From 4e5ecb39387f518a4d85cecc846456e5032a8eee Mon Sep 17 00:00:00 2001
From: wangxiaoshuang <825034831@qq.com>
Date: Tue, 24 Mar 2026 15:09:45 +0800
Subject: [PATCH] =?UTF-8?q?=E5=88=86=E5=89=B2=E6=B7=BB=E5=8A=A0=E8=BD=AE?=
 =?UTF-8?q?=E5=BB=93=E5=B7=A5=E5=85=B7?=
MIME-Version: 1.0
Content-Type: text/plain; charset=UTF-8
Content-Transfer-Encoding: 8bit

---
 src/icons/svg/circularbrush.svg               |   1 +
 src/icons/svg/jumpto.svg                      |   1 +
 .../reading/dicoms3D/components/ReadPage.vue  |  58 +++---
 .../dicoms3D/components/SegmentForm.vue       |  50 +++++-
 .../dicoms3D/components/Segmentations.vue     | 165 ++++++++++++------
 .../components/customize/QuestionFormItem.vue |   8 +-
 .../components/customize/QuestionList.vue     |  10 +-
 7 files changed, 194 insertions(+), 99 deletions(-)
 create mode 100644 src/icons/svg/circularbrush.svg
 create mode 100644 src/icons/svg/jumpto.svg

diff --git a/src/icons/svg/circularbrush.svg b/src/icons/svg/circularbrush.svg
new file mode 100644
index 00000000..07b0534c
--- /dev/null
+++ b/src/icons/svg/circularbrush.svg
@@ -0,0 +1 @@
+<svg width="24px" height="24px" viewBox="0 0 24 24" class="h-6 w-6"><g id="tool-seg-brush" stroke="none" stroke-width="1" fill="none" fill-rule="evenodd"><rect id="Rectangle" x="0" y="0" width="24" height="24"></rect><path d="M3.24640621,21.8286833 C3.09173375,21.7551472 2.99513748,21.5971513 3.00018895,21.4259625 C3.00524042,21.2547737 3.11098486,21.1027485 3.26972426,21.0384606 C5.3260304,20.2059201 4.66362518,17.8620247 5.27421252,16.6088957 C6.02197747,15.1026514 7.84114758,14.4766383 9.35746132,15.2037675 C13.9485253,17.4422999 8.48346644,24.3211232 3.24640621,21.8286833 Z" id="Path" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"></path><path d="M21.5968442,2.302022 C21.1256527,1.8826075 20.4094461,1.90228142 19.9619901,2.34693083 L9.69255027,12.5887345 C11.0536437,13.0051578 12.1843437,13.9616637 12.8206229,15.2349008 L21.7410706,3.93687606 C22.1347378,3.44008272 22.0714081,2.72222021 21.5968442,2.302022 Z" id="Path" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round"></path></g></svg>
\ No newline at end of file
diff --git a/src/icons/svg/jumpto.svg b/src/icons/svg/jumpto.svg
new file mode 100644
index 00000000..b333542f
--- /dev/null
+++ b/src/icons/svg/jumpto.svg
@@ -0,0 +1 @@
+<?xml version="1.0" standalone="no"?><!DOCTYPE svg PUBLIC "-//W3C//DTD SVG 1.1//EN" "http://www.w3.org/Graphics/SVG/1.1/DTD/svg11.dtd"><svg t="1774331916694" class="icon" viewBox="0 0 1024 1024" version="1.1" xmlns="http://www.w3.org/2000/svg" p-id="1627" xmlns:xlink="http://www.w3.org/1999/xlink" width="200" height="200"><path d="M198.4 960A134.4 134.4 0 0 1 64 825.6V198.4A134.4 134.4 0 0 1 198.4 64h268.8a44.8 44.8 0 0 1 44.8 44.8 44.8 44.8 0 0 1-44.8 44.8H198.4a44.8 44.8 0 0 0-44.8 44.8v627.2a44.8 44.8 0 0 0 44.8 44.8h627.2a44.8 44.8 0 0 0 44.8-44.8V556.8a44.8 44.8 0 0 1 44.8-44.8 44.8 44.8 0 0 1 44.8 44.8v268.8A134.4 134.4 0 0 1 825.6 960z m281.984-416.384a44.8 44.8 0 0 1 0-63.296L807.232 153.6H646.464a44.8 44.8 0 0 1-44.8-44.8 44.8 44.8 0 0 1 44.8-44.8h267.264a44.8 44.8 0 0 1 28.288 8.896l1.408 1.152 0.64 0.512 1.024 0.96a41.216 41.216 0 0 1 3.136 3.072l0.896 1.088 0.512 0.64 1.152 1.344a44.8 44.8 0 0 1 8.832 28.288V377.28a44.8 44.8 0 0 1-44.8 44.8 44.8 44.8 0 0 1-44.8-44.8V216.512l-326.4 326.4a44.8 44.8 0 0 1-32 13.248A44.8 44.8 0 0 1 480 543.616z" p-id="1628" fill="#2c2c2c"></path></svg>
\ No newline at end of file
diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/ReadPage.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/ReadPage.vue
index d27413a8..00b51b9e 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/ReadPage.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/ReadPage.vue
@@ -363,9 +363,9 @@
               <el-tab-pane :label="$t('trials:reading:dicom3D:tabs:segment')" name="segment">
                 <Segmentations ref="Segmentations" :visitInfo="taskInfo" :isMPR="isMPR"
                   :volumeToolGroupId="volumeToolGroupId" :viewportKey="viewportKey"
-                  :activeViewportIndex="activeViewportIndex" :activeTool.sync="activeTool"
-                  :actionConfiguration="actionConfiguration" @setToolsPassive="setToolsPassive"
-                  @resetQuestion="resetQuestion" />
+                  :rendering-engine-id="renderingEngineId" :activeViewportIndex="activeViewportIndex"
+                  :activeTool.sync="activeTool" :actionConfiguration="actionConfiguration"
+                  @setToolsPassive="setToolsPassive" @resetQuestion="resetQuestion" />
               </el-tab-pane>
             </el-tabs>
             <template v-else>
@@ -479,7 +479,7 @@
 
     <el-dialog :visible.sync="segmentVisible" :close-on-click-modal="false" :title="$t('trials:segment:title:bind')"
       width="550px">
-      <SegmentForm v-if="segmentVisible" :visible.sync="segmentVisible" :visitInfo="segmentVisitInfo"
+      <SegmentForm ref="SegmentForm" v-if="segmentVisible" :visible.sync="segmentVisible" :visitInfo="segmentVisitInfo"
