PT临床数据更改

src/components/Dicom/DicomCanvas.vue

@@ -78,16 +78,18 @@
 import * as cornerstone from 'cornerstone-core'
 import * as cornerstoneMath from 'cornerstone-math'
 import * as cornerstoneTools from 'cornerstone-tools'
+import metaDataProvider from '@/utils/metaDataProvider'
 
 const scroll = cornerstoneTools.import('util/scrollToIndex')
 import Hammer from 'hammerjs'
 import getOrientationString from '@/views/trials/trials-panel/reading/dicoms/tools/OrientationMarkers/getOrientationString'
 import invertOrientationString from '@/views/trials/trials-panel/reading/dicoms/tools/OrientationMarkers/invertOrientationString'
 
-import calculateSUV from '@/views/trials/trials-panel/reading/dicoms/tools/calculateSUV'
+const calculateSUV = cornerstoneTools.import('util/calculateSUV')
 // import requestPoolManager from '@/utils/request-pool'
 import ScaleOverlayTool from '@/views/trials/trials-panel/reading/dicoms/tools/ScaleOverlay/ScaleOverlayTool'
 import Note_RectangleRoiTool from '@/views/trials/trials-panel/reading/dicoms/tools/RectangleRoi/Note_RectangleRoiTool'
+let isMetaDataProviderAdded = false
 cornerstoneTools.external.cornerstone = cornerstone
 cornerstoneTools.external.Hammer = Hammer
 cornerstoneTools.external.cornerstoneMath = cornerstoneMath
@@ -217,6 +219,11 @@ export default {
         // this.stack.instanceId = instanceId
         this.toolState.clipPlaying = false
         const element = this.$refs.canvas
+        if (!isMetaDataProviderAdded) {
+          // 注册自定义 metaDataProvider：统一 SUV 口径（优先接口，缺失回退 DICOM）
+          cornerstone.metaData.addProvider(metaDataProvider, 100000)
+          isMetaDataProviderAdded = true
+        }
         cornerstone.enable(element)
         cornerstoneTools.stopClip(this.canvas)
         this.toolState.clipPlaying = false
@@ -384,7 +391,7 @@ export default {
       this.dicomInfo.age = data.string('x00101010')
       this.dicomInfo.sex = data.string('x00100040')
       this.dicomInfo.acc = data.string('x00080050') // 登记号
-      this.dicomInfo.modality = data.string('x00080060')
+      this.dicomInfo.modality = (data.string('x00080060') || '').trim()
       this.dicomInfo.time = this.formatDicomDateTime(
         data.string('x00080020'),
         data.string('x00080030')

src/components/Dicom/DicomViewer.vue

@@ -363,7 +363,7 @@ import {
   getPatientInfo,
   editPatientInfo
 } from '@/api/trials'
-import { setPTClinicalDataForInstance } from '@/utils/ptClinicalDataCache'
+import { setPTClinicalDataForInstance, clearPTClinicalDataCache } from '@/utils/ptClinicalDataCache'
 export default {
   name: 'DicomsViewer',
   components: {
@@ -476,6 +476,9 @@ export default {
     this.type = this.$route.query.type
     this.isEdit = parseInt(this.$route.query.showDelete)
   },
+  beforeDestroy() {
+    clearPTClinicalDataCache()
+  },
 
   methods: {
     anonymousImage() {
@@ -554,7 +557,17 @@ export default {
       this.currentDicomCanvas.toolState.clipPlaying = false
       this.$nextTick(() => {
         this.series = Object.assign({}, dicomSeries)
+        this.seriesList = [this.series]
         this.currentDicomCanvas.loadImageStack(this.series)
+        if (
+          this.formData.PatientWeight != null ||
+          this.formData.RadionuclideTotalDose != null ||
+          this.formData.RadionuclideHalfLife != null ||
+          this.formData.RadiopharmaceuticalStartTime != null ||
+          this.formData.AcquisitionTime != null
+        ) {
+          this.cachePtClinicalDataToInstances()
+        }
       })
     },
     loadOtherImageStack(seriesList) {
@@ -568,6 +581,15 @@ export default {
             this.$refs[`dicomCanvas${canvasIndex}`].loadImageStack(series)
           }
         })
+        if (
+          this.formData.PatientWeight != null ||
+          this.formData.RadionuclideTotalDose != null ||
+          this.formData.RadionuclideHalfLife != null ||
+          this.formData.RadiopharmaceuticalStartTime != null ||
+          this.formData.AcquisitionTime != null
+        ) {
+          this.cachePtClinicalDataToInstances()
+        }
       })
     },
     activateDicomCanvas(index) {

src/utils/metaDataProvider.js

@@ -1,115 +1,123 @@
-import * as cornerstoneWADOImageLoader from 'cornerstone-wado-image-loader'
+import * as cornerstoneWADOImageLoader from "cornerstone-wado-image-loader";
-import store from '@/store'
+import store from "@/store";
-import { getPTClinicalDataForInstance } from '@/utils/ptClinicalDataCache'
+import { getPTClinicalDataForInstance } from "@/utils/ptClinicalDataCache";
 import {
   getImageTypeSubItemFromDataset,
   extractOrientationFromDataset,
   extractPositionFromDataset,
   extractSpacingFromDataset,
   extractSliceThicknessFromDataset,
-} from './extractPositioningFromDataset';
+} from "./extractPositioningFromDataset";
 
 function toNumber(val) {
-  if (val === undefined || val === null || val === '') return null;
+  if (val === undefined || val === null || val === "") return null;
-  const n = typeof val === 'number' ? val : parseFloat(val);
+  const n = typeof val === "number" ? val : parseFloat(val);
   return Number.isFinite(n) ? n : null;
 }
 
-function parseDicomTimeToObject(value) {
+function normalizeDicomTime(value) {
-  if (value === undefined || value === null || value === '') return null;
+  if (value === undefined || value === null || value === "") return null;
-  const raw = String(value).trim();
+  const num = toNumber(value);
-  if (!raw) return null;
+  if (num != null) {
-  const cleaned = raw.replace(/[^\d.]/g, '');
+    return String(Math.floor(num)).padStart(6, "0");
-  if (!cleaned) return null;
-  const [baseRaw, fracRaw] = cleaned.split('.');
-  const base = `${baseRaw || ''}`.padStart(6, '0').slice(-6);
-  const hours = toNumber(base.slice(0, 2)) ?? 0;
-  const minutes = toNumber(base.slice(2, 4)) ?? 0;
-  const seconds = toNumber(base.slice(4, 6)) ?? 0;
-  const fractionalSeconds = `${fracRaw || ''}`.padEnd(6, '0').slice(0, 6);
-  if (!Number.isFinite(hours) || !Number.isFinite(minutes) || !Number.isFinite(seconds)) return null;
-  return { hours, minutes, seconds, fractionalSeconds };
-}
-
-function getFirstSequenceItemDataSet(dataSet, tag) {
-  const el = dataSet?.elements?.[tag];
-  const item = el?.items?.[0];
-  return item?.dataSet;
-}
-
-function getIntString(dataSet, tag) {
-  if (!dataSet) return undefined;
-  if (typeof dataSet.intString === 'function') {
-    return dataSet.intString(tag);
   }
-  const raw = dataSet.string(tag);
+  if (typeof value !== "string") return null;
-  const n = raw != null ? parseInt(raw, 10) : NaN;
+  const trimmed = value.trim();
-  return Number.isFinite(n) ? n : undefined;
+  if (!trimmed) return null;
+  const plain = trimmed.replace(/:/g, "");
+  const parts = plain.split(".");
+  const main = parts[0];
+  const fractional = parts[1];
+  if (!/^\d+$/.test(main)) {
+    return trimmed;
+  }
+  const normalizedMain = main.padStart(6, "0");
+  return fractional ? `${normalizedMain}.${fractional}` : normalizedMain;
 }
 
