpleenState', systemSpleenStatus))
message = message.replace('yyy', this.$fd('SpleenState', currentSpleenStatus))
this.$confirm(message, this.$t('trials:lugano:fusionDialog:warning'), {
type: 'warning'
}).then(() => {
this.saveQuestionsList()
}).catch(() => {
})
} else {
this.saveQuestionsList()
}
}
}else if(currentSpleenLength === 5 && idx> -1 && this.measurements[idx].MeasureData){
// 若有标记，状态不可为“无法评估”
this.$alert(this.$t('trials:lugano:message:validSpleen1'), this.$t('trials:lugano:fusionDialog:warning'), {
callback: _ => {}
})
}else{
this.saveQuestionsList()
}
} else {
this.saveQuestionsList()
@ -297,7 +303,7 @@ export default {
}
},
// 上传截图
async uploadScreenshot() {
async uploadScreenshot() {
for (let i = 0; i < this.measurements.length; i++) {
if (this.measurements[i].pictureBaseStr) {
var pictureObj = await this.uploadScreenshots(`${new Date().getTime()}`, this.measurements[i].pictureBaseStr)
@ -364,6 +370,9 @@ export default {
var idx = this.measurements.findIndex(i => i.QuestionId === Id)
if (idx === -1) return
this.$set(this.questionForm, Id, '')
if (this.measurements[idx].QuestionType === 48){
this.$set(this.questionForm, this.spleenStatusId, '')
}
await store.dispatch('reading/removeNonTargetMeasuredData', { visitTaskId: this.visitTaskId, measureData: this.measurements[idx].MeasureData, questionId: Id })
this.measurements.splice(idx, 1)
DicomEvent.$emit('getMeasureData')
@ -414,20 +423,85 @@ export default {
if (measurement.type === 'Length') {
const length = measurement.data.length ? measurement.data.length : null
this.$set(this.questionForm, this.measurements[idx].QuestionId, length || null)
if (this.measurements[idx].QuestionType === 48 && length <= 130 && this.isBaseLineTask) {
// 脾脏状态设置默认值为正常
this.$set(this.questionForm, this.spleenStatusId, '1')
}
if (this.measurements[idx].QuestionType === 48 && length > 130 && this.isBaseLineTask) {
// 脾脏状态设置默认值为肿大
this.$set(this.questionForm, this.spleenStatusId, '6')
if (this.measurements[idx].QuestionType === 48){
this.calculateSpleenStatus = ''
this.setSpleenStatus(length)
}
// if (this.measurements[idx].QuestionType === 48 && length <= 130 && this.isBaseLineTask) {
// // 脾脏状态设置默认值为正常
// this.$set(this.questionForm, this.spleenStatusId, '1')
// }
// if (this.measurements[idx].QuestionType === 48 && length > 130 && this.isBaseLineTask) {
// // 脾脏状态设置默认值为肿大
// this.$set(this.questionForm, this.spleenStatusId, '6')
// }
}
store.dispatch('reading/addOrUpdateNonTargetMeasuredData', { visitTaskId: this.visitTaskId, data: data })
if(this.isQulityIssues){
DicomEvent.$emit('questionFormChange', true)
}
},
setSpleenStatus(length){
if(length){
if(this.isBaseLineTask){
// 直径≤130mm时，系统默认脾脏状态为“正常”
if(length <= 130){
this.$set(this.questionForm, this.spleenStatusId, '1')
this.calculateSpleenStatus = '1'
}
// 直径>130mm时，系统默认脾脏状态为“肿大”
if(length > 130){
this.$set(this.questionForm, this.spleenStatusId, '6')
this.calculateSpleenStatus = '6'
}
}else{
// 与基线相比脾垂直径变化值
var diffFromBaseline = length - this.spleenInfo.BaseLineSpleenLength
var percentFormBaseline = 0
if(this.spleenInfo.BaseLineSpleenLength){
percentFormBaseline = length * 100 / (this.spleenInfo.BaseLineSpleenLength - 130)
}
if(this.spleenInfo.BaseLineSpleenLength > 130 && diffFromBaseline >= 10 && percentFormBaseline > 50){
// 1、基线 垂直径>130 mm
// 2、与基线相比脾垂直径变化值≥10 mm
// 3、与基线相比脾肿大增加的百分比>50％
// 系统默认脾脏状态为“显著增大”
this.$set(this.questionForm, this.spleenStatusId, '4')
this.calculateSpleenStatus = '4'
}else if( this.spleenInfo.BaseLineSpleenLength <= 130 && diffFromBaseline >= 20 && length > 130){
// 1、基线垂直径≤130mm
// 2、与基线相比脾垂直径变化值≥20 mm
// 3、当前垂直径>130 mm
// 系统默认脾脏状态为“显著增大”
this.$set(this.questionForm, this.spleenStatusId, '4')
this.calculateSpleenStatus = '4'
}else if( this.spleenInfo.BaseLineSpleenLength > 130 && this.spleenInfo.LowSpleenLength <= 130 && diffFromBaseline >= 20 && length > 130){
// 1、基线 垂直径>130 mm
// 2、当前访视的前面访视中 存在垂直径≤130mm
// 3、与最低点相比脾脏垂直径的增加值≥20 mm
// 4、当前垂直径>130 mm
// 系统默认脾脏状态为“显著增大”
this.$set(this.questionForm, this.spleenStatusId, '4')
this.calculateSpleenStatus = '4'
}else if(length < 130){
// 当前访视的垂直径≤130mm
// 系统默认脾脏状态为“正常”
this.$set(this.questionForm, this.spleenStatusId, '1')
this.calculateSpleenStatus = '1'
}else if(this.spleenInfo.BaseLineState === '6' && percentFormBaseline < -50){
// 1、基线期 状态为“肿大”
// 2、与基线相比脾肿大增加的百分比小于-50％
// 系统默认脾脏状态为“部分缓解”
this.$set(this.questionForm, this.spleenStatusId, '2')
this.calculateSpleenStatus = '2'
}else{
this.$set(this.questionForm, this.spleenStatusId, '3')
this.calculateSpleenStatus = '3'
}
}
}
},
resetFormItemData(v) {
this.questionForm[v] = null
if (v === this.spleenLengthId) {