         @handleSegmentSave="handleSegmentSave" />
     </el-dialog>
     <upload-dicom-and-nonedicom v-if="uploadImageVisible" :subject-id="uploadSubjectId"
@@ -569,7 +569,7 @@ const {
   CrosshairsTool,
   EllipticalROITool,
   synchronizers,
-  PlanarFreehandContourSegmentationTool,
+  LabelMapEditWithContourTool,
   BrushTool,
   SegmentBidirectionalTool,
   utilities: CStUtils,
@@ -898,9 +898,13 @@ export default {
       this.$refs[`ecrf_${this.lastViewportTaskId}`][0].handleSegmentSave(obj)
     },
     openSegmentForm(obj) {
-      let { visitInfo } = obj
-      this.segmentVisitInfo = visitInfo
+      // let { visitInfo, operateStateEnum } = obj
+      this.segmentVisitInfo = obj
       this.segmentVisible = true
+      this.$nextTick(() => {
+        this.$refs.SegmentForm.setSeries(this.$refs[`viewport-${this.activeViewportIndex}`][0].series)
+        this.$refs.SegmentForm.init()
+      })
     },
     handleClick(tab, event) {
       this.formWrapperActiveName = tab.name
@@ -1323,7 +1327,7 @@ export default {
       cornerstoneTools.addTool(MIPJumpToClickTool)
       cornerstoneTools.addTool(VolumeRotateTool)
       cornerstoneTools.addTool(CrosshairsTool)
-      cornerstoneTools.addTool(PlanarFreehandContourSegmentationTool)
+      cornerstoneTools.addTool(LabelMapEditWithContourTool)
       cornerstoneTools.addTool(BrushTool)
       cornerstoneTools.addTool(SegmentBidirectionalTool)
       viewportIds.forEach((viewportId, i) => {
@@ -1364,21 +1368,8 @@ export default {
 
             }
           )
-          toolGroup.addTool(PlanarFreehandContourSegmentationTool.toolName, {
-            cachedStats: true,
-          });
-          toolGroup.addTool(SegmentBidirectionalTool.toolName, {});
-          // toolGroup.setToolActive(PlanarFreehandContourSegmentationTool.toolName, {
-          //   bindings: [
-          //     {
-          //       mouseButton: MouseBindings.Primary, // Left Click
-          //     },
-          //     {
-          //       mouseButton: MouseBindings.Primary, // Shift + Left Click
-          //       modifierKey: cornerstoneTools.Enums.KeyboardBindings.Shift,
-          //     },
-          //   ],
-          // });
+          toolGroup.addTool(LabelMapEditWithContourTool.toolName);
+          toolGroup.addTool(SegmentBidirectionalTool.toolName);
         }
         if (volumeViewportIds.includes(viewportId)) {
           toolGroup.addTool(WindowLevelTool.toolName, {
@@ -1490,7 +1481,7 @@ export default {
           toolGroup.setToolPassive(AngleTool.toolName)
           toolGroup.setToolPassive(CobbAngleTool.toolName)
           if (this.readingTool === 3) {
-            toolGroup.setToolPassive(PlanarFreehandContourSegmentationTool.toolName)
+            toolGroup.setToolPassive(LabelMapEditWithContourTool.toolName)
             toolGroup.setToolPassive(SegmentBidirectionalTool.toolName, {});
           }
         } else {
@@ -1504,11 +1495,10 @@ export default {
           toolGroup.setToolEnabled(FixedRadiusCircleROITool.toolName)
           toolGroup.setToolEnabled(AngleTool.toolName)
           toolGroup.setToolEnabled(CobbAngleTool.toolName)
-          if (this.readingTool === 3) toolGroup.setToolEnabled(PlanarFreehandContourSegmentationTool.toolName)
+          if (this.readingTool === 3) toolGroup.setToolEnabled(LabelMapEditWithContourTool.toolName)
         }
         toolGroup.setToolPassive(EraserTool.toolName)
       })
-
       eventTarget.addEventListener('cornerstoneimageloadprogress', this.imageLoadProgress)
       // console.log(Events, toolsEvents)
       if (this.readingTool === 2) {
@@ -1517,6 +1507,7 @@ export default {
       if ((this.criterionType === 0 && this.readingTool === 0) || this.readingTool === 3) {
         this.setUpSynchronizersMPR()
       }
+      renderingEngine.render();
     },
     // 影像下载进度回调
     imageLoadProgress(e) {
@@ -1720,7 +1711,7 @@ export default {
       if (!annotation) return
       const i = this.tools.findIndex(i => i.toolName === annotation.metadata.toolName)
       if (i === -1) {
-        if (annotation.metadata.toolName !== PlanarFreehandContourSegmentationTool.toolName) this.setToolsPassive()
+        if (annotation.metadata.toolName !== LabelMapEditWithContourTool.toolName) this.setToolsPassive()
         return
       }
       if (annotation.data.segmentation || annotation.data.segment) return
@@ -1807,7 +1798,7 @@ export default {
       if (!annotation) return
       const i = this.tools.findIndex(i => i.toolName === annotation.metadata.toolName)
       if (i === -1) {
-        if (annotation.metadata.toolName !== PlanarFreehandContourSegmentationTool.toolName) this.setToolsPassive()
+        if (annotation.metadata.toolName !== LabelMapEditWithContourTool.toolName) this.setToolsPassive()
         return
       }
       if (annotation.data.segmentation || annotation.data.segment) return
@@ -3026,7 +3017,7 @@ export default {
             obj.IsMarked = true
             obj.MeasureData = annotation
           }