 function getPTClinicalOverrideFromImageId(imageId) {
   try {
-    const qIndex0 = imageId.indexOf('?');
+    const qIndex = imageId.indexOf("?");
-    if (qIndex0 !== -1) {
-      const params0 = new URLSearchParams(imageId.slice(qIndex0 + 1));
-      const instanceId0 = params0.get('instanceId');
-      if (instanceId0) {
-        const cached = getPTClinicalDataForInstance(instanceId0);
-        if (cached) return cached;
-      }
-    }
-    const qIndex = imageId.indexOf('?');
     if (qIndex === -1) return null;
     const params = new URLSearchParams(imageId.slice(qIndex + 1));
-    const visitTaskId = params.get('visitTaskId');
+    const visitTaskId = params.get("visitTaskId");
-    const idx = params.get('idx');
+    const idx = params.get("idx");
-    if (!visitTaskId || !idx) return null;
+
-    const parts = idx.split('|');
+    // 场景1：trials/dicoms，imageId 带 visitTaskId + idx，优先使用列表中的最新 study 值
+    if (visitTaskId && idx) {
+      const parts = idx.split("|");
       const studyIndex = toNumber(parts[0]);
-    if (!Number.isInteger(studyIndex) || studyIndex < 0) return null;
+      if (Number.isInteger(studyIndex) && studyIndex >= 0) {
-
+        const visitTaskList = store.state.reading.visitTaskList;
-    const visitTaskList = store?.state?.reading?.visitTaskList;
+        if (Array.isArray(visitTaskList)) {
-    if (!Array.isArray(visitTaskList)) return null;
+          const visitTaskInfo = visitTaskList.find(
-    const visitTaskInfo = visitTaskList.find(v => v && v.VisitTaskId === visitTaskId);
+            (v) => v && String(v.VisitTaskId) === visitTaskId
+          );
           const study = visitTaskInfo?.StudyList?.[studyIndex];
-    if (!study) return null;
-
           if (
+            study &&
+            !(
               study.PatientWeight == null &&
               study.RadionuclideTotalDose == null &&
               study.RadionuclideHalfLife == null &&
               study.RadiopharmaceuticalStartTime == null &&
               study.AcquisitionTime == null &&
               study.PatientSex == null
+            )
           ) {
-      return null;
-    }
             return study;
+          }
+        }
+      }
+    }
+
+    // 场景2：src/components/Dicom，imageId 仅带 instanceId，回退到实例缓存
+    const instanceId = params.get("instanceId");
+    if (instanceId) {
+      const cached = getPTClinicalDataForInstance(instanceId);
+      if (cached) return cached;
+    }
+
+    return null;
   } catch (e) {
     return null;
   }
 }
 function parseImageId(imageId) {
-  // build a url by parsing out the url scheme and frame index from the imageId
+  // 兼容 frame 参数不在最后的情况：只移除 frame 参数本身，保留 instanceId/visitTaskId/idx 等其余 query
-  const firstColonIndex = imageId.indexOf(':');
+  const firstColonIndex = imageId.indexOf(":");
-
+  const scheme = imageId.substr(0, firstColonIndex);
-  let url = imageId.substring(firstColonIndex + 1);
+  const urlPart = imageId.substring(firstColonIndex + 1);
-  const frameIndex = url.indexOf('frame=');
+  let url = urlPart;
-
   let frame;
+  const qIndex = urlPart.indexOf("?");
+  if (qIndex !== -1) {
+    const base = urlPart.slice(0, qIndex);
+    const query = urlPart.slice(qIndex + 1);
+    const parts = query.split("&").filter(Boolean);
+    const preservedParts = [];
 
-  if (frameIndex !== -1) {
+    parts.forEach((part) => {
-    const frameStr = url.substr(frameIndex + 6);
+      const eqIndex = part.indexOf("=");
+      const key = eqIndex === -1 ? part : part.slice(0, eqIndex);
+      const value = eqIndex === -1 ? "" : part.slice(eqIndex + 1);
 
-    frame = parseInt(frameStr, 10);
+      if (key === "frame") {
-    url = url.substr(0, frameIndex - 1);
+        const n = value !== "" ? parseInt(value, 10) : NaN;
+        if (Number.isFinite(n)) {
+          frame = n;
+        }
+        return;
       }
 
-  return {
+      // 保留原始 query 片段，避免 URLSearchParams 把 | 编码成 %7C 导致 dataSetCache key 对不上
-    scheme: imageId.substr(0, firstColonIndex),
+      preservedParts.push(part);
-    url,
+    });
-    frame,
+
-  };
+    url = preservedParts.length ? `${base}?${preservedParts.join("&")}` : base;
+  }
+
+  return { scheme, url, frame };
 }
 function getNumberValues(dataSet, tag, minimumLength) {
   const values = [];
@@ -118,7 +126,7 @@ function getNumberValues(dataSet, tag, minimumLength) {
   if (!valueAsString) {
     return;
   }
-  const split = valueAsString.split('\\');
+  const split = valueAsString.split("\\");
 
   if (minimumLength && split.length < minimumLength) {
     return;
@@ -157,28 +165,31 @@ function getLutData(lutDataSet, tag, lutDescriptor) {
   return lut;
 }
 function populateSmallestLargestPixelValues(dataSet, imagePixelModule) {
-  const pixelRepresentation = dataSet.uint16('x00280103');
+  const pixelRepresentation = dataSet.uint16("x00280103");
   if (pixelRepresentation === 0) {
-    imagePixelModule.smallestPixelValue = dataSet.uint16('x00280106');
+    imagePixelModule.smallestPixelValue = dataSet.uint16("x00280106");
-    imagePixelModule.largestPixelValue = dataSet.uint16('x00280107');
+    imagePixelModule.largestPixelValue = dataSet.uint16("x00280107");
   } else {
-    imagePixelModule.smallestPixelValue = dataSet.int16('x00280106');
+    imagePixelModule.smallestPixelValue = dataSet.int16("x00280106");
-    imagePixelModule.largestPixelValue = dataSet.int16('x00280107');
+    imagePixelModule.largestPixelValue = dataSet.int16("x00280107");
   }
-  imagePixelModule.largestPixelValue = imagePixelModule.largestPixelValue === 0 ? undefined : imagePixelModule.largestPixelValue;
+  imagePixelModule.largestPixelValue =
+    imagePixelModule.largestPixelValue === 0
+      ? undefined
+      : imagePixelModule.largestPixelValue;
 }
 function populatePaletteColorLut(dataSet, imagePixelModule) {
   imagePixelModule.redPaletteColorLookupTableDescriptor = getLutDescriptor(
     dataSet,
-    'x00281101'
+    "x00281101"
   );
   imagePixelModule.greenPaletteColorLookupTableDescriptor = getLutDescriptor(
     dataSet,
-    'x00281102'
+    "x00281102"
   );
   imagePixelModule.bluePaletteColorLookupTableDescriptor = getLutDescriptor(
     dataSet,
-    'x00281103'
+    "x00281103"
   );
 
