pt临床数据更改

src/components/Dicom/DicomViewer.vue

@@ -285,14 +285,14 @@
 
       <!-- 患者信息 -->
       <div class="measureTool-wrapper patient-form"
-        v-if="isHaveStudyClinicalData && type === 'Study' && modality && ['PT、CT', 'CT、PT', 'PET-CT'].includes(modality)">
+        v-if="type === 'Study' && modality && ['PT、CT', 'CT、PT', 'PET-CT'].includes(modality)">
         <div class="sideTool-title">{{ $t('trials:tab:patientData') }}</div>
         <div class="sideTool-wrapper">
-          <el-form ref="patientForm" :model="formData" :rules="rules" label-width="150" v-loading="formLoading">
+          <el-form ref="patientForm" size="mini" :model="formData" :rules="rules" label-width="150" v-loading="formLoading">
             <!-- 性别 -->
             <el-form-item :label="$t('trials:ptData:label:patientSex')" prop="PatientSex">
               <el-select v-model="formData.PatientSex" :placeholder="$t('common:ruleMessage:select')"
-                style="width: 100%" size="small" :disabled="!isEdit">
+                style="width: 100%" :disabled="!isEdit">
                 <el-option :label="$t('trials:patientSex:male')" value="M"></el-option>
                 <el-option :label="$t('trials:patientSex:female')" value="F"></el-option>
               </el-select>
@@ -300,32 +300,32 @@
             <!-- 体重（kg） 例如 70.5-->
             <el-form-item :label="$t('trials:ptData:label:patientWeight')" prop="PatientWeight">
               <el-input v-model.number="formData.PatientWeight" :placeholder="$t('trials:patientWeight:eg')"
-                style="width: 100%" size="small" :disabled="!isEdit"></el-input>
+                style="width: 100%" :disabled="!isEdit"></el-input>
             </el-form-item>
             <!-- 总剂量（Bq） 例如 740000000-->
             <el-form-item :label="$t('trials:ptData:label:totalDose')" prop="RadionuclideTotalDose">
               <el-input v-model.number="formData.RadionuclideTotalDose" :placeholder="$t('trials:totalDose:eg')"
-                style="width: 100%" size="small" :disabled="!isEdit"></el-input>
+                style="width: 100%" :disabled="!isEdit"></el-input>
             </el-form-item>
             <!-- 半衰期（s） 例如 21600-->
             <el-form-item :label="$t('trials:ptData:label:halfLife')" prop="RadionuclideHalfLife">
               <el-input v-model.number="formData.RadionuclideHalfLife" :placeholder="$t('trials:halfLife:eg')"
-                style="width: 100%" size="small" :disabled="!isEdit"></el-input>
+                style="width: 100%" :disabled="!isEdit"></el-input>
             </el-form-item>
             <!-- 注射时间（s） Unix 秒 或 相对秒-->
             <el-form-item :label="$t('trials:ptData:label:injectTime')" prop="RadiopharmaceuticalStartTime">
               <el-input v-model.number="formData.RadiopharmaceuticalStartTime" :placeholder="$t('trials:injectTime:eg')"
-                style="width: 100%" @input="computeTimeRelation" size="small" :disabled="!isEdit"></el-input>
+                style="width: 100%" @input="computeTimeRelation" :disabled="!isEdit"></el-input>
             </el-form-item>
             <!-- 成像时间（s） Unix 秒 或 相对秒-->
             <el-form-item :label="$t('trials:ptData:label:acquisitionTime')" prop="AcquisitionTime">
               <el-input v-model.number="formData.AcquisitionTime" :placeholder="$t('trials:injectTime:eg')"
-                style="width: 100%" @input="computeTimeRelation" size="small" :disabled="!isEdit"></el-input>
+                style="width: 100%" @input="computeTimeRelation" :disabled="!isEdit"></el-input>
             </el-form-item>
             <!-- 时间一致性检查 -->
-            <el-form-item :label="$t('trials:ptData:label:timeCheck')">
+            <!-- <el-form-item :label="$t('trials:ptData:label:timeCheck')">
-              <el-input v-model="formData.TimeCheck" disabled style="width: 100%" size="small"></el-input>
+              <el-input v-model="formData.TimeCheck" disabled style="width: 100%"></el-input>
-            </el-form-item>
+            </el-form-item> -->
 
