有pet影像但无法融合/无法测量的处理

src/api/trials.js

@@ -2810,7 +2810,21 @@ export function saveImageQuality(param) {
     data: param
   })
 }
+export function getIsSuvMaxLesion(param) {
+  return request({
+    url: `/LuganoCalculate/getIsSuvMaxLesion`,
+    method: 'post',
+    data: param
+  })
+}
 
+export function getCanChooseNotMerge(param) {
+  return request({
+    url: `/LuganoCalculate/getCanChooseNotMerge`,
+    method: 'post',
+    data: param
+  })
+}
 export function saveTaskQuestion(saveQuestionType, param) {
   return request({
     url: `/SaveTaskQuestion/${saveQuestionType}`,

src/store/getters.js

@@ -40,6 +40,7 @@ const getters = {
   activeSeries: state => state.reading.activeSeries,
   lastCanvasTaskId: state => state.reading.lastCanvasTaskId,
   imageQuality: state => state.reading.imageQuality,
+  imageQualityIssues: state => state.reading.imageQualityIssues,
   language: state => state.lang.language,
   TotalNeedSignSystemDocCount: state => state.user.TotalNeedSignSystemDocCount,
   TotalNeedSignTrialDocCount: state => state.user.TotalNeedSignTrialDocCount,

src/store/modules/reading.js

@@ -29,7 +29,8 @@ const getDefaultState = () => {
     currentReadingTaskState: 2,
     activeSeries: {},
     lastCanvasTaskId: '',
-    imageQuality: null
+    imageQuality: null,
+    imageQualityIssues: null
   }
 }
 function getQuestions(questions) {
@@ -183,6 +184,7 @@ const actions = {
       state.activeSeries = {}
       state.lastCanvasTaskId = ''
       state.imageQuality = null
+      state.imageQualityIssues = null
       resolve()
     })
   },
@@ -875,6 +877,9 @@ const actions = {
   setImageQuality({ state }, imageQuality) {
     state.imageQuality = isNaN(parseInt(imageQuality)) ? null : parseInt(imageQuality)
   },
+  setImageQualityIssues({ state }, imageQualityIssues) {
+    state.imageQualityIssues = isNaN(parseInt(imageQualityIssues)) ? null : parseInt(imageQualityIssues)
+  },
   addQuestionMeasuredData({ state }, obj) {
     return new Promise(resolve => {
       var index = state.visitTaskList.findIndex(i => i.VisitTaskId === obj.visitTaskId)

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

@@ -794,7 +794,7 @@ export default {
   },
 
   computed: {
-    ...mapGetters(['visitTaskList', 'currentReadingTaskState', 'lastCanvasTaskId'])
+    ...mapGetters(['visitTaskList', 'currentReadingTaskState', 'lastCanvasTaskId', 'imageQualityIssues'])
   },
   watch: {
     currentReadingTaskState: {
@@ -840,6 +840,10 @@ export default {
           this.studyList = studyList
         }
       }
+    },
+    imageQualityIssues: {
+      immediate: true,
+      handler(v) {}
     }
 
   },
@@ -961,6 +965,11 @@ export default {
         this.petctWindow.close()
       }
     })
+    DicomEvent.$on('closePetct', () => {
+      if (this.petctWindow) {
+        this.petctWindow.close()
+      }
+    })
     window.addEventListener('beforeunload', () => {
       if (this.petctWindow) {
         this.petctWindow.close()
@@ -978,6 +987,7 @@ export default {
     DicomEvent.$off('readingPageUpdate')
     DicomEvent.$off('setReadingState')
     DicomEvent.$off('reload')
+    DicomEvent.$off('closePetct')
     if (this.petctWindow) {
       this.petctWindow.close()
     }
@@ -1966,6 +1976,10 @@ export default {
         this.$alert(this.$t('components:uploadvideo:message:xf4'))
         return
       }
+      if (this.imageQualityIssues && parseInt(this.imageQualityIssues) === 6) {
+        this.$alert(this.$t('trials:lugano:message:fusionWarn'))
+        return
+      }
       const i = this.activeTaskInfo.visitTaskIndex
       if (i < 0) return
       if (this.studyList.length > 0) {