   // The first Palette Color Lookup Table Descriptor value is the number of entries in the lookup table.
@@ -217,115 +228,165 @@ function populatePaletteColorLut(dataSet, imagePixelModule) {
 
   imagePixelModule.redPaletteColorLookupTableData = getLutData(
     dataSet,
-    'x00281201',
+    "x00281201",
     imagePixelModule.redPaletteColorLookupTableDescriptor
   );
   imagePixelModule.greenPaletteColorLookupTableData = getLutData(
     dataSet,
-    'x00281202',
+    "x00281202",
     imagePixelModule.greenPaletteColorLookupTableDescriptor
   );
   imagePixelModule.bluePaletteColorLookupTableData = getLutData(
     dataSet,
-    'x00281203',
+    "x00281203",
     imagePixelModule.bluePaletteColorLookupTableDescriptor
   );
 }
 
 function getSpacingBetweenSlices(dataSet) {
   if (dataSet?.elements?.x00180088) {
-    return dataSet.floatString('x00180088');
+    return dataSet.floatString("x00180088");
   }
   const pixelMeasuresSequence = dataSet?.elements?.x00289110;
   if (
     pixelMeasuresSequence?.items?.length &&
     pixelMeasuresSequence.items[0]?.dataSet?.elements?.x00180088
   ) {
-    return pixelMeasuresSequence.items[0].dataSet.floatString('x00180088');
+    return pixelMeasuresSequence.items[0].dataSet.floatString("x00180088");
   }
 }
 function metaDataProvider(type, imageId) {
   const parsedImageId = parseImageId(imageId);
-  const dataSet = cornerstoneWADOImageLoader.wadouri.dataSetCacheManager.get(parsedImageId.url);
+  const dataSet = cornerstoneWADOImageLoader.wadouri.dataSetCacheManager.get(
+    parsedImageId.url
+  );
 
   if (!dataSet) {
     return;
   }
   const ptOverride = getPTClinicalOverrideFromImageId(imageId);
-  if (type === 'generalSeriesModule') {
+  if (type === "generalSeriesModule") {
-    // 参照 cornerstoneWADOImageLoader 的 module 结构返回，避免调用方拿不到预期字段
+    const { dicomParser } = cornerstoneWADOImageLoader.external || {};
-    const dicomParser = cornerstoneWADOImageLoader?.external?.dicomParser;
+    const overrideTime = normalizeDicomTime(ptOverride?.AcquisitionTime);
-    const modality = dataSet.string('x00080060');
+    const seriesTimeRaw =
-    const seriesDateRaw = dataSet.string('x00080021') || '';
+      overrideTime ||
-    const seriesTimeRaw = dataSet.string('x00080031') || '';
+      dataSet.string("x00080031") ||
-    const acquisitionDateRaw = dataSet.string('x00080022') || '';
+      dataSet.string("x00080032") ||
-    const acquisitionTimeRaw = dataSet.string('x00080032') || '';
+      "";
-    const seriesTimeValue = ptOverride?.AcquisitionTime ?? seriesTimeRaw;
+    const acquisitionTimeRaw =
+      overrideTime ||
+      dataSet.string("x00080032") ||
+      dataSet.string("x00080031") ||
+      "";
     return {
-      modality,
+      modality: dataSet.string("x00080060"),
-      seriesInstanceUID: dataSet.string('x0020000e'),
+      seriesInstanceUID: dataSet.string("x0020000e"),
-      seriesNumber: getIntString(dataSet, 'x00200011'),
+      seriesNumber: dataSet.intString("x00200011"),
-      studyInstanceUID: dataSet.string('x0020000d'),
+      studyInstanceUID: dataSet.string("x0020000d"),
-      seriesDate: dicomParser?.parseDA ? dicomParser.parseDA(seriesDateRaw) : seriesDateRaw,
+      seriesDate: dicomParser.parseDA(dataSet.string("x00080021")),
-      seriesTime: dicomParser?.parseTM ? dicomParser.parseTM(seriesTimeValue || '') : parseDicomTimeToObject(seriesTimeValue),
+      // 2D SUV 计算读取的是 seriesTime，这里同步使用用户录入采集时间
-      acquisitionDate: dicomParser?.parseDA ? dicomParser.parseDA(acquisitionDateRaw) : acquisitionDateRaw,
+      // seriesTime: dicomParser.parseTM(String(seriesTimeRaw)),
-      acquisitionTime: dicomParser?.parseTM ? dicomParser.parseTM(acquisitionTimeRaw || '') : parseDicomTimeToObject(acquisitionTimeRaw)
+      seriesTime: dicomParser.parseTM(dataSet.string('x00080031') || ''),
+      acquisitionDate: dicomParser.parseDA(dataSet.string("x00080022") || ""),
+      acquisitionTime: dicomParser.parseTM(String(acquisitionTimeRaw)),
     };
   }
-  if (type === 'patientStudyModule') {
+  if (type === "patientStudyModule") {
-    // 参照 cornerstoneWADOImageLoader 的 module 结构返回
+    const weightOverride = ptOverride?.PatientWeight;
-    const patientWeightRaw = dataSet.floatString('x00101030') || dataSet.string('x00101030');
+    const weight =
-    // const patientSexRaw = dataSet.string('x00100040');
+      weightOverride
-    const patientSizeRaw = dataSet.floatString('x00101020') || dataSet.string('x00101020');
+        ? toNumber(weightOverride)
-    const patientAge = getIntString(dataSet, 'x00101010');
+        : dataSet.floatString("x00101030");
-    const patientWeight = toNumber(ptOverride?.PatientWeight ?? patientWeightRaw);
-    // const patientSex = ptOverride?.PatientSex ?? patientSexRaw;
-    const patientSize = toNumber(patientSizeRaw);
     return {
-      patientAge,
+      patientAge: dataSet.intString("x00101010"),
-      patientWeight,
+      patientSize: dataSet.floatString("x00101020"),
-      // patientSex,
+      patientWeight: weight,
-      patientSize
     };
   }
-  if (type === 'petIsotopeModule') {
+
-    // 统一 SUV 口径：优先使用接口/人工录入的 PT 临床数据，缺失时回退读取 DICOM Tag
+  if (type === "petIsotopeModule") {
-    // 同时保持与 cornerstoneWADOImageLoader 返回结构一致（radiopharmaceuticalInfo.*）
+    const { dicomParser } = cornerstoneWADOImageLoader.external || {};
-    const dicomParser = cornerstoneWADOImageLoader?.external?.dicomParser;
+    const radiopharmaceuticalInfo = dataSet.elements.x00540016;
-    const radioPharmItem = getFirstSequenceItemDataSet(dataSet, 'x00540016');
+
-    const startTimeRaw = radioPharmItem?.string?.('x00181072') || dataSet.string('x00181072');
+    if (radiopharmaceuticalInfo === undefined) {
-    const totalDoseRaw = radioPharmItem?.floatString?.('x00181074') || radioPharmItem?.string?.('x00181074') || dataSet.floatString('x00181074') || dataSet.string('x00181074');
+      return;
-    const halfLifeRaw = radioPharmItem?.floatString?.('x00181075') || radioPharmItem?.string?.('x00181075') || dataSet.floatString('x00181075') || dataSet.string('x00181075');
+    }
-    const startTimeValue = ptOverride?.RadiopharmaceuticalStartTime ?? startTimeRaw;
+    const firstRadiopharmaceuticalInfoDataSet =
-    const radiopharmaceuticalStartTime = dicomParser?.parseTM
+      radiopharmaceuticalInfo.items[0].dataSet;
-      ? dicomParser.parseTM(startTimeValue || '')
+
-      : parseDicomTimeToObject(startTimeValue);
+    const startTimeRaw =
-    const radionuclideTotalDose = toNumber(ptOverride?.RadionuclideTotalDose ?? totalDoseRaw);
+      firstRadiopharmaceuticalInfoDataSet.string("x00181072") || "";
-    const radionuclideHalfLife = toNumber(ptOverride?.RadionuclideHalfLife ?? halfLifeRaw);
+    const totalDoseRaw =
+      firstRadiopharmaceuticalInfoDataSet.floatString("x00181074");
+    const halfLifeRaw =
+      firstRadiopharmaceuticalInfoDataSet.floatString("x00181075");
+    let startTimeValue = normalizeDicomTime(
+      ptOverride?.RadiopharmaceuticalStartTime
+    );
+    if (!startTimeValue && startTimeRaw) {
+      startTimeValue = normalizeDicomTime(startTimeRaw) || startTimeRaw;
+    }
+    const radiopharmaceuticalStartTime = dicomParser.parseTM(
+      String(startTimeValue)
+    );
+    const overrideTotalDose =
+      ptOverride?.RadionuclideTotalDose != null &&
+      ptOverride.RadionuclideTotalDose !== ""
+        ? toNumber(ptOverride.RadionuclideTotalDose)
+        : null;
+    const overrideHalfLife =
+      ptOverride?.RadionuclideHalfLife != null &&
+      ptOverride.RadionuclideHalfLife !== ""
+        ? toNumber(ptOverride.RadionuclideHalfLife)
+        : null;
+    const radionuclideTotalDose =
+      overrideTotalDose != null ? overrideTotalDose : toNumber(totalDoseRaw);
+    const radionuclideHalfLife =
+      overrideHalfLife != null ? overrideHalfLife : toNumber(halfLifeRaw);
     return {
       radiopharmaceuticalInfo: {
         radiopharmaceuticalStartTime,
         radionuclideTotalDose,
-        radionuclideHalfLife
+        radionuclideHalfLife,
-      }
+      },
     };
   }
-  if (type === 'imagePlaneModule') {
+  if (type === "imagePlaneModule") {
     // const imageOrientationPatient = getNumberValues(dataSet, 'x00200037', 6);
     // const imagePositionPatient = getNumberValues(dataSet, 'x00200032', 3);
     // const pixelSpacing = getNumberValues(dataSet, 'x00280030', 2);
-    const imagePixelSpacing = getNumberValues(dataSet, 'x00181164', 2);
+    const imagePixelSpacing = getNumberValues(dataSet, "x00181164", 2);
-    const frameIndex = parsedImageId.frame !== undefined ? parsedImageId.frame - 1 : undefined;
+    const frameIndex =
-    const imageOrientationPatient = extractOrientationFromDataset(dataSet, frameIndex);
+      parsedImageId.frame !== undefined ? parsedImageId.frame - 1 : undefined;
+    const imageOrientationPatient = extractOrientationFromDataset(
+      dataSet,
+      frameIndex
+    );
     let imagePositionPatient = extractPositionFromDataset(dataSet, frameIndex);
     const pixelSpacing = extractSpacingFromDataset(dataSet, frameIndex);
-    const sliceThickness = extractSliceThicknessFromDataset(dataSet, frameIndex);
+    const sliceThickness = extractSliceThicknessFromDataset(
+      dataSet,
+      frameIndex
+    );
 