             <!-- 提交 -->
             <el-form-item style="margin-top: 20px;text-align: right;" v-if="isEdit">
@@ -363,6 +363,7 @@ import {
   getPatientInfo,
   editPatientInfo
 } from '@/api/trials'
+import { setPTClinicalDataForInstance } from '@/utils/ptClinicalDataCache'
 export default {
   name: 'DicomsViewer',
   components: {
@@ -379,6 +380,20 @@ export default {
       default: ''
     }
   },
+  watch: {
+    modality: {
+      immediate: true,
+      handler(v) {
+        if (v) {
+          if (this.type === 'Study' && ['PT、CT', 'CT、PT', 'PET-CT'].includes(v)) {
+            this.$nextTick(()=>{
+              this.getPatientInfo()
+            })
+          } 
+        }
+      }
+    }
+  },
   data() {
     return {
       isAnonymous: false,
@@ -444,7 +459,6 @@ export default {
         ]
       },
       formLoading: false,
-      isHaveStudyClinicalData: false,
       type: '',
       isEdit: 0
     }
@@ -459,12 +473,8 @@ export default {
     this.wwwcList[0] = '-1'
     this.colormapsList = cornerstone.colors.getColormapsList()
     this.currentDicomCanvas = this.$refs['dicomCanvas0']
-    this.isHaveStudyClinicalData = this.$route.query.isHaveStudyClinicalData === 'true'
     this.type = this.$route.query.type
     this.isEdit = parseInt(this.$route.query.showDelete)
-    if (this.isHaveStudyClinicalData && this.type === 'Study' && ['PT、CT', 'CT、PT', 'PET-CT'].includes(this.modality)) {
-      this.getPatientInfo()
-    }
   },
 