-          if (annotation.from === 'MPR' && checkFrom) {
+          if ((annotation.from === 'MPR' || annotation.metadata.volumeId) && checkFrom) {
             obj = Object.assign({}, seriesList[seriesIdx])
             obj.SliceIndex = annotation?.metadata?.sliceIndex
             obj.IsMarked = true
@@ -3792,6 +3783,15 @@ export default {
 }
 </script>
 <style lang="scss" scoped>
+.form-wrapper {
+  ::v-deep .el-tabs__nav-scroll {
+    width: 100%;
+    display: flex;
+    justify-content: center;
+  }
+}
+
+
 .read-page-container {
   box-sizing: border-box;
   height: 100%;
diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/SegmentForm.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/SegmentForm.vue
index 99343aba..7157377e 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/SegmentForm.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/SegmentForm.vue
@@ -37,7 +37,7 @@
     </el-form>
 </template>
 <script>
-import { getSegmentationList, getSegmentList } from '@/api/reading'
+import { getSegmentationList, getSegmentList, getSegmentBindingList } from '@/api/reading'
 export default {
     name: 'FusionForm',
     props: {
@@ -64,13 +64,17 @@ export default {
             seriesList: [],
             segmentGroupList: [],
             segmentList: [],
-            segmentionList: []
+            segmentionList: [],
+            series: {}
         }
     },
-    mounted() {
-        this.init()
-    },
+    // mounted() {
+    //     this.init()
+    // },
     methods: {
+        setSeries(series) {
+            this.series = series
+        },
         async init() {
             let studyList = this.visitInfo.StudyList
             let s = await this.getSegmentationList()
@@ -82,6 +86,25 @@ export default {
                 study.SeriesList = study.SeriesList.filter(item => SeriesIds.includes(item.Id))
             })
             this.studyList = studyList
+            if (this.visitInfo.operateStateEnum === 21) {
+                this.form.studyId = this.series.StudyId
+                this.form.seriesId = this.series.Id
+            }
+            if (this.visitInfo.operateStateEnum === 22) {
+                let o = {}
+                if (this.isTableQuestion) {
+                    o.TableQuestionId = this.visitInfo.operateQuestionId
+                    o.RowId = this.visitInfo.operateRowId
+                } else {
+                    o.QuestionId = this.visitInfo.operateQuestionId
+                }
+                let list = await this.getSegmentBindingList(o)
+                this.form.segmentGroupId = list[0].SegmentationId
+                this.form.segmentId = list[0].SegmentId
+                let segmentGroup = this.segmentionList.find(item => item.Id === this.form.segmentGroupId)
+                this.form.studyId = segmentGroup.StudyId
+                this.form.seriesId = segmentGroup.SeriesId
+            }
         },
         async handleChange(e, key) {
             if (key === 'study') {
@@ -147,6 +170,23 @@ export default {
                 console.log(err)
             }
         },
+        // 获取当前任务分割标记与问题绑定关系
+        async getSegmentBindingList(param = {}) {
+            try {
+                let data = {
+                    VisitTaskId: this.visitInfo.VisitTaskId,
+                    PageSize: 9999,
+                    PageIndex: 1,
+                }
+                data = Object.assign(data, param)
+                let res = await getSegmentBindingList(data)
+                if (res.IsSuccess) {
+                    return res.Result.CurrentPageData
+                }
+            } catch (err) {
+                console.log(err)
+            }
+        },
     }
 }
 </script>
diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/Segmentations.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/Segmentations.vue
index e2782e0a..63ec4f6c 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/Segmentations.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/Segmentations.vue
@@ -7,10 +7,16 @@
                 </template>
                 <div class="tool-frame">
                     <div :title="$t('trials:Segmentations:tools:contour')"
+                        :class="['tool-item', activeTool === 'LabelMapEditWithContour' && segmentList.length > 0 ? 'tool-item-active' : '']"
+                        :style="{ cursor: segmentList.length <= 0 || (curSegment && curSegment.lock) ? 'not-allowed' : 'pointer' }"
+                        @click.prevent="setToolActive('LabelMapEditWithContour')">
+                        <svg-icon icon-class="contour" class="svg-icon" />
+                    </div>
+                    <div :title="$t('trials:Segmentations:tools:circularbrush')"
                         :class="['tool-item', activeTool === 'CircularBrush' && segmentList.length > 0 ? 'tool-item-active' : '']"
                         :style="{ cursor: segmentList.length <= 0 || (curSegment && curSegment.lock) ? 'not-allowed' : 'pointer' }"
                         @click.prevent="setToolActive('CircularBrush')">