     const modality = dataSet.string("x00080060");
-    if (modality && modality.includes('NM') && parsedImageId.frame !== undefined && parsedImageId.frame > 1) {
+    if (
+      modality &&
+      modality.includes("NM") &&
+      parsedImageId.frame !== undefined &&
+      parsedImageId.frame > 1
+    ) {
       const spacingBetweenSlices = getSpacingBetweenSlices(dataSet);
-      const step = spacingBetweenSlices !== undefined ? spacingBetweenSlices : sliceThickness;
+      const step =
-      if (imageOrientationPatient && imagePositionPatient && step !== undefined && frameIndex !== undefined) {
+        spacingBetweenSlices !== undefined
+          ? spacingBetweenSlices
+          : sliceThickness;
+      if (
+        imageOrientationPatient &&
+        imagePositionPatient &&
+        step !== undefined &&
+        frameIndex !== undefined
+      ) {
         const rowCosines = [
           parseFloat(imageOrientationPatient[0]),
           parseFloat(imageOrientationPatient[1]),
@@ -352,7 +413,11 @@ function metaDataProvider(type, imageId) {
       }
     }
 
-    const estimatedRadiographicMagnificationFactor = getNumberValues(dataSet, 'x00181114', 2);
+    const estimatedRadiographicMagnificationFactor = getNumberValues(
+      dataSet,
+      "x00181114",
+      2
+    );
     let columnPixelSpacing = null;
 
     let rowPixelSpacing = null;
@@ -361,8 +426,10 @@ function metaDataProvider(type, imageId) {
       rowPixelSpacing = pixelSpacing[0];
       columnPixelSpacing = pixelSpacing[1];
     } else if (imagePixelSpacing && estimatedRadiographicMagnificationFactor) {
-      rowPixelSpacing = imagePixelSpacing[0] / estimatedRadiographicMagnificationFactor[0];
+      rowPixelSpacing =
-      columnPixelSpacing = imagePixelSpacing[1] / estimatedRadiographicMagnificationFactor[1];
+        imagePixelSpacing[0] / estimatedRadiographicMagnificationFactor[0];
+      columnPixelSpacing =
+        imagePixelSpacing[1] / estimatedRadiographicMagnificationFactor[1];
     } else if (imagePixelSpacing && !estimatedRadiographicMagnificationFactor) {
       rowPixelSpacing = imagePixelSpacing[0];
       columnPixelSpacing = imagePixelSpacing[1];
@@ -386,37 +453,37 @@ function metaDataProvider(type, imageId) {
     }
 