   methods: {
@@ -820,7 +830,7 @@ export default {
       try {
         this.formLoading = true
         let studyId = this.$route.query.studyId
-        let res = await getPatientInfo({ studyId: studyId })
+        let res = await getPatientInfo({studyId: studyId})
         this.formData = {
           Id: res.Result.Id || '',
           PatientSex: res.Result.PatientSex || '',
@@ -832,12 +842,88 @@ export default {
           TimeCheck: ''
         }
         this.computeTimeRelation()
+        // 缓存 PT 临床数据：用于 2D SUV 计算时优先使用接口/人工录入值
+        this.cachePtClinicalDataToInstances()
         this.formLoading = false
-      } catch (e) {
+      } catch(e) {
         this.formLoading = false
         console.log(e)
       }
     },
+    cachePtClinicalDataToInstances() {
+      const clinicalData = {
+        PatientSex: this.formData.PatientSex,
+        PatientWeight: this.formData.PatientWeight,
+        RadionuclideTotalDose: this.formData.RadionuclideTotalDose,
+        RadionuclideHalfLife: this.formData.RadionuclideHalfLife,
+        RadiopharmaceuticalStartTime: this.formData.RadiopharmaceuticalStartTime,
+        AcquisitionTime: this.formData.AcquisitionTime
+      }
+      const seriesList = Array.isArray(this.seriesList) ? this.seriesList : []
+      seriesList.forEach(series => {
+        const instanceInfoList = series?.instanceInfoList
+        if (Array.isArray(instanceInfoList) && instanceInfoList.length > 0) {
+          instanceInfoList.forEach(instance => {
+            if (instance && instance.Id != null) {
+              setPTClinicalDataForInstance(instance.Id, clinicalData)
+            }
+          })
+          return
+        }
+        const imageIds = series?.imageIds
+        if (Array.isArray(imageIds) && imageIds.length > 0) {
+          imageIds.forEach(imageId => {
+            const instanceId = this.getInstanceIdFromImageId(imageId)
+            if (instanceId) {
+              setPTClinicalDataForInstance(instanceId, clinicalData)
+            }
+          })
+        }
+      })
+    },
+    getInstanceIdFromImageId(imageId) {
+      try {
+        const qIndex = String(imageId).indexOf('?')
+        if (qIndex === -1) return null
+        const params = new URLSearchParams(String(imageId).slice(qIndex + 1))
+        const instanceId = params.get('instanceId')
+        return instanceId ? String(instanceId).trim() : null
+      } catch (e) {
+        return null
+      }
+    },
+    refreshDicomAfterClinicalDataChanged() {
+      // 患者信息保存后，强制刷新画布与标注统计，确保 SUV 等数据显示使用最新的 PT 临床数据口径
+      const toolTypes = [
+        'Probe',
+        'RectangleRoi',
+        'EllipticalRoi',
+        'FreehandRoi',
+        'Bidirectional',
+        'Length',
+        'ArrowAnnotate',
+        'Angle',
+        'CobbAngle'
+      ]
+      const elements = document.querySelectorAll('.dicom-item')
+      Array.from(elements).forEach((wrapper) => {
+        const index = wrapper.getAttribute('data-index')
+        const canvasComp = index !== null ? this.$refs[`dicomCanvas${index}`] : null
+        const element = canvasComp?.$refs?.canvas
+        if (!element) return
+        toolTypes.forEach((toolType) => {
+          const toolState = cornerstoneTools.getToolState(element, toolType)
+          if (toolState && Array.isArray(toolState.data)) {
+            toolState.data.forEach((d) => {
+              if (d && typeof d === 'object') {
+                d.invalidated = true
+              }
+            })
+          }
+        })
+        cornerstone.updateImage(element, true)
+      })
+    },
     async submitForm() {
       try {
         let valid = await this.$refs.patientForm.validate()
@@ -847,6 +933,8 @@ export default {
         this.formLoading = false
         if (res.IsSuccess) {
           this.$message.success(this.$t('common:message:savedSuccessfully'))
+          this.cachePtClinicalDataToInstances()
+          this.refreshDicomAfterClinicalDataChanged()
         }
       } catch (e) {
         this.formLoading = false
@@ -910,28 +998,28 @@ export default {
   align-items: center;
   justify-content: space-between;
   z-index: 9999;
-
-  .btn {
-    width: 15%;
-    text-align: center;
-    height: 40px;
-    line-height: 30px;
-    border-radius: 15px;
-    background-color: rgba(255, 255, 255, .3);
-    cursor: pointer;
-    padding: 5px 10px;
-    border: 1px solid rgba(255, 255, 255, .7);
-
-    &:hover {
-      background-color: rgba(255, 255, 255, .5);
-    }
-  }
-
-  .activeBtn {
-    background-color: rgba(255, 255, 255, .5);
-  }
 }
 
+.Anonymous .btn {
+  width: 15%;
+  text-align: center;
+  height: 40px;
+  line-height: 30px;
+  border-radius: 15px;
+  background-color: rgba(255, 255, 255, .3);
+  cursor: pointer;
+  padding: 5px 10px;
+  border: 1px solid rgba(255, 255, 255, .7);
+}
+.Anonymous .btn:hover {
+  background-color: rgba(255, 255, 255, .5);
+}
+
+.Anonymous .activeBtn {
+  background-color: rgba(255, 255, 255, .5);
+}
+
+
 .btnBox {
   display: inline-block;
   width: 80px;
@@ -1200,11 +1288,20 @@ export default {
 }
 
 .patient-form .el-form-item {
+  display: flex;
+  align-items: center;
   margin-bottom: 15px;
 }
 
 .patient-form .el-form-item__label {
   color: #d0d0d0;
+  flex: 0 0 150px;
+  text-align: left;
+}
+
+.patient-form .el-form-item__content {
+  flex: 1;
+  margin-left: 0;
 }
 