-                        <svg-icon icon-class="contour" class="svg-icon" />
+                        <svg-icon icon-class="circularbrush" class="svg-icon" />
                     </div>
                     <div :class="['tool-item', activeTool === 'CircularEraser' && segmentList.length > 0 ? 'tool-item-active' : '']"
                         :style="{ cursor: segmentList.length <= 0 || (curSegment && curSegment.lock) ? 'not-allowed' : 'pointer' }"
@@ -38,7 +44,7 @@
                 </template>
                 <div class="addSegmentBox viewHover" @click.stop="addSegment" v-if="segmentList.length <= 0">
                     <span><i class="el-icon-plus"></i>
-                        {{ $t('trials:reading:Segmentations:button:addSegment') }}
+                        {{ $t('trials:reading:Segmentations:button:addSegmention') }}
                     </span>
                 </div>
                 <div class="SegmentConfigBox" v-if="showSegmentConfig && segmentList.length > 0">
@@ -78,7 +84,7 @@
                         </el-switch>
                         <span style="margin-left: 5px;">{{
                             $t('trials:reading:Segmentations:title:InactiveSegmentationsShow')
-                        }}</span>
+                            }}</span>
                     </div>
                     <div class="SegmentConfig">
                         <span>{{ $t('trials:reading:Segmentations:title:Opacity') }}</span>
@@ -89,7 +95,7 @@
                 </div>
                 <template v-if="segmentList.length > 0">
                     <div class="SegmentGroupBox">
-                        <el-popover placement="bottom" width="40" trigger="click">
+                        <el-popover placement="left" width="40" trigger="click">
                             <div class="SegmentGroupBtnBox">
                                 <div class="SegmentGroupBtn" @click.stop="addSegmentGroup">
                                     {{ $t('trials:reading:Segmentations:button:addSegmentGroup') }}
@@ -126,8 +132,7 @@
                             v-for="(item) in curSegmentGroup.segments"
                             :key="`${item.segmentationId}_${item.segmentIndex}`" @click.stop="selectSegment(item)">
                             <div class="messageBox">
-                                <el-popover placement="top-start" :title="item.SegmentLabel" width="200"
-                                    trigger="hover">
+                                <el-popover placement="left" :title="item.SegmentLabel" width="200" trigger="hover">
                                     <div class="Bidirectionalbox">
                                         <div class="BidirectionalBtn" @click.stop="getBidirectional(item)"
                                             v-if="!item.bidirectional">
@@ -140,8 +145,10 @@
                                             </div>
                                             <div class="btnBox">
                                                 <svg-icon :icon-class="!item.bidirectionalView ? 'eye' : 'eye-open'"
-                                                    style="color:#000"
+                                                    style="color:#000;margin-right: 5px;cursor: pointer;"
                                                     @click.stop="viewBidirectional(item, !item.bidirectionalView)" />
+                                                <svg-icon icon-class="jumpto" style="color:#000;cursor: pointer;"
+                                                    @click.stop="jumpBidirectional(item)" />
                                             </div>
                                         </template>
                                     </div>
@@ -149,7 +156,7 @@
                                         <div v-for="k in statsKey" :key="k" class="statsBox">
                                             <span>{{ k }}</span>
                                             <span v-if="item.stats[k]">{{ Number(item.stats[k].value).toFixed(2)
-                                            }}<i>{{ item.stats[k].unit }}</i></span>
+                                                }}<i>{{ item.stats[k].unit }}</i></span>
                                         </div>
                                     </template>
                                     <div class="serialNum" slot="reference">{{ item.segmentIndex }}</div>
@@ -161,13 +168,11 @@
                             </div>
                             <div class="btnBox">
                                 <svg-icon :icon-class="item && !item.view ? 'eye' : 'eye-open'"
-                                    @click.stop="viewSegment(item, !item.view)"
-                                    :class="{ segmentBtn: true, docShow: item.segmentIndex === segmentIndex || !item.view }" />
-                                <i class="el-icon-lock" v-if="item.lock"></i>
-                                <el-popover placement="bottom" width="40" trigger="click"
-                                    :class="{ segmentBtn: true, docShow: item.segmentIndex === segmentIndex }">