     return {
-      frameOfReferenceUID: dataSet.string('x00200052'),
+      frameOfReferenceUID: dataSet.string("x00200052"),
-      rows: dataSet.uint16('x00280010'),
+      rows: dataSet.uint16("x00280010"),
-      columns: dataSet.uint16('x00280011'),
+      columns: dataSet.uint16("x00280011"),
       imageOrientationPatient,
       rowCosines,
       columnCosines,
       imagePositionPatient,
       sliceThickness,
-      sliceLocation: dataSet.floatString('x00201041'),
+      sliceLocation: dataSet.floatString("x00201041"),
       pixelSpacing,
       rowPixelSpacing,
       columnPixelSpacing,
     };
   }
-  if (type === 'imagePixelModule') {
+  if (type === "imagePixelModule") {
     const imagePixelModule = {
-      samplesPerPixel: dataSet.uint16('x00280002'),
+      samplesPerPixel: dataSet.uint16("x00280002"),
-      photometricInterpretation: dataSet.string('x00280004'),
+      photometricInterpretation: dataSet.string("x00280004"),
-      rows: dataSet.uint16('x00280010'),
+      rows: dataSet.uint16("x00280010"),
-      columns: dataSet.uint16('x00280011'),
+      columns: dataSet.uint16("x00280011"),
-      bitsAllocated: dataSet.uint16('x00280100'),
+      bitsAllocated: dataSet.uint16("x00280100"),
-      bitsStored: dataSet.uint16('x00280101'),
+      bitsStored: dataSet.uint16("x00280101"),
-      highBit: dataSet.uint16('x00280102'),
+      highBit: dataSet.uint16("x00280102"),
-      pixelRepresentation: dataSet.uint16('x00280103'),
+      pixelRepresentation: dataSet.uint16("x00280103"),
-      planarConfiguration: dataSet.uint16('x00280006'),
+      planarConfiguration: dataSet.uint16("x00280006"),
-      pixelAspectRatio: dataSet.string('x00280034'),
+      pixelAspectRatio: dataSet.string("x00280034"),
     };
     populateSmallestLargestPixelValues(dataSet, imagePixelModule);
 
     if (
-      imagePixelModule.photometricInterpretation === 'PALETTE COLOR' &&
+      imagePixelModule.photometricInterpretation === "PALETTE COLOR" &&
       dataSet.elements.x00281101
     ) {
       populatePaletteColorLut(dataSet, imagePixelModule);

src/utils/ptClinicalDataCache.js

@@ -11,7 +11,7 @@ export function setPTClinicalDataForInstance(instanceId, clinicalData) {
   const key = normalizeId(instanceId)
   if (!key) return
   if (!clinicalData || typeof clinicalData !== 'object') return
-  instanceIdToClinicalData.set(key, clinicalData)
+  instanceIdToClinicalData.set(key, { ...clinicalData })
 }
 
 export function getPTClinicalDataForInstance(instanceId) {
@@ -20,7 +20,12 @@ export function getPTClinicalDataForInstance(instanceId) {
   return instanceIdToClinicalData.get(key) || null
 }
 
+export function deletePTClinicalDataForInstance(instanceId) {
+  const key = normalizeId(instanceId)
+  if (!key) return
+  instanceIdToClinicalData.delete(key)
+}
+
 export function clearPTClinicalDataCache() {
   instanceIdToClinicalData.clear()
 }
-

src/views/trials/trials-panel/reading/ad-review/index.vue

@@ -313,6 +313,10 @@ export default {
     isExistsClinicalData: {
       type: Boolean,
       required: true
+    },
+    imageToolType: {
+      type: Number,
+      required: true
     }
   },
   data() {
@@ -551,7 +555,7 @@ export default {
           // window.opener.postMessage('refreshTaskList', window.location)
           // 设置当前任务阅片状态为已读 
           this.adInfo.ReadingTaskState = 2
-          const res = await getAutoCutNextTask()
+          const res = await getAutoCutNextTask({imageToolType: this.imageToolType})
           var isAutoTask = res.Result.AutoCutNextTask
           if (isAutoTask) {
             // store.dispatch('reading/resetVisitTasks')

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

@@ -1134,7 +1134,8 @@ export default {
         //   resolve()
         // })
         this.loading = true
-        cornerstone.metaData.addProvider(metaDataProvider, 1);
+        cornerstone.metaData.removeProvider(metaDataProvider)
+        cornerstone.metaData.addProvider(metaDataProvider, 100000)
         cornerstone.loadAndCacheImage(this.stack.imageIds[this.stack.currentImageIdIndex])
           .then(async image => {
             if (this.stack.imageIds.indexOf(image.imageId) !== -1) {

src/views/trials/trials-panel/reading/dicoms/components/Fusion/js/getPTImageIdInstanceMetadata.js

@@ -2,20 +2,37 @@ import { metaData } from '@cornerstonejs/core'
 // import { InstanceMetadata } from '@cornerstonejs/calculate-suv'
 import cornerstoneDICOMImageLoader from '@cornerstonejs/dicom-image-loader'
 import { getPTClinicalDataForInstance } from '@/utils/ptClinicalDataCache'
+
 function parseImageId(imageId) {
-  // build a url by parsing out the url scheme and frame index from the imageId
   const firstColonIndex = imageId.indexOf(':')
-
+  const urlPart = imageId.substring(firstColonIndex + 1)
-  let url = imageId.substring(firstColonIndex + 1)
+  let url = urlPart
-  const frameIndex = url.indexOf('frame=')
-
   let frame
+  const qIndex = urlPart.indexOf('?')
 
-  if (frameIndex !== -1) {
+  if (qIndex !== -1) {
-    const frameStr = url.substr(frameIndex + 6)
+    const base = urlPart.slice(0, qIndex)
+    const query = urlPart.slice(qIndex + 1)
+    const parts = query.split('&').filter(Boolean)
+    const preservedParts = []
 
-    frame = parseInt(frameStr, 10)
+    parts.forEach((part) => {
-    url = url.substr(0, frameIndex - 1)
+      const eqIndex = part.indexOf('=')
+      const key = eqIndex === -1 ? part : part.slice(0, eqIndex)
+      const value = eqIndex === -1 ? '' : part.slice(eqIndex + 1)
+
+      if (key === 'frame') {
+        const n = value !== '' ? parseInt(value, 10) : NaN
+        if (Number.isFinite(n)) {
+          frame = n
+        }
+        return
+      }
+
+      preservedParts.push(part)
+    })
+
+    url = preservedParts.length ? `${base}?${preservedParts.join('&')}` : base
   }
 
   return {
@@ -24,6 +41,7 @@ function parseImageId(imageId) {
     frame
   }
 }
+
 function getMetaData(type, imageId) {
   // const { dicomParser } = cornerstoneDICOMImageLoader.external
   const parsedImageId = parseImageId(imageId)
@@ -33,6 +51,7 @@ function getMetaData(type, imageId) {
   if (!dataSet) {
     return
   }
+
   if (type === 'petImageModule') {
     // 1340137.4196974 240000
     // console.log(dataSet.string('x00541300'), dataSet.string('x00181242'))
@@ -42,194 +61,69 @@ function getMetaData(type, imageId) {
     }
   }
 }
+
 export default function getPTImageIdInstanceMetadata(imageId) {
   const instanceId = getInstanceIdFromImageId(imageId)
-  // 统一 SUV 口径：若接口存在 PT 临床数据，则优先覆盖 DICOM 元数据
   const ptClinicalData = instanceId ? getPTClinicalDataForInstance(instanceId) : null
   const petSequenceModule = metaData.get('petIsotopeModule', imageId)
+  const generalSeriesModule = metaData.get('generalSeriesModule', imageId) || {}
+  const patientStudyModule = metaData.get('patientStudyModule', imageId) || {}
+  const ptSeriesModule = metaData.get('petSeriesModule', imageId) || {}
+  const ptImageModule = getMetaData('petImageModule', imageId) || {}
+  const radiopharmaceuticalInfo = petSequenceModule?.radiopharmaceuticalInfo
 