 .patient-form .el-input.is-disabled .el-input__inner {

src/store/modules/reading.js

@@ -932,6 +932,12 @@ const actions = {
             data.IsDicom = study.IsDicom
             data.PreviewImageCount = 0
             data.IsCriticalSequence = study.IsCriticalSequence
+            data.PatientSex = study.PatientSex
+            data.PatientWeight = study.PatientWeight
+            data.RadionuclideHalfLife = study.RadionuclideHalfLife
+            data.RadionuclideTotalDose = study.RadionuclideTotalDose
+            data.RadiopharmaceuticalStartTime = study.RadiopharmaceuticalStartTime
+            data.AcquisitionTime = study.AcquisitionTime
             var seriesList = []
             study.SeriesList.forEach((series, seriesIndex) => {
               const imageIds = []

src/utils/metaDataProvider.js

@@ -1,4 +1,6 @@
 import * as cornerstoneWADOImageLoader from 'cornerstone-wado-image-loader'
+import store from '@/store'
+import { getPTClinicalDataForInstance } from '@/utils/ptClinicalDataCache'
 import {
   getImageTypeSubItemFromDataset,
   extractOrientationFromDataset,
@@ -6,6 +8,87 @@ import {
   extractSpacingFromDataset,
   extractSliceThicknessFromDataset,
 } from './extractPositioningFromDataset';
+
+function toNumber(val) {
+  if (val === undefined || val === null || val === '') return null;
+  const n = typeof val === 'number' ? val : parseFloat(val);
+  return Number.isFinite(n) ? n : null;
+}
+
+function parseDicomTimeToObject(value) {
+  if (value === undefined || value === null || value === '') return null;
+  const raw = String(value).trim();
+  if (!raw) return null;
+  const cleaned = raw.replace(/[^\d.]/g, '');
+  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);
+  const n = raw != null ? parseInt(raw, 10) : NaN;
+  return Number.isFinite(n) ? n : undefined;
+}
+
+function getPTClinicalOverrideFromImageId(imageId) {
+  try {
+    const qIndex0 = 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 idx = params.get('idx');
+    if (!visitTaskId || !idx) return null;
+    const parts = idx.split('|');
+    const studyIndex = toNumber(parts[0]);
+    if (!Number.isInteger(studyIndex) || studyIndex < 0) return null;
+
+    const visitTaskList = store?.state?.reading?.visitTaskList;
+    if (!Array.isArray(visitTaskList)) return null;
+    const visitTaskInfo = visitTaskList.find(v => v && v.VisitTaskId === visitTaskId);
+    const study = visitTaskInfo?.StudyList?.[studyIndex];
+    if (!study) return null;
+
+    if (
+      study.PatientWeight == null &&
+      study.RadionuclideTotalDose == null &&
+      study.RadionuclideHalfLife == null &&
+      study.RadiopharmaceuticalStartTime == null &&
+      study.AcquisitionTime == null &&
+      study.PatientSex == null
+    ) {
+      return null;
+    }
+    return study;
+  } catch (e) {
+    return null;
+  }
+}
 function parseImageId(imageId) {
   // build a url by parsing out the url scheme and frame index from the imageId
   const firstColonIndex = imageId.indexOf(':');
@@ -168,6 +251,65 @@ function metaDataProvider(type, imageId) {
   if (!dataSet) {
     return;
   }
+  const ptOverride = getPTClinicalOverrideFromImageId(imageId);
+  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?.dicomParser;
+    const modality = dataSet.string('x00080060');
+    const seriesDateRaw = dataSet.string('x00080021') || '';
+    const seriesTimeRaw = dataSet.string('x00080031') || '';
+    const acquisitionDateRaw = dataSet.string('x00080022') || '';
+    const acquisitionTimeRaw = dataSet.string('x00080032') || '';
+    const seriesTimeValue = ptOverride?.AcquisitionTime ?? seriesTimeRaw;
+    return {
+      modality,
+      seriesInstanceUID: dataSet.string('x0020000e'),
+      seriesNumber: getIntString(dataSet, 'x00200011'),
+      studyInstanceUID: dataSet.string('x0020000d'),
+      seriesDate: dicomParser?.parseDA ? dicomParser.parseDA(seriesDateRaw) : seriesDateRaw,
+      seriesTime: dicomParser?.parseTM ? dicomParser.parseTM(seriesTimeValue || '') : parseDicomTimeToObject(seriesTimeValue),
+      acquisitionDate: dicomParser?.parseDA ? dicomParser.parseDA(acquisitionDateRaw) : acquisitionDateRaw,
+      acquisitionTime: dicomParser?.parseTM ? dicomParser.parseTM(acquisitionTimeRaw || '') : parseDicomTimeToObject(acquisitionTimeRaw)
+    };
+  }
+  if (type === 'patientStudyModule') {
+    // 参照 cornerstoneWADOImageLoader 的 module 结构返回
+    const patientWeightRaw = dataSet.floatString('x00101030') || dataSet.string('x00101030');
+    // const patientSexRaw = dataSet.string('x00100040');
+    const patientSizeRaw = dataSet.floatString('x00101020') || dataSet.string('x00101020');
+    const patientAge = getIntString(dataSet, 'x00101010');
+    const patientWeight = toNumber(ptOverride?.PatientWeight ?? patientWeightRaw);
+    // const patientSex = ptOverride?.PatientSex ?? patientSexRaw;
+    const patientSize = toNumber(patientSizeRaw);
+    return {
+      patientAge,
+      patientWeight,
+      // patientSex,
+      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
+    // 同时保持与 cornerstoneWADOImageLoader 返回结构一致（radiopharmaceuticalInfo.*）
+    const dicomParser = cornerstoneWADOImageLoader?.external?.dicomParser;
+    const radioPharmItem = getFirstSequenceItemDataSet(dataSet, 'x00540016');
+    const startTimeRaw = radioPharmItem?.string?.('x00181072') || dataSet.string('x00181072');
+    const totalDoseRaw = radioPharmItem?.floatString?.('x00181074') || radioPharmItem?.string?.('x00181074') || dataSet.floatString('x00181074') || dataSet.string('x00181074');
+    const halfLifeRaw = radioPharmItem?.floatString?.('x00181075') || radioPharmItem?.string?.('x00181075') || dataSet.floatString('x00181075') || dataSet.string('x00181075');
+    const startTimeValue = ptOverride?.RadiopharmaceuticalStartTime ?? startTimeRaw;
+    const radiopharmaceuticalStartTime = dicomParser?.parseTM
+      ? dicomParser.parseTM(startTimeValue || '')
+      : parseDicomTimeToObject(startTimeValue);
+    const radionuclideTotalDose = toNumber(ptOverride?.RadionuclideTotalDose ?? totalDoseRaw);
+    const radionuclideHalfLife = toNumber(ptOverride?.RadionuclideHalfLife ?? halfLifeRaw);
+    return {
+      radiopharmaceuticalInfo: {
+        radiopharmaceuticalStartTime,
+        radionuclideTotalDose,
+        radionuclideHalfLife
+      }
+    };
+  }
   if (type === 'imagePlaneModule') {
     // const imageOrientationPatient = getNumberValues(dataSet, 'x00200037', 6);
     // const imagePositionPatient = getNumberValues(dataSet, 'x00200032', 3);