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

@@ -828,7 +828,7 @@ export default {
           // 普通靶病灶：长径大于10mm且不小于2倍层厚（基线校验）
           // 淋巴结靶病灶：短径大于15mm且不小于2倍层厚（基线校验）
           var picturePath = ''
-          if (val && otherMeasureData) {
+          if (val && otherMeasureData && this.questionForm.IsDicomReading) {
             var pictureObj = await this.uploadScreenshots(`${new Date().getTime()}`, val)
             picturePath = pictureObj.isSuccess ? this.$getObjectName(pictureObj.result.url) : ''
           }
@@ -842,6 +842,7 @@ export default {
             }
           }
           var params = {
+            computationTrigger: -3,
             questionId: this.parentQsId,
             rowId: this.questionForm.RowId,
             rowIndex: this.answers.RowIndex,

src/views/trials/trials-panel/reading/dicoms/components/IRecist/QuestionForm.vue

@@ -1962,7 +1962,7 @@ export default {
           // 普通靶病灶：长径大于10mm且不小于2倍层厚（基线校验）
           // 淋巴结靶病灶：短径大于15mm且不小于2倍层厚（基线校验）
           var picturePath = ''
-          if (val && measureData) {
+          if (val && measureData && this.questionForm.IsDicomReading) {
             var pictureObj = await this.uploadScreenshots(`${new Date().getTime()}`, val)
             picturePath = pictureObj.isSuccess ? this.$getObjectName(pictureObj.result.url) : ''
           }

src/views/trials/trials-panel/reading/dicoms/components/Lugano/QuestionForm.vue

@@ -267,7 +267,7 @@
   </el-form>
 </template>
 <script>
-import { submitTableQuestion, deleteReadingRowAnswer } from '@/api/trials'
+import { submitTableQuestion, deleteReadingRowAnswer, getIsSuvMaxLesion } from '@/api/trials'
 // import { uploadPrintscreen } from '@/api/reading'
 import DicomEvent from './../DicomEvent'
 import store from '@/store'
@@ -1654,18 +1654,12 @@ export default {
             }
           }
         }
-        // DicomEvent.$emit('imageLocation', { questionId: this.parentQsId, rowIndex: this.questionForm.RowIndex, visitTaskId: this.visitTaskId, lesionName: this.lesionName, lesionType: this.lesionType }, () => {
-        //   console.log(11111)
-
-        // })
-        // await DicomEvent.$emit('imageLocation', { questionId: this.parentQsId, rowIndex: this.questionForm.RowIndex, visitTaskId: this.visitTaskId, lesionName: this.lesionName, lesionType: this.lesionType })
-        // console.log(5555)
         DicomEvent.$emit('getScreenshots', { questionId: this.parentQsId, rowIndex: this.questionForm.RowIndex, visitTaskId: this.visitTaskId, lesionName: this.lesionMark, lesionType: this.lesionType }, async val => {
           // 靶病灶状态为0（存在）时，一定存在长径或者长短径（长径、十字线 ）
           // 普通靶病灶：长径大于10mm且不小于2倍层厚（基线校验）
           // 淋巴结靶病灶：短径大于15mm且不小于2倍层厚（基线校验）
           var picturePath = ''
-          if (val && measureData) {
+          if (val && measureData && this.questionForm.IsDicomReading) {
             var pictureObj = await this.uploadScreenshots(`${new Date().getTime()}`, val)
             picturePath = pictureObj.isSuccess ? this.$getObjectName(pictureObj.result.url) : ''
           }
@@ -1680,6 +1674,7 @@ export default {
           }
 
           var params = {
+            computationTrigger: -2,
             questionId: this.parentQsId,
             rowId: this.questionForm.RowId,
             rowIndex: this.answers.RowIndex,
@@ -1789,9 +1784,19 @@ export default {
         })
         .catch(() => {})
     },
-    handleDelete() {
+    async handleDelete() {
+      let message = this.$t('trials:reading:warnning:msg48')
+      // 判断该病灶的suvmax是否是最大的
+      const suvMax = this.getQuestionVal(20)
+      if (this.questionForm.RowId && !!suvMax) {
+        const res = await getIsSuvMaxLesion({ visitTaskId: this.visitTaskId, rowId: this.questionForm.RowId })
+        if (res.IsSuccess && res.Result.IsSuvMaxLesion) {
+          message = this.$t('trials:reading:warnning:msg58')
+        }
+      }
+
       // 是否确认删除？
-      this.$confirm(this.$t('trials:reading:warnning:msg48'), {
+      this.$confirm(message, {
         type: 'warning',
         distinguishCancelAndClose: true
       })

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

@@ -73,6 +73,7 @@
           v-else-if="question.Type==='input'"
           v-model="questionForm[question.Id]"
           :disabled="readingTaskState >= 2 || isFirstChangeTask"
+          @change="((val)=>{formItemChange(val, question)})"
         />
         <!-- 多行文本输入框 -->
         <el-input
@@ -81,6 +82,7 @@
           type="textarea"
           :autosize="{ minRows: 2, maxRows: 4}"
           :disabled="readingTaskState >= 2 || isFirstChangeTask"
+          @change="((val)=>{formItemChange(val, question)})"
         />
         <!-- 下拉框 -->
         <el-select