-  const generalSeriesModule = metaData.get('generalSeriesModule', imageId)
+  if (!radiopharmaceuticalInfo) {
-  const patientStudyModule = metaData.get('patientStudyModule', imageId)
-
-  const ptSeriesModule = metaData.get('petSeriesModule', imageId)
-  // const ptImageModule = metaData.get('petImageModule', imageId)
-
-  const ptImageModule = getMetaData('petImageModule', imageId)
-  if (!petSequenceModule) {
     throw new Error('petSequenceModule metadata is required')
   }
 
-  const radiopharmaceuticalInfo = petSequenceModule.radiopharmaceuticalInfo
+  const patientWeight = toNumber(
-
+    ptClinicalData?.PatientWeight,
-  const { seriesDate, seriesTime, acquisitionDate, acquisitionTime } =
+    patientStudyModule.patientWeight
-    generalSeriesModule
+  )
-  var { patientWeight } = patientStudyModule
+  const totalDose = toNumber(
-  if (ptClinicalData && ptClinicalData.PatientWeight != null && ptClinicalData.PatientWeight !== '') {
+    ptClinicalData?.RadionuclideTotalDose,
-    patientWeight = parseFloat(ptClinicalData.PatientWeight)
+    radiopharmaceuticalInfo.radionuclideTotalDose
-  }
+  )
-  // console.log('更改前：', patientWeight)
+  const halfLife = toNumber(
-  // patientWeight = patientWeight * 10
+    ptClinicalData?.RadionuclideHalfLife,
-  // console.log('更改后：', patientWeight)
+    radiopharmaceuticalInfo.radionuclideHalfLife
-  const { correctedImage, units, decayCorrection } = ptSeriesModule
+  )
-  const totalDose = ptClinicalData && ptClinicalData.RadionuclideTotalDose != null && ptClinicalData.RadionuclideTotalDose !== ''
+  const startTime = firstValue(
-    ? parseFloat(ptClinicalData.RadionuclideTotalDose)
+    normalizeDicomTime(ptClinicalData?.RadiopharmaceuticalStartTime),
-    : radiopharmaceuticalInfo.radionuclideTotalDose
+    toDicomTimeString(radiopharmaceuticalInfo.radiopharmaceuticalStartTime)
-  const halfLife = ptClinicalData && ptClinicalData.RadionuclideHalfLife != null && ptClinicalData.RadionuclideHalfLife !== ''
+  )
-    ? parseFloat(ptClinicalData.RadionuclideHalfLife)
+  const acquisitionTime = firstValue(
-    : radiopharmaceuticalInfo.radionuclideHalfLife
+    normalizeDicomTime(ptClinicalData?.AcquisitionTime),
-  const startTimeOverride = ptClinicalData ? normalizeDicomTime(ptClinicalData.RadiopharmaceuticalStartTime) : null
+    toDicomTimeString(generalSeriesModule.acquisitionTime)
-  const acquisitionTimeOverride = ptClinicalData ? normalizeDicomTime(ptClinicalData.AcquisitionTime) : null
+  )
-
-  if (
-    seriesDate === undefined ||
-    seriesTime === undefined ||
-    patientWeight === undefined ||
-    acquisitionDate === undefined ||
-    (acquisitionTimeOverride || acquisitionTime) === undefined ||
-    correctedImage === undefined ||
-    units === undefined ||
-    decayCorrection === undefined ||
-    totalDose === undefined ||
-    halfLife === undefined ||
-    (radiopharmaceuticalInfo.radiopharmaceuticalStartDateTime === undefined &&
-      seriesDate === undefined &&
-      (startTimeOverride || radiopharmaceuticalInfo.radiopharmaceuticalStartTime) === undefined)
-    //
-  ) {
-    throw new Error('required metadata are missing')
-  }
 
   const instanceMetadata = {
-    CorrectedImage: correctedImage,
+    CorrectedImage: ptSeriesModule.correctedImage,
-    Units: units,
+    Units: ptSeriesModule.units,
     RadionuclideHalfLife: halfLife,
     RadionuclideTotalDose: totalDose,
-    DecayCorrection: decayCorrection,
+    DecayCorrection: ptSeriesModule.decayCorrection,
     PatientWeight: patientWeight,
-    SeriesDate: seriesDate,
+    SeriesDate: toDicomDateString(generalSeriesModule.seriesDate),
-    SeriesTime: seriesTime,
+    SeriesTime: toDicomTimeString(generalSeriesModule.seriesTime),
-    AcquisitionDate: acquisitionDate,
+    AcquisitionDate: toDicomDateString(generalSeriesModule.acquisitionDate),
-    AcquisitionTime: acquisitionTimeOverride || acquisitionTime
+    AcquisitionTime: acquisitionTime
   }
 