src/utils/ptClinicalDataCache.js

@@ -0,0 +1,26 @@
+// PT 临床数据缓存：用于统一 SUV 口径（优先接口，缺失则回退 DICOM 元数据）
+const instanceIdToClinicalData = new Map()
+
+function normalizeId(id) {
+  if (id === undefined || id === null) return null
+  const s = String(id).trim()
+  return s ? s : null
+}
+
+export function setPTClinicalDataForInstance(instanceId, clinicalData) {
+  const key = normalizeId(instanceId)
+  if (!key) return
+  if (!clinicalData || typeof clinicalData !== 'object') return
+  instanceIdToClinicalData.set(key, clinicalData)
+}
+
+export function getPTClinicalDataForInstance(instanceId) {
+  const key = normalizeId(instanceId)
+  if (!key) return null
+  return instanceIdToClinicalData.get(key) || null
+}
+
+export function clearPTClinicalDataCache() {
+  instanceIdToClinicalData.clear()
+}
+

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

@@ -539,7 +539,7 @@
         </el-tab-pane>
         <!-- 其他 -->
         <el-tab-pane :label="$t('trials:reading:tab:others')" name="3">
-          <Others v-if="activeName === '3'" />
+          <Others v-if="activeName === '3'" :imageToolType="1"/>
         </el-tab-pane>
       </el-tabs>
 