+                                    @click.stop="viewSegment(item, !item.view)" class="docShow" />
+                                <i class="el-icon-lock" v-if="item.lock" @click.stop="lockSegment(item, false)"></i>
+                                <el-popover placement="bottom" width="40" trigger="click" class="docShow">
                                     <div class="SegmentGroupBtnBox">
-                                        <div class="SegmentGroupBtn" @click.stop="rename('segment', item.segmentIndex)">
+                                        <div class="SegmentGroupBtn" @click.stop="rename('segment', item)">
                                             {{ $t('trials:reading:Segmentations:button:renameSegmentGroup') }}
                                         </div>
                                         <div class="SegmentGroupBtn" @click.stop="delSegment(item.segmentIndex)">
@@ -203,18 +208,21 @@ import dcmjs from '@/utils/dcmUpload/dcmjs'
 import * as cornerstoneAdapters from "@cornerstonejs/adapters";
 import cornerstoneDICOMImageLoader from '@cornerstonejs/dicom-image-loader'
 import DicomEvent from '@/views/trials/trials-panel/reading/dicoms/components/DicomEvent'
+import { getCustomizeStandardsSegmentDicomTools } from './toolConfig'
 const {
     ToolGroupManager,
     Enums: csToolsEnums,
     segmentation,
     annotation,
+    LabelMapEditWithContourTool,
     SegmentBidirectionalTool,
+    CrosshairsTool,
     utilities: CStUtils,
 } = cornerstoneTools;
 const { MouseBindings, Events: toolsEvents } = csToolsEnums
-const { segmentation: segmentationUtils, roundNumber } = CStUtils;
+const { segmentation: segmentationUtils } = CStUtils;
 const { cache, getRenderingEngine, imageLoader, eventTarget, metaData, utilities: csUtils, volumeLoader } = cornerstone;
-const { downloadDICOMData } = cornerstoneAdapters.helpers;
+// const { downloadDICOMData } = cornerstoneAdapters.helpers;
 const { Cornerstone3D } = cornerstoneAdapters.adaptersSEG;
 export default {
     name: "Segmentations",
@@ -250,7 +258,11 @@ export default {
             default: () => {
                 return {}
             }
-        }
+        },
+        renderingEngineId: {
+            type: String,
+            required: true
+        },
     },
     data() {
         return {
@@ -285,8 +297,7 @@ export default {
                 '#fb628b',
             ],
             viewprotIds: ['viewport-0', 'viewport-1', 'viewport-2', 'viewport-3', 'viewport-MPR-0', 'viewport-MPR-1', 'viewport-MPR-2'], // 
-            renderingEngineId: 'myRenderingEngine',
-            statsKey: ['max', 'min', 'volume', 'count', 'mean', 'stdDev'],
+            statsKey: [],
             drawing: false, // 是否正在分割
             isDel: false,
             digitPlaces: 2
@@ -294,8 +305,9 @@ export default {
     },
     mounted() {
         this.SegmentHight = window.innerHeight * 0.4;
-        console.log(segmentation, 'segmentation')
-        console.log(annotation, 'annotation')
+        this.statsKey = getCustomizeStandardsSegmentDicomTools('Labelmap')[0].props.filter(item => item !== 'width' && item !== 'length')
+        // console.log(segmentation, 'segmentation')
+        // console.log(annotation, 'annotation')
         eventTarget.addEventListener(
             'CORNERSTONE_TOOLS_SEGMENTATION_DATA_MODIFIED',
             this.segmentationModifiedCallback
@@ -386,6 +398,15 @@ export default {
                             segmentationId: item.segmentationId,
                             segmentIndices: [item.segmentIndex],
                         });
+                    // console.log(bidirectionalData, 'bidirectionalData')
+                    if (bidirectionalData.length <= 0) {
+                        let annotations = annotation.state.getAllAnnotations().filter(i => i.metadata.segmentationId === item.segmentationId && i.metadata.segmentIndex === item.segmentIndex);
+                        annotations.forEach(i => {
+                            annotation.state.removeAnnotation(i.annotationUID)
+                        })
+                        this.resetViewport(false)
+                        item.bidirectional = null
+                    }
                     bidirectionalData.forEach((bidirectional) => {
                         const { segmentIndex } = bidirectional;
                         const { majorAxis, minorAxis, maxMajor, maxMinor } = bidirectional;
@@ -418,11 +439,19 @@ export default {
             const toolGroupId = this.isMPR ? this.volumeToolGroupId : `${this.viewportKey}-${this.activeViewportIndex}`
             const toolGroup = ToolGroupManager.getToolGroup(toolGroupId)
             if (this.activeTool === toolName) {
-                toolGroup.setToolPassive(this.activeTool)
+                if (toolName === CrosshairsTool.toolName) {
+                    toolGroup.setToolDisabled(this.activeTool)
+                } else {
+                    toolGroup.setToolPassive(this.activeTool)