-  if (
+  assignIfPresent(
-    radiopharmaceuticalInfo.radiopharmaceuticalStartDateTime &&
+    instanceMetadata,
-    radiopharmaceuticalInfo.radiopharmaceuticalStartDateTime !== undefined &&
+    'RadiopharmaceuticalStartDateTime',
-    typeof radiopharmaceuticalInfo.radiopharmaceuticalStartDateTime === 'string'
+    toDicomDateString(radiopharmaceuticalInfo.radiopharmaceuticalStartDateTime)
-  ) {
-    instanceMetadata.RadiopharmaceuticalStartDateTime =
-      radiopharmaceuticalInfo.radiopharmaceuticalStartDateTime
-  }
-
-  if (
-    radiopharmaceuticalInfo.radiopharmaceuticalStartDateTime &&
-    radiopharmaceuticalInfo.radiopharmaceuticalStartDateTime !== undefined &&
-    typeof radiopharmaceuticalInfo.radiopharmaceuticalStartDateTime !== 'string'
-  ) {
-    const dateString = convertInterfaceDateToString(
-      radiopharmaceuticalInfo.radiopharmaceuticalStartDateTime
   )
-    instanceMetadata.RadiopharmaceuticalStartDateTime = dateString
+  assignIfPresent(instanceMetadata, 'RadiopharmaceuticalStartTime', startTime)
-  }
+  assignIfPresent(instanceMetadata, 'FrameReferenceTime', ptImageModule.frameReferenceTime)
-
+  assignIfPresent(instanceMetadata, 'ActualFrameDuration', ptImageModule.actualFrameDuration)
-  if (
+  assignIfPresent(
-    instanceMetadata.AcquisitionDate &&
+    instanceMetadata,
-    instanceMetadata.AcquisitionDate !== undefined &&
+    'PatientSex',
-    typeof instanceMetadata.AcquisitionDate !== 'string'
+    firstValue(ptClinicalData?.PatientSex, patientStudyModule.patientSex)
-  ) {
-    const dateString = convertInterfaceDateToString(
-      instanceMetadata.AcquisitionDate
   )
-    instanceMetadata.AcquisitionDate = dateString
+  assignIfPresent(instanceMetadata, 'PatientSize', patientStudyModule.patientSize)
-  }
-
-  if (
-    instanceMetadata.SeriesDate &&
-    instanceMetadata.SeriesDate !== undefined &&
-    typeof instanceMetadata.SeriesDate !== 'string'
-  ) {
-    const dateString = convertInterfaceDateToString(
-      instanceMetadata.SeriesDate
-    )
-    instanceMetadata.SeriesDate = dateString
-  }
-
-  if (
-    radiopharmaceuticalInfo.radiopharmaceuticalStartTime &&
-    radiopharmaceuticalInfo.radiopharmaceuticalStartTime !== undefined &&
-    typeof radiopharmaceuticalInfo.radiopharmaceuticalStartTime === 'string'
-  ) {
-    instanceMetadata.RadiopharmaceuticalStartTime =
-      radiopharmaceuticalInfo.radiopharmaceuticalStartTime
-  }
-
-  if (
-    radiopharmaceuticalInfo.radiopharmaceuticalStartTime &&
-    radiopharmaceuticalInfo.radiopharmaceuticalStartTime !== undefined &&
-    typeof radiopharmaceuticalInfo.radiopharmaceuticalStartTime !== 'string'
-  ) {
-    const timeString = convertInterfaceTimeToString(
-      radiopharmaceuticalInfo.radiopharmaceuticalStartTime
-    )
-    instanceMetadata.RadiopharmaceuticalStartTime = timeString
-  }
-
-  if (startTimeOverride) {
-    instanceMetadata.RadiopharmaceuticalStartTime = startTimeOverride
-  }
-
-  if (
-    instanceMetadata.AcquisitionTime &&
-    instanceMetadata.AcquisitionTime !== undefined &&
-    typeof instanceMetadata.AcquisitionTime !== 'string'
-  ) {
-    const timeString = convertInterfaceTimeToString(
-      instanceMetadata.AcquisitionTime
-    )
-    instanceMetadata.AcquisitionTime = timeString
-  }
-
-  if (
-    instanceMetadata.SeriesTime &&
-    instanceMetadata.SeriesTime !== undefined &&
-    typeof instanceMetadata.SeriesTime !== 'string'
-  ) {
-    const timeString = convertInterfaceTimeToString(
-      instanceMetadata.SeriesTime
-    )
-    instanceMetadata.SeriesTime = timeString
-  }
-
-  if (
-    ptImageModule.frameReferenceTime &&
-    ptImageModule.frameReferenceTime !== undefined
-  ) {
-    instanceMetadata.FrameReferenceTime = ptImageModule.frameReferenceTime
-  }
-
-  if (
-    ptImageModule.actualFrameDuration &&
-    ptImageModule.actualFrameDuration !== undefined
-  ) {
-    instanceMetadata.ActualFrameDuration = ptImageModule.actualFrameDuration
-  }
-
-  if (
-    patientStudyModule.patientSex &&
-    patientStudyModule.patientSex !== undefined
-  ) {
-    instanceMetadata.PatientSex = patientStudyModule.patientSex
-  }
-  if (ptClinicalData && ptClinicalData.PatientSex != null && ptClinicalData.PatientSex !== '') {
-    instanceMetadata.PatientSex = ptClinicalData.PatientSex
-  }
-
-  if (
-    patientStudyModule.patientSize &&
-    patientStudyModule.patientSize !== undefined
-  ) {
-    instanceMetadata.PatientSize = patientStudyModule.patientSize
-  }
 
   return instanceMetadata
 }
@@ -244,15 +138,13 @@ function convertInterfaceTimeToString(time) {
     '0'
   )
 
-  const timeString = `${hours}${minutes}${seconds}.${fractionalSeconds}`
+  return `${hours}${minutes}${seconds}.${fractionalSeconds}`
-  return timeString
 }
 
 function convertInterfaceDateToString(date) {
   const month = `${date.month}`.padStart(2, '0')
   const day = `${date.day}`.padStart(2, '0')
-  const dateString = `${date.year}${month}${day}`
+  return `${date.year}${month}${day}`
-  return dateString
 }
 
 export { getPTImageIdInstanceMetadata }
@@ -271,7 +163,7 @@ function getInstanceIdFromImageId(imageId) {
 }
 
 function normalizeDicomTime(value) {
-  if (value === undefined || value === null || value === '') return null
+  if (!hasValue(value)) return null
   if (typeof value === 'object') {
     return convertInterfaceTimeToString(value)
   }
@@ -293,3 +185,34 @@ function normalizeDicomTime(value) {
   const frac = `${fracRaw || ''}`.padEnd(6, '0').slice(0, 6)
   return `${base}.${frac}`
 }
+
+function hasValue(value) {
+  return value !== undefined && value !== null && value !== ''
+}
+
+function firstValue(...values) {
+  return values.find(hasValue)
+}
+
+function toNumber(...values) {
+  const value = firstValue(...values)
+  if (!hasValue(value)) return value
+
+  const numberValue = Number(value)
+  return Number.isFinite(numberValue) ? numberValue : value
+}
+
+function toDicomTimeString(value) {
+  if (!hasValue(value)) return undefined
+  return typeof value === 'string' ? value : convertInterfaceTimeToString(value)
+}
+
+function toDicomDateString(value) {
+  if (!hasValue(value)) return undefined
+  return typeof value === 'string' ? value : convertInterfaceDateToString(value)
+}
+
+function assignIfPresent(target, key, value) {
+  if (!hasValue(value)) return
+  target[key] = value
+}

src/views/trials/trials-panel/reading/dicoms/components/Fusion/js/ptScalingMetaDataProvider.js

@@ -2,14 +2,28 @@ import { utilities as csUtils } from '@cornerstonejs/core'
 
 const scalingPerImageId = {}
 
+function normalizeImageURI(imageURI) {
+  if (!imageURI) return imageURI
+  const qIndex = imageURI.indexOf('?')
+  if (qIndex === -1) return imageURI
+  const base = imageURI.slice(0, qIndex)
+  const query = imageURI.slice(qIndex + 1)
+  const params = new URLSearchParams(query)
+  if (!params.has('frame')) return imageURI
+  params.delete('frame')
+  const rest = params.toString()
+  return rest ? `${base}?${rest}` : base
+}
+
 function addInstance(imageId, scalingMetaData) {
-  const imageURI = csUtils.imageIdToURI(imageId)
+  // 统一缩放元数据的 key：忽略 frame 参数，避免 getCurrentImageId() 带 frame 导致查不到 scalingModule
+  const imageURI = normalizeImageURI(csUtils.imageIdToURI(imageId))
   scalingPerImageId[imageURI] = scalingMetaData
 }
 
 function get(type, imageId) {
   if (type === 'scalingModule') {
-    const imageURI = csUtils.imageIdToURI(imageId)
+    const imageURI = normalizeImageURI(csUtils.imageIdToURI(imageId))
     return scalingPerImageId[imageURI]
   }
 }