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

@@ -1,6 +1,7 @@
 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(':')
@@ -42,6 +43,9 @@ 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)
@@ -60,25 +64,36 @@ export default function getPTImageIdInstanceMetadata(imageId) {
   const { seriesDate, seriesTime, acquisitionDate, acquisitionTime } =
     generalSeriesModule
   var { patientWeight } = patientStudyModule
+  if (ptClinicalData && ptClinicalData.PatientWeight != null && ptClinicalData.PatientWeight !== '') {
+    patientWeight = parseFloat(ptClinicalData.PatientWeight)
+  }
   // console.log('更改前：', patientWeight)
   // patientWeight = patientWeight * 10
   // console.log('更改后：', patientWeight)
   const { correctedImage, units, decayCorrection } = ptSeriesModule
+  const totalDose = ptClinicalData && ptClinicalData.RadionuclideTotalDose != null && ptClinicalData.RadionuclideTotalDose !== ''
+    ? parseFloat(ptClinicalData.RadionuclideTotalDose)
+    : radiopharmaceuticalInfo.radionuclideTotalDose
+  const halfLife = ptClinicalData && ptClinicalData.RadionuclideHalfLife != null && ptClinicalData.RadionuclideHalfLife !== ''
+    ? parseFloat(ptClinicalData.RadionuclideHalfLife)
+    : radiopharmaceuticalInfo.radionuclideHalfLife
+  const startTimeOverride = ptClinicalData ? normalizeDicomTime(ptClinicalData.RadiopharmaceuticalStartTime) : null
+  const acquisitionTimeOverride = ptClinicalData ? normalizeDicomTime(ptClinicalData.AcquisitionTime) : null
 
   if (
     seriesDate === undefined ||
     seriesTime === undefined ||
     patientWeight === undefined ||
     acquisitionDate === undefined ||
-    acquisitionTime === undefined ||
+    (acquisitionTimeOverride || acquisitionTime) === undefined ||
     correctedImage === undefined ||
     units === undefined ||
     decayCorrection === undefined ||
-    radiopharmaceuticalInfo.radionuclideTotalDose === undefined ||
+    totalDose === undefined ||
-    radiopharmaceuticalInfo.radionuclideHalfLife === undefined ||
+    halfLife === undefined ||
     (radiopharmaceuticalInfo.radiopharmaceuticalStartDateTime === undefined &&
       seriesDate === undefined &&
-      radiopharmaceuticalInfo.radiopharmaceuticalStartTime === undefined)
+      (startTimeOverride || radiopharmaceuticalInfo.radiopharmaceuticalStartTime) === undefined)
     //
   ) {
     throw new Error('required metadata are missing')
@@ -87,14 +102,14 @@ export default function getPTImageIdInstanceMetadata(imageId) {
   const instanceMetadata = {
     CorrectedImage: correctedImage,
     Units: units,
-    RadionuclideHalfLife: radiopharmaceuticalInfo.radionuclideHalfLife,
+    RadionuclideHalfLife: halfLife,
-    RadionuclideTotalDose: radiopharmaceuticalInfo.radionuclideTotalDose,
+    RadionuclideTotalDose: totalDose,
     DecayCorrection: decayCorrection,
     PatientWeight: patientWeight,
     SeriesDate: seriesDate,
     SeriesTime: seriesTime,
     AcquisitionDate: acquisitionDate,
-    AcquisitionTime: acquisitionTime
+    AcquisitionTime: acquisitionTimeOverride || acquisitionTime
   }
 
   if (
@@ -159,6 +174,10 @@ export default function getPTImageIdInstanceMetadata(imageId) {
     instanceMetadata.RadiopharmaceuticalStartTime = timeString
   }
 
+  if (startTimeOverride) {
+    instanceMetadata.RadiopharmaceuticalStartTime = startTimeOverride
+  }
+
   if (
     instanceMetadata.AcquisitionTime &&
     instanceMetadata.AcquisitionTime !== undefined &&
@@ -201,6 +220,9 @@ export default function getPTImageIdInstanceMetadata(imageId) {
   ) {
     instanceMetadata.PatientSex = patientStudyModule.patientSex
   }
+  if (ptClinicalData && ptClinicalData.PatientSex != null && ptClinicalData.PatientSex !== '') {
+    instanceMetadata.PatientSex = ptClinicalData.PatientSex
+  }
 