+                }
                 this.$emit('update:activeTool', '')
             } else {
                 if (this.activeTool) {
-                    toolGroup.setToolPassive(this.activeTool)
+                    if (toolName === CrosshairsTool.toolName) {
+                        toolGroup.setToolDisabled(this.activeTool)
+                    } else {
+                        toolGroup.setToolPassive(this.activeTool)
+                    }
                 }
                 toolGroup.setToolActive(toolName, {
                     bindings: [{ mouseButton: MouseBindings.Primary }]
@@ -442,6 +471,18 @@ export default {
             item.bidirectionalView = view
             this.resetViewport()
         },
+        jumpBidirectional(item) {
+            if (item.bidirectional) {
+                let an = annotation.state.getAllAnnotations().find(i => i.metadata.segmentationId === item.segmentationId && i.metadata.segmentIndex === item.segmentIndex && i.metadata.toolName === "SegmentBidirectional");
+                if (!an) return false
+                let referencedImageId = an.metadata.referencedImageId;
+                let sliceIndex = metaData.get('generalImageModule', referencedImageId).instanceNumber
+                const renderingEngine = getRenderingEngine(this.renderingEngineId)
+                const viewportId = `${this.viewportKey}-${this.activeViewportIndex}`
+                const viewport = renderingEngine.getViewport(viewportId)
+                csUtils.jumpToSlice(viewport.element, { imageIndex: sliceIndex - 1 });
+            }
+        },
         viewSegmentGroup(item) {
             let view = !item.view
             this.viewprotIds.forEach(id => {
@@ -479,16 +520,7 @@ export default {
             this.segmentationId = item.segmentationId;
             this.segmentIndex = item.segmentIndex;
             segmentation.segmentIndex.setActiveSegmentIndex(item.segmentationId, item.segmentIndex);
-            if (item.bidirectional) {
-                let an = annotation.state.getAllAnnotations().find(i => i.metadata.segmentationId === item.segmentationId && i.metadata.segmentIndex === item.segmentIndex && i.metadata.toolName === "SegmentBidirectional");
-                if (!an) return false
-                let referencedImageId = an.metadata.referencedImageId;
-                let sliceIndex = metaData.get('generalImageModule', referencedImageId).instanceNumber
-                const renderingEngine = getRenderingEngine(this.renderingEngineId)
-                const viewportId = `${this.viewportKey}-${this.activeViewportIndex}`
-                const viewport = renderingEngine.getViewport(viewportId)
-                csUtils.jumpToSlice(viewport.element, { imageIndex: sliceIndex - 1 });
-            }
+            this.jumpBidirectional(item)
             if (item.lock) {
                 this.$emit('setToolsPassive')
             }
@@ -498,7 +530,7 @@ export default {
             this.viewprotIds.forEach(id => {
                 segmentation.activeSegmentation.setActiveSegmentation(id, this.segmentationId)
             })
-            this.selectSegment({ segmentIndex: 1 })
+            this.selectSegment({ segmentationId: this.segmentationId, segmentIndex: 1 })
             // this.changeSegmentConfig()
         },
         async addSegmentGroup() {
@@ -507,6 +539,7 @@ export default {
             let obj = {
                 name: this.$t('trials:reading:Segmentations:name:SegmentGroup') + (this.segmentList.length + 1),
                 view: true,
+                segmentationId: null,
                 segments: []
             }
             let segmentationId = await this.addOrUpdateSegmentation({ name: obj.name })
@@ -798,7 +831,8 @@ export default {
                 const RecommendedDisplayCIELabValue = dcmjs.data.Colors.rgb2DICOMLAB(
                     color.slice(0, 3).map(value => value / 255)
                 ).map(value => Math.round(value));
-                let SegmentLabel = group.segments.find(item => item.segmentIndex === segmentIndex).SegmentLabel
+                let segment = group.segments.find(item => item.segmentIndex === segmentIndex)
+                let SegmentLabel = segment.SegmentLabel
                 const segmentMetadata = {
                     SegmentNumber: segmentIndex.toString(),
                     SegmentLabel: SegmentLabel,
@@ -816,24 +850,42 @@ export default {
                         CodeMeaning: "Tissue"
                     }
                 };
-                labelmap3D.metadata[segmentIndex] = segmentMetadata;
+                if (segment.bidirectional && segment.stats) labelmap3D.metadata[segmentIndex] = segmentMetadata;
             });
-
+            if (labelmap3D.metadata.length <= 0) {
+                return false
+            }
             const generatedSegmentation =
                 Cornerstone3D.Segmentation.generateSegmentation(
                     referencedImages,
                     labelmap3D,
                     metaData
                 );