src/views/trials/trials-panel/reading/dicoms/components/StudyList.vue

@@ -99,6 +99,37 @@
                     <el-tooltip class="item" effect="dark" :content="series.description" placement="right">
                       <div style="">{{ series.description }}</div>
                     </el-tooltip>
+                    <div class="patient-info" style="position: absolute;right: 0;top: 30px;" v-if="['PT','PET'].includes(series.modality)">
+                      <el-popover placement="right" trigger="hover" popper-class="patient-info-popper">
+                        <h4>{{ $t('trials:ptData:title') }}</h4>
+                        <div class="patient-info-row">
+                          <label>{{ $t('trials:ptData:label:patientSex') }}</label>
+                          <span>{{ study.PatientSex }}</span>
+                        </div>
+                        <div class="patient-info-row">
+                          <label>{{ $t('trials:ptData:label:patientWeight') }}</label>
+                          <span>{{ study.PatientWeight }}</span>
+                        </div>
+                        <div class="patient-info-row">
+                          <label>{{ $t('trials:ptData:label:totalDose') }}</label>
+                          <span>{{ study.RadionuclideTotalDose }}</span>
+                        </div>
+                        <div class="patient-info-row">
+                          <label>{{ $t('trials:ptData:label:halfLife') }}</label>
+                          <span>{{ study.RadionuclideHalfLife }}</span>
+                        </div>
+                        <div class="patient-info-row">
+                          <label>{{ $t('trials:ptData:label:injectTime') }}</label>
+                          <span>{{ study.RadiopharmaceuticalStartTime }}</span>
+                        </div>
+                        <div class="patient-info-row">
+                          <label>{{ $t('trials:ptData:label:acquisitionTime') }}</label>
+                          <span>{{ study.AcquisitionTime }}</span>
+                        </div>
+                        <i slot="reference" class="el-icon-document"
+                          style="font-size: 15px;cursor: pointer;color: #f5f7fa;" />
+                      </el-popover>
+                    </div>
                   </p>
 
                   <p v-show="series.sliceThickness && !study.IsCriticalSequence">
@@ -1108,3 +1139,46 @@ export default {
   background-color: #213a54;
 }
 </style>
+<style lang="scss">
+.patient-info-popper {
+  font-size: 12px;
+  color: #ddd;
+  background-color: #2f2f2f;
+  border-color: #5a5a5a;
+  padding: 8px 10px;
+}
+
+.patient-info-popper[x-placement^='right'] .popper__arrow {
+  border-right-color: #5a5a5a;
+}
+
+.patient-info-popper[x-placement^='right'] .popper__arrow::after {
+  border-right-color: #2f2f2f;
+}
+
+.patient-info-popper .patient-info-row {
+  display: grid;
+  grid-template-columns: 100px minmax(0, 1fr);
+  column-gap: 12px;
+  align-items: center;
+  line-height: 18px;
+}
+
+.patient-info-popper .patient-info-row + .patient-info-row {
+  margin-top: 4px;
+}
+
+.patient-info-popper label {
+  color: #bbb;
+  // font-weight: 600;
+  white-space: nowrap;
+}
+
+.patient-info-popper span {
+  text-align: left;
+  min-width: 0;
+  white-space: nowrap;
+  overflow: hidden;
+  text-overflow: ellipsis;
+}
+</style>

src/views/trials/trials-panel/reading/dicoms/customize/CustomizeDicomCanvas.vue

@@ -1081,7 +1081,8 @@ export default {
         //   resolve()
         // })
         this.loading = true
-        cornerstone.metaData.addProvider(metaDataProvider, 1);
+        cornerstone.metaData.removeProvider(metaDataProvider)
+        cornerstone.metaData.addProvider(metaDataProvider, 100000)
         cornerstone.loadAndCacheImage(this.stack.imageIds[this.stack.currentImageIdIndex])
           .then(async image => {
             if (this.stack.imageIds.indexOf(image.imageId) !== -1) {

src/views/trials/trials-panel/reading/dicoms3D/components/ReadPage.vue

@@ -577,7 +577,7 @@ import colorMap from './colorMap.vue'
 import RectangleROITool from './tools/RectangleROITool'
 import ScaleOverlayTool from './tools/ScaleOverlayTool'
 import SegmentBidirectionalTool from './tools/SegmentBidirectionalTool'
-import { setPTClinicalDataForInstance } from '@/utils/ptClinicalDataCache'
+import { setPTClinicalDataForInstance, clearPTClinicalDataCache } from '@/utils/ptClinicalDataCache'
 import FixedRadiusCircleROITool from './tools/FixedRadiusCircleROITool'
 import uploadDicomAndNonedicom from '@/components/uploadDicomAndNonedicom'
 import downloadDicomAndNonedicom from '@/components/downloadDicomAndNonedicom'
@@ -1156,7 +1156,7 @@ export default {
           let keySeriesIndex = -1
           const arr = res1.Result
           arr.forEach((study, studyIndex) => {
-            // 缓存接口返回的 PT 临床数据：用于后续统一 SUV 计算（3D suvFactor 计算优先用接口值）
+            // 仅对 PT/PET study 缓存临床参数，供 3D SUV 计算链路覆盖原始 DICOM 元数据
             const ptClinicalData = {
               PatientSex: study.PatientSex,
               PatientWeight: study.PatientWeight,
@@ -1165,17 +1165,21 @@ export default {
               RadiopharmaceuticalStartTime: study.RadiopharmaceuticalStartTime,
               AcquisitionTime: study.AcquisitionTime
             }
+            const isPtStudy = ['PT、CT', 'CT、PT', 'PET-CT'].includes(study.Modalities)
             const hasPtClinicalData =
-              ptClinicalData.PatientWeight != null ||
+              isPtStudy &&
-              ptClinicalData.RadionuclideTotalDose != null ||
+              (
-              ptClinicalData.RadionuclideHalfLife != null ||
+                ptClinicalData.PatientWeight !== null ||
-              ptClinicalData.RadiopharmaceuticalStartTime != null ||
+                ptClinicalData.RadionuclideTotalDose !== null ||
-              ptClinicalData.AcquisitionTime != null
+                ptClinicalData.RadionuclideHalfLife !== null ||
+                ptClinicalData.RadiopharmaceuticalStartTime !== null ||
+                ptClinicalData.AcquisitionTime !== null
+              )
             study.SeriesList.forEach((series, seriesIndex) => {
               const imageIds = []
               const stack = []
               series.InstanceInfoList.forEach((instance, instanceIndex) => {
-                if (hasPtClinicalData) {
+                if (hasPtClinicalData && ['PT', 'PET'].includes(String(series.Modality).toUpperCase())) {
                   setPTClinicalDataForInstance(instance.Id, ptClinicalData)
                 }
                 if (study.IsCriticalSequence) {
@@ -4423,6 +4427,7 @@ export default {
     },
   },
   beforeDestroy() {
+    clearPTClinicalDataCache()
     DicomEvent.$off('isCanActiveNoneDicomTool')
     DicomEvent.$off('removeNoneDicomMeasureData')
     DicomEvent.$off('addNoneDicomMeasureData')

src/views/trials/trials-panel/reading/dicoms3D/components/StudyList.vue

@@ -76,7 +76,7 @@
                     </div>
                     <div v-if="series.Description" class="text-desc" :title="series.Description" style="position: relative;">
                       {{ series.Description }}
-                      <div class="patient-info" style="position: absolute;right: 0;top: 0;" v-if="taskInfo && taskInfo.IsExistsClinicalData && ['PT','PET'].includes(series.Modality)">
+                      <div class="patient-info" style="position: absolute;right: 0;top: 0;" v-if="['PT','PET'].includes(series.Modality)">
                         <el-popover placement="right" trigger="hover" popper-class="patient-info-popper">
                           <h4>{{ $t('trials:ptData:title') }}</h4>
                           <div class="patient-info-row">