   if (
     patientStudyModule.patientSize &&
@@ -234,3 +256,40 @@ function convertInterfaceDateToString(date) {
 }
 
 export { getPTImageIdInstanceMetadata }
+
+function getInstanceIdFromImageId(imageId) {
+  try {
+    const qIndex = imageId.indexOf('?')
+    if (qIndex === -1) return null
+    const params = new URLSearchParams(imageId.slice(qIndex + 1))
+    const instanceId = params.get('instanceId')
+    if (!instanceId) return null
+    return String(instanceId).trim() || null
+  } catch (e) {
+    return null
+  }
+}
+
+function normalizeDicomTime(value) {
+  if (value === undefined || value === null || value === '') return null
+  if (typeof value === 'object') {
+    return convertInterfaceTimeToString(value)
+  }
+  const raw = String(value).trim()
+  if (!raw) return null
+
+  if (raw.includes(':')) {
+    const parts = raw.split(':')
+    const hh = `${parts[0] || '00'}`.padStart(2, '0')
+    const mm = `${parts[1] || '00'}`.padStart(2, '0')
+    const ss = `${parts[2] || '00'}`.padStart(2, '0')
+    return `${hh}${mm}${ss}.000000`
+  }
+
+  const cleaned = raw.replace(/[^\d.]/g, '')
+  if (!cleaned) return null
+  const [baseRaw, fracRaw] = cleaned.split('.')
+  const base = `${baseRaw || ''}`.padStart(6, '0').slice(-6)
+  const frac = `${fracRaw || ''}`.padEnd(6, '0').slice(0, 6)
+  return `${base}.${frac}`
+}

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

@@ -577,6 +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 FixedRadiusCircleROITool from './tools/FixedRadiusCircleROITool'
 import uploadDicomAndNonedicom from '@/components/uploadDicomAndNonedicom'
 import downloadDicomAndNonedicom from '@/components/downloadDicomAndNonedicom'
@@ -1155,10 +1156,28 @@ 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）
+            const ptClinicalData = {
+              PatientSex: study.PatientSex,
+              PatientWeight: study.PatientWeight,
+              RadionuclideTotalDose: study.RadionuclideTotalDose,
+              RadionuclideHalfLife: study.RadionuclideHalfLife,
+              RadiopharmaceuticalStartTime: study.RadiopharmaceuticalStartTime,
+              AcquisitionTime: study.AcquisitionTime
+            }
+            const hasPtClinicalData =
+              ptClinicalData.PatientWeight != null ||
+              ptClinicalData.RadionuclideTotalDose != 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) {
+                  setPTClinicalDataForInstance(instance.Id, ptClinicalData)
+                }
                 if (study.IsCriticalSequence) {
                   keyStudyIndex = studyIndex
                   keySeriesIndex = seriesIndex

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

@@ -104,7 +104,7 @@
                             <span>{{ study.AcquisitionTime }}</span>
                           </div>
                           <i slot="reference" class="el-icon-document"
-                            style="font-size: 15px;cursor: pointer;color: #428bca;" />
+                            style="font-size: 15px;cursor: pointer;color: #f5f7fa;" />
                         </el-popover>
                       </div>
                     </div>

src/views/trials/trials-panel/reading/visit-review/components/FileViewer.vue

@@ -245,7 +245,7 @@
         </el-tab-pane>
         <!-- 其他 -->
         <el-tab-pane :label="$t('trials:reading:tab:others')" name="2">
-          <Others v-if="activeName === '2'" />
+          <Others v-if="activeName === '2'" :imageToolType="2"/>
         </el-tab-pane>
       </el-tabs>
     </el-dialog>

src/views/trials/trials-panel/visit/qc-check/components/qualityAssurance.vue

@@ -2452,7 +2452,7 @@ export default {
       const routeData = this.$router.resolve({
         path: `/showdicom?trialId=${this.trialId}&subjectVisitId=${this.data.Id
           }&studyId=${row.StudyId}&showDelete=${this.isAudit ? 0 : 1
-          }&TokenKey=${token}&type=Study&isHaveStudyClinicalData=${this.IsHaveStudyClinicalData}`,
+          }&TokenKey=${token}&type=Study`,
       })
       this.open = window.open(routeData.href, '_blank')
     },