-            console.log(generatedSegmentation.dataset, 'generatedSegmentation.dataset')
             if (!isFile) {
                 const buffer = Buffer.from(dcmjs.data.datasetToDict(generatedSegmentation.dataset).write());
                 let blob = new Blob([buffer], { type: "application/dicom" });
                 return blob
             } else {
-                downloadDICOMData(generatedSegmentation.dataset, `${group.name}.dcm`);
+                this.downloadDICOMData(generatedSegmentation.dataset, `${group.name}.dcm`);
             }
         },
+        downloadDICOMData(bufferOrDataset, filename) {
+            let blob;
+            if (bufferOrDataset instanceof ArrayBuffer) {
+                blob = new Blob([bufferOrDataset], { type: 'application/dicom' });
+            } else {
+                if (!bufferOrDataset._meta) {
+                    throw new Error('Dataset must have a _meta property');
+                }
+                blob = dcmjs.data.datasetToBlob(bufferOrDataset);
+            }
+
+            const link = document.createElement('a');
+            link.href = window.URL.createObjectURL(blob);
+            link.download = filename;
+            link.click();
+        },
+
         // 导入SEG
         beginScanFiles(e) {
             let files = e.target.files
@@ -936,14 +988,11 @@ export default {
             CStUtils.segmentation.setBrushSizeForToolGroup(toolGroupId, this.brushSize);
         },
         async createSegmentation(segmentationId) {
-            // const derivedSegmentationImages =
-            //     await imageLoader.createAndCacheDerivedLabelmapImages(
-            //         this.series.ImageIds
-            //     );
-
-            // const derivedSegmentationImageIds = derivedSegmentationImages.map(
-            //     image => image.imageId
-            // );
+            const toolGroupId = this.isMPR ? this.volumeToolGroupId : `${this.viewportKey}-${this.activeViewportIndex}`
+            const toolGroup = ToolGroupManager.getToolGroup(toolGroupId)
+            toolGroup.setToolActive(
+                LabelMapEditWithContourTool.toolName,
+            );
             if (!cache.getVolume(segmentationId)) {
                 await volumeLoader.createAndCacheDerivedLabelmapVolume(
                     this.series.SeriesInstanceUid,
@@ -960,7 +1009,6 @@ export default {
                         type: cornerstoneTools.Enums.SegmentationRepresentations
                             .Labelmap,
                         data: {
-                            // imageIds: derivedSegmentationImageIds
                             volumeId: segmentationId
                         }
                     }
@@ -969,11 +1017,13 @@ export default {
         },
         segmentationModifiedCallback(evt) {
             const { detail } = evt;
+            // console.log(detail)
             if (detail.segmentIndex === 0) {
                 this.drawing = true
                 this.isDel = true
             }
-            if (!detail || !detail.segmentIndex || detail.segmentIndex === 255) {
+            // || !detail.segmentIndex
+            if (!detail || detail.segmentIndex === 255) {
                 return;
             }
             this.drawing = true
@@ -986,13 +1036,12 @@ export default {
             });
 
             if (mode === 'individual') {
-                // Handle individual mode where stats is an object with segment indices as keys
                 const segmentStats = stats;
 
                 for (const segmentIndex of indices) {
                     if (segmentStats[segmentIndex]) {
                         const segmentStat = segmentStats[segmentIndex];
-                        console.log(segmentStat, 'segmentStat')
+                        // console.log(segmentStat, 'segmentStat')
                         segmentStat.count.label = 'Voxels';
                         let segmentGroup = this.segmentList.find(item => item.segmentationId === segmentationId)
                         let segment = segmentGroup.segments.find(item => item.segmentIndex === segmentIndex)
@@ -1017,6 +1066,7 @@ export default {
                     },
                 ])
             })
+            this.$emit('setToolsPassive')
         },
         contentMouseup() {
             // console.log("segment contentMouseup")
@@ -1131,11 +1181,14 @@ export default {
                     })
                     // 生成文件路径
                     let blob = this.exportSegmentation(segmentGroup.segmentationId, segmentGroup)
-                    let path = `/${this.$route.query.trialId}/Segment/${this.visitInfo.SubjectId
-                        }/${this.visitInfo.VisistId}/${this.series.StudyId
-                        }/${this.series.Id}/${segmentGroup.name}.dcm`
-                    const result = await this.OSSclient.put(path, blob)
-                    segmentGroup.segUrl = this.$getObjectName(result.url)
+                    if (blob) {
+                        let path = `/${this.$route.query.trialId}/Segment/${this.visitInfo.SubjectId