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

@@ -30,7 +30,7 @@
 
 <script>
 // import { uploadPrintscreen } from '@/api/reading'
-import { saveTaskQuestion, getSplenicState, getSplenicVerify } from '@/api/trials'
+import { saveTaskQuestion, getSplenicState, getSplenicVerify, getCanChooseNotMerge } from '@/api/trials'
 import QuestionItem from './QuestionItem'
 import DicomEvent from './DicomEvent'
 import { mapGetters } from 'vuex'
@@ -74,6 +74,7 @@ export default {
       readingTaskState: 2,
       visitTaskId: '',
       imageQualityId: '',
+      imageQualityIssuesId: '',
       measurements: [],
       spleenStatusId: '',
       spleenLengthId: '',
@@ -180,6 +181,11 @@ export default {
               this.imageQualityId = v.Id
               // store.dispatch('reading/setImageQuality', v.Answer ? v.Answer : null)
             }
+            if (v.QuestionType === 67) {
+              // 影像质量问题
+              this.imageQualityIssuesId = v.Id
+            }
+
             if (v.QuestionType === 49) {
               // 脾脏状态
               this.spleenStatusId = v.Id
@@ -208,7 +214,9 @@ export default {
         }
         // this.questions = questions
       }
-
+      if (this.imageQualityIssuesId) {
+        store.dispatch('reading/setImageQualityIssues', this.questionForm[this.imageQualityIssuesId])
+      }
       if (this.spleenLengthId && this.spleenInfo && this.readingTaskState < 2) {
         this.calculateSpleenStatus = this.setSpleenStatus(this.questionForm[this.spleenLengthId])
         this.setSpleenCommentDisplay()
@@ -225,6 +233,10 @@ export default {
             this.imageQualityId = i.Id
             // store.dispatch('reading/setImageQuality', i.Answer ? i.Answer : null)
           }
+          if (i.QuestionType === 67) {
+            // 影像质量问题
+            this.imageQualityIssuesId = i.Id
+          }
           if (i.QuestionType === 49) {
             // 脾脏状态
             this.spleenStatusId = i.Id
@@ -257,7 +269,6 @@ export default {
     handleSave() {
       this.$refs['questions'].validate(async(valid) => {
         if (!valid) return
-
         // lugano标准校验脾脏状态是否符合要求
         if (this.criterionType === 2 && this.groupClassify === 3) {
           // 是否有标记未保存
@@ -296,6 +307,15 @@ export default {
           } else {
             this.saveQuestionsList()
           }
+        } else if (this.criterionType === 2 && this.groupClassify === 1 && this.questionForm[this.imageQualityIssuesId] && parseInt(this.questionForm[this.imageQualityIssuesId]) === 6) {
+          // 保存影响质量问题分组，如果质量问题为PET-CT影像无法融合则验证是否可以保存
+          const res = await getCanChooseNotMerge({ visitTaskId: this.visitTaskId })
+          if (res.IsSuccess && !res.Result.IsCanChooseNotMerge) {
+            this.$alert(this.$t('trials:lugano:saveQuestions:warning1'))
+            return
+          } else {
+            this.saveQuestionsList()
+          }
         } else {
           this.saveQuestionsList()
         }
@@ -330,6 +350,12 @@ export default {
       // }
 
       saveTaskQuestion(this.questionType, params).then(async res => {
+        if (this.imageQualityIssuesId) {
+          store.dispatch('reading/setImageQualityIssues', this.questionForm[this.imageQualityIssuesId])
+          if (this.questionForm[this.imageQualityIssuesId] && parseInt(this.questionForm[this.imageQualityIssuesId]) === 6) {
+            DicomEvent.$emit('closePetct')
+          }
+        }
         this.$message.success(this.$t('common:message:savedSuccessfully'))
         var trialId = this.$route.query.trialId
         await store.dispatch('reading/refreshDicomReadingQuestionAnswer', { trialId: trialId, visitTaskId: this.visitTaskId })

src/views/trials/trials-panel/reading/dicoms/components/Recist/QuestionForm.vue

@@ -1325,7 +1325,7 @@ export default {
           // 淋巴结靶病灶：短径大于15mm且不小于2倍层厚（基线校验）
 
           var picturePath = ''
-          if (val && measureData) {
+          if (val && measureData && this.questionForm.IsDicomReading) {
             var pictureObj = await this.uploadScreenshots(`${new Date().getTime()}`, val)
 
             picturePath = pictureObj.isSuccess ? this.$getObjectName(pictureObj.result.url) : ''

src/views/trials/trials-panel/reading/dicoms/components/RecistBM/QuestionForm.vue

@@ -972,7 +972,7 @@ export default {
 
         DicomEvent.$emit('getScreenshots', { questionId: this.parentQsId, rowIndex: this.questionForm.RowIndex, visitTaskId: this.visitTaskId, lesionName: this.lesionMark, lesionType: this.lesionType }, async val => {
           var picturePath = ''
-          if (val && measureData) {
+          if (val && measureData && this.questionForm.IsDicomReading) {
             var pictureObj = await this.uploadScreenshots(`${new Date().getTime()}`, val)
             picturePath = pictureObj.isSuccess ? this.$getObjectName(pictureObj.result.url) : ''
           }