+                            }/${this.visitInfo.VisistId}/${this.series.StudyId
+                            }/${this.series.Id}/${segmentGroup.name}.dcm`
+                        const result = await this.OSSclient.put(path, blob)
+                        segmentGroup.segUrl = this.$getObjectName(result.url)
+                    }
+
                     this.addOrUpdateSegmentation({ name: segmentGroup.name, id: segmentGroup.segmentationId, url: segmentGroup.segUrl })
                     segmentGroup.segments.forEach(s => {
                         this.addOrUpdateSegment({ name: s.SegmentLabel, color: s.color, segmentIndex: s.segmentIndex, segmentationId: s.segmentationId, segmentJson: JSON.stringify({ stats: s.stats, bidirectional: s.bidirectional }), id: s.id })
diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionFormItem.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionFormItem.vue
index 4018c3d7..7eea7853 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionFormItem.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionFormItem.vue
@@ -608,7 +608,7 @@ export default {
     })
     DicomEvent.$on('setTableQuestionAnswer', async (DATA) => {
       let { id, answer, ParentQsId, data } = DATA
-      console.log(ParentQsId, this.question.Id)
+      // console.log(ParentQsId, this.question.Id)
       if (this.question.Id === ParentQsId) {
         this.QuestionsForm[id] = answer
         if (data.RowId) {
@@ -1456,13 +1456,13 @@ export default {
     getAnnotationProp(annotation, prop) {
       if (!annotation) return
       let referencedImageId = null
-      if (annotation.from) {
-        referencedImageId = `${annotation?.metadata?.volumeId}?sliceIndex=${annotation?.metadata?.sliceIndex}&viewPlaneNormal=${annotation?.metadata?.viewPlaneNormal.map(i => i == 0 ? 0 : i).join(',')}`
+      if (annotation.from || annotation.metadata.volumeId) {
+        referencedImageId = `${annotation?.metadata?.volumeId}?sliceIndex=${annotation?.metadata?.sliceIndex}&viewPlaneNormal=${annotation?.metadata?.viewPlaneNormal.map(i => i == 0 ? Number(0).toFixed(3) : Number(i).toFixed(3)).join(',')}`
       } else {
         referencedImageId = annotation?.metadata?.referencedImageId
       }
       if (!referencedImageId) return null
-      const cacheKey = annotation.from ? `volumeId:${referencedImageId}` : `imageId:${referencedImageId}`
+      const cacheKey = annotation.from || annotation.metadata.volumeId ? `volumeId:${referencedImageId}` : `imageId:${referencedImageId}`
       const points = ['x', 'y', 'z'];
       const cachedStats = annotation.markTool === "ArrowAnnotate" ? annotation.data?.handles?.points[0] : annotation.data?.cachedStats?.[cacheKey]
       const hasProp = cachedStats
diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue
index 8587ee86..6588e230 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue
@@ -442,7 +442,7 @@ export default {
         VIEW_SEGMENT: 23, // 查看分割标记
         REMOVE_SEGMENT: 24, // 移除分割标记
       }
-      console.log(obj, 'obj')
+      // console.log(obj, 'obj')
       const { question, operateStateEnum, rowId, answer } = obj
       const { Id, IsTableQuestion, ImageTool, ImageToolAttribute, ParentQsId, RowId, QuestionName, QuestionEnName } = question
 
@@ -506,7 +506,7 @@ export default {
       }
     },
     handleBindSegment(obj) {
-      this.$emit("openSegmentForm", { visitInfo: this.visitInfo })
+      this.$emit("openSegmentForm", { visitInfo: this.visitInfo, operateStateEnum: obj.operateStateEnum, isTableQuestion: this.isTableQuestion, operateQuestionId: this.operateQuestionId, operateRowId: this.operateRowId })
     },
     handleSegmentSave(obj) {
       let imageToolAttribute = this.imageToolAttribute
@@ -1227,13 +1227,13 @@ export default {
     getAnnotationProp(annotation, prop) {
       if (!annotation || !prop) return
       let referencedImageId = null
-      if (annotation.from) {
-        referencedImageId = `${annotation?.metadata?.volumeId}?sliceIndex=${annotation?.metadata?.sliceIndex}&viewPlaneNormal=${annotation?.metadata?.viewPlaneNormal.map(i => i == 0 ? 0 : i).join(',')}`
+      if (annotation.from || annotation.metadata.volumeId) {
+        referencedImageId = `${annotation?.metadata?.volumeId}?sliceIndex=${annotation?.metadata?.sliceIndex}&viewPlaneNormal=${annotation?.metadata?.viewPlaneNormal.map(i => i == 0 ? Number(0).toFixed(3) : Number(i).toFixed(3)).join(',')}`
       } else {
         referencedImageId = annotation?.metadata?.referencedImageId
       }
       if (!referencedImageId) return null
-      const cacheKey = annotation.from ? `volumeId:${referencedImageId}` : `imageId:${referencedImageId}`
+      const cacheKey = annotation.from || annotation.metadata.volumeId ? `volumeId:${referencedImageId}` : `imageId:${referencedImageId}`
       const points = ['x', 'y', 'z']
       const cachedStats = annotation.markTool === "ArrowAnnotate" ? annotation.data?.handles?.points[0] : annotation.data?.cachedStats?.[cacheKey]
       const hasProp = cachedStats